Medicare: Physician fee schedule (2004 CY); payment policies and relative value unit adjustments,

[Federal Register: August 15, 2003 (Volume 68, Number 158)]

[Proposed Rules]

[Page 49029-49300]

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

[DOCID:fr15au03-25]

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Part III

Department of Health and Human Services

Centers for Medicare & Medicaid Services

42 CFR Parts 410 and 414

Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004; Proposed Rule

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 410 and 414

[CMS-1476-P]

RIN 0938-AL96

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

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

ACTION: Proposed rule.

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

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

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

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

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

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

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

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

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

FOR FURTHER INFORMATION CONTACT: Gail Addis (410) 786-4522 (for issues related to repricing of supplies for practice expense inputs.)

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

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

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

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

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

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

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

SUPPLEMENTARY INFORMATION:

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

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

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

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

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

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

3. Under ``Policies/Regulations'' select ``Physician Fee Schedule.''

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

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

Table of Contents

I. Background

A. Legislative History

B. Published Changes to the Fee Schedule II. Provisions of the Proposed Regulation

A. Resource-Based Practice Expense Relative Value Units

1. Resource-Based Practice Expense Legislation

2. Current Methodology

3. Practice Expense Proposals for Calendar Year 2004

B. Geographic Practice Cost Indices (GPCIs)

C. Coding Issues III. Other Issues

A. Rebasing of the Medicare Economic Index (MEI)

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

C. Outpatient Therapy Services Performed ``Incident To'' Physicians Services

D. Status of Anesthesia Work and 5-Year Review

E. Payment Policies for Anesthesia Services

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F. Technical Correction IV. Collection of Information Requirements V. Response to Comments VI. Regulatory Impact Analysis Addendum A--Explanation and Use of Addendum B Addendum B--2004 Relative Value Units and Related Information Used in Determining Medicare Payments for 2004. Addendum C--Codes for Which We Received PEAC Recommendations on Practice Expense Direct Cost Inputs. Addendum D--Proposed Changes to Practice Expense Supply Description and Pricing.

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

AMA American Medical Association BBA Balanced Budget Act of 1997 BBRA Balanced Budget Refinement Act of 1999 CF Conversion factor CFR Code of Federal Regulations CMS Centers for Medicare & Medicaid Services CNS Clinical Nurse Specialist CPT [Physicians'] Current Procedural Terminology [4th Edition, 2002, copyrighted by the American Medical Association] CPEP Clinical Practice Expert Panel CRNA Certified Registered Nurse Anesthetist E/M Evaluation and management FMR Fair market rental GAF Geographic adjustment factor GPCI Geographic practice cost index HCPCS Healthcare Common Procedure Coding System HHA Home health agency HHS [Department of] Health and Human Services IDTFs Independent Diagnostic Testing Facilities MCM Medicare Carrier Manual MedPAC Medicare Payment Advisory Commission MEI Medicare Economic Index MGMA Medical Group Management Association MPFS Medicare Physician Fee Schedule MSA Metropolitan Statistical Area NAMCS National Ambulatory Medical Care Survey PC Professional component PEAC Practice Expense Advisory Committee PPS Prospective payment system RUC [AMA's Specialty Society] Relative [Value] Update Committee RVU Relative value unit SGR Sustainable growth rate SMS [AMA's] Socioeconomic Monitoring System SNF Skilled Nursing Facility TC Technical component

I. Background

A. Legislative History

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

B. Published Changes to the Fee Schedule

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

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

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

This final rule also revised the regulations at 42 CFR 485.618 to allow registered nurses (RNs) to provide

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emergency care in certain critical access hospitals (CAHs) in frontier areas (an area with fewer than six residents per square mile) or remote locations (locations designated in a State's rural health plan that we have approved).

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

II. Provisions of the Proposed Rule

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

A. Resource-Based Practice Expense Relative Value Units

1. Resource-Based Practice Expense Legislation

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

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

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

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

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

[sbull] Step 1--Determine the specialty specific practice expense per hour of physician direct patient care. We used the AMA's SMS survey of actual aggregate cost data by specialty to determine the practice expenses per hour for each specialty. We calculated the practice expenses per hour for the specialty by dividing the aggregate practice expenses for the specialty by the total number of hours spent in patient care activities.

[sbull] Step 2--Create a specialty specific practice expense pool of practice expense costs for treating Medicare patients. To calculate the total number of hours spent treating Medicare patients for each specialty, we used the physician time assigned to each procedure code and the Medicare utilization data. We then calculated the specialty specific practice expense pools by multiplying the specialty practice expenses per hour by the total physician hours.

[sbull] Step 3--Allocate the specialty specific practice expense pool to the specific services performed by each specialty. For each specialty, we divided the practice expense pool into two groups based on whether direct or indirect costs were involved and used a different allocation basis for each group.

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

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

[sbull] Step 4--For procedures performed by more than one specialty, the final procedure code allocation was a weighted average of allocations for the specialties that perform the procedure, with the weights being the frequency with which each specialty performs the procedure on Medicare patients. b. Other Methodological Issues (i) Non-Physician Work Pool

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

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

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interim measure to allocate the direct practice expense cost pool for radiology. (ii) Crosswalks for Specialties Without Practice Expense Survey Data

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

Because we believe that most physical therapy services furnished in physicians' offices are performed by physical therapists, we crosswalked all utilization for therapy services in the CPT 97000 series to the physical and occupational therapy practice expense pool. 3. Practice Expense Proposals for Calendar Year 2004 a. Non-Physician Work Pool

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

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

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

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

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

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

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

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

We use Medicare utilization data in the development of specialty- specific practice expense RVUs that are then weight averaged to determine a single practice expense RVU per code. Prior to

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2003, we used the most recent complete year of utilization data to determine the practice expense RVUs. For instance, we determined the 2001 practice expense RVUs using Medicare utilization data from 1999 for most procedure codes. However, if a procedure code was new in 2000, we did not have any 1999 utilization data to determine its 2001 practice expense RVU and could not use specialty-specific data until 2000 utilization data was available to us. In some cases, the new code was clearly related to an older code or codes and we were able to use an estimation of the probable specialty utilization for 2001 until actual specialty-specific utilization was available for 2002. Where we were not able to determine the probable specialty-specific utilization we assigned the ``all physician'' average practice expenses to the service until we obtained specialty-specific utilization. Thus, in this case, we used the ``all physician average'' to determine the code's 2001 practice expense RVU and specialty-specific utilization to determine the 2002 practice expense RVU.

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

For the proposed rule, the utilization data from the prior year are 96 percent complete. In the past, we used 100 percent complete data from a prior year in the proposed rule (for example, we used 2000 utilization data to simulate impacts for the June 28, 2002 proposed rule) and did not use the preceding year's utilization data until the final rule (for example, we used 2001 utilization data to simulate impacts for the December 31, 2002 final rule). Beginning with this year's proposed rule, we are using the prior year's utilization data for developing practice expense RVUs and simulating impacts. Because the utilization file that we are using for the proposed rule is only 96 percent complete, there may be minor changes to the payment impacts and practice expense RVUs between the proposed rule and the final rule for which we will use 100 percent complete data from the prior year. f. Practice Expense Advisory Committee (PEAC) Recommendations on CPEP Inputs for 2004

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

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

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

[sbull] Pre-service time--35 minutes of pre-service clinical staff time in the office and 60 minutes for services performed in the facility setting;

[sbull] Discharge day management time--6 minutes of clinical staff time if the procedure is performed predominantly in the outpatient facility setting and 12 minutes if performed predominantly in the inpatient setting. (This standard is also recommended for all of the 10-day global procedures); and

[sbull] Post-service office visit time--equal to the clinical staff times associated with the evaluation and management visit codes assigned to each service.

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

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

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

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

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

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

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

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

BILLING CODE 4120-01-P

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[GRAPHIC] [TIFF OMITTED] TP15AU03.005

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[GRAPHIC] [TIFF OMITTED] TP15AU03.006

BILLING CODE 4120-01-C

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

[sbull] Assignment of supply categories. In the original CPEP data, a number was assigned to each supply. The contractor has recommended that each supply item also be assigned a ``category'' to allow for easier selection and sorting of items. We agree and are proposing that supplies be assigned to one of the following 14 categories: Accessory, Diagnostics; Accessory, Equipment; Accessory, Procedure; Booklets/Forms; Cutters, Closures/Cautery; Gown, Drape; Hypodermic/IV; Infection Control; Kit, Pack, Tray; Lab; Office, Grocery; Pharmacy, NonRx; Pharmacy, Rx; and Wound Care, Dressings.

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

[sbull] Consolidation/standardization of item descriptions.

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

[sbull] Standardization of unit descriptions.

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

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

Hyperbaric Oxygen Services

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

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

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

Equipment: Hyperbaric chamber.

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

Maxillofacial Prosthetics PE/hour

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

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

Holter Monitoring Codes

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

[sbull] For CPT codes 93225 and 93231 delete the ECG electrodes and laser paper, as well as the electric bed, computer and holter monitor; and

[sbull] For CPT codes 93226 and 93232 delete the razor, nonsterile gloves, alcohol swab and tape, as well as the electric bed and exam table.

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

[[Page 49039]]

B. Geographic Practice Cost Index Changes

1. Background

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

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

The GPCIs do not affect total national payments under the MPFS, but instead distribute payments among areas according to area cost differences. In general, the data show that urban areas usually have higher costs, while rural areas have generally lower costs. Thus, on average the costs associated with operating a private medical practice, as measured by factors such as wages and rent, are higher in urban areas. Alternatively, the average costs associated with the operation of a private medical practice in a rural area are lower. Since the costs associated with operating a private medical practice are measurably different based upon geographic location, varying payments according to the GPCIs will benefit lower cost areas, usually rural, since the law provides that only one-quarter of the area cost difference in physician work, the largest of the three fee schedule GPCI components, be recognized. We believe this was an attempt by the Congress to shift payments to rural areas. Thus, about 40 percent of MPFS payments (.75 x .52) are by statute not adjusted for area cost differences. Additionally, one component of the practice expense GPCI, supplies, equipment and other, is also, by statute, not adjusted for area cost differences. Supplies, equipment and other represent about 13 percent of total physician resource costs. This means that, effectively, there is a nationwide MPFS for about 53 percent of the average physician payment (40 percent physician work, 13 percent supplies, equipment and other). That is, only about 47 percent of overall physician payment is adjusted for area resource cost differences. In addition, 34 states are statewide payment localities in which all physicians, whether urban or rural, are paid the same. All of these factors shift payments from higher cost, usually urban, areas to lower cost, usually rural areas. 3. GPCI Composition

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

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

Although there are general discussions of both the background and composition of all three GPCI components in this proposed rule, a detailed discussion of only the 2004 revised malpractice GPCI is included in this proposal while a detailed discussion of the revised work and practice expense GPCIs will be included in the 2005 proposed rule. 4. Development of the Geographic Practice Cost Indices

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

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

Expense category

1992-94*

1995-97**

1998-00**

2001-03***

2004-07****

Physician Earnings.......................................

54.2

54.2

54.2

54.5

52.466 Practice Expenses........................................

40.2

41.0

41.0

42.3

43.669

Employee Wages.......................................

15.7

16.3

16.3

16.8

18.654

Rents................................................

11.1

10.3

10.3

11.6

12.209

Equip., Supplies, Other..............................

13.4

14.4

14.4

13.9

12.807 Malpractice Insurance....................................

5.6

4.8

4.8

3.2

3.865

100.0

100.0

100.0

100.0

100.000

*Weights from 1987 AMA survey.

[[Page 49040]]

**Weights from 1989 AMA survey. ***Weights from 1997 AMA survey ****Weights from Physician Socioeconomic Statistics, 2000-2002 Edition (SMS Survey), Physician Socioeconomic Statistics, 2003 Edition (PCPS Survey), Center for Health Policy Research, American Medical Association; 2003 Employment Cost Index, U.S. Department of Labor, Bureau of Labor Statistics; U.S. Department of Commerce, Bureau Economic Analysis 1997 Benchmark Input Output Tables, and U.S. Department of Commerce, Bureau of the Census, 2002 Current Population Survey. (See section III.A. Rebasing and Revising of the Medicare Economic Index.)

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

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

[sbull] Physician work--The median hourly earnings, based on a 20 percent sample of 1980 census data, of workers in six professional specialty occupation categories (engineers, surveyors, and architects; natural scientists and mathematicians; teachers, counselors, and librarians; social scientists, social workers, and lawyers; registered nurses and pharmacists; writers, artists, and editors) with 5 or more years of college. Adjustments were made to produce a standard occupational mix in each area. The actual reported earnings of physicians were not used to adjust geographical differences in fees because these fees are, in large part, the determinants of the earnings. We believe that the earnings of physicians will vary among areas to the same degree that the earnings of other professionals vary.

[sbull] Employee wages--Median hourly wages of clerical workers, registered nurses, licensed practical nurses, and health technicians were also based on a 20 percent sample of 1980 census data.

[sbull] Office rents--Residential apartment rental data produced annually by the Department of Housing and Urban Development (HUD) were used because there were insufficient data on commercial rents across all physician fee schedule areas.

[sbull] Equipment, supplies, other expenses--The Urban Institute and the Center for Health Economics research assumed that a national market represents this component and that costs do not vary appreciably among areas. This component's index is 1.000 for all areas to indicate no variation from the national average.

[sbull] Malpractice--Premiums in 1985 and 1986 for a mature ``claims made'' policy (a policy that covers malpractice claims made during the covered period) providing $100,000 to $300,000 of coverage were used. Adjustments were made to incorporate the costs of $1 million to $3 million coverage and mandatory patient compensation fund (PCF) requirements. Some States legally require physicians to join a PCF that provides coverage for catastrophic claims. Premium data were collected for physicians in three risk classes: low-risk (general practitioners who do not perform surgery), moderate risk (general surgeons), and high-risk (orthopedic surgeons).

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

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

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

[sbull] The Urban Institute report ``The Geographic Medicare Index: Alternative Approaches,'' NTIS PB89-216592;

[sbull] The supplement to ``The Geographic Medicare Index: Alternative Approaches,'' NTIS PB91-113506. This was published in the Federal Register in the September 4, 1990 notice (55 FR 36238) for the model fee schedule; and

[sbull] The Urban Institute report, ``Refining the Malpractice Geographic Practice Cost Index,'' February 1991, NTIS PB91-155218. The related diskette is NTIS PB91-507491. This is the final version of the 1992 through 1994 GPCIs as published in the Federal Register in the November 25, 1991 final rule (56 FR 59785). 5. Revised 1995 Through 1997 Geographic Practice Cost Indices

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

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

[[Page 49041]]

a. Work Geographic Practice Cost Indices

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

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

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

(1) Employee Wage Indices.

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

(2) Rent Indices.

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

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

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

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

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

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

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

Again, malpractice premium data for a $1 million to $3 million mature ``claims made'' policy were collected, with mandatory Patient Compensation Funds (PCFs) considered. Some States have legally required physicians to join PCFs that provide coverage for catastrophic claims. The PCF charges a premium or surcharge just as any other insurer. However, more recent and more comprehensive malpractice insurance data were used in calculating the 1995 through 1997 malpractice GPCIs. The 1995 through 1997 malpractice GPCIs were based on 1990 through 1992 malpractice premium data. Since malpractice premiums may change

[[Page 49042]]

significantly from year to year, we decided to use the most recent 3- year average available rather than just the most recent single year to smooth out this volatility and present a more accurate indication of malpractice premium trends over time.

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

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

[sbull] ``Updating the Geographic Practice Cost Index: Revised Cost Shares.'' Debra A. Dayhoff, John E. Schneider, and Gregory C. Pope. NTIS PB94-161072.

[sbull] ``Updating the Geographic Practice Cost Index: The Physician Work GPCI.'' Gregory C. Pope and Deborah A. Dayhoff. NTIS PB94-161080.

[sbull] ``Updating the Geographic Practice Cost Index: The Practice Expense GPCI.'' Gregory C. Pope, Deborah A. Dayhoff, Angella R. Merrill, and Killard W. Adamache. NTIS PB94-161098.

``Updating the Geographic Practice Cost Index: The Malpractice GPCI.'' Stephen Zuckerman and Stephen Norton. NTIS PB94-161106. 6. Revised 1998 Through 2000 Geographic Practice Cost Indices

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

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

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

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

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

(1) Employee Wage Indices.

[[Page 49043]]

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

(2) Rent Indices.

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

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

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

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

Detailed discussions of the methodology and data sources of the 1998 through 2000 GPCIs may be obtained by requesting the following study from NTIS by calling 1-800-533-NTIS, or, for residents of Springfield, Virginia, (703) 487-4650: ``Second Update of the Geographic Practice Cost Index.'' Gregory C. Pope and Killard W. Adamache. 7. Revised 2001-2003 Geographic Practice Cost Indices

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

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

(1) Employee Wage Indices.

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

(2) Rent Indices.

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

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

The same methodology described in the 1998 through 2000 malpractice GPCI section was used in the revision of malpractice GPCIs section for 2001 through 2003, the only difference being the use of more recent data. The malpractice indices were based on 1996 through 1998 malpractice premium data rather than the 1992 through 1994 malpractice premium data that was used in the previous GPCI update. 8. Proposed 2004 through 2007 Geographic Practice Cost Indices

The main criticism of the 2001 through 2003 GPCIs was that they were

[[Page 49044]]

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

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

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

The malpractice GPCI is the most volatile of the three indexes with relatively large variations existing between localities. Malpractice premium data for a $1 million to $3 million mature ``claims made'' policy were collected, with mandatory patient compensation funds considered. However, due to the recent concerns regarding the escalating cost of professional liability insurance, especially in 2002 and 2003, we will be collecting more recent malpractice premium data. We propose using actual 1999 through 2002 malpractice premium data and projecting the malpractice premium rates for 2003. The methodology for forecasting 2003 medical malpractice premiums will consist of calculating the geometric mean rate of growth between 1999 through 2002 and applying that rate to the 2002 premium. We will also obtain a national aggregate malpractice premium series with which to benchmark the 2003 forecast. At this point, we are still collecting the 2002 malpractice premium data and are thus unable to project 2003 malpractice premium data in this proposed rule. We are proposing to base the malpractice GPCIs upon actual 2001 and 2002 malpractice premium data and projected 2003 malpractice premium data by January 1, 2004. These revised malpractice GPCIs will be published in this year's final physician fee schedule regulation. They will be considered interim and subject to public comment. 9. Payment Localities

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

C. Coding Issues

1. Payment Policy for CPT Tracking Codes

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

We propose to create national payment policy and determine national payment amounts for CPT tracking codes when there is a significant programmatic need for us to do so. Such a need could arise, for example, if we receive requests from carrier medical directors that we establish a national payment amount because of carrier inability to do so. This policy change would not change the contractor's discretion over coverage for the CPT tracking codes, but would establish a payment level if the contractor finds that coverage is warranted. Carriers do not need to establish a payment amount for a tracking code until they receive a claim for the code. 2. Excision of Benign and Malignant Lesions

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

2002

2003 work

Total work CPT code

utilization

RVU

RVUs

11400............................................................ 69,041 x

0.85 = 58,685

[[Page 49045]]

11600............................................................ 13,768 x

1.31 = 18,036

Total.......................................................... 82,809 .. ........... .. 76,721

76,721 divided by 82,809 = 0.93 work RVU

The proposed work RVUs for these codes follow:

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[GRAPHIC] [TIFF OMITTED] TP15AU03.007

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3. Create G Codes for Monitoring Heart Rhythms

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

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

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

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

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

GXXX1--Electrocardiographic monitoring for diagnosis of arrhythmias, utilizing a home computerized telemetry station and trans-telephonic transmission, with automatic activation and real time notification of monitoring station, 24-hour attended monitoring, per 30-day period of time; includes recording, monitoring, receipt of transmissions, analysis, and physician review and interpretation. (global) GXXX2--Electrocardiographic monitoring for diagnosis of arrhythmias, utilizing a home computerized telemetry station and trans-telephonic transmission, with automatic activation and real time notification of monitoring station, 24-hour attended monitoring, per 30-day period of time; recording (includes hook-up, recording and disconnection) GXXX3--Electrocardiographic monitoring for diagnosis of arrhythmias, utilizing a home computerized telemetry station and trans-telephonic transmission, with automatic activation and real time notification of monitoring station, 24-hour attended monitoring, per 30-day period of time; monitoring, receipt of transmissions, and analysis GXXX4--Electrocardiographic monitoring for diagnosis of arrhythmias, utilizing a home computerized telemetry station and trans-telephonic transmission, with automatic activation and real time notification of monitoring station, 24-hour attended monitoring, per 30-day period of time; physician review and interpretation.

We are establishing the following payment amounts for these codes:

GXXX1--We are assigning 0.52 physician work RVUs and 0.24 malpractice RVUs which is equivalent to CPT Code, 93268 Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; includes transmission physician review and interpretation. We are also crosswalking the practice expense inputs from CPT Code 93268. GXXX2--We are assigning 0.07 malpractice RVUs which is equivalent to CPT Code 93270, Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; recording (includes hook-up, recording, and disconnection) and crosswalking the practice expense inputs from CPT Code 93270. GXXX3--We are assigning 0.15 malpractice RVUs which is equivalent to CPT Code 93271, Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; monitoring, receipt of transmission, and analysis and also are crosswalking the practice expense inputs from CPT Code 93271. GXXX4--We are assigning 0.52 physician work RVUs and 0.02 malpractice RVUs which is equivalent to CPT Code 93272 Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; physician review and interpretation only. We are also crosswalking the practice expense inputs, from CPT Code 93272.

We believe these proposed RVUs and crosswalks are appropriate as the services provided in the new codes are very similar in terms of physician work, resource use, and malpractice risk to the existing CPT Codes. 4. CPT Code 88180 (Flow Cytometry; Each Cell Surface, Cytoplasmic or Nuclear Marker)

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

[[Page 49048]]

a diagnosis. Other clinical situations where flow cytometry tests have some value include stem cell transplantation, paroxysmal nocturnal hemoglobinuria, immune deficiency disorders, etc.

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

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

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

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

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

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

The laboratory community is aware of our concerns about the coding of flow cytometery and will review this issue and consider whether changes should be made to the current coding for the procedure. If no changes in coding are forthcoming, we would consider creating HCPCS codes for flow cytometry. We welcome comments and recommendations on appropriate values for the procedure that we could use in developing any future proposal. 5. Create G Codes for Dialysis Patient Seeing the Doctor

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

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

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

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

GXXX5--End Stage Renal Disease (ESRD) related services per full month, for patients under 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face physician visits per month. GXXX6--End Stage Renal Disease (ESRD) related services per full month, for patients under 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2 or 3 face-to-face physician visits per month. GXXX7--End Stage Renal Disease (ESRD) related services per full month, for patients under 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month. GXXX8--End Stage Renal Disease (ESRD) related services per full month, for patients between 2 and 11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face physician visits per month. GXXX9--End Stage Renal Disease (ESRD) related services per full month, for patients between 2 and 11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2 or 3 face-to-face physician visits per month. GXX10--End Stage Renal Disease (ESRD) related services per full month, for patients between 2 and 11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month. GXX11--End Stage Renal Disease (ESRD) related services per full month, for patients between 12 and 19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and

[[Page 49049]]

counseling of parents; with 4 or more face-to-face physician visits per month. GXX12--End Stage Renal Disease (ESRD) related services per full month, for patients between 12 and 19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2 or 3 face-to-face physician visits per month. GXX13--End Stage Renal Disease (ESRD) related services per full month, for patients between 12 and 19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month. GXX14--End Stage Renal Disease (ESRD) related services per full month, for patients 20 years of age and over; with 4 or more face-to-face physician visits per month. GXX15--End Stage Renal Disease (ESRD) related services per full month, for patients 20 years of age and over; with 2 or 3 face-to-face physician visits per month. GXX16--End Stage Renal Disease (ESRD) related services per full month, for patients 20 years of age and over; with 1 face-to-face physician visit per month.

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

Table 4

Physician Practice Code

work expense Malpractice

GXXX5................................. 12.92 8.70

0.60 GXXX6................................. 5.19 3.49

0.24 GXXX7................................. 3.39 2.29

0.16 GXXX8................................. 9.91 4.86

0.43 GXXX9................................. 3.55 1.74

0.15 GXX10................................. 2.32 1.14

0.10 GXX11................................. 8.47 4.54

0.35 GXX12................................. 3.14 1.68

0.13 GXX13................................. 2.05 1.10

0.08 GXX14................................. 5.16 2.94

0.22 GXX15................................. 1.94 1.10

0.08 GXX16................................. 1.27 0.73

0.06

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

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

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

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

Thus, we are seeking comment on how to further revise our payment methodology to improve quality of care and outcomes. We are also interested in information that could help us design future demonstrations that would incorporate both dimensions of care (quality and utilization) and help ensure that payment is based on appropriate patient-specific care that has been shown to lead to improved outcomes for this complex patient population. 6. Extracorporeal Shock Wave Lithotripsy for Musculoskeletal Conditions

We received several comments on the G codes for extracorporeal shock wave lithotripsy created in the December 31, 2002 final rule. We will be responding to those comments as part of this year's final rule, but we would appreciate any additional information on the physician work, practice expenses, and duration of treatment and intensity or energy of the shock waves applied for various conditions at various anatomic sites. 7. Late RUC recommendations for 2003 CPT codes.

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

III. Other Issues

A. Rebasing and Revising of the Medicare Economic Index

1. Background

The Medicare Economic Index (MEI) is required by section 1842(b)(3) of the Act, which states that prevailing charge levels beginning after June 30, 1973 may not exceed the level from the previous year except to the extent that the Secretary finds, on the basis of appropriate economic index data, that the higher level is justified by year-to-year economic changes. Beginning July 1, 1975, and continuing through today, the MEI has met this requirement by reflecting the weighted sum of the annual price changes of the inputs used

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to produce physicians' services. As such, the MEI attempts to be an equitable measure of price changes associated with physician time and operating expenses.

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

We are proposing to rebase and revise the MEI for the 2004 physician fee schedule update. The terms ``rebasing'' and ``revising'', while often used interchangeably, actually denote different activities. Rebasing means moving the base year for the structure of costs of an input price index, while revising means changing data sources, cost categories, or price proxies used in the input price index. As is always the case with a rebasing and revising exercise, we have attempted to use the most recently available, relevant, and appropriate information to develop the MEI cost category weights and price proxies. We detail below the updated cost weights for the MEI expense categories, our rationale for selecting the price proxies in the MEI, and the results of the proposed rebasing and revising of the MEI. 2. Use of More Current Data

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

The expense categories in the proposed MEI were primarily derived from the 2003 AMA Physician Socioeconomic Characteristics publication (2003 Patient Care Physician Survey data), which measures physicians' earnings and overall practice expenses for 2000. The AMA data were used to determine expenditure weights for total expenses, physicians' earnings, and malpractice expenses, the only information detailed in this survey. To further disaggregate into subcategories reflecting more detailed expenses, we used data from previous AMA surveys, the 1997 Bureau of Economic Analysis Benchmark Input-Output table (I/O), the 2003 Bureau of Labor Statistics (BLS) Employment Cost Index (ECI), and the 2002 Bureau of the Census Current Population Survey (CPS). 3. Rebasing and Revising Expense Categories in the MEI a. Developing the Weights For Use in the MEI

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

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

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

Proposed 2000-- Expense 1996 Expense Expense category

weights \1\ weights

Proposed price proxies \2\

Total............................................

100.000

100.000

Physician Earnings \3\.......................

52.466

54.460 Wages and Salaries.......................

42.730

44.197 AHE--Private. Benefits \4\.............................

9.735

10.263 ECI--Ben: Private.

Physician Practice Expenses..................

47.534

45.540 Nonphysician Employee Compensation.......

18.654

16.812 Employee Wages and Salaries..........

13.809

12.424 Prof/Tech Wages..................

5.887

5.662 ECI-W/S: Private P&T. Managerial Wages.................

3.333

2.410 ECI-W/S: Private Admin. Clerical Wages...................

3.892

3.830 ECI-W/S: Private Clerical. Services Wages...................

0.696

0.522 ECI-W/S: Private Service. Employee Benefits \4\................

4.845

4.388 ECI-Ben: Priv. White Collar. Office Expenses..........................

12.209

11.581 CPI(U)--Housing Professional Liability Insurance.........

3.865

3.152 CMS--Prof. Liab. Phys. Premiums. Medical Equipment........................

2.055

1.878 PPI--Medical Instruments & Equip. Pharmaceuticals and Medical Materials and

4.320

4.516 Supplies. Medical Materials and Supplies.......

2.011 .............. PPI Surg. Appliances and Supplies/CPI(U) Med Supplies. Pharmaceuticals......................

2.308 .............. PPI Ethical Prescription Preparations. Other Professional Expenses..............

6.433

7.601 CPI-U All Items Less Food and Energy.

\1\ Due to rounding, weights may not sum to 100.000 percent.

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\2\ Sources: Physician Socioeconomic Statistics, 2000-2002 Edition (SMS Survey), Physician Socioeconomic Statistics, 2003 Edition (PCPS Survey), Center for Health Policy Research, American Medical Association; 2003 Employment Cost Index, U.S. Department of Labor, Bureau of Labor Statistics; U.S. Department of Commerce, Bureau of Economic Analysis 1997 Benchmark Input Output Tables, and U.S. Department of Commerce, Bureau of the Census, 2002 Current Population Survey. \3\ Includes employee physician payroll. \4\ Includes paid leave.

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

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

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

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

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

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

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

2000

1996 BLS Occupational Group

Expenditure Expenditure Shares Shares

Total......................................... 100.000 100.000 Professional & Technical Workers............ 42.635 45.573 Managers.................................... 24.138 19.398 Clerical Workers............................ 28.187 30.827 Service Workers.............................

5.040 4.202

Note: Values may not sum to 100 due to rounding.

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(ii) Professional Liability Expense

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

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

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

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

Finally, the All Other Expense category was calculated as a residual (total expenses less the percentage of all categories currently accounted for). The additional detail for transportation expenses found in the prior MEI was removed because the data were not readily available for measurement of a cost share for 2000. The effect on the MEI of removing the detail is negligible. 4. Selection of Price Proxies for Use in the MEI

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

Producer Price Indices (PPIs)

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

Consumer Price Indices (CPIs)

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

Average Hourly Earnings (AHEs)

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

ECIs for Wages/Salaries

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

ECIs for Employee Benefits

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

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

The second criterion is reliability or low sampling variability. If the proxy wage-price variable has a high sampling variability or inexplicable erratic patterns over time, its value is greatly diminished, since it is unlikely to accurately reflect price changes in its associated expenditure category. Low sampling variability can conflict with relevance, since the more specifically a price variable is defined in terms of

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service, commodity, or geographic area, the higher the possibility of sampling variability. The length of time the time-series data have been published is also important. A well-established time series is needed to assess the reasonableness of the series and to provide a solid base from which to forecast future price changes in the series. We need to forecast the MEI to make Federal budget and Trustees Report estimates.

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

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

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

Physician Time

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

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

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

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

Nonphysician Employee Compensation

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

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

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

Office Expense

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

Pharmaceuticals and Medical Materials and Supplies

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

[sbull] Medical Materials and Supplies

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

[sbull] Pharmaceuticals

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

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Professional Liability Insurance

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

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

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

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

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

Medical Equipment

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

Other Professional Expenses

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

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

As described in the December 31, 2002 final rule, we used multifactor productivity because: (1) it is theoretically more appropriate to explicitly reflect the productivity gains associated with all inputs (both labor and nonlabor); (2) the recent growth rate in economy-wide multifactor productivity appears to be more consistent with the current market conditions facing physicians; and (3) the MEI still uses economy-wide wage changes as a proxy for physician wage changes. We believe that using a 10-year moving average change in economy-wide multifactor productivity produces a stable and predictable adjustment and is consistent with the moving-average methodology used in the current 1996-based MEI. The adjustment will be based on the latest available actual historical economy-wide multifactor productivity data, as measured by BLS. 5. Results of Rebasing

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

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

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

Proposed 2000- Current 1996- Update year (A)

based MEI based MEI

1996....................................

1.7

1.8 1997....................................

1.9

1.9

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1998....................................

2.4

2.4 1999....................................

2.7

2.6 2000....................................

2.9

2.7 2001....................................

2.8

2.8 2002....................................

3.3

3.3 2003....................................

3.1

3.0 Avg Change 1996-2003....................

2.6

2.6

(A) Update year based on historical data through the second quarter of the prior calendar year. For example, the 2003 update is based on historical data through the second quarter 2002.

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

BILLING CODE 4120-01-P

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[GRAPHIC] [TIFF OMITTED] TP15AU03.008

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[GRAPHIC] [TIFF OMITTED] TP15AU03.009

BILLING CODE 4120-01-C

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6. Adjustments to RVUs To Match the New MEI Weights

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

Table 10

Proposed MEI 2002 RVUs weight

Physician Work.................................... 52.466% 52.649% Practice Expense.................................. 43.669% 44.175% Malpractice....................................... 3.865% 3.176%

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

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

B. Definition of Diabetes for Diabetes Self-Management Training

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

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

[sbull] New onset diabetes.

[sbull] Inadequate glycemic control as evidenced by a glycosylated hemoglobin (HbA1C) level of 8.5 percent or more on two consecutive HbA1C determinations 3 or more months apart in the year before the beneficiary begins receiving training.

[sbull] A change in treatment regimen from no diabetes medications to any diabetes medication, or from oral diabetes medication to insulin.

[sbull] High risk for complications based on inadequate glycemic control (documented acute episodes of severe hyperglycemia or acute severe hyperglycemia occurring in the past year during which the beneficiary needed emergency room visits or hospitalization).

[sbull] High risk based on at least one of the following documented complications:

--Lack of feeling in the foot or other foot complications such as foot ulcers, deformities, or amputation; --Pre-proliferative or proliferative retinopathy or prior laser treatment of the eye; and --Kidney complications related to diabetes, when manifested by albuminuria, without other cause, or elevated creatinine.

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

Diabetes means diabetes mellitus consisting of two types. Type 1 is an autoimmune disease that destroys the beta cells of the pancreas, leading to insulin deficiency. Type 2 is familial hyperglycemia that occurs primarily in adults but can also occur in children

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and adolescents. It is caused by an insulin resistance whose etiology is multiple and not totally understood. Gestational diabetes is any degree of glucose intolerance with onset or first recognition during pregnancy. The diagnostic criterion for a diagnosis of diabetes for a fasting glucose intolerance test is greater than or equal to 126 mg/dL.

C. Outpatient Therapy Services Performed ``Incident To'' Physicians' Services--Discussion Only

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

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

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

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

D. Status of Anesthesia Work and Five-Year Review

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

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

E. Payment Policies for Anesthesia Services

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

F. Technical Correction

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

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

IV. Collection of Information Requirements

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

V. Response to Comments

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

VI. Regulatory Impact Analysis

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

Executive Order 12866 directs agencies to assess all costs and benefits of available regulatory alternatives and, when regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). A regulatory impact analysis must be prepared for proposed rules with economically significant effects (that is, a proposed rule that would have an annual effect on the economy of $100 million or more in any

[[Page 49060]]

1 year, or would adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities). We have simulated the effect of the proposed changes to the practice expense RVUs described earlier. The net effect of the changes we are proposing will not materially increase or decrease Medicare expenditures for physicians' services because the statute requires that changes to RVUs cannot increase or decrease expenditures more than $20 million. Since increases in payments resulting from RVU changes must be offset by decreases in payments for other services, the proposed practice expense changes will result in a redistribution of payments among physician specialties. The RVU changes in this proposed rule have an estimated aggregate redistributive effect of approximately $190 million dollars. (Tables 11 and 12 which appear later in this section reflect the estimated specialty impacts.) Therefore, we are considering this proposed rule to be a major rule because it is economically significant, and, thus, we have prepared a regulatory impact analysis.

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

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

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

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

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

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

A. Resource-Based Practice Expense Relative Value Units

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

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

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

We modeled the impact of four changes to the practice expense methodology and illustrated the effect in table 11 below. The column labeled ``Utilization Data'' shows the effect of updating the practice expense methodology to add 2002 utilization data for codes that did not exist in the 1997-2000 period. In general, updating the methodology with the latest utilization data will have the largest impact on payment for a new service where a code was established in 2002. In some cases, the practice expense RVU will increase (for example, 64561-- Implant Neuroelectrodes and 52001, Cystoscopy Removal of Clots). In other cases, they will go down (96567--photodynamic treatment skin and G0249--Providing test materials and equipment for home INR Monitoring, 77418--Radiation Treatment Delivery--Intensity Modulated Radiation). For most specialties, new codes represent a

[[Page 49061]]

small proportion of the specialties' revenues and updating the practice expense RVUs with utilization will have little impact on payment across all of the services the specialty provides. However, updating the practice expense methodology with the 2002 utilization data will reduce payment to radiation oncologists by approximately 1 percent. The payment reduction occurs because the practice expense RVUs for radiotherapy dose planning and radiation treatment by intensity modulated radiation are going down. Because this service represents 8 percent of Medicare revenues to radiation oncology in 2002, there is a somewhat larger impact on this specialty than will generally occur for most specialties.

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

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

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

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

BILLING CODE 4120-01-P

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[GRAPHIC] [TIFF OMITTED] TP15AU03.011

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[GRAPHIC] [TIFF OMITTED] TP15AU03.012

[[Page 49065]]

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

BILLING CODE 4120-01-P

[[Page 49066]]

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[[Page 49067]]

[GRAPHIC] [TIFF OMITTED] TP15AU03.014

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

[[Page 49068]]

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[GRAPHIC] [TIFF OMITTED] TP15AU03.016

BILLING CODE 4120-01-C

B. Geographic Practice Cost Indices

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

C. Tracking Codes

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

D. Excision of Lesions

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

E. G Codes for Monitoring Heart Rhythms

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

F. G Codes for Managing Dialysis Patients

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

[[Page 49070]]

treatment of dialysis patients. We are decreasing our current payment to the physician for providing fewer than four visits per month. If the physician provides four or more visits per month, we are increasing our current payment.

G. Rebasing and Revising the MEI

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

H. Definition of Diabetes for Diabetes Self-Management Training

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

I. Alternatives Considered

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

J. Impact on Beneficiaries

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

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

List of Subjects

42 CFR Part 410

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

42 CFR Part 414

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

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

PART 410--SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS

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

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

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

Sec. 410.140 Definitions.

* * * * *

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

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

Sec. 410.141 Outpatient diabetes self-management training.

* * * * *

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

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

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

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

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

Sec. 414.22 Relative value units.

* * * * *

(b) * * *

(6) * * *

(iii) CMS will consider for use in determining practice expense RVUs for the physician fee schedule survey data and related materials submitted to CMS by March 1, 2004 to determine CY 2005 practice expense RVUs. * * * * * (Catalog of Federal Domestic Assistance Program No. 93.774, Medicare--Supplementary Medical Insurance Program)

Dated: June 20, 2003. Thomas A Scully, Administrator, Centers for Medicare & Medicaid Services.

Approved: July 22, 2003. Tommy G. Thompson, Secretary.

Addendum A--Explanation and Use of Addenda B

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

In previous years, we have listed many services in Addendum B that are not paid under the physician fee schedule. To avoid publishing as many pages of codes for these services, we are not including clinical laboratory codes

[[Page 49071]]

and most alpha-numeric codes (Healthcare Common Procedure Coding System (HCPCS) codes not included in CPT) in Addendum B.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

P = Bundled or excluded code. There are no RVUs for these services. No separate payment should be made for them under the physician fee schedule. -- If the item or service is covered as incident to a physician's service and is furnished on the same day as a physician's service, payment for it is bundled into the payment for the physician's service to which it is incident (an example is an elastic bandage furnished by a physician incident to a physician's service). -- If the item or service is covered as other than incident to a physician's service, it is excluded from the physician fee schedule (for example, colostomy supplies) and is paid under the other payment provisions of the Act.

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

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

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

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

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

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

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

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

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

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

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

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

XXX = The global concept does not apply.

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

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

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

\2\ Copyright American Dental Association. All rights reserved.

[[Page 49072]]

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

Non-

Non- \1\ CPT/\2\ HCPCS

MOD

Status

Description Physician facility Facility Malpractice facility Facility Global work RVUs PE RVUs PE RVUs RVUs total total

0001T.............. .............. C

Endovas repr abdo ao 0.00 0.00 0.00

0.00

0.00 0.00

XXX aneurys. 0002T.............. .............. C

Endovas repr abdo ao 0.00 0.00 0.00

0.00

0.00 0.00

XXX aneurys. 0003T.............. .............. C

Cervicography....... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 0005T.............. .............. C

Perc cath stent/

0.00 0.00 0.00

0.00

0.00 0.00

XXX brain cv art. 0006T.............. .............. C

Perc cath stent/

0.00 0.00 0.00

0.00

0.00 0.00

XXX brain cv art. 0007T.............. .............. C

Perc cath stent/

0.00 0.00 0.00

0.00

0.00 0.00

XXX brain cv art. 0008T.............. .............. C

Upper gi endoscopy w/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX suture. 0009T.............. .............. C

Endometrial

0.00 0.00 0.00

0.00

0.00 0.00

XXX cryoablation. 0010T.............. .............. C

Tb test, gamma

0.00 0.00 0.00

0.00

0.00 0.00

XXX interferon. 0012T.............. .............. C

Osteochondral knee

0.00 0.00 0.00

0.00

0.00 0.00

XXX autograft. 0013T.............. .............. C

Osteochondral knee

0.00 0.00 0.00

0.00

0.00 0.00

XXX allograft. 0014T.............. .............. C

Meniscal transplant, 0.00 0.00 0.00

0.00

0.00 0.00

XXX knee. 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. 0018T.............. .............. C

Transcranial

0.00 0.00 0.00

0.00

0.00 0.00

XXX magnetic stimul. 0019T.............. .............. I

Extracorp shock wave 0.00 0.00 0.00

0.00

0.00 0.00

XXX tx, ms. 0020T.............. .............. C

Extracorp shock wave 0.00 0.00 0.00

0.00

0.00 0.00

XXX tx, ft. 0021T.............. .............. C

Fetal oximetry,

0.00 0.00 0.00

0.00

0.00 0.00

XXX trnsvag/cerv. 0023T.............. .............. C

Phenotype drug test, 0.00 0.00 0.00

0.00

0.00 0.00

XXX hiv 1. 0024T.............. .............. C

Transcath cardiac

0.00 0.00 0.00

0.00

0.00 0.00

XXX reduction. 0025T.............. .............. C

Ultrasonic

0.00 0.00 0.00

0.00

0.00 0.00

XXX pachymetry. 0026T.............. .............. C

Measure remnant

0.00 0.00 0.00

0.00

0.00 0.00

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

Endoscopic epidural

0.00 0.00 0.00

0.00

0.00 0.00

XXX 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. 0033T.............. .............. C

Endovasc taa repr

0.00 0.00 0.00

0.00

0.00 0.00

XXX incl subcl. 0034T.............. .............. C

Endovasc taa repr w/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX o subcl. 0035T.............. .............. C

Insert endovasc

0.00 0.00 0.00

0.00

0.00 0.00

XXX prosth, taa. 0036T.............. .............. C

Endovasc prosth,

0.00 0.00 0.00

0.00

0.00 0.00

XXX taa, add-on. 0037T.............. .............. C

Artery transpose/

0.00 0.00 0.00

0.00

0.00 0.00

XXX endovas taa. 0038T.............. .............. C

Rad endovasc taa rpr 0.00 0.00 0.00

0.00

0.00 0.00

XXX w/cover. 0039T.............. .............. C

Rad s/i, endovasc

0.00 0.00 0.00

0.00

0.00 0.00

XXX taa repair. 0040T.............. .............. C

Rad s/i, endovasc

0.00 0.00 0.00

0.00

0.00 0.00

XXX taa prosth. 0041T.............. .............. C

Detect ur infect

0.00 0.00 0.00

0.00

0.00 0.00

XXX agnt w/cpas.

[[Page 49073]]

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. 0044T.............. .............. C

Whole body

0.00 0.00 0.00

0.00

0.00 0.00

XXX photography. 10021.............. .............. A

Fna w/o image....... 1.27 2.24 0.55

0.07

3.58 1.89

XXX 10022.............. .............. A

Fna w/image......... 1.27 2.67 0.43

0.05

3.99 1.75

XXX 10040.............. .............. A

Acne surgery........ 1.18 1.03 0.69

0.05

2.26 1.92

010 10060.............. .............. A

Drainage of skin

1.17 0.97 0.48

0.08

2.22 1.73

010 abscess. 10061.............. .............. A

Drainage of skin

2.40 1.85 1.54

0.17

4.42 4.11

010 abscess. 10080.............. .............. A

Drainage of

1.17 3.11 1.17

0.09

4.37 2.43

010 pilonidal cyst. 10081.............. .............. A

Drainage of

2.45 4.08 1.53

0.19

6.72 4.17

010 pilonidal cyst. 10120.............. .............. A

Remove foreign body. 1.22 1.50 0.42

0.10

2.82 1.74

010 10121.............. .............. A

Remove foreign body. 2.69 3.39 1.91

0.25

6.33 4.85

010 10140.............. .............. A

Drainage of hematoma/ 1.53 1.54 0.92

0.15

3.22 2.60

010 fluid. 10160.............. .............. A

Puncture drainage of 1.20 0.74 0.47

0.11

2.05 1.78

010 lesion. 10180.............. .............. A

Complex drainage,

2.25 3.28 2.10

0.25

5.78 4.60

010 wound. 11000.............. .............. A

Debride infected

0.60 0.58 0.22

0.05

1.23 0.87

000 skin. 11001.............. .............. A

Debride infected

0.30 0.23 0.11

0.02

0.55 0.43

ZZZ skin add-on. 11010.............. .............. A

Debride skin, fx.... 4.20 6.85 2.37

0.45 11.50 7.02

010 11011.............. .............. A

Debride skin/muscle, 4.95 8.17 2.41

0.53 13.65 7.89

000 fx. 11012.............. .............. A

Debride skin/muscle/ 6.88 12.07 3.93

0.89 19.84 11.70

000 bone, fx. 11040.............. .............. A

Debride skin,

0.50 0.54 0.21

0.05

1.09 0.76

000 partial. 11041.............. .............. A

Debride skin, full.. 0.82 0.68 0.33

0.06

1.56 1.21

000 11042.............. .............. A

Debride skin/tissue. 1.12 1.01 0.47

0.09

2.22 1.68

000 11043.............. .............. A

Debride tissue/

2.38 3.52 2.64

0.24

6.14 5.26

010 muscle. 11044.............. .............. A

Debride tissue/

3.06 4.64 3.81

0.34

8.04 7.21

010 muscle/bone. 11055.............. .............. R

Trim skin lesion.... 0.43 0.58 0.17

0.02

1.03 0.62

000 11056.............. .............. R

Trim skin lesions, 2 0.61 0.66 0.24

0.03

1.30 0.88

000 to 4. 11057.............. .............. R

Trim skin lesions,

0.79 0.76 0.31

0.04

1.59 1.14

000 over 4. 11100.............. .............. A

Biopsy of skin

0.81 1.29 0.37

0.04

2.14 1.22

000 lesion. 11101.............. .............. A

Biopsy, skin add-on. 0.41 0.34 0.19

0.02

0.77 0.62

ZZZ 11200.............. .............. A

Removal of skin tags 0.77 1.08 0.78

0.04

1.89 1.59

010 11201.............. .............. A

Remove skin tags add- 0.29 0.16 0.12

0.02

0.47 0.43

ZZZ on. 11300.............. .............. A

Shave skin lesion... 0.51 1.03 0.22

0.03

1.57 0.76

000 11301.............. .............. A

Shave skin lesion... 0.85 1.15 0.39

0.04

2.04 1.28

000 11302.............. .............. A

Shave skin lesion... 1.05 1.34 0.47

0.05

2.44 1.57

000 11303.............. .............. A

Shave skin lesion... 1.24 1.63 0.53

0.06

2.93 1.83

000 11305.............. .............. A

Shave skin lesion... 0.67 0.86 0.27

0.04

1.57 0.98

000 11306.............. .............. A

Shave skin lesion... 0.99 1.13 0.43

0.05

2.17 1.47

000 11307.............. .............. A

Shave skin lesion... 1.14 1.32 0.50

0.05

2.51 1.69

000 11308.............. .............. A

Shave skin lesion... 1.41 1.48 0.61

0.07

2.96 2.09

000 11310.............. .............. A

Shave skin lesion... 0.73 1.16 0.33

0.04

1.93 1.10

000 11311.............. .............. A

Shave skin lesion... 1.05 1.27 0.50

0.05

2.37 1.60

000 11312.............. .............. A

Shave skin lesion... 1.20 1.47 0.57

0.06

2.73 1.83

000 11313.............. .............. A

Shave skin lesion... 1.62 1.86 0.73

0.09

3.57 2.44

000 11400.............. .............. A

Exc tr-ext b9+marg

0.93 2.10 0.94

0.06

3.09 1.93

010 0.5 4.0 cm. 11420.............. .............. A

Exc h-f-nk-sp

1.01 1.83 0.96

0.08

2.92 2.05

010 b9+marg 0.5 4 cm. 11440.............. .............. A

Exc face-mm b9+marg

1.16 2.38 1.40

0.08

3.62 2.64

010 0.5 4 cm. 11450.............. .............. A

Removal, sweat gland 2.73 5.22 2.04

0.26

8.21 5.03

090 lesion. 11451.............. .............. A

Removal, sweat gland 3.95 6.87 2.57

0.39 11.21 6.91

090 lesion. 11462.............. .............. A

Removal, sweat gland 2.51 5.31 2.02

0.23

8.05 4.76

090 lesion. 11463.............. .............. A

Removal, sweat gland 3.95 7.12 2.71

0.40 11.47 7.06

090 lesion. 11470.............. .............. A

Removal, sweat gland 3.25 5.25 2.28

0.30

8.80 5.83

090 lesion. 11471.............. .............. A

Removal, sweat gland 4.41 7.03 2.80

0.40 11.84 7.61

090 lesion. 11600.............. .............. A

Exc tr-ext mlg+marg

0.93 2.58 0.84

0.09

3.60 1.86

010 0.5 4 cm. 11620.............. .............. A

Exc h-f-nk-sp

1.01 2.62 0.90

0.09

3.72 2.00

010 mlg+marg 0.5 4 cm. 11640.............. .............. A

Exc face-mm

1.16 2.68 1.06

0.10

3.94 2.32

010 malig+marg 0.5 4 cm. 11719.............. .............. R

Trim nail(s)........ 0.17 0.25 0.07

0.01

0.43 0.25

000 11720.............. .............. A

Debride nail, 1-5... 0.32 0.34 0.13

0.02

0.68 0.47

000 11721.............. .............. A

Debride nail, 6 or

0.54 0.44 0.21

0.04

1.02 0.79

000 more. 11730.............. .............. A

Removal of nail

1.13 1.05 0.44

0.09

2.27 1.66

000 plate. 11732.............. .............. A

Remove nail plate,

0.57 0.45 0.23

0.05

1.07 0.85

ZZZ add-on. 11740.............. .............. A

Drain blood from

0.37 0.87 0.15

0.03

1.27 0.55

000 under nail. 11750.............. .............. A

Removal of nail bed. 1.86 2.18 1.76

0.16

4.20 3.78

010 11752.............. .............. A

Remove nail bed/

2.67 2.50 1.92

0.33

5.50 4.92

010 finger tip. 11755.............. .............. A

Biopsy, nail unit... 1.31 1.12 0.56

0.06

2.49 1.93

000 11760.............. .............. A

Repair of nail bed.. 1.58 1.88 1.24

0.17

3.63 2.99

010 11762.............. .............. A

Reconstruction of

2.89 2.32 1.86

0.32

5.53 5.07

010 nail bed. 11765.............. .............. A

Excision of nail

0.69 1.18 0.53

0.05

1.92 1.27

010 fold, toe. 11770.............. .............. A

Removal of pilonidal 2.61 3.50 1.53

0.24

6.35 4.38

010 lesion. 11771.............. .............. A

Removal of pilonidal 5.74 5.80 3.35

0.56 12.10 9.65

090 lesion. 11772.............. .............. A

Removal of pilonidal 6.98 7.34 3.91

0.68 15.00 11.57

090 lesion. 11900.............. .............. A

Injection into skin

0.52 0.67 0.22

0.02

1.21 0.76

000 lesions. 11901.............. .............. A

Added skin lesions

0.80 0.68 0.36

0.03

1.51 1.19

000 injection. 11920.............. .............. R

Correct skin color

1.61 2.03 0.79

0.17

3.81 2.57

000 defects. 11921.............. .............. R

Correct skin color

1.93 2.41 1.00

0.21

4.55 3.14

000 defects. 11922.............. .............. R

Correct skin color

0.49 0.38 0.25

0.05

0.92 0.79

ZZZ defects. 11950.............. .............. R

Therapy for contour

0.84 1.18 0.42

0.06

2.08 1.32

000 defects. 11951.............. .............. R

Therapy for contour

1.19 1.53 0.52

0.10

2.82 1.81

000 defects. 11952.............. .............. R

Therapy for contour

1.69 1.90 0.70

0.17

3.76 2.56

000 defects. 11954.............. .............. R

Therapy for contour

1.85 2.48 0.92

0.19

4.52 2.96

000 defects. 11960.............. .............. A

Insert tissue

9.08

N/A 10.74

0.88

N/A 20.70

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

Replace tissue

7.06

N/A 6.22

0.77

N/A 14.05

090 expander. 11971.............. .............. A

Remove tissue

2.13 7.24 4.84

0.21

9.58 7.18

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

Insert contraceptive 1.48 1.50 0.57

0.14

3.12 2.19

XXX cap. 11976.............. .............. R

Removal of

1.78 1.74 0.70

0.17

3.69 2.65

000 contraceptive cap. 11977.............. .............. N

Removal/reinsert

3.30 2.42 1.28

0.31

6.03 4.89

XXX contra cap. 11980.............. .............. A

Implant hormone

1.48 1.12 0.56

0.10

2.70 2.14

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

Insert drug implant

1.48 1.77 0.70

0.14

3.39 2.32

XXX device. 11982.............. .............. A

Remove drug implant

1.78 2.01 0.86

0.17

3.96 2.81

XXX device. 11983.............. .............. A

Remove/insert drug

3.30 2.37 1.50

0.31

5.98 5.11

XXX implant. 12001.............. .............. A

Repair superficial

1.70 2.07 0.50

0.13

3.90 2.33

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

Repair superficial

1.86 2.14 0.95

0.15

4.15 2.96

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

Repair superficial

2.24 2.43 1.06

0.17

4.84 3.47

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

Repair superficial

2.86 2.94 1.25

0.23

6.03 4.34

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

Repair superficial

3.67 3.53 1.57

0.31

7.51 5.55

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

Repair superficial

4.12 3.97 1.87

0.37

8.46 6.36

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

Repair superficial

1.76 2.24 0.51

0.14

4.14 2.41

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

Repair superficial

1.99 2.39 0.99

0.16

4.54 3.14

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

Repair superficial

2.46 2.69 1.11

0.18

5.33 3.75

010 wound(s).

[[Page 49076]]

12015.............. .............. A

Repair superficial

3.19 3.28 1.31

0.24

6.71 4.74

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

Repair superficial

3.93 3.70 1.59

0.32

7.95 5.84

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

Repair superficial

4.71

N/A 1.95

0.39

N/A 7.05

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

Repair superficial

5.53

N/A 2.32

0.46

N/A 8.31

010 wound(s). 12020.............. .............. A

Closure of split

2.62 2.74 1.77

0.24

5.60 4.63

010 wound. 12021.............. .............. A

Closure of split

1.84 1.81 1.43

0.19

3.84 3.46

010 wound. 12031.............. .............. A

Layer closure of

2.15 2.36 0.83

0.15

4.66 3.13

010 wound(s). 12032.............. .............. A

Layer closure of

2.47 3.88 1.87

0.15

6.50 4.49

010 wound(s). 12034.............. .............. A

Layer closure of

2.92 3.24 1.44

0.21

6.37 4.57

010 wound(s). 12035.............. .............. A

Layer closure of

3.43 5.27 2.22

0.30

9.00 5.95

010 wound(s). 12036.............. .............. A

Layer closure of

4.05 5.53 2.42

0.41

9.99 6.88

010 wound(s). 12037.............. .............. A

Layer closure of

4.67 6.62 2.83

0.49 11.78 7.99

010 wound(s). 12041.............. .............. A

Layer closure of

2.37 2.53 0.88

0.17

5.07 3.42

010 wound(s). 12042.............. .............. A

Layer closure of

2.74 3.28 1.40

0.17

6.19 4.31

010 wound(s). 12044.............. .............. A

Layer closure of

3.14 3.28 1.59

0.24

6.66 4.97

010 wound(s). 12045.............. .............. A

Layer closure of

3.64 3.79 2.21

0.34

7.77 6.19

010 wound(s). 12046.............. .............. A

Layer closure of

4.25 6.61 2.82

0.40 11.26 7.47

010 wound(s). 12047.............. .............. A

Layer closure of

4.65 6.50 3.15

0.41 11.56 8.21

010 wound(s). 12051.............. .............. A

Layer closure of

2.47 3.30 1.39

0.16

5.93 4.02

010 wound(s). 12052.............. .............. A

Layer closure of

2.77 3.24 1.37

0.17

6.18 4.31

010 wound(s). 12053.............. .............. A

Layer closure of

3.12 3.29 1.53

0.20

6.61 4.85

010 wound(s). 12054.............. .............. A

Layer closure of

3.46 3.63 1.63

0.25

7.34 5.34

010 wound(s). 12055.............. .............. A

Layer closure of

4.43 4.63 2.18

0.35

9.41 6.96

010 wound(s). 12056.............. .............. A

Layer closure of

5.24 6.92 3.13

0.43 12.59 8.80

010 wound(s). 12057.............. .............. A

Layer closure of

5.96 6.27 3.84

0.50 12.73 10.30

010 wound(s). 13100.............. .............. A

Repair of wound or

3.12 3.59 1.81

0.21

6.92 5.14

010 lesion. 13101.............. .............. A

Repair of wound or

3.92 3.83 2.26

0.22

7.97 6.40

010 lesion. 13102.............. .............. A

Repair wound/lesion

1.24 0.75 0.58

0.10

2.09 1.92

ZZZ add-on. 13120.............. .............. A

Repair of wound or

3.30 3.69 1.85

0.23

7.22 5.38

010 lesion. 13121.............. .............. A

Repair of wound or

4.33 4.05 2.36

0.25

8.63 6.94

010 lesion. 13122.............. .............. A

Repair wound/lesion

1.44 0.88 0.64

0.12

2.44 2.20

ZZZ add-on. 13131.............. .............. A

Repair of wound or

3.79 3.96 2.18

0.25

8.00 6.22

010 lesion. 13132.............. .............. A

Repair of wound or

5.95 4.78 3.23

0.32 11.05 9.50

010 lesion. 13133.............. .............. A

Repair wound/lesion

2.19 1.22 1.05

0.17

3.58 3.41

ZZZ add-on. 13150.............. .............. A

Repair of wound or

3.81 5.62 2.65

0.29

9.72 6.75

010 lesion. 13151.............. .............. A

Repair of wound or

4.45 5.52 3.10

0.28 10.25 7.83

010 lesion. 13152.............. .............. A

Repair of wound or

6.33 6.21 4.01

0.38 12.92 10.72

010 lesion. 13153.............. .............. A

Repair wound/lesion

2.38 1.37 1.17

0.18

3.93 3.73

ZZZ add-on. 13160.............. .............. A

Late closure of

10.48

N/A 7.24

1.19

N/A 18.91

090 wound. 14000.............. .............. A

Skin tissue

5.89 8.69 5.21

0.46 15.04 11.56

090 rearrangement. 14001.............. .............. A

Skin tissue

8.47 10.16 6.70

0.65 19.28 15.82

090 rearrangement. 14020.............. .............. A

Skin tissue

6.59 9.35 6.10

0.50 16.44 13.19

090 rearrangement. 14021.............. .............. A

Skin tissue

10.06 10.67 7.88

0.69 21.42 18.63

090 rearrangement. 14040.............. .............. A

Skin tissue

7.87 8.44 7.01

0.55 16.86 15.43

090 rearrangement. 14041.............. .............. A

Skin tissue

11.49 10.87 8.87

0.71 23.07 21.07

090 rearrangement. 14060.............. .............. A

Skin tissue

8.50 9.27 7.82

0.59 18.36 16.91

090 rearrangement. 14061.............. .............. A

Skin tissue

12.29 11.90 9.69

0.75 24.94 22.73

090 rearrangement. 14300.............. .............. A

Skin tissue

11.76 11.41 9.32

0.88 24.05 21.96

090 rearrangement. 14350.............. .............. A

Skin tissue

9.61

N/A 7.26

1.09

N/A 17.96

090 rearrangement. 15000.............. .............. A

Skin graft.......... 4.00 3.89 2.24

0.37

8.26 6.61

000 15001.............. .............. A

Skin graft add-on... 1.00 1.39 0.42

0.11

2.50 1.53

ZZZ 15050.............. .............. A

Skin pinch graft.... 4.30 6.08 4.81

0.46 10.84 9.57

090 15100.............. .............. A

Skin split graft.... 9.05 12.83 7.89

0.94 22.82 17.88

090 15101.............. .............. A

Skin split graft add- 1.72 3.89 1.69

0.18

5.79 3.59

ZZZ on. 15120.............. .............. A

Skin split graft.... 9.83 11.04 7.95

0.90 21.77 18.68

090 15121.............. .............. A

Skin split graft add- 2.67 4.66 1.91

0.27

7.60 4.85

ZZZ on. 15200.............. .............. A

Skin full graft..... 8.03 10.93 6.11

0.73 19.69 14.87

090 15201.............. .............. A

Skin full graft add- 1.32 1.06 0.63

0.14

2.52 2.09

ZZZ on.

[[Page 49077]]

15220.............. .............. A

Skin full graft..... 7.87 10.82 6.55

0.68 19.37 15.10

090 15221.............. .............. A

Skin full graft add- 1.19 0.92 0.58

0.12

2.23 1.89

ZZZ on. 15240.............. .............. A

Skin full graft..... 9.04 10.38 7.80

0.80 20.22 17.64

090 15241.............. .............. A

Skin full graft add- 1.86 1.48 0.93

0.17

3.51 2.96

ZZZ on. 15260.............. .............. A

Skin full graft..... 10.06 10.10 8.80

0.63 20.79 19.49

090 15261.............. .............. A

Skin full graft add- 2.23 2.78 1.45

0.17

5.18 3.85

ZZZ on. 15342.............. .............. A

Cultured skin graft, 1.00 1.84 0.56

0.09

2.93 1.65

010 25 cm. 15343.............. .............. A

Culture skn graft

0.25 0.27 0.10

0.02

0.54 0.37

ZZZ addl 25 cm. 15350.............. .............. A

Skin homograft...... 4.00 8.37 4.90

0.42 12.79 9.32

090 15351.............. .............. A

Skin homograft add-

1.00 0.95 0.40

0.11

2.06 1.51

ZZZ on. 15400.............. .............. A

Skin heterograft.... 4.00 4.28 4.21

0.40

8.68 8.61

090 15401.............. .............. A

Skin heterograft add- 1.00 1.23 0.45

0.11

2.34 1.56

ZZZ on. 15570.............. .............. A

Form skin pedicle

9.21 9.27 6.55

0.96 19.44 16.72

090 flap. 15572.............. .............. A

Form skin pedicle

9.27 8.58 6.27

0.93 18.78 16.47

090 flap. 15574.............. .............. A

Form skin pedicle

9.88 8.98 7.08

0.92 19.78 17.88

090 flap. 15576.............. .............. A

Form skin pedicle

8.69 9.61 6.55

0.72 19.02 15.96

090 flap. 15600.............. .............. A

Skin graft.......... 1.91 7.24 2.75

0.19

9.34 4.85

090 15610.............. .............. A

Skin graft.......... 2.42 3.83 3.09

0.25

6.50 5.76

090 15620.............. .............. A

Skin graft.......... 2.94 7.64 3.75

0.28 10.86 6.97

090 15630.............. .............. A

Skin graft.......... 3.27 7.00 4.02

0.28 10.55 7.57

090 15650.............. .............. A

Transfer skin

3.97 6.86 4.10

0.36 11.19 8.43

090 pedicle flap. 15732.............. .............. A

Muscle-skin graft,

17.84 18.42 12.48

1.50 37.76 31.82

090 head/neck. 15734.............. .............. A

Muscle-skin graft,

17.79 18.28 12.55

1.91 37.98 32.25

090 trunk. 15736.............. .............. A

Muscle-skin graft,

16.27 18.50 11.43

1.78 36.55 29.48

090 arm. 15738.............. .............. A

Muscle-skin graft,

17.92 18.28 11.95

1.95 38.15 31.82

090 leg. 15740.............. .............. A

Island pedicle flap 10.25 9.97 7.91

0.62 20.84 18.78

090 graft. 15750.............. .............. A

Neurovascular

11.41

N/A 9.16

1.16

N/A 21.73

090 pedicle graft. 15756.............. .............. A

Free myo/skin flap

35.23

N/A 21.18

3.11

N/A 59.52

090 microvasc. 15757.............. .............. A

Free skin flap,

35.23

N/A 22.24

3.37

N/A 60.84

090 microvasc. 15758.............. .............. A

Free fascial flap,

35.10

N/A 22.23

3.52

N/A 60.85

090 microvasc. 15760.............. .............. A

Composite skin graft 8.74 9.95 7.16

0.72 19.41 16.62

090 15770.............. .............. A

Derma-fat-fascia

7.52

N/A 6.84

0.78

N/A 15.14

090 graft. 15775.............. .............. R

Hair transplant

3.96 2.83 1.35

0.43

7.22 5.74

000 punch grafts. 15776.............. .............. R

Hair transplant

5.54 5.49 2.87

0.60 11.63 9.01

000 punch grafts. 15780.............. .............. A

Abrasion treatment

7.29 7.23 7.23

0.41 14.93 14.93

090 of skin. 15781.............. .............. A

Abrasion treatment

4.85 5.46 5.46

0.27 10.58 10.58

090 of skin. 15782.............. .............. A

Abrasion treatment

4.32 4.44 4.44

0.21

8.97 8.97

090 of skin. 15783.............. .............. A

Abrasion treatment

4.29 5.04 4.26

0.26

9.59 8.81

090 of skin. 15786.............. .............. A

Abrasion, lesion,

2.03 1.66 1.30

0.11

3.80 3.44

010 single. 15787.............. .............. A

Abrasion, lesions,

0.33 0.32 0.16

0.02

0.67 0.51

ZZZ add-on. 15788.............. .............. R

Chemical peel, face, 2.09 3.39 2.24

0.11

5.59 4.44

090 epiderm. 15789.............. .............. R

Chemical peel, face, 4.92 6.54 5.06

0.27 11.73 10.25

090 dermal. 15792.............. .............. R

Chemical peel,

1.86 3.22 2.82

0.10

5.18 4.78

090 nonfacial. 15793.............. .............. A

Chemical peel,

3.74

N/A 4.25

0.17

N/A 8.16

090 nonfacial. 15810.............. .............. A

Salabrasion......... 4.74 3.99 3.99

0.42

9.15 9.15

090 15811.............. .............. A

Salabrasion......... 5.39 6.43 5.62

0.52 12.34 11.53

090 15819.............. .............. A

Plastic surgery,

9.38

N/A 7.36

0.77

N/A 17.51

090 neck. 15820.............. .............. A

Revision of lower

5.15 7.01 5.48

0.30 12.46 10.93

090 eyelid. 15821.............. .............. A

Revision of lower

5.72 7.40 5.64

0.31 13.43 11.67

090 eyelid. 15822.............. .............. A

Revision of upper

4.45 5.93 4.45

0.22 10.60 9.12

090 eyelid. 15823.............. .............. A

Revision of upper

7.05 7.93 6.35

0.32 15.30 13.72

090 eyelid. 15824.............. .............. R

Removal of forehead

0.00 0.00 0.00

0.00

0.00 0.00

000 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.

[[Page 49078]]

15831.............. .............. A

Excise excessive

12.40

N/A 8.36

1.30

N/A 22.06

090 skin tissue. 15832.............. .............. A

Excise excessive

11.59

N/A 8.52

1.21

N/A 21.32

090 skin tissue. 15833.............. .............. A

Excise excessive

10.64

N/A 8.22

1.17

N/A 20.03

090 skin tissue. 15834.............. .............. A

Excise excessive

10.85

N/A 7.80

1.18

N/A 19.83

090 skin tissue. 15835.............. .............. A

Excise excessive

11.67 11.70 7.76

1.13 24.50 20.56

090 skin tissue. 15836.............. .............. A

Excise excessive

9.34

N/A 6.92

0.95

N/A 17.21

090 skin tissue. 15837.............. .............. A

Excise excessive

8.43 8.10 7.12

0.78 17.31 16.33

090 skin tissue. 15838.............. .............. A

Excise excessive

7.13

N/A 6.23

0.58

N/A 13.94

090 skin tissue. 15839.............. .............. A

Excise excessive

9.38 8.02 6.31

0.88 18.28 16.57

090 skin tissue. 15840.............. .............. A

Graft for face nerve 13.26

N/A 10.32

1.15

N/A 24.73

090 palsy. 15841.............. .............. A

Graft for face nerve 23.26

N/A 15.38

2.65

N/A 41.29

090 palsy. 15842.............. .............. A

Flap for face nerve 37.96

N/A 23.49

3.99

N/A 65.44

090 palsy. 15845.............. .............. A

Skin and muscle

12.57

N/A 9.34

0.80

N/A 22.71

090 repair, face. 15850.............. .............. B

Removal of sutures.. 0.78 1.62 0.30

0.04

2.44 1.12

XXX 15851.............. .............. A

Removal of sutures.. 0.86 1.78 0.34

0.05

2.69 1.25

000 15852.............. .............. A

Dressing change,not

0.86 1.90 0.36

0.07

2.83 1.29

000 for burn. 15860.............. .............. A

Test for blood flow

1.95 1.30 0.80

0.13

3.38 2.88

000 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 bone 7.95

N/A 5.68

0.83

N/A 14.46

090 ulcer. 15922.............. .............. A

Removal of tail bone 9.90

N/A 7.50

1.06

N/A 18.46

090 ulcer. 15931.............. .............. A

Remove sacrum

9.24

N/A 5.83

0.95

N/A 16.02

090 pressure sore. 15933.............. .............. A

Remove sacrum

10.85

N/A 8.07

1.14

N/A 20.06

090 pressure sore. 15934.............. .............. A

Remove sacrum

12.69

N/A 8.35

1.35

N/A 22.39

090 pressure sore. 15935.............. .............. A

Remove sacrum

14.57

N/A 10.51

1.56

N/A 26.64

090 pressure sore. 15936.............. .............. A

Remove sacrum

12.38

N/A 8.66

1.32

N/A 22.36

090 pressure sore. 15937.............. .............. A

Remove sacrum

14.21

N/A 10.23

1.51

N/A 25.95

090 pressure sore. 15940.............. .............. A

Remove hip pressure

9.34

N/A 6.33

0.98

N/A 16.65

090 sore. 15941.............. .............. A

Remove hip pressure 11.43

N/A 9.75

1.23

N/A 22.41

090 sore. 15944.............. .............. A

Remove hip pressure 11.46

N/A 8.87

1.21

N/A 21.54

090 sore. 15945.............. .............. A

Remove hip pressure 12.69

N/A 9.92

1.38

N/A 23.99

090 sore. 15946.............. .............. A

Remove hip pressure 21.57

N/A 14.86

2.32

N/A 38.75

090 sore. 15950.............. .............. A

Remove thigh

7.54

N/A 5.54

0.80

N/A 13.88

090 pressure sore. 15951.............. .............. A

Remove thigh

10.72

N/A 8.08

1.14

N/A 19.94

090 pressure sore. 15952.............. .............. A

Remove thigh

11.39

N/A 7.81

1.19

N/A 20.39

090 pressure sore. 15953.............. .............. A

Remove thigh

12.63

N/A 9.22

1.38

N/A 23.23

090 pressure sore. 15956.............. .............. A

Remove thigh

15.52

N/A 10.96

1.64

N/A 28.12

090 pressure sore. 15958.............. .............. A

Remove thigh

15.48

N/A 11.24

1.66

N/A 28.38

090 pressure sore. 15999.............. .............. C

Removal of pressure

0.00 0.00 0.00

0.00

0.00 0.00

YYY sore. 16000.............. .............. A

Initial treatment of 0.89 0.89 0.27

0.06

1.84 1.22

000 burn(s). 16010.............. .............. A

Treatment of burn(s) 0.87 0.68 0.65

0.07

1.62 1.59

000

[[Continued on page 49079]]

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

[[pp. 49079-49128]] Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004

[[Continued from page 49078]]

[[Page 49079]]

16015.............. .............. A

Treatment of burn(s) 2.35

N/A 1.18

0.22

N/A 3.75

000 16020.............. .............. A

Treatment of burn(s) 0.80 1.31 0.62

0.06

2.17 1.48

000 16025.............. .............. A

Treatment of burn(s) 1.85 1.82 0.99

0.16

3.83 3.00

000 16030.............. .............. A

Treatment of burn(s) 2.08 2.24 1.14

0.18

4.50 3.40

000 16035.............. .............. A

Incision of burn

3.75

N/A 1.49

0.36

N/A 5.60

090 scab, initi. 16036.............. .............. A

Incise burn scab,

1.50

N/A 0.61

0.11

N/A 2.22

ZZZ addl incis. 17000.............. .............. A

Destroy benign/

0.60 1.00 0.32

0.03

1.63 0.95

010 premlg lesion. 17003.............. .............. A

Destroy lesions, 2-

0.15 0.11 0.07

0.01

0.27 0.23

ZZZ 14. 17004.............. .............. A

Destroy lesions, 15

2.79 2.37 1.32

0.12

5.28 4.23

010 or more. 17106.............. .............. A

Destruction of skin

4.59 5.01 3.29

0.28

9.88 8.16

090 lesions. 17107.............. .............. A

Destruction of skin

9.16 7.69 5.45

0.53 17.38 15.14

090 lesions. 17108.............. .............. A

Destruction of skin 13.20 9.82 7.72

0.89 23.91 21.81

090 lesions. 17110.............. .............. A

Destruct lesion, 1-

0.65 1.68 0.51

0.04

2.37 1.20

010 14. 17111.............. .............. A

Destruct lesion, 15

0.92 1.73 0.61

0.04

2.69 1.57

010 or more. 17250.............. .............. A

Chemical cautery,

0.50 1.26 0.35

0.04

1.80 0.89

000 tissue. 17260.............. .............. A

Destruction of skin

0.91 1.32 0.46

0.04

2.27 1.41

010 lesions. 17261.............. .............. A

Destruction of skin

1.17 1.66 0.60

0.05

2.88 1.82

010 lesions. 17262.............. .............. A

Destruction of skin

1.58 1.94 0.80

0.07

3.59 2.45

010 lesions. 17263.............. .............. A

Destruction of skin

1.79 2.12 0.87

0.08

3.99 2.74

010 lesions. 17264.............. .............. A

Destruction of skin

1.94 2.28 0.90

0.08

4.30 2.92

010 lesions. 17266.............. .............. A

Destruction of skin

2.34 2.58 1.01

0.11

5.03 3.46

010 lesions. 17270.............. .............. A

Destruction of skin

1.32 1.75 0.65

0.06

3.13 2.03

010 lesions. 17271.............. .............. A

Destruction of skin

1.49 1.83 0.76

0.06

3.38 2.31

010 lesions. 17272.............. .............. A

Destruction of skin

1.77 2.05 0.90

0.07

3.89 2.74

010 lesions. 17273.............. .............. A

Destruction of skin

2.05 2.26 1.01

0.09

4.40 3.15

010 lesions. 17274.............. .............. A

Destruction of skin

2.59 2.63 1.23

0.11

5.33 3.93

010 lesions. 17276.............. .............. A

Destruction of skin

3.20 3.03 1.47

0.15

6.38 4.82

010 lesions. 17280.............. .............. A

Destruction of skin

1.17 1.66 0.58

0.05

2.88 1.80

010 lesions. 17281.............. .............. A

Destruction of skin

1.72 1.96 0.87

0.07

3.75 2.66

010 lesions. 17282.............. .............. A

Destruction of skin

2.04 2.21 1.03

0.09

4.34 3.16

010 lesions. 17283.............. .............. A

Destruction of skin

2.64 2.61 1.28

0.11

5.36 4.03

010 lesions. 17284.............. .............. A

Destruction of skin

3.21 3.01 1.55

0.14

6.36 4.90

010 lesions. 17286.............. .............. A

Destruction of skin

4.44 3.79 2.24

0.22

8.45 6.90

010 lesions. 17304.............. .............. A

1 stage mohs, up to

7.60 8.28 3.65

0.31 16.19 11.56

000 5 spec. 17305.............. .............. A

2 stage mohs, up to

2.85 3.90 1.37

0.12

6.87 4.34

000 5 spec. 17306.............. .............. A

3 stage mohs, up to

2.85 3.92 1.38

0.12

6.89 4.35

000 5 spec. 17307.............. .............. A

Mohs addl stage up

2.85 3.87 1.40

0.12

6.84 4.37

000 to 5 spec. 17310.............. .............. A

Mohs any stage 5 spec each. 17340.............. .............. A

Cryotherapy of skin. 0.76 0.38 0.31

0.04

1.18 1.11

010 17360.............. .............. A

Skin peel therapy... 1.43 1.50 0.77

0.06

2.99 2.26

010 17380.............. .............. R

Hair removal by

0.00 0.00 0.00

0.00

0.00 0.00

000 electrolysis. 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 2.06 0.36

0.07

2.97 1.27

000 lesion. 19001.............. .............. A

Drain breast lesion

0.42 0.80 0.14

0.03

1.25 0.59

ZZZ add-on. 19020.............. .............. A

Incision of breast

3.57 6.13 2.84

0.35 10.05 6.76

090 lesion. 19030.............. .............. A

Injection for breast 1.53 3.40 0.51

0.07

5.00 2.11

000 x-ray. 19100.............. .............. A

Bx breast percut w/o 1.27 2.17 0.43

0.10

3.54 1.80

000 image. 19101.............. .............. A

Biopsy of breast,

3.18 4.74 1.71

0.20

8.12 5.09

010 open. 19102.............. .............. A

Bx breast percut w/

2.00 4.02 0.67

0.13

6.15 2.80

000 image. 19103.............. .............. A

Bx breast percut w/

3.70 12.24 1.26

0.16 16.10 5.12

000 device. 19110.............. .............. A

Nipple exploration.. 4.30 7.47 3.21

0.44 12.21 7.95

090 19112.............. .............. A

Excise breast duct

3.67 7.85 2.74

0.38 11.90 6.79

090 fistula. 19120.............. .............. A

Removal of breast

5.56 4.64 3.11

0.56 10.76 9.23

090 lesion. 19125.............. .............. A

Excision, breast

6.06 4.88 3.34

0.61 11.55 10.01

090 lesion.

[[Page 49080]]

19126.............. .............. A

Excision, addl

2.93

N/A 1.02

0.30

N/A 4.25

ZZZ breast lesion. 19140.............. .............. A

Removal of breast

5.14 7.35 3.44

0.52 13.01 9.10

090 tissue. 19160.............. .............. A

Removal of breast

5.99

N/A 3.48

0.61

N/A 10.08

090 tissue. 19162.............. .............. A

Remove breast

13.53

N/A 6.46

1.38

N/A 21.37

090 tissue, nodes. 19180.............. .............. A

Removal of breast... 8.80

N/A 5.11

0.88

N/A 14.79

090 19182.............. .............. A

Removal of breast... 7.73

N/A 4.84

0.79

N/A 13.36

090 19200.............. .............. A

Removal of breast... 15.49

N/A 8.12

1.51

N/A 25.12

090 19220.............. .............. A

Removal of breast... 15.72

N/A 8.39

1.56

N/A 25.67

090 19240.............. .............. A

Removal of breast... 16.00

N/A 8.37

1.62

N/A 25.99

090 19260.............. .............. A

Removal of chest

15.44

N/A 11.09

1.64

N/A 28.17

090 wall lesion. 19271.............. .............. A

Revision of chest

18.90

N/A 17.48

2.27

N/A 38.65

090 wall. 19272.............. .............. A

Extensive chest wall 21.55

N/A 18.27

2.54

N/A 42.36

090 surgery. 19290.............. .............. A

Place needle wire,

1.27 3.03 0.43

0.06

4.36 1.76

000 breast. 19291.............. .............. A

Place needle wire,

0.63 1.76 0.21

0.03

2.42 0.87

ZZZ breast. 19295.............. .............. A

Place breast clip,

0.00 2.83

N/A

0.01

2.84

N/A

ZZZ percut. 19316.............. .............. A

Suspension of breast 10.69

N/A 7.83

1.15

N/A 19.67

090 19318.............. .............. A

Reduction of large

15.62

N/A 11.42

1.69

N/A 28.73

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

Enlarge breast...... 5.85

N/A 5.01

0.63

N/A 11.49

090 19325.............. .............. A

Enlarge breast with

8.45

N/A 6.71

0.90

N/A 16.06

090 implant. 19328.............. .............. A

Removal of breast

5.68

N/A 5.17

0.61

N/A 11.46

090 implant. 19330.............. .............. A

Removal of implant

7.59

N/A 6.09

0.81

N/A 14.49

090 material. 19340.............. .............. A

Immediate breast

6.33

N/A 3.18

0.68

N/A 10.19

ZZZ prosthesis. 19342.............. .............. A

Delayed breast

11.20

N/A 8.95

1.21

N/A 21.36

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

Breast

8.92 14.46 7.25

0.95 24.33 17.12

090 reconstruction. 19355.............. .............. A

Correct inverted

7.57 13.06 5.12

0.80 21.43 13.49

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

Breast

18.16

N/A 14.13

1.96

N/A 34.25

090 reconstruction. 19361.............. .............. A

Breast

19.26

N/A 12.01

2.08

N/A 33.35

090 reconstruction. 19364.............. .............. A

Breast

41.00

N/A 24.08

3.91

N/A 68.99

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

Breast

21.28

N/A 11.44

2.27

N/A 34.99

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

Breast

25.73

N/A 16.89

2.78

N/A 45.40

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

Breast

32.42

N/A 20.65

3.51

N/A 56.58

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

Breast

29.82

N/A 20.17

3.24

N/A 53.23

090 reconstruction. 19370.............. .............. A

Surgery of breast

8.05

N/A 6.98

0.86

N/A 15.89

090 capsule. 19371.............. .............. A

Removal of breast

9.35

N/A 8.02

1.01

N/A 18.38

090 capsule. 19380.............. .............. A

Revise breast

9.14

N/A 7.90

0.98

N/A 18.02

090 reconstruction. 19396.............. .............. A

Design custom breast 2.17 5.91 1.01

0.23

8.31 3.41

000 implant. 19499.............. .............. C

Breast surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 20000.............. .............. A

Incision of abscess. 2.12 2.44 1.63

0.17

4.73 3.92

010 20005.............. .............. A

Incision of deep

3.42 3.44 2.15

0.34

7.20 5.91

010 abscess. 20100.............. .............. A

Explore wound, neck. 10.08 5.92 4.44

0.99 16.99 15.51

010 20101.............. .............. A

Explore wound, chest 3.22 3.02 1.61

0.24

6.48 5.07

010 20102.............. .............. A

Explore wound,

3.94 3.57 1.82

0.35

7.86 6.11

010 abdomen. 20103.............. .............. A

Explore wound,

5.30 4.25 3.28

0.57 10.12 9.15

010 extremity. 20150.............. .............. A

Excise epiphyseal

13.69

N/A 7.37

0.96

N/A 22.02

090 bar. 20200.............. .............. A

Muscle biopsy....... 1.46 3.20 0.79

0.17

4.83 2.42

000 20205.............. .............. A

Deep muscle biopsy.. 2.35 4.21 1.23

0.23

6.79 3.81

000 20206.............. .............. A

Needle biopsy,

0.99 3.23 0.35

0.06

4.28 1.40

000 muscle. 20220.............. .............. A

Bone biopsy, trocar/ 1.27 4.83 2.80

0.06

6.16 4.13

000 needle. 20225.............. .............. A

Bone biopsy, trocar/ 1.87 4.37 2.95

0.11

6.35 4.93

000 needle. 20240.............. .............. A

Bone biopsy,

3.23

N/A 2.56

0.33

N/A 6.12

010 excisional. 20245.............. .............. A

Bone biopsy,

7.78

N/A 6.39

0.44

N/A 14.61

010 excisional. 20250.............. .............. A

Open bone biopsy.... 5.03

N/A 4.61

0.50

N/A 10.14

010 20251.............. .............. A

Open bone biopsy.... 5.56

N/A 5.26

0.79

N/A 11.61

010 20500.............. .............. A

Injection of sinus

1.23 6.00 3.86

0.10

7.33 5.19

010 tract. 20501.............. .............. A

Inject sinus tract

0.76 3.04 0.25

0.03

3.83 1.04

000 for x-ray. 20520.............. .............. A

Removal of foreign

1.85 2.28 1.82

0.17

4.30 3.84

010 body. 20525.............. .............. A

Removal of foreign

3.50 3.44 2.68

0.40

7.34 6.58

010 body.

[[Page 49081]]

20526.............. .............. A

Ther injection, carp 0.94 0.98 0.52

0.06

1.98 1.52

000 tunnel. 20550.............. .............. A

Inj tendon sheath/

0.75 0.73 0.24

0.06

1.54 1.05

000 ligament. 20551.............. .............. A

Inject tendon origin/ 0.75 0.70 0.34

0.06

1.51 1.15

000 insert. 20552.............. .............. A

Inject trigger

0.66 0.74 0.21

0.06

1.46 0.93

000 point, 1 or 2. 20553.............. .............. A

Inject trigger

0.75 0.85 0.22

0.06

1.66 1.03

000 points, =/3. 20600.............. .............. A

Drain/inject, joint/ 0.66 0.66 0.36

0.06

1.38 1.08

000 bursa. 20605.............. .............. A

Drain/inject, joint/ 0.68 0.77 0.37

0.06

1.51 1.11

000 bursa. 20610.............. .............. A

Drain/inject, joint/ 0.79 0.96 0.42

0.08

1.83 1.29

000 bursa. 20612.............. .............. A

Aspirate/inj

0.70 0.73 0.34

0.06

1.49 1.10

000 ganglion cyst. 20615.............. .............. A

Treatment of bone

2.28 2.59 1.82

0.19

5.06 4.29

010 cyst. 20650.............. .............. A

Insert and remove

2.23 2.47 1.97

0.28

4.98 4.48

010 bone pin. 20660.............. .............. A

Apply, rem fixation

2.51 3.12 1.74

0.48

6.11 4.73

000 device. 20661.............. .............. A

Application of head

4.89

N/A 5.05

0.92

N/A 10.86

090 brace. 20662.............. .............. A

Application of

6.07

N/A 5.54

0.81

N/A 12.42

090 pelvis brace. 20663.............. .............. A

Application of thigh 5.43

N/A 4.86

0.77

N/A 11.06

090 brace. 20664.............. .............. A

Halo brace

8.06

N/A 7.16

1.49

N/A 16.71

090 application. 20665.............. .............. A

Removal of fixation

1.31 1.98 1.32

0.17

3.46 2.80

010 device. 20670.............. .............. A

Removal of support

1.74 6.83 3.98

0.23

8.80 5.95

010 implant. 20680.............. .............. A

Removal of support

3.35 3.44 3.44

0.46

7.25 7.25

090 implant. 20690.............. .............. A

Apply bone fixation

3.52

N/A 2.51

0.47

N/A 6.50

090 device. 20692.............. .............. A

Apply bone fixation

6.41

N/A 3.80

0.60

N/A 10.81

090 device. 20693.............. .............. A

Adjust bone fixation 5.86

N/A 8.43

0.85

N/A 15.14

090 device. 20694.............. .............. A

Remove bone fixation 4.16 7.10 4.64

0.57 11.83 9.37

090 device. 20802.............. .............. A

Replantation, arm,

41.15

N/A 21.97

5.81

N/A 68.93

090 complete. 20805.............. .............. A

Replant forearm,

50.00

N/A 35.96

3.95

N/A 89.91

090 complete. 20808.............. .............. A

Replantation hand,

61.65

N/A 44.22

6.49

N/A 112.36

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

Replantation digit, 30.94

N/A 40.19

3.01

N/A 74.14

090 complete. 20822.............. .............. A

Replantation digit, 25.59

N/A 36.64

3.07

N/A 65.30

090 complete. 20824.............. .............. A

Replantation thumb, 30.94

N/A 38.92

3.48

N/A 73.34

090 complete. 20827.............. .............. A

Replantation thumb, 26.41

N/A 38.68

3.21

N/A 68.30

090 complete. 20838.............. .............. A

Replantation foot,

41.41

N/A 22.96

5.85

N/A 70.22

090 complete. 20900.............. .............. A

Removal of bone for

5.58 7.43 5.57

0.77 13.78 11.92

090 graft. 20902.............. .............. A

Removal of bone for

7.55

N/A 7.06

1.06

N/A 15.67

090 graft. 20910.............. .............. A

Remove cartilage for 5.34 7.19 5.51

0.50 13.03 11.35

090 graft. 20912.............. .............. A

Remove cartilage for 6.35

N/A 6.21

0.55

N/A 13.11

090 graft. 20920.............. .............. A

Removal of fascia

5.31

N/A 4.48

0.54

N/A 10.33

090 for graft. 20922.............. .............. A

Removal of fascia

6.61 6.90 5.18

0.88 14.39 12.67

090 for graft. 20924.............. .............. A

Removal of tendon

6.48

N/A 6.00

0.82

N/A 13.30

090 for graft. 20926.............. .............. A

Removal of tissue

5.53

N/A 5.06

0.73

N/A 11.32

090 for graft. 20931.............. .............. A

Spinal bone

1.81

N/A 0.95

0.34

N/A 3.10

ZZZ allograft. 20937.............. .............. A

Spinal bone

2.79

N/A 1.49

0.43

N/A 4.71

ZZZ autograft. 20938.............. .............. A

Spinal bone

3.02

N/A 1.59

0.52

N/A 5.13

ZZZ autograft. 20950.............. .............. A

Fluid pressure,

1.26 1.39 1.02

0.16

2.81 2.44

000 muscle. 20955.............. .............. A

Fibula bone graft,

39.21

N/A 25.69

4.35

N/A 69.25

090 microvasc. 20956.............. .............. A

Iliac bone graft,

39.27

N/A 25.40

5.77

N/A 70.44

090 microvasc. 20957.............. .............. A

Mt bone graft,

40.65

N/A 19.47

5.74

N/A 65.86

090 microvasc. 20962.............. .............. A

Other bone graft,

39.27

N/A 26.91

5.19

N/A 71.37

090 microvasc. 20969.............. .............. A

Bone/skin graft,

43.92

N/A 28.25

4.34

N/A 76.51

090 microvasc. 20970.............. .............. A

Bone/skin graft,

43.06

N/A 26.58

4.64

N/A 74.28

090 iliac crest. 20972.............. .............. A

Bone/skin graft,

42.99 21.88 20.34

6.07 70.94 69.40

090 metatarsal. 20973.............. .............. A

Bone/skin graft,

45.76

N/A 25.64

4.65

N/A 76.05

090 great toe. 20974.............. .............. A

Electrical bone

0.62 0.63 0.56

0.09

1.34 1.27

000 stimulation.

[[Page 49082]]

20975.............. .............. A

Electrical bone

2.60

N/A 1.76

0.42

N/A 4.78

000 stimulation. 20979.............. .............. A

Us bone stimulation. 0.62 0.78 0.34

0.04

1.44 1.00

000 20999.............. .............. C

Musculoskeletal

0.00 0.00 0.00

0.00

0.00 0.00

YYY surgery. 21010.............. .............. A

Incision of jaw

10.14

N/A 7.41

0.54

N/A 18.09

090 joint. 21015.............. .............. A

Resection of facial

5.29

N/A 5.73

0.52

N/A 11.54

090 tumor. 21025.............. .............. A

Excision of bone,

10.06 10.50 8.40

0.79 21.35 19.25

090 lower jaw. 21026.............. .............. A

Excision of facial

4.85 7.20 5.70

0.40 12.45 10.95

090 bone(s). 21029.............. .............. A

Contour of face bone 7.71 8.89 6.44

0.74 17.34 14.89

090 lesion. 21030.............. .............. A

Excise max/zygoma b9 3.89 5.93 4.17

0.60 10.42 8.66

090 tumor. 21031.............. .............. A

Remove exostosis,

3.24 4.74 3.18

0.28

8.26 6.70

090 mandible. 21032.............. .............. A

Remove exostosis,

3.24 4.78 3.29

0.27

8.29 6.80

090 maxilla. 21034.............. .............. A

Excise max/zygoma

16.17 13.91 11.51

1.37 31.45 29.05

090 mlg tumor. 21040.............. .............. A

Excise mandible

3.89 5.79 3.84

0.19

9.87 7.92

090 lesion. 21044.............. .............. A

Removal of jaw bone 11.86

N/A 8.95

0.87

N/A 21.68

090 lesion. 21045.............. .............. A

Extensive jaw

16.17

N/A 11.75

1.20

N/A 29.12

090 surgery. 21046.............. .............. A

Remove mandible cyst 13.00

N/A 13.21

1.01

N/A 27.22

090 complex. 21047.............. .............. A

Excise lwr jaw cyst 18.75

N/A 13.84

1.53

N/A 34.12

090 w/repair. 21048.............. .............. A

Remove maxilla cyst 13.50

N/A 13.50

1.01

N/A 28.01

090 complex. 21049.............. .............. A

Excis uppr jaw cyst 18.00

N/A 13.41

1.01

N/A 32.42

090 w/repair. 21050.............. .............. A

Removal of jaw joint 10.77

N/A 10.66

0.84

N/A 22.27

090 21060.............. .............. A

Remove jaw joint

10.23

N/A 10.18

1.16

N/A 21.57

090 cartilage. 21070.............. .............. A

Remove coronoid

8.20

N/A 7.25

0.67

N/A 16.12

090 process. 21076.............. .............. A

Prepare face/oral

13.42 13.19 10.52

1.36 27.97 25.30

010 prosthesis. 21077.............. .............. A

Prepare face/oral

33.75 33.45 27.14

3.43 70.63 64.32

090 prosthesis. 21079.............. .............. A

Prepare face/oral

22.34 23.11 18.12

1.59 47.04 42.05

090 prosthesis. 21080.............. .............. A

Prepare face/oral

25.10 26.21 20.48

2.55 53.86 48.13

090 prosthesis. 21081.............. .............. A

Prepare face/oral

22.88 23.87 18.42

1.87 48.62 43.17

090 prosthesis. 21082.............. .............. A

Prepare face/oral

20.87 20.66 16.57

1.46 42.99 38.90

090 prosthesis. 21083.............. .............. A

Prepare face/oral

19.30 20.13 15.24

1.96 41.39 36.50

090 prosthesis. 21084.............. .............. A

Prepare face/oral

22.51 23.94 18.60

1.57 48.02 42.68

090 prosthesis. 21085.............. .............. A

Prepare face/oral

9.00 8.84 7.11

0.65 18.49 16.76

010 prosthesis. 21086.............. .............. A

Prepare face/oral

24.92 25.25 20.19

1.86 52.03 46.97

090 prosthesis. 21087.............. .............. A

Prepare face/oral

24.92 24.82 20.06

2.22 51.96 47.20

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

4.22 5.72 4.67

0.18 10.12 9.07

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

Interdental fixation 5.21 7.23 5.78

0.28 12.72 11.27

090 21116.............. .............. A

Injection, jaw joint 0.81 5.67 0.34

0.05

6.53 1.20

000 x-ray. 21120.............. .............. A

Reconstruction of

4.93 9.00 5.39

0.29 14.22 10.61

090 chin. 21121.............. .............. A

Reconstruction of

7.64 10.71 6.82

0.56 18.91 15.02

090 chin. 21122.............. .............. A

Reconstruction of

8.52

N/A 7.35

0.59

N/A 16.46

090 chin. 21123.............. .............. A

Reconstruction of

11.16

N/A 8.49

1.16

N/A 20.81

090 chin.

[[Page 49083]]

21125.............. .............. A

Augmentation, lower 10.62 12.09 8.47

0.72 23.43 19.81

090 jaw bone. 21127.............. .............. A

Augmentation, lower 11.12 14.95 9.29

0.76 26.83 21.17

090 jaw bone. 21137.............. .............. A

Reduction of

9.82

N/A 7.62

0.53

N/A 17.97

090 forehead. 21138.............. .............. A

Reduction of

12.19

N/A 9.53

1.47

N/A 23.19

090 forehead. 21139.............. .............. A

Reduction of

14.61

N/A 10.04

1.02

N/A 25.67

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

Reconstruct midface, 18.10

N/A 14.30

1.63

N/A 34.03

090 lefort. 21142.............. .............. A

Reconstruct midface, 18.81

N/A 13.41

1.16

N/A 33.38

090 lefort. 21143.............. .............. A

Reconstruct midface, 19.58

N/A 14.55

0.90

N/A 35.03

090 lefort. 21145.............. .............. A

Reconstruct midface, 19.94

N/A 14.57

2.09

N/A 36.60

090 lefort. 21146.............. .............. A

Reconstruct midface, 20.71

N/A 16.02

2.13

N/A 38.86

090 lefort. 21147.............. .............. A

Reconstruct midface, 21.77

N/A 15.70

1.52

N/A 38.99

090 lefort. 21150.............. .............. A

Reconstruct midface, 25.24

N/A 14.42

1.09

N/A 40.75

090 lefort. 21151.............. .............. A

Reconstruct midface, 28.30

N/A 17.70

1.98

N/A 47.98

090 lefort. 21154.............. .............. A

Reconstruct midface, 30.52

N/A 20.75

4.86

N/A 56.13

090 lefort. 21155.............. .............. A

Reconstruct midface, 34.45

N/A 21.92

5.48

N/A 61.85

090 lefort. 21159.............. .............. A

Reconstruct midface, 42.38

N/A 25.08

6.74

N/A 74.20

090 lefort. 21160.............. .............. A

Reconstruct midface, 46.44

N/A 24.97

4.39

N/A 75.80

090 lefort. 21172.............. .............. A

Reconstruct orbit/

27.80

N/A 14.45

1.91

N/A 44.16

090 forehead. 21175.............. .............. A

Reconstruct orbit/

33.17

N/A 18.80

5.16

N/A 57.13

090 forehead. 21179.............. .............. A

Reconstruct entire

22.25

N/A 15.41

2.48

N/A 40.14

090 forehead. 21180.............. .............. A

Reconstruct entire

25.19

N/A 16.64

2.15

N/A 43.98

090 forehead. 21181.............. .............. A

Contour cranial bone 9.90

N/A 7.69

0.97

N/A 18.56

090 lesion. 21182.............. .............. A

Reconstruct cranial 32.19

N/A 20.18

2.53

N/A 54.90

090 bone. 21183.............. .............. A

Reconstruct cranial 35.31

N/A 21.89

2.75

N/A 59.95

090 bone. 21184.............. .............. A

Reconstruct cranial 38.24

N/A 22.40

4.12

N/A 64.76

090 bone. 21188.............. .............. A

Reconstruction of

22.46

N/A 15.69

1.85

N/A 40.00

090 midface. 21193.............. .............. A

Reconst lwr jaw w/o 17.15

N/A 13.39

1.53

N/A 32.07

090 graft. 21194.............. .............. A

Reconst lwr jaw w/

19.84

N/A 14.47

1.39

N/A 35.70

090 graft. 21195.............. .............. A

Reconst lwr jaw w/o 17.24

N/A 13.70

1.20

N/A 32.14

090 fixation. 21196.............. .............. A

Reconst lwr jaw w/

18.91

N/A 14.31

1.62

N/A 34.84

090 fixation. 21198.............. .............. A

Reconstr lwr jaw

14.16

N/A 11.32

1.05

N/A 26.53

090 segment. 21199.............. .............. A

Reconstr lwr jaw w/ 16.00

N/A 9.40

1.26

N/A 26.66

090 advance. 21206.............. .............. A

Reconstruct upper

14.10

N/A 11.14

1.01

N/A 26.25

090 jaw bone. 21208.............. .............. A

Augmentation of

10.23 14.95 9.40

0.92 26.10 20.55

090 facial bones. 21209.............. .............. A

Reduction of facial

6.72 12.17 7.28

0.60 19.49 14.60

090 bones. 21210.............. .............. A

Face bone graft..... 10.23 14.17 9.66

0.88 25.28 20.77

090 21215.............. .............. A

Lower jaw bone graft 10.77 13.96 9.86

1.04 25.77 21.67

090 21230.............. .............. A

Rib cartilage graft. 10.77

N/A 8.86

0.96

N/A 20.59

090 21235.............. .............. A

Ear cartilage graft. 6.72 11.67 7.25

0.52 18.91 14.49

090 21240.............. .............. A

Reconstruction of

14.05

N/A 13.17

1.15

N/A 28.37

090 jaw joint. 21242.............. .............. A

Reconstruction of

12.95

N/A 12.63

1.40

N/A 26.98

090 jaw joint. 21243.............. .............. A

Reconstruction of

20.79

N/A 18.48

1.85

N/A 41.12

090 jaw joint. 21244.............. .............. A

Reconstruction of

11.86

N/A 10.35

0.95

N/A 23.16

090 lower jaw. 21245.............. .............. A

Reconstruction of

11.86 16.69 10.05

0.88 29.43 22.79

090 jaw. 21246.............. .............. A

Reconstruction of

12.47 15.05 10.13

1.21 28.73 23.81

090 jaw. 21247.............. .............. A

Reconstruct lower

22.63

N/A 18.53

2.21

N/A 43.37

090 jaw bone. 21248.............. .............. A

Reconstruction of

11.48 13.46 9.59

1.01 25.95 22.08

090 jaw. 21249.............. .............. A

Reconstruction of

17.52 17.12 13.05

1.39 36.03 31.96

090 jaw. 21255.............. .............. A

Reconstruct lower

16.72

N/A 12.98

1.13

N/A 30.83

090 jaw bone. 21256.............. .............. A

Reconstruction of

16.19

N/A 12.47

1.04

N/A 29.70

090 orbit. 21260.............. .............. A

Revise eye sockets.. 16.52

N/A 9.13

1.25

N/A 26.90

090 21261.............. .............. A

Revise eye sockets.. 31.49

N/A 19.67

2.20

N/A 53.36

090 21263.............. .............. A

Revise eye sockets.. 28.42

N/A 13.14

2.16

N/A 43.72

090 21267.............. .............. A

Revise eye sockets.. 18.90

N/A 13.58

1.35

N/A 33.83

090

[[Page 49084]]

21268.............. .............. A

Revise eye sockets.. 24.48

N/A 15.66

0.79

N/A 40.93

090 21270.............. .............. A

Augmentation, cheek 10.23 12.35 8.36

0.73 23.31 19.32

090 bone. 21275.............. .............. A

Revision,

11.24

N/A 9.10

1.03

N/A 21.37

090 orbitofacial bones. 21280.............. .............. A

Revision of eyelid.. 6.03

N/A 6.18

0.27

N/A 12.48

090 21282.............. .............. A

Revision of eyelid.. 3.49

N/A 4.84

0.21

N/A 8.54

090 21295.............. .............. A

Revision of jaw

1.53

N/A 3.02

0.13

N/A 4.68

090 muscle/bone. 21296.............. .............. A

Revision of jaw

4.25

N/A 4.65

0.30

N/A 9.20

090 muscle/bone. 21299.............. .............. C

Cranio/maxillofacial 0.00 0.00 0.00

0.00

0.00 0.00

YYY surgery. 21300.............. .............. A

Treatment of skull

0.72 2.48 0.26

0.09

3.29 1.07

000 fracture. 21310.............. .............. A

Treatment of nose

0.58 2.44 0.15

0.05

3.07 0.78

000 fracture. 21315.............. .............. A

Treatment of nose

1.51 3.18 1.31

0.12

4.81 2.94

010 fracture. 21320.............. .............. A

Treatment of nose

1.85 4.44 1.89

0.15

6.44 3.89

010 fracture. 21325.............. .............. A

Treatment of nose

3.77

N/A 3.84

0.31

N/A 7.92

090 fracture. 21330.............. .............. A

Treatment of nose

5.38

N/A 5.44

0.48

N/A 11.30

090 fracture. 21335.............. .............. A

Treatment of nose

8.61

N/A 7.02

0.64

N/A 16.27

090 fracture. 21336.............. .............. A

Treat nasal septal

5.72

N/A 6.18

0.45

N/A 12.35

090 fracture. 21337.............. .............. A

Treat nasal septal

2.70 5.27 3.75

0.22

8.19 6.67

090 fracture. 21338.............. .............. A

Treat nasoethmoid

6.46

N/A 6.14

0.53

N/A 13.13

090 fracture. 21339.............. .............. A

Treat nasoethmoid

8.09

N/A 6.90

0.76

N/A 15.75

090 fracture. 21340.............. .............. A

Treatment of nose

10.77

N/A 8.99

0.85

N/A 20.61

090 fracture. 21343.............. .............. A

Treatment of sinus

12.95

N/A 10.37

1.06

N/A 24.38

090 fracture. 21344.............. .............. A

Treatment of sinus

19.72

N/A 14.00

1.72

N/A 35.44

090 fracture. 21345.............. .............. A

Treat nose/jaw

8.16 12.01 8.21

0.60 20.77 16.97

090 fracture. 21346.............. .............. A

Treat nose/jaw

10.61 13.67 9.41

0.85 25.13 20.87

090 fracture. 21347.............. .............. A

Treat nose/jaw

12.69

N/A 10.02

1.14

N/A 23.85

090 fracture. 21348.............. .............. A

Treat nose/jaw

16.69

N/A 11.60

1.50

N/A 29.79

090 fracture. 21355.............. .............. A

Treat cheek bone

3.77 4.86 2.43

0.29

8.92 6.49

010 fracture. 21356.............. .............. A

Treat cheek bone

4.15 12.21 3.31

0.36 16.72 7.82

010 fracture. 21360.............. .............. A

Treat cheek bone

6.46 14.59 6.32

0.52 21.57 13.30

090 fracture. 21365.............. .............. A

Treat cheek bone

14.95

N/A 12.08

1.30

N/A 28.33

090 fracture. 21366.............. .............. A

Treat cheek bone

17.77

N/A 11.97

1.41

N/A 31.15

090 fracture. 21385.............. .............. A

Treat eye socket

9.16

N/A 7.32

0.64

N/A 17.12

090 fracture. 21386.............. .............. A

Treat eye socket

9.16

N/A 7.73

0.76

N/A 17.65

090 fracture. 21387.............. .............. A

Treat eye socket

9.70

N/A 7.81

0.78

N/A 18.29

090 fracture. 21390.............. .............. A

Treat eye socket

10.13

N/A 8.27

0.70

N/A 19.10

090 fracture. 21395.............. .............. A

Treat eye socket

12.68

N/A 9.62

1.09

N/A 23.39

090 fracture. 21400.............. .............. A

Treat eye socket

1.40 3.80 2.10

0.12

5.32 3.62

090 fracture. 21401.............. .............. A

Treat eye socket

3.26 5.11 3.84

0.34

8.71 7.44

090 fracture. 21406.............. .............. A

Treat eye socket

7.01

N/A 6.58

0.59

N/A 14.18

090 fracture. 21407.............. .............. A

Treat eye socket

8.61

N/A 7.38

0.67

N/A 16.66

090 fracture. 21408.............. .............. A

Treat eye socket

12.38

N/A 9.49

1.24

N/A 23.11

090 fracture. 21421.............. .............. A

Treat mouth roof

5.14 10.22 6.31

0.42 15.78 11.87

090 fracture. 21422.............. .............. A

Treat mouth roof

8.32 11.73 7.38

0.69 20.74 16.39

090 fracture. 21423.............. .............. A

Treat mouth roof

10.40

N/A 8.72

0.95

N/A 20.07

090 fracture. 21431.............. .............. A

Treat craniofacial

7.05 11.10 7.15

0.58 18.73 14.78

090 fracture. 21432.............. .............. A

Treat craniofacial

8.61

N/A 6.53

0.55

N/A 15.69

090 fracture. 21433.............. .............. A

Treat craniofacial

25.35

N/A 17.38

2.46

N/A 45.19

090 fracture. 21435.............. .............. A

Treat craniofacial

17.25

N/A 13.41

1.66

N/A 32.32

090 fracture. 21436.............. .............. A

Treat craniofacial

28.04

N/A 18.94

2.32

N/A 49.30

090 fracture. 21440.............. .............. A

Treat dental ridge

2.70 8.32 4.22

0.22 11.24 7.14

090 fracture. 21445.............. .............. A

Treat dental ridge

5.38 10.81 6.48

0.55 16.74 12.41

090 fracture. 21450.............. .............. A

Treat lower jaw

2.97 11.00 3.86

0.23 14.20 7.06

090 fracture. 21451.............. .............. A

Treat lower jaw

4.87 9.15 6.00

0.39 14.41 11.26

090 fracture. 21452.............. .............. A

Treat lower jaw

1.98 8.19 3.81

0.14 10.31 5.93

090 fracture. 21453.............. .............. A

Treat lower jaw

5.54 10.89 7.07

0.49 16.92 13.10

090 fracture. 21454.............. .............. A

Treat lower jaw

6.46

N/A 6.62

0.55

N/A 13.63

090 fracture. 21461.............. .............. A

Treat lower jaw

8.09 12.99 8.58

0.73 21.81 17.40

090 fracture. 21462.............. .............. A

Treat lower jaw

9.79 14.58 9.31

0.80 25.17 19.90

090 fracture.

[[Page 49085]]

21465.............. .............. A

Treat lower jaw

11.91

N/A 10.16

0.84

N/A 22.91

090 fracture. 21470.............. .............. A

Treat lower jaw

15.34

N/A 12.41

1.36

N/A 29.11

090 fracture. 21480.............. .............. A

Reset dislocated jaw 0.61 2.06 0.19

0.05

2.72 0.85

000 21485.............. .............. A

Reset dislocated jaw 3.99 6.15 4.92

0.31 10.45 9.22

090 21490.............. .............. A

Repair dislocated

11.86

N/A 10.03

1.31

N/A 23.20

090 jaw. 21493.............. .............. A

Treat hyoid bone

1.27

N/A 2.96

0.10

N/A 4.33

090 fracture. 21494.............. .............. A

Treat hyoid bone

6.28

N/A 5.91

0.44

N/A 12.63

090 fracture. 21495.............. .............. A

Treat hyoid bone

5.69

N/A 6.18

0.41

N/A 12.28

090 fracture. 21497.............. .............. A

Interdental wiring.. 3.86 6.77 5.16

0.31 10.94 9.33

090 21499.............. .............. C

Head surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 21501.............. .............. A

Drain neck/chest

3.81 4.79 3.95

0.36

8.96 8.12

090 lesion. 21502.............. .............. A

Drain chest lesion.. 7.12

N/A 5.71

0.79

N/A 13.62

090 21510.............. .............. A

Drainage of bone

5.74

N/A 5.65

0.67

N/A 12.06

090 lesion. 21550.............. .............. A

Biopsy of neck/chest 2.06 3.65 1.75

0.13

5.84 3.94

010 21555.............. .............. A

Remove lesion, neck/ 4.35 5.15 3.21

0.41

9.91 7.97

090 chest. 21556.............. .............. A

Remove lesion, neck/ 5.57

N/A 4.09

0.51

N/A 10.17

090 chest. 21557.............. .............. A

Remove tumor, neck/

8.88

N/A 5.68

0.85

N/A 15.41

090 chest. 21600.............. .............. A

Partial removal of

6.89

N/A 5.79

0.81

N/A 13.49

090 rib. 21610.............. .............. A

Partial removal of

14.61

N/A 9.25

1.85

N/A 25.71

090 rib. 21615.............. .............. A

Removal of rib...... 9.87

N/A 6.63

1.20

N/A 17.70

090 21616.............. .............. A

Removal of rib and

12.04

N/A 8.00

1.31

N/A 21.35

090 nerves. 21620.............. .............. A

Partial removal of

6.79

N/A 6.09

0.77

N/A 13.65

090 sternum. 21627.............. .............. A

Sternal debridement. 6.81

N/A 6.82

0.82

N/A 14.45

090 21630.............. .............. A

Extensive sternum

17.38

N/A 11.99

1.95

N/A 31.32

090 surgery. 21632.............. .............. A

Extensive sternum

18.14

N/A 10.78

2.16

N/A 31.08

090 surgery. 21700.............. .............. A

Revision of neck

6.19 6.23 4.88

0.31 12.73 11.38

090 muscle. 21705.............. .............. A

Revision of neck

9.60

N/A 5.79

0.92

N/A 16.31

090 muscle/rib. 21720.............. .............. A

Revision of neck

5.68 5.68 4.78

0.80 12.16 11.26

090 muscle. 21725.............. .............. A

Revision of neck

6.99

N/A 5.72

0.90

N/A 13.61

090 muscle. 21740.............. .............. A

Reconstruction of

16.50

N/A 8.67

2.03

N/A 27.20

090 sternum. 21742.............. .............. C

Repair stern/nuss w/ 0.00 0.00 0.00

0.00

0.00 0.00

090 o scope. 21743.............. .............. C

Repair sternum/nuss

0.00 0.00 0.00

0.00

0.00 0.00

090 w/scope. 21750.............. .............. A

Repair of sternum

10.77

N/A 6.16

1.35

N/A 18.28

090 separation. 21800.............. .............. A

Treatment of rib

0.96 2.15 1.43

0.09

3.20 2.48

090 fracture. 21805.............. .............. A

Treatment of rib

2.75

N/A 3.31

0.29

N/A 6.35

090 fracture. 21810.............. .............. A

Treatment of rib

6.86

N/A 5.04

0.60

N/A 12.50

090 fracture(s). 21820.............. .............. A

Treat sternum

1.28 2.68 1.85

0.15

4.11 3.28

090 fracture. 21825.............. .............. A

Treat sternum

7.41

N/A 6.48

0.84

N/A 14.73

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

2.06 3.27 1.50

0.12

5.45 3.68

010 of back. 21925.............. .............. A

Biopsy soft tissue

4.49 9.16 3.44

0.44 14.09 8.37

090 of back. 21930.............. .............. A

Remove lesion, back

5.00 5.49 3.42

0.49 10.98 8.91

090 or flank. 21935.............. .............. A

Remove tumor, back.. 17.96

N/A 10.50

1.87

N/A 30.33

090 22100.............. .............. A

Remove part of neck

9.73

N/A 7.82

1.55

N/A 19.10

090 vertebra. 22101.............. .............. A

Remove part, thorax

9.81

N/A 8.04

1.51

N/A 19.36

090 vertebra. 22102.............. .............. A

Remove part, lumbar

9.81

N/A 8.30

1.46

N/A 19.57

090 vertebra. 22103.............. .............. A

Remove extra spine

2.34

N/A 1.24

0.37

N/A 3.95

ZZZ segment. 22110.............. .............. A

Remove part of neck 12.74

N/A 9.54

2.20

N/A 24.48

090 vertebra. 22112.............. .............. A

Remove part, thorax 12.81

N/A 9.56

1.96

N/A 24.33

090 vertebra. 22114.............. .............. A

Remove part, lumbar 12.81

N/A 9.58

1.98

N/A 24.37

090 vertebra. 22116.............. .............. A

Remove extra spine

2.32

N/A 1.19

0.40

N/A 3.91

ZZZ segment. 22210.............. .............. A

Revision of neck

23.82

N/A 15.88

4.23

N/A 43.93

090 spine.

[[Page 49086]]

22212.............. .............. A

Revision of thorax

19.42

N/A 13.57

2.78

N/A 35.77

090 spine. 22214.............. .............. A

Revision of lumbar

19.45

N/A 14.04

2.78

N/A 36.27

090 spine. 22216.............. .............. A

Revise, extra spine

6.04

N/A 3.20

0.98

N/A 10.22

ZZZ segment. 22220.............. .............. A

Revision of neck

21.37

N/A 14.10

3.65

N/A 39.12

090 spine. 22222.............. .............. A

Revision of thorax

21.52

N/A 11.93

3.08

N/A 36.53

090 spine. 22224.............. .............. A

Revision of lumbar

21.52

N/A 14.60

3.20

N/A 39.32

090 spine. 22226.............. .............. A

Revise, extra spine

6.04

N/A 3.16

1.01

N/A 10.21

ZZZ segment. 22305.............. .............. A

Treat spine process

2.05 3.25 2.43

0.29

5.59 4.77

090 fracture. 22310.............. .............. A

Treat spine fracture 2.61 4.98 4.20

0.37

7.96 7.18

090 22315.............. .............. A

Treat spine fracture 8.84 18.69 7.74

1.37 28.90 17.95

090 22318.............. .............. A

Treat odontoid fx w/ 21.50

N/A 13.81

4.26

N/A 39.57

090 o graft. 22319.............. .............. A

Treat odontoid fx w/ 24.00

N/A 15.33

4.76

N/A 44.09

090 graft. 22325.............. .............. A

Treat spine fracture 18.30

N/A 12.41

2.61

N/A 33.32

090 22326.............. .............. A

Treat neck spine

19.59

N/A 13.20

3.54

N/A 36.33

090 fracture. 22327.............. .............. A

Treat thorax spine

19.20

N/A 12.71

2.75

N/A 34.66

090 fracture. 22328.............. .............. A

Treat each add spine 4.61

N/A 2.32

0.66

N/A 7.59

ZZZ fx. 22505.............. .............. A

Manipulation of

1.87

N/A 0.95

0.27

N/A 3.09

010 spine. 22520.............. .............. A

Percut

8.91 104.96 4.40

0.99 114.86 14.30

010 vertebroplasty thor. 22521.............. .............. A

Percut

8.34 93.70 4.24

0.93 102.97 13.51

010 vertebroplasty lumb. 22522.............. .............. A

Percut

4.31

N/A 1.72

0.33

N/A 6.36

ZZZ vertebroplasty addl. 22548.............. .............. A

Neck spine fusion... 25.82

N/A 16.15

4.98

N/A 46.95

090 22554.............. .............. A

Neck spine fusion... 18.62

N/A 12.57

3.51

N/A 34.70

090 22556.............. .............. A

Thorax spine fusion. 23.46

N/A 14.91

3.78

N/A 42.15

090 22558.............. .............. A

Lumbar spine fusion. 22.28

N/A 13.45

3.18

N/A 38.91

090 22585.............. .............. A

Additional spinal

5.53

N/A 2.86

0.98

N/A 9.37

ZZZ fusion. 22590.............. .............. A

Spine & skull spinal 20.51

N/A 13.57

3.81

N/A 37.89

090 fusion. 22595.............. .............. A

Neck spinal fusion.. 19.39

N/A 13.06

3.62

N/A 36.07

090 22600.............. .............. A

Neck spine fusion... 16.14

N/A 11.37

2.89

N/A 30.40

090 22610.............. .............. A

Thorax spine fusion. 16.02

N/A 11.55

2.66

N/A 30.23

090 22612.............. .............. A

Lumbar spine fusion. 21.00

N/A 14.36

3.28

N/A 38.64

090 22614.............. .............. A

Spine fusion, extra

6.44

N/A 3.43

1.04

N/A 10.91

ZZZ segment. 22630.............. .............. A

Lumbar spine fusion. 20.84

N/A 13.82

3.79

N/A 38.45

090 22632.............. .............. A

Spine fusion, extra

5.23

N/A 2.73

0.90

N/A 8.86

ZZZ segment. 22800.............. .............. A

Fusion of spine..... 18.25

N/A 12.88

2.71

N/A 33.84

090 22802.............. .............. A

Fusion of spine..... 30.88

N/A 19.84

4.42

N/A 55.14

090 22804.............. .............. A

Fusion of spine..... 36.27

N/A 23.00

5.23

N/A 64.50

090 22808.............. .............. A

Fusion of spine..... 26.27

N/A 16.55

4.36

N/A 47.18

090 22810.............. .............. A

Fusion of spine..... 30.27

N/A 18.61

4.49

N/A 53.37

090 22812.............. .............. A

Fusion of spine..... 32.70

N/A 20.21

4.67

N/A 57.58

090 22818.............. .............. A

Kyphectomy, 1-2

31.83

N/A 19.30

5.01

N/A 56.14

090 segments. 22819.............. .............. A

Kyphectomy, 3 or

36.44

N/A 20.38

5.20

N/A 62.02

090 more. 22830.............. .............. A

Exploration of

10.85

N/A 8.13

1.73

N/A 20.71

090 spinal fusion. 22840.............. .............. A

Insert spine

12.54

N/A 6.64

2.03

N/A 21.21

ZZZ fixation device. 22842.............. .............. A

Insert spine

12.58

N/A 6.66

2.04

N/A 21.28

ZZZ fixation device. 22843.............. .............. A

Insert spine

13.46

N/A 6.75

2.10

N/A 22.31

ZZZ fixation device. 22844.............. .............. A

Insert spine

16.44

N/A 8.95

2.42

N/A 27.81

ZZZ fixation device. 22845.............. .............. A

Insert spine

11.96

N/A 6.22

2.22

N/A 20.40

ZZZ fixation device. 22846.............. .............. A

Insert spine

12.42

N/A 6.48

2.26

N/A 21.16

ZZZ fixation device. 22847.............. .............. A

Insert spine

13.80

N/A 7.19

2.36

N/A 23.35

ZZZ fixation device. 22848.............. .............. A

Insert pelv fixation 6.00

N/A 3.26

0.88

N/A 10.14

ZZZ device. 22849.............. .............. A

Reinsert spinal

18.51

N/A 12.17

2.87

N/A 33.55

090 fixation. 22850.............. .............. A

Remove spine

9.52

N/A 7.28

1.51

N/A 18.31

090 fixation device. 22851.............. .............. A

Apply spine prosth

6.71

N/A 3.44

1.11

N/A 11.26

ZZZ device. 22852.............. .............. A

Remove spine

9.01

N/A 7.06

1.40

N/A 17.47

090 fixation device. 22855.............. .............. A

Remove spine

15.13

N/A 10.02

2.74

N/A 27.89

090 fixation device. 22899.............. .............. C

Spine surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure.

[[Page 49087]]

22900.............. .............. A

Remove abdominal

5.80

N/A 3.32

0.58

N/A 9.70

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

4.36 5.59 4.74

0.50 10.45 9.60

090 deposits. 23020.............. .............. A

Release shoulder

8.93

N/A 7.82

1.23

N/A 17.98

090 joint. 23030.............. .............. A

Drain shoulder

3.43 3.07 2.97

0.42

6.92 6.82

010 lesion. 23031.............. .............. A

Drain shoulder bursa 2.74 2.73 2.73

0.33

5.80 5.80

010 23035.............. .............. A

Drain shoulder bone

8.61

N/A 9.12

1.19

N/A 18.92

090 lesion. 23040.............. .............. A

Exploratory shoulder 9.20

N/A 8.20

1.28

N/A 18.68

090 surgery. 23044.............. .............. A

Exploratory shoulder 7.12

N/A 6.80

0.97

N/A 14.89

090 surgery. 23065.............. .............. A

Biopsy shoulder

2.27 2.88 1.55

0.14

5.29 3.96

010 tissues. 23066.............. .............. A

Biopsy shoulder

4.16 5.19 4.18

0.50

9.85 8.84

090 tissues. 23075.............. .............. A

Removal of shoulder

2.39 2.27 1.82

0.25

4.91 4.46

010 lesion. 23076.............. .............. A

Removal of shoulder

7.63

N/A 5.88

0.87

N/A 14.38

090 lesion. 23077.............. .............. A

Remove tumor of

16.09

N/A 11.03

1.81

N/A 28.93

090 shoulder. 23100.............. .............. A

Biopsy of shoulder

6.03

N/A 5.89

0.81

N/A 12.73

090 joint. 23101.............. .............. A

Shoulder joint

5.58

N/A 5.68

0.77

N/A 12.03

090 surgery. 23105.............. .............. A

Remove shoulder

8.23

N/A 7.41

1.13

N/A 16.77

090 joint lining. 23106.............. .............. A

Incision of

5.96

N/A 5.93

0.82

N/A 12.71

090 collarbone joint. 23107.............. .............. A

Explore treat

8.62

N/A 7.63

1.19

N/A 17.44

090 shoulder joint. 23120.............. .............. A

Partial removal,

7.11

N/A 6.70

0.99

N/A 14.80

090 collar bone. 23125.............. .............. A

Removal of collar

9.39

N/A 7.85

1.27

N/A 18.51

090 bone. 23130.............. .............. A

Remove shoulder

7.55

N/A 7.23

1.06

N/A 15.84

090 bone, part. 23140.............. .............. A

Removal of bone

6.89

N/A 5.56

0.82

N/A 13.27

090 lesion. 23145.............. .............. A

Removal of bone

9.09

N/A 7.92

1.24

N/A 18.25

090 lesion. 23146.............. .............. A

Removal of bone

7.83

N/A 7.39

1.11

N/A 16.33

090 lesion. 23150.............. .............. A

Removal of humerus

8.48

N/A 7.19

1.14

N/A 16.81

090 lesion. 23155.............. .............. A

Removal of humerus

10.35

N/A 8.64

1.20

N/A 20.19

090 lesion. 23156.............. .............. A

Removal of humerus

8.68

N/A 7.63

1.18

N/A 17.49

090 lesion. 23170.............. .............. A

Remove collar bone

6.86

N/A 6.60

0.84

N/A 14.30

090 lesion. 23172.............. .............. A

Remove shoulder

6.90

N/A 6.70

0.95

N/A 14.55

090 blade lesion. 23174.............. .............. A

Remove humerus

9.51

N/A 8.63

1.30

N/A 19.44

090 lesion. 23180.............. .............. A

Remove collar bone

8.53

N/A 9.76

1.18

N/A 19.47

090 lesion. 23182.............. .............. A

Remove shoulder

8.15

N/A 9.36

1.08

N/A 18.59

090 blade lesion. 23184.............. .............. A

Remove humerus

9.38

N/A 10.12

1.24

N/A 20.74

090 lesion. 23190.............. .............. A

Partial removal of

7.24

N/A 6.34

0.97

N/A 14.55

090 scapula. 23195.............. .............. A

Removal of head of

9.81

N/A 8.00

1.38

N/A 19.19

090 humerus. 23200.............. .............. A

Removal of collar

12.08

N/A 9.24

1.48

N/A 22.80

090 bone. 23210.............. .............. A

Removal of shoulder 12.49

N/A 9.61

1.61

N/A 23.71

090 blade. 23220.............. .............. A

Partial removal of

14.56

N/A 11.28

2.03

N/A 27.87

090 humerus. 23221.............. .............. A

Partial removal of

17.74

N/A 12.23

2.51

N/A 32.48

090 humerus. 23222.............. .............. A

Partial removal of

23.92

N/A 16.44

3.37

N/A 43.73

090 humerus. 23330.............. .............. A

Remove shoulder

1.85 2.08 1.89

0.18

4.11 3.92

010 foreign body. 23331.............. .............. A

Remove shoulder

7.38

N/A 7.02

1.02

N/A 15.42

090 foreign body. 23332.............. .............. A

Remove shoulder

11.62

N/A 9.49

1.62

N/A 22.73

090 foreign body.

[[Page 49088]]

23350.............. .............. A

Injection for

1.00 3.88 0.34

0.05

4.93 1.39

000 shoulder x-ray. 23395.............. .............. A

Muscle

16.85

N/A 12.87

2.29

N/A 32.01

090 transfer,shoulder/ arm. 23397.............. .............. A

Muscle transfers.... 16.13

N/A 11.59

2.24

N/A 29.96

090 23400.............. .............. A

Fixation of shoulder 13.54

N/A 10.42

1.91

N/A 25.87

090 blade. 23405.............. .............. A

Incision of tendon & 8.37

N/A 7.08

1.12

N/A 16.57

090 muscle. 23406.............. .............. A

Incise tendon(s) &

10.79

N/A 8.66

1.48

N/A 20.93

090 muscle(s). 23410.............. .............. A

Repair rotator cuff, 12.45

N/A 9.69

1.72

N/A 23.86

090 acute. 23412.............. .............. A

Repair rotator cuff, 13.31

N/A 10.19

1.86

N/A 25.36

090 chronic. 23415.............. .............. A

Release of shoulder

9.97

N/A 8.12

1.39

N/A 19.48

090 ligament. 23420.............. .............. A

Repair of shoulder.. 13.30

N/A 11.08

1.86

N/A 26.24

090 23430.............. .............. A

Repair biceps tendon 9.98

N/A 8.36

1.40

N/A 19.74

090 23440.............. .............. A

Remove/transplant

10.48

N/A 8.55

1.47

N/A 20.50

090 tendon. 23450.............. .............. A

Repair shoulder

13.40

N/A 10.16

1.86

N/A 25.42

090 capsule. 23455.............. .............. A

Repair shoulder

14.37

N/A 10.75

2.01

N/A 27.13

090 capsule. 23460.............. .............. A

Repair shoulder

15.37

N/A 11.58

2.17

N/A 29.12

090 capsule. 23462.............. .............. A

Repair shoulder

15.30

N/A 11.08

2.16

N/A 28.54

090 capsule. 23465.............. .............. A

Repair shoulder

15.85

N/A 11.52

1.61

N/A 28.98

090 capsule. 23466.............. .............. A

Repair shoulder

14.22

N/A 11.48

2.00

N/A 27.70

090 capsule. 23470.............. .............. A

Reconstruct shoulder 17.15

N/A 12.30

2.40

N/A 31.85

090 joint. 23472.............. .............. A

Reconstruct shoulder 21.10

N/A 14.54

2.37

N/A 38.01

090 joint. 23480.............. .............. A

Revision of collar

11.18

N/A 9.04

1.56

N/A 21.78

090 bone. 23485.............. .............. A

Revision of collar

13.43

N/A 10.19

1.84

N/A 25.46

090 bone. 23490.............. .............. A

Reinforce clavicle.. 11.86

N/A 8.96

1.11

N/A 21.93

090 23491.............. .............. A

Reinforce shoulder

14.21

N/A 10.90

2.00

N/A 27.11

090 bones. 23500.............. .............. A

Treat clavicle

2.08 3.73 2.61

0.26

6.07 4.95

090 fracture. 23505.............. .............. A

Treat clavicle

3.69 5.52 3.92

0.50

9.71 8.11

090 fracture. 23515.............. .............. A

Treat clavicle

7.41

N/A 6.65

1.03

N/A 15.09

090 fracture. 23520.............. .............. A

Treat clavicle

2.16 3.73 2.76

0.26

6.15 5.18

090 dislocation. 23525.............. .............. A

Treat clavicle

3.60 5.35 3.95

0.44

9.39 7.99

090 dislocation. 23530.............. .............. A

Treat clavicle

7.31

N/A 6.08

0.85

N/A 14.24

090 dislocation. 23532.............. .............. A

Treat clavicle

8.01

N/A 7.05

1.13

N/A 16.19

090 dislocation. 23540.............. .............. A

Treat clavicle

2.23 4.34 2.51

0.24

6.81 4.98

090 dislocation. 23545.............. .............. A

Treat clavicle

3.25 4.59 3.45

0.39

8.23 7.09

090 dislocation. 23550.............. .............. A

Treat clavicle

7.24

N/A 6.51

0.94

N/A 14.69

090 dislocation. 23552.............. .............. A

Treat clavicle

8.45

N/A 7.40

1.18

N/A 17.03

090 dislocation. 23570.............. .............. A

Treat shoulder blade 2.23 3.74 2.92

0.29

6.26 5.44

090 fx. 23575.............. .............. A

Treat shoulder blade 4.06 5.87 4.33

0.53 10.46 8.92

090 fx. 23585.............. .............. A

Treat scapula

8.96

N/A 7.74

1.25

N/A 17.95

090 fracture. 23600.............. .............. A

Treat humerus

2.93 5.73 3.80

0.39

9.05 7.12

090 fracture. 23605.............. .............. A

Treat humerus

4.87 7.03 5.36

0.67 12.57 10.90

090 fracture. 23615.............. .............. A

Treat humerus

9.35

N/A 8.86

1.31

N/A 19.52

090 fracture. 23616.............. .............. A

Treat humerus

21.27

N/A 14.39

2.98

N/A 38.64

090 fracture. 23620.............. .............. A

Treat humerus

2.40 5.29 3.29

0.32

8.01 6.01

090 fracture. 23625.............. .............. A

Treat humerus

3.93 6.54 4.74

0.53 11.00 9.20

090 fracture. 23630.............. .............. A

Treat humerus

7.35

N/A 6.71

1.03

N/A 15.09

090 fracture. 23650.............. .............. A

Treat shoulder

3.39 4.87 2.99

0.31

8.57 6.69

090 dislocation. 23655.............. .............. A

Treat shoulder

4.57

N/A 4.17

0.52

N/A 9.26

090 dislocation. 23660.............. .............. A

Treat shoulder

7.49

N/A 6.48

1.01

N/A 14.98

090 dislocation. 23665.............. .............. A

Treat dislocation/

4.47 6.81 5.13

0.60 11.88 10.20

090 fracture. 23670.............. .............. A

Treat dislocation/

7.90

N/A 6.95

1.10

N/A 15.95

090 fracture. 23675.............. .............. A

Treat dislocation/

6.05 7.70 6.17

0.83 14.58 13.05

090 fracture. 23680.............. .............. A

Treat dislocation/

10.06

N/A 8.24

1.39

N/A 19.69

090 fracture. 23700.............. .............. A

Fixation of shoulder 2.52

N/A 2.39

0.35

N/A 5.26

010 23800.............. .............. A

Fusion of shoulder

14.16

N/A 10.76

1.97

N/A 26.89

090 joint. 23802.............. .............. A

Fusion of shoulder

16.60

N/A 10.49

2.34

N/A 29.43

090 joint. 23900.............. .............. A

Amputation of arm & 19.72

N/A 12.21

2.47

N/A 34.40

090 girdle. 23920.............. .............. A

Amputation at

14.61

N/A 10.45

1.92

N/A 26.98

090 shoulder joint. 23921.............. .............. A

Amputation follow-up 5.49 5.32 5.32

0.78 11.59 11.59

090 surgery. 23929.............. .............. C

Shoulder surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure.

[[Page 49089]]

23930.............. .............. A

Drainage of arm

2.94 3.07 2.50

0.32

6.33 5.76

010 lesion. 23931.............. .............. A

Drainage of arm

1.79 2.76 2.31

0.21

4.76 4.31

010 bursa. 23935.............. .............. A

Drain arm/elbow bone 6.09

N/A 6.74

0.84

N/A 13.67

090 lesion. 24000.............. .............. A

Exploratory elbow

5.82

N/A 5.56

0.77

N/A 12.15

090 surgery. 24006.............. .............. A

Release elbow joint. 9.31

N/A 7.93

1.27

N/A 18.51

090 24065.............. .............. A

Biopsy arm/elbow

2.08 2.45 1.94

0.14

4.67 4.16

010 soft tissue. 24066.............. .............. A

Biopsy arm/elbow

5.21 5.90 4.41

0.61 11.72 10.23

090 soft tissue. 24075.............. .............. A

Remove arm/elbow

3.92 5.18 3.79

0.43

9.53 8.14

090 lesion. 24076.............. .............. A

Remove arm/elbow

6.30

N/A 5.17

0.70

N/A 12.17

090 lesion. 24077.............. .............. A

Remove tumor of arm/ 11.76

N/A 8.97

1.32

N/A 22.05

090 elbow. 24100.............. .............. A

Biopsy elbow joint

4.93

N/A 4.72

0.62

N/A 10.27

090 lining. 24101.............. .............. A

Explore/treat elbow

6.13

N/A 6.07

0.84

N/A 13.04

090 joint. 24102.............. .............. A

Remove elbow joint

8.03

N/A 7.05

1.09

N/A 16.17

090 lining. 24105.............. .............. A

Removal of elbow

3.61

N/A 4.53

0.49

N/A 8.63

090 bursa. 24110.............. .............. A

Remove humerus

7.39

N/A 6.93

0.99

N/A 15.31

090 lesion. 24115.............. .............. A

Remove/graft bone

9.63

N/A 7.58

1.15

N/A 18.36

090 lesion. 24116.............. .............. A

Remove/graft bone

11.81

N/A 9.34

1.66

N/A 22.81

090 lesion. 24120.............. .............. A

Remove elbow lesion. 6.65

N/A 6.08

0.87

N/A 13.60

090 24125.............. .............. A

Remove/graft bone

7.89

N/A 6.38

0.88

N/A 15.15

090 lesion. 24126.............. .............. A

Remove/graft bone

8.31

N/A 7.19

0.90

N/A 16.40

090 lesion. 24130.............. .............. A

Removal of head of

6.25

N/A 6.16

0.87

N/A 13.28

090 radius. 24134.............. .............. A

Removal of arm bone

9.73

N/A 9.79

1.31

N/A 20.83

090 lesion. 24136.............. .............. A

Remove radius bone

7.99

N/A 7.66

0.85

N/A 16.50

090 lesion. 24138.............. .............. A

Remove elbow bone

8.05

N/A 7.71

1.12

N/A 16.88

090 lesion. 24140.............. .............. A

Partial removal of

9.18

N/A 10.17

1.23

N/A 20.58

090 arm bone. 24145.............. .............. A

Partial removal of

7.58

N/A 8.80

1.01

N/A 17.39

090 radius. 24147.............. .............. A

Partial removal of

7.54

N/A 9.19

1.04

N/A 17.77

090 elbow. 24149.............. .............. A

Radical resection of 14.20

N/A 11.53

1.90

N/A 27.63

090 elbow. 24150.............. .............. A

Extensive humerus

13.27

N/A 10.47

1.81

N/A 25.55

090 surgery. 24151.............. .............. A

Extensive humerus

15.58

N/A 12.08

2.19

N/A 29.85

090 surgery. 24152.............. .............. A

Extensive radius

10.06

N/A 8.27

1.19

N/A 19.52

090 surgery. 24153.............. .............. A

Extensive radius

11.54

N/A 6.08

0.64

N/A 18.26

090 surgery. 24155.............. .............. A

Removal of elbow

11.73

N/A 8.62

1.42

N/A 21.77

090 joint. 24160.............. .............. A

Remove elbow joint

7.83

N/A 6.85

1.07

N/A 15.75

090 implant. 24164.............. .............. A

Remove radius head

6.23

N/A 5.77

0.84

N/A 12.84

090 implant. 24200.............. .............. A

Removal of arm

1.76 2.38 1.82

0.15

4.29 3.73

010 foreign body. 24201.............. .............. A

Removal of arm

4.56 5.84 4.46

0.56 10.96 9.58

090 foreign body. 24220.............. .............. A

Injection for elbow

1.31 7.42 0.45

0.07

8.80 1.83

000 x-ray. 24300.............. .............. A

Manipulate elbow w/

3.75

N/A 5.70

0.49

N/A 9.94

090 anesth. 24301.............. .............. A

Muscle/tendon

10.20

N/A 8.40

1.30

N/A 19.90

090 transfer. 24305.............. .............. A

Arm tendon

7.45

N/A 6.87

0.98

N/A 15.30

090 lengthening. 24310.............. .............. A

Revision of arm

5.98

N/A 5.90

0.74

N/A 12.62

090 tendon. 24320.............. .............. A

Repair of arm tendon 10.56

N/A 7.95

1.00

N/A 19.51

090 24330.............. .............. A

Revision of arm

9.60

N/A 8.09

1.21

N/A 18.90

090 muscles. 24331.............. .............. A

Revision of arm

10.65

N/A 8.75

1.41

N/A 20.81

090 muscles. 24332.............. .............. A

Tenolysis, triceps.. 7.45

N/A 6.76

0.77

N/A 14.98

090 24340.............. .............. A

Repair of biceps

7.89

N/A 7.11

1.08

N/A 16.08

090 tendon. 24341.............. .............. A

Repair arm tendon/

7.90

N/A 7.86

1.08

N/A 16.84

090 muscle. 24342.............. .............. A

Repair of ruptured

10.62

N/A 8.68

1.48

N/A 20.78

090 tendon. 24343.............. .............. A

Repr elbow lat

8.65

N/A 8.21

1.13

N/A 17.99

090 ligmnt w/tiss.

[[Page 49090]]

24344.............. .............. A

Reconstruct elbow

14.00

N/A 11.53

1.83

N/A 27.36

090 lat ligmnt. 24345.............. .............. A

Repr elbw med ligmnt 8.65

N/A 8.11

1.13

N/A 17.89

090 w/tissu. 24346.............. .............. A

Reconstruct elbow

14.00

N/A 11.38

1.83

N/A 27.21

090 med ligmnt. 24350.............. .............. A

Repair of tennis

5.25

N/A 5.68

0.72

N/A 11.65

090 elbow. 24351.............. .............. A

Repair of tennis

5.91

N/A 6.04

0.82

N/A 12.77

090 elbow. 24352.............. .............. A

Repair of tennis

6.43

N/A 6.30

0.90

N/A 13.63

090 elbow. 24354.............. .............. A

Repair of tennis

6.48

N/A 6.26

0.88

N/A 13.62

090 elbow. 24356.............. .............. A

Revision of tennis

6.68

N/A 6.44

0.90

N/A 14.02

090 elbow. 24360.............. .............. A

Reconstruct elbow

12.34

N/A 9.48

1.69

N/A 23.51

090 joint. 24361.............. .............. A

Reconstruct elbow

14.08

N/A 10.56

1.95

N/A 26.59

090 joint. 24362.............. .............. A

Reconstruct elbow

14.99

N/A 10.12

1.92

N/A 27.03

090 joint. 24363.............. .............. A

Replace elbow joint. 18.49

N/A 13.78

2.52

N/A 34.79

090 24365.............. .............. A

Reconstruct head of

8.39

N/A 7.16

1.11

N/A 16.66

090 radius. 24366.............. .............. A

Reconstruct head of

9.13

N/A 7.51

1.28

N/A 17.92

090 radius. 24400.............. .............. A

Revision of humerus. 11.06

N/A 9.14

1.53

N/A 21.73

090 24410.............. .............. A

Revision of humerus. 14.82

N/A 10.69

1.89

N/A 27.40

090 24420.............. .............. A

Revision of humerus. 13.44

N/A 11.04

1.82

N/A 26.30

090 24430.............. .............. A

Repair of humerus... 12.81

N/A 10.01

1.80

N/A 24.62

090 24435.............. .............. A

Repair humerus with 13.17

N/A 11.10

1.84

N/A 26.11

090 graft. 24470.............. .............. A

Revision of elbow

8.74

N/A 7.83

1.23

N/A 17.80

090 joint. 24495.............. .............. A

Decompression of

8.12

N/A 9.09

0.92

N/A 18.13

090 forearm. 24498.............. .............. A

Reinforce humerus... 11.92

N/A 9.52

1.67

N/A 23.11

090 24500.............. .............. A

Treat humerus

3.21 5.40 3.59

0.41

9.02 7.21

090 fracture. 24505.............. .............. A

Treat humerus

5.17 7.64 5.58

0.72 13.53 11.47

090 fracture. 24515.............. .............. A

Treat humerus

11.65

N/A 9.48

1.63

N/A 22.76

090 fracture. 24516.............. .............. A

Treat humerus

11.65

N/A 9.45

1.63

N/A 22.73

090 fracture. 24530.............. .............. A

Treat humerus

3.50 5.59 4.11

0.47

9.56 8.08

090 fracture. 24535.............. .............. A

Treat humerus

6.87 8.54 6.53

0.96 16.37 14.36

090 fracture. 24538.............. .............. A

Treat humerus

9.43

N/A 8.85

1.25

N/A 19.53

090 fracture. 24545.............. .............. A

Treat humerus

10.46

N/A 8.55

1.47

N/A 20.48

090 fracture. 24546.............. .............. A

Treat humerus

15.69

N/A 11.63

2.18

N/A 29.50

090 fracture. 24560.............. .............. A

Treat humerus

2.80 5.07 3.19

0.35

8.22 6.34

090 fracture. 24565.............. .............. A

Treat humerus

5.56 7.42 5.50

0.74 13.72 11.80

090 fracture. 24566.............. .............. A

Treat humerus

7.79

N/A 8.36

1.10

N/A 17.25

090 fracture. 24575.............. .............. A

Treat humerus

10.66

N/A 8.42

1.44

N/A 20.52

090 fracture. 24576.............. .............. A

Treat humerus

2.86 4.94 3.57

0.38

8.18 6.81

090 fracture. 24577.............. .............. A

Treat humerus

5.79 7.70 5.80

0.81 14.30 12.40

090 fracture. 24579.............. .............. A

Treat humerus

11.60

N/A 9.10

1.62

N/A 22.32

090 fracture. 24582.............. .............. A

Treat humerus

8.55

N/A 9.17

1.20

N/A 18.92

090 fracture. 24586.............. .............. A

Treat elbow fracture 15.21

N/A 11.19

2.12

N/A 28.52

090 24587.............. .............. A

Treat elbow fracture 15.16

N/A 11.00

2.14

N/A 28.30

090 24600.............. .............. A

Treat elbow

4.23 5.86 3.74

0.49 10.58 8.46

090 dislocation. 24605.............. .............. A

Treat elbow

5.42

N/A 5.16

0.72

N/A 11.30

090 dislocation. 24615.............. .............. A

Treat elbow

9.42

N/A 7.84

1.31

N/A 18.57

090 dislocation. 24620.............. .............. A

Treat elbow fracture 6.98

N/A 6.23

0.90

N/A 14.11

090 24635.............. .............. A

Treat elbow fracture 13.19

N/A 14.76

1.84

N/A 29.79

090 24640.............. .............. A

Treat elbow

1.20 2.06 0.91

0.11

3.37 2.22

010 dislocation. 24650.............. .............. A

Treat radius

2.16 4.64 2.79

0.28

7.08 5.23

090 fracture. 24655.............. .............. A

Treat radius

4.40 6.89 4.78

0.58 11.87 9.76

090 fracture. 24665.............. .............. A

Treat radius

8.14

N/A 7.62

1.13

N/A 16.89

090 fracture. 24666.............. .............. A

Treat radius

9.49

N/A 8.30

1.32

N/A 19.11

090 fracture. 24670.............. .............. A

Treat ulnar fracture 2.54 4.52 3.07

0.33

7.39 5.94

090 24675.............. .............. A

Treat ulnar fracture 4.72 6.94 5.01

0.65 12.31 10.38

090 24685.............. .............. A

Treat ulnar fracture 8.80

N/A 7.77

1.23

N/A 17.80

090 24800.............. .............. A

Fusion of elbow

11.20

N/A 8.95

1.41

N/A 21.56

090 joint. 24802.............. .............. A

Fusion/graft of

13.69

N/A 10.59

1.89

N/A 26.17

090 elbow joint. 24900.............. .............. A

Amputation of upper

9.60

N/A 7.53

1.18

N/A 18.31

090 arm. 24920.............. .............. A

Amputation of upper

9.54

N/A 7.88

1.22

N/A 18.64

090 arm. 24925.............. .............. A

Amputation follow-up 7.07

N/A 6.45

0.95

N/A 14.47

090 surgery.

[[Page 49091]]

24930.............. .............. A

Amputation follow-up 10.25

N/A 7.78

1.23

N/A 19.26

090 surgery. 24931.............. .............. A

Amputate upper arm & 12.72

N/A 6.31

1.56

N/A 20.59

090 implant. 24935.............. .............. A

Revision of

15.56

N/A 8.64

1.58

N/A 25.78

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

3.38

N/A 6.95

0.45

N/A 10.78

090 sheath. 25001.............. .............. A

Incise flexor carpi

3.38

N/A 4.29

0.45

N/A 8.12

090 radialis. 25020.............. .............. A

Decompress forearm 1 5.92

N/A 10.24

0.76

N/A 16.92

090 space. 25023.............. .............. A

Decompress forearm 1 12.96

N/A 15.71

1.52

N/A 30.19

090 space. 25024.............. .............. A

Decompress forearm 2 9.50

N/A 7.63

1.24

N/A 18.37

090 spaces. 25025.............. .............. A

Decompress forarm 2 16.54

N/A 10.25

2.18

N/A 28.97

090 spaces. 25028.............. .............. A

Drainage of forearm

5.25

N/A 8.79

0.61

N/A 14.65

090 lesion. 25031.............. .............. A

Drainage of forearm

4.14

N/A 8.65

0.50

N/A 13.29

090 bursa. 25035.............. .............. A

Treat forearm bone

7.36

N/A 14.64

0.98

N/A 22.98

090 lesion. 25040.............. .............. A

Explore/treat wrist

7.18

N/A 7.68

0.96

N/A 15.82

090 joint. 25065.............. .............. A

Biopsy forearm soft

1.99 2.89 2.89

0.12

5.00 5.00

010 tissues. 25066.............. .............. A

Biopsy forearm soft

4.13

N/A 7.43

0.49

N/A 12.05

090 tissues. 25075.............. .............. A

Removel forearm

3.74

N/A 6.28

0.40

N/A 10.42

090 lesion subcu. 25076.............. .............. A

Removel forearm

4.92

N/A 10.35

0.59

N/A 15.86

090 lesion deep. 25077.............. .............. A

Remove tumor,

9.76

N/A 12.98

1.10

N/A 23.84

090 forearm/wrist. 25085.............. .............. A

Incision of wrist

5.50

N/A 7.81

0.71

N/A 14.02

090 capsule. 25100.............. .............. A

Biopsy of wrist

3.90

N/A 5.67

0.50

N/A 10.07

090 joint. 25101.............. .............. A

Explore/treat wrist

4.69

N/A 6.25

0.60

N/A 11.54

090 joint. 25105.............. .............. A

Remove wrist joint

5.85

N/A 7.88

0.77

N/A 14.50

090 lining. 25107.............. .............. A

Remove wrist joint

6.43

N/A 8.83

0.82

N/A 16.08

090 cartilage. 25110.............. .............. A

Remove wrist tendon

3.92

N/A 7.46

0.48

N/A 11.86

090 lesion. 25111.............. .............. A

Remove wrist tendon

3.39

N/A 5.08

0.42

N/A 8.89

090 lesion. 25112.............. .............. A

Reremove wrist

4.53

N/A 5.69

0.54

N/A 10.76

090 tendon lesion. 25115.............. .............. A

Remove wrist/forearm 8.82

N/A 14.84

1.11

N/A 24.77

090 lesion. 25116.............. .............. A

Remove wrist/forearm 7.11

N/A 13.82

0.90

N/A 21.83

090 lesion. 25118.............. .............. A

Excise wrist tendon

4.37

N/A 6.17

0.55

N/A 11.09

090 sheath. 25119.............. .............. A

Partial removal of

6.04

N/A 8.17

0.80

N/A 15.01

090 ulna. 25120.............. .............. A

Removal of forearm

6.10

N/A 12.83

0.81

N/A 19.74

090 lesion. 25125.............. .............. A

Remove/graft forearm 7.48

N/A 13.61

1.02

N/A 22.11

090 lesion. 25126.............. .............. A

Remove/graft forearm 7.55

N/A 13.69

1.00

N/A 22.24

090 lesion. 25130.............. .............. A

Removal of wrist

5.26

N/A 6.72

0.66

N/A 12.64

090 lesion. 25135.............. .............. A

Remove & graft wrist 6.89

N/A 7.75

0.89

N/A 15.53

090 lesion. 25136.............. .............. A

Remove & graft wrist 5.97

N/A 6.87

0.58

N/A 13.42

090 lesion. 25145.............. .............. A

Remove forearm bone

6.37

N/A 12.84

0.82

N/A 20.03

090 lesion. 25150.............. .............. A

Partial removal of

7.09

N/A 8.85

0.96

N/A 16.90

090 ulna. 25151.............. .............. A

Partial removal of

7.39

N/A 13.46

0.93

N/A 21.78

090 radius. 25170.............. .............. A

Extensive forearm

11.09

N/A 15.81

1.52

N/A 28.42

090 surgery. 25210.............. .............. A

Removal of wrist

5.95

N/A 7.10

0.73

N/A 13.78

090 bone. 25215.............. .............. A

Removal of wrist

7.89

N/A 9.32

1.02

N/A 18.23

090 bones.

[[Page 49092]]

25230.............. .............. A

Partial removal of

5.23

N/A 6.51

0.66

N/A 12.40

090 radius. 25240.............. .............. A

Partial removal of

5.17

N/A 7.59

0.69

N/A 13.45

090 ulna. 25246.............. .............. A

Injection for wrist

1.45 7.16 0.49

0.07

8.68 2.01

000 x-ray. 25248.............. .............. A

Remove forearm

5.14

N/A 9.00

0.54

N/A 14.68

090 foreign body. 25250.............. .............. A

Removal of wrist

6.60

N/A 6.06

0.84

N/A 13.50

090 prosthesis. 25251.............. .............. A

Removal of wrist

9.57

N/A 7.95

1.15

N/A 18.67

090 prosthesis. 25259.............. .............. A

Manipulate wrist w/

3.75

N/A 5.70

0.50

N/A 9.95

090 anesthes. 25260.............. .............. A

Repair forearm

7.80

N/A 14.22

0.97

N/A 22.99

090 tendon/muscle. 25263.............. .............. A

Repair forearm

7.82

N/A 14.09

0.94

N/A 22.85

090 tendon/muscle. 25265.............. .............. A

Repair forearm

9.88

N/A 14.98

1.19

N/A 26.05

090 tendon/muscle. 25270.............. .............. A

Repair forearm

6.00

N/A 12.99

0.76

N/A 19.75

090 tendon/muscle. 25272.............. .............. A

Repair forearm

7.04

N/A 13.70

0.89

N/A 21.63

090 tendon/muscle. 25274.............. .............. A

Repair forearm

8.75

N/A 14.41

1.14

N/A 24.30

090 tendon/muscle. 25275.............. .............. A

Repair forearm

8.50

N/A 7.72

1.13

N/A 17.35

090 tendon sheath. 25280.............. .............. A

Revise wrist/forearm 7.22

N/A 13.39

0.91

N/A 21.52

090 tendon. 25290.............. .............. A

Incise wrist/forearm 5.29

N/A 16.39

0.66

N/A 22.34

090 tendon. 25295.............. .............. A

Release wrist/

6.55

N/A 12.95

0.86

N/A 20.36

090 forearm tendon. 25300.............. .............. A

Fusion of tendons at 8.80

N/A 8.66

1.07

N/A 18.53

090 wrist. 25301.............. .............. A

Fusion of tendons at 8.40

N/A 8.38

1.08

N/A 17.86

090 wrist. 25310.............. .............. A

Transplant forearm

8.14

N/A 13.81

1.01

N/A 22.96

090 tendon. 25312.............. .............. A

Transplant forearm

9.57

N/A 14.72

1.22

N/A 25.51

090 tendon. 25315.............. .............. A

Revise palsy hand

10.20

N/A 15.32

1.26

N/A 26.78

090 tendon(s). 25316.............. .............. A

Revise palsy hand

12.33

N/A 16.98

1.74

N/A 31.05

090 tendon(s). 25320.............. .............. A

Repair/revise wrist 10.77

N/A 11.40

1.32

N/A 23.49

090 joint. 25332.............. .............. A

Revise wrist joint.. 11.41

N/A 9.18

1.46

N/A 22.05

090 25335.............. .............. A

Realignment of hand. 12.88

N/A 11.90

1.66

N/A 26.44

090 25337.............. .............. A

Reconstruct ulna/

10.17

N/A 11.55

1.31

N/A 23.03

090 radioulnar. 25350.............. .............. A

Revision of radius.. 8.78

N/A 14.68

1.17

N/A 24.63

090 25355.............. .............. A

Revision of radius.. 10.17

N/A 15.36

1.44

N/A 26.97

090 25360.............. .............. A

Revision of ulna.... 8.43

N/A 14.59

1.17

N/A 24.19

090 25365.............. .............. A

Revise radius & ulna 12.40

N/A 16.32

1.67

N/A 30.39

090 25370.............. .............. A

Revise radius or

13.36

N/A 16.54

1.88

N/A 31.78

090 ulna. 25375.............. .............. A

Revise radius & ulna 13.04

N/A 17.15

1.84

N/A 32.03

090 25390.............. .............. A

Shorten radius or

10.40

N/A 15.34

1.38

N/A 27.12

090 ulna. 25391.............. .............. A

Lengthen radius or

13.65

N/A 17.22

1.73

N/A 32.60

090 ulna. 25392.............. .............. A

Shorten radius &

13.95

N/A 16.31

1.73

N/A 31.99

090 ulna. 25393.............. .............. A

Lengthen radius &

15.87

N/A 18.23

1.87

N/A 35.97

090 ulna. 25394.............. .............. A

Repair carpal bone, 10.40

N/A 8.53

1.40

N/A 20.33

090 shorten. 25400.............. .............. A

Repair radius or

10.92

N/A 15.93

1.50

N/A 28.35

090 ulna. 25405.............. .............. A

Repair/graft radius 14.38

N/A 17.96

1.95

N/A 34.29

090 or ulna. 25415.............. .............. A

Repair radius & ulna 13.35

N/A 17.20

1.87

N/A 32.42

090 25420.............. .............. A

Repair/graft radius 16.33

N/A 18.97

2.20

N/A 37.50

090 & ulna. 25425.............. .............. A

Repair/graft radius 13.21

N/A 23.02

1.61

N/A 37.84

090 or ulna. 25426.............. .............. A

Repair/graft radius 15.82

N/A 17.55

2.23

N/A 35.60

090 & ulna. 25430.............. .............. A

Vasc graft into

9.25

N/A 7.54

1.07

N/A 17.86

090 carpal bone. 25431.............. .............. A

Repair nonunion

10.44

N/A 8.52

0.56

N/A 19.52

090 carpal bone.

[[Page 49093]]

25440.............. .............. A

Repair/graft wrist

10.44

N/A 9.69

1.41

N/A 21.54

090 bone. 25441.............. .............. A

Reconstruct wrist

12.90

N/A 10.01

1.83

N/A 24.74

090 joint. 25442.............. .............. A

Reconstruct wrist

10.85

N/A 8.88

1.24

N/A 20.97

090 joint. 25443.............. .............. A

Reconstruct wrist

10.39

N/A 8.76

1.30

N/A 20.45

090 joint. 25444.............. .............. A

Reconstruct wrist

11.15

N/A 9.07

1.43

N/A 21.65

090 joint. 25445.............. .............. A

Reconstruct wrist

9.69

N/A 8.02

1.26

N/A 18.97

090 joint. 25446.............. .............. A

Wrist replacement... 16.55

N/A 11.98

2.20

N/A 30.73

090 25447.............. .............. A

Repair wrist

10.37

N/A 8.64

1.34

N/A 20.35

090 joint(s). 25449.............. .............. A

Remove wrist joint

14.49

N/A 10.72

1.77

N/A 26.98

090 implant. 25450.............. .............. A

Revision of wrist

7.87

N/A 10.71

0.88

N/A 19.46

090 joint. 25455.............. .............. A

Revision of wrist

9.49

N/A 11.66

1.07

N/A 22.22

090 joint. 25490.............. .............. A

Reinforce radius.... 9.54

N/A 14.46

1.19

N/A 25.19

090 25491.............. .............. A

Reinforce ulna...... 9.96

N/A 15.21

1.41

N/A 26.58

090 25492.............. .............. A

Reinforce radius and 12.33

N/A 15.97

1.62

N/A 29.92

090 ulna. 25500.............. .............. A

Treat fracture of

2.45 4.06 2.77

0.28

6.79 5.50

090 radius. 25505.............. .............. A

Treat fracture of

5.21 7.36 5.34

0.69 13.26 11.24

090 radius. 25515.............. .............. A

Treat fracture of

9.18

N/A 7.70

1.22

N/A 18.10

090 radius. 25520.............. .............. A

Treat fracture of

6.26 7.58 5.98

0.85 14.69 13.09

090 radius. 25525.............. .............. A

Treat fracture of

12.24

N/A 10.12

1.68

N/A 24.04

090 radius. 25526.............. .............. A

Treat fracture of

12.98

N/A 13.93

1.80

N/A 28.71

090 radius. 25530.............. .............. A

Treat fracture of

2.09 4.22 2.85

0.27

6.58 5.21

090 ulna. 25535.............. .............. A

Treat fracture of

5.14 6.98 5.27

0.68 12.80 11.09

090 ulna. 25545.............. .............. A

Treat fracture of

8.90

N/A 7.90

1.23

N/A 18.03

090 ulna. 25560.............. .............. A

Treat fracture

2.44 4.12 2.70

0.27

6.83 5.41

090 radius & ulna. 25565.............. .............. A

Treat fracture

5.63 7.49 5.41

0.76 13.88 11.80

090 radius & ulna. 25574.............. .............. A

Treat fracture

7.01

N/A 7.26

0.96

N/A 15.23

090 radius & ulna. 25575.............. .............. A

Treat fracture

10.45

N/A 9.57

1.46

N/A 21.48

090 radius/ulna. 25600.............. .............. A

Treat fracture

2.63 4.56 3.00

0.34

7.53 5.97

090 radius/ulna. 25605.............. .............. A

Treat fracture

5.81 8.18 6.13

0.81 14.80 12.75

090 radius/ulna. 25611.............. .............. A

Treat fracture

7.77

N/A 8.90

1.08

N/A 17.75

090 radius/ulna. 25620.............. .............. A

Treat fracture

8.55

N/A 7.51

1.17

N/A 17.23

090 radius/ulna. 25622.............. .............. A

Treat wrist bone

2.61 4.63 3.10

0.33

7.57 6.04

090 fracture. 25624.............. .............. A

Treat wrist bone

4.53 7.10 5.00

0.61 12.24 10.14

090 fracture. 25628.............. .............. A

Treat wrist bone

8.43

N/A 8.05

1.14

N/A 17.62

090 fracture. 25630.............. .............. A

Treat wrist bone

2.88 4.65 3.00

0.37

7.90 6.25

090 fracture. 25635.............. .............. A

Treat wrist bone

4.39 6.87 3.96

0.39 11.65 8.74

090 fracture. 25645.............. .............. A

Treat wrist bone

7.25

N/A 7.01

0.93

N/A 15.19

090 fracture. 25650.............. .............. A

Treat wrist bone

3.05 4.82 3.21

0.37

8.24 6.63

090 fracture. 25651.............. .............. A

Pin ulnar styloid

5.36

N/A 5.62

0.72

N/A 11.70

090 fracture. 25652.............. .............. A

Treat fracture ulnar 7.60

N/A 7.11

1.02

N/A 15.73

090 styloid. 25660.............. .............. A

Treat wrist

4.76

N/A 4.75

0.59

N/A 10.10

090 dislocation. 25670.............. .............. A

Treat wrist

7.92

N/A 7.31

1.07

N/A 16.30

090 dislocation. 25671.............. .............. A

Pin radioulnar

6.00

N/A 6.23

0.81

N/A 13.04

090 dislocation. 25675.............. .............. A

Treat wrist

4.67 6.62 4.69

0.57 11.86 9.93

090 dislocation. 25676.............. .............. A

Treat wrist

8.04

N/A 7.56

1.10

N/A 16.70

090 dislocation. 25680.............. .............. A

Treat wrist fracture 5.99

N/A 4.99

0.61

N/A 11.59

090 25685.............. .............. A

Treat wrist fracture 9.78

N/A 8.12

1.25

N/A 19.15

090 25690.............. .............. A

Treat wrist

5.50

N/A 5.69

0.78

N/A 11.97

090 dislocation. 25695.............. .............. A

Treat wrist

8.34

N/A 7.43

1.07

N/A 16.84

090 dislocation. 25800.............. .............. A

Fusion of wrist

9.76

N/A 9.35

1.30

N/A 20.41

090 joint. 25805.............. .............. A

Fusion/graft of

11.28

N/A 10.42

1.51

N/A 23.21

090 wrist joint. 25810.............. .............. A

Fusion/graft of

10.57

N/A 10.15

1.37

N/A 22.09

090 wrist joint. 25820.............. .............. A

Fusion of hand bones 7.45

N/A 8.10

0.96

N/A 16.51

090 25825.............. .............. A

Fuse hand bones with 9.27

N/A 9.37

1.20

N/A 19.84

090 graft. 25830.............. .............. A

Fusion, radioulnar

10.06

N/A 15.11

1.27

N/A 26.44

090 jnt/ulna. 25900.............. .............. A

Amputation of

9.01

N/A 13.06

1.08

N/A 23.15

090 forearm. 25905.............. .............. A

Amputation of

9.12

N/A 13.13

1.06

N/A 23.31

090 forearm. 25907.............. .............. A

Amputation follow-up 7.80

N/A 12.59

1.01

N/A 21.40

090 surgery. 25909.............. .............. A

Amputation follow-up 8.96

N/A 13.10

1.07

N/A 23.13

090 surgery. 25915.............. .............. A

Amputation of

17.08

N/A 20.05

2.41

N/A 39.54

090 forearm.

[[Page 49094]]

25920.............. .............. A

Amputate hand at

8.68

N/A 8.22

1.06

N/A 17.96

090 wrist. 25922.............. .............. A

Amputate hand at

7.42

N/A 7.25

0.93

N/A 15.60

090 wrist. 25924.............. .............. A

Amputation follow-up 8.46

N/A 8.46

1.07

N/A 17.99

090 surgery. 25927.............. .............. A

Amputation of hand.. 8.80

N/A 12.40

1.02

N/A 22.22

090 25929.............. .............. A

Amputation follow-up 7.59

N/A 6.13

0.89

N/A 14.61

090 surgery. 25931.............. .............. A

Amputation follow-up 7.81

N/A 12.40

0.88

N/A 21.09

090 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

1.54 5.85 1.70

0.14

7.53 3.38

010 abscess. 26011.............. .............. A

Drainage of finger

2.19 9.22 2.35

0.25 11.66 4.79

010 abscess. 26020.............. .............. A

Drain hand tendon

4.67

N/A 5.61

0.59

N/A 10.87

090 sheath. 26025.............. .............. A

Drainage of palm

4.82

N/A 5.45

0.60

N/A 10.87

090 bursa. 26030.............. .............. A

Drainage of palm

5.93

N/A 6.11

0.72

N/A 12.76

090 bursa(s). 26034.............. .............. A

Treat hand bone

6.23

N/A 6.33

0.79

N/A 13.35

090 lesion. 26035.............. .............. A

Decompress fingers/

9.51

N/A 8.21

1.12

N/A 18.84

090 hand. 26037.............. .............. A

Decompress fingers/

7.25

N/A 6.72

0.87

N/A 14.84

090 hand. 26040.............. .............. A

Release palm

3.33

N/A 4.00

0.45

N/A 7.78

090 contracture. 26045.............. .............. A

Release palm

5.56

N/A 5.60

0.74

N/A 11.90

090 contracture. 26055.............. .............. A

Incise finger tendon 2.69 14.74 3.86

0.36 17.79 6.91

090 sheath. 26060.............. .............. A

Incision of finger

2.81

N/A 3.52

0.35

N/A 6.68

090 tendon. 26070.............. .............. A

Explore/treat hand

3.69

N/A 3.39

0.35

N/A 7.43

090 joint. 26075.............. .............. A

Explore/treat finger 3.79

N/A 3.80

0.40

N/A 7.99

090 joint. 26080.............. .............. A

Explore/treat finger 4.24

N/A 4.82

0.52

N/A 9.58

090 joint. 26100.............. .............. A

Biopsy hand joint

3.67

N/A 4.12

0.45

N/A 8.24

090 lining. 26105.............. .............. A

Biopsy finger joint

3.71

N/A 4.20

0.45

N/A 8.36

090 lining. 26110.............. .............. A

Biopsy finger joint

3.53

N/A 4.00

0.44

N/A 7.97

090 lining. 26115.............. .............. A

Removel hand lesion

3.86 13.55 4.71

0.48 17.89 9.05

090 subcut. 26116.............. .............. A

Removel hand lesion, 5.53

N/A 5.98

0.69

N/A 12.20

090 deep. 26117.............. .............. A

Remove tumor, hand/

8.55

N/A 7.15

1.01

N/A 16.71

090 finger. 26121.............. .............. A

Release palm

7.54

N/A 7.02

0.94

N/A 15.50

090 contracture. 26123.............. .............. A

Release palm

9.29

N/A 8.90

1.17

N/A 19.36

090 contracture. 26125.............. .............. A

Release palm

4.61

N/A 2.50

0.57

N/A 7.68

ZZZ contracture. 26130.............. .............. A

Remove wrist joint

5.42

N/A 5.35

0.65

N/A 11.42

090 lining. 26135.............. .............. A

Revise finger joint, 6.96

N/A 6.47

0.87

N/A 14.30

090 each. 26140.............. .............. A

Revise finger joint, 6.17

N/A 6.03

0.76

N/A 12.96

090 each. 26145.............. .............. A

Tendon excision,

6.32

N/A 6.04

0.77

N/A 13.13

090 palm/finger. 26160.............. .............. A

Remove tendon sheath 3.15 12.95 4.11

0.39 16.49 7.65

090 lesion. 26170.............. .............. A

Removal of palm

4.77

N/A 4.97

0.60

N/A 10.34

090 tendon, each. 26180.............. .............. A

Removal of finger

5.18

N/A 5.40

0.64

N/A 11.22

090 tendon. 26185.............. .............. A

Remove finger bone.. 5.25

N/A 6.01

0.67

N/A 11.93

090 26200.............. .............. A

Remove hand bone

5.51

N/A 5.39

0.71

N/A 11.61

090 lesion. 26205.............. .............. A

Remove/graft bone

7.70

N/A 6.91

0.95

N/A 15.56

090 lesion. 26210.............. .............. A

Removal of finger

5.15

N/A 5.41

0.64

N/A 11.20

090 lesion. 26215.............. .............. A

Remove/graft finger

7.10

N/A 6.31

0.77

N/A 14.18

090 lesion. 26230.............. .............. A

Partial removal of

6.33

N/A 5.96

0.84

N/A 13.13

090 hand bone. 26235.............. .............. A

Partial removal,

6.19

N/A 5.85

0.78

N/A 12.82

090 finger bone. 26236.............. .............. A

Partial removal,

5.32

N/A 5.37

0.66

N/A 11.35

090 finger bone. 26250.............. .............. A

Extensive hand

7.55

N/A 6.46

0.92

N/A 14.93

090 surgery. 26255.............. .............. A

Extensive hand

12.43

N/A 9.49

1.05

N/A 22.97

090 surgery. 26260.............. .............. A

Extensive finger

7.03

N/A 6.20

0.83

N/A 14.06

090 surgery. 26261.............. .............. A

Extensive finger

9.09

N/A 6.35

0.84

N/A 16.28

090 surgery. 26262.............. .............. A

Partial removal of

5.67

N/A 5.39

0.70

N/A 11.76

090 finger. 26320.............. .............. A

Removal of implant

3.98

N/A 4.28

0.49

N/A 8.75

090 from hand.

[[Page 49095]]

26340.............. .............. A

Manipulate finger w/ 2.50

N/A 4.95

0.30

N/A 7.75

090 anesth. 26350.............. .............. A

Repair finger/hand

5.99

N/A 16.02

0.73

N/A 22.74

090 tendon. 26352.............. .............. A

Repair/graft hand

7.68

N/A 16.69

0.93

N/A 25.30

090 tendon. 26356.............. .............. A

Repair finger/hand

8.07

N/A 19.20

0.99

N/A 28.26

090 tendon. 26357.............. .............. A

Repair finger/hand

8.58

N/A 17.14

1.02

N/A 26.74

090 tendon. 26358.............. .............. A

Repair/graft hand

9.14

N/A 17.96

1.07

N/A 28.17

090 tendon. 26370.............. .............. A

Repair finger/hand

7.11

N/A 16.57

0.90

N/A 24.58

090 tendon. 26372.............. .............. A

Repair/graft hand

8.76

N/A 17.97

1.06

N/A 27.79

090 tendon. 26373.............. .............. A

Repair finger/hand

8.16

N/A 17.54

0.98

N/A 26.68

090 tendon. 26390.............. .............. A

Revise hand/finger

9.19

N/A 14.34

1.09

N/A 24.62

090 tendon. 26392.............. .............. A

Repair/graft hand

10.26

N/A 18.34

1.26

N/A 29.86

090 tendon. 26410.............. .............. A

Repair hand tendon.. 4.63

N/A 13.17

0.57

N/A 18.37

090 26412.............. .............. A

Repair/graft hand

6.31

N/A 14.43

0.80

N/A 21.54

090 tendon. 26415.............. .............. A

Excision, hand/

8.34

N/A 12.79

0.77

N/A 21.90

090 finger tendon. 26416.............. .............. A

Graft hand or finger 9.37

N/A 15.71

1.20

N/A 26.28

090 tendon. 26418.............. .............. A

Repair finger tendon 4.25

N/A 13.34

0.50

N/A 18.09

090 26420.............. .............. A

Repair/graft finger

6.77

N/A 14.78

0.83

N/A 22.38

090 tendon. 26426.............. .............. A

Repair finger/hand

6.15

N/A 14.25

0.77

N/A 21.17

090 tendon. 26428.............. .............. A

Repair/graft finger

7.21

N/A 15.06

0.84

N/A 23.11

090 tendon. 26432.............. .............. A

Repair finger tendon 4.02

N/A 11.13

0.48

N/A 15.63

090 26433.............. .............. A

Repair finger tendon 4.56

N/A 11.83

0.56

N/A 16.95

090 26434.............. .............. A

Repair/graft finger

6.09

N/A 12.43

0.71

N/A 19.23

090 tendon. 26437.............. .............. A

Realignment of

5.82

N/A 12.34

0.74

N/A 18.90

090 tendons. 26440.............. .............. A

Release palm/finger

5.02

N/A 14.83

0.62

N/A 20.47

090 tendon. 26442.............. .............. A

Release palm &

8.16

N/A 17.10

0.94

N/A 26.20

090 finger tendon. 26445.............. .............. A

Release hand/finger

4.31

N/A 14.59

0.54

N/A 19.44

090 tendon. 26449.............. .............. A

Release forearm/hand 7.00

N/A 16.90

0.84

N/A 24.74

090 tendon. 26450.............. .............. A

Incision of palm

3.67

N/A 7.79

0.46

N/A 11.92

090 tendon. 26455.............. .............. A

Incision of finger

3.64

N/A 7.71

0.47

N/A 11.82

090 tendon. 26460.............. .............. A

Incise hand/finger

3.46

N/A 7.52

0.44

N/A 11.42

090 tendon. 26471.............. .............. A

Fusion of finger

5.73

N/A 12.00

0.73

N/A 18.46

090 tendons. 26474.............. .............. A

Fusion of finger

5.32

N/A 12.20

0.69

N/A 18.21

090 tendons. 26476.............. .............. A

Tendon lengthening.. 5.18

N/A 11.71

0.62

N/A 17.51

090 26477.............. .............. A

Tendon shortening... 5.15

N/A 11.87

0.60

N/A 17.62

090 26478.............. .............. A

Lengthening of hand

5.80

N/A 12.62

0.77

N/A 19.19

090 tendon. 26479.............. .............. A

Shortening of hand

5.74

N/A 12.45

0.76

N/A 18.95

090 tendon. 26480.............. .............. A

Transplant hand

6.69

N/A 16.27

0.84

N/A 23.80

090 tendon. 26483.............. .............. A

Transplant/graft

8.29

N/A 16.72

1.03

N/A 26.04

090 hand tendon. 26485.............. .............. A

Transplant palm

7.70

N/A 16.60

0.94

N/A 25.24

090 tendon. 26489.............. .............. A

Transplant/graft

9.55

N/A 13.02

0.98

N/A 23.55

090 palm tendon. 26490.............. .............. A

Revise thumb tendon. 8.41

N/A 13.55

1.05

N/A 23.01

090 26492.............. .............. A

Tendon transfer with 9.62

N/A 14.30

1.19

N/A 25.11

090 graft. 26494.............. .............. A

Hand tendon/muscle

8.47

N/A 13.78

1.13

N/A 23.38

090 transfer. 26496.............. .............. A

Revise thumb tendon. 9.59

N/A 13.97

1.17

N/A 24.73

090 26497.............. .............. A

Finger tendon

9.57

N/A 14.36

1.17

N/A 25.10

090 transfer. 26498.............. .............. A

Finger tendon

14.00

N/A 16.90

1.74

N/A 32.64

090 transfer. 26499.............. .............. A

Revision of finger.. 8.98

N/A 13.90

0.94

N/A 23.82

090 26500.............. .............. A

Hand tendon

5.96

N/A 12.48

0.66

N/A 19.10

090 reconstruction. 26502.............. .............. A

Hand tendon

7.14

N/A 12.95

0.87

N/A 20.96

090 reconstruction. 26504.............. .............. A

Hand tendon

7.47

N/A 13.06

0.84

N/A 21.37

090 reconstruction. 26508.............. .............. A

Release thumb

6.01

N/A 12.48

0.76

N/A 19.25

090 contracture. 26510.............. .............. A

Thumb tendon

5.43

N/A 12.16

0.71

N/A 18.30

090 transfer.

[[Page 49096]]

26516.............. .............. A

Fusion of knuckle

7.15

N/A 13.02

0.90

N/A 21.07

090 joint. 26517.............. .............. A

Fusion of knuckle

8.83

N/A 14.37

0.96

N/A 24.16

090 joints. 26518.............. .............. A

Fusion of knuckle

9.02

N/A 14.19

1.13

N/A 24.34

090 joints. 26520.............. .............. A

Release knuckle

5.30

N/A 15.21

0.65

N/A 21.16

090 contracture. 26525.............. .............. A

Release finger

5.33

N/A 15.33

0.66

N/A 21.32

090 contracture. 26530.............. .............. A

Revise knuckle joint 6.69

N/A 6.13

0.86

N/A 13.68

090 26531.............. .............. A

Revise knuckle with

7.91

N/A 7.07

1.01

N/A 15.99

090 implant. 26535.............. .............. A

Revise finger joint. 5.24

N/A 3.76

0.66

N/A 9.66

090 26536.............. .............. A

Revise/implant

6.37

N/A 10.06

0.80

N/A 17.23

090 finger joint. 26540.............. .............. A

Repair hand joint... 6.43

N/A 12.73

0.81

N/A 19.97

090 26541.............. .............. A

Repair hand joint

8.62

N/A 14.25

1.12

N/A 23.99

090 with graft. 26542.............. .............. A

Repair hand joint

6.78

N/A 12.78

0.87

N/A 20.43

090 with graft. 26545.............. .............. A

Reconstruct finger

6.92

N/A 13.16

0.79

N/A 20.87

090 joint. 26546.............. .............. A

Repair nonunion hand 8.92

N/A 15.44

1.14

N/A 25.50

090 26548.............. .............. A

Reconstruct finger

8.03

N/A 13.81

0.98

N/A 22.82

090 joint. 26550.............. .............. A

Construct thumb

21.24

N/A 18.80

1.80

N/A 41.84

090 replacement. 26551.............. .............. A

Great toe-hand

46.58

N/A 32.79

6.57

N/A 85.94

090 transfer. 26553.............. .............. A

Single transfer, toe- 46.27

N/A 23.66

1.99

N/A 71.92

090 hand. 26554.............. .............. A

Double transfer, toe- 54.95

N/A 35.88

7.76

N/A 98.59

090 hand. 26555.............. .............. A

Positional change of 16.63

N/A 19.12

2.13

N/A 37.88

090 finger. 26556.............. .............. A

Toe joint transfer.. 47.26

N/A 30.96

6.67

N/A 84.89

090 26560.............. .............. A

Repair of web finger 5.38

N/A 10.71

0.60

N/A 16.69

090 26561.............. .............. A

Repair of web finger 10.92

N/A 13.30

0.69

N/A 24.91

090 26562.............. .............. A

Repair of web finger 15.00

N/A 17.99

0.98

N/A 33.97

090 26565.............. .............. A

Correct metacarpal

6.74

N/A 12.83

0.84

N/A 20.41

090 flaw. 26567.............. .............. A

Correct finger

6.82

N/A 12.76

0.84

N/A 20.42

090 deformity. 26568.............. .............. A

Lengthen metacarpal/ 9.08

N/A 16.65

1.10

N/A 26.83

090 finger. 26580.............. .............. A

Repair hand

18.18

N/A 14.08

1.46

N/A 33.72

090 deformity. 26587.............. .............. A

Reconstruct extra

14.05

N/A 9.30

1.12

N/A 24.47

090 finger. 26590.............. .............. A

Repair finger

17.96

N/A 14.84

1.32

N/A 34.12

090 deformity. 26591.............. .............. A

Repair muscles of

3.25

N/A 10.88

0.37

N/A 14.50

090 hand. 26593.............. .............. A

Release muscles of

5.31

N/A 11.84

0.64

N/A 17.79

090 hand. 26596.............. .............. A

Excision

8.95

N/A 9.20

0.87

N/A 19.02

090 constricting tissue. 26600.............. .............. A

Treat metacarpal

1.96 4.15 2.69

0.25

6.36 4.90

090 fracture. 26605.............. .............. A

Treat metacarpal

2.85 5.45 3.74

0.38

8.68 6.97

090 fracture. 26607.............. .............. A

Treat metacarpal

5.36

N/A 6.65

0.70

N/A 12.71

090 fracture. 26608.............. .............. A

Treat metacarpal

5.36

N/A 6.56

0.73

N/A 12.65

090 fracture. 26615.............. .............. A

Treat metacarpal

5.33

N/A 5.83

0.70

N/A 11.86

090 fracture. 26641.............. .............. A

Treat thumb

3.94 5.59 3.72

0.42

9.95 8.08

090 dislocation. 26645.............. .............. A

Treat thumb fracture 4.41 6.31 4.34

0.54 11.26 9.29

090 26650.............. .............. A

Treat thumb fracture 5.72

N/A 6.88

0.77

N/A 13.37

090 26665.............. .............. A

Treat thumb fracture 7.60

N/A 7.02

0.97

N/A 15.59

090 26670.............. .............. A

Treat hand

3.69 5.17 3.21

0.36

9.22 7.26

090 dislocation. 26675.............. .............. A

Treat hand

4.64 6.26 4.41

0.56 11.46 9.61

090 dislocation. 26676.............. .............. A

Pin hand dislocation 5.52

N/A 6.92

0.76

N/A 13.20

090 26685.............. .............. A

Treat hand

6.98

N/A 6.57

0.95

N/A 14.50

090 dislocation. 26686.............. .............. A

Treat hand

7.94

N/A 7.26

1.05

N/A 16.25

090 dislocation. 26700.............. .............. A

Treat knuckle

3.69 4.74 3.02

0.35

8.78 7.06

090 dislocation. 26705.............. .............. A

Treat knuckle

4.19 6.05 4.24

0.50 10.74 8.93

090 dislocation. 26706.............. .............. A

Pin knuckle

5.12

N/A 5.19

0.64

N/A 10.95

090 dislocation. 26715.............. .............. A

Treat knuckle

5.74

N/A 6.02

0.75

N/A 12.51

090 dislocation. 26720.............. .............. A

Treat finger

1.66 3.97 2.65

0.20

5.83 4.51

090 fracture, each. 26725.............. .............. A

Treat finger

3.33 6.20 4.11

0.43

9.96 7.87

090 fracture, each. 26727.............. .............. A

Treat finger

5.23

N/A 6.62

0.69

N/A 12.54

090 fracture, each. 26735.............. .............. A

Treat finger

5.98

N/A 6.17

0.77

N/A 12.92

090 fracture, each. 26740.............. .............. A

Treat finger

1.94 3.63 2.74

0.24

5.81 4.92

090 fracture, each. 26742.............. .............. A

Treat finger

3.85 6.11 4.11

0.49 10.45 8.45

090 fracture, each. 26746.............. .............. A

Treat finger

5.81

N/A 6.22

0.74

N/A 12.77

090 fracture, each. 26750.............. .............. A

Treat finger

1.70 3.29 2.19

0.19

5.18 4.08

090 fracture, each. 26755.............. .............. A

Treat finger

3.10 4.89 3.11

0.37

8.36 6.58

090 fracture, each.

[[Page 49097]]

26756.............. .............. A

Pin finger fracture, 4.39

N/A 6.24

0.56

N/A 11.19

090 each. 26765.............. .............. A

Treat finger

4.17

N/A 5.05

0.51

N/A 9.73

090 fracture, each. 26770.............. .............. A

Treat finger

3.02 4.49 2.60

0.27

7.78 5.89

090 dislocation. 26775.............. .............. A

Treat finger

3.71 5.87 3.82

0.43 10.01 7.96

090 dislocation. 26776.............. .............. A

Pin finger

4.80

N/A 6.41

0.63

N/A 11.84

090 dislocation. 26785.............. .............. A

Treat finger

4.21

N/A 5.09

0.54

N/A 9.84

090 dislocation. 26820.............. .............. A

Thumb fusion with

8.26

N/A 14.03

1.11

N/A 23.40

090 graft. 26841.............. .............. A

Fusion of thumb..... 7.13

N/A 13.84

0.97

N/A 21.94

090 26842.............. .............. A

Thumb fusion with

8.24

N/A 14.11

1.10

N/A 23.45

090 graft. 26843.............. .............. A

Fusion of hand joint 7.61

N/A 13.01

0.99

N/A 21.61

090 26844.............. .............. A

Fusion/graft of hand 8.73

N/A 14.07

1.12

N/A 23.92

090 joint. 26850.............. .............. A

Fusion of knuckle... 6.97

N/A 12.93

0.89

N/A 20.79

090 26852.............. .............. A

Fusion of knuckle

8.46

N/A 13.62

1.05

N/A 23.13

090 with graft. 26860.............. .............. A

Fusion of finger

4.69

N/A 11.90

0.60

N/A 17.19

090 joint. 26861.............. .............. A

Fusion of finger

1.74

N/A 0.95

0.22

N/A 2.91

ZZZ jnt, add-on. 26862.............. .............. A

Fusion/graft of

7.37

N/A 13.10

0.92

N/A 21.39

090 finger joint. 26863.............. .............. A

Fuse/graft added

3.90

N/A 2.16

0.51

N/A 6.57

ZZZ joint. 26910.............. .............. A

Amputate metacarpal

7.60

N/A 12.03

0.90

N/A 20.53

090 bone. 26951.............. .............. A

Amputation of finger/ 4.59

N/A 10.94

0.56

N/A 16.09

090 thumb. 26952.............. .............. A

Amputation of finger/ 6.31

N/A 12.51

0.74

N/A 19.56

090 thumb. 26989.............. .............. C

Hand/finger surgery. 0.00 0.00 0.00

0.00

0.00 0.00

YYY 26990.............. .............. A

Drainage of pelvis

7.48

N/A 8.16

0.92

N/A 16.56

090 lesion. 26991.............. .............. A

Drainage of pelvis

6.68 7.77 6.24

0.85 15.30 13.77

090 bursa. 26992.............. .............. A

Drainage of bone

13.02

N/A 11.57

1.75

N/A 26.34

090 lesion. 27000.............. .............. A

Incision of hip

5.62

N/A 5.49

0.76

N/A 11.87

090 tendon. 27001.............. .............. A

Incision of hip

6.94

N/A 6.36

0.95

N/A 14.25

090 tendon. 27003.............. .............. A

Incision of hip

7.34

N/A 6.77

0.93

N/A 15.04

090 tendon. 27005.............. .............. A

Incision of hip

9.66

N/A 8.09

1.36

N/A 19.11

090 tendon. 27006.............. .............. A

Incision of hip

9.68

N/A 8.25

1.33

N/A 19.26

090 tendons. 27025.............. .............. A

Incision of hip/

11.16

N/A 8.73

1.38

N/A 21.27

090 thigh fascia. 27030.............. .............. A

Drainage of hip

13.01

N/A 9.94

1.81

N/A 24.76

090 joint. 27033.............. .............. A

Exploration of hip

13.39

N/A 10.21

1.87

N/A 25.47

090 joint. 27035.............. .............. A

Denervation of hip

16.69

N/A 12.66

1.70

N/A 31.05

090 joint. 27036.............. .............. A

Excision of hip

12.88

N/A 10.41

1.80

N/A 25.09

090 joint/muscle. 27040.............. .............. A

Biopsy of soft

2.87 2.92 2.20

0.21

6.00 5.28

010 tissues. 27041.............. .............. A

Biopsy of soft

9.89

N/A 6.83

1.01

N/A 17.73

090 tissues. 27047.............. .............. A

Remove hip/pelvis

7.45 6.66 5.07

0.79 14.90 13.31

090 lesion. 27048.............. .............. A

Remove hip/pelvis

6.25

N/A 5.19

0.73

N/A 12.17

090 lesion. 27049.............. .............. A

Remove tumor, hip/

13.66

N/A 9.20

1.60

N/A 24.46

090 pelvis. 27050.............. .............. A

Biopsy of sacroiliac 4.36

N/A 4.64

0.53

N/A 9.53

090 joint. 27052.............. .............. A

Biopsy of hip joint. 6.23

N/A 6.19

0.85

N/A 13.27

090 27054.............. .............. A

Removal of hip joint 8.54

N/A 7.71

1.17

N/A 17.42

090 lining. 27060.............. .............. A

Removal of ischial

5.43

N/A 4.99

0.60

N/A 11.02

090 bursa. 27062.............. .............. A

Remove femur lesion/ 5.37

N/A 5.42

0.74

N/A 11.53

090 bursa. 27065.............. .............. A

Removal of hip bone

5.90

N/A 5.73

0.76

N/A 12.39

090 lesion. 27066.............. .............. A

Removal of hip bone 10.33

N/A 8.76

1.42

N/A 20.51

090 lesion. 27067.............. .............. A

Remove/graft hip

13.83

N/A 10.97

1.95

N/A 26.75

090 bone lesion. 27070.............. .............. A

Partial removal of

10.72

N/A 10.40

1.36

N/A 22.48

090 hip bone. 27071.............. .............. A

Partial removal of

11.46

N/A 11.32

1.51

N/A 24.29

090 hip bone. 27075.............. .............. A

Extensive hip

35.00

N/A 20.42

2.22

N/A 57.64

090 surgery. 27076.............. .............. A

Extensive hip

22.12

N/A 15.35

2.86

N/A 40.33

090 surgery. 27077.............. .............. A

Extensive hip

40.00

N/A 23.94

3.18

N/A 67.12

090 surgery. 27078.............. .............. A

Extensive hip

13.44

N/A 10.81

1.67

N/A 25.92

090 surgery. 27079.............. .............. A

Extensive hip

13.75

N/A 10.45

1.86

N/A 26.06

090 surgery.

[[Page 49098]]

27080.............. .............. A

Removal of tail bone 6.39

N/A 5.24

0.80

N/A 12.43

090 27086.............. .............. A

Remove hip foreign

1.87 2.33 2.03

0.17

4.37 4.07

010 body. 27087.............. .............. A

Remove hip foreign

8.54

N/A 6.84

1.09

N/A 16.47

090 body. 27090.............. .............. A

Removal of hip

11.15

N/A 8.81

1.55

N/A 21.51

090 prosthesis. 27091.............. .............. A

Removal of hip

22.14

N/A 14.12

3.11

N/A 39.37

090 prosthesis. 27093.............. .............. A

Injection for hip x- 1.30 8.65 0.49

0.09 10.04 1.88

000 ray. 27095.............. .............. A

Injection for hip x- 1.50 7.80 0.53

0.10

9.40 2.13

000 ray. 27096.............. .............. A

Inject sacroiliac

1.40 6.89 0.33

0.08

8.37 1.81

000 joint. 27097.............. .............. A

Revision of hip

8.80

N/A 6.65

1.22

N/A 16.67

090 tendon. 27098.............. .............. A

Transfer tendon to

8.83

N/A 7.28

1.24

N/A 17.35

090 pelvis. 27100.............. .............. A

Transfer of

11.08

N/A 8.97

1.57

N/A 21.62

090 abdominal muscle. 27105.............. .............. A

Transfer of spinal

11.77

N/A 9.45

1.66

N/A 22.88

090 muscle. 27110.............. .............. A

Transfer of

13.26

N/A 9.66

1.38

N/A 24.30

090 iliopsoas muscle. 27111.............. .............. A

Transfer of

12.15

N/A 9.31

1.48

N/A 22.94

090 iliopsoas muscle. 27120.............. .............. A

Reconstruction of

18.01

N/A 11.96

2.45

N/A 32.42

090 hip socket. 27122.............. .............. A

Reconstruction of

14.98

N/A 11.06

2.08

N/A 28.12

090 hip socket. 27125.............. .............. A

Partial hip

14.69

N/A 10.63

2.05

N/A 27.37

090 replacement. 27130.............. .............. A

Total hip

20.12

N/A 13.41

2.82

N/A 36.35

090 arthroplasty. 27132.............. .............. A

Total hip

23.30

N/A 15.78

3.26

N/A 42.34

090 arthroplasty. 27134.............. .............. A

Revise hip joint

28.52

N/A 18.03

3.97

N/A 50.52

090 replacement. 27137.............. .............. A

Revise hip joint

21.17

N/A 14.08

2.97

N/A 38.22

090 replacement. 27138.............. .............. A

Revise hip joint

22.17

N/A 14.55

3.11

N/A 39.83

090 replacement. 27140.............. .............. A

Transplant femur

12.24

N/A 9.66

1.67

N/A 23.57

090 ridge. 27146.............. .............. A

Incision of hip bone 17.43

N/A 12.65

2.27

N/A 32.35

090 27147.............. .............. A

Revision of hip bone 20.58

N/A 13.76

2.61

N/A 36.95

090 27151.............. .............. A

Incision of hip

22.51

N/A 8.40

3.12

N/A 34.03

090 bones. 27156.............. .............. A

Revision of hip

24.63

N/A 16.52

3.48

N/A 44.63

090 bones. 27158.............. .............. A

Revision of pelvis.. 19.74

N/A 11.58

2.60

N/A 33.92

090 27161.............. .............. A

Incision of neck of 16.71

N/A 12.28

2.32

N/A 31.31

090 femur. 27165.............. .............. A

Incision/fixation of 17.91

N/A 13.07

2.51

N/A 33.49

090 femur. 27170.............. .............. A

Repair/graft femur

16.07

N/A 11.68

2.20

N/A 29.95

090 head/neck. 27175.............. .............. A

Treat slipped

8.46

N/A 6.70

1.19

N/A 16.35

090 epiphysis. 27176.............. .............. A

Treat slipped

12.05

N/A 9.03

1.68

N/A 22.76

090 epiphysis. 27177.............. .............. A

Treat slipped

15.08

N/A 10.90

2.11

N/A 28.09

090 epiphysis. 27178.............. .............. A

Treat slipped

11.99

N/A 8.45

1.68

N/A 22.12

090 epiphysis. 27179.............. .............. A

Revise head/neck of 12.98

N/A 9.84

1.84

N/A 24.66

090 femur. 27181.............. .............. A

Treat slipped

14.68

N/A 10.31

1.74

N/A 26.73

090 epiphysis. 27185.............. .............. A

Revision of femur

9.18

N/A 7.81

1.29

N/A 18.28

090 epiphysis. 27187.............. .............. A

Reinforce hip bones. 13.54

N/A 10.60

1.89

N/A 26.03

090 27193.............. .............. A

Treat pelvic ring

5.56 6.99 5.41

0.77 13.32 11.74

090 fracture. 27194.............. .............. A

Treat pelvic ring

9.65 8.92 7.65

1.32 19.89 18.62

090 fracture. 27200.............. .............. A

Treat tail bone

1.84 3.09 2.22

0.22

5.15 4.28

090 fracture. 27202.............. .............. A

Treat tail bone

7.04

N/A 18.09

0.69

N/A 25.82

090 fracture. 27215.............. .............. A

Treat pelvic

10.05

N/A 7.46

1.37

N/A 18.88

090 fracture(s). 27216.............. .............. A

Treat pelvic ring

15.19

N/A 10.14

2.15

N/A 27.48

090 fracture. 27217.............. .............. A

Treat pelvic ring

14.11

N/A 10.42

1.95

N/A 26.48

090 fracture. 27218.............. .............. A

Treat pelvic ring

20.15

N/A 11.78

2.85

N/A 34.78

090 fracture. 27220.............. .............. A

Treat hip socket

6.18 7.18 5.62

0.85 14.21 12.65

090 fracture. 27222.............. .............. A

Treat hip socket

12.70

N/A 9.82

1.77

N/A 24.29

090 fracture. 27226.............. .............. A

Treat hip wall

14.91

N/A 8.11

2.07

N/A 25.09

090 fracture. 27227.............. .............. A

Treat hip

23.45

N/A 15.72

3.24

N/A 42.41

090 fracture(s). 27228.............. .............. A

Treat hip

27.16

N/A 17.99

3.77

N/A 48.92

090 fracture(s). 27230.............. .............. A

Treat thigh fracture 5.50 6.64 5.14

0.73 12.87 11.37

090 27232.............. .............. A

Treat thigh fracture 10.68

N/A 7.53

1.45

N/A 19.66

090 27235.............. .............. A

Treat thigh fracture 12.16

N/A 9.54

1.71

N/A 23.41

090 27236.............. .............. A

Treat thigh fracture 15.60

N/A 11.14

2.18

N/A 28.92

090

[[Page 49099]]

27238.............. .............. A

Treat thigh fracture 5.52

N/A 5.19

0.76

N/A 11.47

090 27240.............. .............. A

Treat thigh fracture 12.50

N/A 9.45

1.69

N/A 23.64

090 27244.............. .............. A

Treat thigh fracture 15.94

N/A 11.44

2.23

N/A 29.61

090 27245.............. .............. A

Treat thigh fracture 20.31

N/A 13.92

2.85

N/A 37.08

090 27246.............. .............. A

Treat thigh fracture 4.71 5.87 4.60

0.66 11.24 9.97

090 27248.............. .............. A

Treat thigh fracture 10.45

N/A 8.31

1.45

N/A 20.21

090 27250.............. .............. A

Treat hip

6.95

N/A 4.79

0.68

N/A 12.42

090 dislocation. 27252.............. .............. A

Treat hip

10.39

N/A 7.53

1.37

N/A 19.29

090 dislocation. 27253.............. .............. A

Treat hip

12.92

N/A 9.87

1.81

N/A 24.60

090 dislocation. 27254.............. .............. A

Treat hip

18.26

N/A 12.23

2.52

N/A 33.01

090 dislocation. 27256.............. .............. A

Treat hip

4.12 3.50 2.13

0.49

8.11 6.74

010 dislocation. 27257.............. .............. A

Treat hip

5.22

N/A 3.02

0.56

N/A 8.80

010 dislocation. 27258.............. .............. A

Treat hip

15.43

N/A 11.19

2.06

N/A 28.68

090 dislocation. 27259.............. .............. A

Treat hip

21.55

N/A 14.53

2.99

N/A 39.07

090 dislocation. 27265.............. .............. A

Treat hip

5.05

N/A 4.85

0.65

N/A 10.55

090 dislocation. 27266.............. .............. A

Treat hip

7.49

N/A 6.39

1.04

N/A 14.92

090 dislocation. 27275.............. .............. A

Manipulation of hip

2.27

N/A 2.25

0.31

N/A 4.83

010 joint. 27280.............. .............. A

Fusion of sacroiliac 13.39

N/A 10.56

1.98

N/A 25.93

090 joint. 27282.............. .............. A

Fusion of pubic

11.34

N/A 8.44

1.14

N/A 20.92

090 bones. 27284.............. .............. A

Fusion of hip joint. 23.45

N/A 15.39

2.36

N/A 41.20

090 27286.............. .............. A

Fusion of hip joint. 23.45

N/A 16.28

2.37

N/A 42.10

090 27290.............. .............. A

Amputation of leg at 23.28

N/A 14.30

2.94

N/A 40.52

090 hip. 27295.............. .............. A

Amputation of leg at 18.65

N/A 11.79

2.35

N/A 32.79

090 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

6.49 7.81 6.33

0.80 15.10 13.62

090 lesion. 27303.............. .............. A

Drainage of bone

8.28

N/A 7.85

1.14

N/A 17.27

090 lesion. 27305.............. .............. A

Incise thigh tendon

5.92

N/A 5.58

0.77

N/A 12.27

090 & fascia. 27306.............. .............. A

Incision of thigh

4.62

N/A 4.96

0.62

N/A 10.20

090 tendon. 27307.............. .............. A

Incision of thigh

5.80

N/A 5.69

0.78

N/A 12.27

090 tendons. 27310.............. .............. A

Exploration of knee

9.27

N/A 8.10

1.29

N/A 18.66

090 joint. 27315.............. .............. A

Partial removal,

6.97

N/A 4.81

0.79

N/A 12.57

090 thigh nerve. 27320.............. .............. A

Partial removal,

6.30

N/A 5.12

0.78

N/A 12.20

090 thigh nerve. 27323.............. .............. A

Biopsy, thigh soft

2.28 2.54 2.07

0.17

4.99 4.52

010 tissues. 27324.............. .............. A

Biopsy, thigh soft

4.90

N/A 4.50

0.59

N/A 9.99

090 tissues. 27327.............. .............. A

Removal of thigh

4.47 5.47 4.03

0.50 10.44 9.00

090 lesion. 27328.............. .............. A

Removal of thigh

5.57

N/A 4.71

0.66

N/A 10.94

090 lesion. 27329.............. .............. A

Remove tumor, thigh/ 14.14

N/A 9.91

1.68

N/A 25.73

090 knee. 27330.............. .............. A

Biopsy, knee joint

4.97

N/A 4.82

0.66

N/A 10.45

090 lining. 27331.............. .............. A

Explore/treat knee

5.88

N/A 5.81

0.81

N/A 12.50

090 joint. 27332.............. .............. A

Removal of knee

8.27

N/A 7.30

1.15

N/A 16.72

090 cartilage. 27333.............. .............. A

Removal of knee

7.30

N/A 6.83

1.03

N/A 15.16

090 cartilage. 27334.............. .............. A

Remove knee joint

8.70

N/A 7.72

1.21

N/A 17.63

090 lining. 27335.............. .............. A

Remove knee joint

10.00

N/A 8.54

1.41

N/A 19.95

090 lining. 27340.............. .............. A

Removal of kneecap

4.18

N/A 4.71

0.58

N/A 9.47

090 bursa. 27345.............. .............. A

Removal of knee cyst 5.92

N/A 5.80

0.81

N/A 12.53

090 27347.............. .............. A

Remove knee cyst.... 5.78

N/A 5.70

0.76

N/A 12.24

090 27350.............. .............. A

Removal of kneecap.. 8.17

N/A 7.43

1.15

N/A 16.75

090 27355.............. .............. A

Remove femur lesion. 7.65

N/A 7.03

1.07

N/A 15.75

090 27356.............. .............. A

Remove femur lesion/ 9.48

N/A 8.13

1.29

N/A 18.90

090 graft. 27357.............. .............. A

Remove femur lesion/ 10.53

N/A 8.87

1.48

N/A 20.88

090 graft. 27358.............. .............. A

Remove femur lesion/ 4.74

N/A 2.58

0.67

N/A 7.99

ZZZ fixation. 27360.............. .............. A

Partial removal, leg 10.50

N/A 10.59

1.42

N/A 22.51

090 bone(s). 27365.............. .............. A

Extensive leg

16.27

N/A 12.20

2.26

N/A 30.73

090 surgery. 27370.............. .............. A

Injection for knee x- 0.96 8.43 0.33

0.06

9.45 1.35

000 ray. 27372.............. .............. A

Removal of foreign

5.07 6.19 4.84

0.62 11.88 10.53

090 body. 27380.............. .............. A

Repair of kneecap

7.16

N/A 7.38

1.00

N/A 15.54

090 tendon. 27381.............. .............. A

Repair/graft kneecap 10.34

N/A 9.21

1.44

N/A 20.99

090 tendon. 27385.............. .............. A

Repair of thigh

7.76

N/A 7.73

1.09

N/A 16.58

090 muscle. 27386.............. .............. A

Repair/graft of

10.56

N/A 9.64

1.49

N/A 21.69

090 thigh muscle.

[[Page 49100]]

27390.............. .............. A

Incision of thigh

5.33

N/A 5.32

0.69

N/A 11.34

090 tendon. 27391.............. .............. A

Incision of thigh

7.20

N/A 6.62

0.99

N/A 14.81

090 tendons. 27392.............. .............. A

Incision of thigh

9.20

N/A 7.83

1.23

N/A 18.26

090 tendons. 27393.............. .............. A

Lengthening of thigh 6.39

N/A 5.93

0.90

N/A 13.22

090 tendon. 27394.............. .............. A

Lengthening of thigh 8.50

N/A 7.38

1.17

N/A 17.05

090 tendons. 27395.............. .............. A

Lengthening of thigh 11.73

N/A 9.53

1.63

N/A 22.89

090 tendons. 27396.............. .............. A

Transplant of thigh

7.86

N/A 7.26

1.11

N/A 16.23

090 tendon. 27397.............. .............. A

Transplants of thigh 11.28

N/A 9.27

1.58

N/A 22.13

090 tendons. 27400.............. .............. A

Revise thigh muscles/ 9.02

N/A 7.54

1.18

N/A 17.74

090 tendons. 27403.............. .............. A

Repair of knee

8.33

N/A 7.32

1.16

N/A 16.81

090 cartilage. 27405.............. .............. A

Repair of knee

8.65

N/A 7.77

1.21

N/A 17.63

090 ligament. 27407.............. .............. A

Repair of knee

10.28

N/A 8.53

1.38

N/A 20.19

090 ligament. 27409.............. .............. A

Repair of knee

12.90

N/A 10.16

1.75

N/A 24.81

090 ligaments. 27418.............. .............. A

Repair degenerated

10.85

N/A 9.09

1.51

N/A 21.45

090 kneecap. 27420.............. .............. A

Revision of unstable 9.83

N/A 8.27

1.38

N/A 19.48

090 kneecap. 27422.............. .............. A

Revision of unstable 9.78

N/A 8.29

1.37

N/A 19.44

090 kneecap. 27424.............. .............. A

Revision/removal of

9.81

N/A 8.26

1.38

N/A 19.45

090 kneecap. 27425.............. .............. A

Lat retinacular

5.22

N/A 5.62

0.73

N/A 11.57

090 release open. 27427.............. .............. A

Reconstruction, knee 9.36

N/A 7.94

1.29

N/A 18.59

090 27428.............. .............. A

Reconstruction, knee 14.00

N/A 11.36

1.95

N/A 27.31

090 27429.............. .............. A

Reconstruction, knee 15.52

N/A 12.54

2.18

N/A 30.24

090 27430.............. .............. A

Revision of thigh

9.67

N/A 8.18

1.35

N/A 19.20

090 muscles. 27435.............. .............. A

Incision of knee

9.49

N/A 8.55

1.33

N/A 19.37

090 joint. 27437.............. .............. A

Revise kneecap...... 8.46

N/A 7.20

1.18

N/A 16.84

090 27438.............. .............. A

Revise kneecap with 11.23

N/A 8.58

1.56

N/A 21.37

090 implant. 27440.............. .............. A

Revision of knee

10.43

N/A 6.08

1.42

N/A 17.93

090 joint. 27441.............. .............. A

Revision of knee

10.82

N/A 6.77

1.49

N/A 19.08

090 joint. 27442.............. .............. A

Revision of knee

11.89

N/A 8.97

1.68

N/A 22.54

090 joint. 27443.............. .............. A

Revision of knee

10.93

N/A 8.75

1.52

N/A 21.20

090 joint. 27445.............. .............. A

Revision of knee

17.68

N/A 12.41

2.49

N/A 32.58

090 joint. 27446.............. .............. A

Revision of knee

15.84

N/A 11.36

2.22

N/A 29.42

090 joint. 27447.............. .............. A

Total knee

21.48

N/A 14.72

3.00

N/A 39.20

090 arthroplasty. 27448.............. .............. A

Incision of thigh... 11.06

N/A 8.88

1.51

N/A 21.45

090 27450.............. .............. A

Incision of thigh... 13.98

N/A 10.76

1.96

N/A 26.70

090 27454.............. .............. A

Realignment of thigh 17.56

N/A 12.80

2.46

N/A 32.82

090 bone. 27455.............. .............. A

Realignment of knee. 12.82

N/A 9.94

1.78

N/A 24.54

090 27457.............. .............. A

Realignment of knee. 13.45

N/A 9.91

1.88

N/A 25.24

090 27465.............. .............. A

Shortening of thigh 13.87

N/A 10.50

1.86

N/A 26.23

090 bone. 27466.............. .............. A

Lengthening of thigh 16.33

N/A 12.17

1.92

N/A 30.42

090 bone. 27468.............. .............. A

Shorten/lengthen

18.97

N/A 12.59

2.68

N/A 34.24

090 thighs. 27470.............. .............. A

Repair of thigh..... 16.07

N/A 12.13

2.24

N/A 30.44

090 27472.............. .............. A

Repair/graft of

17.72

N/A 13.04

2.49

N/A 33.25

090 thigh. 27475.............. .............. A

Surgery to stop leg

8.64

N/A 7.43

1.13

N/A 17.20

090 growth. 27477.............. .............. A

Surgery to stop leg

9.85

N/A 7.95

1.31

N/A 19.11

090 growth. 27479.............. .............. A

Surgery to stop leg 12.80

N/A 10.12

1.81

N/A 24.73

090 growth. 27485.............. .............. A

Surgery to stop leg

8.84

N/A 7.59

1.24

N/A 17.67

090 growth. 27486.............. .............. A

Revise/replace knee 19.27

N/A 13.59

2.70

N/A 35.56

090 joint. 27487.............. .............. A

Revise/replace knee 25.27

N/A 16.72

3.54

N/A 45.53

090 joint. 27488.............. .............. A

Removal of knee

15.74

N/A 11.76

2.21

N/A 29.71

090 prosthesis. 27495.............. .............. A

Reinforce thigh..... 15.55

N/A 11.75

2.18

N/A 29.48

090 27496.............. .............. A

Decompression of

6.11

N/A 5.77

0.77

N/A 12.65

090 thigh/knee. 27497.............. .............. A

Decompression of

7.17

N/A 5.80

0.84

N/A 13.81

090 thigh/knee.

[[Page 49101]]

27498.............. .............. A

Decompression of

7.99

N/A 6.15

0.97

N/A 15.11

090 thigh/knee. 27499.............. .............. A

Decompression of

9.00

N/A 7.07

1.18

N/A 17.25

090 thigh/knee. 27500.............. .............. A

Treatment of thigh

5.92 7.24 5.18

0.80 13.96 11.90

090 fracture. 27501.............. .............. A

Treatment of thigh

5.92 7.82 5.87

0.83 14.57 12.62

090 fracture. 27502.............. .............. A

Treatment of thigh

10.58

N/A 8.36

1.49

N/A 20.43

090 fracture. 27503.............. .............. A

Treatment of thigh

10.58

N/A 8.52

1.49

N/A 20.59

090 fracture. 27506.............. .............. A

Treatment of thigh

17.45

N/A 12.81

2.33

N/A 32.59

090 fracture. 27507.............. .............. A

Treatment of thigh

13.99

N/A 10.13

1.95

N/A 26.07

090 fracture. 27508.............. .............. A

Treatment of thigh

5.83 7.10 5.42

0.80 13.73 12.05

090 fracture. 27509.............. .............. A

Treatment of thigh

7.71

N/A 8.04

1.08

N/A 16.83

090 fracture. 27510.............. .............. A

Treatment of thigh

9.13

N/A 7.31

1.26

N/A 17.70

090 fracture. 27511.............. .............. A

Treatment of thigh

13.64

N/A 11.39

1.91

N/A 26.94

090 fracture. 27513.............. .............. A

Treatment of thigh

17.92

N/A 14.08

2.51

N/A 34.51

090 fracture. 27514.............. .............. A

Treatment of thigh

17.30

N/A 13.44

2.41

N/A 33.15

090 fracture. 27516.............. .............. A

Treat thigh fx

5.37 7.41 5.48

0.74 13.52 11.59

090 growth plate. 27517.............. .............. A

Treat thigh fx

8.78 9.06 7.49

1.22 19.06 17.49

090 growth plate. 27519.............. .............. A

Treat thigh fx

15.02

N/A 11.83

2.09

N/A 28.94

090 growth plate. 27520.............. .............. A

Treat kneecap

2.86 5.32 3.48

0.38

8.56 6.72

090 fracture. 27524.............. .............. A

Treat kneecap

10.00

N/A 8.29

1.40

N/A 19.69

090 fracture. 27530.............. .............. A

Treat knee fracture. 3.78 5.99 4.35

0.51 10.28 8.64

090 27532.............. .............. A

Treat knee fracture. 7.30 7.86 6.27

1.02 16.18 14.59

090 27535.............. .............. A

Treat knee fracture. 11.50

N/A 10.27

1.61

N/A 23.38

090 27536.............. .............. A

Treat knee fracture. 15.65

N/A 11.70

2.19

N/A 29.54

090 27538.............. .............. A

Treat knee

4.87 7.20 5.17

0.67 12.74 10.71

090 fracture(s). 27540.............. .............. A

Treat knee fracture. 13.10

N/A 9.64

1.80

N/A 24.54

090 27550.............. .............. A

Treat knee

5.76 6.71 5.02

0.68 13.15 11.46

090 dislocation. 27552.............. .............. A

Treat knee

7.90

N/A 6.99

1.10

N/A 15.99

090 dislocation. 27556.............. .............. A

Treat knee

14.41

N/A 12.07

2.01

N/A 28.49

090 dislocation. 27557.............. .............. A

Treat knee

16.77

N/A 13.47

2.37

N/A 32.61

090 dislocation. 27558.............. .............. A

Treat knee

17.72

N/A 13.52

2.51

N/A 33.75

090 dislocation. 27560.............. .............. A

Treat kneecap

3.82 5.68 3.35

0.40

9.90 7.57

090 dislocation. 27562.............. .............. A

Treat kneecap

5.79

N/A 4.87

0.69

N/A 11.35

090 dislocation. 27566.............. .............. A

Treat kneecap

12.23

N/A 9.43

1.73

N/A 23.39

090 dislocation. 27570.............. .............. A

Fixation of knee

1.74

N/A 1.91

0.24

N/A 3.89

010 joint. 27580.............. .............. A

Fusion of knee...... 19.37

N/A 15.13

2.70

N/A 37.20

090 27590.............. .............. A

Amputate leg at

12.03

N/A 7.33

1.35

N/A 20.71

090 thigh. 27591.............. .............. A

Amputate leg at

12.68

N/A 9.27

1.63

N/A 23.58

090 thigh. 27592.............. .............. A

Amputate leg at

10.02

N/A 6.84

1.17

N/A 18.03

090 thigh. 27594.............. .............. A

Amputation follow-up 6.92

N/A 5.56

0.82

N/A 13.30

090 surgery. 27596.............. .............. A

Amputation follow-up 10.60

N/A 7.44

1.24

N/A 19.28

090 surgery. 27598.............. .............. A

Amputate lower leg

10.53

N/A 7.49

1.24

N/A 19.26

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

5.65

N/A 4.79

0.68

N/A 11.12

090 lower leg. 27601.............. .............. A

Decompression of

5.64

N/A 5.07

0.69

N/A 11.40

090 lower leg. 27602.............. .............. A

Decompression of

7.35

N/A 5.36

0.85

N/A 13.56

090 lower leg. 27603.............. .............. A

Drain lower leg

4.94 11.05 5.10

0.56 16.55 10.60

090 lesion. 27604.............. .............. A

Drain lower leg

4.47 8.90 4.78

0.54 13.91 9.79

090 bursa. 27605.............. .............. A

Incision of achilles 2.87 9.17 2.51

0.38 12.42 5.76

010 tendon. 27606.............. .............. A

Incision of achilles 4.14 10.43 3.57

0.57 15.14 8.28

010 tendon. 27607.............. .............. A

Treat lower leg bone 7.97

N/A 7.19

1.08

N/A 16.24

090 lesion. 27610.............. .............. A

Explore/treat ankle

8.34

N/A 7.38

1.15

N/A 16.87

090 joint. 27612.............. .............. A

Exploration of ankle 7.33

N/A 6.24

1.01

N/A 14.58

090 joint. 27613.............. .............. A

Biopsy lower leg

2.17 4.03 1.90

0.16

6.36 4.23

010 soft tissue. 27614.............. .............. A

Biopsy lower leg

5.66 8.99 4.77

0.62 15.27 11.05

090 soft tissue. 27615.............. .............. A

Remove tumor, lower 12.56

N/A 10.91

1.39

N/A 24.86

090 leg.

[[Page 49102]]

27618.............. .............. A

Remove lower leg

5.09 9.29 4.35

0.54 14.92 9.98

090 lesion. 27619.............. .............. A

Remove lower leg

8.40 10.82 6.34

1.01 20.23 15.75

090 lesion. 27620.............. .............. A

Explore/treat ankle

5.98

N/A 5.69

0.83

N/A 12.50

090 joint. 27625.............. .............. A

Remove ankle joint

8.30

N/A 6.83

1.16

N/A 16.29

090 lining. 27626.............. .............. A

Remove ankle joint

8.91

N/A 7.31

1.23

N/A 17.45

090 lining. 27630.............. .............. A

Removal of tendon

4.80 9.26 4.62

0.60 14.66 10.02

090 lesion. 27635.............. .............. A

Remove lower leg

7.78

N/A 7.16

1.06

N/A 16.00

090 bone lesion. 27637.............. .............. A

Remove/graft leg

9.85

N/A 8.60

1.38

N/A 19.83

090 bone lesion. 27638.............. .............. A

Remove/graft leg

10.57

N/A 8.74

1.47

N/A 20.78

090 bone lesion. 27640.............. .............. A

Partial removal of

11.37

N/A 11.19

1.54

N/A 24.10

090 tibia. 27641.............. .............. A

Partial removal of

9.24

N/A 9.22

1.22

N/A 19.68

090 fibula. 27645.............. .............. A

Extensive lower leg 14.17

N/A 12.76

1.98

N/A 28.91

090 surgery. 27646.............. .............. A

Extensive lower leg 12.66

N/A 11.72

1.55

N/A 25.93

090 surgery. 27647.............. .............. A

Extensive ankle/heel 12.24

N/A 8.09

1.64

N/A 21.97

090 surgery. 27648.............. .............. A

Injection for ankle

0.96 6.70 0.34

0.05

7.71 1.35

000 x-ray. 27650.............. .............. A

Repair achilles

9.69

N/A 7.65

1.35

N/A 18.69

090 tendon. 27652.............. .............. A

Repair/graft

10.33

N/A 8.08

1.45

N/A 19.86

090 achilles tendon. 27654.............. .............. A

Repair of achilles

10.02

N/A 7.45

1.41

N/A 18.88

090 tendon. 27656.............. .............. A

Repair leg fascia

4.57 10.22 4.12

0.48 15.27 9.17

090 defect. 27658.............. .............. A

Repair of leg

4.98 9.50 5.12

0.68 15.16 10.78

090 tendon, each. 27659.............. .............. A

Repair of leg

6.81 11.61 6.08

0.96 19.38 13.85

090 tendon, each. 27664.............. .............. A

Repair of leg

4.59 11.66 5.10

0.63 16.88 10.32

090 tendon, each. 27665.............. .............. A

Repair of leg

5.40 11.37 5.45

0.75 17.52 11.60

090 tendon, each. 27675.............. .............. A

Repair lower leg

7.18

N/A 5.99

1.01

N/A 14.18

090 tendons. 27676.............. .............. A

Repair lower leg

8.42

N/A 7.00

1.15

N/A 16.57

090 tendons. 27680.............. .............. A

Release of lower leg 5.74

N/A 5.47

0.80

N/A 12.01

090 tendon. 27681.............. .............. A

Release of lower leg 6.82

N/A 6.17

0.92

N/A 13.91

090 tendons. 27685.............. .............. A

Revision of lower

6.50 8.31 5.69

0.91 15.72 13.10

090 leg tendon. 27686.............. .............. A

Revise lower leg

7.46 12.79 6.81

1.05 21.30 15.32

090 tendons. 27687.............. .............. A

Revision of calf

6.24

N/A 5.61

0.88

N/A 12.73

090 tendon. 27690.............. .............. A

Revise lower leg

8.71

N/A 6.73

1.22

N/A 16.66

090 tendon. 27691.............. .............. A

Revise lower leg

9.96

N/A 8.05

1.40

N/A 19.41

090 tendon. 27692.............. .............. A

Revise additional

1.87

N/A 0.95

0.26

N/A 3.08

ZZZ leg tendon. 27695.............. .............. A

Repair of ankle

6.51

N/A 6.22

0.90

N/A 13.63

090 ligament. 27696.............. .............. A

Repair of ankle

8.27

N/A 6.79

1.16

N/A 16.22

090 ligaments. 27698.............. .............. A

Repair of ankle

9.36

N/A 7.20

1.31

N/A 17.87

090 ligament. 27700.............. .............. A

Revision of ankle

9.29

N/A 5.75

1.24

N/A 16.28

090 joint. 27702.............. .............. A

Reconstruct ankle

13.67

N/A 10.46

1.92

N/A 26.05

090 joint. 27703.............. .............. A

Reconstruction,

15.87

N/A 11.30

2.24

N/A 29.41

090 ankle joint. 27704.............. .............. A

Removal of ankle

7.62

N/A 5.62

0.61

N/A 13.85

090 implant. 27705.............. .............. A

Incision of tibia... 10.38

N/A 8.49

1.44

N/A 20.31

090 27707.............. .............. A

Incision of fibula.. 4.37

N/A 5.21

0.60

N/A 10.18

090 27709.............. .............. A

Incision of tibia &

9.95

N/A 8.41

1.39

N/A 19.75

090 fibula. 27712.............. .............. A

Realignment of lower 14.25

N/A 11.02

2.00

N/A 27.27

090 leg. 27715.............. .............. A

Revision of lower

14.39

N/A 11.15

2.00

N/A 27.54

090 leg. 27720.............. .............. A

Repair of tibia..... 11.79

N/A 9.73

1.66

N/A 23.18

090 27722.............. .............. A

Repair/graft of

11.82

N/A 9.49

1.65

N/A 22.96

090 tibia. 27724.............. .............. A

Repair/graft of

18.20

N/A 13.00

2.10

N/A 33.30

090 tibia. 27725.............. .............. A

Repair of lower leg. 15.59

N/A 12.31

2.20

N/A 30.10

090 27727.............. .............. A

Repair of lower leg. 14.01

N/A 10.70

1.84

N/A 26.55

090 27730.............. .............. A

Repair of tibia

7.41 18.67 6.64

0.75 26.83 14.80

090 epiphysis. 27732.............. .............. A

Repair of fibula

5.32 11.91 5.28

0.63 17.86 11.23

090 epiphysis. 27734.............. .............. A

Repair lower leg

8.48

N/A 6.62

0.85

N/A 15.95

090 epiphyses. 27740.............. .............. A

Repair of leg

9.30 21.05 8.18

1.31 31.66 18.79

090 epiphyses.

[[Page 49103]]

27742.............. .............. A

Repair of leg

10.30 12.74 7.41

1.55 24.59 19.26

090 epiphyses. 27745.............. .............. A

Reinforce tibia..... 10.07

N/A 8.46

1.38

N/A 19.91

090 27750.............. .............. A

Treatment of tibia

3.19 5.47 3.84

0.43

9.09 7.46

090 fracture. 27752.............. .............. A

Treatment of tibia

5.84 7.62 5.70

0.82 14.28 12.36

090 fracture. 27756.............. .............. A

Treatment of tibia

6.78

N/A 6.85

0.94

N/A 14.57

090 fracture. 27758.............. .............. A

Treatment of tibia

11.67

N/A 9.36

1.52

N/A 22.55

090 fracture. 27759.............. .............. A

Treatment of tibia

13.76

N/A 10.62

1.93

N/A 26.31

090 fracture. 27760.............. .............. A

Treatment of ankle

3.01 5.35 3.60

0.39

8.75 7.00

090 fracture. 27762.............. .............. A

Treatment of ankle

5.25 7.26 5.26

0.71 13.22 11.22

090 fracture. 27766.............. .............. A

Treatment of ankle

8.36

N/A 7.30

1.17

N/A 16.83

090 fracture. 27780.............. .............. A

Treatment of fibula

2.65 5.02 3.27

0.33

8.00 6.25

090 fracture. 27781.............. .............. A

Treatment of fibula

4.40 6.47 4.58

0.57 11.44 9.55

090 fracture. 27784.............. .............. A

Treatment of fibula

7.11

N/A 6.58

0.98

N/A 14.67

090 fracture. 27786.............. .............. A

Treatment of ankle

2.84 5.19 3.38

0.37

8.40 6.59

090 fracture. 27788.............. .............. A

Treatment of ankle

4.45 6.59 4.58

0.61 11.65 9.64

090 fracture. 27792.............. .............. A

Treatment of ankle

7.66

N/A 7.03

1.07

N/A 15.76

090 fracture. 27808.............. .............. A

Treatment of ankle

2.83 5.89 3.76

0.38

9.10 6.97

090 fracture. 27810.............. .............. A

Treatment of ankle

5.13 7.18 5.19

0.71 13.02 11.03

090 fracture. 27814.............. .............. A

Treatment of ankle

10.68

N/A 8.81

1.50

N/A 20.99

090 fracture. 27816.............. .............. A

Treatment of ankle

2.89 5.18 3.55

0.37

8.44 6.81

090 fracture. 27818.............. .............. A

Treatment of ankle

5.50 7.29 5.23

0.74 13.53 11.47

090 fracture. 27822.............. .............. A

Treatment of ankle

11.00

N/A 10.92

1.29

N/A 23.21

090 fracture. 27823.............. .............. A

Treatment of ankle

13.00

N/A 11.80

1.65

N/A 26.45

090 fracture. 27824.............. .............. A

Treat lower leg

2.89 5.77 3.90

0.39

9.05 7.18

090 fracture. 27825.............. .............. A

Treat lower leg

6.19 8.55 6.18

0.85 15.59 13.22

090 fracture. 27826.............. .............. A

Treat lower leg

8.54

N/A 9.12

1.19

N/A 18.85

090 fracture. 27827.............. .............. A

Treat lower leg

14.06

N/A 12.94

1.96

N/A 28.96

090 fracture. 27828.............. .............. A

Treat lower leg

16.23

N/A 14.01

2.27

N/A 32.51

090 fracture. 27829.............. .............. A

Treat lower leg

5.49

N/A 6.89

0.77

N/A 13.15

090 joint. 27830.............. .............. A

Treat lower leg

3.79 5.23 3.90

0.44

9.46 8.13

090 dislocation. 27831.............. .............. A

Treat lower leg

4.56

N/A 4.52

0.61

N/A 9.69

090 dislocation. 27832.............. .............. A

Treat lower leg

6.49

N/A 6.27

0.91

N/A 13.67

090 dislocation. 27840.............. .............. A

Treat ankle

4.58

N/A 3.96

0.47

N/A 9.01

090 dislocation. 27842.............. .............. A

Treat ankle

6.21

N/A 5.09

0.76

N/A 12.06

090 dislocation. 27846.............. .............. A

Treat ankle

9.79

N/A 8.17

1.36

N/A 19.32

090 dislocation. 27848.............. .............. A

Treat ankle

11.20

N/A 9.89

1.55

N/A 22.64

090 dislocation. 27860.............. .............. A

Fixation of ankle

2.34

N/A 2.20

0.31

N/A 4.85

010 joint. 27870.............. .............. A

Fusion of ankle

13.91

N/A 10.90

1.95

N/A 26.76

090 joint, open. 27871.............. .............. A

Fusion of

9.17

N/A 7.86

1.29

N/A 18.32

090 tibiofibular joint. 27880.............. .............. A

Amputation of lower 11.85

N/A 7.60

1.38

N/A 20.83

090 leg. 27881.............. .............. A

Amputation of lower 12.34

N/A 9.23

1.59

N/A 23.16

090 leg. 27882.............. .............. A

Amputation of lower

8.94

N/A 7.17

1.03

N/A 17.14

090 leg. 27884.............. .............. A

Amputation follow-up 8.21

N/A 6.28

0.95

N/A 15.44

090 surgery. 27886.............. .............. A

Amputation follow-up 9.32

N/A 6.98

1.13

N/A 17.43

090 surgery. 27888.............. .............. A

Amputation of foot

9.67

N/A 7.81

1.26

N/A 18.74

090 at ankle. 27889.............. .............. A

Amputation of foot

9.98

N/A 6.87

1.19

N/A 18.04

090 at ankle.

[[Page 49104]]

27892.............. .............. A

Decompression of leg 7.39

N/A 5.92

0.86

N/A 14.17

090 27893.............. .............. A

Decompression of leg 7.35

N/A 5.83

0.90

N/A 14.08

090 27894.............. .............. A

Decompression of leg 10.49

N/A 7.96

1.25

N/A 19.70

090 27899.............. .............. C

Leg/ankle surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 28001.............. .............. A

Drainage of bursa of 2.73 5.98 3.58

0.31

9.02 6.62

010 foot. 28002.............. .............. A

Treatment of foot

4.62 7.39 4.72

0.56 12.57 9.90

010 infection. 28003.............. .............. A

Treatment of foot

8.41 7.93 6.42

1.03 17.37 15.86

090 infection. 28005.............. .............. A

Treat foot bone

8.68

N/A 6.70

1.14

N/A 16.52

090 lesion. 28008.............. .............. A

Incision of foot

4.45 5.87 3.77

0.56 10.88 8.78

090 fascia. 28010.............. .............. A

Incision of toe

2.84 5.69 3.09

0.39

8.92 6.32

090 tendon. 28011.............. .............. A

Incision of toe

4.14 7.63 4.50

0.58 12.35 9.22

090 tendons. 28020.............. .............. A

Exploration of foot

5.01 7.29 4.42

0.64 12.94 10.07

090 joint. 28022.............. .............. A

Exploration of foot

4.67 6.27 4.13

0.62 11.56 9.42

090 joint. 28024.............. .............. A

Exploration of toe

4.38 6.39 4.20

0.50 11.27 9.08

090 joint. 28030.............. .............. A

Removal of foot

6.15

N/A 3.75

0.85

N/A 10.75

090 nerve. 28035.............. .............. A

Decompression of

5.09 7.07 4.28

0.71 12.87 10.08

090 tibia nerve. 28043.............. .............. A

Excision of foot

3.54 5.94 3.40

0.45

9.93 7.39

090 lesion. 28045.............. .............. A

Excision of foot

4.72 6.30 3.89

0.62 11.64 9.23

090 lesion. 28046.............. .............. A

Resection of tumor, 10.18 9.67 7.59

1.13 20.98 18.90

090 foot. 28050.............. .............. A

Biopsy of foot joint 4.25 5.95 3.86

0.55 10.75 8.66

090 lining. 28052.............. .............. A

Biopsy of foot joint 3.94 6.16 3.76

0.51 10.61 8.21

090 lining. 28054.............. .............. A

Biopsy of toe joint

3.45 6.00 3.56

0.45

9.90 7.46

090 lining. 28060.............. .............. A

Partial removal,

5.23 6.57 4.21

0.69 12.49 10.13

090 foot fascia. 28062.............. .............. A

Removal of foot

6.52 7.34 4.36

0.85 14.71 11.73

090 fascia. 28070.............. .............. A

Removal of foot

5.10 6.13 4.08

0.68 11.91 9.86

090 joint lining. 28072.............. .............. A

Removal of foot

4.58 6.62 4.56

0.64 11.84 9.78

090 joint lining. 28080.............. .............. A

Removal of foot

3.58 6.10 3.84

0.50 10.18 7.92

090 lesion. 28086.............. .............. A

Excise foot tendon

4.78 9.75 4.96

0.66 15.19 10.40

090 sheath. 28088.............. .............. A

Excise foot tendon

3.86 7.26 4.24

0.52 11.64 8.62

090 sheath. 28090.............. .............. A

Removal of foot

4.41 6.20 3.73

0.57 11.18 8.71

090 lesion. 28092.............. .............. A

Removal of toe

3.64 6.52 3.82

0.46 10.62 7.92

090 lesions. 28100.............. .............. A

Removal of ankle/

5.66 9.50 5.04

0.76 15.92 11.46

090 heel lesion. 28102.............. .............. A

Remove/graft foot

7.73

N/A 6.29

0.97

N/A 14.99

090 lesion. 28103.............. .............. A

Remove/graft foot

6.50 8.72 4.97

0.89 16.11 12.36

090 lesion. 28104.............. .............. A

Removal of foot

5.12 6.54 4.29

0.69 12.35 10.10

090 lesion. 28106.............. .............. A

Remove/graft foot

7.16

N/A 4.76

1.01

N/A 12.93

090 lesion. 28107.............. .............. A

Remove/graft foot

5.56 7.46 4.52

0.74 13.76 10.82

090 lesion. 28108.............. .............. A

Removal of toe

4.16 5.60 3.52

0.52 10.28 8.20

090 lesions. 28110.............. .............. A

Part removal of

4.08 6.24 3.94

0.49 10.81 8.51

090 metatarsal. 28111.............. .............. A

Part removal of

5.01 7.45 4.45

0.63 13.09 10.09

090 metatarsal. 28112.............. .............. A

Part removal of

4.49 6.93 4.35

0.60 12.02 9.44

090 metatarsal. 28113.............. .............. A

Part removal of

4.79 7.01 4.85

0.63 12.43 10.27

090 metatarsal. 28114.............. .............. A

Removal of

9.79 12.25 8.83

1.36 23.40 19.98

090 metatarsal heads. 28116.............. .............. A

Revision of foot.... 7.75 7.38 5.38

1.03 16.16 14.16

090 28118.............. .............. A

Removal of heel bone 5.96 7.33 4.73

0.79 14.08 11.48

090 28119.............. .............. A

Removal of heel spur 5.39 6.38 4.03

0.74 12.51 10.16

090 28120.............. .............. A

Part removal of

5.40 9.04 5.48

0.69 15.13 11.57

090 ankle/heel. 28122.............. .............. A

Partial removal of

7.29 8.15 6.01

0.96 16.40 14.26

090 foot bone. 28124.............. .............. A

Partial removal of

4.81 6.30 4.35

0.65 11.76 9.81

090 toe. 28126.............. .............. A

Partial removal of

3.52 5.52 3.79

0.49

9.53 7.80

090 toe. 28130.............. .............. A

Removal of ankle

8.11

N/A 6.92

1.11

N/A 16.14

090 bone. 28140.............. .............. A

Removal of

6.91 8.47 5.19

0.84 16.22 12.94

090 metatarsal. 28150.............. .............. A

Removal of toe...... 4.09 6.19 4.05

0.52 10.80 8.66

090 28153.............. .............. A

Partial removal of

3.66 5.59 3.27

0.49

9.74 7.42

090 toe. 28160.............. .............. A

Partial removal of

3.74 5.88 4.14

0.51 10.13 8.39

090 toe. 28171.............. .............. A

Extensive foot

9.60

N/A 5.90

1.13

N/A 16.63

090 surgery. 28173.............. .............. A

Extensive foot

8.80 8.49 5.86

1.04 18.33 15.70

090 surgery. 28175.............. .............. A

Extensive foot

6.05 6.89 4.26

0.75 13.69 11.06

090 surgery. 28190.............. .............. A

Removal of foot

1.96 6.71 3.55

0.16

8.83 5.67

010 foreign body.

[[Page 49105]]

28192.............. .............. A

Removal of foot

4.64 6.61 3.85

0.52 11.77 9.01

090 foreign body. 28193.............. .............. A

Removal of foot

5.73 6.53 4.28

0.63 12.89 10.64

090 foreign body. 28200.............. .............. A

Repair of foot

4.60 6.13 3.94

0.59 11.32 9.13

090 tendon. 28202.............. .............. A

Repair/graft of foot 6.84 8.30 4.82

0.86 16.00 12.52

090 tendon. 28208.............. .............. A

Repair of foot

4.37 5.91 3.67

0.59 10.87 8.63

090 tendon. 28210.............. .............. A

Repair/graft of foot 6.35 7.33 4.36

0.77 14.45 11.48

090 tendon. 28220.............. .............. A

Release of foot

4.53 5.73 3.78

0.63 10.89 8.94

090 tendon. 28222.............. .............. A

Release of foot

5.62 6.13 4.49

0.77 12.52 10.88

090 tendons. 28225.............. .............. A

Release of foot

3.66 5.43 3.28

0.50

9.59 7.44

090 tendon. 28226.............. .............. A

Release of foot

4.53 5.78 4.11

0.62 10.93 9.26

090 tendons. 28230.............. .............. A

Incision of foot

4.24 5.81 4.08

0.59 10.64 8.91

090 tendon(s). 28232.............. .............. A

Incision of toe

3.39 5.85 3.72

0.48

9.72 7.59

090 tendon. 28234.............. .............. A

Incision of foot

3.37 6.01 3.66

0.46

9.84 7.49

090 tendon. 28238.............. .............. A

Revision of foot

7.73 8.19 5.27

1.08 17.00 14.08

090 tendon. 28240.............. .............. A

Release of big toe.. 4.36 5.77 3.88

0.61 10.74 8.85

090 28250.............. .............. A

Revision of foot

5.92 6.73 4.50

0.81 13.46 11.23

090 fascia. 28260.............. .............. A

Release of midfoot

7.96 7.27 5.34

1.08 16.31 14.38

090 joint. 28261.............. .............. A

Revision of foot

11.73 9.14 7.59

1.66 22.53 20.98

090 tendon. 28262.............. .............. A

Revision of foot and 15.83 14.73 11.92

2.22 32.78 29.97

090 ankle. 28264.............. .............. A

Release of midfoot

10.35 8.74 8.19

1.46 20.55 20.00

090 joint. 28270.............. .............. A

Release of foot

4.76 6.09 4.43

0.67 11.52 9.86

090 contracture. 28272.............. .............. A

Release of toe

3.80 5.31 3.22

0.52

9.63 7.54

090 joint, each. 28280.............. .............. A

Fusion of toes...... 5.19 7.46 4.76

0.72 13.37 10.67

090 28285.............. .............. A

Repair of hammertoe. 4.59 6.14 4.05

0.64 11.37 9.28

090 28286.............. .............. A

Repair of hammertoe. 4.56 5.93 3.91

0.64 11.13 9.11

090 28288.............. .............. A

Partial removal of

4.74 6.88 5.53

0.65 12.27 10.92

090 foot bone. 28289.............. .............. A

Repair hallux

7.04 9.24 6.53

0.96 17.24 14.53

090 rigidus. 28290.............. .............. A

Correction of bunion 5.66 7.23 5.59

0.79 13.68 12.04

090 28292.............. .............. A

Correction of bunion 7.04 8.00 5.93

0.98 16.02 13.95

090 28293.............. .............. A

Correction of bunion 9.15 10.19 6.16

1.28 20.62 16.59

090 28294.............. .............. A

Correction of bunion 8.56 7.87 5.28

1.16 17.59 15.00

090 28296.............. .............. A

Correction of bunion 9.18 8.38 6.04

1.28 18.84 16.50

090 28297.............. .............. A

Correction of bunion 9.18 9.38 7.08

1.31 19.87 17.57

090 28298.............. .............. A

Correction of bunion 7.94 7.52 5.64

1.12 16.58 14.70

090 28299.............. .............. A

Correction of bunion 10.58 8.95 6.66

1.24 20.77 18.48

090 28300.............. .............. A

Incision of heel

9.54 13.40 7.28

1.31 24.25 18.13

090 bone. 28302.............. .............. A

Incision of ankle

9.55 13.39 7.16

1.15 24.09 17.86

090 bone. 28304.............. .............. A

Incision of midfoot

9.16 8.36 5.97

1.00 18.52 16.13

090 bones. 28305.............. .............. A

Incise/graft midfoot 10.50 11.12 6.95

0.55 22.17 18.00

090 bones. 28306.............. .............. A

Incision of

5.86 7.40 4.45

0.81 14.07 11.12

090 metatarsal. 28307.............. .............. A

Incision of

6.33 11.84 5.50

0.71 18.88 12.54

090 metatarsal. 28308.............. .............. A

Incision of

5.29 6.22 3.89

0.74 12.25 9.92

090 metatarsal. 28309.............. .............. A

Incision of

12.78

N/A 8.33

1.64

N/A 22.75

090 metatarsals. 28310.............. .............. A

Revision of big toe. 5.43 6.45 4.19

0.76 12.64 10.38

090 28312.............. .............. A

Revision of toe..... 4.55 6.18 4.40

0.62 11.35 9.57

090 28313.............. .............. A

Repair deformity of

5.01 6.65 5.91

0.68 12.34 11.60

090 toe. 28315.............. .............. A

Removal of sesamoid

4.86 6.03 3.89

0.66 11.55 9.41

090 bone. 28320.............. .............. A

Repair of foot bones 9.18

N/A 6.97

1.27

N/A 17.42

090 28322.............. .............. A

Repair of

8.34 10.37 6.52

1.17 19.88 16.03

090 metatarsals. 28340.............. .............. A

Resect enlarged toe

6.98 7.25 4.59

0.98 15.21 12.55

090 tissue. 28341.............. .............. A

Resect enlarged toe. 8.41 7.43 5.13

1.18 17.02 14.72

090 28344.............. .............. A

Repair extra toe(s). 4.26 6.93 3.89

0.60 11.79 8.75

090 28345.............. .............. A

Repair webbed toe(s) 5.92 7.19 5.01

0.84 13.95 11.77

090 28360.............. .............. A

Reconstruct cleft

13.34

N/A 10.87

1.88

N/A 26.09

090 foot. 28400.............. .............. A

Treatment of heel

2.16 4.63 3.31

0.29

7.08 5.76

090 fracture. 28405.............. .............. A

Treatment of heel

4.57 5.77 4.82

0.63 10.97 10.02

090 fracture. 28406.............. .............. A

Treatment of heel

6.31

N/A 7.02

0.87

N/A 14.20

090 fracture. 28415.............. .............. A

Treat heel fracture. 15.97

N/A 13.49

2.24

N/A 31.70

090 28420.............. .............. A

Treat/graft heel

16.64

N/A 13.20

2.29

N/A 32.13

090 fracture. 28430.............. .............. A

Treatment of ankle

2.09 4.33 2.81

0.27

6.69 5.17

090 fracture.

[[Page 49106]]

28435.............. .............. A

Treatment of ankle

3.40 4.74 3.90

0.47

8.61 7.77

090 fracture. 28436.............. .............. A

Treatment of ankle

4.71

N/A 6.11

0.66

N/A 11.48

090 fracture. 28445.............. .............. A

Treat ankle fracture 15.62

N/A 11.42

1.29

N/A 28.33

090 28450.............. .............. A

Treat midfoot

1.90 4.31 2.72

0.25

6.46 4.87

090 fracture, each. 28455.............. .............. A

Treat midfoot

3.09 4.22 3.76

0.43

7.74 7.28

090 fracture, each. 28456.............. .............. A

Treat midfoot

2.68

N/A 4.37

0.36

N/A 7.41

090 fracture. 28465.............. .............. A

Treat midfoot

7.01

N/A 6.49

0.87

N/A 14.37

090 fracture, each. 28470.............. .............. A

Treat metatarsal

1.99 3.95 2.53

0.26

6.20 4.78

090 fracture. 28475.............. .............. A

Treat metatarsal

2.97 4.20 3.34

0.41

7.58 6.72

090 fracture. 28476.............. .............. A

Treat metatarsal

3.38

N/A 5.09

0.46

N/A 8.93

090 fracture. 28485.............. .............. A

Treat metatarsal

5.71

N/A 5.72

0.80

N/A 12.23

090 fracture. 28490.............. .............. A

Treat big toe

1.09 2.33 1.83

0.13

3.55 3.05

090 fracture. 28495.............. .............. A

Treat big toe

1.58 2.60 2.18

0.19

4.37 3.95

090 fracture. 28496.............. .............. A

Treat big toe

2.33 9.95 3.78

0.32 12.60 6.43

090 fracture. 28505.............. .............. A

Treat big toe

3.81 9.95 4.86

0.50 14.26 9.17

090 fracture. 28510.............. .............. A

Treatment of toe

1.09 2.08 1.78

0.13

3.30 3.00

090 fracture. 28515.............. .............. A

Treatment of toe

1.46 2.44 2.10

0.17

4.07 3.73

090 fracture. 28525.............. .............. A

Treat toe fracture.. 3.32 9.54 4.41

0.44 13.30 8.17

090 28530.............. .............. A

Treat sesamoid bone

1.06 2.26 1.69

0.13

3.45 2.88

090 fracture. 28531.............. .............. A

Treat sesamoid bone

2.35 9.22 2.63

0.33 11.90 5.31

090 fracture. 28540.............. .............. A

Treat foot

2.04 3.03 2.88

0.24

5.31 5.16

090 dislocation. 28545.............. .............. A

Treat foot

2.45 2.99 2.99

0.33

5.77 5.77

090 dislocation. 28546.............. .............. A

Treat foot

3.20 8.11 4.92

0.46 11.77 8.58

090 dislocation. 28555.............. .............. A

Repair foot

6.30 11.76 6.66

0.88 18.94 13.84

090 dislocation. 28570.............. .............. A

Treat foot

1.66 3.12 2.60

0.22

5.00 4.48

090 dislocation. 28575.............. .............. A

Treat foot

3.31 4.54 4.21

0.45

8.30 7.97

090 dislocation. 28576.............. .............. A

Treat foot

4.17 10.43 5.60

0.56 15.16 10.33

090 dislocation. 28585.............. .............. A

Repair foot

7.99 8.30 6.66

1.13 17.42 15.78

090 dislocation. 28600.............. .............. A

Treat foot

1.89 3.49 2.90

0.24

5.62 5.03

090 dislocation. 28605.............. .............. A

Treat foot

2.71 3.88 3.77

0.35

6.94 6.83

090 dislocation. 28606.............. .............. A

Treat foot

4.90 16.30 6.12

0.68 21.88 11.70

090 dislocation. 28615.............. .............. A

Repair foot

7.77

N/A 8.13

1.09

N/A 16.99

090 dislocation. 28630.............. .............. A

Treat toe

1.70 1.41 1.18

0.17

3.28 3.05

010 dislocation. 28635.............. .............. A

Treat toe

1.91 1.77 1.61

0.24

3.92 3.76

010 dislocation. 28636.............. .............. A

Treat toe

2.77 6.41 3.16

0.39

9.57 6.32

010 dislocation. 28645.............. .............. A

Repair toe

4.22 5.78 3.58

0.58 10.58 8.38

090 dislocation. 28660.............. .............. A

Treat toe

1.23 1.79 1.23

0.11

3.13 2.57

010 dislocation. 28665.............. .............. A

Treat toe

1.92 1.76 1.73

0.24

3.92 3.89

010 dislocation. 28666.............. .............. A

Treat toe

2.66 6.13 2.28

0.38

9.17 5.32

010 dislocation. 28675.............. .............. A

Repair of toe

2.92 8.97 3.84

0.41 12.30 7.17

090 dislocation. 28705.............. .............. A

Fusion of foot bones 18.80

N/A 12.85

2.13

N/A 33.78

090 28715.............. .............. A

Fusion of foot bones 13.10

N/A 10.11

1.84

N/A 25.05

090 28725.............. .............. A

Fusion of foot bones 11.61

N/A 8.63

1.63

N/A 21.87

090 28730.............. .............. A

Fusion of foot bones 10.76

N/A 8.72

1.51

N/A 20.99

090 28735.............. .............. A

Fusion of foot bones 10.85

N/A 8.18

1.51

N/A 20.54

090 28737.............. .............. A

Revision of foot

9.64

N/A 7.13

1.36

N/A 18.13

090 bones. 28740.............. .............. A

Fusion of foot bones 8.02 11.91 6.72

1.13 21.06 15.87

090 28750.............. .............. A

Fusion of big toe

7.30 13.32 6.90

1.03 21.65 15.23

090 joint. 28755.............. .............. A

Fusion of big toe

4.74 7.04 4.11

0.66 12.44 9.51

090 joint. 28760.............. .............. A

Fusion of big toe

7.75 8.25 5.78

1.07 17.07 14.60

090 joint. 28800.............. .............. A

Amputation of

8.21

N/A 6.17

0.98

N/A 15.36

090 midfoot. 28805.............. .............. A

Amputation thru

8.39

N/A 6.01

0.97

N/A 15.37

090 metatarsal. 28810.............. .............. A

Amputation toe &

6.21

N/A 4.90

0.70

N/A 11.81

090 metatarsal. 28820.............. .............. A

Amputation of toe... 4.41 8.64 4.18

0.51 13.56 9.10

090 28825.............. .............. A

Partial amputation

3.59 8.09 3.88

0.43 12.11 7.90

090 of toe. 28899.............. .............. C

Foot/toes surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure.

[[Page 49107]]

29000.............. .............. A

Application of body

2.25 3.18 1.75

0.30

5.73 4.30

000 cast. 29010.............. .............. A

Application of body

2.06 3.36 1.75

0.27

5.69 4.08

000 cast. 29015.............. .............. A

Application of body

2.41 3.06 1.61

0.21

5.68 4.23

000 cast. 29020.............. .............. A

Application of body

2.11 3.33 1.43

0.16

5.60 3.70

000 cast. 29025.............. .............. A

Application of body

2.40 3.31 1.87

0.26

5.97 4.53

000 cast. 29035.............. .............. A

Application of body

1.77 3.52 1.57

0.24

5.53 3.58

000 cast. 29040.............. .............. A

Application of body

2.22 2.63 1.53

0.35

5.20 4.10

000 cast. 29044.............. .............. A

Application of body

2.12 3.87 1.88

0.29

6.28 4.29

000 cast. 29046.............. .............. A

Application of body

2.41 3.34 2.06

0.34

6.09 4.81

000 cast. 29049.............. .............. A

Application of

0.89 1.27 0.55

0.12

2.28 1.56

000 figure eight. 29055.............. .............. A

Application of

1.78 2.87 1.46

0.24

4.89 3.48

000 shoulder cast. 29058.............. .............. A

Application of

1.31 1.53 0.74

0.14

2.98 2.19

000 shoulder cast. 29065.............. .............. A

Application of long

0.87 1.29 0.75

0.12

2.28 1.74

000 arm cast. 29075.............. .............. A

Application of

0.77 1.23 0.68

0.11

2.11 1.56

000 forearm cast. 29085.............. .............. A

Apply hand/wrist

0.87 1.26 0.64

0.11

2.24 1.62

000 cast. 29086.............. .............. A

Apply finger cast... 0.62 0.95 0.52

0.06

1.63 1.20

000 29105.............. .............. A

Apply long arm

0.87 1.21 0.53

0.11

2.19 1.51

000 splint. 29125.............. .............. A

Apply forearm splint 0.59 1.01 0.41

0.06

1.66 1.06

000 29126.............. .............. A

Apply forearm splint 0.77 1.22 0.48

0.06

2.05 1.31

000 29130.............. .............. A

Application of

0.50 0.47 0.17

0.05

1.02 0.72

000 finger splint. 29131.............. .............. A

Application of

0.55 0.75 0.25

0.03

1.33 0.83

000 finger splint. 29200.............. .............. A

Strapping of chest.. 0.65 0.75 0.36

0.04

1.44 1.05

000 29220.............. .............. A

Strapping of low

0.64 0.73 0.40

0.07

1.44 1.11

000 back. 29240.............. .............. A

Strapping of

0.71 0.88 0.38

0.05

1.64 1.14

000 shoulder. 29260.............. .............. A

Strapping of elbow

0.55 0.76 0.34

0.04

1.35 0.93

000 or wrist. 29280.............. .............. A

Strapping of hand or 0.51 0.83 0.34

0.04

1.38 0.89

000 finger. 29305.............. .............. A

Application of hip

2.03 3.24 1.74

0.29

5.56 4.06

000 cast. 29325.............. .............. A

Application of hip

2.32 3.43 1.93

0.31

6.06 4.56

000 casts. 29345.............. .............. A

Application of long

1.40 1.72 1.06

0.19

3.31 2.65

000 leg cast. 29355.............. .............. A

Application of long

1.53 1.68 1.12

0.20

3.41 2.85

000 leg cast. 29358.............. .............. A

Apply long leg cast

1.43 2.00 1.09

0.19

3.62 2.71

000 brace. 29365.............. .............. A

Application of long

1.18 1.61 0.94

0.17

2.96 2.29

000 leg cast. 29405.............. .............. A

Apply short leg cast 0.86 1.20 0.71

0.12

2.18 1.69

000 29425.............. .............. A

Apply short leg cast 1.01 1.21 0.74

0.14

2.36 1.89

000 29435.............. .............. A

Apply short leg cast 1.18 1.52 0.92

0.17

2.87 2.27

000 29440.............. .............. A

Addition of walker

0.57 0.68 0.28

0.07

1.32 0.92

000 to cast. 29445.............. .............. A

Apply rigid leg cast 1.78 1.78 0.98

0.24

3.80 3.00

000 29450.............. .............. A

Application of leg

2.08 1.48 1.11

0.13

3.69 3.32

000 cast. 29505.............. .............. A

Application, long

0.69 1.18 0.48

0.06

1.93 1.23

000 leg splint. 29515.............. .............. A

Application lower

0.73 0.87 0.49

0.07

1.67 1.29

000 leg splint. 29520.............. .............. A

Strapping of hip.... 0.54 0.90 0.47

0.02

1.46 1.03

000 29530.............. .............. A

Strapping of knee... 0.57 0.81 0.35

0.04

1.42 0.96

000 29540.............. .............. A

Strapping of ankle

0.51 0.42 0.32

0.04

0.97 0.87

000 and/or ft. 29550.............. .............. A

Strapping of toes... 0.47 0.42 0.28

0.05

0.94 0.80

000 29580.............. .............. A

Application of paste 0.57 0.66 0.36

0.05

1.28 0.98

000 boot. 29590.............. .............. A

Application of foot

0.76 0.52 0.30

0.06

1.34 1.12

000 splint. 29700.............. .............. A

Removal/revision of

0.57 0.88 0.29

0.07

1.52 0.93

000 cast. 29705.............. .............. A

Removal/revision of

0.76 0.81 0.39

0.10

1.67 1.25

000 cast. 29710.............. .............. A

Removal/revision of

1.34 1.51 0.71

0.17

3.02 2.22

000 cast. 29715.............. .............. A

Removal/revision of

0.94 1.15 0.41

0.08

2.17 1.43

000 cast. 29720.............. .............. A

Repair of body cast. 0.68 1.12 0.39

0.10

1.90 1.17

000 29730.............. .............. A

Windowing of cast... 0.75 0.80 0.36

0.10

1.65 1.21

000 29740.............. .............. A

Wedging of cast..... 1.12 1.13 0.50

0.15

2.40 1.77

000 29750.............. .............. A

Wedging of clubfoot

1.26 1.06 0.59

0.16

2.48 2.01

000 cast. 29799.............. .............. C

Casting/strapping

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 29800.............. .............. A

Jaw arthroscopy/

6.43

N/A 7.28

0.84

N/A 14.55

090 surgery. 29804.............. .............. A

Jaw arthroscopy/

8.14

N/A 8.75

0.66

N/A 17.55

090 surgery. 29805.............. .............. A

Shoulder

5.89

N/A 5.82

0.84

N/A 12.55

090 arthroscopy, dx.

[[Page 49108]]

29806.............. .............. A

Shoulder arthroscopy/ 14.37

N/A 11.30

2.00

N/A 27.67

090 surgery. 29807.............. .............. A

Shoulder arthroscopy/ 13.90

N/A 11.12

1.94

N/A 26.96

090 surgery. 29819.............. .............. A

Shoulder arthroscopy/ 7.62

N/A 6.73

1.07

N/A 15.42

090 surgery. 29820.............. .............. A

Shoulder arthroscopy/ 7.07

N/A 6.23

0.99

N/A 14.29

090 surgery. 29821.............. .............. A

Shoulder arthroscopy/ 7.72

N/A 6.75

1.08

N/A 15.55

090 surgery. 29822.............. .............. A

Shoulder arthroscopy/ 7.43

N/A 6.63

1.04

N/A 15.10

090 surgery. 29823.............. .............. A

Shoulder arthroscopy/ 8.17

N/A 7.22

1.15

N/A 16.54

090 surgery. 29824.............. .............. A

Shoulder arthroscopy/ 8.25

N/A 7.47

1.15

N/A 16.87

090 surgery. 29825.............. .............. A

Shoulder arthroscopy/ 7.62

N/A 6.71

1.06

N/A 15.39

090 surgery. 29826.............. .............. A

Shoulder arthroscopy/ 8.99

N/A 7.50

1.26

N/A 17.75

090 surgery. 29827.............. .............. A

Arthroscop rotator

15.36

N/A 11.53

1.86

N/A 28.75

090 cuff repr. 29830.............. .............. A

Elbow arthroscopy... 5.76

N/A 5.30

0.79

N/A 11.85

090 29834.............. .............. A

Elbow arthroscopy/

6.28

N/A 5.83

0.86

N/A 12.97

090 surgery. 29835.............. .............. A

Elbow arthroscopy/

6.48

N/A 5.88

0.88

N/A 13.24

090 surgery. 29836.............. .............. A

Elbow arthroscopy/

7.55

N/A 6.73

1.06

N/A 15.34

090 surgery. 29837.............. .............. A

Elbow arthroscopy/

6.87

N/A 6.13

0.96

N/A 13.96

090 surgery. 29838.............. .............. A

Elbow arthroscopy/

7.71

N/A 6.84

1.07

N/A 15.62

090 surgery. 29840.............. .............. A

Wrist arthroscopy... 5.54

N/A 5.34

0.69

N/A 11.57

090 29843.............. .............. A

Wrist arthroscopy/

6.01

N/A 5.64

0.82

N/A 12.47

090 surgery. 29844.............. .............. A

Wrist arthroscopy/

6.37

N/A 5.82

0.86

N/A 13.05

090 surgery. 29845.............. .............. A

Wrist arthroscopy/

7.52

N/A 6.46

0.84

N/A 14.82

090 surgery. 29846.............. .............. A

Wrist arthroscopy/

6.75

N/A 6.06

0.89

N/A 13.70

090 surgery. 29847.............. .............. A

Wrist arthroscopy/

7.08

N/A 6.21

0.91

N/A 14.20

090 surgery. 29848.............. .............. A

Wrist endoscopy/

5.44

N/A 5.59

0.72

N/A 11.75

090 surgery. 29850.............. .............. A

Knee arthroscopy/

8.19

N/A 5.13

0.74

N/A 14.06

090 surgery. 29851.............. .............. A

Knee arthroscopy/

13.10

N/A 9.85

1.81

N/A 24.76

090 surgery. 29855.............. .............. A

Tibial arthroscopy/ 10.62

N/A 8.77

1.50

N/A 20.89

090 surgery. 29856.............. .............. A

Tibial arthroscopy/ 14.14

N/A 10.71

2.00

N/A 26.85

090 surgery. 29860.............. .............. A

Hip arthroscopy, dx. 8.05

N/A 6.95

1.14

N/A 16.14

090 29861.............. .............. A

Hip arthroscopy/

9.15

N/A 7.36

1.29

N/A 17.80

090 surgery. 29862.............. .............. A

Hip arthroscopy/

9.90

N/A 8.55

1.39

N/A 19.84

090 surgery. 29863.............. .............. A

Hip arthroscopy/

9.90

N/A 8.49

1.40

N/A 19.79

090 surgery. 29870.............. .............. A

Knee arthroscopy, dx 5.07

N/A 4.84

0.67

N/A 10.58

090 29871.............. .............. A

Knee arthroscopy/

6.55

N/A 5.87

0.88

N/A 13.30

090 drainage. 29873.............. .............. A

Knee arthroscopy/

6.00

N/A 6.49

0.73

N/A 13.22

090 surgery. 29874.............. .............. A

Knee arthroscopy/

7.05

N/A 6.08

0.87

N/A 14.00

090 surgery. 29875.............. .............. A

Knee arthroscopy/

6.31

N/A 5.84

0.88

N/A 13.03

090 surgery. 29876.............. .............. A

Knee arthroscopy/

7.92

N/A 7.01

1.11

N/A 16.04

090 surgery. 29877.............. .............. A

Knee arthroscopy/

7.35

N/A 6.72

1.03

N/A 15.10

090 surgery. 29879.............. .............. A

Knee arthroscopy/

8.04

N/A 7.10

1.13

N/A 16.27

090 surgery. 29880.............. .............. A

Knee arthroscopy/

8.50

N/A 7.35

1.19

N/A 17.04

090 surgery. 29881.............. .............. A

Knee arthroscopy/

7.76

N/A 6.94

1.09

N/A 15.79

090 surgery. 29882.............. .............. A

Knee arthroscopy/

8.65

N/A 7.24

1.09

N/A 16.98

090 surgery. 29883.............. .............. A

Knee arthroscopy/

11.05

N/A 9.07

1.33

N/A 21.45

090 surgery. 29884.............. .............. A

Knee arthroscopy/

7.33

N/A 6.68

1.03

N/A 15.04

090 surgery. 29885.............. .............. A

Knee arthroscopy/

9.09

N/A 7.90

1.27

N/A 18.26

090 surgery. 29886.............. .............. A

Knee arthroscopy/

7.54

N/A 6.82

1.06

N/A 15.42

090 surgery. 29887.............. .............. A

Knee arthroscopy/

9.04

N/A 7.87

1.27

N/A 18.18

090 surgery. 29888.............. .............. A

Knee arthroscopy/

13.90

N/A 10.27

1.95

N/A 26.12

090 surgery. 29889.............. .............. A

Knee arthroscopy/

16.00

N/A 12.45

2.11

N/A 30.56

090 surgery. 29891.............. .............. A

Ankle arthroscopy/

8.40

N/A 7.48

1.17

N/A 17.05

090 surgery. 29892.............. .............. A

Ankle arthroscopy/

9.00

N/A 7.73

1.26

N/A 17.99

090 surgery. 29893.............. .............. A

Scope, plantar

5.22 6.44 4.02

0.74 12.40 9.98

090 fasciotomy. 29894.............. .............. A

Ankle arthroscopy/

7.21

N/A 5.49

1.01

N/A 13.71

090 surgery. 29895.............. .............. A

Ankle arthroscopy/

6.99

N/A 5.49

0.97

N/A 13.45

090 surgery.

[[Page 49109]]

29897.............. .............. A

Ankle arthroscopy/

7.18

N/A 5.90

1.01

N/A 14.09

090 surgery. 29898.............. .............. A

Ankle arthroscopy/

8.32

N/A 6.19

1.14

N/A 15.65

090 surgery. 29899.............. .............. A

Ankle arthroscopy/

13.91

N/A 10.02

1.95

N/A 25.88

090 surgery. 29900.............. .............. A

Mcp joint

5.42

N/A 5.95

0.75

N/A 12.12

090 arthroscopy, dx. 29901.............. .............. A

Mcp joint

6.13

N/A 6.34

0.85

N/A 13.32

090 arthroscopy, surg. 29902.............. .............. A

Mcp joint

6.70

N/A 6.63

0.93

N/A 14.26

090 arthroscopy, surg. 29999.............. .............. C

Arthroscopy of joint 0.00 0.00 0.00

0.00

0.00 0.00

YYY 30000.............. .............. A

Drainage of nose

1.43 4.27 1.45

0.10

5.80 2.98

010 lesion. 30020.............. .............. A

Drainage of nose

1.43 3.43 1.53

0.08

4.94 3.04

010 lesion. 30100.............. .............. A

Intranasal biopsy... 0.94 2.16 0.83

0.06

3.16 1.83

000 30110.............. .............. A

Removal of nose

1.63 3.48 1.63

0.12

5.23 3.38

010 polyp(s). 30115.............. .............. A

Removal of nose

4.35

N/A 4.19

0.31

N/A 8.85

090 polyp(s). 30117.............. .............. A

Removal of

3.16 4.79 3.40

0.22

8.17 6.78

090 intranasal lesion. 30118.............. .............. A

Removal of

9.69

N/A 7.53

0.66

N/A 17.88

090 intranasal lesion. 30120.............. .............. A

Revision of nose.... 5.27 5.71 5.63

0.41 11.39 11.31

090 30124.............. .............. A

Removal of nose

3.10

N/A 3.12

0.20

N/A 6.42

090 lesion. 30125.............. .............. A

Removal of nose

7.16

N/A 6.10

0.54

N/A 13.80

090 lesion. 30130.............. .............. A

Removal of turbinate 3.38

N/A 3.67

0.22

N/A 7.27

090 bones. 30140.............. .............. A

Removal of turbinate 3.43

N/A 4.16

0.24

N/A 7.83

090 bones. 30150.............. .............. A

Partial removal of

9.14

N/A 7.88

0.76

N/A 17.78

090 nose. 30160.............. .............. A

Removal of nose..... 9.58

N/A 7.89

0.78

N/A 18.25

090 30200.............. .............. A

Injection treatment

0.78 1.79 0.79

0.06

2.63 1.63

000 of nose. 30210.............. .............. A

Nasal sinus therapy. 1.08 2.22 1.36

0.08

3.38 2.52

010 30220.............. .............. A

Insert nasal septal

1.54 4.67 1.59

0.11

6.32 3.24

010 button. 30300.............. .............. A

Remove nasal foreign 1.04 4.27 1.91

0.07

5.38 3.02

010 body. 30310.............. .............. A

Remove nasal foreign 1.96

N/A 2.93

0.14

N/A 5.03

010 body. 30320.............. .............. A

Remove nasal foreign 4.52

N/A 4.65

0.36

N/A 9.53

090 body. 30400.............. .............. R

Reconstruction of

9.83

N/A 9.35

0.80

N/A 19.98

090 nose. 30410.............. .............. R

Reconstruction of

12.98

N/A 11.13

1.08

N/A 25.19

090 nose. 30420.............. .............. R

Reconstruction of

15.88

N/A 12.70

1.24

N/A 29.82

090 nose. 30430.............. .............. R

Revision of nose.... 7.21

N/A 8.16

0.62

N/A 15.99

090 30435.............. .............. R

Revision of nose.... 11.71

N/A 10.78

1.10

N/A 23.59

090 30450.............. .............. R

Revision of nose.... 18.65

N/A 14.35

1.53

N/A 34.53

090 30460.............. .............. A

Revision of nose.... 9.96

N/A 8.07

0.85

N/A 18.88

090 30462.............. .............. A

Revision of nose.... 19.57

N/A 14.00

1.92

N/A 35.49

090 30465.............. .............. A

Repair nasal

11.64

N/A 7.88

0.97

N/A 20.49

090 stenosis. 30520.............. .............. A

Repair of nasal

5.70

N/A 5.37

0.41

N/A 11.48

090 septum. 30540.............. .............. A

Repair nasal defect. 7.75

N/A 5.81

0.53

N/A 14.09

090 30545.............. .............. A

Repair nasal defect. 11.38

N/A 8.93

0.80

N/A 21.11

090 30560.............. .............. A

Release of nasal

1.26 4.38 1.99

0.09

5.73 3.34

010 adhesions. 30580.............. .............. A

Repair upper jaw

6.69 7.43 6.34

0.50 14.62 13.53

090 fistula. 30600.............. .............. A

Repair mouth/nose

6.02 6.51 5.69

0.70 13.23 12.41

090 fistula. 30620.............. .............. A

Intranasal

5.97

N/A 6.01

0.45

N/A 12.43

090 reconstruction. 30630.............. .............. A

Repair nasal septum

7.12

N/A 6.43

0.51

N/A 14.06

090 defect. 30801.............. .............. A

Cauterization, inner 1.09 2.29 2.17

0.08

3.46 3.34

010 nose. 30802.............. .............. A

Cauterization, inner 2.03 2.85 2.70

0.15

5.03 4.88

010 nose. 30901.............. .............. A

Control of nosebleed 1.21 1.41 0.33

0.09

2.71 1.63

000 30903.............. .............. A

Control of nosebleed 1.54 2.92 0.51

0.12

4.58 2.17

000 30905.............. .............. A

Control of nosebleed 1.97 3.73 0.78

0.15

5.85 2.90

000 30906.............. .............. A

Repeat control of

2.45 4.12 1.23

0.17

6.74 3.85

000 nosebleed. 30915.............. .............. A

Ligation, nasal

7.20

N/A 6.07

0.50

N/A 13.77

090 sinus artery. 30920.............. .............. A

Ligation, upper jaw

9.83

N/A 7.76

0.69

N/A 18.28

090 artery. 30930.............. .............. A

Therapy, fracture of 1.26

N/A 1.69

0.09

N/A 3.04

010 nose. 30999.............. .............. C

Nasal surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure.

[[Page 49110]]

31000.............. .............. A

Irrigation,

1.15 2.99 1.46

0.08

4.22 2.69

010 maxillary sinus. 31002.............. .............. A

Irrigation, sphenoid 1.91

N/A 3.10

0.14

N/A 5.15

010 sinus. 31020.............. .............. A

Exploration,

2.94 4.31 3.66

0.20

7.45 6.80

090 maxillary sinus. 31030.............. .............. A

Exploration,

5.92 5.82 4.95

0.42 12.16 11.29

090 maxillary sinus. 31032.............. .............. A

Explore sinus,

6.57

N/A 5.82

0.47

N/A 12.86

090 remove polyps. 31040.............. .............. A

Exploration behind

9.42

N/A 6.44

0.71

N/A 16.57

090 upper jaw. 31050.............. .............. A

Exploration,

5.28

N/A 4.68

0.39

N/A 10.35

090 sphenoid sinus. 31051.............. .............. A

Sphenoid sinus

7.11

N/A 6.08

0.55

N/A 13.74

090 surgery. 31070.............. .............. A

Exploration of

4.28

N/A 4.40

0.30

N/A 8.98

090 frontal sinus. 31075.............. .............. A

Exploration of

9.16

N/A 7.48

0.64

N/A 17.28

090 frontal sinus. 31080.............. .............. A

Removal of frontal

11.42

N/A 8.68

0.78

N/A 20.88

090 sinus. 31081.............. .............. A

Removal of frontal

12.75

N/A 9.70

1.84

N/A 24.29

090 sinus. 31084.............. .............. A

Removal of frontal

13.51

N/A 10.36

0.96

N/A 24.83

090 sinus. 31085.............. .............. A

Removal of frontal

14.20

N/A 10.72

1.18

N/A 26.10

090 sinus. 31086.............. .............. A

Removal of frontal

12.86

N/A 10.18

0.90

N/A 23.94

090 sinus. 31087.............. .............. A

Removal of frontal

13.10

N/A 10.10

1.15

N/A 24.35

090 sinus. 31090.............. .............. A

Exploration of

9.53

N/A 8.91

0.66

N/A 19.10

090 sinuses. 31200.............. .............. A

Removal of ethmoid

4.97

N/A 5.15

0.25

N/A 10.37

090 sinus. 31201.............. .............. A

Removal of ethmoid

8.37

N/A 7.09

0.58

N/A 16.04

090 sinus. 31205.............. .............. A

Removal of ethmoid

10.24

N/A 7.83

0.58

N/A 18.65

090 sinus. 31225.............. .............. A

Removal of upper jaw 19.23

N/A 14.19

1.38

N/A 34.80

090 31230.............. .............. A

Removal of upper jaw 21.94

N/A 15.60

1.57

N/A 39.11

090 31231.............. .............. A

Nasal endoscopy, dx. 1.10 2.92 0.93

0.08

4.10 2.11

000 31233.............. .............. A

Nasal/sinus

2.18 3.67 1.54

0.16

6.01 3.88

000 endoscopy, dx. 31235.............. .............. A

Nasal/sinus

2.64 4.13 1.79

0.18

6.95 4.61

000 endoscopy, dx. 31237.............. .............. A

Nasal/sinus

2.98 4.41 1.95

0.21

7.60 5.14

000 endoscopy, surg. 31238.............. .............. A

Nasal/sinus

3.26 4.42 2.16

0.23

7.91 5.65

000 endoscopy, surg. 31239.............. .............. A

Nasal/sinus

8.70

N/A 7.86

0.46

N/A 17.02

010 endoscopy, surg. 31240.............. .............. A

Nasal/sinus

2.61

N/A 1.79

0.18

N/A 4.58

000 endoscopy, surg. 31254.............. .............. A

Revision of ethmoid

4.65

N/A 2.94

0.32

N/A 7.91

000 sinus. 31255.............. .............. A

Removal of ethmoid

6.96

N/A 4.24

0.49

N/A 11.69

000 sinus. 31256.............. .............. A

Exploration

3.29

N/A 2.19

0.23

N/A 5.71

000 maxillary sinus. 31267.............. .............. A

Endoscopy, maxillary 5.46

N/A 3.40

0.38

N/A 9.24

000 sinus. 31276.............. .............. A

Sinus endoscopy,

8.85

N/A 5.27

0.62

N/A 14.74

000 surgical. 31287.............. .............. A

Nasal/sinus

3.92

N/A 2.54

0.27

N/A 6.73

000 endoscopy, surg. 31288.............. .............. A

Nasal/sinus

4.58

N/A 2.91

0.32

N/A 7.81

000 endoscopy, surg. 31290.............. .............. A

Nasal/sinus

17.24

N/A 11.74

1.20

N/A 30.18

010 endoscopy, surg. 31291.............. .............. A

Nasal/sinus

18.19

N/A 12.23

1.73

N/A 32.15

010 endoscopy, surg. 31292.............. .............. A

Nasal/sinus

14.76

N/A 10.33

0.99

N/A 26.08

010 endoscopy, surg. 31293.............. .............. A

Nasal/sinus

16.21

N/A 11.16

0.97

N/A 28.34

010 endoscopy, surg. 31294.............. .............. A

Nasal/sinus

19.06

N/A 12.69

1.04

N/A 32.79

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

14.29

N/A 12.71

0.99

N/A 27.99

090 lesion. 31320.............. .............. A

Diagnostic incision, 5.26

N/A 7.77

0.40

N/A 13.43

090 larynx. 31360.............. .............. A

Removal of larynx... 17.08

N/A 14.71

1.20

N/A 32.99

090 31365.............. .............. A

Removal of larynx... 24.16

N/A 18.45

1.72

N/A 44.33

090 31367.............. .............. A

Partial removal of

21.86

N/A 18.32

1.57

N/A 41.75

090 larynx. 31368.............. .............. A

Partial removal of

27.09

N/A 22.10

1.90

N/A 51.09

090 larynx. 31370.............. .............. A

Partial removal of

21.38

N/A 17.91

1.51

N/A 40.80

090 larynx.

[[Page 49111]]

31375.............. .............. A

Partial removal of

20.21

N/A 16.14

1.43

N/A 37.78

090 larynx. 31380.............. .............. A

Partial removal of

20.21

N/A 16.08

1.40

N/A 37.69

090 larynx. 31382.............. .............. A

Partial removal of

20.52

N/A 17.46

1.44

N/A 39.42

090 larynx. 31390.............. .............. A

Removal of larynx & 27.53

N/A 22.31

1.95

N/A 51.79

090 pharynx. 31395.............. .............. A

Reconstruct larynx & 31.09

N/A 26.49

2.27

N/A 59.85

090 pharynx. 31400.............. .............. A

Revision of larynx.. 10.31

N/A 10.68

0.72

N/A 21.71

090 31420.............. .............. A

Removal of

10.22

N/A 10.51

0.71

N/A 21.44

090 epiglottis. 31500.............. .............. A

Insert emergency

2.33

N/A 0.67

0.15

N/A 3.15

000 airway. 31502.............. .............. A

Change of windpipe

0.65 1.52 0.26

0.04

2.21 0.95

000 airway. 31505.............. .............. A

Diagnostic

0.61 1.52 0.64

0.04

2.17 1.29

000 laryngoscopy. 31510.............. .............. A

Laryngoscopy with

1.92 3.36 1.31

0.15

5.43 3.38

000 biopsy. 31511.............. .............. A

Remove foreign body, 2.16 3.19 1.13

0.16

5.51 3.45

000 larynx. 31512.............. .............. A

Removal of larynx

2.07 3.26 1.42

0.16

5.49 3.65

000 lesion. 31513.............. .............. A

Injection into vocal 2.10

N/A 1.52

0.15

N/A 3.77

000 cord. 31515.............. .............. A

Laryngoscopy for

1.80 3.41 1.11

0.12

5.33 3.03

000 aspiration. 31520.............. .............. A

Diagnostic

2.56

N/A 1.63

0.17

N/A 4.36

000 laryngoscopy. 31525.............. .............. A

Diagnostic

2.63 3.61 1.72

0.18

6.42 4.53

000 laryngoscopy. 31526.............. .............. A

Diagnostic

2.57

N/A 1.78

0.18

N/A 4.53

000 laryngoscopy. 31527.............. .............. A

Laryngoscopy for

3.27

N/A 1.94

0.21

N/A 5.42

000 treatment. 31528.............. .............. A

Laryngoscopy and

2.37

N/A 1.47

0.16

N/A 4.00

000 dilation. 31529.............. .............. A

Laryngoscopy and

2.68

N/A 1.75

0.18

N/A 4.61

000 dilation. 31530.............. .............. A

Operative

3.39

N/A 2.01

0.24

N/A 5.64

000 laryngoscopy. 31531.............. .............. A

Operative

3.59

N/A 2.36

0.25

N/A 6.20

000 laryngoscopy. 31535.............. .............. A

Operative

3.16

N/A 2.06

0.22

N/A 5.44

000 laryngoscopy. 31536.............. .............. A

Operative

3.56

N/A 2.33

0.25

N/A 6.14

000 laryngoscopy. 31540.............. .............. A

Operative

4.13

N/A 2.63

0.29

N/A 7.05

000 laryngoscopy. 31541.............. .............. A

Operative

4.53

N/A 2.87

0.32

N/A 7.72

000 laryngoscopy. 31560.............. .............. A

Operative

5.46

N/A 3.22

0.38

N/A 9.06

000 laryngoscopy. 31561.............. .............. A

Operative

6.00

N/A 3.44

0.42

N/A 9.86

000 laryngoscopy. 31570.............. .............. A

Laryngoscopy with

3.87 5.44 2.47

0.24

9.55 6.58

000 injection. 31571.............. .............. A

Laryngoscopy with

4.27

N/A 2.69

0.30

N/A 7.26

000 injection. 31575.............. .............. A

Diagnostic

1.10 1.95 0.92

0.08

3.13 2.10

000 laryngoscopy. 31576.............. .............. A

Laryngoscopy with

1.97 3.52 1.34

0.13

5.62 3.44

000 biopsy. 31577.............. .............. A

Remove foreign body, 2.47 3.65 1.60

0.17

6.29 4.24

000 larynx. 31578.............. .............. A

Removal of larynx

2.84 4.15 1.59

0.20

7.19 4.63

000 lesion. 31579.............. .............. A

Diagnostic

2.26 3.30 1.55

0.16

5.72 3.97

000 laryngoscopy. 31580.............. .............. A

Revision of larynx.. 12.38

N/A 11.78

0.87

N/A 25.03

090 31582.............. .............. A

Revision of larynx.. 21.62

N/A 18.17

1.52

N/A 41.31

090 31584.............. .............. A

Treat larynx

19.64

N/A 15.25

1.42

N/A 36.31

090 fracture. 31585.............. .............. A

Treat larynx

4.64

N/A 6.01

0.30

N/A 10.95

090 fracture. 31586.............. .............. A

Treat larynx

8.03

N/A 8.90

0.56

N/A 17.49

090 fracture. 31587.............. .............. A

Revision of larynx.. 11.99

N/A 10.61

0.88

N/A 23.48

090 31588.............. .............. A

Revision of larynx.. 13.11

N/A 13.80

0.92

N/A 27.83

090 31590.............. .............. A

Reinnervate larynx.. 6.97

N/A 9.29

0.50

N/A 16.76

090 31595.............. .............. A

Larynx nerve surgery 8.34

N/A 8.09

0.62

N/A 17.05

090 31599.............. .............. C

Larynx surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 31600.............. .............. A

Incision of windpipe 7.18

N/A 3.24

0.34

N/A 10.76

000 31601.............. .............. A

Incision of windpipe 4.45

N/A 2.44

0.39

N/A 7.28

000 31603.............. .............. A

Incision of windpipe 4.15

N/A 1.75

0.35

N/A 6.25

000 31605.............. .............. A

Incision of windpipe 3.58

N/A 1.21

0.33

N/A 5.12

000 31610.............. .............. A

Incision of windpipe 8.76

N/A 7.72

0.69

N/A 17.17

090 31611.............. .............. A

Surgery/speech

5.64

N/A 6.31

0.40

N/A 12.35

090 prosthesis. 31612.............. .............. A

Puncture/clear

0.91 1.16 0.36

0.06

2.13 1.33

000 windpipe. 31613.............. .............. A

Repair windpipe

4.59

N/A 5.60

0.37

N/A 10.56

090 opening. 31614.............. .............. A

Repair windpipe

7.12

N/A 8.18

0.51

N/A 15.81

090 opening. 31615.............. .............. A

Visualization of

2.09 2.68 1.22

0.14

4.91 3.45

000 windpipe. 31622.............. .............. A

Dx bronchoscope/wash 2.78 4.30 0.90

0.14

7.22 3.82

000

[[Page 49112]]

31623.............. .............. A

Dx bronchoscope/

2.88 5.16 0.91

0.14

8.18 3.93

000 brush. 31624.............. .............. A

Dx bronchoscope/

2.88 4.37 0.91

0.13

7.38 3.92

000 lavage. 31625.............. .............. A

Bronchoscopy w/

3.37 9.22 1.06

0.16 12.75 4.59

000 biopsy(s). 31628.............. .............. A

Bronchoscopy/lung

3.81 3.05 1.40

0.14

7.00 5.35

000 bx, each. 31629.............. .............. A

Bronchoscopy/needle

3.37

N/A 1.28

0.13

N/A 4.78

000 bx, each. 31630.............. .............. A

Bronchoscopy dilate/ 3.82

N/A 2.00

0.30

N/A 6.12

000 fx repr. 31631.............. .............. A

Bronchoscopy, dilate 4.37

N/A 2.03

0.31

N/A 6.71

000 w/stent. 31635.............. .............. A

Bronchoscopy w/fb

3.68

N/A 1.69

0.21

N/A 5.58

000 removal. 31640.............. .............. A

Bronchoscopy w/tumor 4.94

N/A 2.35

0.37

N/A 7.66

000 excise. 31641.............. .............. A

Bronchoscopy, treat

5.03

N/A 2.14

0.30

N/A 7.47

000 blockage. 31643.............. .............. A

Diag bronchoscope/

3.50

N/A 1.33

0.15

N/A 4.98

000 catheter. 31645.............. .............. A

Bronchoscopy, clear

3.16

N/A 1.22

0.13

N/A 4.51

000 airways. 31646.............. .............. A

Bronchoscopy,

2.72

N/A 1.09

0.12

N/A 3.93

000 reclear airway. 31656.............. .............. A

Bronchoscopy, inj

2.17

N/A 0.93

0.10

N/A 3.20

000 for x-ray. 31700.............. .............. A

Insertion of airway

1.34 2.12 0.69

0.07

3.53 2.10

000 catheter. 31708.............. .............. A

Instill airway

1.41

N/A 0.59

0.06

N/A 2.06

000 contrast dye. 31710.............. .............. A

Insertion of airway

1.30

N/A 0.71

0.06

N/A 2.07

000 catheter. 31715.............. .............. A

Injection for

1.11

N/A 0.60

0.06

N/A 1.77

000 bronchus x-ray. 31717.............. .............. A

Bronchial brush

2.12 2.92 0.88

0.09

5.13 3.09

000 biopsy. 31720.............. .............. A

Clearance of airways 1.06 1.51 0.33

0.06

2.63 1.45

000 31725.............. .............. A

Clearance of airways 1.96 1.82 0.59

0.10

3.88 2.65

000 31730.............. .............. A

Intro, windpipe wire/ 2.85 2.27 1.10

0.15

5.27 4.10

000 tube. 31750.............. .............. A

Repair of windpipe.. 13.02

N/A 12.06

1.02

N/A 26.10

090 31755.............. .............. A

Repair of windpipe.. 15.93

N/A 14.74

1.15

N/A 31.82

090 31760.............. .............. A

Repair of windpipe.. 22.35

N/A 10.51

1.48

N/A 34.34

090 31766.............. .............. A

Reconstruction of

30.43

N/A 13.60

3.16

N/A 47.19

090 windpipe. 31770.............. .............. A

Repair/graft of

22.51

N/A 10.16

2.27

N/A 34.94

090 bronchus. 31775.............. .............. A

Reconstruct bronchus 23.54

N/A 11.78

2.91

N/A 38.23

090 31780.............. .............. A

Reconstruct windpipe 17.72

N/A 11.12

1.55

N/A 30.39

090 31781.............. .............. A

Reconstruct windpipe 23.53

N/A 12.15

2.04

N/A 37.72

090 31785.............. .............. A

Remove windpipe

17.23

N/A 10.46

1.36

N/A 29.05

090 lesion. 31786.............. .............. A

Remove windpipe

23.98

N/A 13.24

2.20

N/A 39.42

090 lesion. 31800.............. .............. A

Repair of windpipe

7.43

N/A 4.92

0.67

N/A 13.02

090 injury. 31805.............. .............. A

Repair of windpipe

13.13

N/A 7.17

1.45

N/A 21.75

090 injury. 31820.............. .............. A

Closure of windpipe

4.49 5.80 5.15

0.35 10.64 9.99

090 lesion. 31825.............. .............. A

Repair of windpipe

6.81 7.97 7.40

0.50 15.28 14.71

090 defect. 31830.............. .............. A

Revise windpipe scar 4.50 5.92 5.47

0.36 10.78 10.33

090 31899.............. .............. C

Airways surgical

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 32000.............. .............. A

Drainage of chest... 1.54 3.16 0.49

0.07

4.77 2.10

000 32002.............. .............. A

Treatment of

2.19 3.39 0.85

0.11

5.69 3.15

000 collapsed lung. 32005.............. .............. A

Treat lung lining

2.19 6.47 0.70

0.17

8.83 3.06

000 chemically. 32020.............. .............. A

Insertion of chest

3.98

N/A 1.46

0.36

N/A 5.80

000 tube. 32035.............. .............. A

Exploration of chest 8.67

N/A 5.72

1.02

N/A 15.41

090 32036.............. .............. A

Exploration of chest 9.68

N/A 6.24

1.20

N/A 17.12

090 32095.............. .............. A

Biopsy through chest 8.36

N/A 5.27

0.99

N/A 14.62

090 wall. 32100.............. .............. A

Exploration/biopsy

15.24

N/A 7.73

1.45

N/A 24.42

090 of chest. 32110.............. .............. A

Explore/repair chest 23.00

N/A 10.63

1.63

N/A 35.26

090 32120.............. .............. A

Re-exploration of

11.54

N/A 6.93

1.42

N/A 19.89

090 chest.

[[Page 49113]]

32124.............. .............. A

Explore chest free

12.72

N/A 7.10

1.51

N/A 21.33

090 adhesions. 32140.............. .............. A

Removal of lung

13.93

N/A 7.57

1.68

N/A 23.18

090 lesion(s). 32141.............. .............. A

Remove/treat lung

14.00

N/A 7.45

1.72

N/A 23.17

090 lesions. 32150.............. .............. A

Removal of lung

14.15

N/A 7.54

1.60

N/A 23.29

090 lesion(s). 32151.............. .............. A

Remove lung foreign 14.21

N/A 7.94

1.49

N/A 23.64

090 body. 32160.............. .............. A

Open chest heart

9.30

N/A 5.32

1.01

N/A 15.63

090 massage. 32200.............. .............. A

Drain, open, lung

15.29

N/A 8.50

1.46

N/A 25.25

090 lesion. 32201.............. .............. A

Drain, percut, lung

4.00

N/A 5.60

0.18

N/A 9.78

000 lesion. 32215.............. .............. A

Treat chest lining.. 11.33

N/A 6.84

1.34

N/A 19.51

090 32220.............. .............. A

Release of lung..... 24.00

N/A 12.61

2.39

N/A 39.00

090 32225.............. .............. A

Partial release of

13.96

N/A 7.64

1.70

N/A 23.30

090 lung. 32310.............. .............. A

Removal of chest

13.44

N/A 7.38

1.65

N/A 22.47

090 lining. 32320.............. .............. A

Free/remove chest

24.00

N/A 11.97

2.50

N/A 38.47

090 lining. 32400.............. .............. A

Needle biopsy chest

1.76 1.73 0.56

0.07

3.56 2.39

000 lining. 32402.............. .............. A

Open biopsy chest

7.56

N/A 5.11

0.91

N/A 13.58

090 lining. 32405.............. .............. A

Biopsy, lung or

1.93 2.14 0.64

0.09

4.16 2.66

000 mediastinum. 32420.............. .............. A

Puncture/clear lung. 2.18

N/A 0.84

0.11

N/A 3.13

000 32440.............. .............. A

Removal of lung..... 25.00

N/A 12.61

2.56

N/A 40.17

090 32442.............. .............. A

Sleeve pneumonectomy 26.24

N/A 14.34

3.12

N/A 43.70

090 32445.............. .............. A

Removal of lung..... 25.09

N/A 13.75

3.11

N/A 41.95

090 32480.............. .............. A

Partial removal of

23.75

N/A 11.81

2.24

N/A 37.80

090 lung. 32482.............. .............. A

Bilobectomy......... 25.00

N/A 12.68

2.35

N/A 40.03

090 32484.............. .............. A

Segmentectomy....... 20.69

N/A 11.12

2.54

N/A 34.35

090 32486.............. .............. A

Sleeve lobectomy.... 23.92

N/A 12.89

3.00

N/A 39.81

090 32488.............. .............. A

Completion

25.71

N/A 13.44

3.18

N/A 42.33

090 pneumonectomy. 32491.............. .............. R

Lung volume

21.25

N/A 12.23

2.66

N/A 36.14

090 reduction. 32500.............. .............. A

Partial removal of

22.00

N/A 12.02

1.77

N/A 35.79

090 lung. 32501.............. .............. A

Repair bronchus add- 4.69

N/A 1.54

0.56

N/A 6.79

ZZZ on. 32520.............. .............. A

Remove lung & revise 21.68

N/A 11.01

2.71

N/A 35.40

090 chest. 32522.............. .............. A

Remove lung & revise 24.20

N/A 11.84

2.84

N/A 38.88

090 chest. 32525.............. .............. A

Remove lung & revise 26.50

N/A 12.54

3.25

N/A 42.29

090 chest. 32540.............. .............. A

Removal of lung

14.64

N/A 9.35

1.84

N/A 25.83

090 lesion. 32601.............. .............. A

Thoracoscopy,

5.46

N/A 2.37

0.63

N/A 8.46

000 diagnostic. 32602.............. .............. A

Thoracoscopy,

5.96

N/A 2.54

0.70

N/A 9.20

000 diagnostic. 32603.............. .............. A

Thoracoscopy,

7.81

N/A 3.07

0.76

N/A 11.64

000 diagnostic. 32604.............. .............. A

Thoracoscopy,

8.78

N/A 3.49

0.97

N/A 13.24

000 diagnostic. 32605.............. .............. A

Thoracoscopy,

6.93

N/A 2.91

0.86

N/A 10.70

000 diagnostic. 32606.............. .............. A

Thoracoscopy,

8.40

N/A 3.35

0.99

N/A 12.74

000 diagnostic. 32650.............. .............. A

Thoracoscopy,

10.75

N/A 6.58

1.25

N/A 18.58

090 surgical. 32651.............. .............. A

Thoracoscopy,

12.91

N/A 7.10

1.50

N/A 21.51

090 surgical. 32652.............. .............. A

Thoracoscopy,

18.66

N/A 9.91

2.30

N/A 30.87

090 surgical. 32653.............. .............. A

Thoracoscopy,

12.87

N/A 6.82

1.55

N/A 21.24

090 surgical. 32654.............. .............. A

Thoracoscopy,

12.44

N/A 7.31

1.51

N/A 21.26

090 surgical. 32655.............. .............. A

Thoracoscopy,

13.10

N/A 7.12

1.53

N/A 21.75

090 surgical. 32656.............. .............. A

Thoracoscopy,

12.91

N/A 7.68

1.61

N/A 22.20

090 surgical. 32657.............. .............. A

Thoracoscopy,

13.65

N/A 7.51

1.64

N/A 22.80

090 surgical. 32658.............. .............. A

Thoracoscopy,

11.63

N/A 7.11

1.47

N/A 20.21

090 surgical. 32659.............. .............. A

Thoracoscopy,

11.59

N/A 7.23

1.39

N/A 20.21

090 surgical. 32660.............. .............. A

Thoracoscopy,

17.43

N/A 9.20

2.09

N/A 28.72

090 surgical. 32661.............. .............. A

Thoracoscopy,

13.25

N/A 7.57

1.66

N/A 22.48

090 surgical. 32662.............. .............. A

Thoracoscopy,

16.44

N/A 8.60

2.01

N/A 27.05

090 surgical. 32663.............. .............. A

Thoracoscopy,

18.47

N/A 10.45

2.28

N/A 31.20

090 surgical. 32664.............. .............. A

Thoracoscopy,

14.20

N/A 7.54

1.70

N/A 23.44

090 surgical. 32665.............. .............. A

Thoracoscopy,

15.54

N/A 8.06

1.79

N/A 25.39

090 surgical. 32800.............. .............. A

Repair lung hernia.. 13.69

N/A 7.48

1.51

N/A 22.68

090 32810.............. .............. A

Close chest after

13.05

N/A 7.54

1.55

N/A 22.14

090 drainage. 32815.............. .............. A

Close bronchial

23.15

N/A 10.90

2.84

N/A 36.89

090 fistula. 32820.............. .............. A

Reconstruct injured 21.48

N/A 12.20

2.31

N/A 35.99

090 chest. 32851.............. .............. A

Lung transplant,

38.63

N/A 22.54

4.90

N/A 66.07

090 single.

[[Page 49114]]

32852.............. .............. A

Lung transplant with 41.80

N/A 26.19

5.17

N/A 73.16

090 bypass. 32853.............. .............. A

Lung transplant,

47.81

N/A 26.09

6.13

N/A 80.03

090 double. 32854.............. .............. A

Lung transplant with 50.98

N/A 28.63

6.41

N/A 86.02

090 bypass. 32900.............. .............. A

Removal of rib(s)... 20.27

N/A 9.96

2.42

N/A 32.65

090 32905.............. .............. A

Revise & repair

20.75

N/A 10.15

2.54

N/A 33.44

090 chest wall. 32906.............. .............. A

Revise & repair

26.77

N/A 12.07

3.30

N/A 42.14

090 chest wall. 32940.............. .............. A

Revision of lung.... 19.43

N/A 9.39

2.47

N/A 31.29

090 32960.............. .............. A

Therapeutic

1.84 1.82 0.57

0.12

3.78 2.53

000 pneumothorax. 32997.............. .............. A

Total lung lavage... 6.00

N/A 1.93

0.55

N/A 8.48

000 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

N/A 0.98

0.13

N/A 3.35

000 sac. 33011.............. .............. A

Repeat drainage of

2.24

N/A 1.01

0.13

N/A 3.38

000 heart sac. 33015.............. .............. A

Incision of heart

6.80

N/A 4.85

0.64

N/A 12.29

090 sac. 33020.............. .............. A

Incision of heart

12.61

N/A 6.83

1.50

N/A 20.94

090 sac. 33025.............. .............. A

Incision of heart

12.09

N/A 6.39

1.50

N/A 19.98

090 sac. 33030.............. .............. A

Partial removal of

18.71

N/A 9.43

2.40

N/A 30.54

090 heart sac. 33031.............. .............. A

Partial removal of

21.79

N/A 10.01

2.78

N/A 34.58

090 heart sac. 33050.............. .............. A

Removal of heart sac 14.36

N/A 7.80

1.73

N/A 23.89

090 lesion. 33120.............. .............. A

Removal of heart

24.56

N/A 11.60

3.06

N/A 39.22

090 lesion. 33130.............. .............. A

Removal of heart

21.39

N/A 10.15

2.51

N/A 34.05

090 lesion. 33140.............. .............. A

Heart revascularize 20.00

N/A 10.62

2.27

N/A 32.89

090 (tmr). 33141.............. .............. A

Heart tmr w/other

4.84

N/A 1.56

0.55

N/A 6.95

ZZZ procedure. 33200.............. .............. A

Insertion of heart

12.48

N/A 6.96

1.17

N/A 20.61

090 pacemaker. 33201.............. .............. A

Insertion of heart

10.18

N/A 6.59

1.21

N/A 17.98

090 pacemaker. 33206.............. .............. A

Insertion of heart

6.67

N/A 4.60

0.50

N/A 11.77

090 pacemaker. 33207.............. .............. A

Insertion of heart

8.04

N/A 4.89

0.57

N/A 13.50

090 pacemaker. 33208.............. .............. A

Insertion of heart

8.13

N/A 5.03

0.54

N/A 13.70

090 pacemaker. 33210.............. .............. A

Insertion of heart

3.30

N/A 1.28

0.17

N/A 4.75

000 electrode. 33211.............. .............. A

Insertion of heart

3.40

N/A 1.34

0.17

N/A 4.91

000 electrode. 33212.............. .............. A

Insertion of pulse

5.52

N/A 3.50

0.44

N/A 9.46

090 generator. 33213.............. .............. A

Insertion of pulse

6.37

N/A 3.88

0.46

N/A 10.71

090 generator. 33214.............. .............. A

Upgrade of pacemaker 7.75

N/A 5.07

0.52

N/A 13.34

090 system. 33215.............. .............. A

Reposition pacing-

4.76

N/A 3.21

0.36

N/A 8.33

090 defib lead. 33216.............. .............. A

Insert lead pace-

5.78

N/A 4.32

0.36

N/A 10.46

090 defib, one. 33217.............. .............. A

Insert lead pace-

5.75

N/A 4.40

0.36

N/A 10.51

090 defib, dual. 33218.............. .............. A

Repair lead pace-

5.44

N/A 4.36

0.40

N/A 10.20

090 defib, one. 33220.............. .............. A

Repair lead pace-

5.52

N/A 4.35

0.39

N/A 10.26

090 defib, dual. 33222.............. .............. A

Revise pocket,

4.96

N/A 4.27

0.39

N/A 9.62

090 pacemaker. 33223.............. .............. A

Revise pocket,

6.46

N/A 4.74

0.44

N/A 11.64

090 pacing-defib. 33224.............. .............. A

Insert pacing lead & 9.05

N/A 4.08

0.36

N/A 13.49

000 connect. 33225.............. .............. A

L ventric pacing

8.34

N/A 3.28

0.36

N/A 11.98

ZZZ lead add-on. 33226.............. .............. A

Reposition l ventric 8.69

N/A 3.94

0.36

N/A 12.99

000 lead. 33233.............. .............. A

Removal of pacemaker 3.29

N/A 3.39

0.22

N/A 6.90

090 system.

[[Page 49115]]

33234.............. .............. A

Removal of pacemaker 7.82

N/A 5.04

0.56

N/A 13.42

090 system. 33235.............. .............. A

Removal pacemaker

9.40

N/A 6.92

0.68

N/A 17.00

090 electrode. 33236.............. .............. A

Remove electrode/

12.60

N/A 7.28

1.49

N/A 21.37

090 thoracotomy. 33237.............. .............. A

Remove electrode/

13.71

N/A 7.67

1.57

N/A 22.95

090 thoracotomy. 33238.............. .............. A

Remove electrode/

15.22

N/A 8.10

1.56

N/A 24.88

090 thoracotomy. 33240.............. .............. A

Insert pulse

7.60

N/A 4.74

0.53

N/A 12.87

090 generator. 33241.............. .............. A

Remove pulse

3.24

N/A 3.08

0.21

N/A 6.53

090 generator. 33243.............. .............. A

Remove eltrd/

22.64

N/A 11.13

2.53

N/A 36.30

090 thoracotomy. 33244.............. .............. A

Remove eltrd,

13.76

N/A 8.81

1.05

N/A 23.62

090 transven. 33245.............. .............. A

Insert epic eltrd

14.30

N/A 8.00

1.28

N/A 23.58

090 pace-defib. 33246.............. .............. A

Insert epic eltrd/

20.71

N/A 10.31

2.22

N/A 33.24

090 generator. 33249.............. .............. A

Eltrd/insert pace-

14.23

N/A 8.63

0.80

N/A 23.66

090 defib. 33250.............. .............. A

Ablate heart

21.85

N/A 11.61

1.01

N/A 34.47

090 dysrhythm focus. 33251.............. .............. A

Ablate heart

24.88

N/A 11.56

2.41

N/A 38.85

090 dysrhythm focus. 33253.............. .............. A

Reconstruct atria... 31.06

N/A 13.68

3.68

N/A 48.42

090 33261.............. .............. A

Ablate heart

24.88

N/A 11.68

2.82

N/A 39.38

090 dysrhythm focus. 33282.............. .............. A

Implant pat-active

4.17

N/A 4.21

0.39

N/A 8.77

090 ht record. 33284.............. .............. A

Remove pat-active ht 2.50

N/A 3.77

0.23

N/A 6.50

090 record. 33300.............. .............. A

Repair of heart

17.92

N/A 9.28

1.91

N/A 29.11

090 wound. 33305.............. .............. A

Repair of heart

21.44

N/A 10.50

2.68

N/A 34.62

090 wound. 33310.............. .............. A

Exploratory heart

18.51

N/A 9.47

2.26

N/A 30.24

090 surgery. 33315.............. .............. A

Exploratory heart

22.37

N/A 10.74

2.90

N/A 36.01

090 surgery. 33320.............. .............. A

Repair major blood

16.79

N/A 8.36

1.66

N/A 26.81

090 vessel(s). 33321.............. .............. A

Repair major vessel. 20.20

N/A 9.73

2.70

N/A 32.63

090 33322.............. .............. A

Repair major blood

20.62

N/A 10.29

2.51

N/A 33.42

090 vessel(s). 33330.............. .............. A

Insert major vessel 21.43

N/A 10.26

2.49

N/A 34.18

090 graft. 33332.............. .............. A

Insert major vessel 23.96

N/A 10.59

2.45

N/A 37.00

090 graft. 33335.............. .............. A

Insert major vessel 30.01

N/A 13.22

3.79

N/A 47.02

090 graft. 33400.............. .............. A

Repair of aortic

28.50

N/A 15.23

3.09

N/A 46.82

090 valve. 33401.............. .............. A

Valvuloplasty, open. 23.91

N/A 13.30

2.71

N/A 39.92

090 33403.............. .............. A

Valvuloplasty, w/cp 24.89

N/A 13.94

2.48

N/A 41.31

090 bypass. 33404.............. .............. A

Prepare heart-aorta 28.54

N/A 14.10

3.31

N/A 45.95

090 conduit. 33405.............. .............. A

Replacement of

35.00

N/A 17.75

3.86

N/A 56.61

090 aortic valve. 33406.............. .............. A

Replacement of

37.50

N/A 18.55

4.07

N/A 60.12

090 aortic valve. 33410.............. .............. A

Replacement of

32.46

N/A 16.19

4.11

N/A 52.76

090 aortic valve. 33411.............. .............. A

Replacement of

36.25

N/A 18.20

4.16

N/A 58.61

090 aortic valve. 33412.............. .............. A

Replacement of

42.00

N/A 19.94

4.66

N/A 66.60

090 aortic valve. 33413.............. .............. A

Replacement of

43.50

N/A 20.31

4.26

N/A 68.07

090 aortic valve. 33414.............. .............. A

Repair of aortic

30.35

N/A 13.85

3.79

N/A 47.99

090 valve. 33415.............. .............. A

Revision,

27.15

N/A 11.87

3.25

N/A 42.27

090 subvalvular tissue. 33416.............. .............. A

Revise ventricle

30.35

N/A 13.34

3.85

N/A 47.54

090 muscle. 33417.............. .............. A

Repair of aortic

28.53

N/A 13.33

3.58

N/A 45.44

090 valve. 33420.............. .............. A

Revision of mitral

22.70

N/A 9.76

1.48

N/A 33.94

090 valve. 33422.............. .............. A

Revision of mitral

25.94

N/A 13.21

3.30

N/A 42.45

090 valve. 33425.............. .............. A

Repair of mitral

27.00

N/A 12.70

3.00

N/A 42.70

090 valve. 33426.............. .............. A

Repair of mitral

33.00

N/A 16.66

3.87

N/A 53.53

090 valve.

[[Page 49116]]

33427.............. .............. A

Repair of mitral

40.00

N/A 18.85

4.30

N/A 63.15

090 valve. 33430.............. .............. A

Replacement of

33.50

N/A 16.79

3.95

N/A 54.24

090 mitral valve. 33460.............. .............. A

Revision of

23.60

N/A 11.13

3.02

N/A 37.75

090 tricuspid valve. 33463.............. .............. A

Valvuloplasty,

25.62

N/A 12.74

3.17

N/A 41.53

090 tricuspid. 33464.............. .............. A

Valvuloplasty,

27.33

N/A 13.32

3.47

N/A 44.12

090 tricuspid. 33465.............. .............. A

Replace tricuspid

28.79

N/A 12.81

3.61

N/A 45.21

090 valve. 33468.............. .............. A

Revision of

30.12

N/A 13.40

4.00

N/A 47.52

090 tricuspid valve. 33470.............. .............. A

Revision of

20.81

N/A 10.78

2.81

N/A 34.40

090 pulmonary valve. 33471.............. .............. A

Valvotomy, pulmonary 22.25

N/A 9.80

3.00

N/A 35.05

090 valve. 33472.............. .............. A

Revision of

22.25

N/A 11.63

2.92

N/A 36.80

090 pulmonary valve. 33474.............. .............. A

Revision of

23.04

N/A 10.79

2.84

N/A 36.67

090 pulmonary valve. 33475.............. .............. A

Replacement,

33.00

N/A 15.09

2.64

N/A 50.73

090 pulmonary valve. 33476.............. .............. A

Revision of heart

25.77

N/A 11.97

2.40

N/A 40.14

090 chamber. 33478.............. .............. A

Revision of heart

26.74

N/A 12.70

3.56

N/A 43.00

090 chamber. 33496.............. .............. A

Repair, prosth valve 27.25

N/A 12.64

3.44

N/A 43.33

090 clot. 33500.............. .............. A

Repair heart vessel 25.55

N/A 11.34

2.80

N/A 39.69

090 fistula. 33501.............. .............. A

Repair heart vessel 17.78

N/A 8.28

2.05

N/A 28.11

090 fistula. 33502.............. .............. A

Coronary artery

21.04

N/A 11.04

2.51

N/A 34.59

090 correction. 33503.............. .............. A

Coronary artery

21.78

N/A 9.91

1.42

N/A 33.11

090 graft. 33504.............. .............. A

Coronary artery

24.66

N/A 11.76

3.04

N/A 39.46

090 graft. 33505.............. .............. A

Repair artery w/

26.84

N/A 12.97

1.52

N/A 41.33

090 tunnel. 33506.............. .............. A

Repair artery,

35.50

N/A 14.56

3.19

N/A 53.25

090 translocation. 33508.............. .............. A

Endoscopic vein

0.31

N/A 0.10

0.03

N/A 0.44

ZZZ harvest. 33510.............. .............. A

CABG, vein, single.. 29.00

N/A 15.82

3.13

N/A 47.95

090 33511.............. .............. A

CABG, vein, two..... 30.00

N/A 16.54

3.34

N/A 49.88

090 33512.............. .............. A

CABG, vein, three... 31.80

N/A 17.07

3.70

N/A 52.57

090 33513.............. .............. A

CABG, vein, four.... 32.00

N/A 17.23

3.99

N/A 53.22

090 33514.............. .............. A

CABG, vein, five.... 32.75

N/A 17.49

4.37

N/A 54.61

090 33516.............. .............. A

Cabg, vein, six or

35.00

N/A 18.24

4.62

N/A 57.86

090 more. 33517.............. .............. A

CABG, artery-vein,

2.57

N/A 0.83

0.32

N/A 3.72

ZZZ single. 33518.............. .............. A

CABG, artery-vein,

4.85

N/A 1.57

0.61

N/A 7.03

ZZZ two. 33519.............. .............. A

CABG, artery-vein,

7.12

N/A 2.31

0.89

N/A 10.32

ZZZ three. 33521.............. .............. A

CABG, artery-vein,

9.40

N/A 3.05

1.18

N/A 13.63

ZZZ four. 33522.............. .............. A

CABG, artery-vein,

11.67

N/A 3.78

1.48

N/A 16.93

ZZZ five. 33523.............. .............. A

Cabg, art-vein, six 13.95

N/A 4.48

1.78

N/A 20.21

ZZZ or more. 33530.............. .............. A

Coronary artery,

5.86

N/A 1.89

0.73

N/A 8.48

ZZZ bypass/reop. 33533.............. .............. A

CABG, arterial,

30.00

N/A 15.96

3.24

N/A 49.20

090 single. 33534.............. .............. A

CABG, arterial, two. 32.20

N/A 17.15

3.63

N/A 52.98

090 33535.............. .............. A

CABG, arterial,

34.50

N/A 17.62

3.97

N/A 56.09

090 three. 33536.............. .............. A

Cabg, arterial, four 37.50

N/A 17.89

3.29

N/A 58.68

090 or more. 33542.............. .............. A

Removal of heart

28.85

N/A 12.98

3.61

N/A 45.44

090 lesion. 33545.............. .............. A

Repair of heart

36.78

N/A 15.69

4.40

N/A 56.87

090 damage. 33572.............. .............. A

Open coronary

4.45

N/A 1.44

0.55

N/A 6.44

ZZZ endarterectomy. 33600.............. .............. A

Closure of valve.... 29.51

N/A 12.64

2.30

N/A 44.45

090 33602.............. .............. A

Closure of valve.... 28.54

N/A 12.79

2.90

N/A 44.23

090 33606.............. .............. A

Anastomosis/artery- 30.74

N/A 13.65

3.59

N/A 47.98

090 aorta. 33608.............. .............. A

Repair anomaly w/

31.09

N/A 13.82

4.17

N/A 49.08

090 conduit. 33610.............. .............. A

Repair by

30.61

N/A 14.17

4.02

N/A 48.80

090 enlargement. 33611.............. .............. A

Repair double

34.00

N/A 13.95

3.28

N/A 51.23

090 ventricle. 33612.............. .............. A

Repair double

35.00

N/A 15.01

4.44

N/A 54.45

090 ventricle. 33615.............. .............. A

Repair, modified

34.00

N/A 15.11

3.15

N/A 52.26

090 fontan. 33617.............. .............. A

Repair single

37.00

N/A 15.82

4.09

N/A 56.91

090 ventricle. 33619.............. .............. A

Repair single

45.00

N/A 20.08

4.71

N/A 69.79

090 ventricle. 33641.............. .............. A

Repair heart septum 21.39

N/A 9.47

2.67

N/A 33.53

090 defect. 33645.............. .............. A

Revision of heart

24.82

N/A 11.50

3.27

N/A 39.59

090 veins.

[[Page 49117]]

33647.............. .............. A

Repair heart septum 28.73

N/A 13.55

3.37

N/A 45.65

090 defects. 33660.............. .............. A

Repair of heart

30.00

N/A 13.24

2.82

N/A 46.06

090 defects. 33665.............. .............. A

Repair of heart

28.60

N/A 13.36

3.81

N/A 45.77

090 defects. 33670.............. .............. A

Repair of heart

35.00

N/A 13.57

2.18

N/A 50.75

090 chambers. 33681.............. .............. A

Repair heart septum 30.61

N/A 14.28

3.53

N/A 48.42

090 defect. 33684.............. .............. A

Repair heart septum 29.65

N/A 13.47

3.77

N/A 46.89

090 defect. 33688.............. .............. A

Repair heart septum 30.62

N/A 11.91

3.89

N/A 46.42

090 defect. 33690.............. .............. A

Reinforce pulmonary 19.55

N/A 10.07

2.56

N/A 32.18

090 artery. 33692.............. .............. A

Repair of heart

30.75

N/A 13.89

3.77

N/A 48.41

090 defects. 33694.............. .............. A

Repair of heart

34.00

N/A 14.42

4.27

N/A 52.69

090 defects. 33697.............. .............. A

Repair of heart

36.00

N/A 14.66

4.54

N/A 55.20

090 defects. 33702.............. .............. A

Repair of heart

26.54

N/A 12.29

3.45

N/A 42.28

090 defects. 33710.............. .............. A

Repair of heart

29.71

N/A 13.90

3.85

N/A 47.46

090 defects. 33720.............. .............. A

Repair of heart

26.56

N/A 12.15

3.21

N/A 41.92

090 defect. 33722.............. .............. A

Repair of heart

28.41

N/A 13.38

3.80

N/A 45.59

090 defect. 33730.............. .............. A

Repair heart-vein

34.25

N/A 14.28

2.85

N/A 51.38

090 defect(s). 33732.............. .............. A

Repair heart-vein

28.16

N/A 13.45

2.78

N/A 44.39

090 defect. 33735.............. .............. A

Revision of heart

21.39

N/A 10.24

1.12

N/A 32.75

090 chamber. 33736.............. .............. A

Revision of heart

23.52

N/A 11.80

2.70

N/A 38.02

090 chamber. 33737.............. .............. A

Revision of heart

21.76

N/A 11.01

2.93

N/A 35.70

090 chamber. 33750.............. .............. A

Major vessel shunt.. 21.41

N/A 10.46

1.74

N/A 33.61

090 33755.............. .............. A

Major vessel shunt.. 21.79

N/A 9.31

2.93

N/A 34.03

090 33762.............. .............. A

Major vessel shunt.. 21.79

N/A 10.49

1.59

N/A 33.87

090 33764.............. .............. A

Major vessel shunt & 21.79

N/A 10.31

1.93

N/A 34.03

090 graft. 33766.............. .............. A

Major vessel shunt.. 22.76

N/A 11.29

3.04

N/A 37.09

090 33767.............. .............. A

Major vessel shunt.. 24.50

N/A 11.72

3.14

N/A 39.36

090 33770.............. .............. A

Repair great vessels 37.00

N/A 14.71

4.49

N/A 56.20

090 defect. 33771.............. .............. A

Repair great vessels 34.65

N/A 12.79

4.67

N/A 52.11

090 defect. 33774.............. .............. A

Repair great vessels 30.98

N/A 13.75

4.18

N/A 48.91

090 defect. 33775.............. .............. A

Repair great vessels 32.20

N/A 14.58

4.34

N/A 51.12

090 defect. 33776.............. .............. A

Repair great vessels 34.04

N/A 15.38

4.58

N/A 54.00

090 defect. 33777.............. .............. A

Repair great vessels 33.46

N/A 15.26

4.51

N/A 53.23

090 defect. 33778.............. .............. A

Repair great vessels 40.00

N/A 16.75

4.83

N/A 61.58

090 defect. 33779.............. .............. A

Repair great vessels 36.21

N/A 15.62

2.40

N/A 54.23

090 defect. 33780.............. .............. A

Repair great vessels 41.75

N/A 18.87

5.21

N/A 65.83

090 defect. 33781.............. .............. A

Repair great vessels 36.45

N/A 13.94

4.91

N/A 55.30

090 defect. 33786.............. .............. A

Repair arterial

39.00

N/A 16.66

4.69

N/A 60.35

090 trunk. 33788.............. .............. A

Revision of

26.62

N/A 12.19

3.32

N/A 42.13

090 pulmonary artery. 33800.............. .............. A

Aortic suspension... 16.24

N/A 7.87

1.11

N/A 25.22

090 33802.............. .............. A

Repair vessel defect 17.66

N/A 9.04

1.56

N/A 28.26

090 33803.............. .............. A

Repair vessel defect 19.60

N/A 9.61

2.63

N/A 31.84

090 33813.............. .............. A

Repair septal defect 20.65

N/A 10.59

2.78

N/A 34.02

090 33814.............. .............. A

Repair septal defect 25.77

N/A 12.38

2.52

N/A 40.67

090 33820.............. .............. A

Revise major vessel. 16.29

N/A 8.13

2.10

N/A 26.52

090 33822.............. .............. A

Revise major vessel. 17.32

N/A 8.71

2.33

N/A 28.36

090 33824.............. .............. A

Revise major vessel. 19.52

N/A 9.87

2.61

N/A 32.00

090 33840.............. .............. A

Remove aorta

20.63

N/A 10.08

2.36

N/A 33.07

090 constriction. 33845.............. .............. A

Remove aorta

22.12

N/A 11.07

2.90

N/A 36.09

090 constriction. 33851.............. .............. A

Remove aorta

21.27

N/A 10.45

2.86

N/A 34.58

090 constriction. 33852.............. .............. A

Repair septal defect 23.71

N/A 11.32

3.19

N/A 38.22

090

[[Page 49118]]

33853.............. .............. A

Repair septal defect 31.72

N/A 14.46

4.23

N/A 50.41

090 33860.............. .............. A

Ascending aortic

38.00

N/A 16.22

4.30

N/A 58.52

090 graft. 33861.............. .............. A

Ascending aortic

42.00

N/A 17.49

4.24

N/A 63.73

090 graft. 33863.............. .............. A

Ascending aortic

45.00

N/A 18.45

4.60

N/A 68.05

090 graft. 33870.............. .............. A

Transverse aortic

44.00

N/A 18.16

5.09

N/A 67.25

090 arch graft. 33875.............. .............. A

Thoracic aortic

33.06

N/A 14.04

4.08

N/A 51.18

090 graft. 33877.............. .............. A

Thoracoabdominal

42.60

N/A 16.81

5.07

N/A 64.48

090 graft. 33910.............. .............. A

Remove lung artery

24.59

N/A 11.37

3.06

N/A 39.02

090 emboli. 33915.............. .............. A

Remove lung artery

21.02

N/A 9.78

1.20

N/A 32.00

090 emboli. 33916.............. .............. A

Surgery of great

25.83

N/A 11.48

3.04

N/A 40.35

090 vessel. 33917.............. .............. A

Repair pulmonary

24.50

N/A 11.96

3.17

N/A 39.63

090 artery. 33918.............. .............. A

Repair pulmonary

26.45

N/A 12.37

3.42

N/A 42.24

090 atresia. 33919.............. .............. A

Repair pulmonary

40.00

N/A 17.32

3.48

N/A 60.80

090 atresia. 33920.............. .............. A

Repair pulmonary

31.95

N/A 13.90

3.61

N/A 49.46

090 atresia. 33922.............. .............. A

Transect pulmonary

23.52

N/A 10.91

2.30

N/A 36.73

090 artery. 33924.............. .............. A

Remove pulmonary

5.50

N/A 1.82

0.74

N/A 8.06

ZZZ shunt. 33935.............. .............. R

Transplantation,

60.96

N/A 25.80

8.15

N/A 94.91

090 heart/lung. 33945.............. .............. R

Transplantation of

42.10

N/A 18.74

5.42

N/A 66.26

090 heart. 33960.............. .............. A

External circulation 19.36

N/A 4.93

2.14

N/A 26.43

000 assist. 33961.............. .............. A

External circulation 10.93

N/A 3.63

1.47

N/A 16.03

ZZZ assist. 33967.............. .............. A

Insert ia percut

4.85

N/A 1.87

0.28

N/A 7.00

000 device. 33968.............. .............. A

Remove aortic assist 0.64

N/A 0.23

0.07

N/A 0.94

000 device. 33970.............. .............. A

Aortic circulation

6.75

N/A 2.28

0.70

N/A 9.73

000 assist. 33971.............. .............. A

Aortic circulation

9.69

N/A 6.06

0.97

N/A 16.72

090 assist. 33973.............. .............. A

Insert balloon

9.76

N/A 3.30

1.01

N/A 14.07

000 device. 33974.............. .............. A

Remove intra-aortic 14.41

N/A 8.04

1.48

N/A 23.93

090 balloon. 33975.............. .............. A

Implant ventricular 21.00

N/A 6.25

1.72

N/A 28.97

XXX device. 33976.............. .............. A

Implant ventricular 23.00

N/A 7.50

2.82

N/A 33.32

XXX device. 33977.............. .............. A

Remove ventricular

19.29

N/A 10.79

2.44

N/A 32.52

090 device. 33978.............. .............. A

Remove ventricular

21.73

N/A 11.66

2.66

N/A 36.05

090 device. 33979.............. .............. A

Insert

46.00

N/A 14.79

3.98

N/A 64.77

XXX intracorporeal device. 33980.............. .............. A

Remove

56.25

N/A 24.81

4.60

N/A 85.66

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

12.91

N/A 6.72

1.46

N/A 21.09

090 clot. 34051.............. .............. A

Removal of artery

15.21

N/A 7.62

1.90

N/A 24.73

090 clot. 34101.............. .............. A

Removal of artery

10.00

N/A 5.40

1.11

N/A 16.51

090 clot. 34111.............. .............. A

Removal of arm

10.00

N/A 5.42

0.85

N/A 16.27

090 artery clot. 34151.............. .............. A

Removal of artery

25.00

N/A 10.63

1.84

N/A 37.47

090 clot. 34201.............. .............. A

Removal of artery

10.03

N/A 5.50

1.02

N/A 16.55

090 clot. 34203.............. .............. A

Removal of leg

16.50

N/A 8.15

1.37

N/A 26.02

090 artery clot. 34401.............. .............. A

Removal of vein clot 25.00

N/A 10.82

1.20

N/A 37.02

090 34421.............. .............. A

Removal of vein clot 12.00

N/A 6.38

0.95

N/A 19.33

090 34451.............. .............. A

Removal of vein clot 27.00

N/A 11.53

1.59

N/A 40.12

090 34471.............. .............. A

Removal of vein clot 10.18

N/A 5.44

0.90

N/A 16.52

090 34490.............. .............. A

Removal of vein clot 9.86

N/A 5.51

0.73

N/A 16.10

090 34501.............. .............. A

Repair valve,

16.00

N/A 8.44

1.37

N/A 25.81

090 femoral vein. 34502.............. .............. A

Reconstruct vena

26.95

N/A 12.31

2.99

N/A 42.25

090 cava. 34510.............. .............. A

Transposition of

18.95

N/A 9.42

1.60

N/A 29.97

090 vein valve. 34520.............. .............. A

Cross-over vein

17.95

N/A 8.86

1.41

N/A 28.22

090 graft. 34530.............. .............. A

Leg vein fusion..... 16.64

N/A 8.67

2.06

N/A 27.37

090 34800.............. .............. A

Endovasc abdo repair 20.75

N/A 9.23

1.49

N/A 31.47

090 w/tube. 34802.............. .............. A

Endovasc abdo repr w/ 23.00

N/A 9.93

1.65

N/A 34.58

090 device. 34804.............. .............. A

Endovasc abdo repr w/ 23.00

N/A 9.92

1.65

N/A 34.57

090 device. 34808.............. .............. A

Endovasc abdo occlud 4.13

N/A 1.39

0.29

N/A 5.81

ZZZ device.

[[Page 49119]]

34812.............. .............. A

Xpose for

6.75

N/A 2.27

0.49

N/A 9.51

000 endoprosth, femorl. 34813.............. .............. A

Femoral endovas

4.80

N/A 1.59

0.34

N/A 6.73

ZZZ graft add-on. 34820.............. .............. A

Xpose for

9.75

N/A 3.29

0.70

N/A 13.74

000 endoprosth, iliac. 34825.............. .............. A

Endovasc extend

12.00

N/A 6.21

0.86

N/A 19.07

090 prosth, init. 34826.............. .............. A

Endovasc exten

4.13

N/A 1.40

0.29

N/A 5.82

ZZZ prosth, addl. 34830.............. .............. A

Open aortic tube

32.59

N/A 13.76

2.34

N/A 48.69

090 prosth repr. 34831.............. .............. A

Open aortoiliac

35.34

N/A 11.91

2.53

N/A 49.78

090 prosth repr. 34832.............. .............. A

Open aortofemor

35.34

N/A 14.76

2.53

N/A 52.63

090 prosth repr. 34833.............. .............. A

Xpose for

12.00

N/A 4.58

0.70

N/A 17.28

000 endoprosth, iliac. 34834.............. .............. A

Xpose, endoprosth,

5.35

N/A 2.26

0.49

N/A 8.10

000 brachial. 34900.............. .............. A

Endovasc iliac repr 16.38

N/A 7.96

1.49

N/A 25.83

090 w/graft. 35001.............. .............. A

Repair defect of

19.64

N/A 9.52

2.44

N/A 31.60

090 artery. 35002.............. .............. A

Repair artery

21.00

N/A 9.79

1.82

N/A 32.61

090 rupture, neck. 35005.............. .............. A

Repair defect of

18.12

N/A 8.86

1.35

N/A 28.33

090 artery. 35011.............. .............. A

Repair defect of

18.00

N/A 8.07

1.30

N/A 27.37

090 artery. 35013.............. .............. A

Repair artery

22.00

N/A 9.76

1.91

N/A 33.67

090 rupture, arm. 35021.............. .............. A

Repair defect of

19.65

N/A 9.29

1.93

N/A 30.87

090 artery. 35022.............. .............. A

Repair artery

23.18

N/A 10.08

1.99

N/A 35.25

090 rupture, chest. 35045.............. .............. A

Repair defect of arm 17.57

N/A 7.73

1.25

N/A 26.55

090 artery. 35081.............. .............. A

Repair defect of

28.01

N/A 11.52

3.20

N/A 42.73

090 artery. 35082.............. .............. A

Repair artery

38.50

N/A 15.52

4.07

N/A 58.09

090 rupture, aorta. 35091.............. .............. A

Repair defect of

35.40

N/A 13.78

4.09

N/A 53.27

090 artery. 35092.............. .............. A

Repair artery

45.00

N/A 17.92

4.31

N/A 67.23

090 rupture, aorta. 35102.............. .............. A

Repair defect of

30.76

N/A 12.60

3.44

N/A 46.80

090 artery. 35103.............. .............. A

Repair artery

40.50

N/A 16.13

3.79

N/A 60.42

090 rupture, groin. 35111.............. .............. A

Repair defect of

25.00

N/A 10.58

1.81

N/A 37.39

090 artery. 35112.............. .............. A

Repair artery

30.00

N/A 12.22

1.95

N/A 44.17

090 rupture,spleen. 35121.............. .............. A

Repair defect of

30.00

N/A 12.57

2.93

N/A 45.50

090 artery. 35122.............. .............. A

Repair artery

35.00

N/A 14.09

3.54

N/A 52.63

090 rupture, belly. 35131.............. .............. A

Repair defect of

25.00

N/A 10.89

2.11

N/A 38.00

090 artery. 35132.............. .............. A

Repair artery

30.00

N/A 12.58

2.48

N/A 45.06

090 rupture, groin. 35141.............. .............. A

Repair defect of

20.00

N/A 9.01

1.65

N/A 30.66

090 artery. 35142.............. .............. A

Repair artery

23.30

N/A 10.48

1.75

N/A 35.53

090 rupture, thigh. 35151.............. .............. A

Repair defect of

22.64

N/A 10.11

1.93

N/A 34.68

090 artery. 35152.............. .............. A

Repair artery

25.62

N/A 11.43

1.93

N/A 38.98

090 rupture, knee. 35161.............. .............. A

Repair defect of

18.76

N/A 9.16

2.21

N/A 30.13

090 artery. 35162.............. .............. A

Repair artery

19.78

N/A 9.64

2.21

N/A 31.63

090 rupture. 35180.............. .............. A

Repair blood vessel 13.62

N/A 7.02

1.44

N/A 22.08

090 lesion. 35182.............. .............. A

Repair blood vessel 30.00

N/A 12.93

1.88

N/A 44.81

090 lesion. 35184.............. .............. A

Repair blood vessel 18.00

N/A 8.38

1.34

N/A 27.72

090 lesion. 35188.............. .............. A

Repair blood vessel 14.28

N/A 7.60

1.53

N/A 23.41

090 lesion. 35189.............. .............. A

Repair blood vessel 28.00

N/A 12.09

2.12

N/A 42.21

090 lesion. 35190.............. .............. A

Repair blood vessel 12.75

N/A 6.54

1.33

N/A 20.62

090 lesion. 35201.............. .............. A

Repair blood vessel 16.14

N/A 8.01

1.17

N/A 25.32

090 lesion. 35206.............. .............. A

Repair blood vessel 13.25

N/A 6.72

1.04

N/A 21.01

090 lesion. 35207.............. .............. A

Repair blood vessel 10.15

N/A 7.85

1.15

N/A 19.15

090 lesion. 35211.............. .............. A

Repair blood vessel 22.12

N/A 10.47

2.83

N/A 35.42

090 lesion. 35216.............. .............. A

Repair blood vessel 18.75

N/A 8.95

2.17

N/A 29.87

090 lesion. 35221.............. .............. A

Repair blood vessel 24.39

N/A 10.20

1.79

N/A 36.38

090 lesion. 35226.............. .............. A

Repair blood vessel 14.50

N/A 7.72

0.84

N/A 23.06

090 lesion.

[[Page 49120]]

35231.............. .............. A

Repair blood vessel 20.00

N/A 9.91

1.32

N/A 31.23

090 lesion. 35236.............. .............. A

Repair blood vessel 17.11

N/A 8.08

1.19

N/A 26.38

090 lesion. 35241.............. .............. A

Repair blood vessel 23.12

N/A 10.91

2.90

N/A 36.93

090 lesion. 35246.............. .............. A

Repair blood vessel 26.45

N/A 11.40

2.22

N/A 40.07

090 lesion. 35251.............. .............. A

Repair blood vessel 30.20

N/A 12.11

1.87

N/A 44.18

090 lesion. 35256.............. .............. A

Repair blood vessel 18.36

N/A 8.44

1.32

N/A 28.12

090 lesion. 35261.............. .............. A

Repair blood vessel 17.80

N/A 8.10

1.34

N/A 27.24

090 lesion. 35266.............. .............. A

Repair blood vessel 14.91

N/A 7.16

1.16

N/A 23.23

090 lesion. 35271.............. .............. A

Repair blood vessel 22.12

N/A 10.37

2.77

N/A 35.26

090 lesion. 35276.............. .............. A

Repair blood vessel 24.25

N/A 11.17

2.37

N/A 37.79

090 lesion. 35281.............. .............. A

Repair blood vessel 28.00

N/A 11.93

1.82

N/A 41.75

090 lesion. 35286.............. .............. A

Repair blood vessel 16.16

N/A 8.18

1.36

N/A 25.70

090 lesion. 35301.............. .............. A

Rechanneling of

18.70

N/A 8.49

2.23

N/A 29.42

090 artery. 35311.............. .............. A

Rechanneling of

27.00

N/A 11.61

2.75

N/A 41.36

090 artery. 35321.............. .............. A

Rechanneling of

16.00

N/A 7.41

1.36

N/A 24.77

090 artery. 35331.............. .............. A

Rechanneling of

26.20

N/A 11.37

2.71

N/A 40.28

090 artery. 35341.............. .............. A

Rechanneling of

25.11

N/A 11.02

2.87

N/A 39.00

090 artery. 35351.............. .............. A

Rechanneling of

23.00

N/A 9.80

2.29

N/A 35.09

090 artery. 35355.............. .............. A

Rechanneling of

18.50

N/A 8.28

1.80

N/A 28.58

090 artery. 35361.............. .............. A

Rechanneling of

28.20

N/A 11.91

2.66

N/A 42.77

090 artery. 35363.............. .............. A

Rechanneling of

30.20

N/A 12.73

2.77

N/A 45.70

090 artery. 35371.............. .............. A

Rechanneling of

14.72

N/A 7.08

1.32

N/A 23.12

090 artery. 35372.............. .............. A

Rechanneling of

18.00

N/A 8.20

1.53

N/A 27.73

090 artery. 35381.............. .............. A

Rechanneling of

15.81

N/A 7.85

1.80

N/A 25.46

090 artery. 35390.............. .............. A

Reoperation, carotid 3.19

N/A 1.07

0.38

N/A 4.64

ZZZ add-on. 35400.............. .............. A

Angioscopy.......... 3.00

N/A 1.05

0.34

N/A 4.39

ZZZ 35450.............. .............. A

Repair arterial

10.07

N/A 4.07

0.84

N/A 14.98

000 blockage. 35452.............. .............. A

Repair arterial

6.91

N/A 3.17

0.76

N/A 10.84

000 blockage. 35454.............. .............. A

Repair arterial

6.04

N/A 2.85

0.67

N/A 9.56

000 blockage. 35456.............. .............. A

Repair arterial

7.35

N/A 3.29

0.82

N/A 11.46

000 blockage. 35458.............. .............. A

Repair arterial

9.49

N/A 4.00

1.09

N/A 14.58

000 blockage. 35459.............. .............. A

Repair arterial

8.63

N/A 3.66

0.96

N/A 13.25

000 blockage. 35460.............. .............. A

Repair venous

6.04

N/A 2.70

0.66

N/A 9.40

000 blockage. 35470.............. .............. A

Repair arterial

8.63

N/A 3.89

0.50

N/A 13.02

000 blockage. 35471.............. .............. A

Repair arterial

10.07

N/A 4.51

0.50

N/A 15.08

000 blockage. 35472.............. .............. A

Repair arterial

6.91

N/A 3.27

0.39

N/A 10.57

000 blockage. 35473.............. .............. A

Repair arterial

6.04

N/A 2.94

0.34

N/A 9.32

000 blockage. 35474.............. .............. A

Repair arterial

7.36

N/A 2.92

0.40

N/A 10.68

000 blockage. 35475.............. .............. R

Repair arterial

9.49

N/A 4.10

0.47

N/A 14.06

000 blockage. 35476.............. .............. A

Repair venous

6.04

N/A 2.87

0.27

N/A 9.18

000 blockage. 35480.............. .............. A

Atherectomy, open... 11.08

N/A 4.55

1.13

N/A 16.76

000 35481.............. .............. A

Atherectomy, open... 7.61

N/A 3.46

0.84

N/A 11.91

000 35482.............. .............. A

Atherectomy, open... 6.65

N/A 3.10

0.75

N/A 10.50

000 35483.............. .............. A

Atherectomy, open... 8.10

N/A 3.55

0.81

N/A 12.46

000 35484.............. .............. A

Atherectomy, open... 10.44

N/A 4.26

1.13

N/A 15.83

000 35485.............. .............. A

Atherectomy, open... 9.49

N/A 4.08

1.06

N/A 14.63

000 35490.............. .............. A

Atherectomy,

11.08

N/A 4.78

0.55

N/A 16.41

000 percutaneous. 35491.............. .............. A

Atherectomy,

7.61

N/A 3.34

0.49

N/A 11.44

000 percutaneous. 35492.............. .............. A

Atherectomy,

6.65

N/A 3.22

0.43

N/A 10.30

000 percutaneous. 35493.............. .............. A

Atherectomy,

8.10

N/A 3.85

0.47

N/A 12.42

000 percutaneous. 35494.............. .............. A

Atherectomy,

10.44

N/A 4.44

0.48

N/A 15.36

000 percutaneous. 35495.............. .............. A

Atherectomy,

9.49

N/A 4.45

0.51

N/A 14.45

000 percutaneous. 35500.............. .............. A

Harvest vein for

6.45

N/A 2.06

0.63

N/A 9.14

ZZZ bypass. 35501.............. .............. A

Artery bypass graft. 19.19

N/A 8.45

2.33

N/A 29.97

090 35506.............. .............. A

Artery bypass graft. 19.67

N/A 9.38

2.33

N/A 31.38

090 35507.............. .............. A

Artery bypass graft. 19.67

N/A 9.36

2.27

N/A 31.30

090 35508.............. .............. A

Artery bypass graft. 18.65

N/A 9.27

2.34

N/A 30.26

090 35509.............. .............. A

Artery bypass graft. 18.07

N/A 8.75

2.12

N/A 28.94

090 35511.............. .............. A

Artery bypass graft. 21.20

N/A 9.43

1.74

N/A 32.37

090

[[Page 49121]]

35515.............. .............. A

Artery bypass graft. 18.65

N/A 9.22

2.26

N/A 30.13

090 35516.............. .............. A

Artery bypass graft. 16.32

N/A 6.81

1.88

N/A 25.01

090 35518.............. .............. A

Artery bypass graft. 21.20

N/A 9.12

1.78

N/A 32.10

090 35521.............. .............. A

Artery bypass graft. 22.20

N/A 9.94

1.82

N/A 33.96

090 35526.............. .............. A

Artery bypass graft. 29.95

N/A 12.49

2.18

N/A 44.62

090 35531.............. .............. A

Artery bypass graft. 36.20

N/A 14.73

2.91

N/A 53.84

090 35533.............. .............. A

Artery bypass graft. 28.00

N/A 11.91

2.35

N/A 42.26

090 35536.............. .............. A

Artery bypass graft. 31.70

N/A 13.21

2.62

N/A 47.53

090 35541.............. .............. A

Artery bypass graft. 25.80

N/A 11.28

2.74

N/A 39.82

090 35546.............. .............. A

Artery bypass graft. 25.54

N/A 10.99

2.84

N/A 39.37

090 35548.............. .............. A

Artery bypass graft. 21.57

N/A 9.54

2.45

N/A 33.56

090 35549.............. .............. A

Artery bypass graft. 23.35

N/A 10.39

2.77

N/A 36.51

090 35551.............. .............. A

Artery bypass graft. 26.67

N/A 11.52

3.19

N/A 41.38

090 35556.............. .............. A

Artery bypass graft. 21.76

N/A 9.82

2.48

N/A 34.06

090 35558.............. .............. A

Artery bypass graft. 21.20

N/A 9.64

1.58

N/A 32.42

090 35560.............. .............. A

Artery bypass graft. 32.00

N/A 13.46

2.73

N/A 48.19

090 35563.............. .............. A

Artery bypass graft. 24.20

N/A 10.67

1.68

N/A 36.55

090 35565.............. .............. A

Artery bypass graft. 23.20

N/A 10.31

1.71

N/A 35.22

090 35566.............. .............. A

Artery bypass graft. 26.92

N/A 11.51

3.02

N/A 41.45

090 35571.............. .............. A

Artery bypass graft. 24.06

N/A 11.25

2.14

N/A 37.45

090 35572.............. .............. A

Harvest

6.82

N/A 2.37

0.63

N/A 9.82

ZZZ femoropopliteal vein. 35582.............. .............. A

Vein bypass graft... 27.13

N/A 11.67

3.11

N/A 41.91

090 35583.............. .............. A

Vein bypass graft... 22.37

N/A 10.37

2.53

N/A 35.27

090 35585.............. .............. A

Vein bypass graft... 28.39

N/A 12.61

3.21

N/A 44.21

090 35587.............. .............. A

Vein bypass graft... 24.75

N/A 11.88

2.17

N/A 38.80

090 35600.............. .............. A

Harvest artery for

4.95

N/A 1.61

0.60

N/A 7.16

ZZZ cabg. 35601.............. .............. A

Artery bypass graft. 17.50

N/A 8.58

2.08

N/A 28.16

090 35606.............. .............. A

Artery bypass graft. 18.71

N/A 8.96

2.17

N/A 29.84

090 35612.............. .............. A

Artery bypass graft. 15.76

N/A 7.82

1.72

N/A 25.30

090 35616.............. .............. A

Artery bypass graft. 15.70

N/A 8.00

1.84

N/A 25.54

090 35621.............. .............. A

Artery bypass graft. 20.00

N/A 8.86

1.68

N/A 30.54

090 35623.............. .............. A

Bypass graft, not

24.00

N/A 10.64

1.91

N/A 36.55

090 vein. 35626.............. .............. A

Artery bypass graft. 27.75

N/A 11.90

2.89

N/A 42.54

090 35631.............. .............. A

Artery bypass graft. 34.00

N/A 14.07

2.83

N/A 50.90

090 35636.............. .............. A

Artery bypass graft. 29.50

N/A 12.60

2.37

N/A 44.47

090 35641.............. .............. A

Artery bypass graft. 24.57

N/A 11.10

2.83

N/A 38.50

090 35642.............. .............. A

Artery bypass graft. 17.98

N/A 8.74

1.84

N/A 28.56

090 35645.............. .............. A

Artery bypass graft. 17.47

N/A 8.39

1.91

N/A 27.77

090 35646.............. .............. A

Artery bypass graft. 31.00

N/A 13.16

3.63

N/A 47.79

090 35647.............. .............. A

Artery bypass graft. 28.00

N/A 11.84

3.28

N/A 43.12

090 35650.............. .............. A

Artery bypass graft. 19.00

N/A 8.46

1.64

N/A 29.10

090 35651.............. .............. A

Artery bypass graft. 25.04

N/A 10.96

2.53

N/A 38.53

090 35654.............. .............. A

Artery bypass graft. 25.00

N/A 10.84

2.10

N/A 37.94

090 35656.............. .............. A

Artery bypass graft. 19.53

N/A 8.73

2.21

N/A 30.47

090 35661.............. .............. A

Artery bypass graft. 19.00

N/A 9.00

1.50

N/A 29.50

090 35663.............. .............. A

Artery bypass graft. 22.00

N/A 10.09

1.55

N/A 33.64

090 35665.............. .............. A

Artery bypass graft. 21.00

N/A 9.61

1.76

N/A 32.37

090 35666.............. .............. A

Artery bypass graft. 22.19

N/A 11.02

2.19

N/A 35.40

090 35671.............. .............. A

Artery bypass graft. 19.33

N/A 9.72

1.68

N/A 30.73

090 35681.............. .............. A

Composite bypass

1.60

N/A 0.54

0.18

N/A 2.32

ZZZ graft. 35682.............. .............. A

Composite bypass

7.20

N/A 2.43

0.83

N/A 10.46

ZZZ graft. 35683.............. .............. A

Composite bypass

8.50

N/A 2.87

0.98

N/A 12.35

ZZZ graft. 35685.............. .............. A

Bypass graft patency/ 4.05

N/A 1.38

0.25

N/A 5.68

ZZZ patch. 35686.............. .............. A

Bypass graft/av fist 3.35

N/A 1.15

0.21

N/A 4.71

ZZZ patency. 35691.............. .............. A

Arterial

18.05

N/A 8.50

2.06

N/A 28.61

090 transposition. 35693.............. .............. A

Arterial

15.36

N/A 7.70

1.80

N/A 24.86

090 transposition. 35694.............. .............. A

Arterial

19.16

N/A 8.73

2.13

N/A 30.02

090 transposition. 35695.............. .............. A

Arterial

19.16

N/A 8.65

2.19

N/A 30.00

090 transposition. 35700.............. .............. A

Reoperation, bypass

3.08

N/A 1.03

0.36

N/A 4.47

ZZZ graft. 35701.............. .............. A

Exploration, carotid 8.50

N/A 5.22

0.64

N/A 14.36

090 artery. 35721.............. .............. A

Exploration, femoral 7.18

N/A 4.52

0.59

N/A 12.29

090 artery. 35741.............. .............. A

Exploration

8.00

N/A 4.79

0.60

N/A 13.39

090 popliteal artery. 35761.............. .............. A

Exploration of

5.37

N/A 4.10

0.60

N/A 10.07

090 artery/vein.

[[Page 49122]]

35800.............. .............. A

Explore neck vessels 7.02

N/A 4.64

0.79

N/A 12.45

090 35820.............. .............. A

Explore chest

12.88

N/A 6.96

1.61

N/A 21.45

090 vessels. 35840.............. .............. A

Explore abdominal

9.77

N/A 5.41

1.06

N/A 16.24

090 vessels. 35860.............. .............. A

Explore limb vessels 5.55

N/A 4.07

0.63

N/A 10.25

090 35870.............. .............. A

Repair vessel graft 22.17

N/A 10.15

2.47

N/A 34.79

090 defect. 35875.............. .............. A

Removal of clot in

10.13

N/A 5.35

0.97

N/A 16.45

090 graft. 35876.............. .............. A

Removal of clot in

17.00

N/A 7.75

1.88

N/A 26.63

090 graft. 35879.............. .............. A

Revise graft w/vein. 16.00

N/A 7.80

1.35

N/A 25.15

090 35881.............. .............. A

Revise graft w/vein. 18.00

N/A 8.75

1.44

N/A 28.19

090 35901.............. .............. A

Excision, graft,

8.19

N/A 5.35

0.90

N/A 14.44

090 neck. 35903.............. .............. A

Excision, graft,

9.39

N/A 6.24

1.03

N/A 16.66

090 extremity. 35905.............. .............. A

Excision, graft,

31.25

N/A 13.30

2.15

N/A 46.70

090 thorax. 35907.............. .............. A

Excision, graft,

35.00

N/A 14.57

2.17

N/A 51.74

090 abdomen. 36000.............. .............. A

Place needle in vein 0.18 0.62 0.05

0.01

0.81 0.24

XXX 36002.............. .............. A

Pseudoaneurysm

1.96 2.92 1.00

0.10

4.98 3.06

000 injection trt. 36005.............. .............. A

Injection ext

0.95 8.45 0.32

0.04

9.44 1.31

000 venography. 36010.............. .............. A

Place catheter in

2.43

N/A 0.80

0.16

N/A 3.39

XXX vein. 36011.............. .............. A

Place catheter in

3.14

N/A 1.05

0.17

N/A 4.36

XXX vein. 36012.............. .............. A

Place catheter in

3.52

N/A 1.18

0.17

N/A 4.87

XXX vein. 36013.............. .............. A

Place catheter in

2.52

N/A 0.66

0.17

N/A 3.35

XXX artery. 36014.............. .............. A

Place catheter in

3.02

N/A 1.01

0.14

N/A 4.17

XXX artery. 36015.............. .............. A

Place catheter in

3.52

N/A 1.18

0.16

N/A 4.86

XXX artery. 36100.............. .............. A

Establish access to

3.02

N/A 1.12

0.18

N/A 4.32

XXX artery. 36120.............. .............. A

Establish access to

2.01

N/A 0.66

0.11

N/A 2.78

XXX artery. 36140.............. .............. A

Establish access to

2.01

N/A 0.65

0.12

N/A 2.78

XXX artery. 36145.............. .............. A

Artery to vein shunt 2.01

N/A 0.67

0.10

N/A 2.78

XXX 36160.............. .............. A

Establish access to

2.52

N/A 0.86

0.20

N/A 3.58

XXX aorta. 36200.............. .............. A

Place catheter in

3.02 72.76 1.04

0.15 75.93 4.21

XXX aorta. 36215.............. .............. A

Place catheter in

4.68

N/A 1.61

0.22

N/A 6.51

XXX artery. 36216.............. .............. A

Place catheter in

5.28

N/A 1.79

0.24

N/A 7.31

XXX artery. 36217.............. .............. A

Place catheter in

6.30

N/A 2.18

0.32

N/A 8.80

XXX artery. 36218.............. .............. A

Place catheter in

1.01

N/A 0.35

0.05

N/A 1.41

ZZZ artery. 36245.............. .............. A

Place catheter in

4.68

N/A 1.68

0.23

N/A 6.59

XXX artery. 36246.............. .............. A

Place catheter in

5.28

N/A 1.82

0.26

N/A 7.36

XXX artery. 36247.............. .............. A

Place catheter in

6.30

N/A 2.15

0.32

N/A 8.77

XXX artery. 36248.............. .............. A

Place catheter in

1.01

N/A 0.35

0.06

N/A 1.42

ZZZ artery. 36260.............. .............. A

Insertion of

9.71

N/A 5.04

1.00

N/A 15.75

090 infusion pump. 36261.............. .............. A

Revision of infusion 5.45

N/A 3.66

0.50

N/A 9.61

090 pump. 36262.............. .............. A

Removal of infusion

4.02

N/A 2.83

0.43

N/A 7.28

090 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.............. .............. I

Routine venipuncture 0.00 0.00 0.00

0.00

0.00 0.00

XXX 36416.............. .............. I

Capillary blood draw 0.00 0.00 0.00

0.00

0.00 0.00

XXX 36420.............. .............. A

Vein access cutdown

1.01 3.18 0.28

0.09

4.28 1.38

XXX 1 yr. 36430.............. .............. A

Blood transfusion

0.00 1.01

N/A

0.05

1.06

N/A

XXX service. 36440.............. .............. A

Bl push transfuse, 2 1.03

N/A 0.29

0.08

N/A 1.40

XXX yr or 5 yr. 49507.............. .............. A

Prp i/hern init

9.57

N/A 4.67

0.83

N/A 15.07

090 block5 yr. 49520.............. .............. A

Rerepair ing hernia, 9.63

N/A 4.63

0.84

N/A 15.10

090 reduce. 49521.............. .............. A

Rerepair ing hernia, 11.97

N/A 5.36

1.04

N/A 18.37

090 blocked. 49525.............. .............. A

Repair ing hernia,

8.57

N/A 4.23

0.74

N/A 13.54

090 sliding. 49540.............. .............. A

Repair lumbar hernia 10.39

N/A 4.91

0.90

N/A 16.20

090 49550.............. .............. A

Rpr rem hernia,

8.63

N/A 4.22

0.75

N/A 13.60

090 init, reduce. 49553.............. .............. A

Rpr fem hernia, init 9.44

N/A 4.55

0.83

N/A 14.82

090 blocked. 49555.............. .............. A

Rerepair fem hernia, 9.03

N/A 4.42

0.79

N/A 14.24

090 reduce. 49557.............. .............. A

Rerepair fem hernia, 11.15

N/A 5.14

0.97

N/A 17.26

090 blocked. 49560.............. .............. A

Rpr ventral hern

11.57

N/A 5.32

1.00

N/A 17.89

090 init, reduc. 49561.............. .............. A

Rpr ventral hern

14.25

N/A 6.24

1.23

N/A 21.72

090 init, block. 49565.............. .............. A

Rerepair ventrl

11.57

N/A 5.39

1.00

N/A 17.96

090 hern, reduce. 49566.............. .............. A

Rerepair ventrl

14.40

N/A 6.31

1.24

N/A 21.95

090 hern, block. 49568.............. .............. A

Hernia repair w/mesh 4.89

N/A 1.71

0.50

N/A 7.10

ZZZ 49570.............. .............. A

Rpr epigastric hern, 5.69

N/A 3.23

0.50

N/A 9.42

090 reduce. 49572.............. .............. A

Rpr epigastric hern, 6.73

N/A 3.59

0.58

N/A 10.90

090 blocked.

[[Page 49142]]

49580.............. .............. A

Rpr umbil hern,

4.11

N/A 2.68

0.34

N/A 7.13

090 reduc 5 yr. 49587.............. .............. A

Rpr umbil hern,

7.56

N/A 3.83

0.65

N/A 12.04

090 block 5 yr. 49590.............. .............. A

Repair spigilian

8.54

N/A 4.23

0.74

N/A 13.51

090 hernia. 49600.............. .............. A

Repair umbilical

10.96

N/A 5.39

1.13

N/A 17.48

090 lesion. 49605.............. .............. A

Repair umbilical

76.00

N/A 29.13

2.57

N/A 107.70

090 lesion. 49606.............. .............. A

Repair umbilical

18.60

N/A 7.89

2.22

N/A 28.71

090 lesion. 49610.............. .............. A

Repair umbilical

10.50

N/A 5.42

0.77

N/A 16.69

090 lesion. 49611.............. .............. A

Repair umbilical

8.92

N/A 6.51

0.65

N/A 16.08

090 lesion. 49650.............. .............. A

Laparo hernia repair 6.27

N/A 3.22

0.64

N/A 10.13

090 initial. 49651.............. .............. A

Laparo hernia repair 8.24

N/A 4.14

0.84

N/A 13.22

090 recur. 49659.............. .............. C

Laparo proc, hernia

0.00 0.00 0.00

0.00

0.00 0.00

YYY repair. 49900.............. .............. A

Repair of abdominal 12.28

N/A 6.35

1.23

N/A 19.86

090 wall. 49904.............. .............. A

Omental flap, extra- 20.00

N/A 15.88

1.91

N/A 37.79

090 abdom. 49905.............. .............. A

Omental flap, intra- 6.55

N/A 2.33

0.61

N/A 9.49

ZZZ 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

10.98

N/A 5.69

0.79

N/A 17.46

090 kidney. 50020.............. .............. A

Renal abscess, open 14.66

N/A 9.32

0.80

N/A 24.78

090 drain. 50021.............. .............. A

Renal abscess,

3.38

N/A 1.45

0.15

N/A 4.98

000 percut drain. 50040.............. .............. A

Drainage of kidney.. 14.94

N/A 8.84

0.82

N/A 24.60

090 50045.............. .............. A

Exploration of

15.46

N/A 7.12

1.06

N/A 23.64

090 kidney. 50060.............. .............. A

Removal of kidney

19.30

N/A 8.41

1.14

N/A 28.85

090 stone. 50065.............. .............. A

Incision of kidney.. 20.79

N/A 6.40

1.13

N/A 28.32

090 50070.............. .............. A

Incision of kidney.. 20.32

N/A 8.81

1.20

N/A 30.33

090 50075.............. .............. A

Removal of kidney

25.34

N/A 10.62

1.51

N/A 37.47

090 stone. 50080.............. .............. A

Removal of kidney

14.71

N/A 8.29

0.86

N/A 23.86

090 stone. 50081.............. .............. A

Removal of kidney

21.80

N/A 10.79

1.30

N/A 33.89

090 stone. 50100.............. .............. A

Revise kidney blood 16.09

N/A 8.17

1.64

N/A 25.90

090 vessels. 50120.............. .............. A

Exploration of

15.91

N/A 7.33

1.04

N/A 24.28

090 kidney. 50125.............. .............. A

Explore and drain

16.52

N/A 7.50

1.07

N/A 25.09

090 kidney. 50130.............. .............. A

Removal of kidney

17.29

N/A 7.73

1.04

N/A 26.06

090 stone. 50135.............. .............. A

Exploration of

19.18

N/A 8.36

1.18

N/A 28.72

090 kidney. 50200.............. .............. A

Biopsy of kidney.... 2.63

N/A 0.92

0.12

N/A 3.67

000 50205.............. .............. A

Biopsy of kidney.... 11.31

N/A 5.47

0.94

N/A 17.72

090 50220.............. .............. A

Remove kidney, open. 17.15

N/A 7.77

1.16

N/A 26.08

090 50225.............. .............. A

Removal kidney open, 20.23

N/A 8.73

1.26

N/A 30.22

090 complex. 50230.............. .............. A

Removal kidney open, 22.07

N/A 9.22

1.35

N/A 32.64

090 radical. 50234.............. .............. A

Removal of kidney & 22.40

N/A 9.43

1.37

N/A 33.20

090 ureter. 50236.............. .............. A

Removal of kidney & 24.86

N/A 11.85

1.50

N/A 38.21

090 ureter. 50240.............. .............. A

Partial removal of

22.00

N/A 10.92

1.36

N/A 34.28

090 kidney. 50280.............. .............. A

Removal of kidney

15.67

N/A 7.22

0.99

N/A 23.88

090 lesion. 50290.............. .............. A

Removal of kidney

14.73

N/A 6.92

1.11

N/A 22.76

090 lesion. 50320.............. .............. A

Removal of donor

22.21

N/A 9.47

1.78

N/A 33.46

090 kidney. 50340.............. .............. A

Removal of kidney... 12.15

N/A 7.14

1.15

N/A 20.44

090 50360.............. .............. A

Transplantation of

31.53

N/A 14.85

2.97

N/A 49.35

090 kidney. 50365.............. .............. A

Transplantation of

36.81

N/A 17.60

3.51

N/A 57.92

090 kidney. 50370.............. .............. A

Remove transplanted 13.72

N/A 7.75

1.26

N/A 22.73

090 kidney. 50380.............. .............. A

Reimplantation of

20.76

N/A 12.31

1.80

N/A 34.87

090 kidney. 50390.............. .............. A

Drainage of kidney

1.96

N/A 0.65

0.09

N/A 2.70

000 lesion. 50392.............. .............. A

Insert kidney drain. 3.38

N/A 1.12

0.15

N/A 4.65

000 50393.............. .............. A

Insert ureteral tube 4.16

N/A 1.38

0.18

N/A 5.72

000

[[Page 49143]]

50394.............. .............. A

Injection for kidney 0.76 2.52 0.25

0.04

3.32 1.05

000 x-ray. 50395.............. .............. A

Create passage to

3.38

N/A 1.12

0.16

N/A 4.66

000 kidney. 50396.............. .............. A

Measure kidney

2.09

N/A 0.87

0.10

N/A 3.06

000 pressure. 50398.............. .............. A

Change kidney tube.. 1.46 1.21 0.49

0.07

2.74 2.02

000 50400.............. .............. A

Revision of kidney/ 19.50

N/A 8.46

1.21

N/A 29.17

090 ureter. 50405.............. .............. A

Revision of kidney/ 23.93

N/A 10.80

1.45

N/A 36.18

090 ureter. 50500.............. .............. A

Repair of kidney

19.57

N/A 9.01

1.45

N/A 30.03

090 wound. 50520.............. .............. A

Close kidney-skin

17.23

N/A 9.11

1.26

N/A 27.60

090 fistula. 50525.............. .............. A

Repair renal-abdomen 22.27

N/A 10.50

1.51

N/A 34.28

090 fistula. 50526.............. .............. A

Repair renal-abdomen 24.02

N/A 11.18

1.62

N/A 36.82

090 fistula. 50540.............. .............. A

Revision of

19.93

N/A 8.83

1.28

N/A 30.04

090 horseshoe kidney. 50541.............. .............. A

Laparo ablate renal 16.00

N/A 6.55

0.99

N/A 23.54

090 cyst. 50542.............. .............. A

Laparo ablate renal 20.00

N/A 8.32

1.36

N/A 29.68

090 mass. 50543.............. .............. A

Laparo partial

25.50

N/A 10.50

1.36

N/A 37.36

090 nephrectomy. 50544.............. .............. A

Laparoscopy,

22.40

N/A 8.66

1.41

N/A 32.47

090 pyeloplasty. 50545.............. .............. A

Laparo radical

24.00

N/A 9.44

1.53

N/A 34.97

090 nephrectomy. 50546.............. .............. A

Laparoscopic

20.48

N/A 8.40

1.37

N/A 30.25

090 nephrectomy. 50547.............. .............. A

Laparo removal donor 25.50

N/A 10.33

2.04

N/A 37.87

090 kidney. 50548.............. .............. A

Laparo remove k/

24.40

N/A 9.30

1.49

N/A 35.19

090 ureter. 50549.............. .............. C

Laparoscope proc,

0.00 0.00 0.00

0.00

0.00 0.00

YYY renal. 50551.............. .............. A

Kidney endoscopy.... 5.60 5.03 1.83

0.33 10.96 7.76

000 50553.............. .............. A

Kidney endoscopy.... 5.99 18.93 1.99

0.35 25.27 8.33

000 50555.............. .............. A

Kidney endoscopy &

6.53 19.59 2.16

0.38 26.50 9.07

000 biopsy. 50557.............. .............. A

Kidney endoscopy &

6.62 20.38 2.17

0.39 27.39 9.18

000 treatment. 50559.............. .............. A

Renal endoscopy/

6.78

N/A 2.24

0.27

N/A 9.29

000 radiotracer. 50561.............. .............. A

Kidney endoscopy &

7.59 18.03 2.49

0.44 26.06 10.52

000 treatment. 50562.............. .............. A

Renal scope w/tumor 10.92

N/A 3.93

0.84

N/A 15.69

090 resect. 50570.............. .............. A

Kidney endoscopy.... 9.54

N/A 3.12

0.56

N/A 13.22

000 50572.............. .............. A

Kidney endoscopy.... 10.35

N/A 3.39

0.64

N/A 14.38

000 50574.............. .............. A

Kidney endoscopy &

11.02

N/A 3.62

0.65

N/A 15.29

000 biopsy. 50575.............. .............. A

Kidney endoscopy.... 13.98

N/A 4.58

0.84

N/A 19.40

000 50576.............. .............. A

Kidney endoscopy &

10.99

N/A 3.59

0.66

N/A 15.24

000 treatment. 50578.............. .............. A

Renal endoscopy/

11.35

N/A 3.71

0.67

N/A 15.73

000 radiotracer. 50580.............. .............. A

Kidney endoscopy &

11.86

N/A 3.88

0.70

N/A 16.44

000 treatment. 50590.............. .............. A

Fragmenting of

9.09 10.52 4.93

0.54 20.15 14.56

090 kidney stone. 50600.............. .............. A

Exploration of

15.84

N/A 7.33

0.99

N/A 24.16

090 ureter. 50605.............. .............. A

Insert ureteral

15.46

N/A 7.31

1.13

N/A 23.90

090 support. 50610.............. .............. A

Removal of ureter

15.92

N/A 7.60

1.08

N/A 24.60

090 stone. 50620.............. .............. A

Removal of ureter

15.16

N/A 6.97

0.91

N/A 23.04

090 stone. 50630.............. .............. A

Removal of ureter

14.94

N/A 6.90

0.90

N/A 22.74

090 stone. 50650.............. .............. A

Removal of ureter... 17.41

N/A 7.87

1.07

N/A 26.35

090 50660.............. .............. A

Removal of ureter... 19.55

N/A 8.61

1.19

N/A 29.35

090 50684.............. .............. A

Injection for ureter 0.76 10.78 0.25

0.04 11.58 1.05

000 x-ray. 50686.............. .............. A

Measure ureter

1.51 4.66 0.66

0.09

6.26 2.26

000 pressure. 50688.............. .............. A

Change of ureter

1.17

N/A 1.72

0.06

N/A 2.95

010 tube. 50690.............. .............. A

Injection for ureter 1.16 10.98 0.38

0.06 12.20 1.60

000 x-ray. 50700.............. .............. A

Revision of ureter.. 15.21

N/A 7.59

0.86

N/A 23.66

090 50715.............. .............. A

Release of ureter... 18.90

N/A 9.55

1.68

N/A 30.13

090 50722.............. .............. A

Release of ureter... 16.35

N/A 8.38

1.41

N/A 26.14

090 50725.............. .............. A

Release/revise

18.49

N/A 8.73

1.44

N/A 28.66

090 ureter.

[[Page 49144]]

50727.............. .............. A

Revise ureter....... 8.18

N/A 5.44

0.51

N/A 14.13

090 50728.............. .............. A

Revise ureter....... 12.02

N/A 6.96

0.88

N/A 19.86

090 50740.............. .............. A

Fusion of ureter &

18.42

N/A 8.27

1.49

N/A 28.18

090 kidney. 50750.............. .............. A

Fusion of ureter &

19.51

N/A 8.66

1.24

N/A 29.41

090 kidney. 50760.............. .............. A

Fusion of ureters... 18.42

N/A 8.30

1.25

N/A 27.97

090 50770.............. .............. A

Splicing of ureters. 19.51

N/A 8.62

1.25

N/A 29.38

090 50780.............. .............. A

Reimplant ureter in 18.36

N/A 8.22

1.20

N/A 27.78

090 bladder. 50782.............. .............. A

Reimplant ureter in 19.54

N/A 9.91

1.13

N/A 30.58

090 bladder. 50783.............. .............. A

Reimplant ureter in 20.55

N/A 9.67

1.35

N/A 31.57

090 bladder. 50785.............. .............. A

Reimplant ureter in 20.52

N/A 8.96

1.30

N/A 30.78

090 bladder. 50800.............. .............. A

Implant ureter in

14.52

N/A 7.34

0.92

N/A 22.78

090 bowel. 50810.............. .............. A

Fusion of ureter &

20.05

N/A 9.89

1.78

N/A 31.72

090 bowel. 50815.............. .............. A

Urine shunt to

19.93

N/A 9.34

1.31

N/A 30.58

090 intestine. 50820.............. .............. A

Construct bowel

21.89

N/A 9.50

1.38

N/A 32.77

090 bladder. 50825.............. .............. A

Construct bowel

28.18

N/A 12.20

1.81

N/A 42.19

090 bladder. 50830.............. .............. A

Revise urine flow... 31.28

N/A 13.12

2.20

N/A 46.60

090 50840.............. .............. A

Replace ureter by

20.00

N/A 9.32

1.26

N/A 30.58

090 bowel. 50845.............. .............. A

Appendico-

20.89

N/A 9.08

1.26

N/A 31.23

090 vesicostomy. 50860.............. .............. A

Transplant ureter to 15.36

N/A 7.23

1.01

N/A 23.60

090 skin. 50900.............. .............. A

Repair of ureter.... 13.62

N/A 6.66

0.98

N/A 21.26

090 50920.............. .............. A

Closure ureter/skin 14.33

N/A 7.09

0.84

N/A 22.26

090 fistula. 50930.............. .............. A

Closure ureter/bowel 18.72

N/A 8.53

1.57

N/A 28.82

090 fistula. 50940.............. .............. A

Release of ureter... 14.51

N/A 6.96

1.04

N/A 22.51

090 50945.............. .............. A

Laparoscopy

17.00

N/A 7.11

1.15

N/A 25.26

090 ureterolithotomy. 50947.............. .............. A

Laparo new ureter/

24.50

N/A 10.14

1.99

N/A 36.63

090 bladder. 50948.............. .............. A

Laparo new ureter/

22.50

N/A 9.11

1.83

N/A 33.44

090 bladder. 50949.............. .............. C

Laparoscope proc,

0.00 0.00 0.00

0.00

0.00 0.00

YYY ureter. 50951.............. .............. A

Endoscopy of ureter. 5.84 5.45 1.91

0.35 11.64 8.10

000 50953.............. .............. A

Endoscopy of ureter. 6.24 18.93 2.05

0.37 25.54 8.66

000 50955.............. .............. A

Ureter endoscopy &

6.75 19.81 2.25

0.38 26.94 9.38

000 biopsy. 50957.............. .............. A

Ureter endoscopy &

6.79 18.54 2.23

0.40 25.73 9.42

000 treatment. 50959.............. .............. A

Ureter endoscopy &

4.40

N/A 1.40

0.18

N/A 5.98

000 tracer. 50961.............. .............. A

Ureter endoscopy &

6.05 25.86 1.98

0.35 32.26 8.38

000 treatment. 50970.............. .............. A

Ureter endoscopy.... 7.14

N/A 2.35

0.43

N/A 9.92

000 50972.............. .............. A

Ureter endoscopy &

6.89

N/A 2.31

0.39

N/A 9.59

000 catheter. 50974.............. .............. A

Ureter endoscopy &

9.17

N/A 2.99

0.53

N/A 12.69

000 biopsy. 50976.............. .............. A

Ureter endoscopy &

9.04

N/A 2.97

0.53

N/A 12.54

000 treatment. 50978.............. .............. A

Ureter endoscopy &

5.10

N/A 1.73

0.30

N/A 7.13

000 tracer. 50980.............. .............. A

Ureter endoscopy &

6.85

N/A 2.25

0.41

N/A 9.51

000 treatment. 51000.............. .............. A

Drainage of bladder. 0.78 2.03 0.24

0.05

2.86 1.07

000 51005.............. .............. A

Drainage of bladder. 1.02 3.41 0.34

0.08

4.51 1.44

000 51010.............. .............. A

Drainage of bladder. 3.53 5.88 1.94

0.23

9.64 5.70

010 51020.............. .............. A

Incise & treat

6.71

N/A 4.27

0.42

N/A 11.40

090 bladder. 51030.............. .............. A

Incise & treat

6.77

N/A 4.37

0.42

N/A 11.56

090 bladder. 51040.............. .............. A

Incise & drain

4.40

N/A 3.12

0.27

N/A 7.79

090 bladder. 51045.............. .............. A

Incise bladder/drain 6.77

N/A 4.33

0.47

N/A 11.57

090 ureter. 51050.............. .............. A

Removal of bladder

6.92

N/A 4.01

0.42

N/A 11.35

090 stone. 51060.............. .............. A

Removal of ureter

8.85

N/A 4.93

0.54

N/A 14.32

090 stone. 51065.............. .............. A

Remove ureter

8.85

N/A 4.77

0.53

N/A 14.15

090 calculus. 51080.............. .............. A

Drainage of bladder

5.96

N/A 3.97

0.35

N/A 10.28

090 abscess. 51500.............. .............. A

Removal of bladder

10.14

N/A 5.24

0.88

N/A 16.26

090 cyst. 51520.............. .............. A

Removal of bladder

9.29

N/A 5.10

0.58

N/A 14.97

090 lesion.

[[Page 49145]]

51525.............. .............. A

Removal of bladder

13.97

N/A 6.59

0.85

N/A 21.41

090 lesion. 51530.............. .............. A

Removal of bladder

12.38

N/A 6.18

0.82

N/A 19.38

090 lesion. 51535.............. .............. A

Repair of ureter

12.57

N/A 6.56

0.90

N/A 20.03

090 lesion. 51550.............. .............. A

Partial removal of

15.66

N/A 7.17

1.05

N/A 23.88

090 bladder. 51555.............. .............. A

Partial removal of

21.23

N/A 9.18

1.37

N/A 31.78

090 bladder. 51565.............. .............. A

Revise bladder &

21.62

N/A 9.51

1.40

N/A 32.53

090 ureter(s). 51570.............. .............. A

Removal of bladder.. 24.24

N/A 10.35

1.59

N/A 36.18

090 51575.............. .............. A

Removal of bladder & 30.45

N/A 12.71

1.88

N/A 45.04

090 nodes. 51580.............. .............. A

Remove bladder/

31.08

N/A 13.17

1.94

N/A 46.19

090 revise tract. 51585.............. .............. A

Removal of bladder & 35.23

N/A 14.42

2.18

N/A 51.83

090 nodes. 51590.............. .............. A

Remove bladder/

32.66

N/A 13.30

2.01

N/A 47.97

090 revise tract. 51595.............. .............. A

Remove bladder/

37.14

N/A 14.86

2.23

N/A 54.23

090 revise tract. 51596.............. .............. A

Remove bladder/

39.52

N/A 16.01

2.39

N/A 57.92

090 create pouch. 51597.............. .............. A

Removal of pelvic

38.35

N/A 15.57

2.49

N/A 56.41

090 structures. 51600.............. .............. A

Injection for

0.88 5.84 0.29

0.04

6.76 1.21

000 bladder x-ray. 51605.............. .............. A

Preparation for

0.64 6.11 0.35

0.04

6.79 1.03

000 bladder xray. 51610.............. .............. A

Injection for

1.05 1.71 0.61

0.05

2.81 1.71

000 bladder x-ray. 51700.............. .............. A

Irrigation of

0.88 1.69 0.29

0.05

2.62 1.22

000 bladder. 51701.............. .............. A

Insert bladder

0.50 1.68 0.19

0.03

2.21 0.72

000 catheter. 51702.............. .............. A

Insert temp bladder

0.50 2.39 0.26

0.03

2.92 0.79

000 cath. 51703.............. .............. A

Insert bladder cath, 1.47 3.11 0.58

0.09

4.67 2.14

000 complex. 51705.............. .............. A

Change of bladder

1.02 2.39 0.63

0.06

3.47 1.71

010 tube. 51710.............. .............. A

Change of bladder

1.49 3.51 0.79

0.09

5.09 2.37

010 tube. 51715.............. .............. A

Endoscopic injection/ 3.74 4.09 1.39

0.24

8.07 5.37

000 implant. 51720.............. .............. A

Treatment of bladder 1.96 1.82 0.72

0.12

3.90 2.80

000 lesion. 51725.............. .............. A

Simple

1.51 5.90

N/A

0.13

7.54

N/A

000 cystometrogram. 51725.............. 26............ A

Simple

1.51 0.51 0.51

0.10

2.12 2.12

000 cystometrogram. 51725.............. TC............ A

Simple

0.00 5.40

N/A

0.03

5.43

N/A

000 cystometrogram. 51726.............. .............. A

Complex

1.71 7.93

N/A

0.15

9.79

N/A

000 cystometrogram. 51726.............. 26............ A

Complex

1.71 0.57 0.57

0.11

2.39 2.39

000 cystometrogram. 51726.............. TC............ A

Complex

0.00 7.36

N/A

0.04

7.40

N/A

000 cystometrogram. 51736.............. .............. A

Urine flow

0.61 0.61

N/A

0.05

1.27

N/A

000 measurement. 51736.............. 26............ A

Urine flow

0.61 0.20 0.20

0.04

0.85 0.85

000 measurement. 51736.............. TC............ A

Urine flow

0.00 0.40

N/A

0.01

0.41

N/A

000 measurement. 51741.............. .............. A

Electro-

1.14 0.83

N/A

0.09

2.06

N/A

000 uroflowmetry, first. 51741.............. 26............ A

Electro-

1.14 0.38 0.38

0.07

1.59 1.59

000 uroflowmetry, first. 51741.............. TC............ A

Electro-

0.00 0.45

N/A

0.02

0.47

N/A

000 uroflowmetry, first. 51772.............. .............. A

Urethra pressure

1.61 5.89

N/A

0.16

7.66

N/A

000 profile. 51772.............. 26............ A

Urethra pressure

1.61 0.56 0.56

0.12

2.29 2.29

000 profile. 51772.............. TC............ A

Urethra pressure

0.00 5.33

N/A

0.04

5.37

N/A

000 profile. 51784.............. .............. A

Anal/urinary muscle

1.53 4.18

N/A

0.13

5.84

N/A

000 study. 51784.............. 26............ A

Anal/urinary muscle

1.53 0.52 0.52

0.10

2.15 2.15

000 study. 51784.............. TC............ A

Anal/urinary muscle

0.00 3.66

N/A

0.03

3.69

N/A

000 study. 51785.............. .............. A

Anal/urinary muscle

1.53 4.69

N/A

0.12

6.34

N/A

000 study. 51785.............. 26............ A

Anal/urinary muscle

1.53 0.51 0.51

0.09

2.13 2.13

000 study. 51785.............. TC............ A

Anal/urinary muscle

0.00 4.17

N/A

0.03

4.20

N/A

000 study. 51792.............. .............. A

Urinary reflex study 1.10 6.13

N/A

0.20

7.43

N/A

000 51792.............. 26............ A

Urinary reflex study 1.10 0.42 0.42

0.09

1.61 1.61

000 51792.............. TC............ A

Urinary reflex study 0.00 5.70

N/A

0.11

5.81

N/A

000 51795.............. .............. A

Urine voiding

1.53 7.72

N/A

0.18

9.43

N/A

000 pressure study. 51795.............. 26............ A

Urine voiding

1.53 0.51 0.51

0.10

2.14 2.14

000 pressure study. 51795.............. TC............ A

Urine voiding

0.00 7.20

N/A

0.08

7.28

N/A

000 pressure study.

[[Page 49146]]

51797.............. .............. A

Intraabdominal

1.60 6.08

N/A

0.14

7.82

N/A

000 pressure test. 51797.............. 26............ A

Intraabdominal

1.60 0.54 0.54

0.10

2.24 2.24

000 pressure test. 51797.............. TC............ A

Intraabdominal

0.00 5.54

N/A

0.04

5.58

N/A

000 pressure test. 51798.............. .............. A

Us urine capacity

0.00 0.36

N/A

0.07

0.43

N/A

XXX measure. 51800.............. .............. A

Revision of bladder/ 17.42

N/A 8.05

1.17

N/A 26.64

090 urethra. 51820.............. .............. A

Revision of urinary 17.89

N/A 8.71

1.45

N/A 28.05

090 tract. 51840.............. .............. A

Attach bladder/

10.71

N/A 5.66

0.87

N/A 17.24

090 urethra. 51841.............. .............. A

Attach bladder/

13.03

N/A 6.49

1.04

N/A 20.56

090 urethra. 51845.............. .............. A

Repair bladder neck. 9.73

N/A 5.18

0.62

N/A 15.53

090 51860.............. .............. A

Repair of bladder

12.02

N/A 6.18

0.89

N/A 19.09

090 wound. 51865.............. .............. A

Repair of bladder

15.04

N/A 7.14

1.01

N/A 23.19

090 wound. 51880.............. .............. A

Repair of bladder

7.66

N/A 4.35

0.54

N/A 12.55

090 opening. 51900.............. .............. A

Repair bladder/

12.97

N/A 6.53

0.87

N/A 20.37

090 vagina lesion. 51920.............. .............. A

Close bladder-uterus 11.81

N/A 6.05

0.86

N/A 18.72

090 fistula. 51925.............. .............. A

Hysterectomy/bladder 15.58

N/A 9.02

1.48

N/A 26.08

090 repair. 51940.............. .............. A

Correction of

28.43

N/A 12.86

1.97

N/A 43.26

090 bladder defect. 51960.............. .............. A

Revision of bladder 23.01

N/A 10.37

1.41

N/A 34.79

090 & bowel. 51980.............. .............. A

Construct bladder

11.36

N/A 5.81

0.74

N/A 17.91

090 opening. 51990.............. .............. A

Laparo urethral

12.50

N/A 6.23

1.02

N/A 19.75

090 suspension. 51992.............. .............. A

Laparo sling

14.01

N/A 6.27

0.93

N/A 21.21

090 operation. 52000.............. .............. A

Cystoscopy.......... 2.01 3.45 0.78

0.12

5.58 2.91

000 52001.............. .............. A

Cystoscopy, removal

5.45 5.28 1.91

0.32 11.05 7.68

000 of clots. 52005.............. .............. A

Cystoscopy & ureter

2.37 6.17 0.92

0.15

8.69 3.44

000 catheter. 52007.............. .............. A

Cystoscopy and

3.02

N/A 1.18

0.18

N/A 4.38

000 biopsy. 52010.............. .............. A

Cystoscopy & duct

3.02

N/A 1.16

0.18

N/A 4.36

000 catheter. 52204.............. .............. A

Cystoscopy.......... 2.37 3.70 0.93

0.15

6.22 3.45

000 52214.............. .............. A

Cystoscopy and

3.71

N/A 1.36

0.22

N/A 5.29

000 treatment. 52224.............. .............. A

Cystoscopy and

3.14

N/A 1.18

0.18

N/A 4.50

000 treatment. 52234.............. .............. A

Cystoscopy and

4.63

N/A 1.67

0.27

N/A 6.57

000 treatment. 52235.............. .............. A

Cystoscopy and

5.45

N/A 1.95

0.32

N/A 7.72

000 treatment. 52240.............. .............. A

Cystoscopy and

9.72

N/A 3.37

0.58

N/A 13.67

000 treatment. 52250.............. .............. A

Cystoscopy and

4.50

N/A 1.70

0.27

N/A 6.47

000 radiotracer. 52260.............. .............. A

Cystoscopy and

3.92

N/A 1.46

0.23

N/A 5.61

000 treatment. 52265.............. .............. A

Cystoscopy and

2.94 3.83 1.14

0.18

6.95 4.26

000 treatment. 52270.............. .............. A

Cystoscopy & revise

3.37

N/A 1.28

0.20

N/A 4.85

000 urethra. 52275.............. .............. A

Cystoscopy & revise

4.70

N/A 1.71

0.28

N/A 6.69

000 urethra. 52276.............. .............. A

Cystoscopy and

5.00

N/A 1.83

0.30

N/A 7.13

000 treatment. 52277.............. .............. A

Cystoscopy and

6.17

N/A 2.31

0.38

N/A 8.86

000 treatment. 52281.............. .............. A

Cystoscopy and

2.80 7.56 1.11

0.17 10.53 4.08

000 treatment. 52282.............. .............. A

Cystoscopy, implant

6.40

N/A 2.29

0.38

N/A 9.07

000 stent. 52283.............. .............. A

Cystoscopy and

3.74 4.11 1.42

0.22

8.07 5.38

000 treatment. 52285.............. .............. A

Cystoscopy and

3.61 4.18 1.37

0.22

8.01 5.20

000 treatment. 52290.............. .............. A

Cystoscopy and

4.59

N/A 1.70

0.27

N/A 6.56

000 treatment. 52300.............. .............. A

Cystoscopy and

5.31

N/A 1.96

0.32

N/A 7.59

000 treatment. 52301.............. .............. A

Cystoscopy and

5.51

N/A 2.04

0.39

N/A 7.94

000 treatment. 52305.............. .............. A

Cystoscopy and

5.31

N/A 1.90

0.31

N/A 7.52

000 treatment. 52310.............. .............. A

Cystoscopy and

2.81 3.60 1.06

0.17

6.58 4.04

000 treatment. 52315.............. .............. A

Cystoscopy and

5.21

N/A 1.88

0.31

N/A 7.40

000 treatment. 52317.............. .............. A

Remove bladder stone 6.72

N/A 2.33

0.40

N/A 9.45

000 52318.............. .............. A

Remove bladder stone 9.19

N/A 3.17

0.54

N/A 12.90

000

[[Page 49147]]

52320.............. .............. A

Cystoscopy and

4.70

N/A 1.68

0.28

N/A 6.66

000 treatment. 52325.............. .............. A

Cystoscopy, stone

6.16

N/A 2.16

0.37

N/A 8.69

000 removal. 52327.............. .............. A

Cystoscopy, inject

5.19

N/A 1.87

0.32

N/A 7.38

000 material. 52330.............. .............. A

Cystoscopy and

5.04

N/A 1.79

0.30

N/A 7.13

000 treatment. 52332.............. .............. A

Cystoscopy and

2.83

N/A 1.08

0.17

N/A 4.08

000 treatment. 52334.............. .............. A

Create passage to

4.83

N/A 1.80

0.28

N/A 6.91

000 kidney. 52341.............. .............. A

Cysto w/ureter

6.00

N/A 2.27

0.37

N/A 8.64

000 stricture tx. 52342.............. .............. A

Cysto w/up stricture 6.50

N/A 2.41

0.40

N/A 9.31

000 tx. 52343.............. .............. A

Cysto w/renal

7.20

N/A 2.69

0.44

N/A 10.33

000 stricture tx. 52344.............. .............. A

Cysto/uretero, stone 7.70

N/A 2.87

0.47

N/A 11.04

000 remove. 52345.............. .............. A

Cysto/uretero w/up

8.20

N/A 3.03

0.50

N/A 11.73

000 stricture. 52346.............. .............. A

Cystouretero w/renal 9.23

N/A 3.38

0.57

N/A 13.18

000 strict. 52347.............. .............. A

Cystoscopy, resect

5.28

N/A 1.76

0.33

N/A 7.37

000 ducts. 52351.............. .............. A

Cystouretero & or

5.86

N/A 2.20

0.36

N/A 8.42

000 pyeloscope. 52352.............. .............. A

Cystouretero w/stone 6.88

N/A 2.57

0.42

N/A 9.87

000 remove. 52353.............. .............. A

Cystouretero w/

7.97

N/A 2.93

0.49

N/A 11.39

000 lithotripsy. 52354.............. .............. A

Cystouretero w/

7.34

N/A 2.74

0.45

N/A 10.53

000 biopsy. 52355.............. .............. A

Cystouretero w/

8.82

N/A 3.22

0.55

N/A 12.59

000 excise tumor. 52400.............. .............. A

Cystouretero w/

9.68

N/A 4.06

0.60

N/A 14.34

090 congen repr. 52450.............. .............. A

Incision of prostate 7.64

N/A 3.80

0.46

N/A 11.90

090 52500.............. .............. A

Revision of bladder

8.47

N/A 4.06

0.50

N/A 13.03

090 neck. 52510.............. .............. A

Dilation prostatic

6.72

N/A 3.31

0.40

N/A 10.43

090 urethra. 52601.............. .............. A

Prostatectomy (TURP) 12.37

N/A 5.27

0.74

N/A 18.38

090 52606.............. .............. A

Control postop

8.13

N/A 3.67

0.49

N/A 12.29

090 bleeding. 52612.............. .............. A

Prostatectomy, first 7.98

N/A 3.87

0.48

N/A 12.33

090 stage. 52614.............. .............. A

Prostatectomy,

6.84

N/A 3.47

0.41

N/A 10.72

090 second stage. 52620.............. .............. A

Remove residual

6.61

N/A 3.18

0.39

N/A 10.18

090 prostate. 52630.............. .............. A

Remove prostate

7.26

N/A 3.38

0.43

N/A 11.07

090 regrowth. 52640.............. .............. A

Relieve bladder

6.62

N/A 3.15

0.39

N/A 10.16

090 contracture. 52647.............. .............. A

Laser surgery of

10.36 33.53 4.68

0.61 44.50 15.65

090 prostate. 52648.............. .............. A

Laser surgery of

11.21

N/A 4.95

0.66

N/A 16.82

090 prostate. 52700.............. .............. A

Drainage of prostate 6.80

N/A 3.37

0.41

N/A 10.58

090 abscess. 53000.............. .............. A

Incision of urethra. 2.28

N/A 1.59

0.13

N/A 4.00

010 53010.............. .............. A

Incision of urethra. 3.64

N/A 3.15

0.20

N/A 6.99

090 53020.............. .............. A

Incision of urethra. 1.77 3.15 0.69

0.11

5.03 2.57

000 53025.............. .............. A

Incision of urethra. 1.13 3.93 0.52

0.07

5.13 1.72

000 53040.............. .............. A

Drainage of urethra

6.40 11.79 6.71

0.41 18.60 13.52

090 abscess. 53060.............. .............. A

Drainage of urethra

2.63

N/A 1.49

0.23

N/A 4.35

010 abscess. 53080.............. .............. A

Drainage of urinary

6.29

N/A 6.49

0.42

N/A 13.20

090 leakage. 53085.............. .............. A

Drainage of urinary 10.27

N/A 8.00

0.67

N/A 18.94

090 leakage. 53200.............. .............. A

Biopsy of urethra... 2.59 4.40 1.00

0.17

7.16 3.76

000 53210.............. .............. A

Removal of urethra.. 12.57

N/A 6.41

0.81

N/A 19.79

090 53215.............. .............. A

Removal of urethra.. 15.58

N/A 7.22

0.93

N/A 23.73

090 53220.............. .............. A

Treatment of urethra 7.00

N/A 4.24

0.44

N/A 11.68

090 lesion. 53230.............. .............. A

Removal of urethra

9.58

N/A 5.15

0.60

N/A 15.33

090 lesion. 53235.............. .............. A

Removal of urethra

10.14

N/A 5.34

0.60

N/A 16.08

090 lesion. 53240.............. .............. A

Surgery for urethra

6.45

N/A 4.01

0.42

N/A 10.88

090 pouch. 53250.............. .............. A

Removal of urethra

5.89

N/A 3.65

0.35

N/A 9.89

090 gland. 53260.............. .............. A

Treatment of urethra 2.98 3.36 1.84

0.23

6.57 5.05

010 lesion.

[[Page 49148]]

53265.............. .............. A

Treatment of urethra 3.12

N/A 1.88

0.20

N/A 5.20

010 lesion. 53270.............. .............. A

Removal of urethra

3.09

N/A 1.92

0.21

N/A 5.22

010 gland. 53275.............. .............. A

Repair of urethra

4.53

N/A 2.33

0.28

N/A 7.14

010 defect. 53400.............. .............. A

Revise urethra,

12.77

N/A 6.52

0.85

N/A 20.14

090 stage 1. 53405.............. .............. A

Revise urethra,

14.48

N/A 6.90

0.91

N/A 22.29

090 stage 2. 53410.............. .............. A

Reconstruction of

16.44

N/A 7.67

0.99

N/A 25.10

090 urethra. 53415.............. .............. A

Reconstruction of

19.41

N/A 7.87

1.16

N/A 28.44

090 urethra. 53420.............. .............. A

Reconstruct urethra, 14.08

N/A 6.84

0.90

N/A 21.82

090 stage 1. 53425.............. .............. A

Reconstruct urethra, 15.98

N/A 7.50

0.97

N/A 24.45

090 stage 2. 53430.............. .............. A

Reconstruction of

16.34

N/A 7.59

1.01

N/A 24.94

090 urethra. 53431.............. .............. A

Reconstruct urethra/ 19.89

N/A 8.59

1.30

N/A 29.78

090 bladder. 53440.............. .............. A

Male sling procedure 13.62

N/A 6.27

0.73

N/A 20.62

090 53442.............. .............. A

Remove/revise male

11.57

N/A 5.72

0.55

N/A 17.84

090 sling. 53444.............. .............. A

Insert tandem cuff.. 13.40

N/A 6.05

0.88

N/A 20.33

090 53445.............. .............. A

Insert uro/ves nck

14.06

N/A 7.72

0.84

N/A 22.62

090 sphincter. 53446.............. .............. A

Remove uro sphincter 10.23

N/A 5.40

0.67

N/A 16.30

090 53447.............. .............. A

Remove/replace ur

13.49

N/A 6.63

0.79

N/A 20.91

090 sphincter. 53448.............. .............. A

Remov/replc ur

21.15

N/A 9.32

1.39

N/A 31.86

090 sphinctr comp. 53449.............. .............. A

Repair uro sphincter 9.70

N/A 5.17

0.57

N/A 15.44

090 53450.............. .............. A

Revision of urethra. 6.14

N/A 3.79

0.37

N/A 10.30

090 53460.............. .............. A

Revision of urethra. 7.12

N/A 4.21

0.43

N/A 11.76

090 53502.............. .............. A

Repair of urethra

7.63

N/A 4.50

0.50

N/A 12.63

090 injury. 53505.............. .............. A

Repair of urethra

7.63

N/A 4.37

0.46

N/A 12.46

090 injury. 53510.............. .............. A

Repair of urethra

10.11

N/A 5.60

0.60

N/A 16.31

090 injury. 53515.............. .............. A

Repair of urethra

13.31

N/A 6.38

0.83

N/A 20.52

090 injury. 53520.............. .............. A

Repair of urethra

8.68

N/A 4.91

0.53

N/A 14.12

090 defect. 53600.............. .............. A

Dilate urethra

1.21 1.20 0.45

0.07

2.48 1.73

000 stricture. 53601.............. .............. A

Dilate urethra

0.98 1.33 0.39

0.06

2.37 1.43

000 stricture. 53605.............. .............. A

Dilate urethra

1.28

N/A 0.42

0.08

N/A 1.78

000 stricture. 53620.............. .............. A

Dilate urethra

1.62 2.09 0.62

0.10

3.81 2.34

000 stricture. 53621.............. .............. A

Dilate urethra

1.35 2.17 0.51

0.08

3.60 1.94

000 stricture. 53660.............. .............. A

Dilation of urethra. 0.71 1.38 0.33

0.04

2.13 1.08

000 53661.............. .............. A

Dilation of urethra. 0.72 1.37 0.31

0.04

2.13 1.07

000 53665.............. .............. A

Dilation of urethra. 0.76

N/A 0.26

0.05

N/A 1.07

000 53850.............. .............. A

Prostatic microwave

9.45 100.81 4.41

0.56 110.82 14.42

090 thermotx. 53852.............. .............. A

Prostatic rf

9.88 94.95 4.80

0.58 105.41 15.26

090 thermotx. 53853.............. .............. A

Prostatic water

5.24 58.79 3.25

0.27 64.30 8.76

090 thermother. 53899.............. .............. C

Urology surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 54000.............. .............. A

Slitting of prepuce. 1.54

N/A 1.37

0.10

N/A 3.01

010 54001.............. .............. A

Slitting of prepuce. 2.19 4.39 1.54

0.14

6.72 3.87

010 54015.............. .............. A

Drain penis lesion.. 5.32

N/A 2.64

0.33

N/A 8.29

010 54050.............. .............. A

Destruction, penis

1.24 1.72 1.07

0.07

3.03 2.38

010 lesion(s). 54055.............. .............. A

Destruction, penis

1.22 1.64 0.82

0.07

2.93 2.11

010 lesion(s). 54056.............. .............. A

Cryosurgery, penis

1.24 2.53 1.40

0.06

3.83 2.70

010 lesion(s). 54057.............. .............. A

Laser surg, penis

1.24

N/A 0.89

0.08

N/A 2.21

010 lesion(s). 54060.............. .............. A

Excision of penis

1.93 3.96 1.48

0.12

6.01 3.53

010 lesion(s). 54065.............. .............. A

Destruction, penis

2.42

N/A 1.74

0.13

N/A 4.29

010 lesion(s). 54100.............. .............. A

Biopsy of penis..... 1.90 2.93 0.84

0.10

4.93 2.84

000 54105.............. .............. A

Biopsy of penis..... 3.50

N/A 2.01

0.21

N/A 5.72

010 54110.............. .............. A

Treatment of penis

10.13

N/A 5.97

0.60

N/A 16.70

090 lesion. 54111.............. .............. A

Treat penis lesion, 13.57

N/A 7.05

0.79

N/A 21.41

090 graft. 54112.............. .............. A

Treat penis lesion, 15.86

N/A 8.07

0.94

N/A 24.87

090 graft. 54115.............. .............. A

Treatment of penis

6.15 8.78 4.66

0.39 15.32 11.20

090 lesion. 54120.............. .............. A

Partial removal of

9.97

N/A 5.93

0.60

N/A 16.50

090 penis.

[[Page 49149]]

54125.............. .............. A

Removal of penis.... 13.53

N/A 7.11

0.81

N/A 21.45

090 54130.............. .............. A

Remove penis & nodes 20.14

N/A 9.50

1.19

N/A 30.83

090 54135.............. .............. A

Remove penis & nodes 26.36

N/A 11.54

1.58

N/A 39.48

090 54150.............. .............. A

Circumcision........ 1.81

N/A 1.00

0.17

N/A 2.98

010 54152.............. .............. A

Circumcision........ 2.31

N/A 1.23

0.16

N/A 3.70

010 54160.............. .............. A

Circumcision........ 2.48

N/A 1.13

0.16

N/A 3.77

010 54161.............. .............. A

Circumcision........ 3.27

N/A 1.61

0.20

N/A 5.08

010 54162.............. .............. A

Lysis penil circumic 3.00

N/A 2.05

0.20

N/A 5.25

010 lesion. 54163.............. .............. A

Repair of

3.00

N/A 2.07

0.20

N/A 5.27

010 circumcision. 54164.............. .............. A

Frenulotomy of penis 2.50

N/A 1.89

0.16

N/A 4.55

010 54200.............. .............. A

Treatment of penis

1.06 1.88 1.02

0.06

3.00 2.14

010 lesion. 54205.............. .............. A

Treatment of penis

7.93

N/A 5.14

0.47

N/A 13.54

090 lesion. 54220.............. .............. A

Treatment of penis

2.42 4.03 0.98

0.15

6.60 3.55

000 lesion. 54230.............. .............. A

Prepare penis study. 1.34 1.14 0.64

0.08

2.56 2.06

000 54231.............. .............. A

Dynamic

2.04 1.43 0.89

0.14

3.61 3.07

000 cavernosometry. 54235.............. .............. A

Penile injection.... 1.19 1.00 0.60

0.07

2.26 1.86

000 54240.............. .............. A

Penis study......... 1.31 1.04

N/A

0.13

2.48

N/A

000 54240.............. 26............ A

Penis study......... 1.31 0.44 0.44

0.08

1.83 1.83

000 54240.............. TC............ A

Penis study......... 0.00 0.61

N/A

0.05

0.66

N/A

000 54250.............. .............. A

Penis study......... 2.22 0.94

N/A

0.16

3.32

N/A

000 54250.............. 26............ A

Penis study......... 2.22 0.73 0.73

0.14

3.09 3.09

000 54250.............. TC............ A

Penis study......... 0.00 0.22

N/A

0.02

0.24

N/A

000 54300.............. .............. A

Revision of penis... 10.41

N/A 6.17

0.64

N/A 17.22

090 54304.............. .............. A

Revision of penis... 12.49

N/A 7.07

0.74

N/A 20.30

090 54308.............. .............. A

Reconstruction of

11.83

N/A 6.67

0.70

N/A 19.20

090 urethra. 54312.............. .............. A

Reconstruction of

13.57

N/A 7.74

0.81

N/A 22.12

090 urethra. 54316.............. .............. A

Reconstruction of

16.82

N/A 8.75

1.00

N/A 26.57

090 urethra. 54318.............. .............. A

Reconstruction of

11.25

N/A 6.61

1.15

N/A 19.01

090 urethra. 54322.............. .............. A

Reconstruction of

13.01

N/A 6.99

0.77

N/A 20.77

090 urethra. 54324.............. .............. A

Reconstruction of

16.31

N/A 8.78

1.03

N/A 26.12

090 urethra. 54326.............. .............. A

Reconstruction of

15.72

N/A 8.48

0.93

N/A 25.13

090 urethra. 54328.............. .............. A

Revise penis/urethra 15.65

N/A 7.99

0.92

N/A 24.56

090 54332.............. .............. A

Revise penis/urethra 17.08

N/A 8.47

1.01

N/A 26.56

090 54336.............. .............. A

Revise penis/urethra 20.04

N/A 11.27

1.90

N/A 33.21

090 54340.............. .............. A

Secondary urethral

8.91

N/A 5.61

0.72

N/A 15.24

090 surgery. 54344.............. .............. A

Secondary urethral

15.94

N/A 8.46

1.10

N/A 25.50

090 surgery. 54348.............. .............. A

Secondary urethral

17.15

N/A 9.20

1.02

N/A 27.37

090 surgery. 54352.............. .............. A

Reconstruct urethra/ 24.74

N/A 12.15

1.62

N/A 38.51

090 penis. 54360.............. .............. A

Penis plastic

11.93

N/A 6.53

0.72

N/A 19.18

090 surgery. 54380.............. .............. A

Repair penis........ 13.18

N/A 7.23

1.16

N/A 21.57

090 54385.............. .............. A

Repair penis........ 15.39

N/A 8.84

0.71

N/A 24.94

090 54390.............. .............. A

Repair penis and

21.61

N/A 10.73

1.28

N/A 33.62

090 bladder. 54400.............. .............. A

Insert semi-rigid

8.99

N/A 4.78

0.53

N/A 14.30

090 prosthesis. 54401.............. .............. A

Insert self-contd

10.28

N/A 6.09

0.61

N/A 16.98

090 prosthesis. 54405.............. .............. A

Insert multi-comp

13.43

N/A 6.49

0.80

N/A 20.72

090 penis pros. 54406.............. .............. A

Remove muti-comp

12.10

N/A 5.59

0.75

N/A 18.44

090 penis pros. 54408.............. .............. A

Repair multi-comp

12.75

N/A 5.91

0.79

N/A 19.45

090 penis pros. 54410.............. .............. A

Remove/replace penis 15.50

N/A 6.82

0.96

N/A 23.28

090 prosth. 54411.............. .............. A

Remov/replc penis

16.00

N/A 7.25

0.80

N/A 24.05

090 pros, comp. 54415.............. .............. A

Remove self-contd

8.20

N/A 4.33

0.54

N/A 13.07

090 penis pros. 54416.............. .............. A

Remv/repl penis

10.87

N/A 5.54

0.55

N/A 16.96

090 contain pros. 54417.............. .............. A

Remv/replc penis

14.19

N/A 6.36

0.55

N/A 21.10

090 pros, compl. 54420.............. .............. A

Revision of penis... 11.42

N/A 6.39

0.72

N/A 18.53

090 54430.............. .............. A

Revision of penis... 10.15

N/A 5.97

0.60

N/A 16.72

090 54435.............. .............. A

Revision of penis... 6.12

N/A 4.41

0.36

N/A 10.89

090

[[Page 49150]]

54440.............. .............. C

Repair of penis..... 0.00 0.00 0.00

0.00

0.00 0.00

090 54450.............. .............. A

Preputial stretching 1.12 1.13 0.48

0.07

2.32 1.67

000 54500.............. .............. A

Biopsy of testis.... 1.31 0.62 0.58

0.08

2.01 1.97

000 54505.............. .............. A

Biopsy of testis.... 3.46

N/A 1.98

0.21

N/A 5.65

010 54512.............. .............. A

Excise lesion testis 8.58

N/A 4.37

0.56

N/A 13.51

090 54520.............. .............. A

Removal of testis... 5.23

N/A 3.01

0.33

N/A 8.57

090 54522.............. .............. A

Orchiectomy, partial 9.50

N/A 5.12

0.62

N/A 15.24

090 54530.............. .............. A

Removal of testis... 8.58

N/A 4.52

0.53

N/A 13.63

090 54535.............. .............. A

Extensive testis

12.16

N/A 5.96

0.83

N/A 18.95

090 surgery. 54550.............. .............. A

Exploration for

7.78

N/A 4.12

0.49

N/A 12.39

090 testis. 54560.............. .............. A

Exploration for

11.13

N/A 5.56

0.79

N/A 17.48

090 testis. 54600.............. .............. A

Reduce testis

7.01

N/A 3.79

0.45

N/A 11.25

090 torsion. 54620.............. .............. A

Suspension of testis 4.90

N/A 2.52

0.31

N/A 7.73

010 54640.............. .............. A

Suspension of testis 6.90

N/A 3.97

0.49

N/A 11.36

090 54650.............. .............. A

Orchiopexy (Fowler- 11.45

N/A 5.83

0.81

N/A 18.09

090 Stephens). 54660.............. .............. A

Revision of testis.. 5.11

N/A 3.19

0.35

N/A 8.65

090 54670.............. .............. A

Repair testis injury 6.41

N/A 3.70

0.41

N/A 10.52

090 54680.............. .............. A

Relocation of

12.65

N/A 6.51

0.94

N/A 20.10

090 testis(es). 54690.............. .............. A

Laparoscopy,

10.96

N/A 5.45

0.99

N/A 17.40

090 orchiectomy. 54692.............. .............. A

Laparoscopy,

12.88

N/A 5.57

0.87

N/A 19.32

090 orchiopexy. 54699.............. .............. C

Laparoscope proc,

0.00 0.00 0.00

0.00

0.00 0.00

YYY testis. 54700.............. .............. A

Drainage of scrotum. 3.43

N/A 2.00

0.23

N/A 5.66

010 54800.............. .............. A

Biopsy of epididymis 2.33 0.97 0.92

0.14

3.44 3.39

000 54820.............. .............. A

Exploration of

5.14

N/A 3.16

0.33

N/A 8.63

090 epididymis. 54830.............. .............. A

Remove epididymis

5.38

N/A 3.25

0.34

N/A 8.97

090 lesion. 54840.............. .............. A

Remove epididymis

5.20

N/A 3.01

0.31

N/A 8.52

090 lesion. 54860.............. .............. A

Removal of

6.32

N/A 3.61

0.38

N/A 10.31

090 epididymis. 54861.............. .............. A

Removal of

8.90

N/A 4.55

0.52

N/A 13.97

090 epididymis. 54900.............. .............. A

Fusion of spermatic 13.20

N/A 6.13

1.34

N/A 20.67

090 ducts. 54901.............. .............. A

Fusion of spermatic 17.94

N/A 8.12

1.83

N/A 27.89

090 ducts. 55000.............. .............. A

Drainage of

1.43 2.15 0.66

0.10

3.68 2.19

000 hydrocele. 55040.............. .............. A

Removal of hydrocele 5.36

N/A 3.07

0.35

N/A 8.78

090 55041.............. .............. A

Removal of

7.74

N/A 4.14

0.50

N/A 12.38

090 hydroceles. 55060.............. .............. A

Repair of hydrocele. 5.52

N/A 3.25

0.37

N/A 9.14

090 55100.............. .............. A

Drainage of scrotum

2.13 3.85 1.62

0.15

6.13 3.90

010 abscess. 55110.............. .............. A

Explore scrotum..... 5.70

N/A 3.31

0.36

N/A 9.37

090 55120.............. .............. A

Removal of scrotum

5.09 8.73 3.11

0.33 14.15 8.53

090 lesion. 55150.............. .............. A

Removal of scrotum.. 7.22

N/A 4.10

0.47

N/A 11.79

090 55175.............. .............. A

Revision of scrotum. 5.24

N/A 3.24

0.33

N/A 8.81

090 55180.............. .............. A

Revision of scrotum. 10.72

N/A 5.69

0.72

N/A 17.13

090 55200.............. .............. A

Incision of sperm

4.24 9.10 2.60

0.25 13.59 7.09

090 duct. 55250.............. .............. A

Removal of sperm

3.29 9.29 2.89

0.21 12.79 6.39

090 duct(s). 55300.............. .............. A

Prepare, sperm duct

3.51

N/A 1.34

0.20

N/A 5.05

000 x-ray. 55400.............. .............. A

Repair of sperm duct 8.49

N/A 4.38

0.50

N/A 13.37

090 55450.............. .............. A

Ligation of sperm

4.12 7.34 1.92

0.24 11.70 6.28

010 duct. 55500.............. .............. A

Removal of hydrocele 5.59

N/A 3.28

0.43

N/A 9.30

090 55520.............. .............. A

Removal of sperm

6.03

N/A 3.41

0.56

N/A 10.00

090 cord lesion. 55530.............. .............. A

Revise spermatic

5.66

N/A 3.24

0.36

N/A 9.26

090 cord veins. 55535.............. .............. A

Revise spermatic

6.56

N/A 3.63

0.42

N/A 10.61

090 cord veins. 55540.............. .............. A

Revise hernia &

7.67

N/A 3.96

0.74

N/A 12.37

090 sperm veins. 55550.............. .............. A

Laparo ligate

6.57

N/A 3.63

0.47

N/A 10.67

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

6.38

N/A 3.63

0.38

N/A 10.39

090 pouch. 55605.............. .............. A

Incise sperm duct

7.96

N/A 4.55

0.54

N/A 13.05

090 pouch. 55650.............. .............. A

Remove sperm duct

11.80

N/A 5.58

0.72

N/A 18.10

090 pouch. 55680.............. .............. A

Remove sperm pouch

5.19

N/A 3.19

0.31

N/A 8.69

090 lesion.

[[Page 49151]]

55700.............. .............. A

Biopsy of prostate.. 1.57 4.42 0.73

0.10

6.09 2.40

000 55705.............. .............. A

Biopsy of prostate.. 4.57

N/A 2.37

0.26

N/A 7.20

010 55720.............. .............. A

Drainage of prostate 7.64

N/A 4.32

0.44

N/A 12.40

090 abscess. 55725.............. .............. A

Drainage of prostate 8.68

N/A 4.97

0.51

N/A 14.16

090 abscess. 55801.............. .............. A

Removal of prostate. 17.80

N/A 8.10

1.08

N/A 26.98

090 55810.............. .............. A

Extensive prostate

22.58

N/A 9.58

1.35

N/A 33.51

090 surgery. 55812.............. .............. A

Extensive prostate

27.51

N/A 11.67

1.69

N/A 40.87

090 surgery. 55815.............. .............. A

Extensive prostate

30.46

N/A 12.61

1.84

N/A 44.91

090 surgery. 55821.............. .............. A

Removal of prostate. 14.25

N/A 6.66

0.85

N/A 21.76

090 55831.............. .............. A

Removal of prostate. 15.62

N/A 7.12

0.94

N/A 23.68

090 55840.............. .............. A

Extensive prostate

22.69

N/A 9.94

1.37

N/A 34.00

090 surgery. 55842.............. .............. A

Extensive prostate

24.38

N/A 10.50

1.48

N/A 36.36

090 surgery. 55845.............. .............. A

Extensive prostate

28.55

N/A 11.73

1.71

N/A 41.99

090 surgery. 55859.............. .............. A

Percut/needle

12.52

N/A 6.23

0.74

N/A 19.49

090 insert, pros. 55860.............. .............. A

Surgical exposure,

14.45

N/A 6.71

0.82

N/A 21.98

090 prostate. 55862.............. .............. A

Extensive prostate

18.39

N/A 8.36

1.14

N/A 27.89

090 surgery. 55865.............. .............. A

Extensive prostate

22.87

N/A 9.79

1.37

N/A 34.03

090 surgery. 55866.............. .............. A

Laparo radical

30.74

N/A 12.08

1.37

N/A 44.19

090 prostatectomy. 55870.............. .............. A

Electroejaculation.. 2.58 1.59 1.11

0.14

4.31 3.83

000 55873.............. .............. A

Cryoablate prostate. 19.47

N/A 9.34

1.02

N/A 29.83

090 55899.............. .............. C

Genital surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 56405.............. .............. A

I & D of vulva/

1.44 1.37 1.18

0.14

2.95 2.76

010 perineum. 56420.............. .............. A

Drainage of gland

1.39 2.37 1.11

0.13

3.89 2.63

010 abscess. 56440.............. .............. A

Surgery for vulva

2.84

N/A 1.75

0.28

N/A 4.87

010 lesion. 56441.............. .............. A

Lysis of labial

1.97 1.87 1.46

0.17

4.01 3.60

010 lesion(s). 56501.............. .............. A

Destroy, vulva

1.53 1.84 1.30

0.15

3.52 2.98

010 lesions, sim. 56515.............. .............. A

Destroy vulva lesion/ 2.76 2.63 1.88

0.18

5.57 4.82

010 s compl. 56605.............. .............. A

Biopsy of vulva/

1.10 1.12 0.47

0.11

2.33 1.68

000 perineum. 56606.............. .............. A

Biopsy of vulva/

0.55 0.51 0.22

0.06

1.12 0.83

ZZZ perineum. 56620.............. .............. A

Partial removal of

7.47

N/A 5.16

0.76

N/A 13.39

090 vulva. 56625.............. .............. A

Complete removal of

8.40

N/A 5.81

0.84

N/A 15.05

090 vulva. 56630.............. .............. A

Extensive vulva

12.36

N/A 7.40

1.23

N/A 20.99

090 surgery. 56631.............. .............. A

Extensive vulva

16.20

N/A 9.64

1.63

N/A 27.47

090 surgery. 56632.............. .............. A

Extensive vulva

20.29

N/A 10.11

2.03

N/A 32.43

090 surgery. 56633.............. .............. A

Extensive vulva

16.47

N/A 9.24

1.66

N/A 27.37

090 surgery. 56634.............. .............. A

Extensive vulva

17.88

N/A 10.31

1.78

N/A 29.97

090 surgery. 56637.............. .............. A

Extensive vulva

21.97

N/A 11.98

2.18

N/A 36.13

090 surgery. 56640.............. .............. A

Extensive vulva

22.17

N/A 11.35

2.26

N/A 35.78

090 surgery. 56700.............. .............. A

Partial removal of

2.52

N/A 1.78

0.24

N/A 4.54

010 hymen. 56720.............. .............. A

Incision of hymen... 0.68

N/A 0.41

0.07

N/A 1.16

000 56740.............. .............. A

Remove vagina gland

4.57

N/A 2.53

0.37

N/A 7.47

010 lesion. 56800.............. .............. A

Repair of vagina.... 3.89

N/A 2.25

0.37

N/A 6.51

010 56805.............. .............. A

Repair clitoris..... 18.86

N/A 9.80

1.82

N/A 30.48

090 56810.............. .............. A

Repair of perineum.. 4.13

N/A 2.36

0.41

N/A 6.90

010 56820.............. .............. A

Exam of vulva w/

1.50 1.39 0.65

0.10

2.99 2.25

000 scope. 56821.............. .............. A

Exam/biopsy of vulva 2.05 1.82 0.92

0.13

4.00 3.10

000 w/scope. 57000.............. .............. A

Exploration of

2.97

N/A 1.78

0.28

N/A 5.03

010 vagina. 57010.............. .............. A

Drainage of pelvic

6.03

N/A 4.07

0.57

N/A 10.67

090 abscess. 57020.............. .............. A

Drainage of pelvic

1.50 0.98 0.61

0.15

2.63 2.26

000 fluid. 57022.............. .............. A

I & d vaginal

2.56

N/A 1.55

0.24

N/A 4.35

010 hematoma, pp. 57023.............. .............. A

I & d vag hematoma,

4.75

N/A 2.66

0.24

N/A 7.65

010 non-ob. 57061.............. .............. A

Destroy vag lesions, 1.25 1.72 1.17

0.13

3.10 2.55

010 simple. 57065.............. .............. A

Destroy vag lesions, 2.61 2.38 1.76

0.26

5.25 4.63

010 complex. 57100.............. .............. A

Biopsy of vagina.... 1.20 1.14 0.49

0.10

2.44 1.79

000

[[Page 49152]]

57105.............. .............. A

Biopsy of vagina.... 1.69 2.01 1.38

0.17

3.87 3.24

010 57106.............. .............. A

Remove vagina wall,

6.36

N/A 4.46

0.58

N/A 11.40

090 partial. 57107.............. .............. A

Remove vagina

23.00

N/A 10.90

2.17

N/A 36.07

090 tissue, part. 57109.............. .............. A

Vaginectomy partial 27.00

N/A 11.82

1.97

N/A 40.79

090 w/nodes. 57110.............. .............. A

Remove vagina wall, 14.29

N/A 7.63

1.43

N/A 23.35

090 complete. 57111.............. .............. A

Remove vagina

27.00

N/A 13.01

2.71

N/A 42.72

090 tissue, compl. 57112.............. .............. A

Vaginectomy w/nodes, 29.00

N/A 12.66

2.19

N/A 43.85

090 compl. 57120.............. .............. A

Closure of vagina... 7.41

N/A 4.88

0.75

N/A 13.04

090 57130.............. .............. A

Remove vagina lesion 2.43 2.24 1.60

0.23

4.90 4.26

010 57135.............. .............. A

Remove vagina lesion 2.67 2.33 1.70

0.26

5.26 4.63

010 57150.............. .............. A

Treat vagina

0.55 1.14 0.22

0.06

1.75 0.83

000 infection. 57155.............. .............. A

Insert uteri tandems/ 6.27

N/A 4.04

0.59

N/A 10.90

090 ovoids. 57160.............. .............. A

Insert pessary/other 0.89 1.12 0.40

0.09

2.10 1.38

000 device. 57170.............. .............. A

Fitting of diaphragm/ 0.91 1.54 0.34

0.09

2.54 1.34

000 cap. 57180.............. .............. A

Treat vaginal

1.58 2.28 1.35

0.16

4.02 3.09

010 bleeding. 57200.............. .............. A

Repair of vagina.... 3.94

N/A 2.97

0.38

N/A 7.29

090 57210.............. .............. A

Repair vagina/

5.17

N/A 3.51

0.50

N/A 9.18

090 perineum. 57220.............. .............. A

Revision of urethra. 4.31

N/A 3.18

0.42

N/A 7.91

090 57230.............. .............. A

Repair of urethral

5.64

N/A 3.47

0.50

N/A 9.61

090 lesion. 57240.............. .............. A

Repair bladder &

6.07

N/A 3.94

0.53

N/A 10.54

090 vagina. 57250.............. .............. A

Repair rectum &

5.53

N/A 3.65

0.54

N/A 9.72

090 vagina. 57260.............. .............. A

Repair of vagina.... 8.27

N/A 4.98

0.83

N/A 14.08

090 57265.............. .............. A

Extensive repair of 11.34

N/A 6.21

1.14

N/A 18.69

090 vagina. 57268.............. .............. A

Repair of bowel

6.76

N/A 4.33

0.66

N/A 11.75

090 bulge. 57270.............. .............. A

Repair of bowel

12.11

N/A 6.44

1.17

N/A 19.72

090 pouch. 57280.............. .............. A

Suspension of vagina 15.04

N/A 7.58

1.44

N/A 24.06

090 57282.............. .............. A

Repair of vaginal

8.86

N/A 5.43

0.86

N/A 15.15

090 prolapse. 57284.............. .............. A

Repair paravaginal

12.70

N/A 7.30

1.17

N/A 21.17

090 defect. 57287.............. .............. A

Revise/remove sling 10.71

N/A 5.65

0.74

N/A 17.10

090 repair. 57288.............. .............. A

Repair bladder

13.02

N/A 6.09

0.86

N/A 19.97

090 defect. 57289.............. .............. A

Repair bladder &

11.58

N/A 6.22

0.95

N/A 18.75

090 vagina. 57291.............. .............. A

Construction of

7.95

N/A 5.08

0.78

N/A 13.81

090 vagina. 57292.............. .............. A

Construct vagina

13.09

N/A 7.17

1.29

N/A 21.55

090 with graft. 57300.............. .............. A

Repair rectum-vagina 7.61

N/A 4.37

0.70

N/A 12.68

090 fistula. 57305.............. .............. A

Repair rectum-vagina 13.77

N/A 6.40

1.33

N/A 21.50

090 fistula. 57307.............. .............. A

Fistula repair &

15.93

N/A 7.18

1.59

N/A 24.70

090 colostomy. 57308.............. .............. A

Fistula repair,

9.94

N/A 5.28

0.91

N/A 16.13

090 transperine. 57310.............. .............. A

Repair

6.78

N/A 4.22

0.45

N/A 11.45

090 urethrovaginal lesion. 57311.............. .............. A

Repair

7.98

N/A 4.70

0.51

N/A 13.19

090 urethrovaginal lesion. 57320.............. .............. A

Repair bladder-

8.01

N/A 4.77

0.60

N/A 13.38

090 vagina lesion. 57330.............. .............. A

Repair bladder-

12.35

N/A 6.17

0.86

N/A 19.38

090 vagina lesion. 57335.............. .............. A

Repair vagina....... 18.73

N/A 9.53

1.66

N/A 29.92

090 57400.............. .............. A

Dilation of vagina.. 2.27

N/A 1.16

0.22

N/A 3.65

000 57410.............. .............. A

Pelvic examination.. 1.75 2.10 0.91

0.14

3.99 2.80

000 57415.............. .............. A

Remove vaginal

2.17

N/A 1.47

0.19

N/A 3.83

010 foreign body. 57420.............. .............. A

Exam of vagina w/

1.60 1.43 0.69

0.10

3.13 2.39

000 scope. 57421.............. .............. A

Exam/biopsy of vag w/ 2.20 1.91 0.98

0.13

4.24 3.31

000 scope. 57452.............. .............. A

Exam of cervix w/

1.50 1.45 0.64

0.10

3.05 2.24

000 scope. 57454.............. .............. A

Bx/curett of cervix

2.33 1.80 1.02

0.13

4.26 3.48

000 w/scope. 57455.............. .............. A

Biopsy of cervix w/

1.99 1.79 0.89

0.13

3.91 3.01

000 scope.

[[Page 49153]]

57456.............. .............. A

Endocerv curettage w/ 1.85 1.72 0.84

0.13

3.70 2.82

000 scope. 57460.............. .............. A

Bx of cervix w/

2.83 6.23 1.25

0.28

9.34 4.36

000 scope, leep. 57461.............. .............. A

Conz of cervix w/

3.44 6.48 1.43

0.28 10.20 5.15

000 scope, leep. 57500.............. .............. A

Biopsy of cervix.... 0.97 2.76 0.48

0.10

3.83 1.55

000 57505.............. .............. A

Endocervical

1.14 1.52 1.14

0.12

2.78 2.40

010 curettage. 57510.............. .............. A

Cauterization of

1.90 1.61 1.07

0.18

3.69 3.15

010 cervix. 57511.............. .............. A

Cryocautery of

1.90 1.88 1.42

0.18

3.96 3.50

010 cervix. 57513.............. .............. A

Laser surgery of

1.90 1.93 1.45

0.19

4.02 3.54

010 cervix. 57520.............. .............. A

Conization of cervix 4.04 5.05 2.86

0.41

9.50 7.31

090 57522.............. .............. A

Conization of cervix 3.36 4.55 2.81

0.34

8.25 6.51

090 57530.............. .............. A

Removal of cervix... 4.79

N/A 3.67

0.48

N/A 8.94

090 57531.............. .............. A

Removal of cervix,

28.00

N/A 13.74

2.46

N/A 44.20

090 radical. 57540.............. .............. A

Removal of residual 12.22

N/A 6.55

1.21

N/A 19.98

090 cervix. 57545.............. .............. A

Remove cervix/repair 13.03

N/A 7.00

1.30

N/A 21.33

090 pelvis. 57550.............. .............. A

Removal of residual

5.53

N/A 4.08

0.55

N/A 10.16

090 cervix. 57555.............. .............. A

Remove cervix/repair 8.95

N/A 5.39

0.89

N/A 15.23

090 vagina. 57556.............. .............. A

Remove cervix,

8.37

N/A 5.13

0.80

N/A 14.30

090 repair bowel. 57700.............. .............. A

Revision of cervix.. 3.55

N/A 3.28

0.33

N/A 7.16

090 57720.............. .............. A

Revision of cervix.. 4.13

N/A 3.36

0.41

N/A 7.90

090 57800.............. .............. A

Dilation of cervical 0.77 0.79 0.49

0.08

1.64 1.34

000 canal. 57820.............. .............. A

D & c of residual

1.67 1.52 1.17

0.17

3.36 3.01

010 cervix. 58100.............. .............. A

Biopsy of uterus

1.53 1.37 0.74

0.07

2.97 2.34

000 lining. 58120.............. .............. A

Dilation and

3.27 2.37 1.92

0.33

5.97 5.52

010 curettage. 58140.............. .............. A

Myomectomy abdom

14.60

N/A 7.39

1.46

N/A 23.45

090 method. 58145.............. .............. A

Myomectomy vag

8.04

N/A 5.08

0.80

N/A 13.92

090 method. 58146.............. .............. A

Myomectomy abdom

19.00

N/A 8.97

1.46

N/A 29.43

090 complex. 58150.............. .............. A

Total hysterectomy.. 15.24

N/A 7.70

1.57

N/A 24.51

090 58152.............. .............. A

Total hysterectomy.. 20.60

N/A 10.09

1.52

N/A 32.21

090 58180.............. .............. A

Partial hysterectomy 15.29

N/A 7.67

1.54

N/A 24.50

090 58200.............. .............. A

Extensive

21.59

N/A 10.36

2.15

N/A 34.10

090 hysterectomy. 58210.............. .............. A

Extensive

28.85

N/A 13.72

2.91

N/A 45.48

090 hysterectomy. 58240.............. .............. A

Removal of pelvis

38.39

N/A 18.32

3.76

N/A 60.47

090 contents. 58260.............. .............. A

Vaginal hysterectomy 12.98

N/A 6.87

1.23

N/A 21.08

090 58262.............. .............. A

Vag hyst including t/ 14.77

N/A 7.63

1.42

N/A 23.82

090 o. 58263.............. .............. A

Vag hyst w/t/o & vag 16.06

N/A 8.15

1.55

N/A 25.76

090 repair. 58267.............. .............. A

Vag hyst w/urinary

17.04

N/A 8.57

1.51

N/A 27.12

090 repair. 58270.............. .............. A

Vag hyst w/

14.26

N/A 7.25

1.37

N/A 22.88

090 enterocele repair. 58275.............. .............. A

Hysterectomy/revise 15.76

N/A 7.92

1.51

N/A 25.19

090 vagina. 58280.............. .............. A

Hysterectomy/revise 17.01

N/A 8.42

1.54

N/A 26.97

090 vagina. 58285.............. .............. A

Extensive

22.26

N/A 10.45

1.88

N/A 34.59

090 hysterectomy. 58290.............. .............. A

Vag hyst complex.... 19.00

N/A 9.07

1.23

N/A 29.30

090 58291.............. .............. A

Vag hyst incl t/o,

20.79

N/A 10.10

1.42

N/A 32.31

090 complex. 58292.............. .............. A

Vag hyst t/o &

22.08

N/A 10.64

1.55

N/A 34.27

090 repair, compl. 58293.............. .............. A

Vag hyst w/uro

23.06

N/A 11.15

1.51

N/A 35.72

090 repair, compl. 58294.............. .............. A

Vag hyst w/

20.28

N/A 9.89

1.37

N/A 31.54

090 enterocele, compl. 58300.............. .............. N

Insert intrauterine

1.01 1.55 0.39

0.10

2.66 1.50

XXX device. 58301.............. .............. A

Remove intrauterine

1.27 1.37 0.49

0.13

2.77 1.89

000 device. 58321.............. .............. A

Artificial

0.92 1.19 0.38

0.10

2.21 1.40

000 insemination. 58322.............. .............. A

Artificial

1.10 1.25 0.43

0.11

2.46 1.64

000 insemination. 58323.............. .............. A

Sperm washing....... 0.23 0.24 0.10

0.02

0.49 0.35

000

[[Page 49154]]

58340.............. .............. A

Catheter for

0.88 3.09 0.66

0.08

4.05 1.62

000 hysterography. 58345.............. .............. A

Reopen fallopian

4.66

N/A 2.48

0.36

N/A 7.50

010 tube. 58346.............. .............. A

Insert heyman uteri

6.75

N/A 4.03

0.64

N/A 11.42

090 capsule. 58350.............. .............. A

Reopen fallopian

1.01 1.54 0.95

0.10

2.65 2.06

010 tube. 58353.............. .............. A

Endometr ablate,

3.56 2.93 2.13

0.37

6.86 6.06

010 thermal. 58400.............. .............. A

Suspension of uterus 6.36

N/A 4.21

0.62

N/A 11.19

090 58410.............. .............. A

Suspension of uterus 12.73

N/A 6.75

1.09

N/A 20.57

090 58520.............. .............. A

Repair of ruptured

11.92

N/A 6.27

1.17

N/A 19.36

090 uterus. 58540.............. .............. A

Revision of uterus.. 14.64

N/A 7.23

1.28

N/A 23.15

090 58545.............. .............. A

Laparoscopic

14.60

N/A 7.53

1.45

N/A 23.58

090 myomectomy. 58546.............. .............. A

Laparo-myomectomy,

19.00

N/A 9.38

1.45

N/A 29.83

090 complex. 58550.............. .............. A

Laparo-asst vag

14.19

N/A 7.61

1.44

N/A 23.24

090 hysterectomy. 58552.............. .............. A

Laparo-vag hyst incl 14.19

N/A 7.54

1.44

N/A 23.17

090 t/o. 58553.............. .............. A

Laparo-vag hyst,

19.00

N/A 9.35

1.23

N/A 29.58

090 complex. 58554.............. .............. A

Laparo-vag hyst w/t/ 19.00

N/A 9.58

1.23

N/A 29.81

090 o, compl. 58555.............. .............. A

Hysteroscopy, dx,

3.33 2.12 1.49

0.34

5.79 5.16

000 sep proc. 58558.............. .............. A

Hysteroscopy, biopsy 4.75

N/A 2.11

0.49

N/A 7.35

000 58559.............. .............. A

Hysteroscopy, lysis. 6.17

N/A 2.68

0.62

N/A 9.47

000 58560.............. .............. A

Hysteroscopy, resect 7.00

N/A 3.03

0.71

N/A 10.74

000 septum. 58561.............. .............. A

Hysteroscopy, remove 10.00

N/A 4.26

1.02

N/A 15.28

000 myoma. 58562.............. .............. A

Hysteroscopy, remove 5.21

N/A 2.26

0.52

N/A 7.99

000 fb. 58563.............. .............. A

Hysteroscopy,

6.17

N/A 2.69

0.62

N/A 9.48

000 ablation. 58578.............. .............. C

Laparo proc, uterus. 0.00 0.00 0.00

0.00

0.00 0.00

YYY 58579.............. .............. C

Hysteroscope

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 58600.............. .............. A

Division of

5.60

N/A 3.56

0.39

N/A 9.55

090 fallopian tube. 58605.............. .............. A

Division of

5.00

N/A 3.36

0.33

N/A 8.69

090 fallopian tube. 58611.............. .............. A

Ligate oviduct(s)

1.45

N/A 0.58

0.07

N/A 2.10

ZZZ add-on. 58615.............. .............. A

Occlude fallopian

3.90

N/A 2.78

0.40

N/A 7.08

010 tube(s). 58660.............. .............. A

Laparoscopy, lysis.. 11.29

N/A 5.50

1.14

N/A 17.93

090 58661.............. .............. A

Laparoscopy, remove 11.05

N/A 5.26

1.12

N/A 17.43

010 adnexa. 58662.............. .............. A

Laparoscopy, excise 11.79

N/A 6.05

1.18

N/A 19.02

090 lesions. 58670.............. .............. A

Laparoscopy, tubal

5.60

N/A 3.38

0.55

N/A 9.53

090 cautery. 58671.............. .............. A

Laparoscopy, tubal

5.60

N/A 3.40

0.56

N/A 9.56

090 block. 58672.............. .............. A

Laparoscopy,

12.88

N/A 6.51

1.22

N/A 20.61

090 fimbrioplasty. 58673.............. .............. A

Laparoscopy,

13.74

N/A 6.92

1.40

N/A 22.06

090 salpingostomy. 58679.............. .............. C

Laparo proc, oviduct- 0.00 0.00 0.00

0.00

0.00 0.00

YYY ovary. 58700.............. .............. A

Removal of fallopian 12.05

N/A 6.24

0.64

N/A 18.93

090 tube. 58720.............. .............. A

Removal of ovary/

11.36

N/A 6.07

1.14

N/A 18.57

090 tube(s). 58740.............. .............. A

Revise fallopian

14.00

N/A 7.46

0.59

N/A 22.05

090 tube(s). 58750.............. .............. A

Repair oviduct...... 14.84

N/A 7.69

1.52

N/A 24.05

090 58752.............. .............. A

Revise ovarian

14.84

N/A 7.35

1.51

N/A 23.70

090 tube(s). 58760.............. .............. A

Remove tubal

13.13

N/A 7.01

1.34

N/A 21.48

090 obstruction. 58770.............. .............. A

Create new tubal

13.97

N/A 7.23

1.42

N/A 22.62

090 opening. 58800.............. .............. A

Drainage of ovarian

4.14 4.80 3.16

0.36

9.30 7.66

090 cyst(s). 58805.............. .............. A

Drainage of ovarian

5.88

N/A 3.71

0.56

N/A 10.15

090 cyst(s). 58820.............. .............. A

Drain ovary abscess, 4.22

N/A 3.49

0.29

N/A 8.00

090 open. 58822.............. .............. A

Drain ovary abscess, 10.13

N/A 5.44

0.92

N/A 16.49

090 percut. 58823.............. .............. A

Drain pelvic

3.38

N/A 1.54

0.18

N/A 5.10

000 abscess, percut. 58825.............. .............. A

Transposition,

10.98

N/A 6.08

0.62

N/A 17.68

090 ovary(s). 58900.............. .............. A

Biopsy of ovary(s).. 5.99

N/A 3.79

0.56

N/A 10.34

090

[[Page 49155]]

58920.............. .............. A

Partial removal of

11.36

N/A 5.83

0.68

N/A 17.87

090 ovary(s). 58925.............. .............. A

Removal of ovarian

11.36

N/A 5.92

1.14

N/A 18.42

090 cyst(s). 58940.............. .............. A

Removal of ovary(s). 7.29

N/A 4.32

0.73

N/A 12.34

090 58943.............. .............. A

Removal of ovary(s). 18.43

N/A 9.16

1.86

N/A 29.45

090 58950.............. .............. A

Resect ovarian

16.93

N/A 8.94

1.55

N/A 27.42

090 malignancy. 58951.............. .............. A

Resect ovarian

22.38

N/A 11.07

2.20

N/A 35.65

090 malignancy. 58952.............. .............. A

Resect ovarian

25.01

N/A 12.40

2.57

N/A 39.98

090 malignancy. 58953.............. .............. A

Tah, rad dissect for 32.00

N/A 15.03

3.30

N/A 50.33

090 debulk. 58954.............. .............. A

Tah rad debulk/lymph 35.00

N/A 16.19

3.56

N/A 54.75

090 remove. 58960.............. .............. A

Exploration of

14.65

N/A 7.90

1.47

N/A 24.02

090 abdomen. 58970.............. .............. A

Retrieval of oocyte. 3.53 2.37 1.53

0.36

6.26 5.42

000 58974.............. .............. C

Transfer of embryo.. 0.00 0.00 0.00

0.00

0.00 0.00

000 58976.............. .............. A

Transfer of embryo.. 3.83 2.69 1.87

0.39

6.91 6.09

000 58999.............. .............. C

Genital surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 59000.............. .............. A

Amniocentesis,

1.30 2.17 0.70

0.23

3.70 2.23

000 diagnostic. 59001.............. .............. A

Amniocentesis,

3.00

N/A 1.44

0.23

N/A 4.67

000 therapeutic. 59012.............. .............. A

Fetal cord

3.45

N/A 1.59

0.62

N/A 5.66

000 puncture,prenatal. 59015.............. .............. A

Chorion biopsy...... 2.20 1.61 1.08

0.40

4.21 3.68

000 59020.............. .............. A

Fetal contract

0.66 0.79

N/A

0.20

1.65

N/A

000 stress test. 59020.............. 26............ A

Fetal contract

0.66 0.27 0.27

0.12

1.05 1.05

000 stress test. 59020.............. TC............ A

Fetal contract

0.00 0.52

N/A

0.08

0.60

N/A

000 stress test. 59025.............. .............. A

Fetal non-stress

0.53 0.45

N/A

0.12

1.10

N/A

000 test. 59025.............. 26............ A

Fetal non-stress

0.53 0.21 0.21

0.10

0.84 0.84

000 test. 59025.............. TC............ A

Fetal non-stress

0.00 0.23

N/A

0.02

0.25

N/A

000 test. 59030.............. .............. A

Fetal scalp blood

1.99

N/A 1.07

0.36

N/A 3.42

000 sample. 59050.............. .............. A

Fetal monitor w/

0.89

N/A 0.36

0.16

N/A 1.41

XXX report. 59051.............. .............. A

Fetal monitor/

0.74

N/A 0.30

0.14

N/A 1.18

XXX interpret only. 59100.............. .............. A

Remove uterus lesion 12.35

N/A 6.74

2.21

N/A 21.30

090 59120.............. .............. A

Treat ectopic

11.49

N/A 6.54

2.06

N/A 20.09

090 pregnancy. 59121.............. .............. A

Treat ectopic

11.67

N/A 6.61

2.09

N/A 20.37

090 pregnancy. 59130.............. .............. A

Treat ectopic

14.22

N/A 6.31

2.54

N/A 23.07

090 pregnancy. 59135.............. .............. A

Treat ectopic

13.88

N/A 7.39

2.49

N/A 23.76

090 pregnancy. 59136.............. .............. A

Treat ectopic

13.18

N/A 6.92

2.36

N/A 22.46

090 pregnancy. 59140.............. .............. A

Treat ectopic

5.46 5.39 3.72

0.98 11.83 10.16

090 pregnancy. 59150.............. .............. A

Treat ectopic

11.67

N/A 6.31

1.23

N/A 19.21

090 pregnancy. 59151.............. .............. A

Treat ectopic

11.49

N/A 6.30

1.41

N/A 19.20

090 pregnancy. 59160.............. .............. A

D & c after delivery 2.71 3.35 2.17

0.49

6.55 5.37

010 59200.............. .............. A

Insert cervical

0.79 1.25 0.31

0.15

2.19 1.25

000 dilator. 59300.............. .............. A

Episiotomy or

2.41 2.21 0.98

0.43

5.05 3.82

000 vaginal repair. 59320.............. .............. A

Revision of cervix.. 2.48

N/A 1.29

0.45

N/A 4.22

000 59325.............. .............. A

Revision of cervix.. 4.07

N/A 1.96

0.73

N/A 6.76

000 59350.............. .............. A

Repair of uterus.... 4.95

N/A 2.00

0.88

N/A 7.83

000 59400.............. .............. A

Obstetrical care.... 23.06

N/A 15.87

4.14

N/A 43.07

MMM 59409.............. .............. A

Obstetrical care.... 13.50

N/A 5.42

2.42

N/A 21.34

MMM 59410.............. .............. A

Obstetrical care.... 14.78

N/A 6.46

2.65

N/A 23.89

MMM 59412.............. .............. A

Antepartum

1.71

N/A 0.83

0.31

N/A 2.85

MMM manipulation. 59414.............. .............. A

Deliver placenta.... 1.61

N/A 0.64

0.29

N/A 2.54

MMM 59425.............. .............. A

Antepartum care only 4.81 4.38 1.90

0.86 10.05 7.57

MMM 59426.............. .............. A

Antepartum care only 8.28 7.85 3.29

1.49 17.62 13.06

MMM 59430.............. .............. A

Care after delivery. 2.13 1.27 0.96

0.38

3.78 3.47

MMM 59510.............. .............. A

Cesarean delivery... 26.22

N/A 17.86

4.70

N/A 48.78

MMM 59514.............. .............. A

Cesarean delivery

15.97

N/A 6.35

2.86

N/A 25.18

MMM only. 59515.............. .............. A

Cesarean delivery... 17.37

N/A 8.03

3.12

N/A 28.52

MMM 59525.............. .............. A

Remove uterus after

8.54

N/A 3.38

1.53

N/A 13.45

ZZZ cesarean. 59610.............. .............. A

Vbac delivery....... 24.62

N/A 16.44

4.41

N/A 45.47

MMM 59612.............. .............. A

Vbac delivery only.. 15.06

N/A 6.18

2.70

N/A 23.94

MMM 59614.............. .............. A

Vbac care after

16.34

N/A 7.10

2.93

N/A 26.37

MMM delivery. 59618.............. .............. A

Attempted vbac

27.78

N/A 18.97

4.98

N/A 51.73

MMM delivery.

[[Page 49156]]

59620.............. .............. A

Attempted vbac

17.53

N/A 6.91

3.15

N/A 27.59

MMM delivery only. 59622.............. .............. A

Attempted vbac after 18.93

N/A 8.85

3.39

N/A 31.17

MMM care. 59812.............. .............. A

Treatment of

4.01

N/A 2.62

0.58

N/A 7.21

090 miscarriage. 59820.............. .............. A

Care of miscarriage. 4.01

N/A 3.62

0.72

N/A 8.35

090 59821.............. .............. A

Treatment of

4.47

N/A 3.52

0.80

N/A 8.79

090 miscarriage. 59830.............. .............. A

Treat uterus

6.11

N/A 4.10

1.10

N/A 11.31

090 infection. 59840.............. .............. R

Abortion............ 3.01

N/A 2.18

0.54

N/A 5.73

010 59841.............. .............. R

Abortion............ 5.24 3.59 3.05

0.94

9.77 9.23

010 59850.............. .............. R

Abortion............ 5.91

N/A 3.33

1.06

N/A 10.30

090 59851.............. .............. R

Abortion............ 5.93

N/A 3.89

1.06

N/A 10.88

090 59852.............. .............. R

Abortion............ 8.24

N/A 5.39

1.48

N/A 15.11

090 59855.............. .............. R

Abortion............ 6.12

N/A 3.72

1.10

N/A 10.94

090 59856.............. .............. R

Abortion............ 7.48

N/A 4.29

1.34

N/A 13.11

090 59857.............. .............. R

Abortion............ 9.29

N/A 4.78

1.66

N/A 15.73

090 59866.............. .............. R

Abortion (mpr)...... 4.00

N/A 1.86

0.72

N/A 6.58

000 59870.............. .............. A

Evacuate mole of

6.01

N/A 4.62

0.77

N/A 11.40

090 uterus. 59871.............. .............. A

Remove cerclage

2.13 1.81 1.16

0.38

4.32 3.67

000 suture. 59898.............. .............. C

Laparo proc, ob care/ 0.00 0.00 0.00

0.00

0.00 0.00

YYY deliver. 59899.............. .............. C

Maternity care

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 60000.............. .............. A

Drain thyroid/tongue 1.76 2.23 2.09

0.14

4.13 3.99

010 cyst. 60001.............. .............. A

Aspirate/inject

0.97 1.54 0.35

0.06

2.57 1.38

000 thyriod cyst. 60100.............. .............. A

Biopsy of thyroid... 1.56 1.45 0.54

0.05

3.06 2.15

000 60200.............. .............. A

Remove thyroid

9.55

N/A 6.24

0.84

N/A 16.63

090 lesion. 60210.............. .............. A

Partial thyroid

10.88

N/A 5.94

1.01

N/A 17.83

090 excision. 60212.............. .............. A

Partial thyroid

16.03

N/A 7.96

1.51

N/A 25.50

090 excision. 60220.............. .............. A

Partial removal of

11.90

N/A 6.47

0.97

N/A 19.34

090 thyroid. 60225.............. .............. A

Partial removal of

14.19

N/A 7.67

1.31

N/A 23.17

090 thyroid. 60240.............. .............. A

Removal of thyroid.. 16.06

N/A 7.95

1.50

N/A 25.51

090 60252.............. .............. A

Removal of thyroid.. 20.57

N/A 10.51

1.63

N/A 32.71

090 60254.............. .............. A

Extensive thyroid

26.99

N/A 14.72

1.96

N/A 43.67

090 surgery. 60260.............. .............. A

Repeat thyroid

17.47

N/A 9.09

1.39

N/A 27.95

090 surgery. 60270.............. .............. A

Removal of thyroid.. 20.27

N/A 10.69

1.78

N/A 32.74

090 60271.............. .............. A

Removal of thyroid.. 16.83

N/A 8.98

1.35

N/A 27.16

090 60280.............. .............. A

Remove thyroid duct

5.87

N/A 4.95

0.45

N/A 11.27

090 lesion. 60281.............. .............. A

Remove thyroid duct

8.53

N/A 6.14

0.67

N/A 15.34

090 lesion. 60500.............. .............. A

Explore parathyroid 16.23

N/A 7.66

1.61

N/A 25.50

090 glands. 60502.............. .............. A

Re-explore

20.35

N/A 9.59

2.00

N/A 31.94

090 parathyroids. 60505.............. .............. A

Explore parathyroid 21.49

N/A 11.12

2.14

N/A 34.75

090 glands. 60512.............. .............. A

Autotransplant

4.45

N/A 1.66

0.44

N/A 6.55

ZZZ parathyroid. 60520.............. .............. A

Removal of thymus

16.81

N/A 8.37

1.84

N/A 27.02

090 gland. 60521.............. .............. A

Removal of thymus

18.87

N/A 9.39

2.34

N/A 30.60

090 gland. 60522.............. .............. A

Removal of thymus

23.09

N/A 11.11

2.83

N/A 37.03

090 gland. 60540.............. .............. A

Explore adrenal

17.03

N/A 7.79

1.42

N/A 26.24

090 gland. 60545.............. .............. A

Explore adrenal

19.88

N/A 8.76

1.75

N/A 30.39

090 gland. 60600.............. .............. A

Remove carotid body 17.93

N/A 10.94

1.87

N/A 30.74

090 lesion. 60605.............. .............. A

Remove carotid body 20.24

N/A 12.95

2.28

N/A 35.47

090 lesion. 60650.............. .............. A

Laparoscopy

20.00

N/A 8.13

1.98

N/A 30.11

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

N/A 0.98

0.13

N/A 2.69

000 cavity fluid. 61001.............. .............. A

Remove cranial

1.49

N/A 1.09

0.15

N/A 2.73

000 cavity fluid. 61020.............. .............. A

Remove brain cavity

1.51

N/A 1.39

0.26

N/A 3.16

000 fluid. 61026.............. .............. A

Injection into brain 1.69

N/A 1.45

0.21

N/A 3.35

000 canal. 61050.............. .............. A

Remove brain canal

1.51

N/A 1.28

0.13

N/A 2.92

000 fluid. 61055.............. .............. A

Injection into brain 2.10

N/A 1.43

0.13

N/A 3.66

000 canal. 61070.............. .............. A

Brain canal shunt

0.89

N/A 1.05

0.09

N/A 2.03

000 procedure. 61105.............. .............. A

Twist drill hole.... 5.14

N/A 4.03

1.05

N/A 10.22

090

[[Page 49157]]

61107.............. .............. A

Drill skull for

5.00

N/A 3.39

1.02

N/A 9.41

000 implantation. 61108.............. .............. A

Drill skull for

10.19

N/A 7.29

2.04

N/A 19.52

090 drainage. 61120.............. .............. A

Burr hole for

8.76

N/A 6.11

1.81

N/A 16.68

090 puncture. 61140.............. .............. A

Pierce skull for

15.90

N/A 10.09

3.15

N/A 29.14

090 biopsy. 61150.............. .............. A

Pierce skull for

17.57

N/A 10.62

3.52

N/A 31.71

090 drainage. 61151.............. .............. A

Pierce skull for

12.42

N/A 7.99

2.45

N/A 22.86

090 drainage. 61154.............. .............. A

Pierce skull &

14.99

N/A 9.68

3.05

N/A 27.72

090 remove clot. 61156.............. .............. A

Pierce skull for

16.32

N/A 10.04

3.42

N/A 29.78

090 drainage. 61210.............. .............. A

Pierce skull,

5.84

N/A 3.79

1.16

N/A 10.79

000 implant device. 61215.............. .............. A

Insert brain-fluid

4.89

N/A 4.08

0.99

N/A 9.96

090 device. 61250.............. .............. A

Pierce skull &

10.42

N/A 6.99

2.02

N/A 19.43

090 explore. 61253.............. .............. A

Pierce skull &

12.36

N/A 7.87

2.26

N/A 22.49

090 explore. 61304.............. .............. A

Open skull for

21.96

N/A 13.14

4.33

N/A 39.43

090 exploration. 61305.............. .............. A

Open skull for

26.61

N/A 15.66

5.25

N/A 47.52

090 exploration. 61312.............. .............. A

Open skull for

24.57

N/A 15.39

4.99

N/A 44.95

090 drainage. 61313.............. .............. A

Open skull for

24.93

N/A 15.16

5.07

N/A 45.16

090 drainage. 61314.............. .............. A

Open skull for

24.23

N/A 13.32

4.00

N/A 41.55

090 drainage. 61315.............. .............. A

Open skull for

27.68

N/A 16.37

5.62

N/A 49.67

090 drainage. 61316.............. .............. A

Implt cran bone flap 1.39

N/A 0.57

0.43

N/A 2.39

ZZZ to abdo. 61320.............. .............. A

Open skull for

25.62

N/A 15.11

5.20

N/A 45.93

090 drainage. 61321.............. .............. A

Open skull for

28.50

N/A 16.49

5.35

N/A 50.34

090 drainage. 61322.............. .............. A

Decompressive

29.50

N/A 14.57

4.99

N/A 49.06

090 craniotomy. 61323.............. .............. A

Decompressive

31.00

N/A 14.76

4.99

N/A 50.75

090 lobectomy. 61330.............. .............. A

Decompress eye

23.32

N/A 14.05

2.58

N/A 39.95

090 socket. 61332.............. .............. A

Explore/biopsy eye

27.28

N/A 15.97

4.15

N/A 47.40

090 socket. 61333.............. .............. A

Explore orbit/remove 27.95

N/A 15.97

2.24

N/A 46.16

090 lesion. 61334.............. .............. A

Explore orbit/remove 18.27

N/A 10.91

3.02

N/A 32.20

090 object. 61340.............. .............. A

Subtemporal

18.66

N/A 11.39

3.66

N/A 33.71

090 decompression. 61343.............. .............. A

Incise skull (press 29.77

N/A 17.43

6.04

N/A 53.24

090 relief). 61345.............. .............. A

Relieve cranial

27.20

N/A 15.98

5.23

N/A 48.41

090 pressure. 61440.............. .............. A

Incise skull for

26.63

N/A 14.76

5.57

N/A 46.96

090 surgery. 61450.............. .............. A

Incise skull for

25.95

N/A 14.84

5.11

N/A 45.90

090 surgery. 61458.............. .............. A

Incise skull for

27.29

N/A 16.05

5.28

N/A 48.62

090 brain wound. 61460.............. .............. A

Incise skull for

28.39

N/A 16.96

5.13

N/A 50.48

090 surgery. 61470.............. .............. A

Incise skull for

26.06

N/A 14.40

4.65

N/A 45.11

090 surgery. 61480.............. .............. A

Incise skull for

26.49

N/A 15.23

5.54

N/A 47.26

090 surgery. 61490.............. .............. A

Incise skull for

25.66

N/A 14.87

5.37

N/A 45.90

090 surgery. 61500.............. .............. A

Removal of skull

17.92

N/A 11.26

3.26

N/A 32.44

090 lesion. 61501.............. .............. A

Remove infected

14.84

N/A 9.62

2.63

N/A 27.09

090 skull bone. 61510.............. .............. A

Removal of brain

28.45

N/A 17.22

5.77

N/A 51.44

090 lesion. 61512.............. .............. A

Remove brain lining 35.09

N/A 20.36

7.14

N/A 62.59

090 lesion. 61514.............. .............. A

Removal of brain

25.26

N/A 14.95

5.12

N/A 45.33

090 abscess. 61516.............. .............. A

Removal of brain

24.61

N/A 14.78

4.94

N/A 44.33

090 lesion. 61517.............. .............. A

Implt brain chemotx

1.38

N/A 0.57

0.08

N/A 2.03

ZZZ add-on. 61518.............. .............. A

Removal of brain

37.32

N/A 21.82

7.53

N/A 66.67

090 lesion. 61519.............. .............. A

Remove brain lining 41.39

N/A 23.44

8.15

N/A 72.98

090 lesion. 61520.............. .............. A

Removal of brain

54.84

N/A 31.26 10.10

N/A 96.20

090 lesion. 61521.............. .............. A

Removal of brain

44.48

N/A 25.05

8.85

N/A 78.38

090 lesion. 61522.............. .............. A

Removal of brain

29.45

N/A 17.03

5.30

N/A 51.78

090 abscess. 61524.............. .............. A

Removal of brain

27.86

N/A 16.26

5.01

N/A 49.13

090 lesion. 61526.............. .............. A

Removal of brain

52.17

N/A 30.38

6.72

N/A 89.27

090 lesion. 61530.............. .............. A

Removal of brain

43.86

N/A 25.88

6.17

N/A 75.91

090 lesion. 61531.............. .............. A

Implant brain

14.63

N/A 9.51

2.84

N/A 26.98

090 electrodes. 61533.............. .............. A

Implant brain

19.71

N/A 11.98

3.80

N/A 35.49

090 electrodes. 61534.............. .............. A

Removal of brain

20.97

N/A 12.62

4.15

N/A 37.74

090 lesion. 61535.............. .............. A

Remove brain

11.63

N/A 7.82

2.29

N/A 21.74

090 electrodes. 61536.............. .............. A

Removal of brain

35.52

N/A 20.47

6.68

N/A 62.67

090 lesion.

[[Page 49158]]

61538.............. .............. A

Removal of brain

26.81

N/A 15.95

5.38

N/A 48.14

090 tissue. 61539.............. .............. A

Removal of brain

32.08

N/A 18.43

6.62

N/A 57.13

090 tissue. 61541.............. .............. A

Incision of brain

28.85

N/A 16.77

5.50

N/A 51.12

090 tissue. 61542.............. .............. A

Removal of brain

31.02

N/A 18.46

6.49

N/A 55.97

090 tissue. 61543.............. .............. A

Removal of brain

29.22

N/A 16.98

6.11

N/A 52.31

090 tissue. 61544.............. .............. A

Remove & treat brain 25.50

N/A 14.21

4.91

N/A 44.62

090 lesion. 61545.............. .............. A

Excision of brain

43.80

N/A 24.99

8.88

N/A 77.67

090 tumor. 61546.............. .............. A

Removal of pituitary 31.30

N/A 18.13

6.06

N/A 55.49

090 gland. 61548.............. .............. A

Removal of pituitary 21.53

N/A 13.29

3.63

N/A 38.45

090 gland. 61550.............. .............. A

Release of skull

14.65

N/A 7.34

1.14

N/A 23.13

090 seams. 61552.............. .............. A

Release of skull

19.56

N/A 9.68

0.88

N/A 30.12

090 seams. 61556.............. .............. A

Incise skull/sutures 22.26

N/A 11.81

3.57

N/A 37.64

090 61557.............. .............. A

Incise skull/sutures 22.38

N/A 13.91

4.68

N/A 40.97

090 61558.............. .............. A

Excision of skull/

25.58

N/A 14.75

2.61

N/A 42.94

090 sutures. 61559.............. .............. A

Excision of skull/

32.79

N/A 19.61

6.86

N/A 59.26

090 sutures. 61563.............. .............. A

Excision of skull

26.83

N/A 15.80

4.46

N/A 47.09

090 tumor. 61564.............. .............. A

Excision of skull

33.83

N/A 18.74

7.08

N/A 59.65

090 tumor. 61570.............. .............. A

Remove foreign body, 24.60

N/A 14.32

4.60

N/A 43.52

090 brain. 61571.............. .............. A

Incise skull for

26.39

N/A 15.58

5.23

N/A 47.20

090 brain wound. 61575.............. .............. A

Skull base/brainstem 34.36

N/A 20.34

5.02

N/A 59.72

090 surgery. 61576.............. .............. A

Skull base/brainstem 52.43

N/A 30.42

4.68

N/A 87.53

090 surgery. 61580.............. .............. A

Craniofacial

30.35

N/A 24.85

2.75

N/A 57.95

090 approach, skull. 61581.............. .............. A

Craniofacial

34.60

N/A 22.57

3.37

N/A 60.54

090 approach, skull. 61582.............. .............. A

Craniofacial

31.66

N/A 26.65

6.30

N/A 64.61

090 approach, skull. 61583.............. .............. A

Craniofacial

36.21

N/A 25.03

6.94

N/A 68.18

090 approach, skull. 61584.............. .............. A

Orbitocranial

34.65

N/A 24.40

6.53

N/A 65.58

090 approach/skull. 61585.............. .............. A

Orbitocranial

38.61

N/A 26.37

6.19

N/A 71.17

090 approach/skull. 61586.............. .............. A

Resect nasopharynx, 25.10

N/A 21.80

3.52

N/A 50.42

090 skull. 61590.............. .............. A

Infratemporal

41.78

N/A 29.48

4.28

N/A 75.54

090 approach/skull. 61591.............. .............. A

Infratemporal

43.68

N/A 30.38

5.26

N/A 79.32

090 approach/skull. 61592.............. .............. A

Orbitocranial

39.64

N/A 27.03

7.55

N/A 74.22

090 approach/skull. 61595.............. .............. A

Transtemporal

29.57

N/A 23.10

3.05

N/A 55.72

090 approach/skull. 61596.............. .............. A

Transcochlear

35.63

N/A 25.14

4.25

N/A 65.02

090 approach/skull. 61597.............. .............. A

Transcondylar

37.96

N/A 23.44

6.65

N/A 68.05

090 approach/skull. 61598.............. .............. A

Transpetrosal

33.41

N/A 23.82

4.60

N/A 61.83

090 approach/skull. 61600.............. .............. A

Resect/excise

25.85

N/A 20.35

3.12

N/A 49.32

090 cranial lesion. 61601.............. .............. A

Resect/excise

27.89

N/A 20.88

5.29

N/A 54.06

090 cranial lesion. 61605.............. .............. A

Resect/excise

29.33

N/A 22.75

2.51

N/A 54.59

090 cranial lesion. 61606.............. .............. A

Resect/excise

38.83

N/A 25.68

6.81

N/A 71.32

090 cranial lesion. 61607.............. .............. A

Resect/excise

36.27

N/A 24.32

5.69

N/A 66.28

090 cranial lesion. 61608.............. .............. A

Resect/excise

42.10

N/A 27.11

8.31

N/A 77.52

090 cranial lesion. 61609.............. .............. A

Transect artery,

9.89

N/A 4.89

2.07

N/A 16.85

ZZZ sinus.

[[Page 49159]]

61610.............. .............. A

Transect artery,

29.67

N/A 13.44

3.52

N/A 46.63

ZZZ sinus. 61611.............. .............. A

Transect artery,

7.42

N/A 3.39

1.55

N/A 12.36

ZZZ sinus. 61612.............. .............. A

Transect artery,

27.88

N/A 13.62

3.55

N/A 45.05

ZZZ sinus. 61613.............. .............. A

Remove aneurysm,

40.86

N/A 26.77

8.32

N/A 75.95

090 sinus. 61615.............. .............. A

Resect/excise

32.07

N/A 23.28

4.64

N/A 59.99

090 lesion, skull. 61616.............. .............. A

Resect/excise

43.33

N/A 29.31

7.02

N/A 79.66

090 lesion, skull. 61618.............. .............. A

Repair dura......... 16.99

N/A 10.91

2.92

N/A 30.82

090 61619.............. .............. A

Repair dura......... 20.71

N/A 12.75

3.42

N/A 36.88

090 61623.............. .............. A

Endovasc tempory

9.96

N/A 4.31

0.50

N/A 14.77

000 vessel occl. 61624.............. .............. A

Transcath occlusion, 20.15

N/A 7.07

1.15

N/A 28.37

000 cns. 61626.............. .............. A

Transcath occlusion, 16.62

N/A 5.65

0.84

N/A 23.11

000 non-cns. 61680.............. .............. A

Intracranial vessel 30.71

N/A 18.07

6.04

N/A 54.82

090 surgery. 61682.............. .............. A

Intracranial vessel 61.57

N/A 33.24 12.69

N/A 107.50

090 surgery. 61684.............. .............. A

Intracranial vessel 39.81

N/A 22.75

7.87

N/A 70.43

090 surgery. 61686.............. .............. A

Intracranial vessel 64.49

N/A 35.77 13.20

N/A 113.46

090 surgery. 61690.............. .............. A

Intracranial vessel 29.31

N/A 17.38

5.51

N/A 52.20

090 surgery. 61692.............. .............. A

Intracranial vessel 51.87

N/A 28.42 10.17

N/A 90.46

090 surgery. 61697.............. .............. A

Brain aneurysm repr, 50.52

N/A 28.82 10.31

N/A 89.65

090 complx. 61698.............. .............. A

Brain aneurysm repr, 48.41

N/A 27.46

9.99

N/A 85.86

090 complx. 61700.............. .............. A

Brain aneurysm repr, 50.52

N/A 28.64 10.18

N/A 89.34

090 simple. 61702.............. .............. A

Inner skull vessel

48.41

N/A 26.91

9.75

N/A 85.07

090 surgery. 61703.............. .............. A

Clamp neck artery... 17.47

N/A 10.94

3.62

N/A 32.03

090 61705.............. .............. A

Revise circulation

36.20

N/A 19.88

6.67

N/A 62.75

090 to head. 61708.............. .............. A

Revise circulation

35.30

N/A 15.61

2.18

N/A 53.09

090 to head. 61710.............. .............. A

Revise circulation

29.67

N/A 14.10

2.42

N/A 46.19

090 to head. 61711.............. .............. A

Fusion of skull

36.33

N/A 20.47

7.39

N/A 64.19

090 arteries. 61720.............. .............. A

Incise skull/brain

16.77

N/A 10.43

3.51

N/A 30.71

090 surgery. 61735.............. .............. A

Incise skull/brain

20.43

N/A 12.62

4.16

N/A 37.21

090 surgery. 61750.............. .............. A

Incise skull/brain

18.20

N/A 11.04

3.71

N/A 32.95

090 biopsy. 61751.............. .............. A

Brain biopsy w/ct/mr 17.62

N/A 11.21

3.57

N/A 32.40

090 guide. 61760.............. .............. A

Implant brain

22.27

N/A 8.96

4.59

N/A 35.82

090 electrodes. 61770.............. .............. A

Incise skull for

21.44

N/A 12.69

4.09

N/A 38.22

090 treatment. 61790.............. .............. A

Treat trigeminal

10.86

N/A 6.21

1.82

N/A 18.89

090 nerve. 61791.............. .............. A

Treat trigeminal

14.61

N/A 9.29

3.03

N/A 26.93

090 tract. 61793.............. .............. A

Focus radiation beam 17.24

N/A 10.56

3.51

N/A 31.31

090 61795.............. .............. A

Brain surgery using

4.04

N/A 2.08

0.81

N/A 6.93

ZZZ computer. 61850.............. .............. A

Implant

12.39

N/A 7.96

2.23

N/A 22.58

090 neuroelectrodes. 61860.............. .............. A

Implant

20.87

N/A 12.51

4.04

N/A 37.42

090 neuroelectrodes. 61862.............. .............. A

Implant neurostimul, 19.34

N/A 12.47

3.97

N/A 35.78

090 subcort. 61870.............. .............. A

Implant

14.94

N/A 10.15

1.70

N/A 26.79

090 neuroelectrodes. 61875.............. .............. A

Implant

15.06

N/A 8.97

2.42

N/A 26.45

090 neuroelectrodes. 61880.............. .............. A

Revise/remove

6.29

N/A 4.84

1.31

N/A 12.44

090 neuroelectrode. 61885.............. .............. A

Implant neurostim

5.85

N/A 5.51

1.22

N/A 12.58

090 one array. 61886.............. .............. A

Implant neurostim

8.00

N/A 6.57

1.64

N/A 16.21

090 arrays. 61888.............. .............. A

Revise/remove

5.07

N/A 3.97

1.04

N/A 10.08

010 neuroreceiver. 62000.............. .............. A

Treat skull fracture 12.53

N/A 5.97

0.87

N/A 19.37

090 62005.............. .............. A

Treat skull fracture 16.17

N/A 9.28

2.33

N/A 27.78

090 62010.............. .............. A

Treatment of head

19.81

N/A 12.15

4.05

N/A 36.01

090 injury. 62100.............. .............. A

Repair brain fluid

22.03

N/A 13.31

4.07

N/A 39.41

090 leakage. 62115.............. .............. A

Reduction of skull

21.66

N/A 12.02

4.53

N/A 38.21

090 defect. 62116.............. .............. A

Reduction of skull

23.59

N/A 13.80

4.85

N/A 42.24

090 defect. 62117.............. .............. A

Reduction of skull

26.60

N/A 15.64

5.56

N/A 47.80

090 defect. 62120.............. .............. A

Repair skull cavity 23.35

N/A 14.71

3.07

N/A 41.13

090 lesion. 62121.............. .............. A

Incise skull repair. 21.58

N/A 13.17

2.47

N/A 37.22

090 62140.............. .............. A

Repair of skull

13.51

N/A 8.69

2.60

N/A 24.80

090 defect. 62141.............. .............. A

Repair of skull

14.91

N/A 9.48

2.85

N/A 27.24

090 defect.

[[Page 49160]]

62142.............. .............. A

Remove skull plate/ 10.79

N/A 7.34

2.10

N/A 20.23

090 flap. 62143.............. .............. A

Replace skull plate/ 13.05

N/A 8.44

2.55

N/A 24.04

090 flap. 62145.............. .............. A

Repair of skull &

18.82

N/A 11.38

3.81

N/A 34.01

090 brain. 62146.............. .............. A

Repair of skull with 16.12

N/A 10.08

2.94

N/A 29.14

090 graft. 62147.............. .............. A

Repair of skull with 19.34

N/A 11.84

3.64

N/A 34.82

090 graft. 62148.............. .............. A

Retr bone flap to

2.00

N/A 0.83

0.43

N/A 3.26

ZZZ fix skull. 62160.............. .............. A

Neuroendoscopy add-

3.00

N/A 1.16

0.52

N/A 4.68

ZZZ on. 62161.............. .............. A

Dissect brain w/

20.00

N/A 9.73

3.70

N/A 33.43

090 scope. 62162.............. .............. A

Remove colloid cyst 25.25

N/A 11.90

5.77

N/A 42.92

090 w/scope. 62163.............. .............. A

Neuroendoscopy w/fb 15.50

N/A 7.98

3.70

N/A 27.18

090 removal. 62164.............. .............. A

Remove brain tumor w/ 27.50

N/A 13.13

5.77

N/A 46.40

090 scope. 62165.............. .............. A

Remove pituit tumor 22.00

N/A 10.69

3.63

N/A 36.32

090 w/scope. 62180.............. .............. A

Establish brain

21.06

N/A 12.73

4.32

N/A 38.11

090 cavity shunt. 62190.............. .............. A

Establish brain

11.07

N/A 7.40

2.18

N/A 20.65

090 cavity shunt. 62192.............. .............. A

Establish brain

12.25

N/A 7.96

2.46

N/A 22.67

090 cavity shunt. 62194.............. .............. A

Replace/irrigate

5.03

N/A 2.84

0.50

N/A 8.37

010 catheter. 62200.............. .............. A

Establish brain

18.32

N/A 11.26

3.70

N/A 33.28

090 cavity shunt. 62201.............. .............. A

Brain cavity shunt w/ 14.86

N/A 9.79

2.52

N/A 27.17

090 scope. 62220.............. .............. A

Establish brain

13.00

N/A 8.32

2.53

N/A 23.85

090 cavity shunt. 62223.............. .............. A

Establish brain

12.87

N/A 8.55

2.58

N/A 24.00

090 cavity shunt. 62225.............. .............. A

Replace/irrigate

5.41

N/A 4.30

1.09

N/A 10.80

090 catheter. 62230.............. .............. A

Replace/revise brain 10.54

N/A 6.75

2.10

N/A 19.39

090 shunt. 62252.............. .............. A

Csf shunt reprogram. 0.74 1.48

N/A

0.18

2.40

N/A

XXX 62252.............. 26............ A

Csf shunt reprogram. 0.74 0.38 0.38

0.16

1.28 1.28

XXX 62252.............. TC............ A

Csf shunt reprogram. 0.00 1.10

N/A

0.02

1.12

N/A

XXX 62256.............. .............. A

Remove brain cavity

6.60

N/A 4.96

1.34

N/A 12.90

090 shunt. 62258.............. .............. A

Replace brain cavity 14.54

N/A 9.03

2.91

N/A 26.48

090 shunt. 62263.............. .............. A

Epidural lysis mult

6.14 12.34 2.41

0.42 18.90 8.97

010 sessions. 62264.............. .............. A

Epidural lysis on

4.43 7.85 1.42

0.30 12.58 6.15

010 single day. 62268.............. .............. A

Drain spinal cord

4.74 10.78 2.21

0.29 15.81 7.24

000 cyst. 62269.............. .............. A

Needle biopsy,

5.02 12.44 2.04

0.29 17.75 7.35

000 spinal cord. 62270.............. .............. A

Spinal fluid tap,

1.13 3.10 0.50

0.06

4.29 1.69

000 diagnostic. 62272.............. .............. A

Drain cerebro spinal 1.35 3.72 0.65

0.13

5.20 2.13

000 fluid. 62273.............. .............. A

Treat epidural spine 2.15 2.83 0.58

0.14

5.12 2.87

000 lesion. 62280.............. .............. A

Treat spinal cord

2.63 6.81 0.89

0.17

9.61 3.69

010 lesion. 62281.............. .............. A

Treat spinal cord

2.66 5.96 0.78

0.16

8.78 3.60

010 lesion. 62282.............. .............. A

Treat spinal canal

2.33 8.37 0.80

0.14 10.84 3.27

010 lesion. 62284.............. .............. A

Injection for

1.54 4.98 0.61

0.10

6.62 2.25

000 myelogram. 62287.............. .............. A

Percutaneous

8.08

N/A 5.75

0.66

N/A 14.49

090 diskectomy. 62290.............. .............. A

Inject for spine

3.00 6.94 1.30

0.20 10.14 4.50

000 disk x-ray. 62291.............. .............. A

Inject for spine

2.91 5.81 1.15

0.17

8.89 4.23

000 disk x-ray. 62292.............. .............. A

Injection into disk

7.86

N/A 4.60

0.65

N/A 13.11

090 lesion. 62294.............. .............. A

Injection into

11.83

N/A 5.79

0.85

N/A 18.47

090 spinal artery. 62310.............. .............. A

Inject spine c/t.... 1.91 5.02 0.51

0.11

7.04 2.53

000 62311.............. .............. A

Inject spine l/s

1.54 5.08 0.45

0.09

6.71 2.08

000 (cd). 62318.............. .............. A

Inject spine w/cath, 2.04 5.72 0.52

0.12

7.88 2.68

000 c/t. 62319.............. .............. A

Inject spine w/cath

1.87 5.01 0.48

0.11

6.99 2.46

000 l/s (cd). 62350.............. .............. A

Implant spinal canal 6.87

N/A 4.06

0.64

N/A 11.57

090 cath. 62351.............. .............. A

Implant spinal canal 10.00

N/A 7.26

1.79

N/A 19.05

090 cath. 62355.............. .............. A

Remove spinal canal

5.45

N/A 3.26

0.47

N/A 9.18

090 catheter. 62360.............. .............. A

Insert spine

2.62

N/A 2.76

0.21

N/A 5.59

090 infusion device.

[[Page 49161]]

62361.............. .............. A

Implant spine

5.42

N/A 3.99

0.50

N/A 9.91

090 infusion pump. 62362.............. .............. A

Implant spine

7.04

N/A 4.48

0.86

N/A 12.38

090 infusion pump. 62365.............. .............. A

Remove spine

5.42

N/A 3.66

0.58

N/A 9.66

090 infusion device. 62367.............. .............. C

Analyze spine

0.00 0.00 0.00

0.00

0.00 0.00

XXX infusion pump. 62367.............. 26............ A

Analyze spine

0.48 0.13 0.13

0.03

0.64 0.64

XXX infusion pump. 62367.............. TC............ C

Analyze spine

0.00 0.00 0.00

0.00

0.00 0.00

XXX infusion pump. 62368.............. .............. C

Analyze spine

0.00 0.00 0.00

0.00

0.00 0.00

XXX infusion pump. 62368.............. 26............ A

Analyze spine

0.75 0.19 0.19

0.05

0.99 0.99

XXX infusion pump. 62368.............. TC............ C

Analyze spine

0.00 0.00 0.00

0.00

0.00 0.00

XXX infusion pump. 63001.............. .............. A

Removal of spinal

15.82

N/A 9.72

3.03

N/A 28.57

090 lamina. 63003.............. .............. A

Removal of spinal

15.95

N/A 10.06

2.98

N/A 28.99

090 lamina. 63005.............. .............. A

Removal of spinal

14.92

N/A 10.13

2.62

N/A 27.67

090 lamina. 63011.............. .............. A

Removal of spinal

14.52

N/A 8.39

1.43

N/A 24.34

090 lamina. 63012.............. .............. A

Removal of spinal

15.40

N/A 10.25

2.71

N/A 28.36

090 lamina. 63015.............. .............. A

Removal of spinal

19.35

N/A 12.14

3.84

N/A 35.33

090 lamina. 63016.............. .............. A

Removal of spinal

19.20

N/A 12.00

3.62

N/A 34.82

090 lamina. 63017.............. .............. A

Removal of spinal

15.94

N/A 10.57

2.91

N/A 29.42

090 lamina. 63020.............. .............. A

Neck spine disk

14.81

N/A 9.87

2.89

N/A 27.57

090 surgery. 63030.............. .............. A

Low back disk

12.00

N/A 8.56

2.21

N/A 22.77

090 surgery. 63035.............. .............. A

Spinal disk surgery

3.15

N/A 1.62

0.57

N/A 5.34

ZZZ add-on. 63040.............. .............. A

Laminotomy, single

18.81

N/A 11.70

3.36

N/A 33.87

090 cervical. 63042.............. .............. A

Laminotomy, single

17.47

N/A 11.53

3.11

N/A 32.11

090 lumbar. 63043.............. .............. C

Laminotomy, addl

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ cervical. 63044.............. .............. C

Laminotomy, addl

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ lumbar. 63045.............. .............. A

Removal of spinal

16.50

N/A 10.54

3.19

N/A 30.23

090 lamina. 63046.............. .............. A

Removal of spinal

15.80

N/A 10.34

2.89

N/A 29.03

090 lamina. 63047.............. .............. A

Removal of spinal

14.61

N/A 10.04

2.61

N/A 27.26

090 lamina. 63048.............. .............. A

Remove spinal lamina 3.26

N/A 1.70

0.58

N/A 5.54

ZZZ add-on. 63055.............. .............. A

Decompress spinal

21.99

N/A 13.38

4.09

N/A 39.46

090 cord. 63056.............. .............. A

Decompress spinal

20.36

N/A 12.76

3.34

N/A 36.46

090 cord. 63057.............. .............. A

Decompress spine

5.26

N/A 2.70

0.81

N/A 8.77

ZZZ cord add-on. 63064.............. .............. A

Decompress spinal

24.61

N/A 14.71

4.72

N/A 44.04

090 cord. 63066.............. .............. A

Decompress spine

3.26

N/A 1.70

0.63

N/A 5.59

ZZZ cord add-on. 63075.............. .............. A

Neck spine disk

19.41

N/A 12.33

3.73

N/A 35.47

090 surgery. 63076.............. .............. A

Neck spine disk

4.05

N/A 2.10

0.78

N/A 6.93

ZZZ surgery. 63077.............. .............. A

Spine disk surgery, 21.44

N/A 12.92

3.44

N/A 37.80

090 thorax. 63078.............. .............. A

Spine disk surgery,

3.28

N/A 1.67

0.50

N/A 5.45

ZZZ thorax. 63081.............. .............. A

Removal of vertebral 23.73

N/A 14.59

4.46

N/A 42.78

090 body. 63082.............. .............. A

Remove vertebral

4.37

N/A 2.28

0.82

N/A 7.47

ZZZ body add-on. 63085.............. .............. A

Removal of vertebral 26.92

N/A 15.67

4.70

N/A 47.29

090 body. 63086.............. .............. A

Remove vertebral

3.19

N/A 1.62

0.55

N/A 5.36

ZZZ body add-on. 63087.............. .............. A

Removal of vertebral 35.57

N/A 19.78

5.87

N/A 61.22

090 body. 63088.............. .............. A

Remove vertebral

4.33

N/A 2.23

0.77

N/A 7.33

ZZZ body add-on. 63090.............. .............. A

Removal of vertebral 28.16

N/A 16.27

4.27

N/A 48.70

090 body. 63091.............. .............. A

Remove vertebral

3.03

N/A 1.49

0.45

N/A 4.97

ZZZ body add-on. 63170.............. .............. A

Incise spinal cord

19.83

N/A 12.38

3.89

N/A 36.10

090 tract(s). 63172.............. .............. A

Drainage of spinal

17.66

N/A 11.22

3.46

N/A 32.34

090 cyst. 63173.............. .............. A

Drainage of spinal

21.99

N/A 13.39

4.14

N/A 39.52

090 cyst.

[[Page 49162]]

63180.............. .............. A

Revise spinal cord

18.27

N/A 11.52

3.83

N/A 33.62

090 ligaments. 63182.............. .............. A

Revise spinal cord

20.50

N/A 11.44

3.48

N/A 35.42

090 ligaments. 63185.............. .............. A

Incise spinal column/ 15.04

N/A 8.46

2.08

N/A 25.58

090 nerves. 63190.............. .............. A

Incise spinal column/ 17.45

N/A 10.59

2.88

N/A 30.92

090 nerves. 63191.............. .............. A

Incise spinal column/ 17.54

N/A 11.04

3.50

N/A 32.08

090 nerves. 63194.............. .............. A

Incise spinal column 19.19

N/A 12.05

4.01

N/A 35.25

090 & cord. 63195.............. .............. A

Incise spinal column 18.84

N/A 11.56

3.44

N/A 33.84

090 & cord. 63196.............. .............. A

Incise spinal column 22.30

N/A 12.34

4.66

N/A 39.30

090 & cord. 63197.............. .............. A

Incise spinal column 21.11

N/A 12.55

4.42

N/A 38.08

090 & cord. 63198.............. .............. A

Incise spinal column 25.38

N/A 9.91

5.31

N/A 40.60

090 & cord. 63199.............. .............. A

Incise spinal column 26.89

N/A 15.19

5.62

N/A 47.70

090 & cord. 63200.............. .............. A

Release of spinal

19.18

N/A 11.78

3.61

N/A 34.57

090 cord. 63250.............. .............. A

Revise spinal cord

40.76

N/A 20.52

7.65

N/A 68.93

090 vessels. 63251.............. .............. A

Revise spinal cord

41.20

N/A 23.24

7.98

N/A 72.42

090 vessels. 63252.............. .............. A

Revise spinal cord

41.19

N/A 22.89

7.75

N/A 71.83

090 vessels. 63265.............. .............. A

Excise intraspinal

21.56

N/A 13.18

4.29

N/A 39.03

090 lesion. 63266.............. .............. A

Excise intraspinal

22.30

N/A 13.61

4.47

N/A 40.38

090 lesion. 63267.............. .............. A

Excise intraspinal

17.95

N/A 11.45

3.50

N/A 32.90

090 lesion. 63268.............. .............. A

Excise intraspinal

18.52

N/A 10.73

3.18

N/A 32.43

090 lesion. 63270.............. .............. A

Excise intraspinal

26.80

N/A 15.94

5.41

N/A 48.15

090 lesion. 63271.............. .............. A

Excise intraspinal

26.92

N/A 16.05

5.56

N/A 48.53

090 lesion. 63272.............. .............. A

Excise intraspinal

25.32

N/A 15.15

5.07

N/A 45.54

090 lesion. 63273.............. .............. A

Excise intraspinal

24.29

N/A 14.75

5.08

N/A 44.12

090 lesion. 63275.............. .............. A

Biopsy/excise spinal 23.68

N/A 14.21

4.68

N/A 42.57

090 tumor. 63276.............. .............. A

Biopsy/excise spinal 23.45

N/A 14.11

4.63

N/A 42.19

090 tumor. 63277.............. .............. A

Biopsy/excise spinal 20.83

N/A 12.92

4.03

N/A 37.78

090 tumor. 63278.............. .............. A

Biopsy/excise spinal 20.56

N/A 12.78

4.02

N/A 37.36

090 tumor. 63280.............. .............. A

Biopsy/excise spinal 28.35

N/A 16.81

5.80

N/A 50.96

090 tumor. 63281.............. .............. A

Biopsy/excise spinal 28.05

N/A 16.66

5.67

N/A 50.38

090 tumor. 63282.............. .............. A

Biopsy/excise spinal 26.39

N/A 15.80

5.33

N/A 47.52

090 tumor. 63283.............. .............. A

Biopsy/excise spinal 25.00

N/A 15.12

5.12

N/A 45.24

090 tumor. 63285.............. .............. A

Biopsy/excise spinal 36.00

N/A 20.53

7.31

N/A 63.84

090 tumor. 63286.............. .............. A

Biopsy/excise spinal 35.63

N/A 20.48

7.07

N/A 63.18

090 tumor. 63287.............. .............. A

Biopsy/excise spinal 36.70

N/A 21.04

7.48

N/A 65.22

090 tumor. 63290.............. .............. A

Biopsy/excise spinal 37.38

N/A 21.20

7.65

N/A 66.23

090 tumor. 63300.............. .............. A

Removal of vertebral 24.43

N/A 14.75

4.78

N/A 43.96

090 body. 63301.............. .............. A

Removal of vertebral 27.60

N/A 15.96

5.03

N/A 48.59

090 body. 63302.............. .............. A

Removal of vertebral 27.81

N/A 16.28

5.25

N/A 49.34

090 body. 63303.............. .............. A

Removal of vertebral 30.50

N/A 17.39

5.21

N/A 53.10

090 body. 63304.............. .............. A

Removal of vertebral 30.33

N/A 17.80

4.72

N/A 52.85

090 body. 63305.............. .............. A

Removal of vertebral 32.03

N/A 18.47

5.39

N/A 55.89

090 body. 63306.............. .............. A

Removal of vertebral 32.22

N/A 18.10

2.39

N/A 52.71

090 body. 63307.............. .............. A

Removal of vertebral 31.63

N/A 17.31

4.23

N/A 53.17

090 body. 63308.............. .............. A

Remove vertebral

5.25

N/A 2.67

1.01

N/A 8.93

ZZZ body add-on. 63600.............. .............. A

Remove spinal cord

14.02

N/A 5.59

1.22

N/A 20.83

090 lesion. 63610.............. .............. A

Stimulation of

8.73 56.96 2.32

0.43 66.12 11.48

000 spinal cord. 63615.............. .............. A

Remove lesion of

16.28

N/A 9.52

2.85

N/A 28.65

090 spinal cord. 63650.............. .............. A

Implant

6.74

N/A 3.30

0.48

N/A 10.52

090 neuroelectrodes. 63655.............. .............. A

Implant

10.29

N/A 7.17

1.85

N/A 19.31

090 neuroelectrodes. 63660.............. .............. A

Revise/remove

6.16

N/A 3.80

0.65

N/A 10.61

090 neuroelectrode. 63685.............. .............. A

Implant

7.04

N/A 4.34

0.96

N/A 12.34

090 neuroreceiver.

[[Page 49163]]

63688.............. .............. A

Revise/remove

5.39

N/A 3.75

0.70

N/A 9.84

090 neuroreceiver. 63700.............. .............. A

Repair of spinal

16.53

N/A 10.63

2.69

N/A 29.85

090 herniation. 63702.............. .............. A

Repair of spinal

18.48

N/A 11.00

1.36

N/A 30.84

090 herniation. 63704.............. .............. A

Repair of spinal

21.18

N/A 13.14

3.84

N/A 38.16

090 herniation. 63706.............. .............. A

Repair of spinal

24.11

N/A 14.00

4.73

N/A 42.84

090 herniation. 63707.............. .............. A

Repair spinal fluid 11.26

N/A 7.99

1.96

N/A 21.21

090 leakage. 63709.............. .............. A

Repair spinal fluid 14.32

N/A 9.71

2.49

N/A 26.52

090 leakage. 63710.............. .............. A

Graft repair of

14.07

N/A 9.36

2.61

N/A 26.04

090 spine defect. 63740.............. .............. A

Install spinal shunt 11.36

N/A 7.63

2.15

N/A 21.14

090 63741.............. .............. A

Install spinal shunt 8.25

N/A 4.96

1.05

N/A 14.26

090 63744.............. .............. A

Revision of spinal

8.10

N/A 5.49

1.51

N/A 15.10

090 shunt. 63746.............. .............. A

Removal of spinal

6.43

N/A 3.96

1.15

N/A 11.54

090 shunt. 64400.............. .............. A

N block inj,

1.11 2.06 0.37

0.06

3.23 1.54

000 trigeminal. 64402.............. .............. A

N block inj, facial. 1.25 1.79 0.54

0.07

3.11 1.86

000 64405.............. .............. A

N block inj,

1.32 1.55 0.40

0.08

2.95 1.80

000 occipital. 64408.............. .............. A

N block inj, vagus.. 1.41 1.63 0.67

0.09

3.13 2.17

000 64410.............. .............. A

N block inj, phrenic 1.43 2.67 0.40

0.08

4.18 1.91

000 64412.............. .............. A

N block inj, spinal

1.18 2.80 0.37

0.08

4.06 1.63

000 accessor. 64413.............. .............. A

N block inj,

1.40 1.95 0.44

0.09

3.44 1.93

000 cervical plexus. 64415.............. .............. A

N block inj,

1.48 2.95 0.40

0.08

4.51 1.96

000 brachial plexus. 64416.............. .............. A

N block cont infuse, 3.50

N/A 0.73

0.08

N/A 4.31

010 b plex. 64417.............. .............. A

N block inj,

1.44 3.19 0.43

0.09

4.72 1.96

000 axillary. 64418.............. .............. A

N block inj,

1.32 2.76 0.37

0.07

4.15 1.76

000 suprascapular. 64420.............. .............. A

N block inj,

1.18 3.62 0.36

0.07

4.87 1.61

000 intercost, sng. 64421.............. .............. A

N block inj,

1.68 5.53 0.46

0.10

7.31 2.24

000 intercost, mlt. 64425.............. .............. A

N block inj ilio-ing/ 1.75 1.74 0.48

0.11

3.60 2.34

000 hypogi. 64430.............. .............. A

N block inj,

1.46 2.66 0.50

0.11

4.23 2.07

000 pudendal. 64435.............. .............. A

N block inj,

1.45 2.67 0.64

0.15

4.27 2.24

000 paracervical. 64445.............. .............. A

N block inj,

1.48 2.78 0.38

0.08

4.34 1.94

000 sciatic, sng. 64446.............. .............. A

N blk inj, sciatic,

3.25

N/A 1.21

0.08

N/A 4.54

010 cont inf. 64447.............. .............. A

N block inj fem,

1.50

N/A 0.52

0.08

N/A 2.10

000 single. 64448.............. .............. A

N block inj fem,

3.00

N/A 1.04

0.08

N/A 4.12

010 cont inf. 64450.............. .............. A

N block, other

1.27 1.30 0.42

0.08

2.65 1.77

000 peripheral. 64470.............. .............. A

Inj paravertebral c/ 1.85 4.97 0.57

0.12

6.94 2.54

000 t. 64472.............. .............. A

Inj paravertebral c/ 1.29 1.99 0.31

0.09

3.37 1.69

ZZZ t add-on. 64475.............. .............. A

Inj paravertebral l/ 1.41 4.67 0.48

0.09

6.17 1.98

000 s. 64476.............. .............. A

Inj paravertebral l/ 0.98 1.87 0.25

0.06

2.91 1.29

ZZZ s add-on. 64479.............. .............. A

Inj foramen epidural 2.20 7.22 0.73

0.14

9.56 3.07

000 c/t. 64480.............. .............. A

Inj foramen epidural 1.54 2.46 0.48

0.09

4.09 2.11

ZZZ add-on. 64483.............. .............. A

Inj foramen epidural 1.90 7.74 0.66

0.12

9.76 2.68

000 l/s. 64484.............. .............. A

Inj foramen epidural 1.33 2.88 0.38

0.08

4.29 1.79

ZZZ add-on. 64505.............. .............. A

N block,

1.36 1.26 0.48

0.08

2.70 1.92

000 spenopalatine gangl. 64508.............. .............. A

N block, carotid

1.12 3.18 0.52

0.06

4.36 1.70

000 sinus s/p. 64510.............. .............. A

N block, stellate

1.22 3.32 0.38

0.07

4.61 1.67

000 ganglion. 64520.............. .............. A

N block, lumbar/

1.35 4.67 0.42

0.08

6.10 1.85

000 thoracic. 64530.............. .............. A

N block inj, celiac

1.58 4.08 0.48

0.09

5.75 2.15

000 pelus. 64550.............. .............. A

Apply

0.18 0.28 0.05

0.01

0.47 0.24

000 neurostimulator. 64553.............. .............. A

Implant

2.31 2.95 1.90

0.17

5.43 4.38

010 neuroelectrodes. 64555.............. .............. A

Implant

2.27 3.22 1.23

0.11

5.60 3.61

010 neuroelectrodes. 64560.............. .............. A

Implant

2.36 2.73 1.34

0.17

5.26 3.87

010 neuroelectrodes. 64561.............. .............. A

Implant

6.74

N/A 3.23

0.11

N/A 10.08

010 neuroelectrodes. 64565.............. .............. A

Implant

1.76 3.38 1.29

0.08

5.22 3.13

010 neuroelectrodes. 64573.............. .............. A

Implant

7.50

N/A 5.43

1.48

N/A 14.41

090 neuroelectrodes. 64575.............. .............. A

Implant

4.35

N/A 2.94

0.37

N/A 7.66

090 neuroelectrodes. 64577.............. .............. A

Implant

4.62

N/A 3.43

0.50

N/A 8.55

090 neuroelectrodes. 64580.............. .............. A

Implant

4.12

N/A 3.78

0.21

N/A 8.11

090 neuroelectrodes. 64581.............. .............. A

Implant

13.50

N/A 5.53

0.37

N/A 19.40

090 neuroelectrodes. 64585.............. .............. A

Revise/remove

2.06 11.73 1.75

0.29 14.08 4.10

010 neuroelectrode. 64590.............. .............. A

Implant

2.40 7.41 1.94

0.40 10.21 4.74

010 neuroreceiver.

[[Page 49164]]

64595.............. .............. A

Revise/remove

1.73 10.90 1.52

0.22 12.85 3.47

010 neuroreceiver. 64600.............. .............. A

Injection treatment

3.45 7.83 1.60

0.28 11.56 5.33

010 of nerve. 64605.............. .............. A

Injection treatment

5.61 9.33 2.08

0.53 15.47 8.22

010 of nerve. 64610.............. .............. A

Injection treatment

7.16 7.94 3.65

1.12 16.22 11.93

010 of nerve. 64612.............. .............. A

Destroy nerve, face

1.96 2.67 1.09

0.09

4.72 3.14

010 muscle. 64613.............. .............. A

Destroy nerve, spine 1.96 3.04 1.01

0.10

5.10 3.07

010 muscle. 64614.............. .............. A

Destroy nerve,

2.20 3.30 1.13

0.09

5.59 3.42

010 extrem musc. 64620.............. .............. A

Injection treatment

2.84 4.72 1.19

0.17

7.73 4.20

010 of nerve. 64622.............. .............. A

Destr paravertebrl

3.00 7.63 1.25

0.17 10.80 4.42

010 nerve l/s. 64623.............. .............. A

Destr paravertebral

0.99 2.44 0.23

0.06

3.49 1.28

ZZZ n add-on. 64626.............. .............. A

Destr paravertebrl

3.28 6.63 1.86

0.22 10.13 5.36

010 nerve c/t. 64627.............. .............. A

Destr paravertebral

1.16 2.63 0.27

0.08

3.87 1.51

ZZZ n add-on. 64630.............. .............. A

Injection treatment

3.00 2.80 1.29

0.16

5.96 4.45

010 of nerve. 64640.............. .............. A

Injection treatment

2.76 4.29 1.68

0.11

7.16 4.55

010 of nerve. 64680.............. .............. A

Injection treatment

2.62 6.18 1.28

0.15

8.95 4.05

010 of nerve. 64702.............. .............. A

Revise finger/toe

4.23

N/A 4.22

0.51

N/A 8.96

090 nerve. 64704.............. .............. A

Revise hand/foot

4.57

N/A 3.48

0.59

N/A 8.64

090 nerve. 64708.............. .............. A

Revise arm/leg nerve 6.12

N/A 5.21

0.82

N/A 12.15

090 64712.............. .............. A

Revision of sciatic

7.75

N/A 5.29

0.54

N/A 13.58

090 nerve. 64713.............. .............. A

Revision of arm

11.00

N/A 6.10

1.01

N/A 18.11

090 nerve(s). 64714.............. .............. A

Revise low back

10.33

N/A 4.40

0.64

N/A 15.37

090 nerve(s). 64716.............. .............. A

Revision of cranial

6.31

N/A 5.54

0.59

N/A 12.44

090 nerve. 64718.............. .............. A

Revise ulnar nerve

5.99

N/A 6.22

0.87

N/A 13.08

090 at elbow. 64719.............. .............. A

Revise ulnar nerve

4.85

N/A 4.90

0.63

N/A 10.38

090 at wrist. 64721.............. .............. A

Carpal tunnel

4.29 5.25 5.25

0.59 10.13 10.13

090 surgery. 64722.............. .............. A

Relieve pressure on

4.70

N/A 3.29

0.32

N/A 8.31

090 nerve(s). 64726.............. .............. A

Release foot/toe

4.18

N/A 3.04

0.57

N/A 7.79

090 nerve. 64727.............. .............. A

Internal nerve

3.10

N/A 1.53

0.40

N/A 5.03

ZZZ revision. 64732.............. .............. A

Incision of brow

4.41

N/A 3.76

0.77

N/A 8.94

090 nerve. 64734.............. .............. A

Incision of cheek

4.92

N/A 4.30

0.83

N/A 10.05

090 nerve. 64736.............. .............. A

Incision of chin

4.60

N/A 4.27

0.71

N/A 9.58

090 nerve. 64738.............. .............. A

Incision of jaw

5.73

N/A 4.87

0.84

N/A 11.44

090 nerve. 64740.............. .............. A

Incision of tongue

5.59

N/A 4.63

0.43

N/A 10.65

090 nerve. 64742.............. .............. A

Incision of facial

6.22

N/A 5.06

0.69

N/A 11.97

090 nerve. 64744.............. .............. A

Incise nerve, back

5.24

N/A 4.02

0.98

N/A 10.24

090 of head. 64746.............. .............. A

Incise diaphragm

5.93

N/A 4.63

0.75

N/A 11.31

090 nerve. 64752.............. .............. A

Incision of vagus

7.06

N/A 4.43

0.83

N/A 12.32

090 nerve. 64755.............. .............. A

Incision of stomach 13.52

N/A 5.91

1.16

N/A 20.59

090 nerves. 64760.............. .............. A

Incision of vagus

6.96

N/A 3.72

0.51

N/A 11.19

090 nerve. 64761.............. .............. A

Incision of pelvis

6.41

N/A 3.82

0.26

N/A 10.49

090 nerve. 64763.............. .............. A

Incise hip/thigh

6.93

N/A 5.66

0.77

N/A 13.36

090 nerve. 64766.............. .............. A

Incise hip/thigh

8.67

N/A 5.53

0.99

N/A 15.19

090 nerve. 64771.............. .............. A

Sever cranial nerve. 7.35

N/A 5.83

1.32

N/A 14.50

090 64772.............. .............. A

Incision of spinal

7.21

N/A 5.19

1.20

N/A 13.60

090 nerve. 64774.............. .............. A

Remove skin nerve

5.17

N/A 4.11

0.60

N/A 9.88

090 lesion. 64776.............. .............. A

Remove digit nerve

5.12

N/A 4.00

0.63

N/A 9.75

090 lesion. 64778.............. .............. A

Digit nerve surgery

3.11

N/A 1.53

0.38

N/A 5.02

ZZZ add-on. 64782.............. .............. A

Remove limb nerve

6.23

N/A 3.98

0.79

N/A 11.00

090 lesion.

[[Page 49165]]

64783.............. .............. A

Limb nerve surgery

3.72

N/A 1.88

0.48

N/A 6.08

ZZZ add-on. 64784.............. .............. A

Remove nerve lesion. 9.82

N/A 6.96

1.17

N/A 17.95

090 64786.............. .............. A

Remove sciatic nerve 15.46

N/A 10.36

2.22

N/A 28.04

090 lesion. 64787.............. .............. A

Implant nerve end... 4.30

N/A 2.17

0.56

N/A 7.03

ZZZ 64788.............. .............. A

Remove skin nerve

4.61

N/A 3.75

0.54

N/A 8.90

090 lesion. 64790.............. .............. A

Removal of nerve

11.31

N/A 7.57

1.68

N/A 20.56

090 lesion. 64792.............. .............. A

Removal of nerve

14.92

N/A 9.20

1.88

N/A 26.00

090 lesion. 64795.............. .............. A

Biopsy of nerve..... 3.01

N/A 1.62

0.40

N/A 5.03

000 64802.............. .............. A

Remove sympathetic

9.15

N/A 5.27

0.87

N/A 15.29

090 nerves. 64804.............. .............. A

Remove sympathetic

14.64

N/A 7.25

1.79

N/A 23.68

090 nerves. 64809.............. .............. A

Remove sympathetic

13.67

N/A 5.94

0.96

N/A 20.57

090 nerves. 64818.............. .............. A

Remove sympathetic

10.30

N/A 5.42

1.08

N/A 16.80

090 nerves. 64820.............. .............. A

Remove sympathetic

10.37

N/A 7.35

1.17

N/A 18.89

090 nerves. 64821.............. .............. A

Remove sympathestic

8.75

N/A 7.60

0.99

N/A 17.34

090 nerves. 64822.............. .............. A

Remove sympathetic

8.75

N/A 7.53

0.99

N/A 17.27

090 nerves. 64823.............. .............. A

Remove sympathetic

10.37

N/A 8.45

1.17

N/A 19.99

090 nerves. 64831.............. .............. A

Repair of digit

9.44

N/A 7.53

1.14

N/A 18.11

090 nerve. 64832.............. .............. A

Repair nerve add-on. 5.66

N/A 3.00

0.68

N/A 9.34

ZZZ 64834.............. .............. A

Repair of hand or

10.19

N/A 7.56

1.23

N/A 18.98

090 foot nerve. 64835.............. .............. A

Repair of hand or

10.94

N/A 8.16

1.36

N/A 20.46

090 foot nerve. 64836.............. .............. A

Repair of hand or

10.94

N/A 8.13

1.32

N/A 20.39

090 foot nerve. 64837.............. .............. A

Repair nerve add-on. 6.26

N/A 3.31

0.80

N/A 10.37

ZZZ 64840.............. .............. A

Repair of leg nerve. 13.02

N/A 8.70

0.86

N/A 22.58

090 64856.............. .............. A

Repair/transpose

13.80

N/A 9.68

1.71

N/A 25.19

090 nerve. 64857.............. .............. A

Repair arm/leg nerve 14.49

N/A 10.15

1.76

N/A 26.40

090 64858.............. .............. A

Repair sciatic nerve 16.49

N/A 11.15

2.78

N/A 30.42

090 64859.............. .............. A

Nerve surgery....... 4.26

N/A 2.24

0.50

N/A 7.00

ZZZ 64861.............. .............. A

Repair of arm nerves 19.24

N/A 12.13

2.45

N/A 33.82

090 64862.............. .............. A

Repair of low back

19.44

N/A 12.18

2.47

N/A 34.09

090 nerves. 64864.............. .............. A

Repair of facial

12.55

N/A 8.52

1.13

N/A 22.20

090 nerve. 64865.............. .............. A

Repair of facial

15.24

N/A 10.23

1.37

N/A 26.84

090 nerve. 64866.............. .............. A

Fusion of facial/

15.74

N/A 10.06

1.06

N/A 26.86

090 other nerve. 64868.............. .............. A

Fusion of facial/

14.04

N/A 9.22

1.40

N/A 24.66

090 other nerve. 64870.............. .............. A

Fusion of facial/

15.99

N/A 9.10

1.08

N/A 26.17

090 other nerve. 64872.............. .............. A

Subsequent repair of 1.99

N/A 1.10

0.24

N/A 3.33

ZZZ nerve. 64874.............. .............. A

Repair & revise

2.98

N/A 1.57

0.34

N/A 4.89

ZZZ nerve add-on. 64876.............. .............. A

Repair nerve/shorten 3.38

N/A 1.31

0.39

N/A 5.08

ZZZ bone. 64885.............. .............. A

Nerve graft, head or 17.53

N/A 11.26

1.51

N/A 30.30

090 neck. 64886.............. .............. A

Nerve graft, head or 20.75

N/A 13.13

1.73

N/A 35.61

090 neck. 64890.............. .............. A

Nerve graft, hand or 15.15

N/A 10.52

1.74

N/A 27.41

090 foot. 64891.............. .............. A

Nerve graft, hand or 16.14

N/A 7.97

1.38

N/A 25.49

090 foot. 64892.............. .............. A

Nerve graft, arm or 14.65

N/A 9.31

1.65

N/A 25.61

090 leg. 64893.............. .............. A

Nerve graft, arm or 15.60

N/A 10.30

1.77

N/A 27.67

090 leg. 64895.............. .............. A

Nerve graft, hand or 19.25

N/A 10.06

2.04

N/A 31.35

090 foot. 64896.............. .............. A

Nerve graft, hand or 20.49

N/A 11.53

1.85

N/A 33.87

090 foot. 64897.............. .............. A

Nerve graft, arm or 18.24

N/A 11.19

2.64

N/A 32.07

090 leg. 64898.............. .............. A

Nerve graft, arm or 19.50

N/A 12.29

2.71

N/A 34.50

090 leg. 64901.............. .............. A

Nerve graft add-on.. 10.22

N/A 5.39

0.99

N/A 16.60

ZZZ

[[Page 49166]]

64902.............. .............. A

Nerve graft add-on.. 11.83

N/A 6.10

1.10

N/A 19.03

ZZZ 64905.............. .............. A

Nerve pedicle

14.02

N/A 8.98

1.52

N/A 24.52

090 transfer. 64907.............. .............. A

Nerve pedicle

18.83

N/A 12.64

1.79

N/A 33.26

090 transfer. 64999.............. .............. C

Nervous system

0.00 0.00 0.00

0.00

0.00 0.00

YYY surgery. 65091.............. .............. A

Revise eye.......... 6.46

N/A 9.88

0.26

N/A 16.60

090 65093.............. .............. A

Revise eye with

6.87

N/A 10.25

0.28

N/A 17.40

090 implant. 65101.............. .............. A

Removal of eye...... 7.03

N/A 10.83

0.28

N/A 18.14

090 65103.............. .............. A

Remove eye/insert

7.57

N/A 11.04

0.30

N/A 18.91

090 implant. 65105.............. .............. A

Remove eye/attach

8.49

N/A 11.70

0.34

N/A 20.53

090 implant. 65110.............. .............. A

Removal of eye...... 13.95

N/A 14.98

0.68

N/A 29.61

090 65112.............. .............. A

Remove eye/revise

16.38

N/A 17.38

0.96

N/A 34.72

090 socket. 65114.............. .............. A

Remove eye/revise

17.53

N/A 17.50

0.94

N/A 35.97

090 socket. 65125.............. .............. A

Revise ocular

3.12 9.35 3.02

0.15 12.62 6.29

090 implant. 65130.............. .............. A

Insert ocular

7.15

N/A 10.42

0.28

N/A 17.85

090 implant. 65135.............. .............. A

Insert ocular

7.33

N/A 10.59

0.29

N/A 18.21

090 implant. 65140.............. .............. A

Attach ocular

8.02

N/A 11.06

0.31

N/A 19.39

090 implant. 65150.............. .............. A

Revise ocular

6.26

N/A 9.43

0.25

N/A 15.94

090 implant. 65155.............. .............. A

Reinsert ocular

8.66

N/A 11.80

0.40

N/A 20.86

090 implant. 65175.............. .............. A

Removal of ocular

6.28

N/A 9.81

0.26

N/A 16.35

090 implant. 65205.............. .............. A

Remove foreign body

0.71 0.61 0.19

0.03

1.35 0.93

000 from eye. 65210.............. .............. A

Remove foreign body

0.84 0.75 0.30

0.03

1.62 1.17

000 from eye. 65220.............. .............. A

Remove foreign body

0.71 0.61 0.18

0.05

1.37 0.94

000 from eye. 65222.............. .............. A

Remove foreign body

0.93 0.77 0.27

0.04

1.74 1.24

000 from eye. 65235.............. .............. A

Remove foreign body

7.57

N/A 7.41

0.30

N/A 15.28

090 from eye. 65260.............. .............. A

Remove foreign body 10.96

N/A 11.71

0.43

N/A 23.10

090 from eye. 65265.............. .............. A

Remove foreign body 12.59

N/A 12.91

0.50

N/A 26.00

090 from eye. 65270.............. .............. A

Repair of eye wound. 1.90 3.90 2.28

0.08

5.88 4.26

010 65272.............. .............. A

Repair of eye wound. 3.82 5.89 5.30

0.16

9.87 9.28

090 65273.............. .............. A

Repair of eye wound. 4.36

N/A 5.63

0.17

N/A 10.16

090 65275.............. .............. A

Repair of eye wound. 5.34 5.78 5.78

0.27 11.39 11.39

090 65280.............. .............. A

Repair of eye wound. 7.66

N/A 8.32

0.30

N/A 16.28

090 65285.............. .............. A

Repair of eye wound. 12.90

N/A 12.77

0.51

N/A 26.18

090 65286.............. .............. A

Repair of eye wound. 5.51 8.57 7.65

0.21 14.29 13.37

090 65290.............. .............. A

Repair of eye socket 5.41

N/A 6.61

0.26

N/A 12.28

090 wound. 65400.............. .............. A

Removal of eye

6.06 8.78 7.60

0.24 15.08 13.90

090 lesion. 65410.............. .............. A

Biopsy of cornea.... 1.47 1.74 0.66

0.06

3.27 2.19

000 65420.............. .............. A

Removal of eye

4.17 7.65 6.84

0.17 11.99 11.18

090 lesion. 65426.............. .............. A

Removal of eye

5.25 7.62 6.66

0.20 13.07 12.11

090 lesion. 65430.............. .............. A

Corneal smear....... 1.47 5.02 0.67

0.06

6.55 2.20

000 65435.............. .............. A

Curette/treat cornea 0.92 1.35 0.40

0.04

2.31 1.36

000 65436.............. .............. A

Curette/treat cornea 4.19 5.95 5.31

0.17 10.31 9.67

090 65450.............. .............. A

Treatment of corneal 3.27 7.32 6.43

0.13 10.72 9.83

090 lesion. 65600.............. .............. A

Revision of cornea.. 3.40 5.73 3.17

0.14

9.27 6.71

090 65710.............. .............. A

Corneal transplant.. 12.35

N/A 12.72

0.49

N/A 25.56

090 65730.............. .............. A

Corneal transplant.. 14.25

N/A 12.08

0.56

N/A 26.89

090 65750.............. .............. A

Corneal transplant.. 15.00

N/A 13.75

0.59

N/A 29.34

090 65755.............. .............. A

Corneal transplant.. 14.89

N/A 13.66

0.58

N/A 29.13

090 65770.............. .............. A

Revise cornea with

17.56

N/A 14.78

0.69

N/A 33.03

090 implant. 65772.............. .............. A

Correction of

4.29 7.17 6.46

0.17 11.63 10.92

090 astigmatism. 65775.............. .............. A

Correction of

5.79

N/A 7.65

0.22

N/A 13.66

090 astigmatism. 65800.............. .............. A

Drainage of eye..... 1.91 2.31 1.14

0.08

4.30 3.13

000 65805.............. .............. A

Drainage of eye..... 1.91 2.31 1.15

0.08

4.30 3.14

000 65810.............. .............. A

Drainage of eye..... 4.87

N/A 8.08

0.19

N/A 13.14

090 65815.............. .............. A

Drainage of eye..... 5.05 8.41 7.51

0.20 13.66 12.76

090 65820.............. .............. A

Relieve inner eye

8.13

N/A 10.62

0.32

N/A 19.07

090 pressure.

[[Page 49167]]

65850.............. .............. A

Incision of eye..... 10.52

N/A 9.71

0.41

N/A 20.64

090 65855.............. .............. A

Laser surgery of eye 3.85 5.29 4.12

0.17

9.31 8.14

010 65860.............. .............. A

Incise inner eye

3.55 4.02 3.36

0.14

7.71 7.05

090 adhesions. 65865.............. .............. A

Incise inner eye

5.60

N/A 6.65

0.22

N/A 12.47

090 adhesions. 65870.............. .............. A

Incise inner eye

6.27

N/A 7.32

0.24

N/A 13.83

090 adhesions. 65875.............. .............. A

Incise inner eye

6.54

N/A 7.62

0.25

N/A 14.41

090 adhesions. 65880.............. .............. A

Incise inner eye

7.09

N/A 7.87

0.28

N/A 15.24

090 adhesions. 65900.............. .............. A

Remove eye lesion... 10.93

N/A 11.89

0.46

N/A 23.28

090 65920.............. .............. A

Remove implant of

8.40

N/A 8.87

0.33

N/A 17.60

090 eye. 65930.............. .............. A

Remove blood clot

7.44

N/A 8.12

0.29

N/A 15.85

090 from eye. 66020.............. .............. A

Injection treatment

1.59 2.42 1.61

0.07

4.08 3.27

010 of eye. 66030.............. .............. A

Injection treatment

1.25 2.25 1.45

0.05

3.55 2.75

010 of eye. 66130.............. .............. A

Remove eye lesion... 7.69 7.61 7.04

0.31 15.61 15.04

090 66150.............. .............. A

Glaucoma surgery.... 8.30

N/A 10.07

0.33

N/A 18.70

090 66155.............. .............. A

Glaucoma surgery.... 8.29

N/A 10.04

0.32

N/A 18.65

090 66160.............. .............. A

Glaucoma surgery.... 10.17

N/A 10.90

0.41

N/A 21.48

090 66165.............. .............. A

Glaucoma surgery.... 8.01

N/A 9.92

0.31

N/A 18.24

090 66170.............. .............. A

Glaucoma surgery.... 12.16

N/A 12.62

0.48

N/A 25.26

090 66172.............. .............. A

Incision of eye..... 15.04

N/A 15.19

0.59

N/A 30.82

090 66180.............. .............. A

Implant eye shunt... 14.55

N/A 11.87

0.57

N/A 26.99

090 66185.............. .............. A

Revise eye shunt.... 8.14

N/A 8.42

0.32

N/A 16.88

090 66220.............. .............. A

Repair eye lesion... 7.77

N/A 9.00

0.32

N/A 17.09

090 66225.............. .............. A

Repair/graft eye

11.05

N/A 9.57

0.44

N/A 21.06

090 lesion. 66250.............. .............. A

Follow-up surgery of 5.98 7.84 6.66

0.23 14.05 12.87

090 eye. 66500.............. .............. A

Incision of iris.... 3.71

N/A 5.08

0.15

N/A 8.94

090 66505.............. .............. A

Incision of iris.... 4.08

N/A 5.37

0.17

N/A 9.62

090 66600.............. .............. A

Remove iris and

8.68

N/A 8.96

0.34

N/A 17.98

090 lesion. 66605.............. .............. A

Removal of iris..... 12.79

N/A 11.57

0.61

N/A 24.97

090 66625.............. .............. A

Removal of iris..... 5.13 7.07 6.33

0.20 12.40 11.66

090 66630.............. .............. A

Removal of iris..... 6.16

N/A 7.48

0.24

N/A 13.88

090 66635.............. .............. A

Removal of iris..... 6.25

N/A 6.79

0.24

N/A 13.28

090 66680.............. .............. A

Repair iris &

5.44

N/A 6.20

0.21

N/A 11.85

090 ciliary body. 66682.............. .............. A

Repair iris &

6.21

N/A 7.48

0.24

N/A 13.93

090 ciliary body. 66700.............. .............. A

Destruction, ciliary 4.78 5.44 4.13

0.19 10.41 9.10

090 body. 66710.............. .............. A

Destruction, ciliary 4.78 5.31 3.92

0.18 10.27 8.88

090 body. 66720.............. .............. A

Destruction, ciliary 4.78 5.76 4.69

0.19 10.73 9.66

090 body. 66740.............. .............. A

Destruction, ciliary 4.78 5.47 4.30

0.18 10.43 9.26

090 body. 66761.............. .............. A

Revision of iris.... 4.07 5.65 4.31

0.16

9.88 8.54

090 66762.............. .............. A

Revision of iris.... 4.58 5.73 4.30

0.18 10.49 9.06

090 66770.............. .............. A

Removal of inner eye 5.18 6.16 4.81

0.20 11.54 10.19

090 lesion. 66820.............. .............. A

Incision, secondary

3.89

N/A 7.12

0.16

N/A 11.17

090 cataract. 66821.............. .............. A

After cataract laser 2.35 4.04 3.95

0.10

6.49 6.40

090 surgery. 66825.............. .............. A

Reposition

8.23

N/A 10.05

0.32

N/A 18.60

090 intraocular lens. 66830.............. .............. A

Removal of lens

8.20

N/A 7.26

0.32

N/A 15.78

090 lesion. 66840.............. .............. A

Removal of lens

7.91

N/A 7.17

0.31

N/A 15.39

090 material. 66850.............. .............. A

Removal of lens

9.11

N/A 7.89

0.36

N/A 17.36

090 material. 66852.............. .............. A

Removal of lens

9.97

N/A 8.35

0.39

N/A 18.71

090 material. 66920.............. .............. A

Extraction of lens.. 8.86

N/A 7.62

0.35

N/A 16.83

090 66930.............. .............. A

Extraction of lens.. 10.18

N/A 8.72

0.41

N/A 19.31

090 66940.............. .............. A

Extraction of lens.. 8.93

N/A 8.17

0.35

N/A 17.45

090 66982.............. .............. A

Cataract surgery,

13.50

N/A 10.10

0.56

N/A 24.16

090 complex. 66983.............. .............. A

Cataract surg w/iol, 8.99

N/A 6.31

0.37

N/A 15.67

090 1 stage. 66984.............. .............. A

Cataract surg w/iol, 10.23

N/A 7.81

0.41

N/A 18.45

090 1 stage. 66985.............. .............. A

Insert lens

8.39

N/A 7.60

0.33

N/A 16.32

090 prosthesis. 66986.............. .............. A

Exchange lens

12.28

N/A 9.38

0.49

N/A 22.15

090 prosthesis. 66990.............. .............. A

Ophthalmic endoscope 1.51

N/A 0.70

0.06

N/A 2.27

ZZZ 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

5.70

N/A 4.47

0.22

N/A 10.39

090 eye fluid. 67010.............. .............. A

Partial removal of

6.87

N/A 5.02

0.27

N/A 12.16

090 eye fluid.

[[Page 49168]]

67015.............. .............. A

Release of eye fluid 6.92

N/A 7.66

0.27

N/A 14.85

090 67025.............. .............. A

Replace eye fluid... 6.84 14.24 7.49

0.27 21.35 14.60

090 67027.............. .............. A

Implant eye drug

10.85 12.86 8.86

0.46 24.17 20.17

090 system. 67028.............. .............. A

Injection eye drug.. 2.52 6.59 1.16

0.11

9.22 3.79

000 67030.............. .............. A

Incise inner eye

4.84

N/A 6.78

0.19

N/A 11.81

090 strands. 67031.............. .............. A

Laser surgery, eye

3.67 4.77 4.11

0.15

8.59 7.93

090 strands. 67036.............. .............. A

Removal of inner eye 11.89

N/A 9.53

0.47

N/A 21.89

090 fluid. 67038.............. .............. A

Strip retinal

21.24

N/A 16.17

0.84

N/A 38.25

090 membrane. 67039.............. .............. A

Laser treatment of

14.52

N/A 12.87

0.57

N/A 27.96

090 retina. 67040.............. .............. A

Laser treatment of

17.23

N/A 14.33

0.68

N/A 32.24

090 retina. 67101.............. .............. A

Repair detached

7.53 10.08 8.31

0.29 17.90 16.13

090 retina. 67105.............. .............. A

Repair detached

7.41 8.14 6.35

0.29 15.84 14.05

090 retina. 67107.............. .............. A

Repair detached

14.84

N/A 13.11

0.58

N/A 28.53

090 retina. 67108.............. .............. A

Repair detached

20.82

N/A 17.42

0.82

N/A 39.06

090 retina. 67110.............. .............. A

Repair detached

8.81 15.63 9.41

0.35 24.79 18.57

090 retina. 67112.............. .............. A

Rerepair detached

16.86

N/A 14.89

0.66

N/A 32.41

090 retina. 67115.............. .............. A

Release encircling

4.99

N/A 7.07

0.19

N/A 12.25

090 material. 67120.............. .............. A

Remove eye implant

5.98 12.34 6.90

0.23 18.55 13.11

090 material. 67121.............. .............. A

Remove eye implant

10.67

N/A 11.45

0.42

N/A 22.54

090 material. 67141.............. .............. A

Treatment of retina. 5.20 7.28 6.51

0.20 12.68 11.91

090 67145.............. .............. A

Treatment of retina. 5.37 5.87 5.04

0.21 11.45 10.62

090 67208.............. .............. A

Treatment of retinal 6.70 6.06 5.48

0.26 13.02 12.44

090 lesion. 67210.............. .............. A

Treatment of retinal 8.82 6.37 5.90

0.35 15.54 15.07

090 lesion. 67218.............. .............. A

Treatment of retinal 18.53

N/A 14.52

0.53

N/A 33.58

090 lesion. 67220.............. .............. A

Treatment of choroid 13.13 10.02 9.01

0.51 23.66 22.65

090 lesion. 67221.............. .............. R

Ocular photodynamic

4.01 4.77 1.84

0.16

8.94 6.01

000 ther. 67225.............. .............. A

Eye photodynamic

0.47 0.26 0.22

0.01

0.74 0.70

ZZZ ther add-on. 67227.............. .............. A

Treatment of retinal 6.58 6.55 5.48

0.26 13.39 12.32

090 lesion. 67228.............. .............. A

Treatment of retinal 12.74 11.10 8.55

0.50 24.34 21.79

090 lesion. 67250.............. .............. A

Reinforce eye wall.. 8.66

N/A 10.53

0.36

N/A 19.55

090 67255.............. .............. A

Reinforce/graft eye

8.90

N/A 11.13

0.35

N/A 20.38

090 wall. 67299.............. .............. C

Eye surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 67311.............. .............. A

Revise eye muscle... 6.65

N/A 6.52

0.27

N/A 13.44

090 67312.............. .............. A

Revise two eye

8.54

N/A 7.54

0.35

N/A 16.43

090 muscles. 67314.............. .............. A

Revise eye muscle... 7.52

N/A 7.25

0.30

N/A 15.07

090 67316.............. .............. A

Revise two eye

9.66

N/A 8.23

0.40

N/A 18.29

090 muscles. 67318.............. .............. A

Revise eye muscle(s) 7.85

N/A 7.63

0.31

N/A 15.79

090 67320.............. .............. A

Revise eye muscle(s) 4.33

N/A 2.00

0.17

N/A 6.50

ZZZ add-on. 67331.............. .............. A

Eye surgery follow-

4.06

N/A 1.95

0.17

N/A 6.18

ZZZ up add-on. 67332.............. .............. A

Rerevise eye muscles 4.49

N/A 2.07

0.18

N/A 6.74

ZZZ add-on. 67334.............. .............. A

Revise eye muscle w/ 3.98

N/A 1.84

0.16

N/A 5.98

ZZZ suture. 67335.............. .............. A

Eye suture during

2.49

N/A 1.15

0.10

N/A 3.74

ZZZ surgery. 67340.............. .............. A

Revise eye muscle

4.93

N/A 2.27

0.19

N/A 7.39

ZZZ add-on. 67343.............. .............. A

Release eye tissue.. 7.35

N/A 7.33

0.30

N/A 14.98

090 67345.............. .............. A

Destroy nerve of eye 2.96 4.46 1.40

0.13

7.55 4.49

010 muscle. 67350.............. .............. A

Biopsy eye muscle... 2.87

N/A 1.91

0.13

N/A 4.91

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

9.76

N/A 12.74

0.43

N/A 22.93

090 socket. 67405.............. .............. A

Explore/drain eye

7.93

N/A 11.44

0.36

N/A 19.73

090 socket. 67412.............. .............. A

Explore/treat eye

9.50

N/A 13.20

0.41

N/A 23.11

090 socket. 67413.............. .............. A

Explore/treat eye

10.00

N/A 12.38

0.43

N/A 22.81

090 socket. 67414.............. .............. A

Explr/decompress eye 11.13

N/A 14.33

0.48

N/A 25.94

090 socket. 67415.............. .............. A

Aspiration, orbital

1.76

N/A 0.78

0.09

N/A 2.63

000 contents. 67420.............. .............. A

Explore/treat eye

20.06

N/A 19.13

0.84

N/A 40.03

090 socket.

[[Page 49169]]

67430.............. .............. A

Explore/treat eye

13.39

N/A 15.97

0.97

N/A 30.33

090 socket. 67440.............. .............. A

Explore/drain eye

13.09

N/A 15.80

0.58

N/A 29.47

090 socket. 67445.............. .............. A

Explr/decompress eye 14.42

N/A 16.00

0.63

N/A 31.05

090 socket. 67450.............. .............. A

Explore/biopsy eye

13.51

N/A 16.16

0.56

N/A 30.23

090 socket. 67500.............. .............. A

Inject/treat eye

0.79 0.84 0.19

0.04

1.67 1.02

000 socket. 67505.............. .............. A

Inject/treat eye

0.82 0.93 0.21

0.04

1.79 1.07

000 socket. 67515.............. .............. A

Inject/treat eye

0.61 0.84 0.28

0.02

1.47 0.91

000 socket. 67550.............. .............. A

Insert eye socket

10.19

N/A 12.61

0.50

N/A 23.30

090 implant. 67560.............. .............. A

Revise eye socket

10.60

N/A 12.57

0.47

N/A 23.64

090 implant. 67570.............. .............. A

Decompress optic

13.58

N/A 15.48

0.69

N/A 29.75

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

1.35 4.90 0.64

0.06

6.31 2.05

010 abscess. 67710.............. .............. A

Incision of eyelid.. 1.02 5.06 0.54

0.04

6.12 1.60

010 67715.............. .............. A

Incision of eyelid

1.22 4.64 0.63

0.05

5.91 1.90

010 fold. 67800.............. .............. A

Remove eyelid lesion 1.38 2.53 0.70

0.06

3.97 2.14

010 67801.............. .............. A

Remove eyelid

1.88 5.41 0.94

0.08

7.37 2.90

010 lesions. 67805.............. .............. A

Remove eyelid

2.22 5.56 1.09

0.09

7.87 3.40

010 lesions. 67808.............. .............. A

Remove eyelid

3.80

N/A 5.28

0.17

N/A 9.25

090 lesion(s). 67810.............. .............. A

Biopsy of eyelid.... 1.48 3.71 0.69

0.06

5.25 2.23

000 67820.............. .............. A

Revise eyelashes.... 0.89 1.13 0.38

0.04

2.06 1.31

000 67825.............. .............. A

Revise eyelashes.... 1.38 1.61 1.09

0.06

3.05 2.53

010 67830.............. .............. A

Revise eyelashes.... 1.70 7.58 1.99

0.07

9.35 3.76

010 67835.............. .............. A

Revise eyelashes.... 5.56

N/A 5.10

0.22

N/A 10.88

090 67840.............. .............. A

Remove eyelid lesion 2.04 5.39 1.01

0.08

7.51 3.13

010 67850.............. .............. A

Treat eyelid lesion. 1.69 6.17 1.93

0.07

7.93 3.69

010 67875.............. .............. A

Closure of eyelid by 1.35 7.71 1.26

0.06

9.12 2.67

000 suture. 67880.............. .............. A

Revision of eyelid.. 3.80 9.81 4.38

0.16 13.77 8.34

090 67882.............. .............. A

Revision of eyelid.. 5.07 11.09 5.50

0.21 16.37 10.78

090 67900.............. .............. A

Repair brow defect.. 6.14 10.72 6.39

0.30 17.16 12.83

090 67901.............. .............. A

Repair eyelid defect 6.97

N/A 6.54

0.32

N/A 13.83

090 67902.............. .............. A

Repair eyelid defect 7.03

N/A 6.61

0.34

N/A 13.98

090 67903.............. .............. A

Repair eyelid defect 6.37 11.50 6.81

0.39 18.26 13.57

090 67904.............. .............. A

Repair eyelid defect 6.26 12.71 7.30

0.26 19.23 13.82

090 67906.............. .............. A

Repair eyelid defect 6.79 9.26 6.12

0.42 16.47 13.33

090 67908.............. .............. A

Repair eyelid defect 5.13 8.99 5.78

0.20 14.32 11.11

090 67909.............. .............. A

Revise eyelid defect 5.40 9.55 6.19

0.25 15.20 11.84

090 67911.............. .............. A

Revise eyelid defect 5.27

N/A 6.16

0.23

N/A 11.66

090 67914.............. .............. A

Repair eyelid defect 3.68 9.44 4.02

0.16 13.28 7.86

090 67915.............. .............. A

Repair eyelid defect 3.18 8.02 2.63

0.13 11.33 5.94

090 67916.............. .............. A

Repair eyelid defect 5.31 11.98 5.80

0.22 17.51 11.33

090 67917.............. .............. A

Repair eyelid defect 6.02 9.90 6.26

0.25 16.17 12.53

090 67921.............. .............. A

Repair eyelid defect 3.40 9.24 3.82

0.14 12.78 7.36

090 67922.............. .............. A

Repair eyelid defect 3.06 7.97 3.55

0.13 11.16 6.74

090 67923.............. .............. A

Repair eyelid defect 5.88 11.44 5.91

0.24 17.56 12.03

090 67924.............. .............. A

Repair eyelid defect 5.79 9.26 5.76

0.23 15.28 11.78

090 67930.............. .............. A

Repair eyelid wound. 3.61 8.54 3.00

0.17 12.32 6.78

010 67935.............. .............. A

Repair eyelid wound. 6.22 11.46 5.97

0.29 17.97 12.48

090 67938.............. .............. A

Remove eyelid

1.33 5.90 0.57

0.06

7.29 1.96

010 foreign body. 67950.............. .............. A

Revision of eyelid.. 5.82 8.42 6.70

0.30 14.54 12.82

090 67961.............. .............. A

Revision of eyelid.. 5.69 10.32 5.79

0.26 16.27 11.74

090 67966.............. .............. A

Revision of eyelid.. 6.57 8.50 5.78

0.33 15.40 12.68

090 67971.............. .............. A

Reconstruction of

9.79

N/A 7.41

0.42

N/A 17.62

090 eyelid. 67973.............. .............. A

Reconstruction of

12.87

N/A 9.41

0.59

N/A 22.87

090 eyelid. 67974.............. .............. A

Reconstruction of

12.84

N/A 9.32

0.54

N/A 22.70

090 eyelid. 67975.............. .............. A

Reconstruction of

9.13

N/A 7.08

0.38

N/A 16.59

090 eyelid. 67999.............. .............. C

Revision of eyelid.. 0.00 0.00 0.00

0.00

0.00 0.00

YYY 68020.............. .............. A

Incise/drain eyelid

1.37 5.77 0.69

0.06

7.20 2.12

010 lining. 68040.............. .............. A

Treatment of eyelid

0.85 4.88 0.39

0.03

5.76 1.27

000 lesions. 68100.............. .............. A

Biopsy of eyelid

1.35 5.08 0.62

0.06

6.49 2.03

000 lining. 68110.............. .............. A

Remove eyelid lining 1.77 6.14 1.43

0.07

7.98 3.27

010 lesion.

[[Page 49170]]

68115.............. .............. A

Remove eyelid lining 2.36 5.63 1.16

0.10

8.09 3.62

010 lesion. 68130.............. .............. A

Remove eyelid lining 4.93 8.01 4.03

0.19 13.13 9.15

090 lesion. 68135.............. .............. A

Remove eyelid lining 1.84 5.39 0.92

0.07

7.30 2.83

010 lesion. 68200.............. .............. A

Treat eyelid by

0.49 0.74 0.23

0.02

1.25 0.74

000 injection. 68320.............. .............. A

Revise/graft eyelid

5.37 6.68 5.51

0.21 12.26 11.09

090 lining. 68325.............. .............. A

Revise/graft eyelid

7.36

N/A 6.52

0.30

N/A 14.18

090 lining. 68326.............. .............. A

Revise/graft eyelid

7.15

N/A 6.39

0.30

N/A 13.84

090 lining. 68328.............. .............. A

Revise/graft eyelid

8.18

N/A 7.13

0.40

N/A 15.71

090 lining. 68330.............. .............. A

Revise eyelid lining 4.83 7.37 6.16

0.19 12.39 11.18

090 68335.............. .............. A

Revise/graft eyelid

7.19

N/A 6.92

0.29

N/A 14.40

090 lining. 68340.............. .............. A

Separate eyelid

4.17 10.96 4.83

0.17 15.30 9.17

090 adhesions. 68360.............. .............. A

Revise eyelid lining 4.37 6.72 5.68

0.17 11.26 10.22

090 68362.............. .............. A

Revise eyelid lining 7.34

N/A 7.86

0.29

N/A 15.49

090 68399.............. .............. C

Eyelid lining

0.00 0.00 0.00

0.00

0.00 0.00

YYY surgery. 68400.............. .............. A

Incise/drain tear

1.69 7.73 2.09

0.07

9.49 3.85

010 gland. 68420.............. .............. A

Incise/drain tear

2.30 8.07 2.38

0.10 10.47 4.78

010 sac. 68440.............. .............. A

Incise tear duct

0.94 5.00 0.50

0.04

5.98 1.48

010 opening. 68500.............. .............. A

Removal of tear

11.02

N/A 10.36

0.60

N/A 21.98

090 gland. 68505.............. .............. A

Partial removal,

10.94

N/A 11.40

0.57

N/A 22.91

090 tear gland. 68510.............. .............. A

Biopsy of tear gland 4.61 8.57 2.14

0.19 13.37 6.94

000 68520.............. .............. A

Removal of tear sac. 7.51

N/A 7.94

0.33

N/A 15.78

090 68525.............. .............. A

Biopsy of tear sac.. 4.43

N/A 2.06

0.18

N/A 6.67

000 68530.............. .............. A

Clearance of tear

3.66 9.59 2.90

0.16 13.41 6.72

010 duct. 68540.............. .............. A

Remove tear gland

10.60

N/A 10.03

0.46

N/A 21.09

090 lesion. 68550.............. .............. A

Remove tear gland

13.26

N/A 12.03

0.66

N/A 25.95

090 lesion. 68700.............. .............. A

Repair tear ducts... 6.60

N/A 7.42

0.27

N/A 14.29

090 68705.............. .............. A

Revise tear duct

2.06 5.52 1.02

0.08

7.66 3.16

010 opening. 68720.............. .............. A

Create tear sac

8.96

N/A 8.43

0.38

N/A 17.77

090 drain. 68745.............. .............. A

Create tear duct

8.63

N/A 8.40

0.38

N/A 17.41

090 drain. 68750.............. .............. A

Create tear duct

8.66

N/A 8.85

0.37

N/A 17.88

090 drain. 68760.............. .............. A

Close tear duct

1.73 4.05 1.26

0.07

5.85 3.06

010 opening. 68761.............. .............. A

Close tear duct

1.36 3.48 1.00

0.06

4.90 2.42

010 opening. 68770.............. .............. A

Close tear system

7.02 12.97 6.93

0.28 20.27 14.23

090 fistula. 68801.............. .............. A

Dilate tear duct

0.94 0.95 0.61

0.04

1.93 1.59

010 opening. 68810.............. .............. A

Probe nasolacrimal

1.90 2.36 0.94

0.08

4.34 2.92

010 duct. 68811.............. .............. A

Probe nasolacrimal

2.35

N/A 2.40

0.10

N/A 4.85

010 duct. 68815.............. .............. A

Probe nasolacrimal

3.20 8.29 2.73

0.14 11.63 6.07

010 duct. 68840.............. .............. A

Explore/irrigate

1.25 1.67 0.98

0.05

2.97 2.28

010 tear ducts. 68850.............. .............. A

Injection for tear

0.80 12.84 0.30

0.03 13.67 1.13

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

1.45 3.11 1.44

0.10

4.66 2.99

010 lesion. 69005.............. .............. A

Drain external ear

2.11 3.10 1.90

0.16

5.37 4.17

010 lesion. 69020.............. .............. A

Drain outer ear

1.48 3.11 1.91

0.11

4.70 3.50

010 canal lesion. 69100.............. .............. A

Biopsy of external

0.81 1.78 0.40

0.04

2.63 1.25

000 ear. 69105.............. .............. A

Biopsy of external

0.85 1.96 0.78

0.06

2.87 1.69

000 ear canal. 69110.............. .............. A

Remove external ear, 3.44 4.17 3.11

0.24

7.85 6.79

090 partial. 69120.............. .............. A

Removal of external

4.05

N/A 4.11

0.31

N/A 8.47

090 ear. 69140.............. .............. A

Remove ear canal

7.97

N/A 6.99

0.56

N/A 15.52

090 lesion(s). 69145.............. .............. A

Remove ear canal

2.62 3.73 2.69

0.18

6.53 5.49

090 lesion(s). 69150.............. .............. A

Extensive ear canal 13.43

N/A 10.23

1.07

N/A 24.73

090 surgery. 69155.............. .............. A

Extensive ear/neck

20.80

N/A 14.88

1.51

N/A 37.19

090 surgery. 69200.............. .............. A

Clear outer ear

0.77 1.64 0.59

0.05

2.46 1.41

000 canal. 69205.............. .............. A

Clear outer ear

1.20

N/A 1.31

0.09

N/A 2.60

010 canal. 69210.............. .............. A

Remove impacted ear

0.61 0.66 0.24

0.04

1.31 0.89

000 wax. 69220.............. .............. A

Clean out mastoid

0.83 1.72 0.75

0.06

2.61 1.64

000 cavity. 69222.............. .............. A

Clean out mastoid

1.40 3.23 1.86

0.10

4.73 3.36

010 cavity.

[[Page 49171]]

69300.............. .............. R

Revise external ear. 6.36

N/A 4.35

0.43

N/A 11.14

YYY 69310.............. .............. A

Rebuild outer ear

10.79

N/A 8.70

0.77

N/A 20.26

090 canal. 69320.............. .............. A

Rebuild outer ear

16.96

N/A 12.52

1.17

N/A 30.65

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 2.14 0.69

0.06

3.03 1.58

000 canal. 69401.............. .............. A

Inflate middle ear

0.63 1.04 0.66

0.04

1.71 1.33

000 canal. 69405.............. .............. A

Catheterize middle

2.63 3.32 2.37

0.18

6.13 5.18

010 ear canal. 69410.............. .............. A

Inset middle ear

0.33 1.41 0.50

0.02

1.76 0.85

000 (baffle). 69420.............. .............. A

Incision of eardrum. 1.33 2.49 1.64

0.10

3.92 3.07

010 69421.............. .............. A

Incision of eardrum. 1.73

N/A 1.89

0.13

N/A 3.75

010 69424.............. .............. A

Remove ventilating

0.85 1.58 0.70

0.06

2.49 1.61

000 tube. 69433.............. .............. A

Create eardrum

1.52 2.48 1.71

0.11

4.11 3.34

010 opening. 69436.............. .............. A

Create eardrum

1.96

N/A 2.02

0.14

N/A 4.12

010 opening. 69440.............. .............. A

Exploration of

7.57

N/A 6.54

0.53

N/A 14.64

090 middle ear. 69450.............. .............. A

Eardrum revision.... 5.57

N/A 5.26

0.39

N/A 11.22

090 69501.............. .............. A

Mastoidectomy....... 9.07

N/A 7.34

0.65

N/A 17.06

090 69502.............. .............. A

Mastoidectomy....... 12.38

N/A 9.61

0.86

N/A 22.85

090 69505.............. .............. A

Remove mastoid

12.99

N/A 9.87

0.92

N/A 23.78

090 structures. 69511.............. .............. A

Extensive mastoid

13.52

N/A 10.21

0.96

N/A 24.69

090 surgery. 69530.............. .............. A

Extensive mastoid

19.19

N/A 13.44

1.32

N/A 33.95

090 surgery. 69535.............. .............. A

Remove part of

36.14

N/A 22.99

2.59

N/A 61.72

090 temporal bone. 69540.............. .............. A

Remove ear lesion... 1.20 3.17 1.75

0.09

4.46 3.04

010 69550.............. .............. A

Remove ear lesion... 10.99

N/A 8.64

0.80

N/A 20.43

090 69552.............. .............. A

Remove ear lesion... 19.46

N/A 13.33

1.36

N/A 34.15

090 69554.............. .............. A

Remove ear lesion... 33.16

N/A 21.44

2.32

N/A 56.92

090 69601.............. .............. A

Mastoid surgery

13.24

N/A 10.40

0.92

N/A 24.56

090 revision. 69602.............. .............. A

Mastoid surgery

13.58

N/A 10.32

0.94

N/A 24.84

090 revision. 69603.............. .............. A

Mastoid surgery

14.02

N/A 10.54

1.00

N/A 25.56

090 revision. 69604.............. .............. A

Mastoid surgery

14.02

N/A 10.52

0.98

N/A 25.52

090 revision. 69605.............. .............. A

Mastoid surgery

18.49

N/A 13.24

1.29

N/A 33.02

090 revision. 69610.............. .............. A

Repair of eardrum... 4.43 4.59 3.36

0.31

9.33 8.10

010 69620.............. .............. A

Repair of eardrum... 5.89 6.46 4.59

0.40 12.75 10.88

090 69631.............. .............. A

Repair eardrum

9.86

N/A 8.18

0.69

N/A 18.73

090 structures. 69632.............. .............. A

Rebuild eardrum

12.75

N/A 10.12

0.89

N/A 23.76

090 structures. 69633.............. .............. A

Rebuild eardrum

12.10

N/A 9.78

0.84

N/A 22.72

090 structures. 69635.............. .............. A

Repair eardrum

13.33

N/A 9.73

0.87

N/A 23.93

090 structures. 69636.............. .............. A

Rebuild eardrum

15.22

N/A 11.58

1.07

N/A 27.87

090 structures. 69637.............. .............. A

Rebuild eardrum

15.11

N/A 11.52

1.06

N/A 27.69

090 structures. 69641.............. .............. A

Revise middle ear & 12.71

N/A 9.84

0.89

N/A 23.44

090 mastoid. 69642.............. .............. A

Revise middle ear & 16.84

N/A 12.56

1.18

N/A 30.58

090 mastoid. 69643.............. .............. A

Revise middle ear & 15.32

N/A 11.58

1.08

N/A 27.98

090 mastoid. 69644.............. .............. A

Revise middle ear & 16.97

N/A 12.50

1.19

N/A 30.66

090 mastoid. 69645.............. .............. A

Revise middle ear & 16.38

N/A 12.14

1.16

N/A 29.68

090 mastoid. 69646.............. .............. A

Revise middle ear & 17.99

N/A 13.08

1.26

N/A 32.33

090 mastoid. 69650.............. .............. A

Release middle ear

9.66

N/A 7.69

0.68

N/A 18.03

090 bone. 69660.............. .............. A

Revise middle ear

11.90

N/A 8.92

0.84

N/A 21.66

090 bone. 69661.............. .............. A

Revise middle ear

15.74

N/A 11.46

1.10

N/A 28.30

090 bone. 69662.............. .............. A

Revise middle ear

15.44

N/A 11.17

1.08

N/A 27.69

090 bone. 69666.............. .............. A

Repair middle ear

9.75

N/A 7.77

0.68

N/A 18.20

090 structures. 69667.............. .............. A

Repair middle ear

9.76

N/A 7.75

0.72

N/A 18.23

090 structures.

[[Page 49172]]

69670.............. .............. A

Remove mastoid air

11.51

N/A 8.97

0.78

N/A 21.26

090 cells. 69676.............. .............. A

Remove middle ear

9.52

N/A 7.92

0.69

N/A 18.13

090 nerve. 69700.............. .............. A

Close mastoid

8.23

N/A 6.03

0.55

N/A 14.81

090 fistula. 69711.............. .............. A

Remove/repair

10.44

N/A 8.37

0.62

N/A 19.43

090 hearing aid. 69714.............. .............. A

Implant temple bone 14.00

N/A 10.18

1.01

N/A 25.19

090 w/stimul. 69715.............. .............. A

Temple bne implnt w/ 18.25

N/A 12.72

1.32

N/A 32.29

090 stimulat. 69717.............. .............. A

Temple bone implant 14.98

N/A 9.79

1.08

N/A 25.85

090 revision. 69718.............. .............. A

Revise temple bone

18.50

N/A 12.61

1.34

N/A 32.45

090 implant. 69720.............. .............. A

Release facial nerve 14.38

N/A 11.18

1.03

N/A 26.59

090 69725.............. .............. A

Release facial nerve 25.38

N/A 17.37

1.78

N/A 44.53

090 69740.............. .............. A

Repair facial nerve. 15.96

N/A 10.68

1.13

N/A 27.77

090 69745.............. .............. A

Repair facial nerve. 16.69

N/A 11.71

1.00

N/A 29.40

090 69799.............. .............. C

Middle ear surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 69801.............. .............. A

Incise inner ear.... 8.56

N/A 7.09

0.60

N/A 16.25

090 69802.............. .............. A

Incise inner ear.... 13.10

N/A 9.96

0.91

N/A 23.97

090 69805.............. .............. A

Explore inner ear... 13.82

N/A 10.38

0.97

N/A 25.17

090 69806.............. .............. A

Explore inner ear... 12.35

N/A 9.52

0.86

N/A 22.73

090 69820.............. .............. A

Establish inner ear 10.34

N/A 8.08

0.66

N/A 19.08

090 window. 69840.............. .............. A

Revise inner ear

10.26

N/A 7.05

0.64

N/A 17.95

090 window. 69905.............. .............. A

Remove inner ear.... 11.10

N/A 8.63

0.77

N/A 20.50

090 69910.............. .............. A

Remove inner ear &

13.63

N/A 10.06

0.94

N/A 24.63

090 mastoid. 69915.............. .............. A

Incise inner ear

21.23

N/A 14.59

1.54

N/A 37.36

090 nerve. 69930.............. .............. A

Implant cochlear

16.81

N/A 12.16

1.19

N/A 30.16

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

25.64

N/A 16.47

2.90

N/A 45.01

090 nerve. 69955.............. .............. A

Release facial nerve 27.04

N/A 18.10

1.89

N/A 47.03

090 69960.............. .............. A

Release inner ear

27.04

N/A 17.53

2.43

N/A 47.00

090 canal. 69970.............. .............. A

Remove inner ear

30.04

N/A 18.82

2.34

N/A 51.20

090 lesion. 69979.............. .............. C

Temporal bone

0.00 0.00 0.00

0.00

0.00 0.00

YYY surgery. 69990.............. .............. R

Microsurgery add-on. 3.47

N/A 1.83

0.56

N/A 5.86

ZZZ 70010.............. .............. A

Contrast x-ray of

1.19 4.74

N/A

0.24

6.17

N/A

XXX brain. 70010.............. 26............ A

Contrast x-ray of

1.19 0.40 0.40

0.06

1.65 1.65

XXX brain. 70010.............. TC............ A

Contrast x-ray of

0.00 4.33

N/A

0.18

4.51

N/A

XXX brain. 70015.............. .............. A

Contrast x-ray of

1.19 1.76

N/A

0.12

3.07

N/A

XXX brain. 70015.............. 26............ A

Contrast x-ray of

1.19 0.40 0.40

0.05

1.64 1.64

XXX brain. 70015.............. TC............ A

Contrast x-ray of

0.00 1.35

N/A

0.07

1.42

N/A

XXX brain. 70030.............. .............. A

X-ray eye for

0.17 0.47

N/A

0.03

0.67

N/A

XXX foreign body. 70030.............. 26............ A

X-ray eye for

0.17 0.06 0.06

0.01

0.24 0.24

XXX foreign body. 70030.............. TC............ A

X-ray eye for

0.00 0.42

N/A

0.02

0.44

N/A

XXX foreign body. 70100.............. .............. A

X-ray exam of jaw... 0.18 0.58

N/A

0.03

0.79

N/A

XXX 70100.............. 26............ A

X-ray exam of jaw... 0.18 0.06 0.06

0.01

0.25 0.25

XXX 70100.............. TC............ A

X-ray exam of jaw... 0.00 0.52

N/A

0.02

0.54

N/A

XXX 70110.............. .............. A

X-ray exam of jaw... 0.25 0.70

N/A

0.04

0.99

N/A

XXX 70110.............. 26............ A

X-ray exam of jaw... 0.25 0.08 0.08

0.01

0.34 0.34

XXX 70110.............. TC............ A

X-ray exam of jaw... 0.00 0.62

N/A

0.03

0.65

N/A

XXX 70120.............. .............. A

X-ray exam of

0.18 0.68

N/A

0.04

0.90

N/A

XXX mastoids. 70120.............. 26............ A

X-ray exam of

0.18 0.06 0.06

0.01

0.25 0.25

XXX mastoids. 70120.............. TC............ A

X-ray exam of

0.00 0.62

N/A

0.03

0.65

N/A

XXX mastoids. 70130.............. .............. A

X-ray exam of

0.34 0.90

N/A

0.05

1.29

N/A

XXX mastoids. 70130.............. 26............ A

X-ray exam of

0.34 0.11 0.11

0.01

0.46 0.46

XXX mastoids. 70130.............. TC............ A

X-ray exam of

0.00 0.78

N/A

0.04

0.82

N/A

XXX mastoids. 70134.............. .............. A

X-ray exam of middle 0.34 0.85

N/A

0.05

1.24

N/A

XXX ear. 70134.............. 26............ A

X-ray exam of middle 0.34 0.11 0.11

0.01

0.46 0.46

XXX ear. 70134.............. TC............ A

X-ray exam of middle 0.00 0.73

N/A

0.04

0.77

N/A

XXX ear. 70140.............. .............. A

X-ray exam of facial 0.19 0.68

N/A

0.04

0.91

N/A

XXX bones. 70140.............. 26............ A

X-ray exam of facial 0.19 0.06 0.06

0.01

0.26 0.26

XXX bones. 70140.............. TC............ A

X-ray exam of facial 0.00 0.62

N/A

0.03

0.65

N/A

XXX bones. 70150.............. .............. A

X-ray exam of facial 0.26 0.87

N/A

0.05

1.18

N/A

XXX bones. 70150.............. 26............ A

X-ray exam of facial 0.26 0.09 0.09

0.01

0.36 0.36

XXX bones.

[[Page 49173]]

70150.............. TC............ A

X-ray exam of facial 0.00 0.78

N/A

0.04

0.82

N/A

XXX bones. 70160.............. .............. A

X-ray exam of nasal

0.17 0.58

N/A

0.03

0.78

N/A

XXX bones. 70160.............. 26............ A

X-ray exam of nasal

0.17 0.06 0.06

0.01

0.24 0.24

XXX bones. 70160.............. TC............ A

X-ray exam of nasal

0.00 0.52

N/A

0.02

0.54

N/A

XXX bones. 70170.............. .............. A

X-ray exam of tear

0.30 1.05

N/A

0.06

1.41

N/A

XXX duct. 70170.............. 26............ A

X-ray exam of tear

0.30 0.10 0.10

0.01

0.41 0.41

XXX duct. 70170.............. TC............ A

X-ray exam of tear

0.00 0.95

N/A

0.05

1.00

N/A

XXX duct. 70190.............. .............. A

X-ray exam of eye

0.21 0.69

N/A

0.04

0.94

N/A

XXX sockets. 70190.............. 26............ A

X-ray exam of eye

0.21 0.07 0.07

0.01

0.29 0.29

XXX sockets. 70190.............. TC............ A

X-ray exam of eye

0.00 0.62

N/A

0.03

0.65

N/A

XXX sockets. 70200.............. .............. A

X-ray exam of eye

0.28 0.88

N/A

0.05

1.21

N/A

XXX sockets. 70200.............. 26............ A

X-ray exam of eye

0.28 0.09 0.09

0.01

0.38 0.38

XXX sockets. 70200.............. TC............ A

X-ray exam of eye

0.00 0.78

N/A

0.04

0.82

N/A

XXX sockets. 70210.............. .............. A

X-ray exam of

0.17 0.68

N/A

0.04

0.89

N/A

XXX sinuses. 70210.............. 26............ A

X-ray exam of

0.17 0.06 0.06

0.01

0.24 0.24

XXX sinuses. 70210.............. TC............ A

X-ray exam of

0.00 0.62

N/A

0.03

0.65

N/A

XXX sinuses. 70220.............. .............. A

X-ray exam of

0.25 0.87

N/A

0.05

1.17

N/A

XXX sinuses. 70220.............. 26............ A

X-ray exam of

0.25 0.08 0.08

0.01

0.34 0.34

XXX sinuses. 70220.............. TC............ A

X-ray exam of

0.00 0.78

N/A

0.04

0.82

N/A

XXX sinuses. 70240.............. .............. A

X-ray exam,

0.19 0.48

N/A

0.03

0.70

N/A

XXX pituitary saddle. 70240.............. 26............ A

X-ray exam,

0.19 0.06 0.06

0.01

0.26 0.26

XXX pituitary saddle. 70240.............. TC............ A

X-ray exam,

0.00 0.42

N/A

0.02

0.44

N/A

XXX pituitary saddle. 70250.............. .............. A

X-ray exam of skull. 0.24 0.70

N/A

0.04

0.98

N/A

XXX 70250.............. 26............ A

X-ray exam of skull. 0.24 0.08 0.08

0.01

0.33 0.33

XXX 70250.............. TC............ A

X-ray exam of skull. 0.00 0.62

N/A

0.03

0.65

N/A

XXX 70260.............. .............. A

X-ray exam of skull. 0.34 1.00

N/A

0.06

1.40

N/A

XXX 70260.............. 26............ A

X-ray exam of skull. 0.34 0.11 0.11

0.01

0.46 0.46

XXX 70260.............. TC............ A

X-ray exam of skull. 0.00 0.89

N/A

0.05

0.94

N/A

XXX 70300.............. .............. A

X-ray exam of teeth. 0.10 0.31

N/A

0.03

0.44

N/A

XXX 70300.............. 26............ A

X-ray exam of teeth. 0.10 0.05 0.05

0.01

0.16 0.16

XXX 70300.............. TC............ A

X-ray exam of teeth. 0.00 0.26

N/A

0.02

0.28

N/A

XXX 70310.............. .............. A

X-ray exam of teeth. 0.16 0.50

N/A

0.03

0.69

N/A

XXX 70310.............. 26............ A

X-ray exam of teeth. 0.16 0.08 0.08

0.01

0.25 0.25

XXX 70310.............. TC............ A

X-ray exam of teeth. 0.00 0.42

N/A

0.02

0.44

N/A

XXX 70320.............. .............. A

Full mouth x-ray of

0.22 0.86

N/A

0.05

1.13

N/A

XXX teeth. 70320.............. 26............ A

Full mouth x-ray of

0.22 0.08 0.08

0.01

0.31 0.31

XXX teeth. 70320.............. TC............ A

Full mouth x-ray of

0.00 0.78

N/A

0.04

0.82

N/A

XXX teeth. 70328.............. .............. A

X-ray exam of jaw

0.18 0.55

N/A

0.03

0.76

N/A

XXX joint. 70328.............. 26............ A

X-ray exam of jaw

0.18 0.06 0.06

0.01

0.25 0.25

XXX joint. 70328.............. TC............ A

X-ray exam of jaw

0.00 0.49

N/A

0.02

0.51

N/A

XXX joint. 70330.............. .............. A

X-ray exam of jaw

0.24 0.92

N/A

0.05

1.21

N/A

XXX joints. 70330.............. 26............ A

X-ray exam of jaw

0.24 0.08 0.08

0.01

0.33 0.33

XXX joints. 70330.............. TC............ A

X-ray exam of jaw

0.00 0.84

N/A

0.04

0.88

N/A

XXX joints. 70332.............. .............. A

X-ray exam of jaw

0.54 2.30

N/A

0.12

2.96

N/A

XXX joint. 70332.............. 26............ A

X-ray exam of jaw

0.54 0.20 0.20

0.02

0.76 0.76

XXX joint. 70332.............. TC............ A

X-ray exam of jaw

0.00 2.10

N/A

0.10

2.20

N/A

XXX joint. 70336.............. .............. A

Magnetic image, jaw

1.48 11.71

N/A

0.56 13.75

N/A

XXX joint. 70336.............. 26............ A

Magnetic image, jaw

1.48 0.50 0.50

0.07

2.05 2.05

XXX joint. 70336.............. TC............ A

Magnetic image, jaw

0.00 11.21

N/A

0.49 11.70

N/A

XXX joint. 70350.............. .............. A

X-ray head for

0.17 0.45

N/A

0.03

0.65

N/A

XXX orthodontia. 70350.............. 26............ A

X-ray head for

0.17 0.07 0.07

0.01

0.25 0.25

XXX orthodontia. 70350.............. TC............ A

X-ray head for

0.00 0.38

N/A

0.02

0.40

N/A

XXX orthodontia. 70355.............. .............. A

Panoramic x-ray of

0.20 0.65

N/A

0.04

0.89

N/A

XXX jaws. 70355.............. 26............ A

Panoramic x-ray of

0.20 0.08 0.08

0.01

0.29 0.29

XXX jaws. 70355.............. TC............ A

Panoramic x-ray of

0.00 0.57

N/A

0.03

0.60

N/A

XXX jaws. 70360.............. .............. A

X-ray exam of neck.. 0.17 0.47

N/A

0.03

0.67

N/A

XXX 70360.............. 26............ A

X-ray exam of neck.. 0.17 0.06 0.06

0.01

0.24 0.24

XXX 70360.............. TC............ A

X-ray exam of neck.. 0.00 0.42

N/A

0.02

0.44

N/A

XXX 70370.............. .............. A

Throat x-ray &

0.32 1.41

N/A

0.07

1.80

N/A

XXX fluoroscopy. 70370.............. 26............ A

Throat x-ray &

0.32 0.11 0.11

0.01

0.44 0.44

XXX fluoroscopy.

[[Page 49174]]

70370.............. TC............ A

Throat x-ray &

0.00 1.31

N/A

0.06

1.37

N/A

XXX fluoroscopy. 70371.............. .............. A

Speech evaluation,

0.84 2.38

N/A

0.14

3.36

N/A

XXX complex. 70371.............. 26............ A

Speech evaluation,

0.84 0.28 0.28

0.04

1.16 1.16

XXX complex. 70371.............. TC............ A

Speech evaluation,

0.00 2.10

N/A

0.10

2.20

N/A

XXX complex. 70373.............. .............. A

Contrast x-ray of

0.44 1.93

N/A

0.11

2.48

N/A

XXX larynx. 70373.............. 26............ A

Contrast x-ray of

0.44 0.15 0.15

0.02

0.61 0.61

XXX larynx. 70373.............. TC............ A

Contrast x-ray of

0.00 1.78

N/A

0.09

1.87

N/A

XXX larynx. 70380.............. .............. A

X-ray exam of

0.17 0.72

N/A

0.04

0.93

N/A

XXX salivary gland. 70380.............. 26............ A

X-ray exam of

0.17 0.06 0.06

0.01

0.24 0.24

XXX salivary gland. 70380.............. TC............ A

X-ray exam of

0.00 0.67

N/A

0.03

0.70

N/A

XXX salivary gland. 70390.............. .............. A

X-ray exam of

0.38 1.91

N/A

0.11

2.40

N/A

XXX salivary duct. 70390.............. 26............ A

X-ray exam of

0.38 0.13 0.13

0.02

0.53 0.53

XXX salivary duct. 70390.............. TC............ A

X-ray exam of

0.00 1.78

N/A

0.09

1.87

N/A

XXX salivary duct. 70450.............. .............. A

Ct head/brain w/o

0.85 5.00

N/A

0.25

6.10

N/A

XXX dye. 70450.............. 26............ A

Ct head/brain w/o

0.85 0.28 0.28

0.04

1.17 1.17

XXX dye. 70450.............. TC............ A

Ct head/brain w/o

0.00 4.72

N/A

0.21

4.93

N/A

XXX dye. 70460.............. .............. A

Ct head/brain w/dye. 1.13 6.04

N/A

0.30

7.47

N/A

XXX 70460.............. 26............ A

Ct head/brain w/dye. 1.13 0.38 0.38

0.05

1.56 1.56

XXX 70460.............. TC............ A

Ct head/brain w/dye. 0.00 5.66

N/A

0.25

5.91

N/A

XXX 70470.............. .............. A

Ct head/brain w/o&w

1.27 7.49

N/A

0.37

9.13

N/A

XXX dye. 70470.............. 26............ A

Ct head/brain w/o&w

1.27 0.43 0.43

0.06

1.76 1.76

XXX dye. 70470.............. TC............ A

Ct head/brain w/o&w

0.00 7.07

N/A

0.31

7.38

N/A

XXX dye. 70480.............. .............. A

Ct orbit/ear/fossa w/ 1.28 5.15

N/A

0.27

6.70

N/A

XXX o dye. 70480.............. 26............ A

Ct orbit/ear/fossa w/ 1.28 0.43 0.43

0.06

1.77 1.77

XXX o dye. 70480.............. TC............ A

Ct orbit/ear/fossa w/ 0.00 4.72

N/A

0.21

4.93

N/A

XXX o dye. 70481.............. .............. A

Ct orbit/ear/fossa w/ 1.38 6.12

N/A

0.31

7.81

N/A

XXX dye. 70481.............. 26............ A

Ct orbit/ear/fossa w/ 1.38 0.46 0.46

0.06

1.90 1.90

XXX dye. 70481.............. TC............ A

Ct orbit/ear/fossa w/ 0.00 5.66

N/A

0.25

5.91

N/A

XXX dye. 70482.............. .............. A

Ct orbit/ear/fossa w/ 1.45 7.56

N/A

0.37

9.38

N/A

XXX o&w dye. 70482.............. 26............ A

Ct orbit/ear/fossa w/ 1.45 0.49 0.49

0.06

2.00 2.00

XXX o&w dye. 70482.............. TC............ A

Ct orbit/ear/fossa w/ 0.00 7.07

N/A

0.31

7.38

N/A

XXX o&w dye. 70486.............. .............. A

Ct maxillofacial w/o 1.14 5.10

N/A

0.26

6.50

N/A

XXX dye. 70486.............. 26............ A

Ct maxillofacial w/o 1.14 0.38 0.38

0.05

1.57 1.57

XXX dye. 70486.............. TC............ A

Ct maxillofacial w/o 0.00 4.72

N/A

0.21

4.93

N/A

XXX dye. 70487.............. .............. A

Ct maxillofacial w/

1.30 6.09

N/A

0.31

7.70

N/A

XXX dye. 70487.............. 26............ A

Ct maxillofacial w/

1.30 0.44 0.44

0.06

1.80 1.80

XXX dye. 70487.............. TC............ A

Ct maxillofacial w/

0.00 5.66

N/A

0.25

5.91

N/A

XXX dye. 70488.............. .............. A

Ct maxillofacial w/

1.42 7.54

N/A

0.37

9.33

N/A

XXX o&w dye. 70488.............. 26............ A

Ct maxillofacial w/

1.42 0.48 0.48

0.06

1.96 1.96

XXX o&w dye. 70488.............. TC............ A

Ct maxillofacial w/

0.00 7.07

N/A

0.31

7.38

N/A

XXX o&w dye. 70490.............. .............. A

Ct soft tissue neck

1.28 5.15

N/A

0.27

6.70

N/A

XXX w/o dye. 70490.............. 26............ A

Ct soft tissue neck

1.28 0.43 0.43

0.06

1.77 1.77

XXX w/o dye. 70490.............. TC............ A

Ct soft tissue neck

0.00 4.72

N/A

0.21

4.93

N/A

XXX w/o dye. 70491.............. .............. A

Ct soft tissue neck

1.38 6.12

N/A

0.31

7.81

N/A

XXX w/dye. 70491.............. 26............ A

Ct soft tissue neck

1.38 0.46 0.46

0.06

1.90 1.90

XXX w/dye. 70491.............. TC............ A

Ct soft tissue neck

0.00 5.66

N/A

0.25

5.91

N/A

XXX w/dye. 70492.............. .............. A

Ct sft tsue nck w/o

1.45 7.55

N/A

0.37

9.37

N/A

XXX & w/dye. 70492.............. 26............ A

Ct sft tsue nck w/o

1.45 0.49 0.49

0.06

2.00 2.00

XXX & w/dye.

[[Page 49175]]

70492.............. TC............ A

Ct sft tsue nck w/o

0.00 7.07

N/A

0.31

7.38

N/A

XXX & w/dye. 70496.............. .............. A

Ct angiography, head 1.75 11.19

N/A

0.56 13.50

N/A

XXX 70496.............. 26............ A

Ct angiography, head 1.75 0.59 0.59

0.08

2.42 2.42

XXX 70496.............. TC............ A

Ct angiography, head 0.00 10.61

N/A

0.48 11.09

N/A

XXX 70498.............. .............. A

Ct angiography, neck 1.75 11.20

N/A

0.56 13.51

N/A

XXX 70498.............. 26............ A

Ct angiography, neck 1.75 0.59 0.59

0.08

2.42 2.42

XXX 70498.............. TC............ A

Ct angiography, neck 0.00 10.61

N/A

0.48 11.09

N/A

XXX 70540.............. .............. A

Mri orbit/face/neck

1.35 11.66

N/A

0.36 13.37

N/A

XXX w/o dye. 70540.............. 26............ A

Mri orbit/face/neck

1.35 0.45 0.45

0.04

1.84 1.84

XXX w/o dye. 70540.............. TC............ A

Mri orbit/face/neck

0.00 11.21

N/A

0.32 11.53

N/A

XXX w/o dye. 70542.............. .............. A

Mri orbit/face/neck

1.62 13.99

N/A

0.44 16.05

N/A

XXX w/dye. 70542.............. 26............ A

Mri orbit/face/neck

1.62 0.55 0.55

0.05

2.22 2.22

XXX w/dye. 70542.............. TC............ A

Mri orbit/face/neck

0.00 13.44

N/A

0.39 13.83

N/A

XXX w/dye. 70543.............. .............. A

Mri orbt/fac/nck w/

2.15 25.62

N/A

0.77 28.54

N/A

XXX o&w dye. 70543.............. 26............ A

Mri orbt/fac/nck w/

2.15 0.72 0.72

0.07

2.94 2.94

XXX o&w dye. 70543.............. TC............ A

Mri orbt/fac/nck w/

0.00 24.89

N/A

0.70 25.59

N/A

XXX o&w dye. 70544.............. .............. A

Mr angiography head

1.20 11.61

N/A

0.54 13.35

N/A

XXX w/o dye. 70544.............. 26............ A

Mr angiography head

1.20 0.40 0.40

0.05

1.65 1.65

XXX w/o dye. 70544.............. TC............ A

Mr angiography head

0.00 11.21

N/A

0.49 11.70

N/A

XXX w/o dye. 70545.............. .............. A

Mr angiography head

1.20 11.61

N/A

0.54 13.35

N/A

XXX w/dye. 70545.............. 26............ A

Mr angiography head

1.20 0.40 0.40

0.05

1.65 1.65

XXX w/dye. 70545.............. TC............ A

Mr angiography head

0.00 11.21

N/A

0.49 11.70

N/A

XXX w/dye. 70546.............. .............. A

Mr angiograph head w/ 1.80 23.02

N/A

0.57 25.39

N/A

XXX o&w dye. 70546.............. 26............ A

Mr angiograph head w/ 1.80 0.61 0.61

0.08

2.49 2.49

XXX o&w dye. 70546.............. TC............ A

Mr angiograph head w/ 0.00 22.42

N/A

0.49 22.91

N/A

XXX o&w dye. 70547.............. .............. A

Mr angiography neck

1.20 11.61

N/A

0.54 13.35

N/A

XXX w/o dye. 70547.............. 26............ A

Mr angiography neck

1.20 0.40 0.40

0.05

1.65 1.65

XXX w/o dye. 70547.............. TC............ A

Mr angiography neck

0.00 11.21

N/A

0.49 11.70

N/A

XXX w/o dye. 70548.............. .............. A

Mr angiography neck

1.20 11.61

N/A

0.54 13.35

N/A

XXX w/dye. 70548.............. 26............ A

Mr angiography neck

1.20 0.40 0.40

0.05

1.65 1.65

XXX w/dye. 70548.............. TC............ A

Mr angiography neck

0.00 11.21

N/A

0.49 11.70

N/A

XXX w/dye. 70549.............. .............. A

Mr angiograph neck w/ 1.80 23.03

N/A

0.57 25.40

N/A

XXX o&w dye. 70549.............. 26............ A

Mr angiograph neck w/ 1.80 0.61 0.61

0.08

2.49 2.49

XXX o&w dye. 70549.............. TC............ A

Mr angiograph neck w/ 0.00 22.42

N/A

0.49 22.91

N/A

XXX o&w dye. 70551.............. .............. A

Mri brain w/o dye... 1.48 11.71

N/A

0.56 13.75

N/A

XXX 70551.............. 26............ A

Mri brain w/o dye... 1.48 0.50 0.50

0.07

2.05 2.05

XXX 70551.............. TC............ A

Mri brain w/o dye... 0.00 11.21

N/A

0.49 11.70

N/A

XXX 70552.............. .............. A

Mri brain w/dye..... 1.78 14.05

N/A

0.66 16.49

N/A

XXX 70552.............. 26............ A

Mri brain w/dye..... 1.78 0.61 0.61

0.08

2.47 2.47

XXX 70552.............. TC............ A

Mri brain w/dye..... 0.00 13.44

N/A

0.58 14.02

N/A

XXX 70553.............. .............. A

Mri brain w/o&w dye. 2.36 25.69

N/A

1.19 29.24

N/A

XXX 70553.............. 26............ A

Mri brain w/o&w dye. 2.36 0.79 0.79

0.10

3.25 3.25

XXX 70553.............. TC............ A

Mri brain w/o&w dye. 0.00 24.89

N/A

1.09 25.98

N/A

XXX 71010.............. .............. A

Chest x-ray......... 0.18 0.53

N/A

0.03

0.74

N/A

XXX

[[Page 49176]]

71010.............. 26............ A

Chest x-ray......... 0.18 0.06 0.06

0.01

0.25 0.25

XXX 71010.............. TC............ A

Chest x-ray......... 0.00 0.47

N/A

0.02

0.49

N/A

XXX 71015.............. .............. A

Chest x-ray......... 0.21 0.59

N/A

0.03

0.83

N/A

XXX 71015.............. 26............ A

Chest x-ray......... 0.21 0.07 0.07

0.01

0.29 0.29

XXX 71015.............. TC............ A

Chest x-ray......... 0.00 0.52

N/A

0.02

0.54

N/A

XXX 71020.............. .............. A

Chest x-ray......... 0.22 0.69

N/A

0.04

0.95

N/A

XXX 71020.............. 26............ A

Chest x-ray......... 0.22 0.07 0.07

0.01

0.30 0.30

XXX 71020.............. TC............ A

Chest x-ray......... 0.00 0.62

N/A

0.03

0.65

N/A

XXX 71021.............. .............. A

Chest x-ray......... 0.27 0.83

N/A

0.05

1.15

N/A

XXX 71021.............. 26............ A

Chest x-ray......... 0.27 0.09 0.09

0.01

0.37 0.37

XXX 71021.............. TC............ A

Chest x-ray......... 0.00 0.73

N/A

0.04

0.77

N/A

XXX 71022.............. .............. A

Chest x-ray......... 0.31 0.84

N/A

0.06

1.21

N/A

XXX 71022.............. 26............ A

Chest x-ray......... 0.31 0.10 0.10

0.02

0.43 0.43

XXX 71022.............. TC............ A

Chest x-ray......... 0.00 0.73

N/A

0.04

0.77

N/A

XXX 71023.............. .............. A

Chest x-ray and

0.38 0.92

N/A

0.06

1.36

N/A

XXX fluoroscopy. 71023.............. 26............ A

Chest x-ray and

0.38 0.13 0.13

0.02

0.53 0.53

XXX fluoroscopy. 71023.............. TC............ A

Chest x-ray and

0.00 0.78

N/A

0.04

0.82

N/A

XXX fluoroscopy. 71030.............. .............. A

Chest x-ray......... 0.31 0.89

N/A

0.05

1.25

N/A

XXX 71030.............. 26............ A

Chest x-ray......... 0.31 0.10 0.10

0.01

0.42 0.42

XXX 71030.............. TC............ A

Chest x-ray......... 0.00 0.78

N/A

0.04

0.82

N/A

XXX 71034.............. .............. A

Chest x-ray and

0.46 1.60

N/A

0.09

2.15

N/A

XXX fluoroscopy. 71034.............. 26............ A

Chest x-ray and

0.46 0.16 0.16

0.02

0.64 0.64

XXX fluoroscopy. 71034.............. TC............ A

Chest x-ray and

0.00 1.44

N/A

0.07

1.51

N/A

XXX fluoroscopy. 71035.............. .............. A

Chest x-ray......... 0.18 0.58

N/A

0.03

0.79

N/A

XXX 71035.............. 26............ A

Chest x-ray......... 0.18 0.06 0.06

0.01

0.25 0.25

XXX 71035.............. TC............ A

Chest x-ray......... 0.00 0.52

N/A

0.02

0.54

N/A

XXX 71040.............. .............. A

Contrast x-ray of

0.58 1.65

N/A

0.10

2.33

N/A

XXX bronchi. 71040.............. 26............ A

Contrast x-ray of

0.58 0.19 0.19

0.03

0.80 0.80

XXX bronchi. 71040.............. TC............ A

Contrast x-ray of

0.00 1.46

N/A

0.07

1.53

N/A

XXX bronchi. 71060.............. .............. A

Contrast x-ray of

0.74 2.45

N/A

0.14

3.33

N/A

XXX bronchi. 71060.............. 26............ A

Contrast x-ray of

0.74 0.25 0.25

0.03

1.02 1.02

XXX bronchi. 71060.............. TC............ A

Contrast x-ray of

0.00 2.20

N/A

0.11

2.31

N/A

XXX bronchi. 71090.............. .............. A

X-ray & pacemaker

0.54 1.89

N/A

0.11

2.54

N/A

XXX insertion. 71090.............. 26............ A

X-ray & pacemaker

0.54 0.21 0.21

0.02

0.77 0.77

XXX insertion. 71090.............. TC............ A

X-ray & pacemaker

0.00 1.68

N/A

0.09

1.77

N/A

XXX insertion. 71100.............. .............. A

X-ray exam of ribs.. 0.22 0.64

N/A

0.04

0.90

N/A

XXX 71100.............. 26............ A

X-ray exam of ribs.. 0.22 0.07 0.07

0.01

0.30 0.30

XXX 71100.............. TC............ A

X-ray exam of ribs.. 0.00 0.57

N/A

0.03

0.60

N/A

XXX 71101.............. .............. A

X-ray exam of ribs/

0.27 0.76

N/A

0.04

1.07

N/A

XXX chest. 71101.............. 26............ A

X-ray exam of ribs/

0.27 0.09 0.09

0.01

0.37 0.37

XXX chest. 71101.............. TC............ A

X-ray exam of ribs/

0.00 0.67

N/A

0.03

0.70

N/A

XXX chest. 71110.............. .............. A

X-ray exam of ribs.. 0.27 0.87

N/A

0.05

1.19

N/A

XXX 71110.............. 26............ A

X-ray exam of ribs.. 0.27 0.09 0.09

0.01

0.37 0.37

XXX 71110.............. TC............ A

X-ray exam of ribs.. 0.00 0.78

N/A

0.04

0.82

N/A

XXX 71111.............. .............. A

X-ray exam of ribs/

0.32 1.00

N/A

0.06

1.38

N/A

XXX chest. 71111.............. 26............ A

X-ray exam of ribs/

0.32 0.11 0.11

0.01

0.44 0.44

XXX chest. 71111.............. TC............ A

X-ray exam of ribs/

0.00 0.89

N/A

0.05

0.94

N/A

XXX chest. 71120.............. .............. A

X-ray exam of

0.20 0.71

N/A

0.04

0.95

N/A

XXX breastbone. 71120.............. 26............ A

X-ray exam of

0.20 0.07 0.07

0.01

0.28 0.28

XXX breastbone. 71120.............. TC............ A

X-ray exam of

0.00 0.65

N/A

0.03

0.68

N/A

XXX breastbone. 71130.............. .............. A

X-ray exam of

0.22 0.78

N/A

0.04

1.04

N/A

XXX breastbone. 71130.............. 26............ A

X-ray exam of

0.22 0.07 0.07

0.01

0.30 0.30

XXX breastbone. 71130.............. TC............ A

X-ray exam of

0.00 0.71

N/A

0.03

0.74

N/A

XXX breastbone. 71250.............. .............. A

Ct thorax w/o dye... 1.16 6.30

N/A

0.31

7.77

N/A

XXX 71250.............. 26............ A

Ct thorax w/o dye... 1.16 0.39 0.39

0.05

1.60 1.60

XXX 71250.............. TC............ A

Ct thorax w/o dye... 0.00 5.91

N/A

0.26

6.17

N/A

XXX 71260.............. .............. A

Ct thorax w/dye..... 1.24 7.48

N/A

0.36

9.08

N/A

XXX

[[Page 49177]]

71260.............. 26............ A

Ct thorax w/dye..... 1.24 0.41 0.41

0.05

1.70 1.70

XXX 71260.............. TC............ A

Ct thorax w/dye..... 0.00 7.07

N/A

0.31

7.38

N/A

XXX 71270.............. .............. A

Ct thorax w/o&w dye. 1.38 9.31

N/A

0.44 11.13

N/A

XXX 71270.............. 26............ A

Ct thorax w/o&w dye. 1.38 0.46 0.46

0.06

1.90 1.90

XXX 71270.............. TC............ A

Ct thorax w/o&w dye. 0.00 8.85

N/A

0.38

9.23

N/A

XXX 71275.............. .............. A

Ct angiography,

1.92 13.03

N/A

0.38 15.33

N/A

XXX chest. 71275.............. 26............ A

Ct angiography,

1.92 0.64 0.64

0.06

2.62 2.62

XXX chest. 71275.............. TC............ A

Ct angiography,

0.00 12.39

N/A

0.32 12.71

N/A

XXX chest. 71550.............. .............. A

Mri chest w/o dye... 1.46 11.70

N/A

0.41 13.57

N/A

XXX 71550.............. 26............ A

Mri chest w/o dye... 1.46 0.49 0.49

0.04

1.99 1.99

XXX 71550.............. TC............ A

Mri chest w/o dye... 0.00 11.21

N/A

0.37 11.58

N/A

XXX 71551.............. .............. A

Mri chest w/dye..... 1.73 14.02

N/A

0.49 16.24

N/A

XXX 71551.............. 26............ A

Mri chest w/dye..... 1.73 0.58 0.58

0.06

2.37 2.37

XXX 71551.............. TC............ A

Mri chest w/dye..... 0.00 13.44

N/A

0.43 13.87

N/A

XXX 71552.............. .............. A

Mri chest w/o&w/dye. 2.26 25.65

N/A

0.64 28.55

N/A

XXX 71552.............. 26............ A

Mri chest w/o&w/dye. 2.26 0.76 0.76

0.08

3.10 3.10

XXX 71552.............. TC............ A

Mri chest w/o&w/dye. 0.00 24.89

N/A

0.56 25.45

N/A

XXX 71555.............. .............. R

Mri angio chest w or 1.81 11.82

N/A

0.57 14.20

N/A

XXX w/o dye. 71555.............. 26............ R

Mri angio chest w or 1.81 0.61 0.61

0.08

2.50 2.50

XXX w/o dye. 71555.............. TC............ R

Mri angio chest w or 0.00 11.21

N/A

0.49 11.70

N/A

XXX w/o dye. 72010.............. .............. A

X-ray exam of spine. 0.45 1.18

N/A

0.08

1.71

N/A

XXX 72010.............. 26............ A

X-ray exam of spine. 0.45 0.15 0.15

0.03

0.63 0.63

XXX 72010.............. TC............ A

X-ray exam of spine. 0.00 1.03

N/A

0.05

1.08

N/A

XXX 72020.............. .............. A

X-ray exam of spine. 0.15 0.47

N/A

0.03

0.65

N/A

XXX 72020.............. 26............ A

X-ray exam of spine. 0.15 0.05 0.05

0.01

0.21 0.21

XXX 72020.............. TC............ A

X-ray exam of spine. 0.00 0.42

N/A

0.02

0.44

N/A

XXX 72040.............. .............. A

X-ray exam of neck

0.22 0.67

N/A

0.04

0.93

N/A

XXX spine. 72040.............. 26............ A

X-ray exam of neck

0.22 0.07 0.07

0.01

0.30 0.30

XXX spine. 72040.............. TC............ A

X-ray exam of neck

0.00 0.60

N/A

0.03

0.63

N/A

XXX spine. 72050.............. .............. A

X-ray exam of neck

0.31 0.99

N/A

0.07

1.37

N/A

XXX spine. 72050.............. 26............ A

X-ray exam of neck

0.31 0.10 0.10

0.02

0.43 0.43

XXX spine. 72050.............. TC............ A

X-ray exam of neck

0.00 0.89

N/A

0.05

0.94

N/A

XXX spine. 72052.............. .............. A

X-ray exam of neck

0.36 1.25

N/A

0.07

1.68

N/A

XXX spine. 72052.............. 26............ A

X-ray exam of neck

0.36 0.12 0.12

0.02

0.50 0.50

XXX spine. 72052.............. TC............ A

X-ray exam of neck

0.00 1.13

N/A

0.05

1.18

N/A

XXX spine. 72069.............. .............. A

X-ray exam of trunk

0.22 0.57

N/A

0.04

0.83

N/A

XXX spine. 72069.............. 26............ A

X-ray exam of trunk

0.22 0.08 0.08

0.02

0.32 0.32

XXX spine. 72069.............. TC............ A

X-ray exam of trunk

0.00 0.49

N/A

0.02

0.51

N/A

XXX spine. 72070.............. .............. A

X-ray exam of

0.22 0.72

N/A

0.04

0.98

N/A

XXX thoracic spine. 72070.............. 26............ A

X-ray exam of

0.22 0.07 0.07

0.01

0.30 0.30

XXX thoracic spine. 72070.............. TC............ A

X-ray exam of

0.00 0.65

N/A

0.03

0.68

N/A

XXX thoracic spine. 72072.............. .............. A

X-ray exam of

0.22 0.81

N/A

0.05

1.08

N/A

XXX thoracic spine. 72072.............. 26............ A

X-ray exam of

0.22 0.07 0.07

0.01

0.30 0.30

XXX thoracic spine. 72072.............. TC............ A

X-ray exam of

0.00 0.73

N/A

0.04

0.77

N/A

XXX thoracic spine. 72074.............. .............. A

X-ray exam of

0.22 0.98

N/A

0.06

1.26

N/A

XXX thoracic spine. 72074.............. 26............ A

X-ray exam of

0.22 0.07 0.07

0.01

0.30 0.30

XXX thoracic spine. 72074.............. TC............ A

X-ray exam of

0.00 0.91

N/A

0.05

0.96

N/A

XXX thoracic spine. 72080.............. .............. A

X-ray exam of trunk

0.22 0.74

N/A

0.05

1.01

N/A

XXX spine. 72080.............. 26............ A

X-ray exam of trunk

0.22 0.07 0.07

0.02

0.31 0.31

XXX spine. 72080.............. TC............ A

X-ray exam of trunk

0.00 0.67

N/A

0.03

0.70

N/A

XXX spine. 72090.............. .............. A

X-ray exam of trunk

0.28 0.76

N/A

0.05

1.09

N/A

XXX spine. 72090.............. 26............ A

X-ray exam of trunk

0.28 0.10 0.10

0.02

0.40 0.40

XXX spine. 72090.............. TC............ A

X-ray exam of trunk

0.00 0.67

N/A

0.03

0.70

N/A

XXX spine. 72100.............. .............. A

X-ray exam of lower

0.22 0.74

N/A

0.05

1.01

N/A

XXX spine.

[[Page 49178]]

72100.............. 26............ A

X-ray exam of lower

0.22 0.07 0.07

0.02

0.31 0.31

XXX spine. 72100.............. TC............ A

X-ray exam of lower

0.00 0.67

N/A

0.03

0.70

N/A

XXX spine. 72110.............. .............. A

X-ray exam of lower

0.31 1.01

N/A

0.07

1.39

N/A

XXX spine. 72110.............. 26............ A

X-ray exam of lower

0.31 0.10 0.10

0.02

0.43 0.43

XXX spine. 72110.............. TC............ A

X-ray exam of lower

0.00 0.91

N/A

0.05

0.96

N/A

XXX spine. 72114.............. .............. A

X-ray exam of lower

0.36 1.31

N/A

0.08

1.75

N/A

XXX spine. 72114.............. 26............ A

X-ray exam of lower

0.36 0.12 0.12

0.03

0.51 0.51

XXX spine. 72114.............. TC............ A

X-ray exam of lower

0.00 1.19

N/A

0.05

1.24

N/A

XXX spine. 72120.............. .............. A

X-ray exam of lower

0.22 0.96

N/A

0.07

1.25

N/A

XXX spine. 72120.............. 26............ A

X-ray exam of lower

0.22 0.07 0.07

0.02

0.31 0.31

XXX spine. 72120.............. TC............ A

X-ray exam of lower

0.00 0.89

N/A

0.05

0.94

N/A

XXX spine. 72125.............. .............. A

Ct neck spine w/o

1.16 6.30

N/A

0.31

7.77

N/A

XXX dye. 72125.............. 26............ A

Ct neck spine w/o

1.16 0.39 0.39

0.05

1.60 1.60

XXX dye. 72125.............. TC............ A

Ct neck spine w/o

0.00 5.91

N/A

0.26

6.17

N/A

XXX dye. 72126.............. .............. A

Ct neck spine w/dye. 1.22 7.48

N/A

0.36

9.06

N/A

XXX 72126.............. 26............ A

Ct neck spine w/dye. 1.22 0.41 0.41

0.05

1.68 1.68

XXX 72126.............. TC............ A

Ct neck spine w/dye. 0.00 7.07

N/A

0.31

7.38

N/A

XXX 72127.............. .............. A

Ct neck spine w/o&w/ 1.27 9.28

N/A

0.44 10.99

N/A

XXX dye. 72127.............. 26............ A

Ct neck spine w/o&w/ 1.27 0.43 0.43

0.06

1.76 1.76

XXX dye. 72127.............. TC............ A

Ct neck spine w/o&w/ 0.00 8.85

N/A

0.38

9.23

N/A

XXX dye. 72128.............. .............. A

Ct chest spine w/o

1.16 6.30

N/A

0.31

7.77

N/A

XXX dye. 72128.............. 26............ A

Ct chest spine w/o

1.16 0.39 0.39

0.05

1.60 1.60

XXX dye. 72128.............. TC............ A

Ct chest spine w/o

0.00 5.91

N/A

0.26

6.17

N/A

XXX dye. 72129.............. .............. A

Ct chest spine w/dye 1.22 7.48

N/A

0.36

9.06

N/A

XXX 72129.............. 26............ A

Ct chest spine w/dye 1.22 0.41 0.41

0.05

1.68 1.68

XXX 72129.............. TC............ A

Ct chest spine w/dye 0.00 7.07

N/A

0.31

7.38

N/A

XXX 72130.............. .............. A

Ct chest spine w/o&w/ 1.27 9.27

N/A

0.44 10.98

N/A

XXX dye. 72130.............. 26............ A

Ct chest spine w/o&w/ 1.27 0.43 0.43

0.06

1.76 1.76

XXX dye. 72130.............. TC............ A

Ct chest spine w/o&w/ 0.00 8.85

N/A

0.38

9.23

N/A

XXX dye. 72131.............. .............. A

Ct lumbar spine w/o

1.16 6.30

N/A

0.31

7.77

N/A

XXX dye. 72131.............. 26............ A

Ct lumbar spine w/o

1.16 0.39 0.39

0.05

1.60 1.60

XXX dye. 72131.............. TC............ A

Ct lumbar spine w/o

0.00 5.91

N/A

0.26

6.17

N/A

XXX dye. 72132.............. .............. A

Ct lumbar spine w/

1.22 7.48

N/A

0.37

9.07

N/A

XXX dye. 72132.............. 26............ A

Ct lumbar spine w/

1.22 0.41 0.41

0.06

1.69 1.69

XXX dye. 72132.............. TC............ A

Ct lumbar spine w/

0.00 7.07

N/A

0.31

7.38

N/A

XXX dye. 72133.............. .............. A

Ct lumbar spine w/

1.27 9.28

N/A

0.44 10.99

N/A

XXX o&w/dye. 72133.............. 26............ A

Ct lumbar spine w/

1.27 0.43 0.43

0.06

1.76 1.76

XXX o&w/dye. 72133.............. TC............ A

Ct lumbar spine w/

0.00 8.85

N/A

0.38

9.23

N/A

XXX o&w/dye. 72141.............. .............. A

Mri neck spine w/o

1.60 11.75

N/A

0.56 13.91

N/A

XXX dye. 72141.............. 26............ A

Mri neck spine w/o

1.60 0.54 0.54

0.07

2.21 2.21

XXX dye. 72141.............. TC............ A

Mri neck spine w/o

0.00 11.21

N/A

0.49 11.70

N/A

XXX dye. 72142.............. .............. A

Mri neck spine w/dye 1.92 14.10

N/A

0.67 16.69

N/A

XXX 72142.............. 26............ A

Mri neck spine w/dye 1.92 0.66 0.66

0.09

2.67 2.67

XXX 72142.............. TC............ A

Mri neck spine w/dye 0.00 13.44

N/A

0.58 14.02

N/A

XXX 72146.............. .............. A

Mri chest spine w/o

1.60 12.98

N/A

0.60 15.18

N/A

XXX dye. 72146.............. 26............ A

Mri chest spine w/o

1.60 0.54 0.54

0.07

2.21 2.21

XXX dye. 72146.............. TC............ A

Mri chest spine w/o

0.00 12.45

N/A

0.53 12.98

N/A

XXX dye. 72147.............. .............. A

Mri chest spine w/

1.92 14.09

N/A

0.67 16.68

N/A

XXX dye. 72147.............. 26............ A

Mri chest spine w/

1.92 0.65 0.65

0.09

2.66 2.66

XXX dye. 72147.............. TC............ A

Mri chest spine w/

0.00 13.44

N/A

0.58 14.02

N/A

XXX dye. 72148.............. .............. A

Mri lumbar spine w/o 1.48 12.95

N/A

0.60 15.03

N/A

XXX dye. 72148.............. 26............ A

Mri lumbar spine w/o 1.48 0.50 0.50

0.07

2.05 2.05

XXX dye. 72148.............. TC............ A

Mri lumbar spine w/o 0.00 12.45

N/A

0.53 12.98

N/A

XXX dye. 72149.............. .............. A

Mri lumbar spine w/

1.78 14.05

N/A

0.67 16.50

N/A

XXX dye. 72149.............. 26............ A

Mri lumbar spine w/

1.78 0.61 0.61

0.09

2.48 2.48

XXX dye. 72149.............. TC............ A

Mri lumbar spine w/

0.00 13.44

N/A

0.58 14.02

N/A

XXX dye. 72156.............. .............. A

Mri neck spine w/o&w/ 2.57 25.76

N/A

1.20 29.53

N/A

XXX dye. 72156.............. 26............ A

Mri neck spine w/o&w/ 2.57 0.87 0.87

0.11

3.55 3.55

XXX dye. 72156.............. TC............ A

Mri neck spine w/o&w/ 0.00 24.89

N/A

1.09 25.98

N/A

XXX dye. 72157.............. .............. A

Mri chest spine w/

2.57 25.76

N/A

1.20 29.53

N/A

XXX o&w/dye. 72157.............. 26............ A

Mri chest spine w/

2.57 0.86 0.86

0.11

3.54 3.54

XXX o&w/dye. 72157.............. TC............ A

Mri chest spine w/

0.00 24.89

N/A

1.09 25.98

N/A

XXX o&w/dye.

[[Continued on page 49179]]

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

[[pp. 49179-49228]] Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004

[[Continued from page 49178]]

[[Page 49179]]

72158.............. .............. A

Mri lumbar spine w/

2.36 25.69

N/A

1.20 29.25

N/A

XXX o&w/dye. 72158.............. 26............ A

Mri lumbar spine w/

2.36 0.79 0.79

0.11

3.26 3.26

XXX o&w/dye. 72158.............. TC............ A

Mri lumbar spine w/

0.00 24.89

N/A

1.09 25.98

N/A

XXX o&w/dye. 72159.............. .............. N

Mr angio spine w/o&w/ 1.80 13.14

N/A

0.61 15.55

N/A

XXX dye. 72159.............. 26............ N

Mr angio spine w/o&w/ 1.80 0.70 0.70

0.08

2.58 2.58

XXX dye. 72159.............. TC............ N

Mr angio spine w/o&w/ 0.00 12.45

N/A

0.53 12.98

N/A

XXX dye. 72170.............. .............. A

X-ray exam of pelvis 0.17 0.58

N/A

0.03

0.78

N/A

XXX 72170.............. 26............ A

X-ray exam of pelvis 0.17 0.06 0.06

0.01

0.24 0.24

XXX 72170.............. TC............ A

X-ray exam of pelvis 0.00 0.52

N/A

0.02

0.54

N/A

XXX 72190.............. .............. A

X-ray exam of pelvis 0.21 0.74

N/A

0.04

0.99

N/A

XXX 72190.............. 26............ A

X-ray exam of pelvis 0.21 0.07 0.07

0.01

0.29 0.29

XXX 72190.............. TC............ A

X-ray exam of pelvis 0.00 0.67

N/A

0.03

0.70

N/A

XXX 72191.............. .............. A

Ct angiograph pelv w/ 1.81 12.64

N/A

0.38 14.83

N/A

XXX o&w/dye. 72191.............. 26............ A

Ct angiograph pelv w/ 1.81 0.61 0.61

0.06

2.48 2.48

XXX o&w/dye. 72191.............. TC............ A

Ct angiograph pelv w/ 0.00 12.03

N/A

0.32 12.35

N/A

XXX o&w/dye. 72192.............. .............. A

Ct pelvis w/o dye... 1.09 6.27

N/A

0.31

7.67

N/A

XXX 72192.............. 26............ A

Ct pelvis w/o dye... 1.09 0.36 0.36

0.05

1.50 1.50

XXX 72192.............. TC............ A

Ct pelvis w/o dye... 0.00 5.91

N/A

0.26

6.17

N/A

XXX 72193.............. .............. A

Ct pelvis w/dye..... 1.16 7.23

N/A

0.35

8.74

N/A

XXX 72193.............. 26............ A

Ct pelvis w/dye..... 1.16 0.39 0.39

0.05

1.60 1.60

XXX 72193.............. TC............ A

Ct pelvis w/dye..... 0.00 6.85

N/A

0.30

7.15

N/A

XXX 72194.............. .............. A

Ct pelvis w/o&w/dye. 1.22 8.90

N/A

0.41 10.53

N/A

XXX 72194.............. 26............ A

Ct pelvis w/o&w/dye. 1.22 0.41 0.41

0.05

1.68 1.68

XXX 72194.............. TC............ A

Ct pelvis w/o&w/dye. 0.00 8.49

N/A

0.36

8.85

N/A

XXX 72195.............. .............. A

Mri pelvis w/o dye.. 1.46 11.70

N/A

0.42 13.58

N/A

XXX 72195.............. 26............ A

Mri pelvis w/o dye.. 1.46 0.49 0.49

0.05

2.00 2.00

XXX 72195.............. TC............ A

Mri pelvis w/o dye.. 0.00 11.21

N/A

0.37 11.58

N/A

XXX 72196.............. .............. A

Mri pelvis w/dye.... 1.73 14.02

N/A

0.48 16.23

N/A

XXX 72196.............. 26............ A

Mri pelvis w/dye.... 1.73 0.58 0.58

0.05

2.36 2.36

XXX 72196.............. TC............ A

Mri pelvis w/dye.... 0.00 13.44

N/A

0.43 13.87

N/A

XXX 72197.............. .............. A

Mri pelvis w/o & w/

2.26 25.65

N/A

0.84 28.75

N/A

XXX dye. 72197.............. 26............ A

Mri pelvis w/o & w/

2.26 0.76 0.76

0.08

3.10 3.10

XXX dye. 72197.............. TC............ A

Mri pelvis w/o & w/

0.00 24.89

N/A

0.76 25.65

N/A

XXX dye. 72198.............. .............. A

Mr angio pelvis w/

1.80 11.91

N/A

0.57 14.28

N/A

XXX o&w/dye. 72198.............. 26............ A

Mr angio pelvis w/

1.80 0.70 0.70

0.08

2.58 2.58

XXX o&w/dye. 72198.............. TC............ A

Mr angio pelvis w/

0.00 11.21

N/A

0.49 11.70

N/A

XXX o&w/dye. 72200.............. .............. A

X-ray exam

0.17 0.58

N/A

0.03

0.78

N/A

XXX sacroiliac joints. 72200.............. 26............ A

X-ray exam

0.17 0.06 0.06

0.01

0.24 0.24

XXX sacroiliac joints. 72200.............. TC............ A

X-ray exam

0.00 0.52

N/A

0.02

0.54

N/A

XXX sacroiliac joints. 72202.............. .............. A

X-ray exam

0.19 0.68

N/A

0.04

0.91

N/A

XXX sacroiliac joints. 72202.............. 26............ A

X-ray exam

0.19 0.06 0.06

0.01

0.26 0.26

XXX sacroiliac joints. 72202.............. TC............ A

X-ray exam

0.00 0.62

N/A

0.03

0.65

N/A

XXX sacroiliac joints. 72220.............. .............. A

X-ray exam of

0.17 0.63

N/A

0.04

0.84

N/A

XXX tailbone. 72220.............. 26............ A

X-ray exam of

0.17 0.06 0.06

0.01

0.24 0.24

XXX tailbone. 72220.............. TC............ A

X-ray exam of

0.00 0.57

N/A

0.03

0.60

N/A

XXX tailbone. 72240.............. .............. A

Contrast x-ray of

0.91 5.04

N/A

0.25

6.20

N/A

XXX neck spine. 72240.............. 26............ A

Contrast x-ray of

0.91 0.29 0.29

0.04

1.24 1.24

XXX neck spine. 72240.............. TC............ A

Contrast x-ray of

0.00 4.75

N/A

0.21

4.96

N/A

XXX neck spine. 72255.............. .............. A

Contrast x-ray,

0.91 4.61

N/A

0.22

5.74

N/A

XXX thorax spine.

[[Page 49180]]

72255.............. 26............ A

Contrast x-ray,

0.91 0.28 0.28

0.04

1.23 1.23

XXX thorax spine. 72255.............. TC............ A

Contrast x-ray,

0.00 4.33

N/A

0.18

4.51

N/A

XXX thorax spine. 72265.............. .............. A

Contrast x-ray,

0.83 4.33

N/A

0.22

5.38

N/A

XXX lower spine. 72265.............. 26............ A

Contrast x-ray,

0.83 0.26 0.26

0.04

1.13 1.13

XXX lower spine. 72265.............. TC............ A

Contrast x-ray,

0.00 4.07

N/A

0.18

4.25

N/A

XXX lower spine. 72270.............. .............. A

Contrast x-ray of

1.33 6.53

N/A

0.34

8.20

N/A

XXX spine. 72270.............. 26............ A

Contrast x-ray of

1.33 0.43 0.43

0.07

1.83 1.83

XXX spine. 72270.............. TC............ A

Contrast x-ray of

0.00 6.10

N/A

0.27

6.37

N/A

XXX spine. 72275.............. .............. A

Epidurography....... 0.76 2.30

N/A

0.21

3.27

N/A

XXX 72275.............. 26............ A

Epidurography....... 0.76 0.20 0.20

0.03

0.99 0.99

XXX 72275.............. TC............ A

Epidurography....... 0.00 2.10

N/A

0.18

2.28

N/A

XXX 72285.............. .............. A

X-ray c/t spine disk 1.16 8.75

N/A

0.42 10.33

N/A

XXX 72285.............. 26............ A

X-ray c/t spine disk 1.16 0.36 0.36

0.06

1.58 1.58

XXX 72285.............. TC............ A

X-ray c/t spine disk 0.00 8.38

N/A

0.36

8.74

N/A

XXX 72295.............. .............. A

X-ray of lower spine 0.83 8.14

N/A

0.37

9.34

N/A

XXX disk. 72295.............. 26............ A

X-ray of lower spine 0.83 0.27 0.27

0.04

1.14 1.14

XXX disk. 72295.............. TC............ A

X-ray of lower spine 0.00 7.86

N/A

0.33

8.19

N/A

XXX disk. 73000.............. .............. A

X-ray exam of collar 0.16 0.58

N/A

0.03

0.77

N/A

XXX bone. 73000.............. 26............ A

X-ray exam of collar 0.16 0.05 0.05

0.01

0.22 0.22

XXX bone. 73000.............. TC............ A

X-ray exam of collar 0.00 0.52

N/A

0.02

0.54

N/A

XXX bone. 73010.............. .............. A

X-ray exam of

0.17 0.58

N/A

0.03

0.78

N/A

XXX shoulder blade. 73010.............. 26............ A

X-ray exam of

0.17 0.06 0.06

0.01

0.24 0.24

XXX shoulder blade. 73010.............. TC............ A

X-ray exam of

0.00 0.52

N/A

0.02

0.54

N/A

XXX shoulder blade. 73020.............. .............. A

X-ray exam of

0.15 0.52

N/A

0.03

0.70

N/A

XXX shoulder. 73020.............. 26............ A

X-ray exam of

0.15 0.05 0.05

0.01

0.21 0.21

XXX shoulder. 73020.............. TC............ A

X-ray exam of

0.00 0.47

N/A

0.02

0.49

N/A

XXX shoulder. 73030.............. .............. A

X-ray exam of

0.18 0.63

N/A

0.04

0.85

N/A

XXX shoulder. 73030.............. 26............ A

X-ray exam of

0.18 0.06 0.06

0.01

0.25 0.25

XXX shoulder. 73030.............. TC............ A

X-ray exam of

0.00 0.57

N/A

0.03

0.60

N/A

XXX shoulder. 73040.............. .............. A

Contrast x-ray of

0.54 2.28

N/A

0.13

2.95

N/A

XXX shoulder. 73040.............. 26............ A

Contrast x-ray of

0.54 0.18 0.18

0.03

0.75 0.75

XXX shoulder. 73040.............. TC............ A

Contrast x-ray of

0.00 2.10

N/A

0.10

2.20

N/A

XXX shoulder. 73050.............. .............. A

X-ray exam of

0.20 0.74

N/A

0.05

0.99

N/A

XXX shoulders. 73050.............. 26............ A

X-ray exam of

0.20 0.07 0.07

0.02

0.29 0.29

XXX shoulders. 73050.............. TC............ A

X-ray exam of

0.00 0.67

N/A

0.03

0.70

N/A

XXX shoulders. 73060.............. .............. A

X-ray exam of

0.17 0.63

N/A

0.04

0.84

N/A

XXX humerus. 73060.............. 26............ A

X-ray exam of

0.17 0.06 0.06

0.01

0.24 0.24

XXX humerus. 73060.............. TC............ A

X-ray exam of

0.00 0.57

N/A

0.03

0.60

N/A

XXX humerus. 73070.............. .............. A

X-ray exam of elbow. 0.15 0.57

N/A

0.03

0.75

N/A

XXX 73070.............. 26............ A

X-ray exam of elbow. 0.15 0.05 0.05

0.01

0.21 0.21

XXX 73070.............. TC............ A

X-ray exam of elbow. 0.00 0.52

N/A

0.02

0.54

N/A

XXX 73080.............. .............. A

X-ray exam of elbow. 0.17 0.63

N/A

0.04

0.84

N/A

XXX 73080.............. 26............ A

X-ray exam of elbow. 0.17 0.06 0.06

0.01

0.24 0.24

XXX 73080.............. TC............ A

X-ray exam of elbow. 0.00 0.57

N/A

0.03

0.60

N/A

XXX 73085.............. .............. A

Contrast x-ray of

0.54 2.29

N/A

0.13

2.96

N/A

XXX elbow. 73085.............. 26............ A

Contrast x-ray of

0.54 0.19 0.19

0.03

0.76 0.76

XXX elbow. 73085.............. TC............ A

Contrast x-ray of

0.00 2.10

N/A

0.10

2.20

N/A

XXX elbow. 73090.............. .............. A

X-ray exam of

0.16 0.58

N/A

0.03

0.77

N/A

XXX forearm. 73090.............. 26............ A

X-ray exam of

0.16 0.05 0.05

0.01

0.22 0.22

XXX forearm. 73090.............. TC............ A

X-ray exam of

0.00 0.52

N/A

0.02

0.54

N/A

XXX forearm. 73092.............. .............. A

X-ray exam of arm,

0.16 0.55

N/A

0.03

0.74

N/A

XXX infant. 73092.............. 26............ A

X-ray exam of arm,

0.16 0.05 0.05

0.01

0.22 0.22

XXX infant. 73092.............. TC............ A

X-ray exam of arm,

0.00 0.49

N/A

0.02

0.51

N/A

XXX infant. 73100.............. .............. A

X-ray exam of wrist. 0.16 0.55

N/A

0.04

0.75

N/A

XXX 73100.............. 26............ A

X-ray exam of wrist. 0.16 0.06 0.06

0.02

0.24 0.24

XXX 73100.............. TC............ A

X-ray exam of wrist. 0.00 0.49

N/A

0.02

0.51

N/A

XXX 73110.............. .............. A

X-ray exam of wrist. 0.17 0.59

N/A

0.03

0.79

N/A

XXX 73110.............. 26............ A

X-ray exam of wrist. 0.17 0.06 0.06

0.01

0.24 0.24

XXX 73110.............. TC............ A

X-ray exam of wrist. 0.00 0.53

N/A

0.02

0.55

N/A

XXX 73115.............. .............. A

Contrast x-ray of

0.54 1.76

N/A

0.11

2.41

N/A

XXX wrist. 73115.............. 26............ A

Contrast x-ray of

0.54 0.19 0.19

0.03

0.76 0.76

XXX wrist.

[[Page 49181]]

73115.............. TC............ A

Contrast x-ray of

0.00 1.58

N/A

0.08

1.66

N/A

XXX wrist. 73120.............. .............. A

X-ray exam of hand.. 0.16 0.55

N/A

0.03

0.74

N/A

XXX 73120.............. 26............ A

X-ray exam of hand.. 0.16 0.06 0.06

0.01

0.23 0.23

XXX 73120.............. TC............ A

X-ray exam of hand.. 0.00 0.49

N/A

0.02

0.51

N/A

XXX 73130.............. .............. A

X-ray exam of hand.. 0.17 0.59

N/A

0.03

0.79

N/A

XXX 73130.............. 26............ A

X-ray exam of hand.. 0.17 0.06 0.06

0.01

0.24 0.24

XXX 73130.............. TC............ A

X-ray exam of hand.. 0.00 0.53

N/A

0.02

0.55

N/A

XXX 73140.............. .............. A

X-ray exam of

0.13 0.46

N/A

0.03

0.62

N/A

XXX finger(s). 73140.............. 26............ A

X-ray exam of

0.13 0.04 0.04

0.01

0.18 0.18

XXX finger(s). 73140.............. TC............ A

X-ray exam of

0.00 0.42

N/A

0.02

0.44

N/A

XXX finger(s). 73200.............. .............. A

Ct upper extremity w/ 1.09 5.33

N/A

0.26

6.68

N/A

XXX o dye. 73200.............. 26............ A

Ct upper extremity w/ 1.09 0.37 0.37

0.05

1.51 1.51

XXX o dye. 73200.............. TC............ A

Ct upper extremity w/ 0.00 4.96

N/A

0.21

5.17

N/A

XXX o dye. 73201.............. .............. A

Ct upper extremity w/ 1.16 6.30

N/A

0.31

7.77

N/A

XXX dye. 73201.............. 26............ A

Ct upper extremity w/ 1.16 0.39 0.39

0.05

1.60 1.60

XXX dye. 73201.............. TC............ A

Ct upper extremity w/ 0.00 5.91

N/A

0.26

6.17

N/A

XXX dye. 73202.............. .............. A

Ct uppr extremity w/ 1.22 7.84

N/A

0.38

9.44

N/A

XXX o&w/dye. 73202.............. 26............ A

Ct uppr extremity w/ 1.22 0.41 0.41

0.06

1.69 1.69

XXX o&w/dye. 73202.............. TC............ A

Ct uppr extremity w/ 0.00 7.43

N/A

0.32

7.75

N/A

XXX o&w/dye. 73206.............. .............. A

Ct angio upr extrm w/ 1.81 11.57

N/A

0.38 13.76

N/A

XXX o&w/dye. 73206.............. 26............ A

Ct angio upr extrm w/ 1.81 0.61 0.61

0.06

2.48 2.48

XXX o&w/dye. 73206.............. TC............ A

Ct angio upr extrm w/ 0.00 10.97

N/A

0.32 11.29

N/A

XXX o&w/dye. 73218.............. .............. A

Mri upper extremity

1.35 11.66

N/A

0.36 13.37

N/A

XXX w/o dye. 73218.............. 26............ A

Mri upper extremity

1.35 0.45 0.45

0.04

1.84 1.84

XXX w/o dye. 73218.............. TC............ A

Mri upper extremity

0.00 11.21

N/A

0.32 11.53

N/A

XXX w/o dye. 73219.............. .............. A

Mri upper extremity

1.62 13.99

N/A

0.44 16.05

N/A

XXX w/dye. 73219.............. 26............ A

Mri upper extremity

1.62 0.55 0.55

0.05

2.22 2.22

XXX w/dye. 73219.............. TC............ A

Mri upper extremity

0.00 13.44

N/A

0.39 13.83

N/A

XXX w/dye. 73220.............. .............. A

Mri uppr extremity w/ 2.15 25.62

N/A

0.78 28.55

N/A

XXX o&w/dye. 73220.............. 26............ A

Mri uppr extremity w/ 2.15 0.73 0.73

0.08

2.96 2.96

XXX o&w/dye. 73220.............. TC............ A

Mri uppr extremity w/ 0.00 24.89

N/A

0.70 25.59

N/A

XXX o&w/dye. 73221.............. .............. A

Mri joint upr extrem 1.35 11.66

N/A

0.36 13.37

N/A

XXX w/o dye. 73221.............. 26............ A

Mri joint upr extrem 1.35 0.46 0.46

0.04

1.85 1.85

XXX w/o dye. 73221.............. TC............ A

Mri joint upr extrem 0.00 11.21

N/A

0.32 11.53

N/A

XXX w/o dye. 73222.............. .............. A

Mri joint upr extrem 1.62 13.99

N/A

0.44 16.05

N/A

XXX w/dye. 73222.............. 26............ A

Mri joint upr extrem 1.62 0.54 0.54

0.05

2.21 2.21

XXX w/dye. 73222.............. TC............ A

Mri joint upr extrem 0.00 13.44

N/A

0.39 13.83

N/A

XXX w/dye. 73223.............. .............. A

Mri joint upr extr w/ 2.15 25.62

N/A

0.77 28.54

N/A

XXX o&w/dye. 73223.............. 26............ A

Mri joint upr extr w/ 2.15 0.73 0.73

0.07

2.95 2.95

XXX o&w/dye. 73223.............. TC............ A

Mri joint upr extr w/ 0.00 24.89

N/A

0.70 25.59

N/A

XXX o&w/dye. 73225.............. .............. N

Mr angio upr extr w/ 1.73 11.88

N/A

0.57 14.18

N/A

XXX o&w/dye. 73225.............. 26............ N

Mr angio upr extr w/ 1.73 0.67 0.67

0.08

2.48 2.48

XXX o&w/dye.

[[Page 49182]]

73225.............. TC............ N

Mr angio upr extr w/ 0.00 11.21

N/A

0.49 11.70

N/A

XXX o&w/dye. 73500.............. .............. A

X-ray exam of hip... 0.17 0.53

N/A

0.03

0.73

N/A

XXX 73500.............. 26............ A

X-ray exam of hip... 0.17 0.06 0.06

0.01

0.24 0.24

XXX 73500.............. TC............ A

X-ray exam of hip... 0.00 0.47

N/A

0.02

0.49

N/A

XXX 73510.............. .............. A

X-ray exam of hip... 0.21 0.64

N/A

0.05

0.90

N/A

XXX 73510.............. 26............ A

X-ray exam of hip... 0.21 0.07 0.07

0.02

0.30 0.30

XXX 73510.............. TC............ A

X-ray exam of hip... 0.00 0.57

N/A

0.03

0.60

N/A

XXX 73520.............. .............. A

X-ray exam of hips.. 0.26 0.76

N/A

0.05

1.07

N/A

XXX 73520.............. 26............ A

X-ray exam of hips.. 0.26 0.09 0.09

0.02

0.37 0.37

XXX 73520.............. TC............ A

X-ray exam of hips.. 0.00 0.67

N/A

0.03

0.70

N/A

XXX 73525.............. .............. A

Contrast x-ray of

0.54 2.28

N/A

0.13

2.95

N/A

XXX hip. 73525.............. 26............ A

Contrast x-ray of

0.54 0.18 0.18

0.03

0.75 0.75

XXX hip. 73525.............. TC............ A

Contrast x-ray of

0.00 2.10

N/A

0.10

2.20

N/A

XXX hip. 73530.............. .............. A

X-ray exam of hip... 0.29 0.62

N/A

0.03

0.94

N/A

XXX 73530.............. 26............ A

X-ray exam of hip... 0.29 0.10 0.10

0.01

0.40 0.40

XXX 73530.............. TC............ A

X-ray exam of hip... 0.00 0.52

N/A

0.02

0.54

N/A

XXX 73540.............. .............. A

X-ray exam of pelvis 0.20 0.64

N/A

0.05

0.89

N/A

XXX & hips. 73540.............. 26............ A

X-ray exam of pelvis 0.20 0.07 0.07

0.02

0.29 0.29

XXX & hips. 73540.............. TC............ A

X-ray exam of pelvis 0.00 0.57

N/A

0.03

0.60

N/A

XXX & hips. 73542.............. .............. A

X-ray exam,

0.59 2.26

N/A

0.13

2.98

N/A

XXX sacroiliac joint. 73542.............. 26............ A

X-ray exam,

0.59 0.16 0.16

0.03

0.78 0.78

XXX sacroiliac joint. 73542.............. TC............ A

X-ray exam,

0.00 2.10

N/A

0.10

2.20

N/A

XXX sacroiliac joint. 73550.............. .............. A

X-ray exam of thigh. 0.17 0.63

N/A

0.04

0.84

N/A

XXX 73550.............. 26............ A

X-ray exam of thigh. 0.17 0.06 0.06

0.01

0.24 0.24

XXX 73550.............. TC............ A

X-ray exam of thigh. 0.00 0.57

N/A

0.03

0.60

N/A

XXX 73560.............. .............. A

X-ray exam of knee,

0.17 0.58

N/A

0.04

0.79

N/A

XXX 1 or 2. 73560.............. 26............ A

X-ray exam of knee,

0.17 0.06 0.06

0.02

0.25 0.25

XXX 1 or 2. 73560.............. TC............ A

X-ray exam of knee,

0.00 0.52

N/A

0.02

0.54

N/A

XXX 1 or 2. 73562.............. .............. A

X-ray exam of knee,

0.18 0.63

N/A

0.05

0.86

N/A

XXX 3. 73562.............. 26............ A

X-ray exam of knee,

0.18 0.06 0.06

0.02

0.26 0.26

XXX 3. 73562.............. TC............ A

X-ray exam of knee,

0.00 0.57

N/A

0.03

0.60

N/A

XXX 3. 73564.............. .............. A

X-ray exam, knee, 4

0.22 0.70

N/A

0.05

0.97

N/A

XXX or more. 73564.............. 26............ A

X-ray exam, knee, 4

0.22 0.08 0.08

0.02

0.32 0.32

XXX or more. 73564.............. TC............ A

X-ray exam, knee, 4

0.00 0.62

N/A

0.03

0.65

N/A

XXX or more. 73565.............. .............. A

X-ray exam of knees. 0.17 0.56

N/A

0.04

0.77

N/A

XXX 73565.............. 26............ A

X-ray exam of knees. 0.17 0.06 0.06

0.02

0.25 0.25

XXX 73565.............. TC............ A

X-ray exam of knees. 0.00 0.49

N/A

0.02

0.51

N/A

XXX 73580.............. .............. A

Contrast x-ray of

0.54 2.80

N/A

0.15

3.49

N/A

XXX knee joint. 73580.............. 26............ A

Contrast x-ray of

0.54 0.18 0.18

0.03

0.75 0.75

XXX knee joint. 73580.............. TC............ A

Contrast x-ray of

0.00 2.62

N/A

0.12

2.74

N/A

XXX knee joint. 73590.............. .............. A

X-ray exam of lower

0.17 0.58

N/A

0.03

0.78

N/A

XXX leg. 73590.............. 26............ A

X-ray exam of lower

0.17 0.06 0.06

0.01

0.24 0.24

XXX leg. 73590.............. TC............ A

X-ray exam of lower

0.00 0.52

N/A

0.02

0.54

N/A

XXX leg. 73592.............. .............. A

X-ray exam of leg,

0.16 0.55

N/A

0.03

0.74

N/A

XXX infant. 73592.............. 26............ A

X-ray exam of leg,

0.16 0.06 0.06

0.01

0.23 0.23

XXX infant. 73592.............. TC............ A

X-ray exam of leg,

0.00 0.49

N/A

0.02

0.51

N/A

XXX infant. 73600.............. .............. A

X-ray exam of ankle. 0.16 0.55

N/A

0.03

0.74

N/A

XXX 73600.............. 26............ A

X-ray exam of ankle. 0.16 0.06 0.06

0.01

0.23 0.23

XXX 73600.............. TC............ A

X-ray exam of ankle. 0.00 0.49

N/A

0.02

0.51

N/A

XXX 73610.............. .............. A

X-ray exam of ankle. 0.17 0.59

N/A

0.03

0.79

N/A

XXX

[[Page 49183]]

73610.............. 26............ A

X-ray exam of ankle. 0.17 0.06 0.06

0.01

0.24 0.24

XXX 73610.............. TC............ A

X-ray exam of ankle. 0.00 0.53

N/A

0.02

0.55

N/A

XXX 73615.............. .............. A

Contrast x-ray of

0.54 2.29

N/A

0.13

2.96

N/A

XXX ankle. 73615.............. 26............ A

Contrast x-ray of

0.54 0.19 0.19

0.03

0.76 0.76

XXX ankle. 73615.............. TC............ A

Contrast x-ray of

0.00 2.10

N/A

0.10

2.20

N/A

XXX ankle. 73620.............. .............. A

X-ray exam of foot.. 0.16 0.55

N/A

0.03

0.74

N/A

XXX 73620.............. 26............ A

X-ray exam of foot.. 0.16 0.05 0.05

0.01

0.22 0.22

XXX 73620.............. TC............ A

X-ray exam of foot.. 0.00 0.49

N/A

0.02

0.51

N/A

XXX 73630.............. .............. A

X-ray exam of foot.. 0.17 0.59

N/A

0.03

0.79

N/A

XXX 73630.............. 26............ A

X-ray exam of foot.. 0.17 0.06 0.06

0.01

0.24 0.24

XXX 73630.............. TC............ A

X-ray exam of foot.. 0.00 0.53

N/A

0.02

0.55

N/A

XXX 73650.............. .............. A

X-ray exam of heel.. 0.16 0.53

N/A

0.03

0.72

N/A

XXX 73650.............. 26............ A

X-ray exam of heel.. 0.16 0.05 0.05

0.01

0.22 0.22

XXX 73650.............. TC............ A

X-ray exam of heel.. 0.00 0.47

N/A

0.02

0.49

N/A

XXX 73660.............. .............. A

X-ray exam of toe(s) 0.13 0.46

N/A

0.03

0.62

N/A

XXX 73660.............. 26............ A

X-ray exam of toe(s) 0.13 0.04 0.04

0.01

0.18 0.18

XXX 73660.............. TC............ A

X-ray exam of toe(s) 0.00 0.42

N/A

0.02

0.44

N/A

XXX 73700.............. .............. A

Ct lower extremity w/ 1.09 5.33

N/A

0.26

6.68

N/A

XXX o dye. 73700.............. 26............ A

Ct lower extremity w/ 1.09 0.36 0.36

0.05

1.50 1.50

XXX o dye. 73700.............. TC............ A

Ct lower extremity w/ 0.00 4.96

N/A

0.21

5.17

N/A

XXX o dye. 73701.............. .............. A

Ct lower extremity w/ 1.16 6.30

N/A

0.31

7.77

N/A

XXX dye. 73701.............. 26............ A

Ct lower extremity w/ 1.16 0.39 0.39

0.05

1.60 1.60

XXX dye. 73701.............. TC............ A

Ct lower extremity w/ 0.00 5.91

N/A

0.26

6.17

N/A

XXX dye. 73702.............. .............. A

Ct lwr extremity w/

1.22 7.84

N/A

0.37

9.43

N/A

XXX o&w/dye. 73702.............. 26............ A

Ct lwr extremity w/

1.22 0.41 0.41

0.05

1.68 1.68

XXX o&w/dye. 73702.............. TC............ A

Ct lwr extremity w/

0.00 7.43

N/A

0.32

7.75

N/A

XXX o&w/dye. 73706.............. .............. A

Ct angio lwr extr w/ 1.90 11.60

N/A

0.38 13.88

N/A

XXX o&w/dye. 73706.............. 26............ A

Ct angio lwr extr w/ 1.90 0.64 0.64

0.06

2.60 2.60

XXX o&w/dye. 73706.............. TC............ A

Ct angio lwr extr w/ 0.00 10.97

N/A

0.32 11.29

N/A

XXX o&w/dye. 73718.............. .............. A

Mri lower extremity

1.35 11.66

N/A

0.36 13.37

N/A

XXX w/o dye. 73718.............. 26............ A

Mri lower extremity

1.35 0.45 0.45

0.04

1.84 1.84

XXX w/o dye. 73718.............. TC............ A

Mri lower extremity

0.00 11.21

N/A

0.32 11.53

N/A

XXX w/o dye. 73719.............. .............. A

Mri lower extremity

1.62 13.99

N/A

0.44 16.05

N/A

XXX w/dye. 73719.............. 26............ A

Mri lower extremity

1.62 0.54 0.54

0.05

2.21 2.21

XXX w/dye. 73719.............. TC............ A

Mri lower extremity

0.00 13.44

N/A

0.39 13.83

N/A

XXX w/dye. 73720.............. .............. A

Mri lwr extremity w/ 2.15 25.61

N/A

0.78 28.54

N/A

XXX o&w/dye. 73720.............. 26............ A

Mri lwr extremity w/ 2.15 0.72 0.72

0.08

2.95 2.95

XXX o&w/dye. 73720.............. TC............ A

Mri lwr extremity w/ 0.00 24.89

N/A

0.70 25.59

N/A

XXX o&w/dye. 73721.............. .............. A

Mri jnt of lwr extre 1.35 11.66

N/A

0.36 13.37

N/A

XXX w/o dye. 73721.............. 26............ A

Mri jnt of lwr extre 1.35 0.46 0.46

0.04

1.85 1.85

XXX w/o dye. 73721.............. TC............ A

Mri jnt of lwr extre 0.00 11.21

N/A

0.32 11.53

N/A

XXX w/o dye. 73722.............. .............. A

Mri joint of lwr

1.62 13.99

N/A

0.45 16.06

N/A

XXX extr w/dye. 73722.............. 26............ A

Mri joint of lwr

1.62 0.55 0.55

0.06

2.23 2.23

XXX extr w/dye. 73722.............. TC............ A

Mri joint of lwr

0.00 13.44

N/A

0.39 13.83

N/A

XXX extr w/dye. 73723.............. .............. A

Mri joint lwr extr w/ 2.15 25.62

N/A

0.77 28.54

N/A

XXX o&w/dye. 73723.............. 26............ A

Mri joint lwr extr w/ 2.15 0.73 0.73

0.07

2.95 2.95

XXX o&w/dye. 73723.............. TC............ A

Mri joint lwr extr w/ 0.00 24.89

N/A

0.70 25.59

N/A

XXX o&w/dye. 73725.............. .............. R

Mr ang lwr ext w or

1.82 11.82

N/A

0.57 14.21

N/A

XXX w/o dye. 73725.............. 26............ R

Mr ang lwr ext w or

1.82 0.61 0.61

0.08

2.51 2.51

XXX w/o dye.

[[Page 49184]]

73725.............. TC............ R

Mr ang lwr ext w or

0.00 11.21

N/A

0.49 11.70

N/A

XXX w/o dye. 74000.............. .............. A

X-ray exam of

0.18 0.58

N/A

0.03

0.79

N/A

XXX abdomen. 74000.............. 26............ A

X-ray exam of

0.18 0.06 0.06

0.01

0.25 0.25

XXX abdomen. 74000.............. TC............ A

X-ray exam of

0.00 0.52

N/A

0.02

0.54

N/A

XXX abdomen. 74010.............. .............. A

X-ray exam of

0.23 0.65

N/A

0.04

0.92

N/A

XXX abdomen. 74010.............. 26............ A

X-ray exam of

0.23 0.08 0.08

0.01

0.32 0.32

XXX abdomen. 74010.............. TC............ A

X-ray exam of

0.00 0.57

N/A

0.03

0.60

N/A

XXX abdomen. 74020.............. .............. A

X-ray exam of

0.27 0.71

N/A

0.04

1.02

N/A

XXX abdomen. 74020.............. 26............ A

X-ray exam of

0.27 0.09 0.09

0.01

0.37 0.37

XXX abdomen. 74020.............. TC............ A

X-ray exam of

0.00 0.62

N/A

0.03

0.65

N/A

XXX abdomen. 74022.............. .............. A

X-ray exam series,

0.32 0.84

N/A

0.05

1.21

N/A

XXX abdomen. 74022.............. 26............ A

X-ray exam series,

0.32 0.11 0.11

0.01

0.44 0.44

XXX abdomen. 74022.............. TC............ A

X-ray exam series,

0.00 0.73

N/A

0.04

0.77

N/A

XXX abdomen. 74150.............. .............. A

Ct abdomen w/o dye.. 1.19 6.06

N/A

0.30

7.55

N/A

XXX 74150.............. 26............ A

Ct abdomen w/o dye.. 1.19 0.40 0.40

0.05

1.64 1.64

XXX 74150.............. TC............ A

Ct abdomen w/o dye.. 0.00 5.66

N/A

0.25

5.91

N/A

XXX 74160.............. .............. A

Ct abdomen w/dye.... 1.27 7.27

N/A

0.36

8.90

N/A

XXX 74160.............. 26............ A

Ct abdomen w/dye.... 1.27 0.42 0.42

0.06

1.75 1.75

XXX 74160.............. TC............ A

Ct abdomen w/dye.... 0.00 6.85

N/A

0.30

7.15

N/A

XXX 74170.............. .............. A

Ct abdomen w/o&w/dye 1.40 8.96

N/A

0.42 10.78

N/A

XXX 74170.............. 26............ A

Ct abdomen w/o&w/dye 1.40 0.47 0.47

0.06

1.93 1.93

XXX 74170.............. TC............ A

Ct abdomen w/o&w/dye 0.00 8.49

N/A

0.36

8.85

N/A

XXX 74175.............. .............. A

Ct angio abdom w/o&w/ 1.90 12.67

N/A

0.38 14.95

N/A

XXX dye. 74175.............. 26............ A

Ct angio abdom w/o&w/ 1.90 0.64 0.64

0.06

2.60 2.60

XXX dye. 74175.............. TC............ A

Ct angio abdom w/o&w/ 0.00 12.03

N/A

0.32 12.35

N/A

XXX dye. 74181.............. .............. A

Mri abdomen w/o dye. 1.46 11.70

N/A

0.43 13.59

N/A

XXX 74181.............. 26............ A

Mri abdomen w/o dye. 1.46 0.49 0.49

0.06

2.01 2.01

XXX 74181.............. TC............ A

Mri abdomen w/o dye. 0.00 11.21

N/A

0.37 11.58

N/A

XXX 74182.............. .............. A

Mri abdomen w/dye... 1.73 14.02

N/A

0.49 16.24

N/A

XXX 74182.............. 26............ A

Mri abdomen w/dye... 1.73 0.58 0.58

0.06

2.37 2.37

XXX 74182.............. TC............ A

Mri abdomen w/dye... 0.00 13.44

N/A

0.43 13.87

N/A

XXX 74183.............. .............. A

Mri abdomen w/o&w/

2.26 25.65

N/A

0.84 28.75

N/A

XXX dye. 74183.............. 26............ A

Mri abdomen w/o&w/

2.26 0.76 0.76

0.08

3.10 3.10

XXX dye. 74183.............. TC............ A

Mri abdomen w/o&w/

0.00 24.89

N/A

0.76 25.65

N/A

XXX dye. 74185.............. .............. R

Mri angio, abdom w

1.80 11.81

N/A

0.57 14.18

N/A

XXX or w/o dy. 74185.............. 26............ R

Mri angio, abdom w

1.80 0.60 0.60

0.08

2.48 2.48

XXX or w/o dy. 74185.............. TC............ R

Mri angio, abdom w

0.00 11.21

N/A

0.49 11.70

N/A

XXX or w/o dy. 74190.............. .............. A

X-ray exam of

0.48 1.47

N/A

0.08

2.03

N/A

XXX peritoneum. 74190.............. 26............ A

X-ray exam of

0.48 0.16 0.16

0.02

0.66 0.66

XXX peritoneum. 74190.............. TC............ A

X-ray exam of

0.00 1.31

N/A

0.06

1.37

N/A

XXX peritoneum. 74210.............. .............. A

Contrst x-ray exam

0.36 1.31

N/A

0.07

1.74

N/A

XXX of throat. 74210.............. 26............ A

Contrst x-ray exam

0.36 0.12 0.12

0.02

0.50 0.50

XXX of throat. 74210.............. TC............ A

Contrst x-ray exam

0.00 1.19

N/A

0.05

1.24

N/A

XXX of throat. 74220.............. .............. A

Contrast x-ray,

0.46 1.34

N/A

0.07

1.87

N/A

XXX esophagus. 74220.............. 26............ A

Contrast x-ray,

0.46 0.15 0.15

0.02

0.63 0.63

XXX esophagus. 74220.............. TC............ A

Contrast x-ray,

0.00 1.19

N/A

0.05

1.24

N/A

XXX esophagus. 74230.............. .............. A

Cine/vid x-ray,

0.53 1.48

N/A

0.08

2.09

N/A

XXX throat/esoph. 74230.............. 26............ A

Cine/vid x-ray,

0.53 0.18 0.18

0.02

0.73 0.73

XXX throat/esoph. 74230.............. TC............ A

Cine/vid x-ray,

0.00 1.31

N/A

0.06

1.37

N/A

XXX throat/esoph.

[[Page 49185]]

74235.............. .............. A

Remove esophagus

1.19 3.02

N/A

0.17

4.38

N/A

XXX obstruction. 74235.............. 26............ A

Remove esophagus

1.19 0.40 0.40

0.05

1.64 1.64

XXX obstruction. 74235.............. TC............ A

Remove esophagus

0.00 2.62

N/A

0.12

2.74

N/A

XXX obstruction. 74240.............. .............. A

X-ray exam, upper gi 0.69 1.69

N/A

0.10

2.48

N/A

XXX tract. 74240.............. 26............ A

X-ray exam, upper gi 0.69 0.23 0.23

0.03

0.95 0.95

XXX tract. 74240.............. TC............ A

X-ray exam, upper gi 0.00 1.46

N/A

0.07

1.53

N/A

XXX tract. 74241.............. .............. A

X-ray exam, upper gi 0.69 1.72

N/A

0.10

2.51

N/A

XXX tract. 74241.............. 26............ A

X-ray exam, upper gi 0.69 0.23 0.23

0.03

0.95 0.95

XXX tract. 74241.............. TC............ A

X-ray exam, upper gi 0.00 1.49

N/A

0.07

1.56

N/A

XXX tract. 74245.............. .............. A

X-ray exam, upper gi 0.91 2.68

N/A

0.15

3.74

N/A

XXX tract. 74245.............. 26............ A

X-ray exam, upper gi 0.91 0.30 0.30

0.04

1.25 1.25

XXX tract. 74245.............. TC............ A

X-ray exam, upper gi 0.00 2.38

N/A

0.11

2.49

N/A

XXX tract. 74246.............. .............. A

Contrst x-ray uppr

0.69 1.87

N/A

0.11

2.67

N/A

XXX gi tract. 74246.............. 26............ A

Contrst x-ray uppr

0.69 0.23 0.23

0.03

0.95 0.95

XXX gi tract. 74246.............. TC............ A

Contrst x-ray uppr

0.00 1.64

N/A

0.08

1.72

N/A

XXX gi tract. 74247.............. .............. A

Contrst x-ray uppr

0.69 1.91

N/A

0.12

2.72

N/A

XXX gi tract. 74247.............. 26............ A

Contrst x-ray uppr

0.69 0.23 0.23

0.03

0.95 0.95

XXX gi tract. 74247.............. TC............ A

Contrst x-ray uppr

0.00 1.68

N/A

0.09

1.77

N/A

XXX gi tract. 74249.............. .............. A

Contrst x-ray uppr

0.91 2.88

N/A

0.16

3.95

N/A

XXX gi tract. 74249.............. 26............ A

Contrst x-ray uppr

0.91 0.30 0.30

0.04

1.25 1.25

XXX gi tract. 74249.............. TC............ A

Contrst x-ray uppr

0.00 2.57

N/A

0.12

2.69

N/A

XXX gi tract. 74250.............. .............. A

X-ray exam of small

0.47 1.46

N/A

0.08

2.01

N/A

XXX bowel. 74250.............. 26............ A

X-ray exam of small

0.47 0.16 0.16

0.02

0.65 0.65

XXX bowel. 74250.............. TC............ A

X-ray exam of small

0.00 1.31

N/A

0.06

1.37

N/A

XXX bowel. 74251.............. .............. A

X-ray exam of small

0.69 1.54

N/A

0.09

2.32

N/A

XXX bowel. 74251.............. 26............ A

X-ray exam of small

0.69 0.23 0.23

0.03

0.95 0.95

XXX bowel. 74251.............. TC............ A

X-ray exam of small

0.00 1.31

N/A

0.06

1.37

N/A

XXX bowel. 74260.............. .............. A

X-ray exam of small

0.50 1.66

N/A

0.09

2.25

N/A

XXX bowel. 74260.............. 26............ A

X-ray exam of small

0.50 0.17 0.17

0.02

0.69 0.69

XXX bowel. 74260.............. TC............ A

X-ray exam of small

0.00 1.49

N/A

0.07

1.56

N/A

XXX bowel. 74270.............. .............. A

Contrast x-ray exam

0.69 1.93

N/A

0.12

2.74

N/A

XXX of colon. 74270.............. 26............ A

Contrast x-ray exam

0.69 0.23 0.23

0.03

0.95 0.95

XXX of colon. 74270.............. TC............ A

Contrast x-ray exam

0.00 1.70

N/A

0.09

1.79

N/A

XXX of colon. 74280.............. .............. A

Contrast x-ray exam

0.99 2.57

N/A

0.15

3.71

N/A

XXX of colon. 74280.............. 26............ A

Contrast x-ray exam

0.99 0.33 0.33

0.04

1.36 1.36

XXX of colon. 74280.............. TC............ A

Contrast x-ray exam

0.00 2.23

N/A

0.11

2.34

N/A

XXX of colon. 74283.............. .............. A

Contrast x-ray exam

2.02 3.24

N/A

0.21

5.47

N/A

XXX of colon. 74283.............. 26............ A

Contrast x-ray exam

2.02 0.68 0.68

0.09

2.79 2.79

XXX of colon. 74283.............. TC............ A

Contrast x-ray exam

0.00 2.56

N/A

0.12

2.68

N/A

XXX of colon. 74290.............. .............. A

Contrast x-ray,

0.32 0.84

N/A

0.05

1.21

N/A

XXX gallbladder. 74290.............. 26............ A

Contrast x-ray,

0.32 0.11 0.11

0.01

0.44 0.44

XXX gallbladder. 74290.............. TC............ A

Contrast x-ray,

0.00 0.73

N/A

0.04

0.77

N/A

XXX gallbladder. 74291.............. .............. A

Contrast x-rays,

0.20 0.48

N/A

0.03

0.71

N/A

XXX gallbladder. 74291.............. 26............ A

Contrast x-rays,

0.20 0.07 0.07

0.01

0.28 0.28

XXX gallbladder. 74291.............. TC............ A

Contrast x-rays,

0.00 0.42

N/A

0.02

0.44

N/A

XXX gallbladder. 74300.............. .............. C

X-ray bile ducts/

0.00 0.00 0.00

0.00

0.00 0.00

XXX pancreas. 74300.............. 26............ A

X-ray bile ducts/

0.36 0.12 0.12

0.02

0.50 0.50

XXX pancreas. 74300.............. TC............ C

X-ray bile ducts/

0.00 0.00 0.00

0.00

0.00 0.00

XXX pancreas. 74301.............. .............. C

X-rays at surgery

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ add-on. 74301.............. 26............ A

X-rays at surgery

0.21 0.07 0.07

0.01

0.29 0.29

ZZZ add-on. 74301.............. TC............ C

X-rays at surgery

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ add-on.

[[Page 49186]]

74305.............. .............. A

X-ray bile ducts/

0.42 0.92

N/A

0.06

1.40

N/A

XXX pancreas. 74305.............. 26............ A

X-ray bile ducts/

0.42 0.14 0.14

0.02

0.58 0.58

XXX pancreas. 74305.............. TC............ A

X-ray bile ducts/

0.00 0.78

N/A

0.04

0.82

N/A

XXX pancreas. 74320.............. .............. A

Contrast x-ray of

0.54 3.33

N/A

0.16

4.03

N/A

XXX bile ducts. 74320.............. 26............ A

Contrast x-ray of

0.54 0.18 0.18

0.02

0.74 0.74

XXX bile ducts. 74320.............. TC............ A

Contrast x-ray of

0.00 3.15

N/A

0.14

3.29

N/A

XXX bile ducts. 74327.............. .............. A

X-ray bile stone

0.70 1.99

N/A

0.12

2.81

N/A

XXX removal. 74327.............. 26............ A

X-ray bile stone

0.70 0.23 0.23

0.03

0.96 0.96

XXX removal. 74327.............. TC............ A

X-ray bile stone

0.00 1.76

N/A

0.09

1.85

N/A

XXX removal. 74328.............. .............. A

X-ray bile duct

0.70 3.39

N/A

0.17

4.26

N/A

XXX endoscopy. 74328.............. 26............ A

X-ray bile duct

0.70 0.24 0.24

0.03

0.97 0.97

XXX endoscopy. 74328.............. TC............ A

X-ray bile duct

0.00 3.15

N/A

0.14

3.29

N/A

XXX endoscopy. 74329.............. .............. A

X-ray for pancreas

0.70 3.39

N/A

0.17

4.26

N/A

XXX endoscopy. 74329.............. 26............ A

X-ray for pancreas

0.70 0.23 0.23

0.03

0.96 0.96

XXX endoscopy. 74329.............. TC............ A

X-ray for pancreas

0.00 3.15

N/A

0.14

3.29

N/A

XXX endoscopy. 74330.............. .............. A

X-ray bile/panc

0.90 3.45

N/A

0.18

4.53

N/A

XXX endoscopy. 74330.............. 26............ A

X-ray bile/panc

0.90 0.30 0.30

0.04

1.24 1.24

XXX endoscopy. 74330.............. TC............ A

X-ray bile/panc

0.00 3.15

N/A

0.14

3.29

N/A

XXX endoscopy. 74340.............. .............. A

X-ray guide for GI

0.54 2.80

N/A

0.14

3.48

N/A

XXX tube. 74340.............. 26............ A

X-ray guide for GI

0.54 0.18 0.18

0.02

0.74 0.74

XXX tube. 74340.............. TC............ A

X-ray guide for GI

0.00 2.62

N/A

0.12

2.74

N/A

XXX tube. 74350.............. .............. A

X-ray guide, stomach 0.76 3.41

N/A

0.17

4.34

N/A

XXX tube. 74350.............. 26............ A

X-ray guide, stomach 0.76 0.25 0.25

0.03

1.04 1.04

XXX tube. 74350.............. TC............ A

X-ray guide, stomach 0.00 3.15

N/A

0.14

3.29

N/A

XXX tube. 74355.............. .............. A

X-ray guide,

0.76 2.87

N/A

0.15

3.78

N/A

XXX intestinal tube. 74355.............. 26............ A

X-ray guide,

0.76 0.25 0.25

0.03

1.04 1.04

XXX intestinal tube. 74355.............. TC............ A

X-ray guide,

0.00 2.62

N/A

0.12

2.74

N/A

XXX intestinal tube. 74360.............. .............. A

X-ray guide, GI

0.54 3.34

N/A

0.16

4.04

N/A

XXX dilation. 74360.............. 26............ A

X-ray guide, GI

0.54 0.19 0.19

0.02

0.75 0.75

XXX dilation. 74360.............. TC............ A

X-ray guide, GI

0.00 3.15

N/A

0.14

3.29

N/A

XXX dilation. 74363.............. .............. A

X-ray, bile duct

0.88 6.39

N/A

0.31

7.58

N/A

XXX dilation. 74363.............. 26............ A

X-ray, bile duct

0.88 0.29 0.29

0.04

1.21 1.21

XXX dilation. 74363.............. TC............ A

X-ray, bile duct

0.00 6.10

N/A

0.27

6.37

N/A

XXX dilation. 74400.............. .............. A

Contrst x-ray,

0.49 1.85

N/A

0.11

2.45

N/A

XXX urinary tract. 74400.............. 26............ A

Contrst x-ray,

0.49 0.16 0.16

0.02

0.67 0.67

XXX urinary tract. 74400.............. TC............ A

Contrst x-ray,

0.00 1.68

N/A

0.09

1.77

N/A

XXX urinary tract. 74410.............. .............. A

Contrst x-ray,

0.49 2.12

N/A

0.11

2.72

N/A

XXX urinary tract. 74410.............. 26............ A

Contrst x-ray,

0.49 0.16 0.16

0.02

0.67 0.67

XXX urinary tract. 74410.............. TC............ A

Contrst x-ray,

0.00 1.95

N/A

0.09

2.04

N/A

XXX urinary tract. 74415.............. .............. A

Contrst x-ray,

0.49 2.28

N/A

0.12

2.89

N/A

XXX urinary tract. 74415.............. 26............ A

Contrst x-ray,

0.49 0.16 0.16

0.02

0.67 0.67

XXX urinary tract. 74415.............. TC............ A

Contrst x-ray,

0.00 2.12

N/A

0.10

2.22

N/A

XXX urinary tract. 74420.............. .............. A

Contrst x-ray,

0.36 2.74

N/A

0.14

3.24

N/A

XXX urinary tract. 74420.............. 26............ A

Contrst x-ray,

0.36 0.12 0.12

0.02

0.50 0.50

XXX urinary tract. 74420.............. TC............ A

Contrst x-ray,

0.00 2.62

N/A

0.12

2.74

N/A

XXX urinary tract. 74425.............. .............. A

Contrst x-ray,

0.36 1.43

N/A

0.08

1.87

N/A

XXX urinary tract. 74425.............. 26............ A

Contrst x-ray,

0.36 0.12 0.12

0.02

0.50 0.50

XXX urinary tract. 74425.............. TC............ A

Contrst x-ray,

0.00 1.31

N/A

0.06

1.37

N/A

XXX urinary tract. 74430.............. .............. A

Contrast x-ray,

0.32 1.16

N/A

0.07

1.55

N/A

XXX bladder. 74430.............. 26............ A

Contrast x-ray,

0.32 0.11 0.11

0.02

0.45 0.45

XXX bladder. 74430.............. TC............ A

Contrast x-ray,

0.00 1.05

N/A

0.05

1.10

N/A

XXX bladder. 74440.............. .............. A

X-ray, male genital

0.38 1.26

N/A

0.07

1.71

N/A

XXX tract. 74440.............. 26............ A

X-ray, male genital

0.38 0.12 0.12

0.02

0.52 0.52

XXX tract. 74440.............. TC............ A

X-ray, male genital

0.00 1.13

N/A

0.05

1.18

N/A

XXX tract. 74445.............. .............. A

X-ray exam of penis. 1.14 1.51

N/A

0.10

2.75

N/A

XXX 74445.............. 26............ A

X-ray exam of penis. 1.14 0.38 0.38

0.05

1.57 1.57

XXX 74445.............. TC............ A

X-ray exam of penis. 0.00 1.13

N/A

0.05

1.18

N/A

XXX 74450.............. .............. A

X-ray, urethra/

0.33 1.57

N/A

0.09

1.99

N/A

XXX bladder. 74450.............. 26............ A

X-ray, urethra/

0.33 0.11 0.11

0.02

0.46 0.46

XXX bladder. 74450.............. TC............ A

X-ray, urethra/

0.00 1.46

N/A

0.07

1.53

N/A

XXX bladder.

[[Page 49187]]

74455.............. .............. A

X-ray, urethra/

0.33 1.69

N/A

0.10

2.12

N/A

XXX bladder. 74455.............. 26............ A

X-ray, urethra/

0.33 0.11 0.11

0.02

0.46 0.46

XXX bladder. 74455.............. TC............ A

X-ray, urethra/

0.00 1.58

N/A

0.08

1.66

N/A

XXX bladder. 74470.............. .............. A

X-ray exam of kidney 0.54 1.43

N/A

0.08

2.05

N/A

XXX lesion. 74470.............. 26............ A

X-ray exam of kidney 0.54 0.18 0.18

0.02

0.74 0.74

XXX lesion. 74470.............. TC............ A

X-ray exam of kidney 0.00 1.25

N/A

0.06

1.31

N/A

XXX lesion. 74475.............. .............. A

X-ray control, cath

0.54 4.25

N/A

0.20

4.99

N/A

XXX insert. 74475.............. 26............ A

X-ray control, cath

0.54 0.18 0.18

0.02

0.74 0.74

XXX insert. 74475.............. TC............ A

X-ray control, cath

0.00 4.07

N/A

0.18

4.25

N/A

XXX insert. 74480.............. .............. A

X-ray control, cath

0.54 4.25

N/A

0.20

4.99

N/A

XXX insert. 74480.............. 26............ A

X-ray control, cath

0.54 0.18 0.18

0.02

0.74 0.74

XXX insert. 74480.............. TC............ A

X-ray control, cath

0.00 4.07

N/A

0.18

4.25

N/A

XXX insert. 74485.............. .............. A

X-ray guide, GU

0.54 3.33

N/A

0.17

4.04

N/A

XXX dilation. 74485.............. 26............ A

X-ray guide, GU

0.54 0.18 0.18

0.03

0.75 0.75

XXX dilation. 74485.............. TC............ A

X-ray guide, GU

0.00 3.15

N/A

0.14

3.29

N/A

XXX dilation. 74710.............. .............. A

X-ray measurement of 0.34 1.17

N/A

0.07

1.58

N/A

XXX pelvis. 74710.............. 26............ A

X-ray measurement of 0.34 0.11 0.11

0.02

0.47 0.47

XXX pelvis. 74710.............. TC............ A

X-ray measurement of 0.00 1.05

N/A

0.05

1.10

N/A

XXX pelvis. 74740.............. .............. A

X-ray, female

0.38 1.43

N/A

0.08

1.89

N/A

XXX genital tract. 74740.............. 26............ A

X-ray, female

0.38 0.13 0.13

0.02

0.53 0.53

XXX genital tract. 74740.............. TC............ A

X-ray, female

0.00 1.31

N/A

0.06

1.37

N/A

XXX genital tract. 74742.............. .............. A

X-ray, fallopian

0.61 3.36

N/A

0.16

4.13

N/A

XXX tube. 74742.............. 26............ A

X-ray, fallopian

0.61 0.21 0.21

0.02

0.84 0.84

XXX tube. 74742.............. TC............ A

X-ray, fallopian

0.00 3.15

N/A

0.14

3.29

N/A

XXX tube. 74775.............. .............. A

X-ray exam of

0.62 1.67

N/A

0.10

2.39

N/A

XXX perineum. 74775.............. 26............ A

X-ray exam of

0.62 0.21 0.21

0.03

0.86 0.86

XXX perineum. 74775.............. TC............ A

X-ray exam of

0.00 1.46

N/A

0.07

1.53

N/A

XXX perineum. 75552.............. .............. A

Heart mri for morph

1.60 11.75

N/A

0.56 13.91

N/A

XXX w/o dye. 75552.............. 26............ A

Heart mri for morph

1.60 0.54 0.54

0.07

2.21 2.21

XXX w/o dye. 75552.............. TC............ A

Heart mri for morph

0.00 11.21

N/A

0.49 11.70

N/A

XXX w/o dye. 75553.............. .............. A

Heart mri for morph

2.00 11.88

N/A

0.58 14.46

N/A

XXX w/dye. 75553.............. 26............ A

Heart mri for morph

2.00 0.67 0.67

0.09

2.76 2.76

XXX w/dye. 75553.............. TC............ A

Heart mri for morph

0.00 11.21

N/A

0.49 11.70

N/A

XXX w/dye. 75554.............. .............. A

Cardiac MRI/function 1.83 11.87

N/A

0.56 14.26

N/A

XXX 75554.............. 26............ A

Cardiac MRI/function 1.83 0.66 0.66

0.07

2.56 2.56

XXX 75554.............. TC............ A

Cardiac MRI/function 0.00 11.21

N/A

0.49 11.70

N/A

XXX 75555.............. .............. A

Cardiac MRI/limited

1.74 11.86

N/A

0.56 14.16

N/A

XXX study. 75555.............. 26............ A

Cardiac MRI/limited

1.74 0.65 0.65

0.07

2.46 2.46

XXX study. 75555.............. TC............ A

Cardiac MRI/limited

0.00 11.21

N/A

0.49 11.70

N/A

XXX study. 75600.............. .............. A

Contrast x-ray exam

0.49 12.79

N/A

0.56 13.84

N/A

XXX of aorta. 75600.............. 26............ A

Contrast x-ray exam

0.49 0.19 0.19

0.02

0.70 0.70

XXX of aorta. 75600.............. TC............ A

Contrast x-ray exam

0.00 12.60

N/A

0.54 13.14

N/A

XXX of aorta. 75605.............. .............. A

Contrast x-ray exam

1.14 13.01

N/A

0.59 14.74

N/A

XXX of aorta. 75605.............. 26............ A

Contrast x-ray exam

1.14 0.41 0.41

0.05

1.60 1.60

XXX of aorta. 75605.............. TC............ A

Contrast x-ray exam

0.00 12.60

N/A

0.54 13.14

N/A

XXX of aorta. 75625.............. .............. A

Contrast x-ray exam

1.14 12.99

N/A

0.59 14.72

N/A

XXX of aorta. 75625.............. 26............ A

Contrast x-ray exam

1.14 0.39 0.39

0.05

1.58 1.58

XXX of aorta. 75625.............. TC............ A

Contrast x-ray exam

0.00 12.60

N/A

0.54 13.14

N/A

XXX of aorta.

[[Page 49188]]

75630.............. .............. A

X-ray aorta, leg

1.79 13.76

N/A

0.65 16.20

N/A

XXX arteries. 75630.............. 26............ A

X-ray aorta, leg

1.79 0.63 0.63

0.08

2.50 2.50

XXX arteries. 75630.............. TC............ A

X-ray aorta, leg

0.00 13.13

N/A

0.57 13.70

N/A

XXX arteries. 75635.............. .............. A

Ct angio abdominal

2.40 16.73

N/A

0.41 19.54

N/A

XXX arteries. 75635.............. 26............ A

Ct angio abdominal

2.40 0.81 0.81

0.09

3.30 3.30

XXX arteries. 75635.............. TC............ A

Ct angio abdominal

0.00 15.92

N/A

0.32 16.24

N/A

XXX arteries. 75650.............. .............. A

Artery x-rays, head

1.49 13.10

N/A

0.61 15.20

N/A

XXX & neck. 75650.............. 26............ A

Artery x-rays, head

1.49 0.50 0.50

0.07

2.06 2.06

XXX & neck. 75650.............. TC............ A

Artery x-rays, head

0.00 12.60

N/A

0.54 13.14

N/A

XXX & neck. 75658.............. .............. A

Artery x-rays, arm.. 1.31 13.08

N/A

0.60 14.99

N/A

XXX 75658.............. 26............ A

Artery x-rays, arm.. 1.31 0.48 0.48

0.06

1.85 1.85

XXX 75658.............. TC............ A

Artery x-rays, arm.. 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75660.............. .............. A

Artery x-rays, head

1.31 13.05

N/A

0.60 14.96

N/A

XXX & neck. 75660.............. 26............ A

Artery x-rays, head

1.31 0.45 0.45

0.06

1.82 1.82

XXX & neck. 75660.............. TC............ A

Artery x-rays, head

0.00 12.60

N/A

0.54 13.14

N/A

XXX & neck. 75662.............. .............. A

Artery x-rays, head

1.66 13.21

N/A

0.62 15.49

N/A

XXX & neck. 75662.............. 26............ A

Artery x-rays, head

1.66 0.61 0.61

0.08

2.35 2.35

XXX & neck. 75662.............. TC............ A

Artery x-rays, head

0.00 12.60

N/A

0.54 13.14

N/A

XXX & neck. 75665.............. .............. A

Artery x-rays, head

1.31 13.05

N/A

0.61 14.97

N/A

XXX & neck. 75665.............. 26............ A

Artery x-rays, head

1.31 0.45 0.45

0.07

1.83 1.83

XXX & neck. 75665.............. TC............ A

Artery x-rays, head

0.00 12.60

N/A

0.54 13.14

N/A

XXX & neck. 75671.............. .............. A

Artery x-rays, head

1.66 13.16

N/A

0.62 15.44

N/A

XXX & neck. 75671.............. 26............ A

Artery x-rays, head

1.66 0.56 0.56

0.08

2.30 2.30

XXX & neck. 75671.............. TC............ A

Artery x-rays, head

0.00 12.60

N/A

0.54 13.14

N/A

XXX & neck. 75676.............. .............. A

Artery x-rays, neck. 1.31 13.05

N/A

0.61 14.97

N/A

XXX 75676.............. 26............ A

Artery x-rays, neck. 1.31 0.45 0.45

0.07

1.83 1.83

XXX 75676.............. TC............ A

Artery x-rays, neck. 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75680.............. .............. A

Artery x-rays, neck. 1.66 13.16

N/A

0.62 15.44

N/A

XXX 75680.............. 26............ A

Artery x-rays, neck. 1.66 0.56 0.56

0.08

2.30 2.30

XXX 75680.............. TC............ A

Artery x-rays, neck. 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75685.............. .............. A

Artery x-rays, spine 1.31 13.05

N/A

0.60 14.96

N/A

XXX 75685.............. 26............ A

Artery x-rays, spine 1.31 0.44 0.44

0.06

1.81 1.81

XXX 75685.............. TC............ A

Artery x-rays, spine 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75705.............. .............. A

Artery x-rays, spine 2.18 13.35

N/A

0.65 16.18

N/A

XXX 75705.............. 26............ A

Artery x-rays, spine 2.18 0.75 0.75

0.11

3.04 3.04

XXX 75705.............. TC............ A

Artery x-rays, spine 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75710.............. .............. A

Artery x-rays, arm/

1.14 13.00

N/A

0.60 14.74

N/A

XXX leg. 75710.............. 26............ A

Artery x-rays, arm/

1.14 0.39 0.39

0.06

1.59 1.59

XXX leg. 75710.............. TC............ A

Artery x-rays, arm/

0.00 12.60

N/A

0.54 13.14

N/A

XXX leg. 75716.............. .............. A

Artery x-rays, arms/ 1.31 13.04

N/A

0.60 14.95

N/A

XXX legs. 75716.............. 26............ A

Artery x-rays, arms/ 1.31 0.44 0.44

0.06

1.81 1.81

XXX legs. 75716.............. TC............ A

Artery x-rays, arms/ 0.00 12.60

N/A

0.54 13.14

N/A

XXX legs. 75722.............. .............. A

Artery x-rays,

1.14 13.01

N/A

0.59 14.74

N/A

XXX kidney. 75722.............. 26............ A

Artery x-rays,

1.14 0.41 0.41

0.05

1.60 1.60

XXX kidney. 75722.............. TC............ A

Artery x-rays,

0.00 12.60

N/A

0.54 13.14

N/A

XXX kidney. 75724.............. .............. A

Artery x-rays,

1.49 13.17

N/A

0.59 15.25

N/A

XXX kidneys. 75724.............. 26............ A

Artery x-rays,

1.49 0.57 0.57

0.05

2.11 2.11

XXX kidneys. 75724.............. TC............ A

Artery x-rays,

0.00 12.60

N/A

0.54 13.14

N/A

XXX kidneys. 75726.............. .............. A

Artery x-rays,

1.14 12.98

N/A

0.59 14.71

N/A

XXX abdomen. 75726.............. 26............ A

Artery x-rays,

1.14 0.38 0.38

0.05

1.57 1.57

XXX abdomen. 75726.............. TC............ A

Artery x-rays,

0.00 12.60

N/A

0.54 13.14

N/A

XXX abdomen. 75731.............. .............. A

Artery x-rays,

1.14 12.98

N/A

0.59 14.71

N/A

XXX adrenal gland. 75731.............. 26............ A

Artery x-rays,

1.14 0.38 0.38

0.05

1.57 1.57

XXX adrenal gland. 75731.............. TC............ A

Artery x-rays,

0.00 12.60

N/A

0.54 13.14

N/A

XXX adrenal gland. 75733.............. .............. A

Artery x-rays,

1.31 13.05

N/A

0.60 14.96

N/A

XXX adrenals. 75733.............. 26............ A

Artery x-rays,

1.31 0.45 0.45

0.06

1.82 1.82

XXX adrenals. 75733.............. TC............ A

Artery x-rays,

0.00 12.60

N/A

0.54 13.14

N/A

XXX adrenals. 75736.............. .............. A

Artery x-rays,

1.14 12.99

N/A

0.59 14.72

N/A

XXX pelvis. 75736.............. 26............ A

Artery x-rays,

1.14 0.38 0.38

0.05

1.57 1.57

XXX pelvis. 75736.............. TC............ A

Artery x-rays,

0.00 12.60

N/A

0.54 13.14

N/A

XXX pelvis.

[[Page 49189]]

75741.............. .............. A

Artery x-rays, lung. 1.31 13.04

N/A

0.60 14.95

N/A

XXX 75741.............. 26............ A

Artery x-rays, lung. 1.31 0.44 0.44

0.06

1.81 1.81

XXX 75741.............. TC............ A

Artery x-rays, lung. 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75743.............. .............. A

Artery x-rays, lungs 1.66 13.16

N/A

0.61 15.43

N/A

XXX 75743.............. 26............ A

Artery x-rays, lungs 1.66 0.56 0.56

0.07

2.29 2.29

XXX 75743.............. TC............ A

Artery x-rays, lungs 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75746.............. .............. A

Artery x-rays, lung. 1.14 12.99

N/A

0.59 14.72

N/A

XXX 75746.............. 26............ A

Artery x-rays, lung. 1.14 0.39 0.39

0.05

1.58 1.58

XXX 75746.............. TC............ A

Artery x-rays, lung. 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75756.............. .............. A

Artery x-rays, chest 1.14 13.06

N/A

0.58 14.78

N/A

XXX 75756.............. 26............ A

Artery x-rays, chest 1.14 0.46 0.46

0.04

1.64 1.64

XXX 75756.............. TC............ A

Artery x-rays, chest 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75774.............. .............. A

Artery x-ray, each

0.36 12.73

N/A

0.56 13.65

N/A

ZZZ vessel. 75774.............. 26............ A

Artery x-ray, each

0.36 0.13 0.13

0.02

0.51 0.51

ZZZ vessel. 75774.............. TC............ A

Artery x-ray, each

0.00 12.60

N/A

0.54 13.14

N/A

ZZZ vessel. 75790.............. .............. A

Visualize A-V shunt. 1.84 1.97

N/A

0.16

3.97

N/A

XXX 75790.............. 26............ A

Visualize A-V shunt. 1.84 0.62 0.62

0.09

2.55 2.55

XXX 75790.............. TC............ A

Visualize A-V shunt. 0.00 1.35

N/A

0.07

1.42

N/A

XXX 75801.............. .............. A

Lymph vessel x-ray,

0.81 5.69

N/A

0.29

6.79

N/A

XXX arm/leg. 75801.............. 26............ A

Lymph vessel x-ray,

0.81 0.27 0.27

0.05

1.13 1.13

XXX arm/leg. 75801.............. TC............ A

Lymph vessel x-ray,

0.00 5.42

N/A

0.24

5.66

N/A

XXX arm/leg. 75803.............. .............. A

Lymph vessel x-

1.17 5.81

N/A

0.29

7.27

N/A

XXX ray,arms/legs. 75803.............. 26............ A

Lymph vessel x-

1.17 0.39 0.39

0.05

1.61 1.61

XXX ray,arms/legs. 75803.............. TC............ A

Lymph vessel x-

0.00 5.42

N/A

0.24

5.66

N/A

XXX ray,arms/legs. 75805.............. .............. A

Lymph vessel x-ray,

0.81 6.38

N/A

0.31

7.50

N/A

XXX trunk. 75805.............. 26............ A

Lymph vessel x-ray,

0.81 0.27 0.27

0.04

1.12 1.12

XXX trunk. 75805.............. TC............ A

Lymph vessel x-ray,

0.00 6.10

N/A

0.27

6.37

N/A

XXX trunk. 75807.............. .............. A

Lymph vessel x-ray,

1.17 6.49

N/A

0.32

7.98

N/A

XXX trunk. 75807.............. 26............ A

Lymph vessel x-ray,

1.17 0.39 0.39

0.05

1.61 1.61

XXX trunk. 75807.............. TC............ A

Lymph vessel x-ray,

0.00 6.10

N/A

0.27

6.37

N/A

XXX trunk. 75809.............. .............. A

Nonvascular shunt, x- 0.47 0.94

N/A

0.06

1.47

N/A

XXX ray. 75809.............. 26............ A

Nonvascular shunt, x- 0.47 0.16 0.16

0.02

0.65 0.65

XXX ray. 75809.............. TC............ A

Nonvascular shunt, x- 0.00 0.78

N/A

0.04

0.82

N/A

XXX ray. 75810.............. .............. A

Vein x-ray, spleen/

1.14 12.98

N/A

0.60 14.72

N/A

XXX liver. 75810.............. 26............ A

Vein x-ray, spleen/

1.14 0.38 0.38

0.06

1.58 1.58

XXX liver. 75810.............. TC............ A

Vein x-ray, spleen/

0.00 12.60

N/A

0.54 13.14

N/A

XXX liver. 75820.............. .............. A

Vein x-ray, arm/leg. 0.70 1.18

N/A

0.08

1.96

N/A

XXX 75820.............. 26............ A

Vein x-ray, arm/leg. 0.70 0.23 0.23

0.03

0.96 0.96

XXX 75820.............. TC............ A

Vein x-ray, arm/leg. 0.00 0.95

N/A

0.05

1.00

N/A

XXX 75822.............. .............. A

Vein x-ray, arms/

1.06 1.83

N/A

0.12

3.01

N/A

XXX legs. 75822.............. 26............ A

Vein x-ray, arms/

1.06 0.35 0.35

0.05

1.46 1.46

XXX legs. 75822.............. TC............ A

Vein x-ray, arms/

0.00 1.48

N/A

0.07

1.55

N/A

XXX legs. 75825.............. .............. A

Vein x-ray, trunk... 1.14 12.98

N/A

0.60 14.72

N/A

XXX 75825.............. 26............ A

Vein x-ray, trunk... 1.14 0.38 0.38

0.06

1.58 1.58

XXX 75825.............. TC............ A

Vein x-ray, trunk... 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75827.............. .............. A

Vein x-ray, chest... 1.14 12.98

N/A

0.59 14.71

N/A

XXX 75827.............. 26............ A

Vein x-ray, chest... 1.14 0.38 0.38

0.05

1.57 1.57

XXX 75827.............. TC............ A

Vein x-ray, chest... 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75831.............. .............. A

Vein x-ray, kidney.. 1.14 12.98

N/A

0.59 14.71

N/A

XXX 75831.............. 26............ A

Vein x-ray, kidney.. 1.14 0.38 0.38

0.05

1.57 1.57

XXX 75831.............. TC............ A

Vein x-ray, kidney.. 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75833.............. .............. A

Vein x-ray, kidneys. 1.49 13.10

N/A

0.61 15.20

N/A

XXX 75833.............. 26............ A

Vein x-ray, kidneys. 1.49 0.50 0.50

0.07

2.06 2.06

XXX 75833.............. TC............ A

Vein x-ray, kidneys. 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75840.............. .............. A

Vein x-ray, adrenal

1.14 12.99

N/A

0.61 14.74

N/A

XXX gland. 75840.............. 26............ A

Vein x-ray, adrenal

1.14 0.39 0.39

0.07

1.60 1.60

XXX gland. 75840.............. TC............ A

Vein x-ray, adrenal

0.00 12.60

N/A

0.54 13.14

N/A

XXX gland. 75842.............. .............. A

Vein x-ray, adrenal

1.49 13.10

N/A

0.61 15.20

N/A

XXX glands. 75842.............. 26............ A

Vein x-ray, adrenal

1.49 0.50 0.50

0.07

2.06 2.06

XXX glands. 75842.............. TC............ A

Vein x-ray, adrenal

0.00 12.60

N/A

0.54 13.14

N/A

XXX glands.

[[Page 49190]]

75860.............. .............. A

Vein x-ray, neck.... 1.14 13.00

N/A

0.60 14.74

N/A

XXX 75860.............. 26............ A

Vein x-ray, neck.... 1.14 0.40 0.40

0.06

1.60 1.60

XXX 75860.............. TC............ A

Vein x-ray, neck.... 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75870.............. .............. A

Vein x-ray, skull... 1.14 13.00

N/A

0.60 14.74

N/A

XXX 75870.............. 26............ A

Vein x-ray, skull... 1.14 0.40 0.40

0.06

1.60 1.60

XXX 75870.............. TC............ A

Vein x-ray, skull... 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75872.............. .............. A

Vein x-ray, skull... 1.14 12.98

N/A

0.59 14.71

N/A

XXX 75872.............. 26............ A

Vein x-ray, skull... 1.14 0.38 0.38

0.05

1.57 1.57

XXX 75872.............. TC............ A

Vein x-ray, skull... 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75880.............. .............. A

Vein x-ray, eye

0.70 1.18

N/A

0.08

1.96

N/A

XXX socket. 75880.............. 26............ A

Vein x-ray, eye

0.70 0.24 0.24

0.03

0.97 0.97

XXX socket. 75880.............. TC............ A

Vein x-ray, eye

0.00 0.95

N/A

0.05

1.00

N/A

XXX socket. 75885.............. .............. A

Vein x-ray, liver... 1.44 13.08

N/A

0.60 15.12

N/A

XXX 75885.............. 26............ A

Vein x-ray, liver... 1.44 0.48 0.48

0.06

1.98 1.98

XXX 75885.............. TC............ A

Vein x-ray, liver... 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75887.............. .............. A

Vein x-ray, liver... 1.44 13.08

N/A

0.60 15.12

N/A

XXX 75887.............. 26............ A

Vein x-ray, liver... 1.44 0.48 0.48

0.06

1.98 1.98

XXX 75887.............. TC............ A

Vein x-ray, liver... 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75889.............. .............. A

Vein x-ray, liver... 1.14 12.98

N/A

0.59 14.71

N/A

XXX 75889.............. 26............ A

Vein x-ray, liver... 1.14 0.38 0.38

0.05

1.57 1.57

XXX 75889.............. TC............ A

Vein x-ray, liver... 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75891.............. .............. A

Vein x-ray, liver... 1.14 12.98

N/A

0.59 14.71

N/A

XXX 75891.............. 26............ A

Vein x-ray, liver... 1.14 0.38 0.38

0.05

1.57 1.57

XXX 75891.............. TC............ A

Vein x-ray, liver... 0.00 12.60

N/A

0.54 13.14

N/A

XXX 75893.............. .............. A

Venous sampling by

0.54 12.78

N/A

0.56 13.88

N/A

XXX catheter. 75893.............. 26............ A

Venous sampling by

0.54 0.18 0.18

0.02

0.74 0.74

XXX catheter. 75893.............. TC............ A

Venous sampling by

0.00 12.60

N/A

0.54 13.14

N/A

XXX catheter. 75894.............. .............. A

X-rays, transcath

1.31 24.58

N/A

1.12 27.01

N/A

XXX therapy. 75894.............. 26............ A

X-rays, transcath

1.31 0.44 0.44

0.07

1.82 1.82

XXX therapy. 75894.............. TC............ A

X-rays, transcath

0.00 24.14

N/A

1.05 25.19

N/A

XXX therapy. 75896.............. .............. A

X-rays, transcath

1.31 21.45

N/A

0.97 23.73

N/A

XXX therapy. 75896.............. 26............ A

X-rays, transcath

1.31 0.46 0.46

0.06

1.83 1.83

XXX therapy. 75896.............. TC............ A

X-rays, transcath

0.00 20.99

N/A

0.91 21.90

N/A

XXX therapy. 75898.............. .............. A

Follow-up

1.65 1.62

N/A

0.12

3.39

N/A

XXX angiography. 75898.............. 26............ A

Follow-up

1.65 0.56 0.56

0.07

2.28 2.28

XXX angiography. 75898.............. TC............ A

Follow-up

0.00 1.05

N/A

0.05

1.10

N/A

XXX angiography. 75900.............. .............. A

Arterial catheter

0.49 21.14

N/A

0.94 22.57

N/A

XXX exchange. 75900.............. 26............ A

Arterial catheter

0.49 0.16 0.16

0.02

0.67 0.67

XXX exchange. 75900.............. TC............ A

Arterial catheter

0.00 20.98

N/A

0.92 21.90

N/A

XXX exchange. 75901.............. .............. A

Remove cva device

0.49 1.47

N/A

0.71

2.67

N/A

XXX obstruct. 75901.............. 26............ A

Remove cva device

0.49 0.16 0.16

0.02

0.67 0.67

XXX obstruct. 75901.............. TC............ A

Remove cva device

0.00 1.31

N/A

0.69

2.00

N/A

XXX obstruct. 75902.............. .............. A

Remove cva lumen

0.39 1.44

N/A

0.71

2.54

N/A

XXX obstruct. 75902.............. 26............ A

Remove cva lumen

0.39 0.13 0.13

0.02

0.54 0.54

XXX obstruct. 75902.............. TC............ A

Remove cva lumen

0.00 1.31

N/A

0.69

2.00

N/A

XXX obstruct. 75940.............. .............. A

X-ray placement,

0.54 12.78

N/A

0.57 13.89

N/A

XXX vein filter. 75940.............. 26............ A

X-ray placement,

0.54 0.18 0.18

0.03

0.75 0.75

XXX vein filter. 75940.............. TC............ A

X-ray placement,

0.00 12.60

N/A

0.54 13.14

N/A

XXX vein filter. 75945.............. .............. A

Intravascular us.... 0.40 4.71

N/A

0.23

5.34

N/A

XXX 75945.............. 26............ A

Intravascular us.... 0.40 0.14 0.14

0.03

0.57 0.57

XXX 75945.............. TC............ A

Intravascular us.... 0.00 4.56

N/A

0.20

4.76

N/A

XXX 75946.............. .............. A

Intravascular us add- 0.40 2.43

N/A

0.14

2.97

N/A

ZZZ on. 75946.............. 26............ A

Intravascular us add- 0.40 0.14 0.14

0.03

0.57 0.57

ZZZ on. 75946.............. TC............ A

Intravascular us add- 0.00 2.29

N/A

0.11

2.40

N/A

ZZZ on. 75952.............. .............. C

Endovasc repair

0.00 0.00 0.00

0.00

0.00 0.00

XXX abdom aorta.

[[Page 49191]]

75952.............. 26............ A

Endovasc repair

4.50 1.52 1.52

0.68

6.70 6.70

XXX abdom aorta. 75952.............. TC............ C

Endovasc repair

0.00 0.00 0.00

0.00

0.00 0.00

XXX abdom aorta. 75953.............. .............. C

Abdom aneurysm

0.00 0.00 0.00

0.00

0.00 0.00

XXX endovas rpr. 75953.............. 26............ A

Abdom aneurysm

1.36 0.46 0.46

0.68

2.50 2.50

XXX endovas rpr. 75953.............. TC............ C

Abdom aneurysm

0.00 0.00 0.00

0.00

0.00 0.00

XXX endovas rpr. 75954.............. .............. C

Iliac aneurysm

0.00 0.00 0.00

0.00

0.00 0.00

XXX endovas rpr. 75954.............. 26............ A

Iliac aneurysm

1.36 0.48 0.48

0.68

2.52 2.52

XXX endovas rpr. 75954.............. TC............ C

Iliac aneurysm

0.00 0.00 0.00

0.00

0.00 0.00

XXX endovas rpr. 75960.............. .............. A

Transcatheter intro, 0.82 15.19

N/A

0.68 16.69

N/A

XXX stent. 75960.............. 26............ A

Transcatheter intro, 0.82 0.29 0.29

0.04

1.15 1.15

XXX stent. 75960.............. TC............ A

Transcatheter intro, 0.00 14.90

N/A

0.64 15.54

N/A

XXX stent. 75961.............. .............. A

Retrieval, broken

4.25 11.93

N/A

0.64 16.82

N/A

XXX catheter. 75961.............. 26............ A

Retrieval, broken

4.25 1.43 1.43

0.18

5.86 5.86

XXX catheter. 75961.............. TC............ A

Retrieval, broken

0.00 10.50

N/A

0.46 10.96

N/A

XXX catheter. 75962.............. .............. A

Repair arterial

0.54 15.93

N/A

0.72 17.19

N/A

XXX blockage. 75962.............. 26............ A

Repair arterial

0.54 0.19 0.19

0.03

0.76 0.76

XXX blockage. 75962.............. TC............ A

Repair arterial

0.00 15.74

N/A

0.69 16.43

N/A

XXX blockage. 75964.............. .............. A

Repair artery

0.36 8.52

N/A

0.38

9.26

N/A

ZZZ blockage, each. 75964.............. 26............ A

Repair artery

0.36 0.12 0.12

0.02

0.50 0.50

ZZZ blockage, each. 75964.............. TC............ A

Repair artery

0.00 8.39

N/A

0.36

8.75

N/A

ZZZ blockage, each. 75966.............. .............. A

Repair arterial

1.31 16.22

N/A

0.75 18.28

N/A

XXX blockage. 75966.............. 26............ A

Repair arterial

1.31 0.47 0.47

0.06

1.84 1.84

XXX blockage. 75966.............. TC............ A

Repair arterial

0.00 15.74

N/A

0.69 16.43

N/A

XXX blockage. 75968.............. .............. A

Repair artery

0.36 8.53

N/A

0.37

9.26

N/A

ZZZ blockage, each. 75968.............. 26............ A

Repair artery

0.36 0.13 0.13

0.01

0.50 0.50

ZZZ blockage, each. 75968.............. TC............ A

Repair artery

0.00 8.39

N/A

0.36

8.75

N/A

ZZZ blockage, each. 75970.............. .............. A

Vascular biopsy..... 0.83 11.83

N/A

0.54 13.20

N/A

XXX 75970.............. 26............ A

Vascular biopsy..... 0.83 0.29 0.29

0.04

1.16 1.16

XXX 75970.............. TC............ A

Vascular biopsy..... 0.00 11.55

N/A

0.50 12.05

N/A

XXX 75978.............. .............. A

Repair venous

0.54 15.92

N/A

0.71 17.17

N/A

XXX blockage. 75978.............. 26............ A

Repair venous

0.54 0.18 0.18

0.02

0.74 0.74

XXX blockage. 75978.............. TC............ A

Repair venous

0.00 15.74

N/A

0.69 16.43

N/A

XXX blockage. 75980.............. .............. A

Contrast xray exam

1.44 5.89

N/A

0.30

7.63

N/A

XXX bile duct. 75980.............. 26............ A

Contrast xray exam

1.44 0.48 0.48

0.06

1.98 1.98

XXX bile duct. 75980.............. TC............ A

Contrast xray exam

0.00 5.42

N/A

0.24

5.66

N/A

XXX bile duct. 75982.............. .............. A

Contrast xray exam

1.44 6.58

N/A

0.33

8.35

N/A

XXX bile duct. 75982.............. 26............ A

Contrast xray exam

1.44 0.48 0.48

0.06

1.98 1.98

XXX bile duct. 75982.............. TC............ A

Contrast xray exam

0.00 6.10

N/A

0.27

6.37

N/A

XXX bile duct. 75984.............. .............. A

Xray control

0.72 2.19

N/A

0.12

3.03

N/A

XXX catheter change. 75984.............. 26............ A

Xray control

0.72 0.24 0.24

0.03

0.99 0.99

XXX catheter change. 75984.............. TC............ A

Xray control

0.00 1.95

N/A

0.09

2.04

N/A

XXX catheter change. 75989.............. .............. A

Abscess drainage

1.19 3.55

N/A

0.19

4.93

N/A

XXX under x-ray.

[[Page 49192]]

75989.............. 26............ A

Abscess drainage

1.19 0.40 0.40

0.05

1.64 1.64

XXX under x-ray. 75989.............. TC............ A

Abscess drainage

0.00 3.15

N/A

0.14

3.29

N/A

XXX under x-ray. 75992.............. .............. A

Atherectomy, x-ray

0.54 15.94

N/A

0.71 17.19

N/A

XXX exam. 75992.............. 26............ A

Atherectomy, x-ray

0.54 0.19 0.19

0.02

0.75 0.75

XXX exam. 75992.............. TC............ A

Atherectomy, x-ray

0.00 15.74

N/A

0.69 16.43

N/A

XXX exam. 75993.............. .............. A

Atherectomy, x-ray

0.36 8.53

N/A

0.37

9.26

N/A

ZZZ exam. 75993.............. 26............ A

Atherectomy, x-ray

0.36 0.14 0.14

0.01

0.51 0.51

ZZZ exam. 75993.............. TC............ A

Atherectomy, x-ray

0.00 8.39

N/A

0.36

8.75

N/A

ZZZ exam. 75994.............. .............. A

Atherectomy, x-ray

1.31 16.22

N/A

0.75 18.28

N/A

XXX exam. 75994.............. 26............ A

Atherectomy, x-ray

1.31 0.47 0.47

0.06

1.84 1.84

XXX exam. 75994.............. TC............ A

Atherectomy, x-ray

0.00 15.74

N/A

0.69 16.43

N/A

XXX exam. 75995.............. .............. A

Atherectomy, x-ray

1.31 16.23

N/A

0.75 18.29

N/A

XXX exam. 75995.............. 26............ A

Atherectomy, x-ray

1.31 0.48 0.48

0.06

1.85 1.85

XXX exam. 75995.............. TC............ A

Atherectomy, x-ray

0.00 15.74

N/A

0.69 16.43

N/A

XXX exam. 75996.............. .............. A

Atherectomy, x-ray

0.36 8.52

N/A

0.37

9.25

N/A

ZZZ exam. 75996.............. 26............ A

Atherectomy, x-ray

0.36 0.12 0.12

0.01

0.49 0.49

ZZZ exam. 75996.............. TC............ A

Atherectomy, x-ray

0.00 8.39

N/A

0.36

8.75

N/A

ZZZ exam. 76000.............. .............. A

Fluoroscope

0.17 1.36

N/A

0.07

1.60

N/A

XXX examination. 76000.............. 26............ A

Fluoroscope

0.17 0.05 0.05

0.01

0.23 0.23

XXX examination. 76000.............. TC............ A

Fluoroscope

0.00 1.31

N/A

0.06

1.37

N/A

XXX examination. 76001.............. .............. A

Fluoroscope exam,

0.67 2.85

N/A

0.15

3.67

N/A

XXX extensive. 76001.............. 26............ A

Fluoroscope exam,

0.67 0.23 0.23

0.03

0.93 0.93

XXX extensive. 76001.............. TC............ A

Fluoroscope exam,

0.00 2.62

N/A

0.12

2.74

N/A

XXX extensive. 76003.............. .............. A

Needle localization

0.54 1.48

N/A

0.09

2.11

N/A

XXX by x-ray. 76003.............. 26............ A

Needle localization

0.54 0.17 0.17

0.03

0.74 0.74

XXX by x-ray. 76003.............. TC............ A

Needle localization

0.00 1.31

N/A

0.06

1.37

N/A

XXX by x-ray. 76005.............. .............. A

Fluoroguide for

0.60 1.46

N/A

0.09

2.15

N/A

XXX spine inject. 76005.............. 26............ A

Fluoroguide for

0.60 0.16 0.16

0.03

0.79 0.79

XXX spine inject. 76005.............. TC............ A

Fluoroguide for

0.00 1.31

N/A

0.06

1.37

N/A

XXX spine inject. 76006.............. .............. A

X-ray stress view... 0.41 0.19 0.19

0.04

0.64 0.64

XXX 76010.............. .............. A

X-ray, nose to

0.18 0.58

N/A

0.03

0.79

N/A

XXX rectum. 76010.............. 26............ A

X-ray, nose to

0.18 0.06 0.06

0.01

0.25 0.25

XXX rectum. 76010.............. TC............ A

X-ray, nose to

0.00 0.52

N/A

0.02

0.54

N/A

XXX rectum. 76012.............. .............. C

Percut

0.00 0.00 0.00

0.00

0.00 0.00

XXX vertebroplasty fluor. 76012.............. 26............ A

Percut

1.31 0.48 0.48

0.23

2.02 2.02

XXX vertebroplasty fluor. 76012.............. TC............ C

Percut

0.00 0.00 0.00

0.00

0.00 0.00

XXX vertebroplasty fluor. 76013.............. .............. C

Percut

0.00 0.00 0.00

0.00

0.00 0.00

XXX vertebroplasty, ct. 76013.............. 26............ A

Percut

1.38 0.49 0.49

0.48

2.35 2.35

XXX vertebroplasty, ct. 76013.............. TC............ C

Percut

0.00 0.00 0.00

0.00

0.00 0.00

XXX vertebroplasty, ct. 76020.............. .............. A

X-rays for bone age. 0.19 0.59

N/A

0.03

0.81

N/A

XXX 76020.............. 26............ A

X-rays for bone age. 0.19 0.06 0.06

0.01

0.26 0.26

XXX 76020.............. TC............ A

X-rays for bone age. 0.00 0.52

N/A

0.02

0.54

N/A

XXX 76040.............. .............. A

X-rays, bone

0.27 0.88

N/A

0.07

1.22

N/A

XXX evaluation. 76040.............. 26............ A

X-rays, bone

0.27 0.09 0.09

0.03

0.39 0.39

XXX evaluation. 76040.............. TC............ A

X-rays, bone

0.00 0.78

N/A

0.04

0.82

N/A

XXX evaluation. 76061.............. .............. A

X-rays, bone survey. 0.45 1.15

N/A

0.07

1.67

N/A

XXX 76061.............. 26............ A

X-rays, bone survey. 0.45 0.15 0.15

0.02

0.62 0.62

XXX 76061.............. TC............ A

X-rays, bone survey. 0.00 1.00

N/A

0.05

1.05

N/A

XXX 76062.............. .............. A

X-rays, bone survey. 0.54 1.62

N/A

0.09

2.25

N/A

XXX 76062.............. 26............ A

X-rays, bone survey. 0.54 0.18 0.18

0.02

0.74 0.74

XXX 76062.............. TC............ A

X-rays, bone survey. 0.00 1.44

N/A

0.07

1.51

N/A

XXX 76065.............. .............. A

X-rays, bone

0.70 0.97

N/A

0.05

1.72

N/A

XXX evaluation. 76065.............. 26............ A

X-rays, bone

0.70 0.24 0.24

0.01

0.95 0.95

XXX evaluation. 76065.............. TC............ A

X-rays, bone

0.00 0.73

N/A

0.04

0.77

N/A

XXX evaluation. 76066.............. .............. A

Joint survey, single 0.31 1.22

N/A

0.07

1.60

N/A

XXX view.

[[Page 49193]]

76066.............. 26............ A

Joint survey, single 0.31 0.11 0.11

0.02

0.44 0.44

XXX view. 76066.............. TC............ A

Joint survey, single 0.00 1.11

N/A

0.05

1.16

N/A

XXX view. 76070.............. .............. A

Ct bone density,

0.25 3.03

N/A

0.14

3.42

N/A

XXX axial. 76070.............. 26............ A

Ct bone density,

0.25 0.08 0.08

0.01

0.34 0.34

XXX axial. 76070.............. TC............ A

Ct bone density,

0.00 2.95

N/A

0.13

3.08

N/A

XXX axial. 76071.............. .............. A

Ct bone density,

0.22 3.02

N/A

0.05

3.29

N/A

XXX peripheral. 76071.............. 26............ A

Ct bone density,

0.22 0.07 0.07

0.01

0.30 0.30

XXX peripheral. 76071.............. TC............ A

Ct bone density,

0.00 2.95

N/A

0.04

2.99

N/A

XXX peripheral. 76075.............. .............. A

Dexa, axial skeleton 0.30 3.20

N/A

0.15

3.65

N/A

XXX study. 76075.............. 26............ A

Dexa, axial skeleton 0.30 0.10 0.10

0.01

0.41 0.41

XXX study. 76075.............. TC............ A

Dexa, axial skeleton 0.00 3.09

N/A

0.14

3.23

N/A

XXX study. 76076.............. .............. A

Dexa, peripheral

0.22 0.83

N/A

0.05

1.10

N/A

XXX study. 76076.............. 26............ A

Dexa, peripheral

0.22 0.08 0.08

0.01

0.31 0.31

XXX study. 76076.............. TC............ A

Dexa, peripheral

0.00 0.75

N/A

0.04

0.79

N/A

XXX study. 76078.............. .............. A

Radiographic

0.20 0.83

N/A

0.05

1.08

N/A

XXX absorptiometry. 76078.............. 26............ A

Radiographic

0.20 0.07 0.07

0.01

0.28 0.28

XXX absorptiometry. 76078.............. TC............ A

Radiographic

0.00 0.75

N/A

0.04

0.79

N/A

XXX absorptiometry. 76080.............. .............. A

X-ray exam of

0.54 1.23

N/A

0.07

1.84

N/A

XXX fistula. 76080.............. 26............ A

X-ray exam of

0.54 0.18 0.18

0.02

0.74 0.74

XXX fistula. 76080.............. TC............ A

X-ray exam of

0.00 1.05

N/A

0.05

1.10

N/A

XXX fistula. 76085.............. .............. A

Computer mammogram

0.06 0.44

N/A

0.02

0.52

N/A

ZZZ add-on. 76085.............. 26............ A

Computer mammogram

0.06 0.02 0.02

0.01

0.09 0.09

ZZZ add-on. 76085.............. TC............ A

Computer mammogram

0.00 0.42

N/A

0.01

0.43

N/A

ZZZ add-on. 76086.............. .............. A

X-ray of mammary

0.36 2.74

N/A

0.14

3.24

N/A

XXX duct. 76086.............. 26............ A

X-ray of mammary

0.36 0.12 0.12

0.02

0.50 0.50

XXX duct. 76086.............. TC............ A

X-ray of mammary

0.00 2.62

N/A

0.12

2.74

N/A

XXX duct. 76088.............. .............. A

X-ray of mammary

0.45 3.82

N/A

0.18

4.45

N/A

XXX ducts. 76088.............. 26............ A

X-ray of mammary

0.45 0.15 0.15

0.02

0.62 0.62

XXX ducts. 76088.............. TC............ A

X-ray of mammary

0.00 3.67

N/A

0.16

3.83

N/A

XXX ducts. 76090.............. .............. A

Mammogram, one

0.70 1.29

N/A

0.08

2.07

N/A

XXX breast. 76090.............. 26............ A

Mammogram, one

0.70 0.23 0.23

0.03

0.96 0.96

XXX breast. 76090.............. TC............ A

Mammogram, one

0.00 1.05

N/A

0.05

1.10

N/A

XXX breast. 76091.............. .............. A

Mammogram, both

0.87 1.60

N/A

0.09

2.56

N/A

XXX breasts. 76091.............. 26............ A

Mammogram, both

0.87 0.29 0.29

0.03

1.19 1.19

XXX breasts. 76091.............. TC............ A

Mammogram, both

0.00 1.31

N/A

0.06

1.37

N/A

XXX breasts. 76092.............. .............. A

Mammogram, screening 0.70 1.46

N/A

0.09

2.25

N/A

XXX 76092.............. 26............ A

Mammogram, screening 0.70 0.23 0.23

0.03

0.96 0.96

XXX 76092.............. TC............ A

Mammogram, screening 0.00 1.23

N/A

0.06

1.29

N/A

XXX 76093.............. .............. A

Magnetic image,

1.63 18.18

N/A

0.83 20.64

N/A

XXX breast. 76093.............. 26............ A

Magnetic image,

1.63 0.55 0.55

0.07

2.25 2.25

XXX breast. 76093.............. TC............ A

Magnetic image,

0.00 17.63

N/A

0.76 18.39

N/A

XXX breast. 76094.............. .............. A

Magnetic image, both 1.63 24.46

N/A

1.10 27.19

N/A

XXX breasts. 76094.............. 26............ A

Magnetic image, both 1.63 0.55 0.55

0.07

2.25 2.25

XXX breasts. 76094.............. TC............ A

Magnetic image, both 0.00 23.92

N/A

1.03 24.95

N/A

XXX breasts. 76095.............. .............. A

Stereotactic breast

1.59 7.70

N/A

0.40

9.69

N/A

XXX biopsy. 76095.............. 26............ A

Stereotactic breast

1.59 0.54 0.54

0.09

2.22 2.22

XXX biopsy. 76095.............. TC............ A

Stereotactic breast

0.00 7.17

N/A

0.31

7.48

N/A

XXX biopsy. 76096.............. .............. A

X-ray of needle

0.56 1.49

N/A

0.09

2.14

N/A

XXX wire, breast. 76096.............. 26............ A

X-ray of needle

0.56 0.19 0.19

0.03

0.78 0.78

XXX wire, breast. 76096.............. TC............ A

X-ray of needle

0.00 1.31

N/A

0.06

1.37

N/A

XXX wire, breast.

[[Page 49194]]

76098.............. .............. A

X-ray exam, breast

0.16 0.47

N/A

0.03

0.66

N/A

XXX specimen. 76098.............. 26............ A

X-ray exam, breast

0.16 0.05 0.05

0.01

0.22 0.22

XXX specimen. 76098.............. TC............ A

X-ray exam, breast

0.00 0.42

N/A

0.02

0.44

N/A

XXX specimen. 76100.............. .............. A

X-ray exam of body

0.58 1.44

N/A

0.09

2.11

N/A

XXX section. 76100.............. 26............ A

X-ray exam of body

0.58 0.19 0.19

0.03

0.80 0.80

XXX section. 76100.............. TC............ A

X-ray exam of body

0.00 1.25

N/A

0.06

1.31

N/A

XXX section. 76101.............. .............. A

Complex body section 0.58 1.62

N/A

0.10

2.30

N/A

XXX x-ray. 76101.............. 26............ A

Complex body section 0.58 0.19 0.19

0.03

0.80 0.80

XXX x-ray. 76101.............. TC............ A

Complex body section 0.00 1.42

N/A

0.07

1.49

N/A

XXX x-ray. 76102.............. .............. A

Complex body section 0.58 1.93

N/A

0.12

2.63

N/A

XXX x-rays. 76102.............. 26............ A

Complex body section 0.58 0.20 0.20

0.03

0.81 0.81

XXX x-rays. 76102.............. TC............ A

Complex body section 0.00 1.73

N/A

0.09

1.82

N/A

XXX x-rays. 76120.............. .............. A

Cine/video x-rays... 0.38 1.19

N/A

0.07

1.64

N/A

XXX 76120.............. 26............ A

Cine/video x-rays... 0.38 0.13 0.13

0.02

0.53 0.53

XXX 76120.............. TC............ A

Cine/video x-rays... 0.00 1.05

N/A

0.05

1.10

N/A

XXX 76125.............. .............. A

Cine/video x-rays

0.27 0.88

N/A

0.05

1.20

N/A

ZZZ add-on. 76125.............. 26............ A

Cine/video x-rays

0.27 0.09 0.09

0.01

0.37 0.37

ZZZ add-on. 76125.............. TC............ A

Cine/video x-rays

0.00 0.78

N/A

0.04

0.82

N/A

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 0.42

N/A

0.02

0.44

N/A

XXX process. 76350.............. .............. C

Special x-ray

0.00 0.00 0.00

0.00

0.00 0.00

XXX contrast study. 76355.............. .............. A

CAT scan for

1.21 8.67

N/A

0.41 10.29

N/A

XXX localization. 76355.............. 26............ A

CAT scan for

1.21 0.41 0.41

0.06

1.68 1.68

XXX localization. 76355.............. TC............ A

CAT scan for

0.00 8.26

N/A

0.35

8.61

N/A

XXX localization. 76360.............. .............. A

CAT scan for needle

1.16 8.65

N/A

0.40 10.21

N/A

XXX biopsy. 76360.............. 26............ A

CAT scan for needle

1.16 0.39 0.39

0.05

1.60 1.60

XXX biopsy. 76360.............. TC............ A

CAT scan for needle

0.00 8.26

N/A

0.35

8.61

N/A

XXX biopsy. 76362.............. .............. A

Cat scan for tissue

4.00 9.59

N/A

1.39 14.98

N/A

XXX ablation. 76362.............. 26............ A

Cat scan for tissue

4.00 1.33 1.33

0.18

5.51 5.51

XXX ablation. 76362.............. TC............ A

Cat scan for tissue

0.00 8.26

N/A

1.21

9.47

N/A

XXX ablation. 76370.............. .............. A

CAT scan for therapy 0.85 3.23

N/A

0.17

4.25

N/A

XXX guide. 76370.............. 26............ A

CAT scan for therapy 0.85 0.28 0.28

0.04

1.17 1.17

XXX guide. 76370.............. TC............ A

CAT scan for therapy 0.00 2.95

N/A

0.13

3.08

N/A

XXX guide. 76375.............. .............. A

3d/holograph

0.16 3.59

N/A

0.16

3.91

N/A

XXX reconstr add-on. 76375.............. 26............ A

3d/holograph

0.16 0.05 0.05

0.01

0.22 0.22

XXX reconstr add-on. 76375.............. TC............ A

3d/holograph

0.00 3.54

N/A

0.15

3.69

N/A

XXX reconstr add-on. 76380.............. .............. A

CAT scan follow-up

0.98 3.83

N/A

0.19

5.00

N/A

XXX study. 76380.............. 26............ A

CAT scan follow-up

0.98 0.33 0.33

0.04

1.35 1.35

XXX study. 76380.............. TC............ A

CAT scan follow-up

0.00 3.50

N/A

0.15

3.65

N/A

XXX study. 76390.............. .............. N

Mr spectroscopy..... 1.40 11.68

N/A

0.55 13.63

N/A

XXX 76390.............. 26............ N

Mr spectroscopy..... 1.40 0.47 0.47

0.06

1.93 1.93

XXX

[[Page 49195]]

76390.............. TC............ N

Mr spectroscopy..... 0.00 11.21

N/A

0.49 11.70

N/A

XXX 76393.............. .............. A

Mr guidance for

1.50 11.72

N/A

0.53 13.75

N/A

XXX needle place. 76393.............. 26............ A

Mr guidance for

1.50 0.51 0.51

0.07

2.08 2.08

XXX needle place. 76393.............. TC............ A

Mr guidance for

0.00 11.21

N/A

0.46 11.67

N/A

XXX needle place. 76394.............. .............. A

Mri for tissue

4.25 12.63

N/A

1.48 18.36

N/A

XXX ablation. 76394.............. 26............ A

Mri for tissue

4.25 1.42 1.42

0.19

5.86 5.86

XXX ablation. 76394.............. TC............ A

Mri for tissue

0.00 11.21

N/A

1.29 12.50

N/A

XXX ablation. 76400.............. .............. A

Magnetic image, bone 1.60 11.74

N/A

0.56 13.90

N/A

XXX marrow. 76400.............. 26............ A

Magnetic image, bone 1.60 0.54 0.54

0.07

2.21 2.21

XXX marrow. 76400.............. TC............ A

Magnetic image, bone 0.00 11.21

N/A

0.49 11.70

N/A

XXX marrow. 76490.............. .............. A

Us for tissue

4.00 2.85

N/A

0.35

7.20

N/A

XXX ablation. 76490.............. 26............ A

Us for tissue

4.00 1.33 1.33

0.11

5.44 5.44

XXX ablation. 76490.............. TC............ A

Us for tissue

0.00 1.52

N/A

0.24

1.76

N/A

XXX ablation. 76496.............. .............. C

Fluoroscopic

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 76496.............. 26............ C

Fluoroscopic

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 76496.............. TC............ 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

0.00

0.00 0.00

XXX 76497.............. 26............ C

Ct procedure........ 0.00 0.00 0.00

0.00

0.00 0.00

XXX 76497.............. TC............ 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

0.00

0.00 0.00

XXX 76498.............. 26............ C

Mri procedure....... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 76498.............. TC............ 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

0.00

0.00 0.00

XXX procedure. 76499.............. 26............ C

Radiographic

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 76499.............. TC............ C

Radiographic

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 76506.............. .............. A

Echo exam of head... 0.63 1.67

N/A

0.10

2.40

N/A

XXX 76506.............. 26............ A

Echo exam of head... 0.63 0.25 0.25

0.03

0.91 0.91

XXX 76506.............. TC............ A

Echo exam of head... 0.00 1.42

N/A

0.07

1.49

N/A

XXX 76511.............. .............. A

Echo exam of eye.... 0.94 1.12

N/A

0.08

2.14

N/A

XXX 76511.............. 26............ A

Echo exam of eye.... 0.94 0.41 0.41

0.02

1.37 1.37

XXX 76511.............. TC............ A

Echo exam of eye.... 0.00 0.71

N/A

0.06

0.77

N/A

XXX 76512.............. .............. A

Echo exam of eye.... 0.66 1.04

N/A

0.09

1.79

N/A

XXX 76512.............. 26............ A

Echo exam of eye.... 0.66 0.30 0.30

0.01

0.97 0.97

XXX 76512.............. TC............ A

Echo exam of eye.... 0.00 0.74

N/A

0.08

0.82

N/A

XXX 76513.............. .............. A

Echo exam of eye,

0.66 1.12

N/A

0.09

1.87

N/A

XXX water bath. 76513.............. 26............ A

Echo exam of eye,

0.66 0.30 0.30

0.01

0.97 0.97

XXX water bath. 76513.............. TC............ A

Echo exam of eye,

0.00 0.82

N/A

0.08

0.90

N/A

XXX water bath. 76516.............. .............. A

Echo exam of eye.... 0.54 0.74

N/A

0.07

1.35

N/A

XXX 76516.............. 26............ A

Echo exam of eye.... 0.54 0.25 0.25

0.01

0.80 0.80

XXX 76516.............. TC............ A

Echo exam of eye.... 0.00 0.49

N/A

0.06

0.55

N/A

XXX 76519.............. .............. A

Echo exam of eye.... 0.54 0.83

N/A

0.07

1.44

N/A

XXX 76519.............. 26............ A

Echo exam of eye.... 0.54 0.25 0.25

0.01

0.80 0.80

XXX 76519.............. TC............ A

Echo exam of eye.... 0.00 0.58

N/A

0.06

0.64

N/A

XXX 76529.............. .............. A

Echo exam of eye.... 0.57 0.78

N/A

0.08

1.43

N/A

XXX 76529.............. 26............ A

Echo exam of eye.... 0.57 0.25 0.25

0.01

0.83 0.83

XXX 76529.............. TC............ A

Echo exam of eye.... 0.00 0.53

N/A

0.07

0.60

N/A

XXX 76536.............. .............. A

Us exam of head and

0.56 1.61

N/A

0.09

2.26

N/A

XXX neck. 76536.............. 26............ A

Us exam of head and

0.56 0.19 0.19

0.02

0.77 0.77

XXX neck. 76536.............. TC............ A

Us exam of head and

0.00 1.42

N/A

0.07

1.49

N/A

XXX neck. 76604.............. .............. A

Us exam, chest, b-

0.55 1.49

N/A

0.08

2.12

N/A

XXX scan. 76604.............. 26............ A

Us exam, chest, b-

0.55 0.18 0.18

0.02

0.75 0.75

XXX scan. 76604.............. TC............ A

Us exam, chest, b-

0.00 1.31

N/A

0.06

1.37

N/A

XXX scan. 76645.............. .............. A

Us exam, breast(s).. 0.54 1.23

N/A

0.08

1.85

N/A

XXX 76645.............. 26............ A

Us exam, breast(s).. 0.54 0.18 0.18

0.03

0.75 0.75

XXX

[[Page 49196]]

76645.............. TC............ A

Us exam, breast(s).. 0.00 1.05

N/A

0.05

1.10

N/A

XXX 76700.............. .............. A

Us exam, abdom,

0.81 2.24

N/A

0.13

3.18

N/A

XXX complete. 76700.............. 26............ A

Us exam, abdom,

0.81 0.27 0.27

0.04

1.12 1.12

XXX complete. 76700.............. TC............ A

Us exam, abdom,

0.00 1.97

N/A

0.09

2.06

N/A

XXX complete. 76705.............. .............. A

Echo exam of abdomen 0.59 1.62

N/A

0.10

2.31

N/A

XXX 76705.............. 26............ A

Echo exam of abdomen 0.59 0.20 0.20

0.03

0.82 0.82

XXX 76705.............. TC............ A

Echo exam of abdomen 0.00 1.42

N/A

0.07

1.49

N/A

XXX 76770.............. .............. A

Us exam abdo back

0.74 2.22

N/A

0.12

3.08

N/A

XXX wall, comp. 76770.............. 26............ A

Us exam abdo back

0.74 0.25 0.25

0.03

1.02 1.02

XXX wall, comp. 76770.............. TC............ A

Us exam abdo back

0.00 1.97

N/A

0.09

2.06

N/A

XXX wall, comp. 76775.............. .............. A

Us eam abdo back

0.58 1.62

N/A

0.10

2.30

N/A

XXX wall, lim. 76775.............. 26............ A

Us eam abdo back

0.58 0.19 0.19

0.03

0.80 0.80

XXX wall, lim. 76775.............. TC............ A

Us eam abdo back

0.00 1.42

N/A

0.07

1.49

N/A

XXX wall, lim. 76778.............. .............. A

Us exam kidney

0.74 2.22

N/A

0.12

3.08

N/A

XXX transplant. 76778.............. 26............ A

Us exam kidney

0.74 0.25 0.25

0.03

1.02 1.02

XXX transplant. 76778.............. TC............ A

Us exam kidney

0.00 1.97

N/A

0.09

2.06

N/A

XXX transplant. 76800.............. .............. A

Us exam, spinal

1.13 1.77

N/A

0.11

3.01

N/A

XXX canal. 76800.............. 26............ A

Us exam, spinal

1.13 0.35 0.35

0.04

1.52 1.52

XXX canal. 76800.............. TC............ A

Us exam, spinal

0.00 1.42

N/A

0.07

1.49

N/A

XXX canal. 76801.............. .............. A

Ob us /=

0.99 2.45

N/A

0.14

3.58

N/A

XXX 14 wks, sngl fetus. 76805.............. 26............ A

Ob us /=

0.99 0.35 0.35

0.04

1.38 1.38

XXX 14 wks, sngl fetus. 76805.............. TC............ A

Ob us /=

0.00 2.10

N/A

0.10

2.20

N/A

XXX 14 wks, sngl fetus. 76810.............. .............. A

Ob us /=

0.98 1.41

N/A

0.25

2.64

N/A

ZZZ 14 wks, addl fetus. 76810.............. 26............ A

Ob us /=

0.98 0.35 0.35

0.07

1.40 1.40

ZZZ 14 wks, addl fetus. 76810.............. TC............ A

Ob us /=

0.00 1.05

N/A

0.18

1.23

N/A

ZZZ 14 wks, addl fetus. 76811.............. .............. A

Ob us, detailed,

1.90 4.20

N/A

0.51

6.61

N/A

XXX sngl fetus. 76811.............. 26............ A

Ob us, detailed,

1.90 0.67 0.67

0.15

2.72 2.72

XXX sngl fetus. 76811.............. TC............ A

Ob us, detailed,

0.00 3.53

N/A

0.36

3.89

N/A

XXX sngl fetus. 76812.............. .............. A

Ob us, detailed,

1.78 1.70

N/A

0.46

3.94

N/A

ZZZ addl fetus. 76812.............. 26............ A

Ob us, detailed,

1.78 0.64 0.64

0.12

2.54 2.54

ZZZ addl fetus. 76812.............. TC............ A

Ob us, detailed,

0.00 1.05

N/A

0.34

1.39

N/A

ZZZ addl fetus. 76815.............. .............. A

Ob us, limited,

0.65 1.66

N/A

0.09

2.40

N/A

XXX fetus(s). 76815.............. 26............ A

Ob us, limited,

0.65 0.24 0.24

0.02

0.91 0.91

XXX fetus(s). 76815.............. TC............ A

Ob us, limited,

0.00 1.42

N/A

0.07

1.49

N/A

XXX fetus(s). 76816.............. .............. A

Ob us, follow-up,

0.85 1.43

N/A

0.07

2.35

N/A

XXX per fetus. 76816.............. 26............ A

Ob us, follow-up,

0.85 0.32 0.32

0.02

1.19 1.19

XXX per fetus. 76816.............. TC............ A

Ob us, follow-up,

0.00 1.11

N/A

0.05

1.16

N/A

XXX per fetus. 76817.............. .............. A

Transvaginal us,

0.75 1.80

N/A

0.07

2.62

N/A

XXX obstetric. 76817.............. 26............ A

Transvaginal us,

0.75 0.28 0.28

0.02

1.05 1.05

XXX obstetric.

[[Page 49197]]

76817.............. TC............ A

Transvaginal us,

0.00 1.52

N/A

0.05

1.57

N/A

XXX obstetric. 76818.............. .............. A

Fetal biophys

1.05 2.01

N/A

0.12

3.18

N/A

XXX profile w/nst. 76818.............. 26............ A

Fetal biophys

1.05 0.40 0.40

0.04

1.49 1.49

XXX profile w/nst. 76818.............. TC............ A

Fetal biophys

0.00 1.61

N/A

0.08

1.69

N/A

XXX profile w/nst. 76819.............. .............. A

Fetal biophys profil 0.77 1.90

N/A

0.10

2.77

N/A

XXX w/o nst. 76819.............. 26............ A

Fetal biophys profil 0.77 0.29 0.29

0.02

1.08 1.08

XXX w/o nst. 76819.............. TC............ A

Fetal biophys profil 0.00 1.61

N/A

0.08

1.69

N/A

XXX w/o nst. 76825.............. .............. A

Echo exam of fetal

1.67 2.59

N/A

0.15

4.41

N/A

XXX heart. 76825.............. 26............ A

Echo exam of fetal

1.67 0.62 0.62

0.06

2.35 2.35

XXX heart. 76825.............. TC............ A

Echo exam of fetal

0.00 1.97

N/A

0.09

2.06

N/A

XXX heart. 76826.............. .............. A

Echo exam of fetal

0.83 1.00

N/A

0.07

1.90

N/A

XXX heart. 76826.............. 26............ A

Echo exam of fetal

0.83 0.30 0.30

0.03

1.16 1.16

XXX heart. 76826.............. TC............ A

Echo exam of fetal

0.00 0.71

N/A

0.04

0.75

N/A

XXX heart. 76827.............. .............. A

Echo exam of fetal

0.58 1.94

N/A

0.12

2.64

N/A

XXX heart. 76827.............. 26............ A

Echo exam of fetal

0.58 0.22 0.22

0.02

0.82 0.82

XXX heart. 76827.............. TC............ A

Echo exam of fetal

0.00 1.72

N/A

0.10

1.82

N/A

XXX heart. 76828.............. .............. A

Echo exam of fetal

0.56 1.33

N/A

0.09

1.98

N/A

XXX heart. 76828.............. 26............ A

Echo exam of fetal

0.56 0.22 0.22

0.02

0.80 0.80

XXX heart. 76828.............. TC............ A

Echo exam of fetal

0.00 1.11

N/A

0.07

1.18

N/A

XXX heart. 76830.............. .............. A

Transvaginal us, non- 0.69 1.75

N/A

0.11

2.55

N/A

XXX ob. 76830.............. 26............ A

Transvaginal us, non- 0.69 0.23 0.23

0.03

0.95 0.95

XXX ob. 76830.............. TC............ A

Transvaginal us, non- 0.00 1.52

N/A

0.08

1.60

N/A

XXX ob. 76831.............. .............. A

Echo exam, uterus... 0.72 1.78

N/A

0.10

2.60

N/A

XXX 76831.............. 26............ A

Echo exam, uterus... 0.72 0.26 0.26

0.02

1.00 1.00

XXX 76831.............. TC............ A

Echo exam, uterus... 0.00 1.52

N/A

0.08

1.60

N/A

XXX 76856.............. .............. A

Us exam, pelvic,

0.69 1.75

N/A

0.11

2.55

N/A

XXX complete. 76856.............. 26............ A

Us exam, pelvic,

0.69 0.23 0.23

0.03

0.95 0.95

XXX complete. 76856.............. TC............ A

Us exam, pelvic,

0.00 1.52

N/A

0.08

1.60

N/A

XXX complete. 76857.............. .............. A

Us exam, pelvic,

0.38 1.68

N/A

0.07

2.13

N/A

XXX limited. 76857.............. 26............ A

Us exam, pelvic,

0.38 0.13 0.13

0.02

0.53 0.53

XXX limited. 76857.............. TC............ A

Us exam, pelvic,

0.00 1.55

N/A

0.05

1.60

N/A

XXX limited. 76870.............. .............. A

Us exam, scrotum.... 0.64 1.73

N/A

0.11

2.48

N/A

XXX 76870.............. 26............ A

Us exam, scrotum.... 0.64 0.21 0.21

0.03

0.88 0.88

XXX 76870.............. TC............ A

Us exam, scrotum.... 0.00 1.52

N/A

0.08

1.60

N/A

XXX 76872.............. .............. A

Echo exam,

0.69 1.97

N/A

0.12

2.78

N/A

XXX transrectal. 76872.............. 26............ A

Echo exam,

0.69 0.23 0.23

0.04

0.96 0.96

XXX transrectal. 76872.............. TC............ A

Echo exam,

0.00 1.75

N/A

0.08

1.83

N/A

XXX transrectal. 76873.............. .............. A

Echograp trans r,

1.55 2.61

N/A

0.21

4.37

N/A

XXX pros study. 76873.............. 26............ A

Echograp trans r,

1.55 0.51 0.51

0.08

2.14 2.14

XXX pros study. 76873.............. TC............ A

Echograp trans r,

0.00 2.10

N/A

0.13

2.23

N/A

XXX pros study. 76880.............. .............. A

Us exam, extremity.. 0.59 1.62

N/A

0.10

2.31

N/A

XXX 76880.............. 26............ A

Us exam, extremity.. 0.59 0.20 0.20

0.03

0.82 0.82

XXX 76880.............. TC............ A

Us exam, extremity.. 0.00 1.42

N/A

0.07

1.49

N/A

XXX 76885.............. .............. A

Us exam infant hips, 0.74 1.77

N/A

0.11

2.62

N/A

XXX dynamic. 76885.............. 26............ A

Us exam infant hips, 0.74 0.25 0.25

0.03

1.02 1.02

XXX dynamic. 76885.............. TC............ A

Us exam infant hips, 0.00 1.52

N/A

0.08

1.60

N/A

XXX dynamic. 76886.............. .............. A

Us exam infant hips, 0.62 1.63

N/A

0.10

2.35

N/A

XXX static. 76886.............. 26............ A

Us exam infant hips, 0.62 0.21 0.21

0.03

0.86 0.86

XXX static. 76886.............. TC............ A

Us exam infant hips, 0.00 1.42

N/A

0.07

1.49

N/A

XXX static. 76930.............. .............. A

Echo guide,

0.67 1.78

N/A

0.10

2.55

N/A

XXX cardiocentesis. 76930.............. 26............ A

Echo guide,

0.67 0.26 0.26

0.02

0.95 0.95

XXX cardiocentesis. 76930.............. TC............ A

Echo guide,

0.00 1.52

N/A

0.08

1.60

N/A

XXX cardiocentesis. 76932.............. .............. A

Echo guide for heart 0.67 1.78

N/A

0.10

2.55

N/A

XXX biopsy. 76932.............. 26............ A

Echo guide for heart 0.67 0.26 0.26

0.02

0.95 0.95

XXX biopsy. 76932.............. TC............ A

Echo guide for heart 0.00 1.52

N/A

0.08

1.60

N/A

XXX biopsy. 76936.............. .............. A

Echo guide for

1.99 6.97

N/A

0.39

9.35

N/A

XXX artery repair.

[[Page 49198]]

76936.............. 26............ A

Echo guide for

1.99 0.68 0.68

0.11

2.78 2.78

XXX artery repair. 76936.............. TC............ A

Echo guide for

0.00 6.30

N/A

0.28

6.58

N/A

XXX artery repair. 76941.............. .............. A

Echo guide for

1.34 2.01

N/A

0.13

3.48

N/A

XXX transfusion. 76941.............. 26............ A

Echo guide for

1.34 0.49 0.49

0.06

1.89 1.89

XXX transfusion. 76941.............. TC............ A

Echo guide for

0.00 1.53

N/A

0.07

1.60

N/A

XXX transfusion. 76942.............. .............. A

Echo guide for

0.67 3.40

N/A

0.12

4.19

N/A

XXX biopsy. 76942.............. 26............ A

Echo guide for

0.67 0.22 0.22

0.04

0.93 0.93

XXX biopsy. 76942.............. TC............ A

Echo guide for

0.00 3.18

N/A

0.08

3.26

N/A

XXX biopsy. 76945.............. .............. A

Echo guide, villus

0.67 1.76

N/A

0.10

2.53

N/A

XXX sampling. 76945.............. 26............ A

Echo guide, villus

0.67 0.23 0.23

0.03

0.93 0.93

XXX sampling. 76945.............. TC............ A

Echo guide, villus

0.00 1.53

N/A

0.07

1.60

N/A

XXX sampling. 76946.............. .............. A

Echo guide for

0.38 1.66

N/A

0.09

2.13

N/A

XXX amniocentesis. 76946.............. 26............ A

Echo guide for

0.38 0.14 0.14

0.01

0.53 0.53

XXX amniocentesis. 76946.............. TC............ A

Echo guide for

0.00 1.52

N/A

0.08

1.60

N/A

XXX amniocentesis. 76948.............. .............. A

Echo guide, ova

0.38 1.65

N/A

0.10

2.13

N/A

XXX aspiration. 76948.............. 26............ A

Echo guide, ova

0.38 0.13 0.13

0.02

0.53 0.53

XXX aspiration. 76948.............. TC............ A

Echo guide, ova

0.00 1.52

N/A

0.08

1.60

N/A

XXX aspiration. 76950.............. .............. A

Echo guidance

0.58 1.49

N/A

0.09

2.16

N/A

XXX radiotherapy. 76950.............. 26............ A

Echo guidance

0.58 0.19 0.19

0.03

0.80 0.80

XXX radiotherapy. 76950.............. TC............ A

Echo guidance

0.00 1.31

N/A

0.06

1.37

N/A

XXX radiotherapy. 76965.............. .............. A

Echo guidance

1.34 6.01

N/A

0.31

7.66

N/A

XXX radiotherapy. 76965.............. 26............ A

Echo guidance

1.34 0.44 0.44

0.07

1.85 1.85

XXX radiotherapy. 76965.............. TC............ A

Echo guidance

0.00 5.57

N/A

0.24

5.81

N/A

XXX radiotherapy. 76970.............. .............. A

Ultrasound exam

0.40 1.19

N/A

0.07

1.66

N/A

XXX follow-up. 76970.............. 26............ A

Ultrasound exam

0.40 0.14 0.14

0.02

0.56 0.56

XXX follow-up. 76970.............. TC............ A

Ultrasound exam

0.00 1.05

N/A

0.05

1.10

N/A

XXX follow-up. 76975.............. .............. A

GI endoscopic

0.81 1.80

N/A

0.11

2.72

N/A

XXX ultrasound. 76975.............. 26............ A

GI endoscopic

0.81 0.28 0.28

0.03

1.12 1.12

XXX ultrasound. 76975.............. TC............ A

GI endoscopic

0.00 1.52

N/A

0.08

1.60

N/A

XXX ultrasound. 76977.............. .............. A

Us bone density

0.05 0.84

N/A

0.05

0.94

N/A

XXX measure. 76977.............. 26............ A

Us bone density

0.05 0.02 0.02

0.01

0.08 0.08

XXX measure. 76977.............. TC............ A

Us bone density

0.00 0.82

N/A

0.04

0.86

N/A

XXX measure. 76986.............. .............. A

Ultrasound guide

1.20 3.03

N/A

0.19

4.42

N/A

XXX intraoper. 76986.............. 26............ A

Ultrasound guide

1.20 0.41 0.41

0.07

1.68 1.68

XXX intraoper. 76986.............. TC............ A

Ultrasound guide

0.00 2.62

N/A

0.12

2.74

N/A

XXX intraoper. 76999.............. .............. C

Echo examination

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 76999.............. 26............ C

Echo examination

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 76999.............. TC............ C

Echo examination

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 77261.............. .............. A

Radiation therapy

1.39 0.52 0.52

0.06

1.97 1.97

XXX planning. 77262.............. .............. A

Radiation therapy

2.11 0.77 0.77

0.09

2.97 2.97

XXX planning. 77263.............. .............. A

Radiation therapy

3.14 1.13 1.13

0.13

4.40 4.40

XXX planning. 77280.............. .............. A

Set radiation

0.70 3.70

N/A

0.18

4.58

N/A

XXX therapy field. 77280.............. 26............ A

Set radiation

0.70 0.23 0.23

0.03

0.96 0.96

XXX therapy field. 77280.............. TC............ A

Set radiation

0.00 3.47

N/A

0.15

3.62

N/A

XXX therapy field. 77285.............. .............. A

Set radiation

1.05 5.91

N/A

0.29

7.25

N/A

XXX therapy field. 77285.............. 26............ A

Set radiation

1.05 0.34 0.34

0.04

1.43 1.43

XXX therapy field. 77285.............. TC............ A

Set radiation

0.00 5.57

N/A

0.25

5.82

N/A

XXX therapy field. 77290.............. .............. A

Set radiation

1.56 7.01

N/A

0.35

8.92

N/A

XXX therapy field. 77290.............. 26............ A

Set radiation

1.56 0.50 0.50

0.06

2.12 2.12

XXX therapy field.

[[Page 49199]]

77290.............. TC............ A

Set radiation

0.00 6.51

N/A

0.29

6.80

N/A

XXX therapy field. 77295.............. .............. A

Set radiation

4.57 29.41

N/A

1.41 35.39

N/A

XXX therapy field. 77295.............. 26............ A

Set radiation

4.57 1.48 1.48

0.18

6.23 6.23

XXX therapy field. 77295.............. TC............ A

Set radiation

0.00 27.94

N/A

1.23 29.17

N/A

XXX therapy field. 77299.............. .............. C

Radiation therapy

0.00 0.00 0.00

0.00

0.00 0.00

XXX planning. 77299.............. 26............ C

Radiation therapy

0.00 0.00 0.00

0.00

0.00 0.00

XXX planning. 77299.............. TC............ C

Radiation therapy

0.00 0.00 0.00

0.00

0.00 0.00

XXX planning. 77300.............. .............. A

Radiation therapy

0.62 1.54

N/A

0.09

2.25

N/A

XXX dose plan. 77300.............. 26............ A

Radiation therapy

0.62 0.20 0.20

0.03

0.85 0.85

XXX dose plan. 77300.............. TC............ A

Radiation therapy

0.00 1.34

N/A

0.06

1.40

N/A

XXX dose plan. 77301.............. .............. A

Radiotherapy dose

8.00 30.52

N/A

1.41 39.93

N/A

XXX plan, imrt. 77301.............. 26............ A

Radiotherapy dose

8.00 2.59 2.59

0.18 10.77 10.77

XXX plan, imrt. 77301.............. TC............ A

Radiotherapy dose

0.00 27.94

N/A

1.23 29.17

N/A

XXX plan, imrt. 77305.............. .............. A

Teletx isodose plan

0.70 2.08

N/A

0.12

2.90

N/A

XXX simple. 77305.............. 26............ A

Teletx isodose plan

0.70 0.23 0.23

0.03

0.96 0.96

XXX simple. 77305.............. TC............ A

Teletx isodose plan

0.00 1.86

N/A

0.09

1.95

N/A

XXX simple. 77310.............. .............. A

Teletx isodose plan

1.05 2.67

N/A

0.15

3.87

N/A

XXX intermed. 77310.............. 26............ A

Teletx isodose plan

1.05 0.34 0.34

0.04

1.43 1.43

XXX intermed. 77310.............. TC............ A

Teletx isodose plan

0.00 2.33

N/A

0.11

2.44

N/A

XXX intermed. 77315.............. .............. A

Teletx isodose plan

1.56 3.16

N/A

0.18

4.90

N/A

XXX complex. 77315.............. 26............ A

Teletx isodose plan

1.56 0.50 0.50

0.06

2.12 2.12

XXX complex. 77315.............. TC............ A

Teletx isodose plan

0.00 2.66

N/A

0.12

2.78

N/A

XXX complex. 77321.............. .............. A

Special teletx port

0.95 4.35

N/A

0.21

5.51

N/A

XXX plan. 77321.............. 26............ A

Special teletx port

0.95 0.31 0.31

0.04

1.30 1.30

XXX plan. 77321.............. TC............ A

Special teletx port

0.00 4.04

N/A

0.17

4.21

N/A

XXX plan. 77326.............. .............. A

Brachytx isodose

0.93 2.66

N/A

0.15

3.74

N/A

XXX calc simp. 77326.............. 26............ A

Brachytx isodose

0.93 0.30 0.30

0.04

1.27 1.27

XXX calc simp. 77326.............. TC............ A

Brachytx isodose

0.00 2.36

N/A

0.11

2.47

N/A

XXX calc simp. 77327.............. .............. A

Brachytx isodose

1.39 3.92

N/A

0.21

5.52

N/A

XXX calc interm. 77327.............. 26............ A

Brachytx isodose

1.39 0.45 0.45

0.06

1.90 1.90

XXX calc interm. 77327.............. TC............ A

Brachytx isodose

0.00 3.47

N/A

0.15

3.62

N/A

XXX calc interm. 77328.............. .............. A

Brachytx isodose

2.09 5.64

N/A

0.30

8.03

N/A

XXX plan compl. 77328.............. 26............ A

Brachytx isodose

2.09 0.68 0.68

0.09

2.86 2.86

XXX plan compl. 77328.............. TC............ A

Brachytx isodose

0.00 4.96

N/A

0.21

5.17

N/A

XXX plan compl. 77331.............. .............. A

Special radiation

0.87 0.78

N/A

0.06

1.71

N/A

XXX dosimetry. 77331.............. 26............ A

Special radiation

0.87 0.28 0.28

0.04

1.19 1.19

XXX dosimetry. 77331.............. TC............ A

Special radiation

0.00 0.50

N/A

0.02

0.52

N/A

XXX dosimetry. 77332.............. .............. A

Radiation treatment

0.54 1.52

N/A

0.08

2.14

N/A

XXX aid(s). 77332.............. 26............ A

Radiation treatment

0.54 0.17 0.17

0.02

0.73 0.73

XXX aid(s). 77332.............. TC............ A

Radiation treatment

0.00 1.34

N/A

0.06

1.40

N/A

XXX aid(s). 77333.............. .............. A

Radiation treatment

0.84 2.17

N/A

0.13

3.14

N/A

XXX aid(s). 77333.............. 26............ A

Radiation treatment

0.84 0.27 0.27

0.04

1.15 1.15

XXX aid(s).

[[Page 49200]]

77333.............. TC............ A

Radiation treatment

0.00 1.90

N/A

0.09

1.99

N/A

XXX aid(s). 77334.............. .............. A

Radiation treatment

1.24 3.65

N/A

0.19

5.08

N/A

XXX aid(s). 77334.............. 26............ A

Radiation treatment

1.24 0.40 0.40

0.05

1.69 1.69

XXX aid(s). 77334.............. TC............ A

Radiation treatment

0.00 3.25

N/A

0.14

3.39

N/A

XXX aid(s). 77336.............. .............. A

Radiation physics

0.00 2.98

N/A

0.13

3.11

N/A

XXX consult. 77370.............. .............. A

Radiation physics

0.00 3.49

N/A

0.15

3.64

N/A

XXX consult. 77399.............. .............. C

External radiation

0.00 0.00 0.00

0.00

0.00 0.00

XXX dosimetry. 77399.............. 26............ C

External radiation

0.00 0.00 0.00

0.00

0.00 0.00

XXX dosimetry. 77399.............. TC............ C

External radiation

0.00 0.00 0.00

0.00

0.00 0.00

XXX dosimetry. 77401.............. .............. A

Radiation treatment

0.00 1.77

N/A

0.09

1.86

N/A

XXX delivery. 77402.............. .............. A

Radiation treatment

0.00 1.77

N/A

0.09

1.86

N/A

XXX delivery. 77403.............. .............. A

Radiation treatment

0.00 1.77

N/A

0.09

1.86

N/A

XXX delivery. 77404.............. .............. A

Radiation treatment

0.00 1.77

N/A

0.09

1.86

N/A

XXX delivery. 77406.............. .............. A

Radiation treatment

0.00 1.77

N/A

0.09

1.86

N/A

XXX delivery. 77407.............. .............. A

Radiation treatment

0.00 2.09

N/A

0.10

2.19

N/A

XXX delivery. 77408.............. .............. A

Radiation treatment

0.00 2.09

N/A

0.10

2.19

N/A

XXX delivery. 77409.............. .............. A

Radiation treatment

0.00 2.09

N/A

0.10

2.19

N/A

XXX delivery. 77411.............. .............. A

Radiation treatment

0.00 2.09

N/A

0.10

2.19

N/A

XXX delivery. 77412.............. .............. A

Radiation treatment

0.00 2.33

N/A

0.11

2.44

N/A

XXX delivery. 77413.............. .............. A

Radiation treatment

0.00 2.33

N/A

0.11

2.44

N/A

XXX delivery. 77414.............. .............. A

Radiation treatment

0.00 2.33

N/A

0.11

2.44

N/A

XXX delivery. 77416.............. .............. A

Radiation treatment

0.00 2.33

N/A

0.11

2.44

N/A

XXX delivery. 77417.............. .............. A

Radiology port

0.00 0.59

N/A

0.03

0.62

N/A

XXX film(s). 77418.............. .............. A

Radiation tx

0.00 11.61

N/A

0.11 11.72

N/A

XXX delivery, imrt. 77427.............. .............. A

Radiation tx

3.31 1.07 1.07

0.14

4.52 4.52

XXX management, x5. 77431.............. .............. A

Radiation therapy

1.81 0.69 0.69

0.07

2.57 2.57

XXX management. 77432.............. .............. A

Stereotactic

7.93 2.95 2.95

0.33 11.21 11.21

XXX radiation trmt. 77470.............. .............. A

Special radiation

2.09 11.82

N/A

0.58 14.49

N/A

XXX treatment. 77470.............. 26............ A

Special radiation

2.09 0.67 0.67

0.09

2.85 2.85

XXX treatment. 77470.............. TC............ A

Special radiation

0.00 11.15

N/A

0.49 11.64

N/A

XXX treatment. 77499.............. .............. C

Radiation therapy

0.00 0.00 0.00

0.00

0.00 0.00

XXX management. 77499.............. 26............ C

Radiation therapy

0.00 0.00 0.00

0.00

0.00 0.00

XXX management. 77499.............. TC............ C

Radiation therapy

0.00 0.00 0.00

0.00

0.00 0.00

XXX management. 77520.............. .............. C

Proton trmt, simple

0.00 0.00 0.00

0.00

0.00 0.00

XXX w/o comp. 77522.............. .............. C

Proton trmt, simple

0.00 0.00 0.00

0.00

0.00 0.00

XXX 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 3.55

N/A

0.21

5.32

N/A

XXX treatment. 77600.............. 26............ R

Hyperthermia

1.56 0.50 0.50

0.08

2.14 2.14

XXX treatment. 77600.............. TC............ R

Hyperthermia

0.00 3.05

N/A

0.13

3.18

N/A

XXX treatment. 77605.............. .............. R

Hyperthermia

2.09 4.73

N/A

0.31

7.13

N/A

XXX treatment. 77605.............. 26............ R

Hyperthermia

2.09 0.67 0.67

0.13

2.89 2.89

XXX treatment. 77605.............. TC............ R

Hyperthermia

0.00 4.06

N/A

0.18

4.24

N/A

XXX treatment.

[[Page 49201]]

77610.............. .............. R

Hyperthermia

1.56 3.56

N/A

0.20

5.32

N/A

XXX treatment. 77610.............. 26............ R

Hyperthermia

1.56 0.52 0.52

0.07

2.15 2.15

XXX treatment. 77610.............. TC............ R

Hyperthermia

0.00 3.05

N/A

0.13

3.18

N/A

XXX treatment. 77615.............. .............. R

Hyperthermia

2.09 4.73

N/A

0.27

7.09

N/A

XXX treatment. 77615.............. 26............ R

Hyperthermia

2.09 0.67 0.67

0.09

2.85 2.85

XXX treatment. 77615.............. TC............ R

Hyperthermia

0.00 4.06

N/A

0.18

4.24

N/A

XXX treatment. 77620.............. .............. R

Hyperthermia

1.56 3.57

N/A

0.19

5.32

N/A

XXX treatment. 77620.............. 26............ R

Hyperthermia

1.56 0.53 0.53

0.06

2.15 2.15

XXX treatment. 77620.............. TC............ R

Hyperthermia

0.00 3.05

N/A

0.13

3.18

N/A

XXX treatment. 77750.............. .............. A

Infuse radioactive

4.91 2.93

N/A

0.23

8.07

N/A

090 materials. 77750.............. 26............ A

Infuse radioactive

4.91 1.60 1.60

0.17

6.68 6.68

090 materials. 77750.............. TC............ A

Infuse radioactive

0.00 1.33

N/A

0.06

1.39

N/A

090 materials. 77761.............. .............. A

Apply intrcav radiat 3.81 3.62

N/A

0.28

7.71

N/A

090 simple. 77761.............. 26............ A

Apply intrcav radiat 3.81 1.11 1.11

0.16

5.08 5.08

090 simple. 77761.............. TC............ A

Apply intrcav radiat 0.00 2.50

N/A

0.12

2.62

N/A

090 simple. 77762.............. .............. A

Apply intrcav radiat 5.72 5.46

N/A

0.38 11.56

N/A

090 interm. 77762.............. 26............ A

Apply intrcav radiat 5.72 1.86 1.86

0.22

7.80 7.80

090 interm. 77762.............. TC............ A

Apply intrcav radiat 0.00 3.61

N/A

0.16

3.77

N/A

090 interm. 77763.............. .............. A

Apply intrcav radiat 8.57 7.26

N/A

0.53 16.36

N/A

090 compl. 77763.............. 26............ A

Apply intrcav radiat 8.57 2.77 2.77

0.34 11.68 11.68

090 compl. 77763.............. TC............ A

Apply intrcav radiat 0.00 4.49

N/A

0.19

4.68

N/A

090 compl. 77776.............. .............. A

Apply interstit

4.66 3.14

N/A

0.35

8.15

N/A

090 radiat simpl. 77776.............. 26............ A

Apply interstit

4.66 0.97 0.97

0.24

5.87 5.87

090 radiat simpl. 77776.............. TC............ A

Apply interstit

0.00 2.18

N/A

0.11

2.29

N/A

090 radiat simpl. 77777.............. .............. A

Apply interstit

7.48 6.63

N/A

0.50 14.61

N/A

090 radiat inter. 77777.............. 26............ A

Apply interstit

7.48 2.39 2.39

0.32 10.19 10.19

090 radiat inter. 77777.............. TC............ A

Apply interstit

0.00 4.24

N/A

0.18

4.42

N/A

090 radiat inter. 77778.............. .............. A

Apply interstit

11.19 8.74

N/A

0.69 20.62

N/A

090 radiat compl. 77778.............. 26............ A

Apply interstit

11.19 3.61 3.61

0.47 15.27 15.27

090 radiat compl. 77778.............. TC............ A

Apply interstit

0.00 5.14

N/A

0.22

5.36

N/A

090 radiat compl. 77781.............. .............. A

High intensity

1.66 20.85

N/A

0.95 23.46

N/A

090 brachytherapy. 77781.............. 26............ A

High intensity

1.66 0.54 0.54

0.07

2.27 2.27

090 brachytherapy. 77781.............. TC............ A

High intensity

0.00 20.31

N/A

0.88 21.19

N/A

090 brachytherapy. 77782.............. .............. A

High intensity

2.49 21.11

N/A

0.98 24.58

N/A

090 brachytherapy. 77782.............. 26............ A

High intensity

2.49 0.81 0.81

0.10

3.40 3.40

090 brachytherapy. 77782.............. TC............ A

High intensity

0.00 20.31

N/A

0.88 21.19

N/A

090 brachytherapy. 77783.............. .............. A

High intensity

3.73 21.51

N/A

1.03 26.27

N/A

090 brachytherapy. 77783.............. 26............ A

High intensity

3.73 1.20 1.20

0.15

5.08 5.08

090 brachytherapy. 77783.............. TC............ A

High intensity

0.00 20.31

N/A

0.88 21.19

N/A

090 brachytherapy. 77784.............. .............. A

High intensity

5.61 22.11

N/A

1.10 28.82

N/A

090 brachytherapy. 77784.............. 26............ A

High intensity

5.61 1.81 1.81

0.22

7.64 7.64

090 brachytherapy. 77784.............. TC............ A

High intensity

0.00 20.31

N/A

0.88 21.19

N/A

090 brachytherapy. 77789.............. .............. A

Apply surface

1.12 0.83

N/A

0.05

2.00

N/A

000 radiation. 77789.............. 26............ A

Apply surface

1.12 0.37 0.37

0.03

1.52 1.52

000 radiation. 77789.............. TC............ A

Apply surface

0.00 0.45

N/A

0.02

0.47

N/A

000 radiation. 77790.............. .............. A

Radiation handling.. 1.05 0.84

N/A

0.06

1.95

N/A

XXX 77790.............. 26............ A

Radiation handling.. 1.05 0.34 0.34

0.04

1.43 1.43

XXX 77790.............. TC............ A

Radiation handling.. 0.00 0.50

N/A

0.02

0.52

N/A

XXX 77799.............. .............. C

Radium/radioisotope

0.00 0.00 0.00

0.00

0.00 0.00

XXX therapy.

[[Page 49202]]

77799.............. 26............ C

Radium/radioisotope

0.00 0.00 0.00

0.00

0.00 0.00

XXX therapy. 77799.............. TC............ C

Radium/radioisotope

0.00 0.00 0.00

0.00

0.00 0.00

XXX therapy. 78000.............. .............. A

Thyroid, single

0.19 1.03

N/A

0.06

1.28

N/A

XXX uptake. 78000.............. 26............ A

Thyroid, single

0.19 0.07 0.07

0.01

0.27 0.27

XXX uptake. 78000.............. TC............ A

Thyroid, single

0.00 0.97

N/A

0.05

1.02

N/A

XXX uptake. 78001.............. .............. A

Thyroid, multiple

0.26 1.40

N/A

0.07

1.73

N/A

XXX uptakes. 78001.............. 26............ A

Thyroid, multiple

0.26 0.09 0.09

0.01

0.36 0.36

XXX uptakes. 78001.............. TC............ A

Thyroid, multiple

0.00 1.31

N/A

0.06

1.37

N/A

XXX uptakes. 78003.............. .............. A

Thyroid suppress/

0.33 1.08

N/A

0.06

1.47

N/A

XXX stimul. 78003.............. 26............ A

Thyroid suppress/

0.33 0.11 0.11

0.01

0.45 0.45

XXX stimul. 78003.............. TC............ A

Thyroid suppress/

0.00 0.97

N/A

0.05

1.02

N/A

XXX stimul. 78006.............. .............. A

Thyroid imaging with 0.49 2.55

N/A

0.13

3.17

N/A

XXX uptake. 78006.............. 26............ A

Thyroid imaging with 0.49 0.17 0.17

0.02

0.68 0.68

XXX uptake. 78006.............. TC............ A

Thyroid imaging with 0.00 2.38

N/A

0.11

2.49

N/A

XXX uptake. 78007.............. .............. A

Thyroid image, mult

0.50 2.74

N/A

0.14

3.38

N/A

XXX uptakes. 78007.............. 26............ A

Thyroid image, mult

0.50 0.17 0.17

0.02

0.69 0.69

XXX uptakes. 78007.............. TC............ A

Thyroid image, mult

0.00 2.57

N/A

0.12

2.69

N/A

XXX uptakes. 78010.............. .............. A

Thyroid imaging..... 0.39 1.95

N/A

0.11

2.45

N/A

XXX 78010.............. 26............ A

Thyroid imaging..... 0.39 0.13 0.13

0.02

0.54 0.54

XXX 78010.............. TC............ A

Thyroid imaging..... 0.00 1.82

N/A

0.09

1.91

N/A

XXX 78011.............. .............. A

Thyroid imaging with 0.45 2.56

N/A

0.13

3.14

N/A

XXX flow. 78011.............. 26............ A

Thyroid imaging with 0.45 0.16 0.16

0.02

0.63 0.63

XXX flow. 78011.............. TC............ A

Thyroid imaging with 0.00 2.41

N/A

0.11

2.52

N/A

XXX flow. 78015.............. .............. A

Thyroid met imaging. 0.67 2.80

N/A

0.15

3.62

N/A

XXX 78015.............. 26............ A

Thyroid met imaging. 0.67 0.23 0.23

0.03

0.93 0.93

XXX 78015.............. TC............ A

Thyroid met imaging. 0.00 2.57

N/A

0.12

2.69

N/A

XXX 78016.............. .............. A

Thyroid met imaging/ 0.82 3.77

N/A

0.18

4.77

N/A

XXX studies. 78016.............. 26............ A

Thyroid met imaging/ 0.82 0.29 0.29

0.03

1.14 1.14

XXX studies. 78016.............. TC............ A

Thyroid met imaging/ 0.00 3.48

N/A

0.15

3.63

N/A

XXX studies. 78018.............. .............. A

Thyroid met imaging, 0.86 5.73

N/A

0.27

6.86

N/A

XXX body. 78018.............. 26............ A

Thyroid met imaging, 0.86 0.30 0.30

0.03

1.19 1.19

XXX body. 78018.............. TC............ A

Thyroid met imaging, 0.00 5.43

N/A

0.24

5.67

N/A

XXX body. 78020.............. .............. A

Thyroid met uptake.. 0.60 1.52

N/A

0.14

2.26

N/A

ZZZ 78020.............. 26............ A

Thyroid met uptake.. 0.60 0.21 0.21

0.02

0.83 0.83

ZZZ 78020.............. TC............ A

Thyroid met uptake.. 0.00 1.31

N/A

0.12

1.43

N/A

ZZZ 78070.............. .............. A

Parathyroid nuclear

0.82 2.10

N/A

0.12

3.04

N/A

XXX imaging. 78070.............. 26............ A

Parathyroid nuclear

0.82 0.28 0.28

0.03

1.13 1.13

XXX imaging. 78070.............. TC............ A

Parathyroid nuclear

0.00 1.82

N/A

0.09

1.91

N/A

XXX imaging. 78075.............. .............. A

Adrenal nuclear

0.74 5.69

N/A

0.27

6.70

N/A

XXX imaging. 78075.............. 26............ A

Adrenal nuclear

0.74 0.27 0.27

0.03

1.04 1.04

XXX imaging. 78075.............. TC............ A

Adrenal nuclear

0.00 5.43

N/A

0.24

5.67

N/A

XXX imaging. 78099.............. .............. C

Endocrine nuclear

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 78099.............. 26............ C

Endocrine nuclear

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 78099.............. TC............ C

Endocrine nuclear

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 78102.............. .............. A

Bone marrow imaging, 0.55 2.24

N/A

0.12

2.91

N/A

XXX ltd. 78102.............. 26............ A

Bone marrow imaging, 0.55 0.20 0.20

0.02

0.77 0.77

XXX ltd. 78102.............. TC............ A

Bone marrow imaging, 0.00 2.04

N/A

0.10

2.14

N/A

XXX ltd. 78103.............. .............. A

Bone marrow imaging, 0.75 3.43

N/A

0.17

4.35

N/A

XXX mult.

[[Page 49203]]

78103.............. 26............ A

Bone marrow imaging, 0.75 0.26 0.26

0.03

1.04 1.04

XXX mult. 78103.............. TC............ A

Bone marrow imaging, 0.00 3.17

N/A

0.14

3.31

N/A

XXX mult. 78104.............. .............. A

Bone marrow imaging, 0.80 4.35

N/A

0.21

5.36

N/A

XXX body. 78104.............. 26............ A

Bone marrow imaging, 0.80 0.28 0.28

0.03

1.11 1.11

XXX body. 78104.............. TC............ A

Bone marrow imaging, 0.00 4.07

N/A

0.18

4.25

N/A

XXX body. 78110.............. .............. A

Plasma volume,

0.19 1.02

N/A

0.06

1.27

N/A

XXX single. 78110.............. 26............ A

Plasma volume,

0.19 0.07 0.07

0.01

0.27 0.27

XXX single. 78110.............. TC............ A

Plasma volume,

0.00 0.95

N/A

0.05

1.00

N/A

XXX single. 78111.............. .............. A

Plasma volume,

0.22 2.65

N/A

0.13

3.00

N/A

XXX multiple. 78111.............. 26............ A

Plasma volume,

0.22 0.08 0.08

0.01

0.31 0.31

XXX multiple. 78111.............. TC............ A

Plasma volume,

0.00 2.57

N/A

0.12

2.69

N/A

XXX multiple. 78120.............. .............. A

Red cell mass,

0.23 1.81

N/A

0.10

2.14

N/A

XXX single. 78120.............. 26............ A

Red cell mass,

0.23 0.08 0.08

0.01

0.32 0.32

XXX single. 78120.............. TC............ A

Red cell mass,

0.00 1.73

N/A

0.09

1.82

N/A

XXX single. 78121.............. .............. A

Red cell mass,

0.32 3.03

N/A

0.13

3.48

N/A

XXX multiple. 78121.............. 26............ A

Red cell mass,

0.32 0.12 0.12

0.01

0.45 0.45

XXX multiple. 78121.............. TC............ A

Red cell mass,

0.00 2.91

N/A

0.12

3.03

N/A

XXX multiple. 78122.............. .............. A

Blood volume........ 0.45 4.76

N/A

0.22

5.43

N/A

XXX 78122.............. 26............ A

Blood volume........ 0.45 0.16 0.16

0.02

0.63 0.63

XXX 78122.............. TC............ A

Blood volume........ 0.00 4.60

N/A

0.20

4.80

N/A

XXX 78130.............. .............. A

Red cell survival

0.61 3.07

N/A

0.15

3.83

N/A

XXX study. 78130.............. 26............ A

Red cell survival

0.61 0.21 0.21

0.03

0.85 0.85

XXX study. 78130.............. TC............ A

Red cell survival

0.00 2.85

N/A

0.12

2.97

N/A

XXX study. 78135.............. .............. A

Red cell survival

0.64 5.10

N/A

0.24

5.98

N/A

XXX kinetics. 78135.............. 26............ A

Red cell survival

0.64 0.22 0.22

0.03

0.89 0.89

XXX kinetics. 78135.............. TC............ A

Red cell survival

0.00 4.87

N/A

0.21

5.08

N/A

XXX kinetics. 78140.............. .............. A

Red cell

0.61 4.14

N/A

0.20

4.95

N/A

XXX sequestration. 78140.............. 26............ A

Red cell

0.61 0.21 0.21

0.03

0.85 0.85

XXX sequestration. 78140.............. TC............ A

Red cell

0.00 3.94

N/A

0.17

4.11

N/A

XXX sequestration. 78160.............. .............. A

Plasma iron turnover 0.33 3.79

N/A

0.19

4.31

N/A

XXX 78160.............. 26............ A

Plasma iron turnover 0.33 0.12 0.12

0.03

0.48 0.48

XXX 78160.............. TC............ A

Plasma iron turnover 0.00 3.67

N/A

0.16

3.83

N/A

XXX 78162.............. .............. A

Radioiron absorption 0.45 3.39

N/A

0.15

3.99

N/A

XXX exam. 78162.............. 26............ A

Radioiron absorption 0.45 0.19 0.19

0.01

0.65 0.65

XXX exam. 78162.............. TC............ A

Radioiron absorption 0.00 3.20

N/A

0.14

3.34

N/A

XXX exam. 78170.............. .............. A

Red cell iron

0.41 5.45

N/A

0.27

6.13

N/A

XXX utilization. 78170.............. 26............ A

Red cell iron

0.41 0.14 0.14

0.04

0.59 0.59

XXX utilization. 78170.............. TC............ A

Red cell iron

0.00 5.31

N/A

0.23

5.54

N/A

XXX utilization. 78172.............. .............. C

Total body iron

0.00 0.00 0.00

0.00

0.00 0.00

XXX estimation. 78172.............. 26............ A

Total body iron

0.53 0.18 0.18

0.02

0.73 0.73

XXX estimation. 78172.............. TC............ C

Total body iron

0.00 0.00 0.00

0.00

0.00 0.00

XXX estimation. 78185.............. .............. A

Spleen imaging...... 0.40 2.50

N/A

0.13

3.03

N/A

XXX 78185.............. 26............ A

Spleen imaging...... 0.40 0.14 0.14

0.02

0.56 0.56

XXX 78185.............. TC............ A

Spleen imaging...... 0.00 2.36

N/A

0.11

2.47

N/A

XXX 78190.............. .............. A

Platelet survival,

1.09 6.10

N/A

0.31

7.50

N/A

XXX kinetics. 78190.............. 26............ A

Platelet survival,

1.09 0.39 0.39

0.06

1.54 1.54

XXX kinetics. 78190.............. TC............ A

Platelet survival,

0.00 5.72

N/A

0.25

5.97

N/A

XXX kinetics. 78191.............. .............. A

Platelet survival... 0.61 7.55

N/A

0.34

8.50

N/A

XXX 78191.............. 26............ A

Platelet survival... 0.61 0.21 0.21

0.03

0.85 0.85

XXX 78191.............. TC............ A

Platelet survival... 0.00 7.34

N/A

0.31

7.65

N/A

XXX 78195.............. .............. A

Lymph system imaging 1.20 4.49

N/A

0.23

5.92

N/A

XXX 78195.............. 26............ A

Lymph system imaging 1.20 0.42 0.42

0.05

1.67 1.67

XXX 78195.............. TC............ A

Lymph system imaging 0.00 4.07

N/A

0.18

4.25

N/A

XXX 78199.............. .............. C

Blood/lymph nuclear

0.00 0.00 0.00

0.00

0.00 0.00

XXX exam. 78199.............. 26............ C

Blood/lymph nuclear

0.00 0.00 0.00

0.00

0.00 0.00

XXX exam. 78199.............. TC............ C

Blood/lymph nuclear

0.00 0.00 0.00

0.00

0.00 0.00

XXX exam. 78201.............. .............. A

Liver imaging....... 0.44 2.51

N/A

0.13

3.08

N/A

XXX 78201.............. 26............ A

Liver imaging....... 0.44 0.15 0.15

0.02

0.61 0.61

XXX 78201.............. TC............ A

Liver imaging....... 0.00 2.36

N/A

0.11

2.47

N/A

XXX 78202.............. .............. A

Liver imaging with

0.51 3.06

N/A

0.14

3.71

N/A

XXX flow. 78202.............. 26............ A

Liver imaging with

0.51 0.18 0.18

0.02

0.71 0.71

XXX flow.

[[Page 49204]]

78202.............. TC............ A

Liver imaging with

0.00 2.88

N/A

0.12

3.00

N/A

XXX flow. 78205.............. .............. A

Liver imaging (3D).. 0.71 6.16

N/A

0.29

7.16

N/A

XXX 78205.............. 26............ A

Liver imaging (3D).. 0.71 0.25 0.25

0.03

0.99 0.99

XXX 78205.............. TC............ A

Liver imaging (3D).. 0.00 5.91

N/A

0.26

6.17

N/A

XXX 78206.............. .............. A

Liver image (3d)

0.96 6.25

N/A

0.13

7.34

N/A

XXX with flow. 78206.............. 26............ A

Liver image (3d)

0.96 0.34 0.34

0.04

1.34 1.34

XXX with flow. 78206.............. TC............ A

Liver image (3d)

0.00 5.91

N/A

0.09

6.00

N/A

XXX with flow. 78215.............. .............. A

Liver and spleen

0.49 3.11

N/A

0.14

3.74

N/A

XXX imaging. 78215.............. 26............ A

Liver and spleen

0.49 0.17 0.17

0.02

0.68 0.68

XXX imaging. 78215.............. TC............ A

Liver and spleen

0.00 2.94

N/A

0.12

3.06

N/A

XXX imaging. 78216.............. .............. A

Liver & spleen image/ 0.57 3.68

N/A

0.17

4.42

N/A

XXX flow. 78216.............. 26............ A

Liver & spleen image/ 0.57 0.20 0.20

0.02

0.79 0.79

XXX flow. 78216.............. TC............ A

Liver & spleen image/ 0.00 3.48

N/A

0.15

3.63

N/A

XXX flow. 78220.............. .............. A

Liver function study 0.49 3.89

N/A

0.18

4.56

N/A

XXX 78220.............. 26............ A

Liver function study 0.49 0.17 0.17

0.02

0.68 0.68

XXX 78220.............. TC............ A

Liver function study 0.00 3.72

N/A

0.16

3.88

N/A

XXX 78223.............. .............. A

Hepatobiliary

0.84 3.95

N/A

0.20

4.99

N/A

XXX imaging. 78223.............. 26............ A

Hepatobiliary

0.84 0.29 0.29

0.04

1.17 1.17

XXX imaging. 78223.............. TC............ A

Hepatobiliary

0.00 3.67

N/A

0.16

3.83

N/A

XXX imaging. 78230.............. .............. A

Salivary gland

0.45 2.33

N/A

0.13

2.91

N/A

XXX imaging. 78230.............. 26............ A

Salivary gland

0.45 0.15 0.15

0.02

0.62 0.62

XXX imaging. 78230.............. TC............ A

Salivary gland

0.00 2.18

N/A

0.11

2.29

N/A

XXX imaging. 78231.............. .............. A

Serial salivary

0.52 3.36

N/A

0.16

4.04

N/A

XXX imaging. 78231.............. 26............ A

Serial salivary

0.52 0.19 0.19

0.02

0.73 0.73

XXX imaging. 78231.............. TC............ A

Serial salivary

0.00 3.17

N/A

0.14

3.31

N/A

XXX imaging. 78232.............. .............. A

Salivary gland

0.47 3.71

N/A

0.16

4.34

N/A

XXX function exam. 78232.............. 26............ A

Salivary gland

0.47 0.17 0.17

0.01

0.65 0.65

XXX function exam. 78232.............. TC............ A

Salivary gland

0.00 3.54

N/A

0.15

3.69

N/A

XXX function exam. 78258.............. .............. A

Esophageal motility

0.74 3.13

N/A

0.15

4.02

N/A

XXX study. 78258.............. 26............ A

Esophageal motility

0.74 0.25 0.25

0.03

1.02 1.02

XXX study. 78258.............. TC............ A

Esophageal motility

0.00 2.88

N/A

0.12

3.00

N/A

XXX study. 78261.............. .............. A

Gastric mucosa

0.69 4.35

N/A

0.21

5.25

N/A

XXX imaging. 78261.............. 26............ A

Gastric mucosa

0.69 0.25 0.25

0.03

0.97 0.97

XXX imaging. 78261.............. TC............ A

Gastric mucosa

0.00 4.10

N/A

0.18

4.28

N/A

XXX imaging. 78262.............. .............. A

Gastroesophageal

0.68 4.49

N/A

0.21

5.38

N/A

XXX reflux exam. 78262.............. 26............ A

Gastroesophageal

0.68 0.24 0.24

0.03

0.95 0.95

XXX reflux exam. 78262.............. TC............ A

Gastroesophageal

0.00 4.26

N/A

0.18

4.44

N/A

XXX reflux exam. 78264.............. .............. A

Gastric emptying

0.78 4.40

N/A

0.21

5.39

N/A

XXX study. 78264.............. 26............ A

Gastric emptying

0.78 0.27 0.27

0.03

1.08 1.08

XXX study. 78264.............. TC............ A

Gastric emptying

0.00 4.13

N/A

0.18

4.31

N/A

XXX study. 78270.............. .............. A

Vit B-12 absorption

0.20 1.62

N/A

0.09

1.91

N/A

XXX exam. 78270.............. 26............ A

Vit B-12 absorption

0.20 0.07 0.07

0.01

0.28 0.28

XXX exam. 78270.............. TC............ A

Vit B-12 absorption

0.00 1.55

N/A

0.08

1.63

N/A

XXX exam. 78271.............. .............. A

Vit b-12 absrp exam, 0.20 1.71

N/A

0.09

2.00

N/A

XXX int fac. 78271.............. 26............ A

Vit b-12 absrp exam, 0.20 0.07 0.07

0.01

0.28 0.28

XXX int fac. 78271.............. TC............ A

Vit b-12 absrp exam, 0.00 1.64

N/A

0.08

1.72

N/A

XXX int fac. 78272.............. .............. A

Vit B-12 absorp,

0.27 2.42

N/A

0.12

2.81

N/A

XXX combined. 78272.............. 26............ A

Vit B-12 absorp,

0.27 0.10 0.10

0.01

0.38 0.38

XXX combined. 78272.............. TC............ A

Vit B-12 absorp,

0.00 2.32

N/A

0.11

2.43

N/A

XXX combined. 78278.............. .............. A

Acute GI blood loss

0.99 5.21

N/A

0.25

6.45

N/A

XXX imaging. 78278.............. 26............ A

Acute GI blood loss

0.99 0.34 0.34

0.04

1.37 1.37

XXX imaging. 78278.............. TC............ A

Acute GI blood loss

0.00 4.87

N/A

0.21

5.08

N/A

XXX imaging. 78282.............. .............. C

GI protein loss exam 0.00 0.00 0.00

0.00

0.00 0.00

XXX 78282.............. 26............ A

GI protein loss exam 0.38 0.13 0.13

0.02

0.53 0.53

XXX

[[Page 49205]]

78282.............. TC............ C

GI protein loss exam 0.00 0.00 0.00

0.00

0.00 0.00

XXX 78290.............. .............. A

Meckel's divert exam 0.68 3.28

N/A

0.16

4.12

N/A

XXX 78290.............. 26............ A

Meckel's divert exam 0.68 0.23 0.23

0.03

0.94 0.94

XXX 78290.............. TC............ A

Meckel's divert exam 0.00 3.05

N/A

0.13

3.18

N/A

XXX 78291.............. .............. A

Leveen/shunt patency 0.88 3.37

N/A

0.17

4.42

N/A

XXX exam. 78291.............. 26............ A

Leveen/shunt patency 0.88 0.31 0.31

0.04

1.23 1.23

XXX exam. 78291.............. TC............ A

Leveen/shunt patency 0.00 3.07

N/A

0.13

3.20

N/A

XXX exam. 78299.............. .............. C

GI nuclear procedure 0.00 0.00 0.00

0.00

0.00 0.00

XXX 78299.............. 26............ C

GI nuclear procedure 0.00 0.00 0.00

0.00

0.00 0.00

XXX 78299.............. TC............ C

GI nuclear procedure 0.00 0.00 0.00

0.00

0.00 0.00

XXX 78300.............. .............. A

Bone imaging,

0.62 2.70

N/A

0.15

3.47

N/A

XXX limited area. 78300.............. 26............ A

Bone imaging,

0.62 0.21 0.21

0.03

0.86 0.86

XXX limited area. 78300.............. TC............ A

Bone imaging,

0.00 2.49

N/A

0.12

2.61

N/A

XXX limited area. 78305.............. .............. A

Bone imaging,

0.83 3.95

N/A

0.19

4.97

N/A

XXX multiple areas. 78305.............. 26............ A

Bone imaging,

0.83 0.28 0.28

0.03

1.14 1.14

XXX multiple areas. 78305.............. TC............ A

Bone imaging,

0.00 3.67

N/A

0.16

3.83

N/A

XXX multiple areas. 78306.............. .............. A

Bone imaging, whole

0.86 4.57

N/A

0.22

5.65

N/A

XXX body. 78306.............. 26............ A

Bone imaging, whole

0.86 0.29 0.29

0.04

1.19 1.19

XXX body. 78306.............. TC............ A

Bone imaging, whole

0.00 4.27

N/A

0.18

4.45

N/A

XXX body. 78315.............. .............. A

Bone imaging, 3

1.02 5.13

N/A

0.25

6.40

N/A

XXX phase. 78315.............. 26............ A

Bone imaging, 3

1.02 0.35 0.35

0.04

1.41 1.41

XXX phase. 78315.............. TC............ A

Bone imaging, 3

0.00 4.78

N/A

0.21

4.99

N/A

XXX phase. 78320.............. .............. A

Bone imaging (3D)... 1.04 6.28

N/A

0.30

7.62

N/A

XXX 78320.............. 26............ A

Bone imaging (3D)... 1.04 0.37 0.37

0.04

1.45 1.45

XXX 78320.............. TC............ A

Bone imaging (3D)... 0.00 5.91

N/A

0.26

6.17

N/A

XXX 78350.............. .............. A

Bone mineral, single 0.22 0.83

N/A

0.05

1.10

N/A

XXX photon. 78350.............. 26............ A

Bone mineral, single 0.22 0.08 0.08

0.01

0.31 0.31

XXX photon. 78350.............. TC............ A

Bone mineral, single 0.00 0.75

N/A

0.04

0.79

N/A

XXX photon. 78351.............. .............. N

Bone mineral, dual

0.30 1.76 0.12

0.01

2.07 0.43

XXX photon. 78399.............. .............. C

Musculoskeletal

0.00 0.00 0.00

0.00

0.00 0.00

XXX nuclear exam. 78399.............. 26............ C

Musculoskeletal

0.00 0.00 0.00

0.00

0.00 0.00

XXX nuclear exam. 78399.............. TC............ 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

0.00

0.00 0.00

XXX function. 78414.............. 26............ A

Non-imaging heart

0.45 0.16 0.16

0.02

0.63 0.63

XXX function. 78414.............. TC............ C

Non-imaging heart

0.00 0.00 0.00

0.00

0.00 0.00

XXX function. 78428.............. .............. A

Cardiac shunt

0.78 2.55

N/A

0.14

3.47

N/A

XXX imaging. 78428.............. 26............ A

Cardiac shunt

0.78 0.30 0.30

0.03

1.11 1.11

XXX imaging. 78428.............. TC............ A

Cardiac shunt

0.00 2.25

N/A

0.11

2.36

N/A

XXX imaging. 78445.............. .............. A

Vascular flow

0.49 2.03

N/A

0.11

2.63

N/A

XXX imaging. 78445.............. 26............ A

Vascular flow

0.49 0.17 0.17

0.02

0.68 0.68

XXX imaging. 78445.............. TC............ A

Vascular flow

0.00 1.86

N/A

0.09

1.95

N/A

XXX imaging. 78455.............. .............. A

Venous thrombosis

0.73 4.24

N/A

0.20

5.17

N/A

XXX study. 78455.............. 26............ A

Venous thrombosis

0.73 0.25 0.25

0.03

1.01 1.01

XXX study. 78455.............. TC............ A

Venous thrombosis

0.00 3.98

N/A

0.17

4.15

N/A

XXX study. 78456.............. .............. A

Acute venous

1.00 4.34

N/A

0.28

5.62

N/A

XXX thrombus image. 78456.............. 26............ A

Acute venous

1.00 0.35 0.35

0.04

1.39 1.39

XXX thrombus image. 78456.............. TC............ A

Acute venous

0.00 3.98

N/A

0.24

4.22

N/A

XXX thrombus image.

[[Page 49206]]

78457.............. .............. A

Venous thrombosis

0.77 2.92

N/A

0.15

3.84

N/A

XXX imaging. 78457.............. 26............ A

Venous thrombosis

0.77 0.27 0.27

0.03

1.07 1.07

XXX imaging. 78457.............. TC............ A

Venous thrombosis

0.00 2.66

N/A

0.12

2.78

N/A

XXX imaging. 78458.............. .............. A

Ven thrombosis

0.90 4.35

N/A

0.20

5.45

N/A

XXX images, bilat. 78458.............. 26............ A

Ven thrombosis

0.90 0.33 0.33

0.03

1.26 1.26

XXX images, bilat. 78458.............. TC............ A

Ven thrombosis

0.00 4.02

N/A

0.17

4.19

N/A

XXX images, bilat. 78459.............. .............. C

Heart muscle imaging 0.00 0.00 0.00

0.00

0.00 0.00

XXX (PET). 78459.............. 26............ R

Heart muscle imaging 1.50 0.58 0.58

0.04

2.12 2.12

XXX (PET). 78459.............. TC............ C

Heart muscle imaging 0.00 0.00 0.00

0.00

0.00 0.00

XXX (PET). 78460.............. .............. A

Heart muscle blood,

0.86 2.66

N/A

0.14

3.66

N/A

XXX single. 78460.............. 26............ A

Heart muscle blood,

0.86 0.30 0.30

0.03

1.19 1.19

XXX single. 78460.............. TC............ A

Heart muscle blood,

0.00 2.36

N/A

0.11

2.47

N/A

XXX single. 78461.............. .............. A

Heart muscle blood,

1.23 5.16

N/A

0.26

6.65

N/A

XXX multiple. 78461.............. 26............ A

Heart muscle blood,

1.23 0.44 0.44

0.05

1.72 1.72

XXX multiple. 78461.............. TC............ A

Heart muscle blood,

0.00 4.72

N/A

0.21

4.93

N/A

XXX multiple. 78464.............. .............. A

Heart image (3d),

1.09 7.46

N/A

0.35

8.90

N/A

XXX single. 78464.............. 26............ A

Heart image (3d),

1.09 0.39 0.39

0.04

1.52 1.52

XXX single. 78464.............. TC............ A

Heart image (3d),

0.00 7.07

N/A

0.31

7.38

N/A

XXX single. 78465.............. .............. A

Heart image (3d),

1.46 12.33

N/A

0.56 14.35

N/A

XXX multiple. 78465.............. 26............ A

Heart image (3d),

1.46 0.53 0.53

0.05

2.04 2.04

XXX multiple. 78465.............. TC............ A

Heart image (3d),

0.00 11.80

N/A

0.51 12.31

N/A

XXX multiple. 78466.............. .............. A

Heart infarct image. 0.69 2.87

N/A

0.15

3.71

N/A

XXX 78466.............. 26............ A

Heart infarct image. 0.69 0.25 0.25

0.03

0.97 0.97

XXX 78466.............. TC............ A

Heart infarct image. 0.00 2.62

N/A

0.12

2.74

N/A

XXX 78468.............. .............. A

Heart infarct image

0.80 3.95

N/A

0.19

4.94

N/A

XXX (ef). 78468.............. 26............ A

Heart infarct image

0.80 0.28 0.28

0.03

1.11 1.11

XXX (ef). 78468.............. TC............ A

Heart infarct image

0.00 3.67

N/A

0.16

3.83

N/A

XXX (ef). 78469.............. .............. A

Heart infarct image

0.92 5.54

N/A

0.26

6.72

N/A

XXX (3D). 78469.............. 26............ A

Heart infarct image

0.92 0.32 0.32

0.03

1.27 1.27

XXX (3D). 78469.............. TC............ A

Heart infarct image

0.00 5.22

N/A

0.23

5.45

N/A

XXX (3D). 78472.............. .............. A

Gated heart, planar, 0.98 5.86

N/A

0.29

7.13

N/A

XXX single. 78472.............. 26............ A

Gated heart, planar, 0.98 0.35 0.35

0.04

1.37 1.37

XXX single. 78472.............. TC............ A

Gated heart, planar, 0.00 5.51

N/A

0.25

5.76

N/A

XXX single. 78473.............. .............. A

Gated heart,

1.47 8.78

N/A

0.40 10.65

N/A

XXX multiple. 78473.............. 26............ A

Gated heart,

1.47 0.52 0.52

0.05

2.04 2.04

XXX multiple. 78473.............. TC............ A

Gated heart,

0.00 8.26

N/A

0.35

8.61

N/A

XXX multiple. 78478.............. .............. A

Heart wall motion

0.62 1.79

N/A

0.10

2.51

N/A

XXX add-on. 78478.............. 26............ A

Heart wall motion

0.62 0.23 0.23

0.02

0.87 0.87

XXX add-on. 78478.............. TC............ A

Heart wall motion

0.00 1.56

N/A

0.08

1.64

N/A

XXX add-on. 78480.............. .............. A

Heart function add-

0.62 1.79

N/A

0.10

2.51

N/A

XXX on. 78480.............. 26............ A

Heart function add-

0.62 0.23 0.23

0.02

0.87 0.87

XXX on. 78480.............. TC............ A

Heart function add-

0.00 1.56

N/A

0.08

1.64

N/A

XXX on. 78481.............. .............. A

Heart first pass,

0.98 5.59

N/A

0.26

6.83

N/A

XXX single. 78481.............. 26............ A

Heart first pass,

0.98 0.37 0.37

0.03

1.38 1.38

XXX single. 78481.............. TC............ A

Heart first pass,

0.00 5.22

N/A

0.23

5.45

N/A

XXX single. 78483.............. .............. A

Heart first pass,

1.47 8.42

N/A

0.39 10.28

N/A

XXX multiple. 78483.............. 26............ A

Heart first pass,

1.47 0.55 0.55

0.05

2.07 2.07

XXX multiple. 78483.............. TC............ A

Heart first pass,

0.00 7.87

N/A

0.34

8.21

N/A

XXX multiple. 78491.............. .............. I

Heart image (pet),

0.00 0.00 0.00

0.00

0.00 0.00

XXX single. 78491.............. 26............ I

Heart image (pet),

1.50 0.60 0.60

0.05

2.15 2.15

XXX single. 78491.............. TC............ I

Heart image (pet),

0.00 0.00 0.00

0.00

0.00 0.00

XXX single. 78492.............. .............. I

Heart image (pet),

0.00 0.00 0.00

0.00

0.00 0.00

XXX multiple. 78492.............. 26............ I

Heart image (pet),

1.87 0.75 0.75

0.06

2.68 2.68

XXX multiple. 78492.............. TC............ I

Heart image (pet),

0.00 0.00 0.00

0.00

0.00 0.00

XXX multiple.

[[Page 49207]]

78494.............. .............. A

Heart image, spect.. 1.19 7.49

N/A

0.29

8.97

N/A

XXX 78494.............. 26............ A

Heart image, spect.. 1.19 0.43 0.43

0.04

1.66 1.66

XXX 78494.............. TC............ A

Heart image, spect.. 0.00 7.07

N/A

0.25

7.32

N/A

XXX 78496.............. .............. A

Heart first pass add- 0.50 7.25

N/A

0.27

8.02

N/A

ZZZ on. 78496.............. 26............ A

Heart first pass add- 0.50 0.19 0.19

0.02

0.71 0.71

ZZZ on. 78496.............. TC............ A

Heart first pass add- 0.00 7.07

N/A

0.25

7.32

N/A

ZZZ on. 78499.............. .............. C

Cardiovascular

0.00 0.00 0.00

0.00

0.00 0.00

XXX nuclear exam. 78499.............. 26............ C

Cardiovascular

0.00 0.00 0.00

0.00

0.00 0.00

XXX nuclear exam. 78499.............. TC............ C

Cardiovascular

0.00 0.00 0.00

0.00

0.00 0.00

XXX nuclear exam. 78580.............. .............. A

Lung perfusion

0.74 3.69

N/A

0.18

4.61

N/A

XXX imaging. 78580.............. 26............ A

Lung perfusion

0.74 0.25 0.25

0.03

1.02 1.02

XXX imaging. 78580.............. TC............ A

Lung perfusion

0.00 3.43

N/A

0.15

3.58

N/A

XXX imaging. 78584.............. .............. A

Lung V/Q image

0.99 3.53

N/A

0.18

4.70

N/A

XXX single breath. 78584.............. 26............ A

Lung V/Q image

0.99 0.33 0.33

0.04

1.36 1.36

XXX single breath. 78584.............. TC............ A

Lung V/Q image

0.00 3.20

N/A

0.14

3.34

N/A

XXX single breath. 78585.............. .............. A

Lung V/Q imaging.... 1.09 6.01

N/A

0.30

7.40

N/A

XXX 78585.............. 26............ A

Lung V/Q imaging.... 1.09 0.37 0.37

0.05

1.51 1.51

XXX 78585.............. TC............ A

Lung V/Q imaging.... 0.00 5.64

N/A

0.25

5.89

N/A

XXX 78586.............. .............. A

Aerosol lung image,

0.40 2.73

N/A

0.14

3.27

N/A

XXX single. 78586.............. 26............ A

Aerosol lung image,

0.40 0.13 0.13

0.02

0.55 0.55

XXX single. 78586.............. TC............ A

Aerosol lung image,

0.00 2.59

N/A

0.12

2.71

N/A

XXX single. 78587.............. .............. A

Aerosol lung image,

0.49 2.97

N/A

0.14

3.60

N/A

XXX multiple. 78587.............. 26............ A

Aerosol lung image,

0.49 0.17 0.17

0.02

0.68 0.68

XXX multiple. 78587.............. TC............ A

Aerosol lung image,

0.00 2.80

N/A

0.12

2.92

N/A

XXX multiple. 78588.............. .............. A

Perfusion lung image 1.09 3.57

N/A

0.20

4.86

N/A

XXX 78588.............. 26............ A

Perfusion lung image 1.09 0.37 0.37

0.05

1.51 1.51

XXX 78588.............. TC............ A

Perfusion lung image 0.00 3.20

N/A

0.15

3.35

N/A

XXX 78591.............. .............. A

Vent image, 1

0.40 2.99

N/A

0.14

3.53

N/A

XXX breath, 1 proj. 78591.............. 26............ A

Vent image, 1

0.40 0.14 0.14

0.02

0.56 0.56

XXX breath, 1 proj. 78591.............. TC............ A

Vent image, 1

0.00 2.85

N/A

0.12

2.97

N/A

XXX breath, 1 proj. 78593.............. .............. A

Vent image, 1 proj,

0.49 3.62

N/A

0.17

4.28

N/A

XXX gas. 78593.............. 26............ A

Vent image, 1 proj,

0.49 0.17 0.17

0.02

0.68 0.68

XXX gas. 78593.............. TC............ A

Vent image, 1 proj,

0.00 3.45

N/A

0.15

3.60

N/A

XXX gas. 78594.............. .............. A

Vent image, mult

0.53 5.17

N/A

0.23

5.93

N/A

XXX proj, gas. 78594.............. 26............ A

Vent image, mult

0.53 0.18 0.18

0.02

0.73 0.73

XXX proj, gas. 78594.............. TC............ A

Vent image, mult

0.00 4.98

N/A

0.21

5.19

N/A

XXX proj, gas. 78596.............. .............. A

Lung differential

1.27 7.50

N/A

0.36

9.13

N/A

XXX function. 78596.............. 26............ A

Lung differential

1.27 0.43 0.43

0.05

1.75 1.75

XXX function. 78596.............. TC............ A

Lung differential

0.00 7.07

N/A

0.31

7.38

N/A

XXX function. 78599.............. .............. C

Respiratory nuclear

0.00 0.00 0.00

0.00

0.00 0.00

XXX exam. 78599.............. 26............ C

Respiratory nuclear

0.00 0.00 0.00

0.00

0.00 0.00

XXX exam. 78599.............. TC............ C

Respiratory nuclear

0.00 0.00 0.00

0.00

0.00 0.00

XXX exam. 78600.............. .............. A

Brain imaging, ltd

0.44 3.04

N/A

0.14

3.62

N/A

XXX static. 78600.............. 26............ A

Brain imaging, ltd

0.44 0.16 0.16

0.02

0.62 0.62

XXX static. 78600.............. TC............ A

Brain imaging, ltd

0.00 2.88

N/A

0.12

3.00

N/A

XXX static. 78601.............. .............. A

Brain imaging, ltd w/ 0.51 3.58

N/A

0.17

4.26

N/A

XXX flow. 78601.............. 26............ A

Brain imaging, ltd w/ 0.51 0.18 0.18

0.02

0.71 0.71

XXX flow. 78601.............. TC............ A

Brain imaging, ltd w/ 0.00 3.40

N/A

0.15

3.55

N/A

XXX flow. 78605.............. .............. A

Brain imaging,

0.53 3.59

N/A

0.17

4.29

N/A

XXX complete. 78605.............. 26............ A

Brain imaging,

0.53 0.19 0.19

0.02

0.74 0.74

XXX complete. 78605.............. TC............ A

Brain imaging,

0.00 3.40

N/A

0.15

3.55

N/A

XXX complete. 78606.............. .............. A

Brain imaging, compl 0.64 4.09

N/A

0.20

4.93

N/A

XXX w/flow.

[[Page 49208]]

78606.............. 26............ A

Brain imaging, compl 0.64 0.22 0.22

0.03

0.89 0.89

XXX w/flow. 78606.............. TC............ A

Brain imaging, compl 0.00 3.87

N/A

0.17

4.04

N/A

XXX w/flow. 78607.............. .............. A

Brain imaging (3D).. 1.23 7.00

N/A

0.34

8.57

N/A

XXX 78607.............. 26............ A

Brain imaging (3D).. 1.23 0.44 0.44

0.05

1.72 1.72

XXX 78607.............. TC............ A

Brain imaging (3D).. 0.00 6.56

N/A

0.29

6.85

N/A

XXX 78608.............. .............. N

Brain imaging (PET). 0.00 0.00 0.00

0.00

0.00 0.00

XXX 78610.............. .............. A

Brain flow imaging

0.30 1.69

N/A

0.09

2.08

N/A

XXX only. 78610.............. 26............ A

Brain flow imaging

0.30 0.11 0.11

0.01

0.42 0.42

XXX only. 78610.............. TC............ A

Brain flow imaging

0.00 1.58

N/A

0.08

1.66

N/A

XXX only. 78615.............. .............. A

Cerebral vascular

0.42 4.00

N/A

0.19

4.61

N/A

XXX flow image. 78615.............. 26............ A

Cerebral vascular

0.42 0.16 0.16

0.02

0.60 0.60

XXX flow image. 78615.............. TC............ A

Cerebral vascular

0.00 3.85

N/A

0.17

4.02

N/A

XXX flow image. 78630.............. .............. A

Cerebrospinal fluid

0.68 5.27

N/A

0.25

6.20

N/A

XXX scan. 78630.............. 26............ A

Cerebrospinal fluid

0.68 0.23 0.23

0.03

0.94 0.94

XXX scan. 78630.............. TC............ A

Cerebrospinal fluid

0.00 5.04

N/A

0.22

5.26

N/A

XXX scan. 78635.............. .............. A

CSF ventriculography 0.61 2.78

N/A

0.14

3.53

N/A

XXX 78635.............. 26............ A

CSF ventriculography 0.61 0.24 0.24

0.02

0.87 0.87

XXX 78635.............. TC............ A

CSF ventriculography 0.00 2.54

N/A

0.12

2.66

N/A

XXX 78645.............. .............. A

CSF shunt evaluation 0.57 3.63

N/A

0.17

4.37

N/A

XXX 78645.............. 26............ A

CSF shunt evaluation 0.57 0.20 0.20

0.02

0.79 0.79

XXX 78645.............. TC............ A

CSF shunt evaluation 0.00 3.43

N/A

0.15

3.58

N/A

XXX 78647.............. .............. A

Cerebrospinal fluid

0.90 6.23

N/A

0.29

7.42

N/A

XXX scan. 78647.............. 26............ A

Cerebrospinal fluid

0.90 0.32 0.32

0.03

1.25 1.25

XXX scan. 78647.............. TC............ A

Cerebrospinal fluid

0.00 5.91

N/A

0.26

6.17

N/A

XXX scan. 78650.............. .............. A

CSF leakage imaging. 0.61 4.86

N/A

0.22

5.69

N/A

XXX 78650.............. 26............ A

CSF leakage imaging. 0.61 0.21 0.21

0.02

0.84 0.84

XXX 78650.............. TC............ A

CSF leakage imaging. 0.00 4.64

N/A

0.20

4.84

N/A

XXX 78660.............. .............. A

Nuclear exam of tear 0.53 2.30

N/A

0.12

2.95

N/A

XXX flow. 78660.............. 26............ A

Nuclear exam of tear 0.53 0.18 0.18

0.02

0.73 0.73

XXX flow. 78660.............. TC............ A

Nuclear exam of tear 0.00 2.12

N/A

0.10

2.22

N/A

XXX flow. 78699.............. .............. C

Nervous system

0.00 0.00 0.00

0.00

0.00 0.00

XXX nuclear exam. 78699.............. 26............ C

Nervous system

0.00 0.00 0.00

0.00

0.00 0.00

XXX nuclear exam. 78699.............. TC............ C

Nervous system

0.00 0.00 0.00

0.00

0.00 0.00

XXX nuclear exam. 78700.............. .............. A

Kidney imaging,

0.45 3.20

N/A

0.15

3.80

N/A

XXX static. 78700.............. 26............ A

Kidney imaging,

0.45 0.15 0.15

0.02

0.62 0.62

XXX static. 78700.............. TC............ A

Kidney imaging,

0.00 3.05

N/A

0.13

3.18

N/A

XXX static. 78701.............. .............. A

Kidney imaging with

0.49 3.73

N/A

0.17

4.39

N/A

XXX flow. 78701.............. 26............ A

Kidney imaging with

0.49 0.17 0.17

0.02

0.68 0.68

XXX flow. 78701.............. TC............ A

Kidney imaging with

0.00 3.56

N/A

0.15

3.71

N/A

XXX flow. 78704.............. .............. A

Imaging renogram.... 0.74 4.21

N/A

0.20

5.15

N/A

XXX 78704.............. 26............ A

Imaging renogram.... 0.74 0.25 0.25

0.03

1.02 1.02

XXX 78704.............. TC............ A

Imaging renogram.... 0.00 3.96

N/A

0.17

4.13

N/A

XXX 78707.............. .............. A

Kidney flow/function 0.96 4.80

N/A

0.23

5.99

N/A

XXX image. 78707.............. 26............ A

Kidney flow/function 0.96 0.33 0.33

0.04

1.33 1.33

XXX image. 78707.............. TC............ A

Kidney flow/function 0.00 4.47

N/A

0.19

4.66

N/A

XXX image. 78708.............. .............. A

Kidney flow/function 1.21 4.89

N/A

0.24

6.34

N/A

XXX image. 78708.............. 26............ A

Kidney flow/function 1.21 0.42 0.42

0.05

1.68 1.68

XXX image. 78708.............. TC............ A

Kidney flow/function 0.00 4.47

N/A

0.19

4.66

N/A

XXX image. 78709.............. .............. A

Kidney flow/function 1.41 4.95

N/A

0.25

6.61

N/A

XXX image. 78709.............. 26............ A

Kidney flow/function 1.41 0.48 0.48

0.06

1.95 1.95

XXX image. 78709.............. TC............ A

Kidney flow/function 0.00 4.47

N/A

0.19

4.66

N/A

XXX image. 78710.............. .............. A

Kidney imaging (3D). 0.66 6.13

N/A

0.29

7.08

N/A

XXX 78710.............. 26............ A

Kidney imaging (3D). 0.66 0.23 0.23

0.03

0.92 0.92

XXX 78710.............. TC............ A

Kidney imaging (3D). 0.00 5.91

N/A

0.26

6.17

N/A

XXX 78715.............. .............. A

Renal vascular flow

0.30 1.69

N/A

0.09

2.08

N/A

XXX exam. 78715.............. 26............ A

Renal vascular flow

0.30 0.11 0.11

0.01

0.42 0.42

XXX exam. 78715.............. TC............ A

Renal vascular flow

0.00 1.58

N/A

0.08

1.66

N/A

XXX exam. 78725.............. .............. A

Kidney function

0.38 1.91

N/A

0.10

2.39

N/A

XXX study.

[[Page 49209]]

78725.............. 26............ A

Kidney function

0.38 0.13 0.13

0.01

0.52 0.52

XXX study. 78725.............. TC............ A

Kidney function

0.00 1.78

N/A

0.09

1.87

N/A

XXX study. 78730.............. .............. A

Urinary bladder

0.36 1.59

N/A

0.09

2.04

N/A

XXX retention. 78730.............. 26............ A

Urinary bladder

0.36 0.13 0.13

0.02

0.51 0.51

XXX retention. 78730.............. TC............ A

Urinary bladder

0.00 1.46

N/A

0.07

1.53

N/A

XXX retention. 78740.............. .............. A

Ureteral reflux

0.57 2.31

N/A

0.12

3.00

N/A

XXX study. 78740.............. 26............ A

Ureteral reflux

0.57 0.19 0.19

0.02

0.78 0.78

XXX study. 78740.............. TC............ A

Ureteral reflux

0.00 2.12

N/A

0.10

2.22

N/A

XXX study. 78760.............. .............. A

Testicular imaging.. 0.66 2.90

N/A

0.15

3.71

N/A

XXX 78760.............. 26............ A

Testicular imaging.. 0.66 0.22 0.22

0.03

0.91 0.91

XXX 78760.............. TC............ A

Testicular imaging.. 0.00 2.68

N/A

0.12

2.80

N/A

XXX 78761.............. .............. A

Testicular imaging/

0.71 3.44

N/A

0.17

4.32

N/A

XXX flow. 78761.............. 26............ A

Testicular imaging/

0.71 0.24 0.24

0.03

0.98 0.98

XXX flow. 78761.............. TC............ A

Testicular imaging/

0.00 3.20

N/A

0.14

3.34

N/A

XXX flow. 78799.............. .............. C

Genitourinary

0.00 0.00 0.00

0.00

0.00 0.00

XXX nuclear exam. 78799.............. 26............ C

Genitourinary

0.00 0.00 0.00

0.00

0.00 0.00

XXX nuclear exam. 78799.............. TC............ C

Genitourinary

0.00 0.00 0.00

0.00

0.00 0.00

XXX nuclear exam. 78800.............. .............. A

Tumor imaging,

0.66 3.63

N/A

0.18

4.47

N/A

XXX limited area. 78800.............. 26............ A

Tumor imaging,

0.66 0.22 0.22

0.03

0.91 0.91

XXX limited area. 78800.............. TC............ A

Tumor imaging,

0.00 3.40

N/A

0.15

3.55

N/A

XXX limited area. 78801.............. .............. A

Tumor imaging, mult

0.79 4.50

N/A

0.21

5.50

N/A

XXX areas. 78801.............. 26............ A

Tumor imaging, mult

0.79 0.27 0.27

0.03

1.09 1.09

XXX areas. 78801.............. TC............ A

Tumor imaging, mult

0.00 4.23

N/A

0.18

4.41

N/A

XXX areas. 78802.............. .............. A

Tumor imaging, whole 0.86 5.83

N/A

0.28

6.97

N/A

XXX body. 78802.............. 26............ A

Tumor imaging, whole 0.86 0.30 0.30

0.03

1.19 1.19

XXX body. 78802.............. TC............ A

Tumor imaging, whole 0.00 5.53

N/A

0.25

5.78

N/A

XXX body. 78803.............. .............. A

Tumor imaging (3D).. 1.09 6.95

N/A

0.33

8.37

N/A

XXX 78803.............. 26............ A

Tumor imaging (3D).. 1.09 0.39 0.39

0.04

1.52 1.52

XXX 78803.............. TC............ A

Tumor imaging (3D).. 0.00 6.56

N/A

0.29

6.85

N/A

XXX 78805.............. .............. A

Abscess imaging, ltd 0.73 3.66

N/A

0.18

4.57

N/A

XXX area. 78805.............. 26............ A

Abscess imaging, ltd 0.73 0.26 0.26

0.03

1.02 1.02

XXX area. 78805.............. TC............ A

Abscess imaging, ltd 0.00 3.40

N/A

0.15

3.55

N/A

XXX area. 78806.............. .............. A

Abscess imaging,

0.86 6.73

N/A

0.32

7.91

N/A

XXX whole body. 78806.............. 26............ A

Abscess imaging,

0.86 0.30 0.30

0.03

1.19 1.19

XXX whole body. 78806.............. TC............ A

Abscess imaging,

0.00 6.43

N/A

0.29

6.72

N/A

XXX whole body. 78807.............. .............. A

Nuclear localization/ 1.09 6.96

N/A

0.33

8.38

N/A

XXX abscess. 78807.............. 26............ A

Nuclear localization/ 1.09 0.40 0.40

0.04

1.53 1.53

XXX abscess. 78807.............. TC............ A

Nuclear localization/ 0.00 6.56

N/A

0.29

6.85

N/A

XXX abscess. 78810.............. 26............ N

Tumor imaging (PET). 1.93 0.75 0.75

0.09

2.77 2.77

XXX 78890.............. .............. B

Nuclear medicine

0.05 1.32

N/A

0.06

1.43

N/A

XXX data proc. 78890.............. 26............ B

Nuclear medicine

0.05 0.02 0.02

0.01

0.08 0.08

XXX data proc. 78890.............. TC............ B

Nuclear medicine

0.00 1.31

N/A

0.05

1.36

N/A

XXX data proc. 78891.............. .............. B

Nuclear med data

0.10 2.66

N/A

0.12

2.88

N/A

XXX proc. 78891.............. 26............ B

Nuclear med data

0.10 0.04 0.04

0.01

0.15 0.15

XXX proc. 78891.............. TC............ B

Nuclear med data

0.00 2.62

N/A

0.11

2.73

N/A

XXX proc. 78990.............. .............. I

Provide diag

0.00 0.00 0.00

0.00

0.00 0.00

XXX radionuclide(s). 78999.............. .............. C

Nuclear diagnostic

0.00 0.00 0.00

0.00

0.00 0.00

XXX exam.

[[Page 49210]]

78999.............. 26............ C

Nuclear diagnostic

0.00 0.00 0.00

0.00

0.00 0.00

XXX exam. 78999.............. TC............ C

Nuclear diagnostic

0.00 0.00 0.00

0.00

0.00 0.00

XXX exam. 79000.............. .............. A

Init hyperthyroid

1.80 3.24

N/A

0.19

5.23

N/A

XXX therapy. 79000.............. 26............ A

Init hyperthyroid

1.80 0.62 0.62

0.07

2.49 2.49

XXX therapy. 79000.............. TC............ A

Init hyperthyroid

0.00 2.62

N/A

0.12

2.74

N/A

XXX therapy. 79001.............. .............. A

Repeat hyperthyroid

1.05 1.67

N/A

0.10

2.82

N/A

XXX therapy. 79001.............. 26............ A

Repeat hyperthyroid

1.05 0.36 0.36

0.04

1.45 1.45

XXX therapy. 79001.............. TC............ A

Repeat hyperthyroid

0.00 1.31

N/A

0.06

1.37

N/A

XXX therapy. 79020.............. .............. A

Thyroid ablation.... 1.81 3.23

N/A

0.19

5.23

N/A

XXX 79020.............. 26............ A

Thyroid ablation.... 1.81 0.61 0.61

0.07

2.49 2.49

XXX 79020.............. TC............ A

Thyroid ablation.... 0.00 2.62

N/A

0.12

2.74

N/A

XXX 79030.............. .............. A

Thyroid ablation,

2.10 3.34

N/A

0.20

5.64

N/A

XXX carcinoma. 79030.............. 26............ A

Thyroid ablation,

2.10 0.72 0.72

0.08

2.90 2.90

XXX carcinoma. 79030.............. TC............ A

Thyroid ablation,

0.00 2.62

N/A

0.12

2.74

N/A

XXX carcinoma. 79035.............. .............. A

Thyroid metastatic

2.52 3.51

N/A

0.21

6.24

N/A

XXX therapy. 79035.............. 26............ A

Thyroid metastatic

2.52 0.89 0.89

0.09

3.50 3.50

XXX therapy. 79035.............. TC............ A

Thyroid metastatic

0.00 2.62

N/A

0.12

2.74

N/A

XXX therapy. 79100.............. .............. A

Hematopoetic nuclear 1.32 3.09

N/A

0.17

4.58

N/A

XXX therapy. 79100.............. 26............ A

Hematopoetic nuclear 1.32 0.47 0.47

0.05

1.84 1.84

XXX therapy. 79100.............. TC............ A

Hematopoetic nuclear 0.00 2.62

N/A

0.12

2.74

N/A

XXX therapy. 79200.............. .............. A

Intracavitary

1.99 3.33

N/A

0.19

5.51

N/A

XXX nuclear trmt. 79200.............. 26............ A

Intracavitary

1.99 0.71 0.71

0.07

2.77 2.77

XXX nuclear trmt. 79200.............. TC............ A

Intracavitary

0.00 2.62

N/A

0.12

2.74

N/A

XXX nuclear trmt. 79300.............. .............. C

Interstitial nuclear 0.00 0.00 0.00

0.00

0.00 0.00

XXX therapy. 79300.............. 26............ A

Interstitial nuclear 1.60 0.57 0.57

0.07

2.24 2.24

XXX therapy. 79300.............. TC............ C

Interstitial nuclear 0.00 0.00 0.00

0.00

0.00 0.00

XXX therapy. 79400.............. .............. A

Nonhemato nuclear

1.96 3.31

N/A

0.20

5.47

N/A

XXX therapy. 79400.............. 26............ A

Nonhemato nuclear

1.96 0.68 0.68

0.08

2.72 2.72

XXX therapy. 79400.............. TC............ A

Nonhemato nuclear

0.00 2.62

N/A

0.12

2.74

N/A

XXX therapy. 79420.............. .............. C

Intravascular

0.00 0.00 0.00

0.00

0.00 0.00

XXX nuclear ther. 79420.............. 26............ A

Intravascular

1.51 0.50 0.50

0.06

2.07 2.07

XXX nuclear ther. 79420.............. TC............ C

Intravascular

0.00 0.00 0.00

0.00

0.00 0.00

XXX nuclear ther. 79440.............. .............. A

Nuclear joint

1.99 3.36

N/A

0.20

5.55

N/A

XXX therapy. 79440.............. 26............ A

Nuclear joint

1.99 0.74 0.74

0.08

2.81 2.81

XXX therapy. 79440.............. TC............ A

Nuclear joint

0.00 2.62

N/A

0.12

2.74

N/A

XXX therapy. 79900.............. .............. C

Provide ther

0.00 0.00 0.00

0.00

0.00 0.00

XXX radiopharm(s). 79999.............. .............. C

Nuclear medicine

0.00 0.00 0.00

0.00

0.00 0.00

XXX therapy. 79999.............. 26............ C

Nuclear medicine

0.00 0.00 0.00

0.00

0.00 0.00

XXX therapy. 79999.............. TC............ C

Nuclear medicine

0.00 0.00 0.00

0.00

0.00 0.00

XXX therapy. 80055.............. .............. I

Obstetric panel..... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 80500.............. .............. A

Lab pathology

0.37 0.22 0.16

0.01

0.60 0.54

XXX consultation. 80502.............. .............. A

Lab pathology

1.33 0.64 0.59

0.05

2.02 1.97

XXX consultation. 83020.............. 26............ A

Hemoglobin

0.37 0.16 0.16

0.01

0.54 0.54

XXX electrophoresis. 83912.............. 26............ A

Genetic examination. 0.37 0.15 0.15

0.01

0.53 0.53

XXX 84165.............. 26............ A

Assay of serum

0.37 0.16 0.16

0.01

0.54 0.54

XXX proteins. 84181.............. 26............ A

Western blot test... 0.37 0.14 0.14

0.01

0.52 0.52

XXX 84182.............. 26............ A

Protein, western

0.37 0.17 0.17

0.01

0.55 0.55

XXX blot test. 85060.............. .............. A

Blood smear

0.45 0.19 0.19

0.02

0.66 0.66

XXX interpretation. 85097.............. .............. A

Bone marrow

0.94 1.65 0.41

0.03

2.62 1.38

XXX interpretation. 85390.............. 26............ A

Fibrinolysins screen 0.37 0.12 0.12

0.01

0.50 0.50

XXX 85576.............. 26............ A

Blood platelet

0.37 0.16 0.16

0.01

0.54 0.54

XXX aggregation.

[[Page 49211]]

86077.............. .............. A

Physician blood bank 0.94 0.47 0.41

0.03

1.44 1.38

XXX service. 86078.............. .............. A

Physician blood bank 0.94 0.50 0.42

0.03

1.47 1.39

XXX service. 86079.............. .............. A

Physician blood bank 0.94 0.50 0.42

0.03

1.47 1.39

XXX service. 86255.............. 26............ A

Fluorescent

0.37 0.17 0.16

0.01

0.55 0.54

XXX antibody, screen. 86256.............. 26............ A

Fluorescent

0.37 0.16 0.16

0.01

0.54 0.54

XXX antibody, titer. 86320.............. 26............ A

Serum

0.37 0.16 0.16

0.01

0.54 0.54

XXX immunoelectrophores is. 86325.............. 26............ A

Other

0.37 0.16 0.16

0.01

0.54 0.54

XXX immunoelectrophores is. 86327.............. 26............ A

Immunoelectrophoresi 0.42 0.19 0.19

0.01

0.62 0.62

XXX s assay. 86334.............. 26............ A

Immunofixation

0.37 0.16 0.16

0.01

0.54 0.54

XXX procedure. 86485.............. .............. C

Skin test, candida.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 86490.............. .............. A

Coccidioidomycosis

0.00 0.29

N/A

0.02

0.31

N/A

XXX skin test. 86510.............. .............. A

Histoplasmosis skin

0.00 0.32

N/A

0.02

0.34

N/A

XXX test. 86580.............. .............. A

TB intradermal test. 0.00 0.25

N/A

0.02

0.27

N/A

XXX 86585.............. .............. A

TB tine test........ 0.00 0.20

N/A

0.01

0.21

N/A

XXX 86586.............. .............. C

Skin test, unlisted. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 87164.............. 26............ A

Dark field

0.37 0.12 0.12

0.01

0.50 0.50

XXX examination. 87207.............. 26............ A

Smear, special stain 0.37 0.17 0.16

0.01

0.55 0.54

XXX 88104.............. .............. A

Cytopathology,

0.56 0.76

N/A

0.04

1.36

N/A

XXX fluids. 88104.............. 26............ A

Cytopathology,

0.56 0.25 0.25

0.02

0.83 0.83

XXX fluids. 88104.............. TC............ A

Cytopathology,

0.00 0.51

N/A

0.02

0.53

N/A

XXX fluids. 88106.............. .............. A

Cytopathology,

0.56 0.62

N/A

0.04

1.22

N/A

XXX fluids. 88106.............. 26............ A

Cytopathology,

0.56 0.25 0.25

0.02

0.83 0.83

XXX fluids. 88106.............. TC............ A

Cytopathology,

0.00 0.37

N/A

0.02

0.39

N/A

XXX fluids. 88107.............. .............. A

Cytopathology,

0.76 0.99

N/A

0.05

1.80

N/A

XXX fluids. 88107.............. 26............ A

Cytopathology,

0.76 0.34 0.34

0.03

1.13 1.13

XXX fluids. 88107.............. TC............ A

Cytopathology,

0.00 0.65

N/A

0.02

0.67

N/A

XXX fluids. 88108.............. .............. A

Cytopath,

0.56 0.83

N/A

0.04

1.43

N/A

XXX concentrate tech. 88108.............. 26............ A

Cytopath,

0.56 0.25 0.25

0.02

0.83 0.83

XXX concentrate tech. 88108.............. TC............ A

Cytopath,

0.00 0.58

N/A

0.02

0.60

N/A

XXX concentrate tech. 88125.............. .............. A

Forensic

0.26 0.26

N/A

0.02

0.54

N/A

XXX cytopathology. 88125.............. 26............ A

Forensic

0.26 0.12 0.12

0.01

0.39 0.39

XXX cytopathology. 88125.............. TC............ A

Forensic

0.00 0.15

N/A

0.01

0.16

N/A

XXX cytopathology. 88141.............. .............. A

Cytopath, c/v,

0.42 0.18 0.18

0.01

0.61 0.61

XXX interpret. 88160.............. .............. A

Cytopath smear,

0.50 0.94

N/A

0.04

1.48

N/A

XXX other source. 88160.............. 26............ A

Cytopath smear,

0.50 0.22 0.22

0.02

0.74 0.74

XXX other source. 88160.............. TC............ A

Cytopath smear,

0.00 0.72

N/A

0.02

0.74

N/A

XXX other source. 88161.............. .............. A

Cytopath smear,

0.50 0.89

N/A

0.04

1.43

N/A

XXX other source. 88161.............. 26............ A

Cytopath smear,

0.50 0.22 0.22

0.02

0.74 0.74

XXX other source. 88161.............. TC............ A

Cytopath smear,

0.00 0.67

N/A

0.02

0.69

N/A

XXX other source. 88162.............. .............. A

Cytopath smear,

0.76 0.69

N/A

0.05

1.50

N/A

XXX other source. 88162.............. 26............ A

Cytopath smear,

0.76 0.34 0.34

0.03

1.13 1.13

XXX other source. 88162.............. TC............ A

Cytopath smear,

0.00 0.35

N/A

0.02

0.37

N/A

XXX other source. 88172.............. .............. A

Cytopathology eval

0.60 0.67

N/A

0.04

1.31

N/A

XXX of fna. 88172.............. 26............ A

Cytopathology eval

0.60 0.27 0.27

0.02

0.89 0.89

XXX of fna. 88172.............. TC............ A

Cytopathology eval

0.00 0.40

N/A

0.02

0.42

N/A

XXX of fna. 88173.............. .............. A

Cytopath eval, fna,

1.39 1.80

N/A

0.07

3.26

N/A

XXX report. 88173.............. 26............ A

Cytopath eval, fna,

1.39 0.62 0.62

0.05

2.06 2.06

XXX report. 88173.............. TC............ A

Cytopath eval, fna,

0.00 1.18

N/A

0.02

1.20

N/A

XXX report. 88180.............. .............. A

Cell marker study... 0.36 1.46

N/A

0.03

1.85

N/A

XXX

[[Page 49212]]

88180.............. 26............ A

Cell marker study... 0.36 0.16 0.16

0.01

0.53 0.53

XXX 88180.............. TC............ A

Cell marker study... 0.00 1.30

N/A

0.02

1.32

N/A

XXX 88182.............. .............. A

Cell marker study... 0.77 1.63

N/A

0.06

2.46

N/A

XXX 88182.............. 26............ A

Cell marker study... 0.77 0.34 0.34

0.03

1.14 1.14

XXX 88182.............. TC............ A

Cell marker study... 0.00 1.28

N/A

0.03

1.31

N/A

XXX 88199.............. .............. C

Cytopathology

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 88199.............. 26............ C

Cytopathology

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 88199.............. TC............ C

Cytopathology

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 88291.............. .............. A

Cyto/molecular

0.52 0.28 0.28

0.02

0.82 0.82

XXX report. 88299.............. .............. C

Cytogenetic study... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 88300.............. .............. A

Surgical path, gross 0.08 0.28

N/A

0.02

0.38

N/A

XXX 88300.............. 26............ A

Surgical path, gross 0.08 0.04 0.04

0.01

0.13 0.13

XXX 88300.............. TC............ A

Surgical path, gross 0.00 0.25

N/A

0.01

0.26

N/A

XXX 88302.............. .............. A

Tissue exam by

0.13 0.71

N/A

0.03

0.87

N/A

XXX pathologist. 88302.............. 26............ A

Tissue exam by

0.13 0.06 0.06

0.01

0.20 0.20

XXX pathologist. 88302.............. TC............ A

Tissue exam by

0.00 0.65

N/A

0.02

0.67

N/A

XXX pathologist. 88304.............. .............. A

Tissue exam by

0.22 0.89

N/A

0.03

1.14

N/A

XXX pathologist. 88304.............. 26............ A

Tissue exam by

0.22 0.10 0.10

0.01

0.33 0.33

XXX pathologist. 88304.............. TC............ A

Tissue exam by

0.00 0.79

N/A

0.02

0.81

N/A

XXX pathologist. 88305.............. .............. A

Tissue exam by

0.75 1.77

N/A

0.05

2.57

N/A

XXX pathologist. 88305.............. 26............ A

Tissue exam by

0.75 0.34 0.34

0.02

1.11 1.11

XXX pathologist. 88305.............. TC............ A

Tissue exam by

0.00 1.43

N/A

0.03

1.46

N/A

XXX pathologist. 88307.............. .............. A

Tissue exam by

1.59 2.71

N/A

0.11

4.41

N/A

XXX pathologist. 88307.............. 26............ A

Tissue exam by

1.59 0.71 0.71

0.06

2.36 2.36

XXX pathologist. 88307.............. TC............ A

Tissue exam by

0.00 2.00

N/A

0.05

2.05

N/A

XXX pathologist. 88309.............. .............. A

Tissue exam by

2.28 3.32

N/A

0.13

5.73

N/A

XXX pathologist. 88309.............. 26............ A

Tissue exam by

2.28 1.01 1.01

0.08

3.37 3.37

XXX pathologist. 88309.............. TC............ A

Tissue exam by

0.00 2.30

N/A

0.05

2.35

N/A

XXX pathologist. 88311.............. .............. A

Decalcify tissue.... 0.24 0.19

N/A

0.02

0.45

N/A

XXX 88311.............. 26............ A

Decalcify tissue.... 0.24 0.11 0.11

0.01

0.36 0.36

XXX 88311.............. TC............ A

Decalcify tissue.... 0.00 0.09

N/A

0.01

0.10

N/A

XXX 88312.............. .............. A

Special stains...... 0.54 1.37

N/A

0.03

1.94

N/A

XXX 88312.............. 26............ A

Special stains...... 0.54 0.24 0.24

0.02

0.80 0.80

XXX 88312.............. TC............ A

Special stains...... 0.00 1.13

N/A

0.01

1.14

N/A

XXX 88313.............. .............. A

Special stains...... 0.24 1.11

N/A

0.02

1.37

N/A

XXX 88313.............. 26............ A

Special stains...... 0.24 0.11 0.11

0.01

0.36 0.36

XXX 88313.............. TC............ A

Special stains...... 0.00 1.00

N/A

0.01

1.01

N/A

XXX 88314.............. .............. A

Histochemical stain. 0.45 0.90

N/A

0.04

1.39

N/A

XXX 88314.............. 26............ A

Histochemical stain. 0.45 0.20 0.20

0.02

0.67 0.67

XXX 88314.............. TC............ A

Histochemical stain. 0.00 0.71

N/A

0.02

0.73

N/A

XXX 88318.............. .............. A

Chemical

0.42 0.82

N/A

0.02

1.26

N/A

XXX histochemistry. 88318.............. 26............ A

Chemical

0.42 0.19 0.19

0.01

0.62 0.62

XXX histochemistry. 88318.............. TC............ A

Chemical

0.00 0.63

N/A

0.01

0.64

N/A

XXX histochemistry. 88319.............. .............. A

Enzyme

0.53 1.92

N/A

0.04

2.49

N/A

XXX histochemistry. 88319.............. 26............ A

Enzyme

0.53 0.23 0.23

0.02

0.78 0.78

XXX histochemistry. 88319.............. TC............ A

Enzyme

0.00 1.69

N/A

0.02

1.71

N/A

XXX histochemistry. 88321.............. .............. A

Microslide

1.30 0.83 0.58

0.04

2.17 1.92

XXX consultation. 88323.............. .............. A

Microslide

1.35 1.47

N/A

0.07

2.89

N/A

XXX consultation. 88323.............. 26............ A

Microslide

1.35 0.60 0.60

0.05

2.00 2.00

XXX consultation. 88323.............. TC............ A

Microslide

0.00 0.86

N/A

0.02

0.88

N/A

XXX consultation.

[[Page 49213]]

88325.............. .............. A

Comprehensive review 2.22 3.02 0.98

0.08

5.32 3.28

XXX of data. 88329.............. .............. A

Path consult introp. 0.67 0.64 0.30

0.02

1.33 0.99

XXX 88331.............. .............. A

Path consult

1.19 1.01

N/A

0.07

2.27

N/A

XXX intraop, 1 bloc. 88331.............. 26............ A

Path consult

1.19 0.53 0.53

0.04

1.76 1.76

XXX intraop, 1 bloc. 88331.............. TC............ A

Path consult

0.00 0.48

N/A

0.03

0.51

N/A

XXX intraop, 1 bloc. 88332.............. .............. A

Path consult

0.59 0.51

N/A

0.04

1.14

N/A

XXX intraop, addl. 88332.............. 26............ A

Path consult

0.59 0.26 0.26

0.02

0.87 0.87

XXX intraop, addl. 88332.............. TC............ A

Path consult

0.00 0.24

N/A

0.02

0.26

N/A

XXX intraop, addl. 88342.............. .............. A

Immunocytochemistry. 0.85 1.38

N/A

0.05

2.28

N/A

XXX 88342.............. 26............ A

Immunocytochemistry. 0.85 0.38 0.38

0.03

1.26 1.26

XXX 88342.............. TC............ A

Immunocytochemistry. 0.00 1.00

N/A

0.02

1.02

N/A

XXX 88346.............. .............. A

Immunofluorescent

0.86 1.47

N/A

0.05

2.38

N/A

XXX study. 88346.............. 26............ A

Immunofluorescent

0.86 0.38 0.38

0.03

1.27 1.27

XXX study. 88346.............. TC............ A

Immunofluorescent

0.00 1.09

N/A

0.02

1.11

N/A

XXX study. 88347.............. .............. A

Immunofluorescent

0.86 1.79

N/A

0.05

2.70

N/A

XXX study. 88347.............. 26............ A

Immunofluorescent

0.86 0.36 0.36

0.03

1.25 1.25

XXX study. 88347.............. TC............ A

Immunofluorescent

0.00 1.43

N/A

0.02

1.45

N/A

XXX study. 88348.............. .............. A

Electron microscopy. 1.51 8.66

N/A

0.11 10.28

N/A

XXX 88348.............. 26............ A

Electron microscopy. 1.51 0.67 0.67

0.05

2.23 2.23

XXX 88348.............. TC............ A

Electron microscopy. 0.00 7.99

N/A

0.06

8.05

N/A

XXX 88349.............. .............. A

Scanning electron

0.76 10.02

N/A

0.08 10.86

N/A

XXX microscopy. 88349.............. 26............ A

Scanning electron

0.76 0.34 0.34

0.03

1.13 1.13

XXX microscopy. 88349.............. TC............ A

Scanning electron

0.00 9.68

N/A

0.05

9.73

N/A

XXX microscopy. 88355.............. .............. A

Analysis, skeletal

1.85 2.66

N/A

0.12

4.63

N/A

XXX muscle. 88355.............. 26............ A

Analysis, skeletal

1.85 0.82 0.82

0.07

2.74 2.74

XXX muscle. 88355.............. TC............ A

Analysis, skeletal

0.00 1.84

N/A

0.05

1.89

N/A

XXX muscle. 88356.............. .............. A

Analysis, nerve..... 3.02 2.93

N/A

0.16

6.11

N/A

XXX 88356.............. 26............ A

Analysis, nerve..... 3.02 1.30 1.30

0.10

4.42 4.42

XXX 88356.............. TC............ A

Analysis, nerve..... 0.00 1.63

N/A

0.06

1.69

N/A

XXX 88358.............. .............. A

Analysis, tumor..... 2.82 1.76

N/A

0.16

4.74

N/A

XXX 88358.............. 26............ A

Analysis, tumor..... 2.82 1.25 1.25

0.10

4.17 4.17

XXX 88358.............. TC............ A

Analysis, tumor..... 0.00 0.50

N/A

0.06

0.56

N/A

XXX 88362.............. .............. A

Nerve teasing

2.17 4.49

N/A

0.12

6.78

N/A

XXX preparations. 88362.............. 26............ A

Nerve teasing

2.17 0.95 0.95

0.07

3.19 3.19

XXX preparations. 88362.............. TC............ A

Nerve teasing

0.00 3.54

N/A

0.05

3.59

N/A

XXX preparations. 88365.............. .............. A

Tissue hybridization 0.93 2.25

N/A

0.05

3.23

N/A

XXX 88365.............. 26............ A

Tissue hybridization 0.93 0.41 0.41

0.03

1.37 1.37

XXX 88365.............. TC............ A

Tissue hybridization 0.00 1.84

N/A

0.02

1.86

N/A

XXX 88371.............. 26............ A

Protein, western

0.37 0.13 0.13

0.01

0.51 0.51

XXX blot tissue. 88372.............. 26............ A

Protein analysis w/

0.37 0.17 0.17

0.01

0.55 0.55

XXX probe. 88380.............. .............. C

Microdissection..... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 88380.............. 26............ C

Microdissection..... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 88380.............. TC............ C

Microdissection..... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 88399.............. .............. C

Surgical pathology

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 88399.............. 26............ C

Surgical pathology

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 88399.............. TC............ C

Surgical pathology

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 89060.............. 26............ A

Exam,synovial fluid

0.37 0.17 0.17

0.01

0.55 0.55

XXX crystals. 89100.............. .............. A

Sample intestinal

0.60 1.64 0.22

0.02

2.26 0.84

XXX contents. 89105.............. .............. A

Sample intestinal

0.50 2.28 0.17

0.02

2.80 0.69

XXX contents. 89130.............. .............. A

Sample stomach

0.45 1.78 0.13

0.02

2.25 0.60

XXX contents. 89132.............. .............. A

Sample stomach

0.19 1.53 0.06

0.01

1.73 0.26

XXX contents.

[[Page 49214]]

89135.............. .............. A

Sample stomach

0.79 1.62 0.25

0.03

2.44 1.07

XXX contents. 89136.............. .............. A

Sample stomach

0.21 1.68 0.09

0.01

1.90 0.31

XXX contents. 89140.............. .............. A

Sample stomach

0.94 2.13 0.28

0.03

3.10 1.25

XXX contents. 89141.............. .............. A

Sample stomach

0.85 2.78 0.34

0.03

3.66 1.22

XXX contents. 89350.............. .............. A

Sputum specimen

0.00 0.41

N/A

0.02

0.43

N/A

XXX collection. 89360.............. .............. A

Collect sweat for

0.00 0.45

N/A

0.02

0.47

N/A

XXX test. 89399.............. .............. C

Pathology lab

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 89399.............. 26............ C

Pathology lab

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 89399.............. TC............ 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 90287.............. .............. I

Botulinum antitoxin. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 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 90379.............. .............. I

Rsv ig, iv.......... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90384.............. .............. I

Rh ig, full-dose, im 0.00 0.00 0.00

0.00

0.00 0.00

XXX 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 90399.............. .............. I

Immune globulin..... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90471.............. .............. A

Immunization admin.. 0.00 0.13

N/A

0.01

0.14

N/A

XXX 90472.............. .............. A

Immunization admin,

0.00 0.08

N/A

0.01

0.09

N/A

ZZZ each add. 90723.............. .............. I

Dtap-hep b-ipv

0.00 0.00 0.00

0.00

0.00 0.00

XXX vaccine, im. 90748.............. .............. I

Hep b/hib vaccine,

0.00 0.00 0.00

0.00

0.00 0.00

XXX im. 90780.............. .............. A

IV infusion therapy, 0.00 1.11

N/A

0.06

1.17

N/A

XXX 1 hour. 90781.............. .............. A

IV infusion,

0.00 0.56

N/A

0.03

0.59

N/A

ZZZ additional hour. 90782.............. .............. T

Injection, sc/im.... 0.00 0.11

N/A

0.01

0.12

N/A

XXX 90783.............. .............. T

Injection, ia....... 0.00 0.41

N/A

0.02

0.43

N/A

XXX 90784.............. .............. T

Injection, iv....... 0.00 0.47

N/A

0.03

0.50

N/A

XXX 90788.............. .............. T

Injection of

0.00 0.12

N/A

0.01

0.13

N/A

XXX antibiotic. 90799.............. .............. C

Ther/prophylactic/dx 0.00 0.00 0.00

0.00

0.00 0.00

XXX inject. 90801.............. .............. A

Psy dx interview.... 2.80 1.20 0.95

0.06

4.06 3.81

XXX 90802.............. .............. A

Intac psy dx

3.01 1.23 1.00

0.07

4.31 4.08

XXX interview. 90804.............. .............. A

Psytx, office, 20-30 1.21 0.51 0.39

0.03

1.75 1.63

XXX min. 90805.............. .............. A

Psytx, off, 20-30

1.37 0.51 0.43

0.03

1.91 1.83

XXX min w/e&m. 90806.............. .............. A

Psytx, off, 45-50

1.86 0.72 0.62

0.04

2.62 2.52

XXX min. 90807.............. .............. A

Psytx, off, 45-50

2.02 0.71 0.65

0.05

2.78 2.72

XXX min w/e&m. 90808.............. .............. A

Psytx, office, 75-80 2.79 1.05 0.92

0.07

3.91 3.78

XXX min. 90809.............. .............. A

Psytx, off, 75-80, w/ 2.95 1.02 0.94

0.07

4.04 3.96

XXX e&m. 90810.............. .............. A

Intac psytx, off, 20- 1.32 0.52 0.43

0.03

1.87 1.78

XXX 30 min. 90811.............. .............. A

Intac psytx, 20-30,

1.48 0.58 0.47

0.03

2.09 1.98

XXX w/e&m. 90812.............. .............. A

Intac psytx, off, 45- 1.97 0.81 0.66

0.05

2.83 2.68

XXX 50 min. 90813.............. .............. A

Intac psytx, 45-50

2.13 0.79 0.68

0.05

2.97 2.86

XXX min w/e&m. 90814.............. .............. A

Intac psytx, off, 75- 2.90 1.12 1.01

0.07

4.09 3.98

XXX 80 min. 90815.............. .............. A

Intac psytx, 75-80 w/ 3.06 1.07 0.97

0.07

4.20 4.10

XXX e&m. 90816.............. .............. A

Psytx, hosp, 20-30

1.25

N/A 0.47

0.03

N/A 1.75

XXX min. 90817.............. .............. A

Psytx, hosp, 20-30

1.41

N/A 0.47

0.03

N/A 1.91

XXX min w/e&m. 90818.............. .............. A

Psytx, hosp, 45-50

1.89

N/A 0.70

0.04

N/A 2.63

XXX min. 90819.............. .............. A

Psytx, hosp, 45-50

2.05

N/A 0.67

0.05

N/A 2.77

XXX min w/e&m. 90821.............. .............. A

Psytx, hosp, 75-80

2.83

N/A 1.03

0.06

N/A 3.92

XXX min. 90822.............. .............. A

Psytx, hosp, 75-80

2.99

N/A 0.97

0.07

N/A 4.03

XXX min w/e&m. 90823.............. .............. A

Intac psytx, hosp,

1.36

N/A 0.49

0.03

N/A 1.88

XXX 20-30 min. 90824.............. .............. A

Intac psytx, hsp 20- 1.52

N/A 0.50

0.03

N/A 2.05

XXX 30 w/e&m. 90826.............. .............. A

Intac psytx, hosp,

2.01

N/A 0.74

0.04

N/A 2.79

XXX 45-50 min. 90827.............. .............. A

Intac psytx, hsp 45- 2.16

N/A 0.70

0.05

N/A 2.91

XXX 50 w/e&m.

[[Page 49215]]

90828.............. .............. A

Intac psytx, hosp,

2.94

N/A 1.09

0.07

N/A 4.10

XXX 75-80 min. 90829.............. .............. A

Intac psytx, hsp 75- 3.10

N/A 1.00

0.07

N/A 4.17

XXX 80 w/e&m. 90845.............. .............. A

Psychoanalysis...... 1.79 0.59 0.57

0.04

2.42 2.40

XXX 90846.............. .............. R

Family psytx w/o

1.83 0.67 0.66

0.04

2.54 2.53

XXX patient. 90847.............. .............. R

Family psytx w/

2.21 0.83 0.78

0.05

3.09 3.04

XXX patient. 90849.............. .............. R

Multiple family

0.59 0.28 0.24

0.01

0.88 0.84

XXX group psytx. 90853.............. .............. A

Group psychotherapy. 0.59 0.25 0.24

0.01

0.85 0.84

XXX 90857.............. .............. A

Intac group psytx... 0.63 0.30 0.26

0.02

0.95 0.91

XXX 90862.............. .............. A

Medication

0.95 0.41 0.33

0.02

1.38 1.30

XXX management. 90865.............. .............. A

Narcosynthesis...... 2.84 1.64 0.91

0.07

4.55 3.82

XXX 90870.............. .............. A

Electroconvulsive

1.88 0.80 0.80

0.04

2.72 2.72

000 therapy. 90871.............. .............. N

Electroconvulsive

2.72

N/A 1.08

0.06

N/A 3.86

000 therapy. 90875.............. .............. N

Psychophysiological

1.20 0.92 0.46

0.03

2.15 1.69

XXX therapy. 90876.............. .............. N

Psychophysiological

1.90 1.20 0.74

0.04

3.14 2.68

XXX therapy. 90880.............. .............. A

Hypnotherapy........ 2.19 1.06 0.70

0.05

3.30 2.94

XXX 90885.............. .............. B

Psy evaluation of

0.97 0.38 0.38

0.02

1.37 1.37

XXX records. 90887.............. .............. B

Consultation with

1.48 0.84 0.57

0.03

2.35 2.08

XXX family. 90899.............. .............. C

Psychiatric service/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX therapy. 90901.............. .............. A

Biofeedback train,

0.41 0.60 0.14

0.02

1.03 0.57

000 any meth. 90911.............. .............. A

Biofeedback peri/uro/ 0.89 3.95 0.32

0.04

4.88 1.25

000 rectal. 90918.............. .............. I

ESRD related

11.18 7.52 7.52

0.30 19.00 19.00

XXX services, month. 90919.............. .............. I

ESRD related

8.54 4.15 4.15

0.24 12.93 12.93

XXX services, month. 90920.............. .............. I

ESRD related

7.27 3.89 3.89

0.19 11.35 11.35

XXX services, month. 90921.............. .............. I

ESRD related

4.47 2.52 2.52

0.12

7.11 7.11

XXX services, month. 90922.............. .............. A

ESRD related

0.37 0.22 0.22

0.01

0.60 0.60

XXX services, day. 90923.............. .............. A

Esrd related

0.28 0.13 0.13

0.01

0.42 0.42

XXX services, day. 90924.............. .............. A

Esrd related

0.24 0.12 0.12

0.01

0.37 0.37

XXX services, day. 90925.............. .............. A

Esrd related

0.15 0.08 0.08

0.01

0.24 0.24

XXX services, day. 90935.............. .............. A

Hemodialysis, one

1.22

N/A 0.69

0.03

N/A 1.94

000 evaluation. 90937.............. .............. A

Hemodialysis,

2.11

N/A 1.00

0.06

N/A 3.17

000 repeated eval. 90945.............. .............. A

Dialysis, one

1.28

N/A 0.71

0.04

N/A 2.03

000 evaluation. 90947.............. .............. A

Dialysis, repeated

2.16

N/A 1.02

0.06

N/A 3.24

000 eval. 90997.............. .............. A

Hemoperfusion....... 1.84

N/A 1.43

0.05

N/A 3.32

000 90999.............. .............. C

Dialysis procedure.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 91000.............. .............. A

Esophageal

0.73 0.33

N/A

0.04

1.10

N/A

000 intubation. 91000.............. 26............ A

Esophageal

0.73 0.25 0.25

0.03

1.01 1.01

000 intubation. 91000.............. TC............ A

Esophageal

0.00 0.08

N/A

0.01

0.09

N/A

000 intubation. 91010.............. .............. A

Esophagus motility

1.25 2.78

N/A

0.10

4.13

N/A

000 study. 91010.............. 26............ A

Esophagus motility

1.25 0.45 0.45

0.05

1.75 1.75

000 study. 91010.............. TC............ A

Esophagus motility

0.00 2.33

N/A

0.05

2.38

N/A

000 study. 91011.............. .............. A

Esophagus motility

1.50 3.28

N/A

0.10

4.88

N/A

000 study. 91011.............. 26............ A

Esophagus motility

1.50 0.54 0.54

0.05

2.09 2.09

000 study. 91011.............. TC............ A

Esophagus motility

0.00 2.74

N/A

0.05

2.79

N/A

000 study. 91012.............. .............. A

Esophagus motility

1.46 3.42

N/A

0.12

5.00

N/A

000 study. 91012.............. 26............ A

Esophagus motility

1.46 0.52 0.52

0.06

2.04 2.04

000 study. 91012.............. TC............ A

Esophagus motility

0.00 2.89

N/A

0.06

2.95

N/A

000 study. 91020.............. .............. A

Gastric motility.... 1.44 3.03

N/A

0.11

4.58

N/A

000 91020.............. 26............ A

Gastric motility.... 1.44 0.50 0.50

0.06

2.00 2.00

000 91020.............. TC............ A

Gastric motility.... 0.00 2.53

N/A

0.05

2.58

N/A

000 91030.............. .............. A

Acid perfusion of

0.91 2.45

N/A

0.05

3.41

N/A

000 esophagus. 91030.............. 26............ A

Acid perfusion of

0.91 0.33 0.33

0.03

1.27 1.27

000 esophagus.

[[Page 49216]]

91030.............. TC............ A

Acid perfusion of

0.00 2.12

N/A

0.02

2.14

N/A

000 esophagus. 91032.............. .............. A

Esophagus, acid

1.21 4.24

N/A

0.10

5.55

N/A

000 reflux test. 91032.............. 26............ A

Esophagus, acid

1.21 0.43 0.43

0.05

1.69 1.69

000 reflux test. 91032.............. TC............ A

Esophagus, acid

0.00 3.82

N/A

0.05

3.87

N/A

000 reflux test. 91033.............. .............. A

Prolonged acid

1.30 4.27

N/A

0.14

5.71

N/A

000 reflux test. 91033.............. 26............ A

Prolonged acid

1.30 0.46 0.46

0.05

1.81 1.81

000 reflux test. 91033.............. TC............ A

Prolonged acid

0.00 3.81

N/A

0.09

3.90

N/A

000 reflux test. 91052.............. .............. A

Gastric analysis

0.79 2.24

N/A

0.05

3.08

N/A

000 test. 91052.............. 26............ A

Gastric analysis

0.79 0.28 0.28

0.03

1.10 1.10

000 test. 91052.............. TC............ A

Gastric analysis

0.00 1.96

N/A

0.02

1.98

N/A

000 test. 91055.............. .............. A

Gastric intubation

0.94 2.42

N/A

0.06

3.42

N/A

000 for smear. 91055.............. 26............ A

Gastric intubation

0.94 0.27 0.27

0.04

1.25 1.25

000 for smear. 91055.............. TC............ A

Gastric intubation

0.00 2.15

N/A

0.02

2.17

N/A

000 for smear. 91060.............. .............. A

Gastric saline load

0.45 0.30

N/A

0.04

0.79

N/A

000 test. 91060.............. 26............ A

Gastric saline load

0.45 0.14 0.14

0.02

0.61 0.61

000 test. 91060.............. TC............ A

Gastric saline load

0.00 0.16

N/A

0.02

0.18

N/A

000 test. 91065.............. .............. A

Breath hydrogen test 0.20 2.02

N/A

0.03

2.25

N/A

000 91065.............. 26............ A

Breath hydrogen test 0.20 0.07 0.07

0.01

0.28 0.28

000 91065.............. TC............ A

Breath hydrogen test 0.00 1.95

N/A

0.02

1.97

N/A

000 91100.............. .............. A

Pass intestine

1.08

N/A 0.29

0.06

N/A 1.43

000 bleeding tube. 91105.............. .............. A

Gastric intubation

0.37

N/A 0.09

0.02

N/A 0.48

000 treatment. 91122.............. .............. A

Anal pressure record 1.77 6.20

N/A

0.17

8.14

N/A

000 91122.............. 26............ A

Anal pressure record 1.77 0.62 0.62

0.10

2.49 2.49

000 91122.............. TC............ A

Anal pressure record 0.00 5.58

N/A

0.07

5.65

N/A

000 91132.............. .............. C

Electrogastrography. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 91132.............. 26............ A

Electrogastrography. 0.52 0.19

N/A

0.03

0.74

N/A

XXX 91132.............. TC............ C

Electrogastrography. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 91133.............. .............. C

Electrogastrography

0.00 0.00 0.00

0.00

0.00 0.00

XXX w/test. 91133.............. 26............ A

Electrogastrography

0.66 0.24

N/A

0.03

0.93

N/A

XXX w/test. 91133.............. TC............ C

Electrogastrography

0.00 0.00 0.00

0.00

0.00 0.00

XXX w/test. 91299.............. .............. C

Gastroenterology

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 91299.............. 26............ C

Gastroenterology

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 91299.............. TC............ C

Gastroenterology

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 92002.............. .............. A

Eye exam, new

0.88 0.98 0.35

0.02

1.88 1.25

XXX patient. 92004.............. .............. A

Eye exam, new

1.67 1.71 0.69

0.03

3.41 2.39

XXX patient. 92012.............. .............. A

Eye exam established 0.67 1.04 0.29

0.01

1.72 0.97

XXX pat. 92014.............. .............. A

Eye exam & treatment 1.10 1.41 0.48

0.02

2.53 1.60

XXX 92015.............. .............. N

Refraction.......... 0.38 1.19 0.15

0.01

1.58 0.54

XXX 92018.............. .............. A

New eye exam &

2.50

N/A 1.10

0.03

N/A 3.63

XXX treatment. 92019.............. .............. A

Eye exam & treatment 1.31

N/A 0.58

0.03

N/A 1.92

XXX 92020.............. .............. A

Special eye

0.37 0.33 0.16

0.01

0.71 0.54

XXX evaluation. 92060.............. .............. A

Special eye

0.69 0.74

N/A

0.02

1.45

N/A

XXX evaluation. 92060.............. 26............ A

Special eye

0.69 0.29 0.29

0.01

0.99 0.99

XXX evaluation. 92060.............. TC............ A

Special eye

0.00 0.44

N/A

0.01

0.45

N/A

XXX evaluation. 92065.............. .............. A

Orthoptic/pleoptic

0.37 0.56

N/A

0.02

0.95

N/A

XXX training. 92065.............. 26............ A

Orthoptic/pleoptic

0.37 0.15 0.15

0.01

0.53 0.53

XXX training. 92065.............. TC............ A

Orthoptic/pleoptic

0.00 0.40

N/A

0.01

0.41

N/A

XXX training. 92070.............. .............. A

Fitting of contact

0.70 1.09 0.32

0.01

1.80 1.03

XXX lens. 92081.............. .............. A

Visual field

0.36 0.87

N/A

0.02

1.25

N/A

XXX examination(s). 92081.............. 26............ A

Visual field

0.36 0.16 0.16

0.01

0.53 0.53

XXX examination(s). 92081.............. TC............ A

Visual field

0.00 0.72

N/A

0.01

0.73

N/A

XXX examination(s). 92082.............. .............. A

Visual field

0.44 1.16

N/A

0.02

1.62

N/A

XXX examination(s). 92082.............. 26............ A

Visual field

0.44 0.19 0.19

0.01

0.64 0.64

XXX examination(s).

[[Page 49217]]

92082.............. TC............ A

Visual field

0.00 0.97

N/A

0.01

0.98

N/A

XXX examination(s). 92083.............. .............. A

Visual field

0.50 1.35

N/A

0.02

1.87

N/A

XXX examination(s). 92083.............. 26............ A

Visual field

0.50 0.22 0.22

0.01

0.73 0.73

XXX examination(s). 92083.............. TC............ A

Visual field

0.00 1.13

N/A

0.01

1.14

N/A

XXX examination(s). 92100.............. .............. A

Serial tonometry

0.92 1.28 0.37

0.02

2.22 1.31

XXX exam(s). 92120.............. .............. A

Tonography & eye

0.81 1.06 0.32

0.02

1.89 1.15

XXX evaluation. 92130.............. .............. A

Water provocation

0.81 1.26 0.38

0.02

2.09 1.21

XXX tonography. 92135.............. .............. A

Opthalmic dx imaging 0.35 0.80

N/A

0.02

1.17

N/A

XXX 92135.............. 26............ A

Opthalmic dx imaging 0.35 0.16 0.16

0.01

0.52 0.52

XXX 92135.............. TC............ A

Opthalmic dx imaging 0.00 0.64

N/A

0.01

0.65

N/A

XXX 92136.............. .............. A

Ophthalmic biometry. 0.54 1.78

N/A

0.07

2.39

N/A

XXX 92136.............. 26............ A

Ophthalmic biometry. 0.54 0.25 0.25

0.01

0.80 0.80

XXX 92136.............. TC............ A

Ophthalmic biometry. 0.00 1.53

N/A

0.06

1.59

N/A

XXX 92140.............. .............. A

Glaucoma provocative 0.50 0.95 0.22

0.01

1.46 0.73

XXX tests. 92225.............. .............. A

Special eye exam,

0.38 0.22 0.16

0.01

0.61 0.55

XXX initial. 92226.............. .............. A

Special eye exam,

0.33 0.21 0.15

0.01

0.55 0.49

XXX subsequent. 92230.............. .............. A

Eye exam with photos 0.60 1.70 0.20

0.02

2.32 0.82

XXX 92235.............. .............. A

Eye exam with photos 0.81 2.97

N/A

0.07

3.85

N/A

XXX 92235.............. 26............ A

Eye exam with photos 0.81 0.37 0.37

0.02

1.20 1.20

XXX 92235.............. TC............ A

Eye exam with photos 0.00 2.60

N/A

0.05

2.65

N/A

XXX 92240.............. .............. A

Icg angiography..... 1.10 7.13

N/A

0.07

8.30

N/A

XXX 92240.............. 26............ A

Icg angiography..... 1.10 0.51 0.51

0.02

1.63 1.63

XXX 92240.............. TC............ A

Icg angiography..... 0.00 6.63

N/A

0.05

6.68

N/A

XXX 92250.............. .............. A

Eye exam with photos 0.44 1.75

N/A

0.02

2.21

N/A

XXX 92250.............. 26............ A

Eye exam with photos 0.44 0.20 0.20

0.01

0.65 0.65

XXX 92250.............. TC............ A

Eye exam with photos 0.00 1.55

N/A

0.01

1.56

N/A

XXX 92260.............. .............. A

Ophthalmoscopy/

0.20 0.29 0.09

0.01

0.50 0.30

XXX dynamometry. 92265.............. .............. A

Eye muscle

0.81 1.89

N/A

0.04

2.74

N/A

XXX evaluation. 92265.............. 26............ A

Eye muscle

0.81 0.29 0.29

0.02

1.12 1.12

XXX evaluation. 92265.............. TC............ A

Eye muscle

0.00 1.61

N/A

0.02

1.63

N/A

XXX evaluation. 92270.............. .............. A

Electro-oculography. 0.81 1.72

N/A

0.05

2.58

N/A

XXX 92270.............. 26............ A

Electro-oculography. 0.81 0.34 0.34

0.03

1.18 1.18

XXX 92270.............. TC............ A

Electro-oculography. 0.00 1.37

N/A

0.02

1.39

N/A

XXX 92275.............. .............. A

Electroretinography. 1.01 1.98

N/A

0.04

3.03

N/A

XXX 92275.............. 26............ A

Electroretinography. 1.01 0.44 0.44

0.02

1.47 1.47

XXX 92275.............. TC............ A

Electroretinography. 0.00 1.54

N/A

0.02

1.56

N/A

XXX 92283.............. .............. A

Color vision

0.17 0.85

N/A

0.02

1.04

N/A

XXX examination. 92283.............. 26............ A

Color vision

0.17 0.07 0.07

0.01

0.25 0.25

XXX examination. 92283.............. TC............ A

Color vision

0.00 0.78

N/A

0.01

0.79

N/A

XXX examination. 92284.............. .............. A

Dark adaptation eye

0.24 2.35

N/A

0.02

2.61

N/A

XXX exam. 92284.............. 26............ A

Dark adaptation eye

0.24 0.09 0.09

0.01

0.34 0.34

XXX exam. 92284.............. TC............ A

Dark adaptation eye

0.00 2.26

N/A

0.01

2.27

N/A

XXX exam. 92285.............. .............. A

Eye photography..... 0.20 1.07

N/A

0.02

1.29

N/A

XXX 92285.............. 26............ A

Eye photography..... 0.20 0.09 0.09

0.01

0.30 0.30

XXX 92285.............. TC............ A

Eye photography..... 0.00 0.99

N/A

0.01

1.00

N/A

XXX 92286.............. .............. A

Internal eye

0.66 3.40

N/A

0.03

4.09

N/A

XXX photography. 92286.............. 26............ A

Internal eye

0.66 0.30 0.30

0.01

0.97 0.97

XXX photography. 92286.............. TC............ A

Internal eye

0.00 3.10

N/A

0.02

3.12

N/A

XXX photography. 92287.............. .............. A

Internal eye

0.81 2.74 0.31

0.02

3.57 1.14

XXX photography. 92310.............. .............. N

Contact lens fitting 1.17 1.17 0.45

0.03

2.37 1.65

XXX 92311.............. .............. A

Contact lens fitting 1.08 1.21 0.35

0.03

2.32 1.46

XXX 92312.............. .............. A

Contact lens fitting 1.26 1.18 0.50

0.03

2.47 1.79

XXX 92313.............. .............. A

Contact lens fitting 0.92 1.18 0.29

0.02

2.12 1.23

XXX 92314.............. .............. N

Prescription of

0.69 0.98 0.27

0.01

1.68 0.97

XXX contact lens. 92315.............. .............. A

Prescription of

0.45 0.96 0.16

0.01

1.42 0.62

XXX contact lens. 92316.............. .............. A

Prescription of

0.68 1.01 0.30

0.01

1.70 0.99

XXX contact lens. 92317.............. .............. A

Prescription of

0.45 1.07 0.14

0.01

1.53 0.60

XXX contact lens.

[[Page 49218]]

92325.............. .............. A

Modification of

0.00 0.40

N/A

0.01

0.41

N/A

XXX contact lens. 92326.............. .............. A

Replacement of

0.00 1.63

N/A

0.05

1.68

N/A

XXX contact lens. 92330.............. .............. A

Fitting of

1.08 1.09 0.33

0.04

2.21 1.45

XXX artificial eye. 92335.............. .............. A

Fitting of

0.45 1.02 0.17

0.01

1.48 0.63

XXX artificial eye. 92340.............. .............. N

Fitting of

0.37 0.74 0.14

0.01

1.12 0.52

XXX spectacles. 92341.............. .............. N

Fitting of

0.47 0.78 0.18

0.01

1.26 0.66

XXX spectacles. 92342.............. .............. N

Fitting of

0.53 0.80 0.21

0.01

1.34 0.75

XXX spectacles. 92352.............. .............. B

Special spectacles

0.37 0.74 0.14

0.01

1.12 0.52

XXX fitting. 92353.............. .............. B

Special spectacles

0.50 0.79 0.19

0.02

1.31 0.71

XXX fitting. 92354.............. .............. B

Special spectacles

0.00 8.86

N/A

0.08

8.94

N/A

XXX fitting. 92355.............. .............. B

Special spectacles

0.00 4.33

N/A

0.01

4.34

N/A

XXX fitting. 92358.............. .............. B

Eye prosthesis

0.00 0.97

N/A

0.04

1.01

N/A

XXX service. 92370.............. .............. N

Repair & adjust

0.32 0.60 0.12

0.02

0.94 0.46

XXX spectacles. 92371.............. .............. B

Repair & adjust

0.00 0.62

N/A

0.02

0.64

N/A

XXX spectacles. 92392.............. .............. I

Supply of low vision 0.00 3.84 3.84

0.02

3.86 3.86

XXX aids. 92393.............. .............. I

Supply of artificial 0.00 11.92 11.92

0.47 12.39 12.39

XXX eye. 92395.............. .............. I

Supply of spectacles 0.00 1.30 1.30

0.08

1.38 1.38

XXX 92396.............. .............. I

Supply of contact

0.00 2.19 2.19

0.06

2.25 2.25

XXX lenses. 92499.............. .............. C

Eye service or

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 92499.............. 26............ C

Eye service or

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 92499.............. TC............ 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

N/A 1.16

0.06

N/A 2.73

000 examination. 92504.............. .............. A

Ear microscopy

0.18 0.53 0.09

0.01

0.72 0.28

XXX examination. 92506.............. .............. A

Speech/hearing

0.86 2.65 0.41

0.04

3.55 1.31

XXX evaluation. 92507.............. .............. A

Speech/hearing

0.52 0.97 0.24

0.02

1.51 0.78

XXX therapy. 92508.............. .............. A

Speech/hearing

0.26 0.53 0.12

0.01

0.80 0.39

XXX therapy. 92510.............. .............. I

Rehab for ear

1.50 2.11 0.83

0.06

3.67 2.39

XXX implant. 92511.............. .............. A

Nasopharyngoscopy... 0.84 2.50 0.79

0.03

3.37 1.66

000 92512.............. .............. A

Nasal function

0.55 1.13 0.18

0.02

1.70 0.75

XXX studies. 92516.............. .............. A

Facial nerve

0.43 0.95 0.22

0.02

1.40 0.67

XXX function test. 92520.............. .............. A

Laryngeal function

0.76 0.52 0.40

0.03

1.31 1.19

XXX studies. 92526.............. .............. A

Oral function

0.55 1.67 0.20

0.02

2.24 0.77

XXX therapy. 92541.............. .............. A

Spontaneous

0.40 1.05

N/A

0.04

1.49

N/A

XXX nystagmus test. 92541.............. 26............ A

Spontaneous

0.40 0.19 0.19

0.02

0.61 0.61

XXX nystagmus test. 92541.............. TC............ A

Spontaneous

0.00 0.86

N/A

0.02

0.88

N/A

XXX nystagmus test. 92542.............. .............. A

Positional nystagmus 0.33 1.16

N/A

0.03

1.52

N/A

XXX test. 92542.............. 26............ A

Positional nystagmus 0.33 0.16 0.16

0.01

0.50 0.50

XXX test. 92542.............. TC............ A

Positional nystagmus 0.00 1.00

N/A

0.02

1.02

N/A

XXX test. 92543.............. .............. A

Caloric vestibular

0.10 0.59

N/A

0.02

0.71

N/A

XXX test. 92543.............. 26............ A

Caloric vestibular

0.10 0.05 0.05

0.01

0.16 0.16

XXX test. 92543.............. TC............ A

Caloric vestibular

0.00 0.54

N/A

0.01

0.55

N/A

XXX test. 92544.............. .............. A

Optokinetic

0.26 0.92

N/A

0.03

1.21

N/A

XXX nystagmus test. 92544.............. 26............ A

Optokinetic

0.26 0.13 0.13

0.01

0.40 0.40

XXX nystagmus test. 92544.............. TC............ A

Optokinetic

0.00 0.79

N/A

0.02

0.81

N/A

XXX nystagmus test. 92545.............. .............. A

Oscillating tracking 0.23 0.86

N/A

0.03

1.12

N/A

XXX test. 92545.............. 26............ A

Oscillating tracking 0.23 0.11 0.11

0.01

0.35 0.35

XXX test. 92545.............. TC............ A

Oscillating tracking 0.00 0.74

N/A

0.02

0.76

N/A

XXX test. 92546.............. .............. A

Sinusoidal

0.29 2.14

N/A

0.03

2.46

N/A

XXX rotational test. 92546.............. 26............ A

Sinusoidal

0.29 0.13 0.13

0.01

0.43 0.43

XXX rotational test. 92546.............. TC............ A

Sinusoidal

0.00 2.01

N/A

0.02

2.03

N/A

XXX rotational test. 92547.............. .............. A

Supplemental

0.00 1.30

N/A

0.05

1.35

N/A

ZZZ electrical test. 92548.............. .............. A

Posturography....... 0.50 3.83

N/A

0.13

4.46

N/A

XXX 92548.............. 26............ A

Posturography....... 0.50 0.26 0.26

0.02

0.78 0.78

XXX 92548.............. TC............ A

Posturography....... 0.00 3.56

N/A

0.11

3.67

N/A

XXX 92552.............. .............. A

Pure tone

0.00 0.44

N/A

0.03

0.47

N/A

XXX audiometry, air.

[[Page 49219]]

92553.............. .............. A

Audiometry, air &

0.00 0.66

N/A

0.05

0.71

N/A

XXX bone. 92555.............. .............. A

Speech threshold

0.00 0.38

N/A

0.03

0.41

N/A

XXX audiometry. 92556.............. .............. A

Speech audiometry,

0.00 0.57

N/A

0.05

0.62

N/A

XXX complete. 92557.............. .............. A

Comprehensive

0.00 1.19

N/A

0.10

1.29

N/A

XXX hearing test. 92561.............. .............. A

Bekesy audiometry,

0.00 0.72

N/A

0.05

0.77

N/A

XXX diagnosis. 92562.............. .............. A

Loudness balance

0.00 0.41

N/A

0.03

0.44

N/A

XXX test. 92563.............. .............. A

Tone decay hearing

0.00 0.38

N/A

0.03

0.41

N/A

XXX test. 92564.............. .............. A

Sisi hearing test... 0.00 0.47

N/A

0.04

0.51

N/A

XXX 92565.............. .............. A

Stenger test, pure

0.00 0.40

N/A

0.03

0.43

N/A

XXX tone. 92567.............. .............. A

Tympanometry........ 0.00 0.52

N/A

0.05

0.57

N/A

XXX 92568.............. .............. A

Acoustic reflex

0.00 0.38

N/A

0.03

0.41

N/A

XXX testing. 92569.............. .............. A

Acoustic reflex

0.00 0.41

N/A

0.03

0.44

N/A

XXX decay test. 92571.............. .............. A

Filtered speech

0.00 0.39

N/A

0.03

0.42

N/A

XXX hearing test. 92572.............. .............. A

Staggered spondaic

0.00 0.09

N/A

0.01

0.10

N/A

XXX word test. 92573.............. .............. A

Lombard test........ 0.00 0.35

N/A

0.03

0.38

N/A

XXX 92575.............. .............. A

Sensorineural acuity 0.00 0.30

N/A

0.02

0.32

N/A

XXX test. 92576.............. .............. A

Synthetic sentence

0.00 0.44

N/A

0.04

0.48

N/A

XXX test. 92577.............. .............. A

Stenger test, speech 0.00 0.72

N/A

0.06

0.78

N/A

XXX 92579.............. .............. A

Visual audiometry

0.00 0.73

N/A

0.05

0.78

N/A

XXX (vra). 92582.............. .............. A

Conditioning play

0.00 0.73

N/A

0.05

0.78

N/A

XXX audiometry. 92583.............. .............. A

Select picture

0.00 0.89

N/A

0.07

0.96

N/A

XXX audiometry. 92584.............. .............. A

Electrocochleography 0.00 2.48

N/A

0.17

2.65

N/A

XXX 92585.............. .............. A

Auditor evoke

0.50 2.07

N/A

0.14

2.71

N/A

XXX potent, compre. 92585.............. 26............ A

Auditor evoke

0.50 0.22 0.22

0.02

0.74 0.74

XXX potent, compre. 92585.............. TC............ A

Auditor evoke

0.00 1.85

N/A

0.12

1.97

N/A

XXX potent, compre. 92586.............. .............. A

Auditor evoke

0.00 1.85

N/A

0.12

1.97

N/A

XXX potent, limit. 92587.............. .............. A

Evoked auditory test 0.13 1.37

N/A

0.10

1.60

N/A

XXX 92587.............. 26............ A

Evoked auditory test 0.13 0.07 0.07

0.01

0.21 0.21

XXX 92587.............. TC............ A

Evoked auditory test 0.00 1.31

N/A

0.09

1.40

N/A

XXX 92588.............. .............. A

Evoked auditory test 0.36 1.64

N/A

0.12

2.12

N/A

XXX 92588.............. 26............ A

Evoked auditory test 0.36 0.17 0.17

0.01

0.54 0.54

XXX 92588.............. TC............ A

Evoked auditory test 0.00 1.47

N/A

0.11

1.58

N/A

XXX 92589.............. .............. A

Auditory function

0.00 0.53

N/A

0.05

0.58

N/A

XXX test(s). 92596.............. .............. A

Ear protector

0.00 0.59

N/A

0.05

0.64

N/A

XXX evaluation. 92597.............. .............. A

Oral speech device

0.86 1.77 0.46

0.04

2.67 1.36

XXX eval. 92601.............. .............. A

Cochlear implt f/up

0.00 3.64

N/A

0.06

3.70

N/A

XXX exam . 92604.............. .............. A

Reprogram cochlear

0.00 1.57

N/A

0.06

1.63

N/A

XXX implt 7 . 92607.............. .............. A

Ex for speech device 0.00 3.10

N/A

0.04

3.14

N/A

XXX rx, 1hr. 92608.............. .............. A

Ex for speech device 0.00 0.72

N/A

0.04

0.76

N/A

XXX rx addl. 92609.............. .............. A

Use of speech device 0.00 1.67

N/A

0.03

1.70

N/A

XXX service. 92610.............. .............. A

Evaluate swallowing

0.00 1.27

N/A

0.07

1.34

N/A

XXX function. 92611.............. .............. A

Motion fluoroscopy/

0.00 1.80

N/A

0.07

1.87

N/A

XXX swallow. 92612.............. .............. A

Endoscopy swallow

1.27 3.16 0.68

0.07

4.50 2.02

XXX tst (fees).

[[Page 49220]]

92614.............. .............. A

Laryngoscopic

1.27 2.87 0.62

0.07

4.21 1.96

XXX sensory test. 92616.............. .............. A

Fees w/laryngeal

1.88 3.96 0.98

0.07

5.91 2.93

XXX sense test. 92700.............. .............. C

Ent procedure/

0.00 0.00 0.00

0.00

0.00 0.00

XXX service. 92950.............. .............. A

Heart/lung

3.80

N/A 1.00

0.21

N/A 5.01

000 resuscitation cpr. 92953.............. .............. A

Temporary external

0.23

N/A 0.23

0.01

N/A 0.47

000 pacing. 92960.............. .............. A

Cardioversion

2.25 6.82 1.20

0.08

9.15 3.53

000 electric, ext. 92961.............. .............. A

Cardioversion,

4.60

N/A 2.12

0.17

N/A 6.89

000 electric, int. 92970.............. .............. A

Cardioassist,

3.52

N/A 1.08

0.17

N/A 4.77

000 internal. 92971.............. .............. A

Cardioassist,

1.77

N/A 0.87

0.06

N/A 2.70

000 external. 92973.............. .............. A

Percut coronary

3.28

N/A 1.32

0.12

N/A 4.72

ZZZ thrombectomy. 92974.............. .............. A

Cath place, cardio

3.00

N/A 1.21

0.14

N/A 4.35

ZZZ brachytx. 92975.............. .............. A

Dissolve clot, heart 7.25

N/A 2.87

0.22

N/A 10.34

000 vessel. 92977.............. .............. A

Dissolve clot, heart 0.00 8.06

N/A

0.38

8.44

N/A

XXX vessel. 92978.............. .............. A

Intravasc us, heart

1.80 5.29

N/A

0.26

7.35

N/A

ZZZ add-on. 92978.............. 26............ A

Intravasc us, heart

1.80 0.72 0.72

0.06

2.58 2.58

ZZZ add-on. 92978.............. TC............ A

Intravasc us, heart

0.00 4.56

N/A

0.20

4.76

N/A

ZZZ add-on. 92979.............. .............. A

Intravasc us, heart

1.44 2.86

N/A

0.15

4.45

N/A

ZZZ add-on. 92979.............. 26............ A

Intravasc us, heart

1.44 0.57 0.57

0.04

2.05 2.05

ZZZ add-on. 92979.............. TC............ A

Intravasc us, heart

0.00 2.29

N/A

0.11

2.40

N/A

ZZZ add-on. 92980.............. .............. A

Insert intracoronary 14.84

N/A 6.19

0.71

N/A 21.74

000 stent. 92981.............. .............. A

Insert intracoronary 4.17

N/A 1.67

0.20

N/A 6.04

ZZZ stent. 92982.............. .............. A

Coronary artery

10.98

N/A 4.64

0.52

N/A 16.14

000 dilation. 92984.............. .............. A

Coronary artery

2.97

N/A 1.19

0.14

N/A 4.30

ZZZ dilation. 92986.............. .............. A

Revision of aortic

21.80

N/A 12.00

1.14

N/A 34.94

090 valve. 92987.............. .............. A

Revision of mitral

22.70

N/A 12.40

1.18

N/A 36.28

090 valve. 92990.............. .............. A

Revision of

17.34

N/A 9.95

0.90

N/A 28.19

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 atherectomy 12.09

N/A 5.08

0.58

N/A 17.75

000 92996.............. .............. A

Coronary atherectomy 3.26

N/A 1.30

0.16

N/A 4.72

ZZZ add-on. 92997.............. .............. A

Pul art balloon

12.00

N/A 4.93

0.63

N/A 17.56

000 repr, percut. 92998.............. .............. A

Pul art balloon

6.00

N/A 2.25

0.31

N/A 8.56

ZZZ repr, percut. 93000.............. .............. A

Electrocardiogram,

0.17 0.52

N/A

0.03

0.72

N/A

XXX complete. 93005.............. .............. A

Electrocardiogram,

0.00 0.45

N/A

0.02

0.47

N/A

XXX tracing. 93010.............. .............. A

Electrocardiogram

0.17 0.06 0.06

0.01

0.24 0.24

XXX report. 93012.............. .............. A

Transmission of ecg. 0.00 6.02

N/A

0.15

6.17

N/A

XXX 93014.............. .............. A

Report on

0.52 0.19 0.19

0.02

0.73 0.73

XXX transmitted ecg. 93015.............. .............. A

Cardiovascular

0.75 1.97

N/A

0.11

2.83

N/A

XXX stress test. 93016.............. .............. A

Cardiovascular

0.45 0.17 0.17

0.01

0.63 0.63

XXX stress test. 93017.............. .............. A

Cardiovascular

0.00 1.68

N/A

0.09

1.77

N/A

XXX stress test. 93018.............. .............. A

Cardiovascular

0.30 0.12 0.12

0.01

0.43 0.43

XXX stress test. 93024.............. .............. A

Cardiac drug stress

1.17 1.58

N/A

0.11

2.86

N/A

XXX test. 93024.............. 26............ A

Cardiac drug stress

1.17 0.46 0.46

0.04

1.67 1.67

XXX test. 93024.............. TC............ A

Cardiac drug stress

0.00 1.12

N/A

0.07

1.19

N/A

XXX test. 93025.............. .............. A

Microvolt t-wave

0.75 8.37

N/A

0.11

9.23

N/A

XXX assess. 93025.............. 26............ A

Microvolt t-wave

0.75 0.30 0.30

0.02

1.07 1.07

XXX assess. 93025.............. TC............ A

Microvolt t-wave

0.00 8.08

N/A

0.09

8.17

N/A

XXX assess. 93040.............. .............. A

Rhythm ECG with

0.16 0.20

N/A

0.02

0.38

N/A

XXX report. 93041.............. .............. A

Rhythm ECG, tracing. 0.00 0.15

N/A

0.01

0.16

N/A

XXX 93042.............. .............. A

Rhythm ECG, report.. 0.16 0.05 0.05

0.01

0.22 0.22

XXX 93224.............. .............. A

ECG monitor/report,

0.52 3.62

N/A

0.21

4.35

N/A

XXX 24 hrs. 93225.............. .............. A

ECG monitor/record,

0.00 1.24

N/A

0.07

1.31

N/A

XXX 24 hrs. 93226.............. .............. A

ECG monitor/report,

0.00 2.19

N/A

0.12

2.31

N/A

XXX 24 hrs. 93227.............. .............. A

ECG monitor/review,

0.52 0.20 0.20

0.02

0.74 0.74

XXX 24 hrs.

[[Page 49221]]

93230.............. .............. A

ECG monitor/report,

0.52 3.89

N/A

0.22

4.63

N/A

XXX 24 hrs. 93231.............. .............. A

Ecg monitor/record,

0.00 1.52

N/A

0.09

1.61

N/A

XXX 24 hrs. 93232.............. .............. A

ECG monitor/report,

0.00 2.18

N/A

0.11

2.29

N/A

XXX 24 hrs. 93233.............. .............. A

ECG monitor/review,

0.52 0.20 0.20

0.02

0.74 0.74

XXX 24 hrs. 93235.............. .............. A

ECG monitor/report,

0.45 2.79

N/A

0.13

3.37

N/A

XXX 24 hrs. 93236.............. .............. A

ECG monitor/report,

0.00 2.62

N/A

0.12

2.74

N/A

XXX 24 hrs. 93237.............. .............. A

ECG monitor/review,

0.45 0.17 0.17

0.01

0.63 0.63

XXX 24 hrs. 93268.............. .............. A

ECG record/review... 0.52 7.45

N/A

0.24

8.21

N/A

XXX 93270.............. .............. A

ECG recording....... 0.00 1.24

N/A

0.07

1.31

N/A

XXX 93271.............. .............. A

Ecg/monitoring and

0.00 6.02

N/A

0.15

6.17

N/A

XXX analysis. 93272.............. .............. A

Ecg/review,

0.52 0.19 0.19

0.02

0.73 0.73

XXX interpret only. 93278.............. .............. A

ECG/signal-averaged. 0.25 1.25

N/A

0.10

1.60

N/A

XXX 93278.............. 26............ A

ECG/signal-averaged. 0.25 0.10 0.10

0.01

0.36 0.36

XXX 93278.............. TC............ A

ECG/signal-averaged. 0.00 1.15

N/A

0.09

1.24

N/A

XXX 93303.............. .............. A

Echo transthoracic.. 1.30 4.35

N/A

0.23

5.88

N/A

XXX 93303.............. 26............ A

Echo transthoracic.. 1.30 0.49 0.49

0.04

1.83 1.83

XXX 93303.............. TC............ A

Echo transthoracic.. 0.00 3.86

N/A

0.19

4.05

N/A

XXX 93304.............. .............. A

Echo transthoracic.. 0.75 2.23

N/A

0.13

3.11

N/A

XXX 93304.............. 26............ A

Echo transthoracic.. 0.75 0.29 0.29

0.02

1.06 1.06

XXX 93304.............. TC............ A

Echo transthoracic.. 0.00 1.94

N/A

0.11

2.05

N/A

XXX 93307.............. .............. A

Echo exam of heart.. 0.92 4.22

N/A

0.22

5.36

N/A

XXX 93307.............. 26............ A

Echo exam of heart.. 0.92 0.36 0.36

0.03

1.31 1.31

XXX 93307.............. TC............ A

Echo exam of heart.. 0.00 3.86

N/A

0.19

4.05

N/A

XXX 93308.............. .............. A

Echo exam of heart.. 0.53 2.15

N/A

0.13

2.81

N/A

XXX 93308.............. 26............ A

Echo exam of heart.. 0.53 0.21 0.21

0.02

0.76 0.76

XXX 93308.............. TC............ A

Echo exam of heart.. 0.00 1.94

N/A

0.11

2.05

N/A

XXX 93312.............. .............. A

Echo transesophageal 2.20 4.58

N/A

0.32

7.10

N/A

XXX 93312.............. 26............ A

Echo transesophageal 2.20 0.80 0.80

0.08

3.08 3.08

XXX 93312.............. TC............ A

Echo transesophageal 0.00 3.78

N/A

0.24

4.02

N/A

XXX 93313.............. .............. A

Echo transesophageal 0.95

N/A 0.21

0.05

N/A 1.21

XXX 93314.............. .............. A

Echo transesophageal 1.25 4.26

N/A

0.28

5.79

N/A

XXX 93314.............. 26............ A

Echo transesophageal 1.25 0.48 0.48

0.04

1.77 1.77

XXX 93314.............. TC............ A

Echo transesophageal 0.00 3.78

N/A

0.24

4.02

N/A

XXX 93315.............. .............. C

Echo transesophageal 0.00 0.00 0.00

0.00

0.00 0.00

XXX 93315.............. 26............ A

Echo transesophageal 2.78 1.03 1.03

0.10

3.91 3.91

XXX 93315.............. TC............ C

Echo transesophageal 0.00 0.00 0.00

0.00

0.00 0.00

XXX 93316.............. .............. A

Echo transesophageal 0.95

N/A 0.24

0.05

N/A 1.24

XXX 93317.............. .............. C

Echo transesophageal 0.00 0.00 0.00

0.00

0.00 0.00

XXX 93317.............. 26............ A

Echo transesophageal 1.83 0.68 0.68

0.06

2.57 2.57

XXX 93317.............. TC............ C

Echo transesophageal 0.00 0.00 0.00

0.00

0.00 0.00

XXX 93318.............. .............. C

Echo transesophageal 0.00 0.00 0.00

0.00

0.00 0.00

XXX intraop. 93318.............. 26............ A

Echo transesophageal 2.20 0.48

N/A

0.06

2.74

N/A

XXX intraop. 93318.............. TC............ C

Echo transesophageal 0.00 0.00 0.00

0.00

0.00 0.00

XXX intraop. 93320.............. .............. A

Doppler echo exam,

0.38 1.86

N/A

0.11

2.35

N/A

ZZZ heart. 93320.............. 26............ A

Doppler echo exam,

0.38 0.15 0.15

0.01

0.54 0.54

ZZZ heart. 93320.............. TC............ A

Doppler echo exam,

0.00 1.71

N/A

0.10

1.81

N/A

ZZZ heart. 93321.............. .............. A

Doppler echo exam,

0.15 1.17

N/A

0.08

1.40

N/A

ZZZ heart. 93321.............. 26............ A

Doppler echo exam,

0.15 0.06 0.06

0.01

0.22 0.22

ZZZ heart. 93321.............. TC............ A

Doppler echo exam,

0.00 1.11

N/A

0.07

1.18

N/A

ZZZ heart. 93325.............. .............. A

Doppler color flow

0.07 2.93

N/A

0.18

3.18

N/A

ZZZ add-on. 93325.............. 26............ A

Doppler color flow

0.07 0.03 0.03

0.01

0.11 0.11

ZZZ add-on. 93325.............. TC............ A

Doppler color flow

0.00 2.90

N/A

0.17

3.07

N/A

ZZZ add-on. 93350.............. .............. A

Echo transthoracic.. 1.48 2.34

N/A

0.13

3.95

N/A

XXX 93350.............. 26............ A

Echo transthoracic.. 1.48 0.58 0.58

0.02

2.08 2.08

XXX 93350.............. TC............ A

Echo transthoracic.. 0.00 1.76

N/A

0.11

1.87

N/A

XXX 93501.............. .............. A

Right heart

3.02 18.08

N/A

1.03 22.13

N/A

000 catheterization.

[[Page 49222]]

93501.............. 26............ A

Right heart

3.02 1.18 1.18

0.16

4.36 4.36

000 catheterization. 93501.............. TC............ A

Right heart

0.00 16.90

N/A

0.87 17.77

N/A

000 catheterization. 93503.............. .............. A

Insert/place heart

2.91

N/A 0.69

0.16

N/A 3.76

000 catheter. 93505.............. .............. A

Biopsy of heart

4.38 3.70

N/A

0.36

8.44

N/A

000 lining. 93505.............. 26............ A

Biopsy of heart

4.38 1.72 1.72

0.23

6.33 6.33

000 lining. 93505.............. TC............ A

Biopsy of heart

0.00 1.98

N/A

0.13

2.11

N/A

000 lining. 93508.............. .............. A

Cath placement,

4.10 14.73

N/A

0.75 19.58

N/A

000 angiography. 93508.............. 26............ A

Cath placement,

4.10 2.13 2.13

0.21

6.44 6.44

000 angiography. 93508.............. TC............ A

Cath placement,

0.00 12.60

N/A

0.54 13.14

N/A

000 angiography. 93510.............. .............. A

Left heart

4.33 39.18

N/A

2.13 45.64

N/A

000 catheterization. 93510.............. 26............ A

Left heart

4.33 2.22 2.22

0.22

6.77 6.77

000 catheterization. 93510.............. TC............ A

Left heart

0.00 36.96

N/A

1.91 38.87

N/A

000 catheterization. 93511.............. .............. A

Left heart

5.03 38.48

N/A

2.11 45.62

N/A

000 catheterization. 93511.............. 26............ A

Left heart

5.03 2.50 2.50

0.26

7.79 7.79

000 catheterization. 93511.............. TC............ A

Left heart

0.00 35.98

N/A

1.85 37.83

N/A

000 catheterization. 93514.............. .............. A

Left heart

7.05 39.18

N/A

2.22 48.45

N/A

000 catheterization. 93514.............. 26............ A

Left heart

7.05 3.20 3.20

0.37 10.62 10.62

000 catheterization. 93514.............. TC............ A

Left heart

0.00 35.98

N/A

1.85 37.83

N/A

000 catheterization. 93524.............. .............. A

Left heart

6.95 50.27

N/A

2.79 60.01

N/A

000 catheterization. 93524.............. 26............ A

Left heart

6.95 3.25 3.25

0.36 10.56 10.56

000 catheterization. 93524.............. TC............ A

Left heart

0.00 47.02

N/A

2.43 49.45

N/A

000 catheterization. 93526.............. .............. A

Rt & Lt heart

5.99 51.18

N/A

2.81 59.98

N/A

000 catheters. 93526.............. 26............ A

Rt & Lt heart

5.99 2.88 2.88

0.31

9.18 9.18

000 catheters. 93526.............. TC............ A

Rt & Lt heart

0.00 48.30

N/A

2.50 50.80

N/A

000 catheters. 93527.............. .............. A

Rt & Lt heart

7.28 50.41

N/A

2.81 60.50

N/A

000 catheters. 93527.............. 26............ A

Rt & Lt heart

7.28 3.39 3.39

0.38 11.05 11.05

000 catheters. 93527.............. TC............ A

Rt & Lt heart

0.00 47.02

N/A

2.43 49.45

N/A

000 catheters. 93528.............. .............. A

Rt & Lt heart

9.00 51.14

N/A

2.90 63.04

N/A

000 catheters. 93528.............. 26............ A

Rt & Lt heart

9.00 4.12 4.12

0.47 13.59 13.59

000 catheters. 93528.............. TC............ A

Rt & Lt heart

0.00 47.02

N/A

2.43 49.45

N/A

000 catheters. 93529.............. .............. A

Rt, lt heart

4.80 49.35

N/A

2.68 56.83

N/A

000 catheterization. 93529.............. 26............ A

Rt, lt heart

4.80 2.33 2.33

0.25

7.38 7.38

000 catheterization. 93529.............. TC............ A

Rt, lt heart

0.00 47.02

N/A

2.43 49.45

N/A

000 catheterization. 93530.............. .............. A

Rt heart cath,

4.23 18.89

N/A

1.11 24.23

N/A

000 congenital. 93530.............. 26............ A

Rt heart cath,

4.23 1.98 1.98

0.24

6.45 6.45

000 congenital. 93530.............. TC............ A

Rt heart cath,

0.00 16.90

N/A

0.87 17.77

N/A

000 congenital. 93531.............. .............. A

R & l heart cath,

8.35 51.97

N/A

2.96 63.28

N/A

000 congenital. 93531.............. 26............ A

R & l heart cath,

8.35 3.67 3.67

0.46 12.48 12.48

000 congenital. 93531.............. TC............ A

R & l heart cath,

0.00 48.30

N/A

2.50 50.80

N/A

000 congenital. 93532.............. .............. A

R & l heart cath,

10.00 51.37

N/A

2.95 64.32

N/A

000 congenital. 93532.............. 26............ A

R & l heart cath,

10.00 4.36 4.36

0.52 14.88 14.88

000 congenital. 93532.............. TC............ A

R & l heart cath,

0.00 47.02

N/A

2.43 49.45

N/A

000 congenital. 93533.............. .............. A

R & l heart cath,

6.70 49.89

N/A

2.86 59.45

N/A

000 congenital. 93533.............. 26............ A

R & l heart cath,

6.70 2.87 2.87

0.43 10.00 10.00

000 congenital. 93533.............. TC............ A

R & l heart cath,

0.00 47.02

N/A

2.43 49.45

N/A

000 congenital. 93539.............. .............. A

Injection, cardiac

0.40

N/A 0.16

0.01

N/A 0.57

000 cath. 93540.............. .............. A

Injection, cardiac

0.43

N/A 0.17

0.01

N/A 0.61

000 cath. 93541.............. .............. A

Injection for lung

0.29

N/A 0.12

0.01

N/A 0.42

000 angiogram. 93542.............. .............. A

Injection for heart

0.29

N/A 0.11

0.01

N/A 0.41

000 x-rays. 93543.............. .............. A

Injection for heart

0.29

N/A 0.12

0.01

N/A 0.42

000 x-rays. 93544.............. .............. A

Injection for

0.25

N/A 0.10

0.01

N/A 0.36

000 aortography. 93545.............. .............. A

Inject for coronary

0.40

N/A 0.16

0.01

N/A 0.57

000 x-rays. 93555.............. .............. A

Imaging, cardiac

0.81 6.60

N/A

0.31

7.72

N/A

XXX cath.

[[Page 49223]]

93555.............. 26............ A

Imaging, cardiac

0.81 0.32 0.32

0.03

1.16 1.16

XXX cath. 93555.............. TC............ A

Imaging, cardiac

0.00 6.28

N/A

0.28

6.56

N/A

XXX cath. 93556.............. .............. A

Imaging, cardiac

0.83 10.22

N/A

0.45 11.50

N/A

XXX cath. 93556.............. 26............ A

Imaging, cardiac

0.83 0.33 0.33

0.03

1.19 1.19

XXX cath. 93556.............. TC............ A

Imaging, cardiac

0.00 9.89

N/A

0.42 10.31

N/A

XXX cath. 93561.............. .............. A

Cardiac output

0.50 0.69

N/A

0.07

1.26

N/A

000 measurement. 93561.............. 26............ A

Cardiac output

0.50 0.16 0.16

0.02

0.68 0.68

000 measurement. 93561.............. TC............ A

Cardiac output

0.00 0.52

N/A

0.05

0.57

N/A

000 measurement. 93562.............. .............. A

Cardiac output

0.16 0.37

N/A

0.04

0.57

N/A

000 measurement. 93562.............. 26............ A

Cardiac output

0.16 0.05 0.05

0.01

0.22 0.22

000 measurement. 93562.............. TC............ A

Cardiac output

0.00 0.32

N/A

0.03

0.35

N/A

000 measurement. 93571.............. .............. A

Heart flow reserve

1.80 5.26

N/A

0.31

7.37

N/A

ZZZ measure. 93571.............. 26............ A

Heart flow reserve

1.80 0.69 0.69

0.11

2.60 2.60

ZZZ measure. 93571.............. TC............ A

Heart flow reserve

0.00 4.56

N/A

0.20

4.76

N/A

ZZZ measure. 93572.............. .............. A

Heart flow reserve

1.44 2.79

N/A

0.28

4.51

N/A

ZZZ measure. 93572.............. 26............ A

Heart flow reserve

1.44 0.50 0.50

0.17

2.11 2.11

ZZZ measure. 93572.............. TC............ A

Heart flow reserve

0.00 2.29

N/A

0.11

2.40

N/A

ZZZ measure. 93580.............. .............. A

Transcath closure of 18.00

N/A 7.33

1.14

N/A 26.47

000 asd. 93581.............. .............. A

Transcath closure of 24.43

N/A 9.82

1.14

N/A 35.39

000 vsd. 93600.............. .............. A

Bundle of His

2.12 2.80

N/A

0.22

5.14

N/A

000 recording. 93600.............. 26............ A

Bundle of His

2.12 0.85 0.85

0.11

3.08 3.08

000 recording. 93600.............. TC............ A

Bundle of His

0.00 1.95

N/A

0.11

2.06

N/A

000 recording. 93602.............. .............. A

Intra-atrial

2.12 1.95

N/A

0.18

4.25

N/A

000 recording. 93602.............. 26............ A

Intra-atrial

2.12 0.84 0.84

0.12

3.08 3.08

000 recording. 93602.............. TC............ A

Intra-atrial

0.00 1.11

N/A

0.06

1.17

N/A

000 recording. 93603.............. .............. A

Right ventricular

2.12 2.51

N/A

0.20

4.83

N/A

000 recording. 93603.............. 26............ A

Right ventricular

2.12 0.83 0.83

0.11

3.06 3.06

000 recording. 93603.............. TC............ A

Right ventricular

0.00 1.68

N/A

0.09

1.77

N/A

000 recording. 93609.............. .............. A

Map tachycardia, add- 5.00 4.71

N/A

0.66 10.37

N/A

ZZZ on. 93609.............. 26............ A

Map tachycardia, add- 5.00 1.99 1.99

0.52

7.51 7.51

ZZZ on. 93609.............. TC............ A

Map tachycardia, add- 0.00 2.72

N/A

0.14

2.86

N/A

ZZZ on. 93610.............. .............. A

Intra-atrial pacing. 3.02 2.54

N/A

0.25

5.81

N/A

000 93610.............. 26............ A

Intra-atrial pacing. 3.02 1.18 1.18

0.17

4.37 4.37

000 93610.............. TC............ A

Intra-atrial pacing. 0.00 1.35

N/A

0.08

1.43

N/A

000 93612.............. .............. A

Intraventricular

3.02 2.79

N/A

0.26

6.07

N/A

000 pacing. 93612.............. 26............ A

Intraventricular

3.02 1.18 1.18

0.17

4.37 4.37

000 pacing. 93612.............. TC............ A

Intraventricular

0.00 1.61

N/A

0.09

1.70

N/A

000 pacing. 93613.............. .............. A

Electrophys map 3d,

7.00

N/A 2.82

0.52

N/A 10.34

ZZZ add-on. 93615.............. .............. A

Esophageal recording 0.99 0.59

N/A

0.05

1.63

N/A

000 93615.............. 26............ A

Esophageal recording 0.99 0.27 0.27

0.03

1.29 1.29

000 93615.............. TC............ A

Esophageal recording 0.00 0.32

N/A

0.02

0.34

N/A

000 93616.............. .............. A

Esophageal recording 1.49 0.75

N/A

0.08

2.32

N/A

000 93616.............. 26............ A

Esophageal recording 1.49 0.43 0.43

0.06

1.98 1.98

000 93616.............. TC............ A

Esophageal recording 0.00 0.32

N/A

0.02

0.34

N/A

000 93618.............. .............. A

Heart rhythm pacing. 4.26 5.67

N/A

0.42 10.35

N/A

000 93618.............. 26............ A

Heart rhythm pacing. 4.26 1.71 1.71

0.22

6.19 6.19

000 93618.............. TC............ A

Heart rhythm pacing. 0.00 3.96

N/A

0.20

4.16

N/A

000 93619.............. .............. A

Electrophysiology

7.32 10.61

N/A

0.77 18.70

N/A

000 evaluation. 93619.............. 26............ A

Electrophysiology

7.32 2.91 2.91

0.38 10.61 10.61

000 evaluation. 93619.............. TC............ A

Electrophysiology

0.00 7.71

N/A

0.39

8.10

N/A

000 evaluation.

[[Page 49224]]

93620.............. .............. C

Electrophysiology

0.00 0.00 0.00

0.00

0.00 0.00

000 evaluation. 93620.............. 26............ A

Electrophysiology

11.59 4.61 4.61

0.60 16.80 16.80

000 evaluation. 93620.............. TC............ C

Electrophysiology

0.00 0.00 0.00

0.00

0.00 0.00

000 evaluation. 93621.............. .............. C

Electrophysiology

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ evaluation. 93621.............. 26............ A

Electrophysiology

2.10 0.84 0.84

0.15

3.09 3.09

ZZZ evaluation. 93621.............. TC............ C

Electrophysiology

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ evaluation. 93622.............. .............. C

Electrophysiology

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ evaluation. 93622.............. 26............ A

Electrophysiology

3.10 1.23 1.23

0.67

5.00 5.00

ZZZ evaluation. 93622.............. TC............ C

Electrophysiology

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ evaluation. 93623.............. .............. C

Stimulation, pacing

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ heart. 93623.............. 26............ A

Stimulation, pacing

2.85 1.13 1.13

0.15

4.13 4.13

ZZZ heart. 93623.............. TC............ C

Stimulation, pacing

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ heart. 93624.............. .............. A

Electrophysiologic

4.81 4.23

N/A

0.36

9.40

N/A

000 study. 93624.............. 26............ A

Electrophysiologic

4.81 2.25 2.25

0.25

7.31 7.31

000 study. 93624.............. TC............ A

Electrophysiologic

0.00 1.98

N/A

0.11

2.09

N/A

000 study. 93631.............. .............. A

Heart pacing,

7.60 8.95

N/A

1.17 17.72

N/A

000 mapping. 93631.............. 26............ A

Heart pacing,

7.60 2.80 2.80

0.66 11.06 11.06

000 mapping. 93631.............. TC............ A

Heart pacing,

0.00 6.15

N/A

0.51

6.66

N/A

000 mapping. 93640.............. .............. A

Evaluation heart

3.52 8.57

N/A

0.53 12.62

N/A

000 device. 93640.............. 26............ A

Evaluation heart

3.52 1.39 1.39

0.18

5.09 5.09

000 device. 93640.............. TC............ A

Evaluation heart

0.00 7.18

N/A

0.35

7.53

N/A

000 device. 93641.............. .............. A

Electrophysiology

5.93 9.54

N/A

0.66 16.13

N/A

000 evaluation. 93641.............. 26............ A

Electrophysiology

5.93 2.36 2.36

0.31

8.60 8.60

000 evaluation. 93641.............. TC............ A

Electrophysiology

0.00 7.18

N/A

0.35

7.53

N/A

000 evaluation. 93642.............. .............. A

Electrophysiology

4.89 9.10

N/A

0.51 14.50

N/A

000 evaluation. 93642.............. 26............ A

Electrophysiology

4.89 1.92 1.92

0.16

6.97 6.97

000 evaluation. 93642.............. TC............ A

Electrophysiology

0.00 7.18

N/A

0.35

7.53

N/A

000 evaluation. 93650.............. .............. A

Ablate heart

10.51

N/A 4.53

0.55

N/A 15.59

000 dysrhythm focus. 93651.............. .............. A

Ablate heart

16.25

N/A 6.47

0.85

N/A 23.57

000 dysrhythm focus. 93652.............. .............. A

Ablate heart

17.68

N/A 7.04

0.92

N/A 25.64

000 dysrhythm focus. 93660.............. .............. A

Tilt table

1.89 2.44

N/A

0.08

4.41

N/A

000 evaluation. 93660.............. 26............ A

Tilt table

1.89 0.76 0.76

0.06

2.71 2.71

000 evaluation. 93660.............. TC............ A

Tilt table

0.00 1.68

N/A

0.02

1.70

N/A

000 evaluation. 93662.............. .............. C

Intracardiac ecg

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ (ice). 93662.............. 26............ A

Intracardiac ecg

2.80 1.13 1.13

0.41

4.34 4.34

ZZZ (ice). 93662.............. TC............ C

Intracardiac ecg

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ (ice). 93701.............. .............. A

Bioimpedance,

0.17 1.04

N/A

0.02

1.23

N/A

XXX thoracic. 93701.............. 26............ A

Bioimpedance,

0.17 0.07 0.07

0.01

0.25 0.25

XXX thoracic. 93701.............. TC............ A

Bioimpedance,

0.00 0.97

N/A

0.01

0.98

N/A

XXX thoracic. 93720.............. .............. A

Total body

0.17 1.14

N/A

0.06

1.37

N/A

XXX plethysmography. 93721.............. .............. A

Plethysmography

0.00 0.71

N/A

0.05

0.76

N/A

XXX tracing. 93722.............. .............. A

Plethysmography

0.17 0.05 0.05

0.01

0.23 0.23

XXX report. 93724.............. .............. A

Analyze pacemaker

4.89 5.92

N/A

0.38 11.19

N/A

000 system. 93724.............. 26............ A

Analyze pacemaker

4.89 1.95 1.95

0.18

7.02 7.02

000 system.

[[Page 49225]]

93724.............. TC............ A

Analyze pacemaker

0.00 3.96

N/A

0.20

4.16

N/A

000 system. 93727.............. .............. A

Analyze ilr system.. 0.52 0.20 0.20

0.05

0.77 0.77

XXX 93731.............. .............. A

Analyze pacemaker

0.45 0.67

N/A

0.05

1.17

N/A

XXX system. 93731.............. 26............ A

Analyze pacemaker

0.45 0.18 0.18

0.02

0.65 0.65

XXX system. 93731.............. TC............ A

Analyze pacemaker

0.00 0.49

N/A

0.03

0.52

N/A

XXX system. 93732.............. .............. A

Analyze pacemaker

0.92 0.87

N/A

0.06

1.85

N/A

XXX system. 93732.............. 26............ A

Analyze pacemaker

0.92 0.36 0.36

0.03

1.31 1.31

XXX system. 93732.............. TC............ A

Analyze pacemaker

0.00 0.51

N/A

0.03

0.54

N/A

XXX system. 93733.............. .............. A

Telephone analy,

0.17 0.79

N/A

0.06

1.02

N/A

XXX pacemaker. 93733.............. 26............ A

Telephone analy,

0.17 0.07 0.07

0.01

0.25 0.25

XXX pacemaker. 93733.............. TC............ A

Telephone analy,

0.00 0.73

N/A

0.05

0.78

N/A

XXX pacemaker. 93734.............. .............. A

Analyze pacemaker

0.38 0.50

N/A

0.03

0.91

N/A

XXX system. 93734.............. 26............ A

Analyze pacemaker

0.38 0.15 0.15

0.01

0.54 0.54

XXX system. 93734.............. TC............ A

Analyze pacemaker

0.00 0.35

N/A

0.02

0.37

N/A

XXX system. 93735.............. .............. A

Analyze pacemaker

0.74 0.74

N/A

0.06

1.54

N/A

XXX system. 93735.............. 26............ A

Analyze pacemaker

0.74 0.29 0.29

0.03

1.06 1.06

XXX system. 93735.............. TC............ A

Analyze pacemaker

0.00 0.44

N/A

0.03

0.47

N/A

XXX system. 93736.............. .............. A

Telephone analy,

0.15 0.69

N/A

0.06

0.90

N/A

XXX pacemaker. 93736.............. 26............ A

Telephone analy,

0.15 0.06 0.06

0.01

0.22 0.22

XXX pacemaker. 93736.............. TC............ A

Telephone analy,

0.00 0.63

N/A

0.05

0.68

N/A

XXX pacemaker. 93740.............. .............. B

Temperature gradient 0.16 0.20

N/A

0.02

0.38

N/A

XXX studies. 93740.............. 26............ B

Temperature gradient 0.16 0.04 0.04

0.01

0.21 0.21

XXX studies. 93740.............. TC............ B

Temperature gradient 0.00 0.15

N/A

0.01

0.16

N/A

XXX studies. 93741.............. .............. A

Analyze ht pace

0.80 0.99

N/A

0.05

1.84

N/A

XXX device sngl. 93741.............. 26............ A

Analyze ht pace

0.80 0.32 0.32

0.02

1.14 1.14

XXX device sngl. 93741.............. TC............ A

Analyze ht pace

0.00 0.67

N/A

0.03

0.70

N/A

XXX device sngl. 93742.............. .............. A

Analyze ht pace

0.91 1.03

N/A

0.05

1.99

N/A

XXX device sngl. 93742.............. 26............ A

Analyze ht pace

0.91 0.36 0.36

0.02

1.29 1.29

XXX device sngl. 93742.............. TC............ A

Analyze ht pace

0.00 0.67

N/A

0.03

0.70

N/A

XXX device sngl. 93743.............. .............. A

Analyze ht pace

1.03 1.14

N/A

0.06

2.23

N/A

XXX device dual. 93743.............. 26............ A

Analyze ht pace

1.03 0.41 0.41

0.03

1.47 1.47

XXX device dual. 93743.............. TC............ A

Analyze ht pace

0.00 0.73

N/A

0.03

0.76

N/A

XXX device dual. 93744.............. .............. A

Analyze ht pace

1.18 1.14

N/A

0.06

2.38

N/A

XXX device dual.

[[Page 49226]]

93744.............. 26............ A

Analyze ht pace

1.18 0.47 0.47

0.03

1.68 1.68

XXX device dual. 93744.............. TC............ A

Analyze ht pace

0.00 0.67

N/A

0.03

0.70

N/A

XXX device dual. 93770.............. .............. B

Measure venous

0.16 0.08

N/A

0.02

0.26

N/A

XXX pressure. 93770.............. 26............ B

Measure venous

0.16 0.05 0.05

0.01

0.22 0.22

XXX pressure. 93770.............. TC............ B

Measure venous

0.00 0.03

N/A

0.01

0.04

N/A

XXX pressure. 93784.............. .............. A

Ambulatory BP

0.17 0.97

N/A

0.02

1.16

N/A

XXX monitoring. 93786.............. .............. A

Ambulatory BP

0.00 0.91

N/A

0.01

0.92

N/A

XXX recording. 93790.............. .............. A

Review/report BP

0.17 0.06 0.06

0.01

0.24 0.24

XXX recording. 93797.............. .............. A

Cardiac rehab....... 0.18 0.39 0.07

0.01

0.58 0.26

000 93798.............. .............. A

Cardiac rehab/

0.28 0.51 0.11

0.01

0.80 0.40

000 monitor. 93799.............. .............. C

Cardiovascular

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 93799.............. 26............ C

Cardiovascular

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 93799.............. TC............ C

Cardiovascular

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 93875.............. .............. A

Extracranial study.. 0.22 1.67

N/A

0.10

1.99

N/A

XXX 93875.............. 26............ A

Extracranial study.. 0.22 0.08 0.08

0.01

0.31 0.31

XXX 93875.............. TC............ A

Extracranial study.. 0.00 1.59

N/A

0.09

1.68

N/A

XXX 93880.............. .............. A

Extracranial study.. 0.60 4.20

N/A

0.33

5.13

N/A

XXX 93880.............. 26............ A

Extracranial study.. 0.60 0.21 0.21

0.04

0.85 0.85

XXX 93880.............. TC............ A

Extracranial study.. 0.00 3.99

N/A

0.29

4.28

N/A

XXX 93882.............. .............. A

Extracranial study.. 0.40 3.03

N/A

0.22

3.65

N/A

XXX 93882.............. 26............ A

Extracranial study.. 0.40 0.14 0.14

0.04

0.58 0.58

XXX 93882.............. TC............ A

Extracranial study.. 0.00 2.88

N/A

0.18

3.06

N/A

XXX 93886.............. .............. A

Intracranial study.. 0.94 4.54

N/A

0.37

5.85

N/A

XXX 93886.............. 26............ A

Intracranial study.. 0.94 0.38 0.38

0.05

1.37 1.37

XXX 93886.............. TC............ A

Intracranial study.. 0.00 4.17

N/A

0.32

4.49

N/A

XXX 93888.............. .............. A

Intracranial study.. 0.62 3.07

N/A

0.26

3.95

N/A

XXX 93888.............. 26............ A

Intracranial study.. 0.62 0.23 0.23

0.04

0.89 0.89

XXX 93888.............. TC............ A

Intracranial study.. 0.00 2.84

N/A

0.22

3.06

N/A

XXX 93922.............. .............. A

Extremity study..... 0.25 1.94

N/A

0.13

2.32

N/A

XXX 93922.............. 26............ A

Extremity study..... 0.25 0.09 0.09

0.02

0.36 0.36

XXX 93922.............. TC............ A

Extremity study..... 0.00 1.85

N/A

0.11

1.96

N/A

XXX 93923.............. .............. A

Extremity study..... 0.45 3.04

N/A

0.22

3.71

N/A

XXX 93923.............. 26............ A

Extremity study..... 0.45 0.16 0.16

0.04

0.65 0.65

XXX 93923.............. TC............ A

Extremity study..... 0.00 2.88

N/A

0.18

3.06

N/A

XXX 93924.............. .............. A

Extremity study..... 0.50 3.79

N/A

0.26

4.55

N/A

XXX 93924.............. 26............ A

Extremity study..... 0.50 0.17 0.17

0.05

0.72 0.72

XXX 93924.............. TC............ A

Extremity study..... 0.00 3.62

N/A

0.21

3.83

N/A

XXX 93925.............. .............. A

Lower extremity

0.58 4.91

N/A

0.33

5.82

N/A

XXX study. 93925.............. 26............ A

Lower extremity

0.58 0.20 0.20

0.04

0.82 0.82

XXX study. 93925.............. TC............ A

Lower extremity

0.00 4.71

N/A

0.29

5.00

N/A

XXX study. 93926.............. .............. A

Lower extremity

0.39 3.51

N/A

0.22

4.12

N/A

XXX study. 93926.............. 26............ A

Lower extremity

0.39 0.13 0.13

0.03

0.55 0.55

XXX study. 93926.............. TC............ A

Lower extremity

0.00 3.37

N/A

0.19

3.56

N/A

XXX study. 93930.............. .............. A

Upper extremity

0.46 3.90

N/A

0.34

4.70

N/A

XXX study. 93930.............. 26............ A

Upper extremity

0.46 0.16 0.16

0.03

0.65 0.65

XXX study. 93930.............. TC............ A

Upper extremity

0.00 3.74

N/A

0.31

4.05

N/A

XXX study. 93931.............. .............. A

Upper extremity

0.31 2.84

N/A

0.22

3.37

N/A

XXX study. 93931.............. 26............ A

Upper extremity

0.31 0.11 0.11

0.02

0.44 0.44

XXX study. 93931.............. TC............ A

Upper extremity

0.00 2.74

N/A

0.20

2.94

N/A

XXX study. 93965.............. .............. A

Extremity study..... 0.35 1.88

N/A

0.12

2.35

N/A

XXX 93965.............. 26............ A

Extremity study..... 0.35 0.12 0.12

0.02

0.49 0.49

XXX 93965.............. TC............ A

Extremity study..... 0.00 1.76

N/A

0.10

1.86

N/A

XXX 93970.............. .............. A

Extremity study..... 0.68 4.00

N/A

0.38

5.06

N/A

XXX 93970.............. 26............ A

Extremity study..... 0.68 0.23 0.23

0.05

0.96 0.96

XXX 93970.............. TC............ A

Extremity study..... 0.00 3.77

N/A

0.33

4.10

N/A

XXX 93971.............. .............. A

Extremity study..... 0.45 2.88

N/A

0.25

3.58

N/A

XXX 93971.............. 26............ A

Extremity study..... 0.45 0.15 0.15

0.03

0.63 0.63

XXX 93971.............. TC............ A

Extremity study..... 0.00 2.73

N/A

0.22

2.95

N/A

XXX 93975.............. .............. A

Vascular study...... 1.80 5.86

N/A

0.47

8.13

N/A

XXX 93975.............. 26............ A

Vascular study...... 1.80 0.61 0.61

0.11

2.52 2.52

XXX 93975.............. TC............ A

Vascular study...... 0.00 5.25

N/A

0.36

5.61

N/A

XXX 93976.............. .............. A

Vascular study...... 1.21 3.48

N/A

0.31

5.00

N/A

XXX 93976.............. 26............ A

Vascular study...... 1.21 0.41 0.41

0.06

1.68 1.68

XXX

[[Page 49227]]

93976.............. TC............ A

Vascular study...... 0.00 3.08

N/A

0.25

3.33

N/A

XXX 93978.............. .............. A

Vascular study...... 0.65 3.62

N/A

0.36

4.63

N/A

XXX 93978.............. 26............ A

Vascular study...... 0.65 0.22 0.22

0.05

0.92 0.92

XXX 93978.............. TC............ A

Vascular study...... 0.00 3.39

N/A

0.31

3.70

N/A

XXX 93979.............. .............. A

Vascular study...... 0.44 2.67

N/A

0.24

3.35

N/A

XXX 93979.............. 26............ A

Vascular study...... 0.44 0.16 0.16

0.04

0.64 0.64

XXX 93979.............. TC............ A

Vascular study...... 0.00 2.51

N/A

0.20

2.71

N/A

XXX 93980.............. .............. A

Penile vascular

1.25 4.77

N/A

0.35

6.37

N/A

XXX study. 93980.............. 26............ A

Penile vascular

1.25 0.42 0.42

0.07

1.74 1.74

XXX study. 93980.............. TC............ A

Penile vascular

0.00 4.35

N/A

0.28

4.63

N/A

XXX study. 93981.............. .............. A

Penile vascular

0.44 4.65

N/A

0.28

5.37

N/A

XXX study. 93981.............. 26............ A

Penile vascular

0.44 0.15 0.15

0.02

0.61 0.61

XXX study. 93981.............. TC............ A

Penile vascular

0.00 4.51

N/A

0.26

4.77

N/A

XXX study. 93990.............. .............. A

Doppler flow testing 0.25 3.44

N/A

0.21

3.90

N/A

XXX 93990.............. 26............ A

Doppler flow testing 0.25 0.09 0.09

0.02

0.36 0.36

XXX 93990.............. TC............ A

Doppler flow testing 0.00 3.35

N/A

0.19

3.54

N/A

XXX 94010.............. .............. A

Breathing capacity

0.17 0.69

N/A

0.03

0.89

N/A

XXX test. 94010.............. 26............ A

Breathing capacity

0.17 0.05 0.05

0.01

0.23 0.23

XXX test. 94010.............. TC............ A

Breathing capacity

0.00 0.64

N/A

0.02

0.66

N/A

XXX test. 94014.............. .............. A

Patient recorded

0.52 0.78

N/A

0.03

1.33

N/A

XXX spirometry. 94015.............. .............. A

Patient recorded

0.00 0.61

N/A

0.01

0.62

N/A

XXX spirometry. 94016.............. .............. A

Review patient

0.52 0.17 0.17

0.02

0.71 0.71

XXX spirometry. 94060.............. .............. A

Evaluation of

0.31 1.14

N/A

0.06

1.51

N/A

XXX wheezing. 94060.............. 26............ A

Evaluation of

0.31 0.10 0.10

0.01

0.42 0.42

XXX wheezing. 94060.............. TC............ A

Evaluation of

0.00 1.05

N/A

0.05

1.10

N/A

XXX wheezing. 94070.............. .............. A

Evaluation of

0.60 1.25

N/A

0.10

1.95

N/A

XXX wheezing. 94070.............. 26............ A

Evaluation of

0.60 0.19 0.19

0.02

0.81 0.81

XXX wheezing. 94070.............. TC............ A

Evaluation of

0.00 1.06

N/A

0.08

1.14

N/A

XXX wheezing. 94150.............. .............. B

Vital capacity test. 0.07 0.48

N/A

0.02

0.57

N/A

XXX 94150.............. 26............ B

Vital capacity test. 0.07 0.03 0.03

0.01

0.11 0.11

XXX 94150.............. TC............ B

Vital capacity test. 0.00 0.46

N/A

0.01

0.47

N/A

XXX 94200.............. .............. A

Lung function test

0.11 0.46

N/A

0.03

0.60

N/A

XXX (MBC/MVV). 94200.............. 26............ A

Lung function test

0.11 0.03 0.03

0.01

0.15 0.15

XXX (MBC/MVV). 94200.............. TC............ A

Lung function test

0.00 0.43

N/A

0.02

0.45

N/A

XXX (MBC/MVV). 94240.............. .............. A

Residual lung

0.26 0.59

N/A

0.05

0.90

N/A

XXX capacity. 94240.............. 26............ A

Residual lung

0.26 0.08 0.08

0.01

0.35 0.35

XXX capacity. 94240.............. TC............ A

Residual lung

0.00 0.51

N/A

0.04

0.55

N/A

XXX capacity. 94250.............. .............. A

Expired gas

0.11 0.68

N/A

0.02

0.81

N/A

XXX collection. 94250.............. 26............ A

Expired gas

0.11 0.03 0.03

0.01

0.15 0.15

XXX collection. 94250.............. TC............ A

Expired gas

0.00 0.64

N/A

0.01

0.65

N/A

XXX collection. 94260.............. .............. A

Thoracic gas volume. 0.13 0.51

N/A

0.04

0.68

N/A

XXX 94260.............. 26............ A

Thoracic gas volume. 0.13 0.04 0.04

0.01

0.18 0.18

XXX 94260.............. TC............ A

Thoracic gas volume. 0.00 0.47

N/A

0.03

0.50

N/A

XXX 94350.............. .............. A

Lung nitrogen

0.26 0.77

N/A

0.04

1.07

N/A

XXX washout curve. 94350.............. 26............ A

Lung nitrogen

0.26 0.08 0.08

0.01

0.35 0.35

XXX washout curve. 94350.............. TC............ A

Lung nitrogen

0.00 0.69

N/A

0.03

0.72

N/A

XXX washout curve. 94360.............. .............. A

Measure airflow

0.26 0.61

N/A

0.06

0.93

N/A

XXX resistance. 94360.............. 26............ A

Measure airflow

0.26 0.08 0.08

0.01

0.35 0.35

XXX resistance. 94360.............. TC............ A

Measure airflow

0.00 0.53

N/A

0.05

0.58

N/A

XXX resistance. 94370.............. .............. A

Breath airway

0.26 0.74

N/A

0.03

1.03

N/A

XXX closing volume. 94370.............. 26............ A

Breath airway

0.26 0.08 0.08

0.01

0.35 0.35

XXX closing volume. 94370.............. TC............ A

Breath airway

0.00 0.66

N/A

0.02

0.68

N/A

XXX closing volume. 94375.............. .............. A

Respiratory flow

0.31 0.56

N/A

0.03

0.90

N/A

XXX volume loop.

[[Page 49228]]

94375.............. 26............ A

Respiratory flow

0.31 0.10 0.10

0.01

0.42 0.42

XXX volume loop. 94375.............. TC............ A

Respiratory flow

0.00 0.47

N/A

0.02

0.49

N/A

XXX volume loop. 94400.............. .............. A

CO2 breathing

0.40 0.86

N/A

0.06

1.32

N/A

XXX response curve. 94400.............. 26............ A

CO2 breathing

0.40 0.13 0.13

0.01

0.54 0.54

XXX response curve. 94400.............. TC............ A

CO2 breathing

0.00 0.74

N/A

0.05

0.79

N/A

XXX response curve. 94450.............. .............. A

Hypoxia response

0.40 0.69

N/A

0.04

1.13

N/A

XXX curve. 94450.............. 26............ A

Hypoxia response

0.40 0.12 0.12

0.02

0.54 0.54

XXX curve. 94450.............. TC............ A

Hypoxia response

0.00 0.57

N/A

0.02

0.59

N/A

XXX curve. 94620.............. .............. A

Pulmonary stress

0.64 2.49

N/A

0.10

3.23

N/A

XXX test/simple. 94620.............. 26............ A

Pulmonary stress

0.64 0.20 0.20

0.02

0.86 0.86

XXX test/simple. 94620.............. TC............ A

Pulmonary stress

0.00 2.29

N/A

0.08

2.37

N/A

XXX test/simple. 94621.............. .............. A

Pulm stress test/

1.42 2.11

N/A

0.13

3.66

N/A

XXX complex. 94621.............. 26............ A

Pulm stress test/

1.42 0.44 0.44

0.05

1.91 1.91

XXX complex. 94621.............. TC............ A

Pulm stress test/

0.00 1.67

N/A

0.08

1.75

N/A

XXX complex. 94640.............. .............. A

Airway inhalation

0.00 0.35

N/A

0.02

0.37

N/A

XXX treatment. 94642.............. .............. C

Aerosol inhalation

0.00 0.00 0.00

0.00

0.00 0.00

XXX treatment. 94656.............. .............. A

Initial ventilator

1.22 1.23 0.32

0.06

2.51 1.60

XXX mgmt. 94657.............. .............. A

Continued ventilator 0.83 1.04 0.25

0.03

1.90 1.11

XXX mgmt. 94660.............. .............. A

Pos airway pressure, 0.76 0.67 0.24

0.03

1.46 1.03

XXX CPAP. 94662.............. .............. A

Neg press

0.76

N/A 0.24

0.02

N/A 1.02

XXX ventilation, cnp. 94664.............. .............. A

Evaluate pt use of

0.00 0.34

N/A

0.03

0.37

N/A

XXX inhaler. 94667.............. .............. A

Chest wall

0.00 0.56

N/A

0.04

0.60

N/A

XXX manipulation. 94668.............. .............. A

Chest wall

0.00 0.48

N/A

0.02

0.50

N/A

XXX manipulation. 94680.............. .............. A

Exhaled air

0.26 1.97

N/A

0.06

2.29

N/A

XXX analysis, o2. 94680.............. 26............ A

Exhaled air

0.26 0.08 0.08

0.01

0.35 0.35

XXX analysis, o2. 94680.............. TC............ A

Exhaled air

0.00 1.89

N/A

0.05

1.94

N/A

XXX analysis, o2. 94681.............. .............. A

Exhaled air

0.20 2.69

N/A

0.11

3.00

N/A

XXX analysis, o2/co2. 94681.............. 26............ A

Exhaled air

0.20 0.07 0.07

0.01

0.28 0.28

XXX analysis, o2/co2. 94681.............. TC............ A

Exhaled air

0.00 2.62

N/A

0.10

2.72

N/A

XXX analysis, o2/co2. 94690.............. .............. A

Exhaled air analysis 0.07 2.06

N/A

0.04

2.17

N/A

XXX 94690.............. 26............ A

Exhaled air analysis 0.07 0.02 0.02

0.01

0.10 0.10

XXX 94690.............. TC............ A

Exhaled air analysis 0.00 2.04

N/A

0.03

2.07

N/A

XXX 94720.............. .............. A

Monoxide diffusing

0.26 1.02

N/A

0.06

1.34

N/A

XXX capacity. 94720.............. 26............ A

Monoxide diffusing

0.26 0.08 0.08

0.01

0.35 0.35

XXX capacity. 94720.............. TC............ A

Monoxide diffusing

0.00 0.94

N/A

0.05

0.99

N/A

XXX capacity. 94725.............. .............. A

Membrane diffusion

0.26 3.07

N/A

0.11

3.44

N/A

XXX capacity. 94725.............. 26............ A

Membrane diffusion

0.26 0.08 0.08

0.01

0.35 0.35

XXX capacity. 94725.............. TC............ A

Membrane diffusion

0.00 2.99

N/A

0.10

3.09

N/A

XXX capacity. 94750.............. .............. A

Pulmonary compliance 0.23 1.41

N/A

0.04

1.68

N/A

XXX study. 94750.............. 26............ A

Pulmonary compliance 0.23 0.07 0.07

0.01

0.31 0.31

XXX study. 94750.............. TC............ A

Pulmonary compliance 0.00 1.33

N/A

0.03

1.36

N/A

XXX study. 94760.............. .............. T

Measure blood oxygen 0.00 0.09

N/A

0.02

0.11

N/A

XXX level.

[[Continued on page 49229]]

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

[[pp. 49229-49278]] Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004

[[Continued from page 49228]]

[[Page 49229]]

94761.............. .............. T

Measure blood oxygen 0.00 0.12

N/A

0.05

0.17

N/A

XXX level. 94762.............. .............. A

Measure blood oxygen 0.00 0.41

N/A

0.08

0.49

N/A

XXX level. 94770.............. .............. A

Exhaled carbon

0.15 1.72

N/A

0.07

1.94

N/A

XXX dioxide test. 94770.............. 26............ A

Exhaled carbon

0.15 0.04 0.04

0.01

0.20 0.20

XXX dioxide test. 94770.............. TC............ A

Exhaled carbon

0.00 1.68

N/A

0.06

1.74

N/A

XXX dioxide test. 94772.............. .............. C

Breath recording,

0.00 0.00 0.00

0.00

0.00 0.00

XXX infant. 94772.............. 26............ C

Breath recording,

0.00 0.00 0.00

0.00

0.00 0.00

XXX infant. 94772.............. TC............ C

Breath recording,

0.00 0.00 0.00

0.00

0.00 0.00

XXX infant. 94799.............. .............. C

Pulmonary service/

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 94799.............. 26............ C

Pulmonary service/

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 94799.............. TC............ C

Pulmonary service/

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 95004.............. .............. A

Percut allergy skin

0.00 0.10

N/A

0.01

0.11

N/A

XXX tests. 95010.............. .............. A

Percut allergy

0.15 0.33 0.06

0.01

0.49 0.22

XXX titrate test. 95015.............. .............. A

Id allergy titrate-

0.15 0.15 0.06

0.01

0.31 0.22

XXX drug/bug. 95024.............. .............. A

Id allergy test,

0.00 0.15

N/A

0.01

0.16

N/A

XXX drug/bug. 95027.............. .............. A

Id allergy titrate-

0.00 0.15

N/A

0.01

0.16

N/A

XXX airborne. 95028.............. .............. A

Id allergy test-

0.00 0.23

N/A

0.01

0.24

N/A

XXX delayed type. 95044.............. .............. A

Allergy patch tests. 0.00 0.20

N/A

0.01

0.21

N/A

XXX 95052.............. .............. A

Photo patch test.... 0.00 0.25

N/A

0.01

0.26

N/A

XXX 95056.............. .............. A

Photosensitivity

0.00 0.17

N/A

0.01

0.18

N/A

XXX tests. 95060.............. .............. A

Eye allergy tests... 0.00 0.35

N/A

0.02

0.37

N/A

XXX 95065.............. .............. A

Nose allergy test... 0.00 0.20

N/A

0.01

0.21

N/A

XXX 95070.............. .............. A

Bronchial allergy

0.00 2.28

N/A

0.02

2.30

N/A

XXX tests. 95071.............. .............. A

Bronchial allergy

0.00 2.92

N/A

0.02

2.94

N/A

XXX tests. 95075.............. .............. A

Ingestion challenge

0.95 0.84 0.39

0.03

1.82 1.37

XXX test. 95078.............. .............. A

Provocative testing. 0.00 0.25

N/A

0.02

0.27

N/A

XXX 95115.............. .............. A

Immunotherapy, one

0.00 0.39

N/A

0.02

0.41

N/A

000 injection. 95117.............. .............. A

Immunotherapy

0.00 0.50

N/A

0.02

0.52

N/A

000 injections. 95120.............. .............. I

Immunotherapy, one

0.00 0.00 0.00

0.00

0.00 0.00

XXX injection. 95125.............. .............. I

Immunotherapy, many

0.00 0.00 0.00

0.00

0.00 0.00

XXX 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 0.16 0.02

0.01

0.23 0.09

000 services. 95145.............. .............. A

Antigen therapy

0.06 0.20 0.02

0.01

0.27 0.09

000 services. 95146.............. .............. A

Antigen therapy

0.06 0.27 0.03

0.01

0.34 0.10

000 services. 95147.............. .............. A

Antigen therapy

0.06 0.34 0.02

0.01

0.41 0.09

000 services. 95148.............. .............. A

Antigen therapy

0.06 0.42 0.03

0.01

0.49 0.10

000 services. 95149.............. .............. A

Antigen therapy

0.06 0.56 0.03

0.01

0.63 0.10

000 services. 95165.............. .............. A

Antigen therapy

0.06 0.21 0.02

0.01

0.28 0.09

000 services. 95170.............. .............. A

Antigen therapy

0.06 0.14 0.02

0.01

0.21 0.09

000 services. 95180.............. .............. A

Rapid

2.01 1.56 0.84

0.04

3.61 2.89

000 desensitization. 95199.............. .............. C

Allergy immunology

0.00 0.00 0.00

0.00

0.00 0.00

000 services. 95250.............. .............. A

Glucose monitoring,

0.00 3.93

N/A

0.01

3.94

N/A

XXX cont. 95805.............. .............. A

Multiple sleep

1.88 16.80

N/A

0.34 19.02

N/A

XXX latency test. 95805.............. 26............ A

Multiple sleep

1.88 0.67 0.67

0.06

2.61 2.61

XXX latency test.

[[Page 49230]]

95805.............. TC............ A

Multiple sleep

0.00 16.12

N/A

0.28 16.40

N/A

XXX latency test. 95806.............. .............. A

Sleep study,

1.66 3.94

N/A

0.32

5.92

N/A

XXX unattended. 95806.............. 26............ A

Sleep study,

1.66 0.55 0.55

0.06

2.27 2.27

XXX unattended. 95806.............. TC............ A

Sleep study,

0.00 3.40

N/A

0.26

3.66

N/A

XXX unattended. 95807.............. .............. A

Sleep study,

1.66 12.35

N/A

0.40 14.41

N/A

XXX attended. 95807.............. 26............ A

Sleep study,

1.66 0.54 0.54

0.05

2.25 2.25

XXX attended. 95807.............. TC............ A

Sleep study,

0.00 11.81

N/A

0.35 12.16

N/A

XXX attended. 95808.............. .............. A

Polysomnography, 1-3 2.65 13.34

N/A

0.44 16.43

N/A

XXX 95808.............. 26............ A

Polysomnography, 1-3 2.65 0.94 0.94

0.09

3.68 3.68

XXX 95808.............. TC............ A

Polysomnography, 1-3 0.00 12.39

N/A

0.35 12.74

N/A

XXX 95810.............. .............. A

Polysomnography, 4

3.53 17.59

N/A

0.47 21.59

N/A

XXX or more. 95810.............. 26............ A

Polysomnography, 4

3.53 1.21 1.21

0.12

4.86 4.86

XXX or more. 95810.............. TC............ A

Polysomnography, 4

0.00 16.38

N/A

0.35 16.73

N/A

XXX or more. 95811.............. .............. A

Polysomnography w/

3.80 19.01

N/A

0.49 23.30

N/A

XXX cpap. 95811.............. 26............ A

Polysomnography w/

3.80 1.30 1.30

0.13

5.23 5.23

XXX cpap. 95811.............. TC............ A

Polysomnography w/

0.00 17.72

N/A

0.36 18.08

N/A

XXX cpap. 95812.............. .............. A

Eeg, 41-60 minutes.. 1.08 3.96

N/A

0.13

5.17

N/A

XXX 95812.............. 26............ A

Eeg, 41-60 minutes.. 1.08 0.46 0.46

0.04

1.58 1.58

XXX 95812.............. TC............ A

Eeg, 41-60 minutes.. 0.00 3.50

N/A

0.09

3.59

N/A

XXX 95813.............. .............. A

Eeg, over 1 hour.... 1.73 5.00

N/A

0.15

6.88

N/A

XXX 95813.............. 26............ A

Eeg, over 1 hour.... 1.73 0.71 0.71

0.06

2.50 2.50

XXX 95813.............. TC............ A

Eeg, over 1 hour.... 0.00 4.28

N/A

0.09

4.37

N/A

XXX 95816.............. .............. A

Eeg, awake and

1.08 3.16

N/A

0.12

4.36

N/A

XXX drowsy. 95816.............. 26............ A

Eeg, awake and

1.08 0.47 0.47

0.04

1.59 1.59

XXX drowsy. 95816.............. TC............ A

Eeg, awake and

0.00 2.70

N/A

0.08

2.78

N/A

XXX drowsy. 95819.............. .............. A

Eeg, awake and

1.08 3.71

N/A

0.12

4.91

N/A

XXX asleep. 95819.............. 26............ A

Eeg, awake and

1.08 0.47 0.47

0.04

1.59 1.59

XXX asleep. 95819.............. TC............ A

Eeg, awake and

0.00 3.24

N/A

0.08

3.32

N/A

XXX asleep. 95822.............. .............. A

Eeg, coma or sleep

1.08 4.40

N/A

0.15

5.63

N/A

XXX only. 95822.............. 26............ A

Eeg, coma or sleep

1.08 0.47 0.47

0.04

1.59 1.59

XXX only. 95822.............. TC............ A

Eeg, coma or sleep

0.00 3.93

N/A

0.11

4.04

N/A

XXX only. 95824.............. .............. C

Eeg, cerebral death

0.00 0.00 0.00

0.00

0.00 0.00

XXX only. 95824.............. 26............ A

Eeg, cerebral death

0.74 0.32 0.32

0.05

1.11 1.11

XXX only. 95824.............. TC............ C

Eeg, cerebral death

0.00 0.00 0.00

0.00

0.00 0.00

XXX only. 95827.............. .............. A

Eeg, all night

1.08 2.71

N/A

0.15

3.94

N/A

XXX recording. 95827.............. 26............ A

Eeg, all night

1.08 0.42 0.42

0.03

1.53 1.53

XXX recording. 95827.............. TC............ A

Eeg, all night

0.00 2.29

N/A

0.12

2.41

N/A

XXX recording. 95829.............. .............. A

Surgery

6.21 32.94

N/A

0.33 39.48

N/A

XXX electrocorticogram. 95829.............. 26............ A

Surgery

6.21 2.37 2.37

0.31

8.89 8.89

XXX electrocorticogram. 95829.............. TC............ A

Surgery

0.00 30.57

N/A

0.02 30.59

N/A

XXX electrocorticogram. 95830.............. .............. A

Insert electrodes

1.70 3.50 0.75

0.07

5.27 2.52

XXX for EEG. 95831.............. .............. A

Limb muscle testing, 0.28 0.33 0.13

0.01

0.62 0.42

XXX manual. 95832.............. .............. A

Hand muscle testing, 0.29 0.25 0.12

0.01

0.55 0.42

XXX manual. 95833.............. .............. A

Body muscle testing, 0.47 0.44 0.23

0.01

0.92 0.71

XXX manual. 95834.............. .............. A

Body muscle testing, 0.60 0.50 0.28

0.02

1.12 0.90

XXX manual. 95851.............. .............. A

Range of motion

0.16 0.34 0.08

0.01

0.51 0.25

XXX measurements. 95852.............. .............. A

Range of motion

0.11 0.24 0.05

0.01

0.36 0.17

XXX measurements. 95857.............. .............. A

Tensilon test....... 0.53 0.62 0.23

0.02

1.17 0.78

XXX 95858.............. .............. A

Tensilon test &

1.56 1.08

N/A

0.07

2.71

N/A

XXX myogram. 95858.............. 26............ A

Tensilon test &

1.56 0.68 0.68

0.04

2.28 2.28

XXX myogram. 95858.............. TC............ A

Tensilon test &

0.00 0.40

N/A

0.03

0.43

N/A

XXX myogram. 95860.............. .............. A

Muscle test, one

0.96 1.47

N/A

0.05

2.48

N/A

XXX limb. 95860.............. 26............ A

Muscle test, one

0.96 0.43 0.43

0.03

1.42 1.42

XXX limb. 95860.............. TC............ A

Muscle test, one

0.00 1.04

N/A

0.02

1.06

N/A

XXX limb. 95861.............. .............. A

Muscle test, 2 limbs 1.54 1.43

N/A

0.10

3.07

N/A

XXX 95861.............. 26............ A

Muscle test, 2 limbs 1.54 0.69 0.69

0.05

2.28 2.28

XXX 95861.............. TC............ A

Muscle test, 2 limbs 0.00 0.73

N/A

0.05

0.78

N/A

XXX

[[Page 49231]]

95863.............. .............. A

Muscle test, 3 limbs 1.87 1.76

N/A

0.11

3.74

N/A

XXX 95863.............. 26............ A

Muscle test, 3 limbs 1.87 0.82 0.82

0.06

2.75 2.75

XXX 95863.............. TC............ A

Muscle test, 3 limbs 0.00 0.94

N/A

0.05

0.99

N/A

XXX 95864.............. .............. A

Muscle test, 4 limbs 1.99 2.67

N/A

0.16

4.82

N/A

XXX 95864.............. 26............ A

Muscle test, 4 limbs 1.99 0.89 0.89

0.06

2.94 2.94

XXX 95864.............. TC............ A

Muscle test, 4 limbs 0.00 1.78

N/A

0.10

1.88

N/A

XXX 95867.............. .............. A

Muscle test cran

0.79 0.93

N/A

0.06

1.78

N/A

XXX nerv unilat. 95867.............. 26............ A

Muscle test cran

0.79 0.35 0.35

0.03

1.17 1.17

XXX nerv unilat. 95867.............. TC............ A

Muscle test cran

0.00 0.58

N/A

0.03

0.61

N/A

XXX nerv unilat. 95868.............. .............. A

Muscle test cran

1.18 1.22

N/A

0.08

2.48

N/A

XXX nerve bilat. 95868.............. 26............ A

Muscle test cran

1.18 0.52 0.52

0.04

1.74 1.74

XXX nerve bilat. 95868.............. TC............ A

Muscle test cran

0.00 0.70

N/A

0.04

0.74

N/A

XXX nerve bilat. 95869.............. .............. A

Muscle test, thor

0.37 0.38

N/A

0.03

0.78

N/A

XXX paraspinal. 95869.............. 26............ A

Muscle test, thor

0.37 0.17 0.17

0.01

0.55 0.55

XXX paraspinal. 95869.............. TC............ A

Muscle test, thor

0.00 0.21

N/A

0.02

0.23

N/A

XXX paraspinal. 95870.............. .............. A

Muscle test,

0.37 0.37

N/A

0.03

0.77

N/A

XXX nonparaspinal. 95870.............. 26............ A

Muscle test,

0.37 0.16 0.16

0.01

0.54 0.54

XXX nonparaspinal. 95870.............. TC............ A

Muscle test,

0.00 0.21

N/A

0.02

0.23

N/A

XXX nonparaspinal. 95872.............. .............. A

Muscle test, one

1.50 1.25

N/A

0.08

2.83

N/A

XXX fiber. 95872.............. 26............ A

Muscle test, one

1.50 0.65 0.65

0.04

2.19 2.19

XXX fiber. 95872.............. TC............ A

Muscle test, one

0.00 0.60

N/A

0.04

0.64

N/A

XXX fiber. 95875.............. .............. A

Limb exercise test.. 1.10 1.50

N/A

0.09

2.69

N/A

XXX 95875.............. 26............ A

Limb exercise test.. 1.10 0.48 0.48

0.04

1.62 1.62

XXX 95875.............. TC............ A

Limb exercise test.. 0.00 1.02

N/A

0.05

1.07

N/A

XXX 95900.............. .............. A

Motor nerve

0.42 1.30

N/A

0.03

1.75

N/A

XXX conduction test. 95900.............. 26............ A

Motor nerve

0.42 0.19 0.19

0.01

0.62 0.62

XXX conduction test. 95900.............. TC............ A

Motor nerve

0.00 1.12

N/A

0.02

1.14

N/A

XXX conduction test. 95903.............. .............. A

Motor nerve

0.60 1.23

N/A

0.04

1.87

N/A

XXX conduction test. 95903.............. 26............ A

Motor nerve

0.60 0.26 0.26

0.02

0.88 0.88

XXX conduction test. 95903.............. TC............ A

Motor nerve

0.00 0.97

N/A

0.02

0.99

N/A

XXX conduction test. 95904.............. .............. A

Sense nerve

0.34 1.13

N/A

0.03

1.50

N/A

XXX conduction test. 95904.............. 26............ A

Sense nerve

0.34 0.15 0.15

0.01

0.50 0.50

XXX conduction test. 95904.............. TC............ A

Sense nerve

0.00 0.98

N/A

0.02

1.00

N/A

XXX conduction test. 95920.............. .............. A

Intraop nerve test

2.11 2.26

N/A

0.20

4.57

N/A

ZZZ add-on. 95920.............. 26............ A

Intraop nerve test

2.11 0.95 0.95

0.14

3.20 3.20

ZZZ add-on. 95920.............. TC............ A

Intraop nerve test

0.00 1.31

N/A

0.06

1.37

N/A

ZZZ add-on. 95921.............. .............. A

Autonomic nerv

0.90 0.71

N/A

0.05

1.66

N/A

XXX function test. 95921.............. 26............ A

Autonomic nerv

0.90 0.33 0.33

0.03

1.26 1.26

XXX function test. 95921.............. TC............ A

Autonomic nerv

0.00 0.38

N/A

0.02

0.40

N/A

XXX function test. 95922.............. .............. A

Autonomic nerv

0.96 0.79

N/A

0.05

1.80

N/A

XXX function test. 95922.............. 26............ A

Autonomic nerv

0.96 0.41 0.41

0.03

1.40 1.40

XXX function test. 95922.............. TC............ A

Autonomic nerv

0.00 0.38

N/A

0.02

0.40

N/A

XXX function test.

[[Page 49232]]

95923.............. .............. A

Autonomic nerv

0.90 2.14

N/A

0.05

3.09

N/A

XXX function test. 95923.............. 26............ A

Autonomic nerv

0.90 0.39 0.39

0.03

1.32 1.32

XXX function test. 95923.............. TC............ A

Autonomic nerv

0.00 1.76

N/A

0.02

1.78

N/A

XXX function test. 95925.............. .............. A

Somatosensory

0.54 1.14

N/A

0.07

1.75

N/A

XXX testing. 95925.............. 26............ A

Somatosensory

0.54 0.23 0.23

0.02

0.79 0.79

XXX testing. 95925.............. TC............ A

Somatosensory

0.00 0.91

N/A

0.05

0.96

N/A

XXX testing. 95926.............. .............. A

Somatosensory

0.54 1.15

N/A

0.07

1.76

N/A

XXX testing. 95926.............. 26............ A

Somatosensory

0.54 0.24 0.24

0.02

0.80 0.80

XXX testing. 95926.............. TC............ A

Somatosensory

0.00 0.91

N/A

0.05

0.96

N/A

XXX testing. 95927.............. .............. A

Somatosensory

0.54 1.16

N/A

0.08

1.78

N/A

XXX testing. 95927.............. 26............ A

Somatosensory

0.54 0.25 0.25

0.03

0.82 0.82

XXX testing. 95927.............. TC............ A

Somatosensory

0.00 0.91

N/A

0.05

0.96

N/A

XXX testing. 95930.............. .............. A

Visual evoked

0.35 1.44

N/A

0.02

1.81

N/A

XXX potential test. 95930.............. 26............ A

Visual evoked

0.35 0.15 0.15

0.01

0.51 0.51

XXX potential test. 95930.............. TC............ A

Visual evoked

0.00 1.29

N/A

0.01

1.30

N/A

XXX potential test. 95933.............. .............. A

Blink reflex test... 0.59 1.03

N/A

0.07

1.69

N/A

XXX 95933.............. 26............ A

Blink reflex test... 0.59 0.25 0.25

0.02

0.86 0.86

XXX 95933.............. TC............ A

Blink reflex test... 0.00 0.78

N/A

0.05

0.83

N/A

XXX 95934.............. .............. A

H-reflex test....... 0.51 0.44

N/A

0.04

0.99

N/A

XXX 95934.............. 26............ A

H-reflex test....... 0.51 0.23 0.23

0.02

0.76 0.76

XXX 95934.............. TC............ A

H-reflex test....... 0.00 0.21

N/A

0.02

0.23

N/A

XXX 95936.............. .............. A

H-reflex test....... 0.55 0.46

N/A

0.04

1.05

N/A

XXX 95936.............. 26............ A

H-reflex test....... 0.55 0.25 0.25

0.02

0.82 0.82

XXX 95936.............. TC............ A

H-reflex test....... 0.00 0.21

N/A

0.02

0.23

N/A

XXX 95937.............. .............. A

Neuromuscular

0.65 0.61

N/A

0.04

1.30

N/A

XXX junction test. 95937.............. 26............ A

Neuromuscular

0.65 0.27 0.27

0.02

0.94 0.94

XXX junction test. 95937.............. TC............ A

Neuromuscular

0.00 0.34

N/A

0.02

0.36

N/A

XXX junction test. 95950.............. .............. A

Ambulatory eeg

1.51 4.57

N/A

0.44

6.52

N/A

XXX monitoring. 95950.............. 26............ A

Ambulatory eeg

1.51 0.65 0.65

0.08

2.24 2.24

XXX monitoring. 95950.............. TC............ A

Ambulatory eeg

0.00 3.93

N/A

0.36

4.29

N/A

XXX monitoring. 95951.............. .............. C

EEG monitoring/

0.00 0.00 0.00

0.00

0.00 0.00

XXX videorecord. 95951.............. 26............ A

EEG monitoring/

6.00 2.61 2.61

0.20

8.81 8.81

XXX videorecord. 95951.............. TC............ C

EEG monitoring/

0.00 0.00 0.00

0.00

0.00 0.00

XXX videorecord. 95953.............. .............. A

EEG monitoring/

3.08 7.65

N/A

0.46 11.19

N/A

XXX computer. 95953.............. 26............ A

EEG monitoring/

3.08 1.32 1.32

0.10

4.50 4.50

XXX computer. 95953.............. TC............ A

EEG monitoring/

0.00 6.33

N/A

0.36

6.69

N/A

XXX computer. 95954.............. .............. A

EEG monitoring/

2.45 4.39

N/A

0.15

6.99

N/A

XXX giving drugs. 95954.............. 26............ A

EEG monitoring/

2.45 1.07 1.07

0.10

3.62 3.62

XXX giving drugs. 95954.............. TC............ A

EEG monitoring/

0.00 3.33

N/A

0.05

3.38

N/A

XXX giving drugs. 95955.............. .............. A

EEG during surgery.. 1.01 2.33

N/A

0.19

3.53

N/A

XXX 95955.............. 26............ A

EEG during surgery.. 1.01 0.37 0.37

0.05

1.43 1.43

XXX 95955.............. TC............ A

EEG during surgery.. 0.00 1.96

N/A

0.14

2.10

N/A

XXX 95956.............. .............. A

Eeg monitoring,

3.08 14.44

N/A

0.47 17.99

N/A

XXX cable/radio. 95956.............. 26............ A

Eeg monitoring,

3.08 1.33 1.33

0.11

4.52 4.52

XXX cable/radio. 95956.............. TC............ A

Eeg monitoring,

0.00 13.11

N/A

0.36 13.47

N/A

XXX cable/radio. 95957.............. .............. A

EEG digital analysis 1.98 2.57

N/A

0.17

4.72

N/A

XXX 95957.............. 26............ A

EEG digital analysis 1.98 0.87 0.87

0.07

2.92 2.92

XXX 95957.............. TC............ A

EEG digital analysis 0.00 1.70

N/A

0.10

1.80

N/A

XXX

[[Page 49233]]

95958.............. .............. A

EEG monitoring/

4.25 3.52

N/A

0.29

8.06

N/A

XXX function test. 95958.............. 26............ A

EEG monitoring/

4.25 1.78 1.78

0.18

6.21 6.21

XXX function test. 95958.............. TC............ A

EEG monitoring/

0.00 1.74

N/A

0.11

1.85

N/A

XXX function test. 95961.............. .............. A

Electrode

2.97 2.65

N/A

0.24

5.86

N/A

XXX stimulation, brain. 95961.............. 26............ A

Electrode

2.97 1.35 1.35

0.18

4.50 4.50

XXX stimulation, brain. 95961.............. TC............ A

Electrode

0.00 1.31

N/A

0.06

1.37

N/A

XXX stimulation, brain. 95962.............. .............. A

Electrode stim,

3.21 2.72

N/A

0.23

6.16

N/A

ZZZ brain add-on. 95962.............. 26............ A

Electrode stim,

3.21 1.42 1.42

0.17

4.80 4.80

ZZZ brain add-on. 95962.............. TC............ A

Electrode stim,

0.00 1.31

N/A

0.06

1.37

N/A

ZZZ brain add-on. 95965.............. .............. C

Meg, spontaneous.... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 95965.............. 26............ A

Meg, spontaneous.... 8.00 3.49 3.49

0.31 11.80 11.80

XXX 95965.............. TC............ C

Meg, spontaneous.... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 95966.............. .............. C

Meg, evoked, single. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 95966.............. 26............ A

Meg, evoked, single. 4.00 1.76 1.76

0.15

5.91 5.91

XXX 95966.............. TC............ C

Meg, evoked, single. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 95967.............. .............. C

Meg, evoked, each

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ addl. 95967.............. 26............ A

Meg, evoked, each

3.50 1.36 1.36

0.13

4.99 4.99

ZZZ addl. 95967.............. TC............ C

Meg, evoked, each

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ addl. 95970.............. .............. A

Analyze neurostim,

0.45 0.17 0.15

0.03

0.65 0.63

XXX no prog. 95971.............. .............. A

Analyze neurostim,

0.78 0.28 0.23

0.06

1.12 1.07

XXX simple. 95972.............. .............. A

Analyze neurostim,

1.50 0.60 0.50

0.17

2.27 2.17

XXX complex. 95973.............. .............. A

Analyze neurostim,

0.92 0.40 0.35

0.07

1.39 1.34

ZZZ complex. 95974.............. .............. A

Cranial neurostim,

3.00 1.32 1.32

0.15

4.47 4.47

XXX complex. 95975.............. .............. A

Cranial neurostim,

1.70 0.74 0.74

0.07

2.51 2.51

ZZZ complex. 95990.............. .............. A

Spin/brain pump

0.00 1.50

N/A

0.05

1.55

N/A

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

N/A 0.57

0.02

N/A 2.39

XXX video/3d. 96001.............. .............. A

Motion test w/ft

2.15

N/A 0.83

0.02

N/A 3.00

XXX press meas. 96002.............. .............. A

Dynamic surface emg. 0.41

N/A 0.16

0.02

N/A 0.59

XXX 96003.............. .............. A

Dynamic fine wire

0.37

N/A 0.14

0.03

N/A 0.54

XXX emg. 96004.............. .............. A

Phys review of

2.14 0.97 0.97

0.08

3.19 3.19

XXX motion tests. 96100.............. .............. A

Psychological

0.00 1.76

N/A

0.15

1.91

N/A

XXX testing. 96105.............. .............. A

Assessment of

0.00 1.76

N/A

0.15

1.91

N/A

XXX aphasia. 96110.............. .............. C

Developmental test,

0.00 0.00 0.00

0.00

0.00 0.00

XXX lim. 96111.............. .............. A

Developmental test,

0.00 1.76

N/A

0.15

1.91

N/A

XXX extend. 96115.............. .............. A

Neurobehavior status 0.00 1.76

N/A

0.15

1.91

N/A

XXX exam. 96117.............. .............. A

Neuropsych test

0.00 1.76

N/A

0.15

1.91

N/A

XXX battery. 96150.............. .............. A

Assess lth/behave,

0.50 0.19 0.18

0.02

0.71 0.70

XXX init. 96151.............. .............. A

Assess hlth/behave,

0.48 0.18 0.17

0.02

0.68 0.67

XXX subseq. 96152.............. .............. A

Intervene hlth/

0.46 0.18 0.17

0.02

0.66 0.65

XXX behave, indiv. 96153.............. .............. A

Intervene hlth/

0.10 0.04 0.04

0.01

0.15 0.15

XXX behave, group. 96154.............. .............. A

Interv hlth/behav,

0.45 0.17 0.16

0.02

0.64 0.63

XXX fam w/pt. 96155.............. .............. N

Interv hlth/behav

0.44 0.16 0.16

0.02

0.62 0.62

XXX fam no pt. 96400.............. .............. A

Chemotherapy, sc/im. 0.00 0.89

N/A

0.01

0.90

N/A

XXX

[[Page 49234]]

96405.............. .............. A

Intralesional chemo

0.52 1.96 0.23

0.02

2.50 0.77

000 admin. 96406.............. .............. A

Intralesional chemo

0.80 2.60 0.30

0.02

3.42 1.12

000 admin. 96408.............. .............. A

Chemotherapy, push

0.00 0.97

N/A

0.05

1.02

N/A

XXX technique. 96410.............. .............. A

Chemotherapy,infusio 0.00 1.55

N/A

0.07

1.62

N/A

XXX n method. 96412.............. .............. A

Chemo, infuse method 0.00 1.15

N/A

0.06

1.21

N/A

ZZZ add-on. 96414.............. .............. A

Chemo, infuse method 0.00 1.33

N/A

0.07

1.40

N/A

XXX add-on. 96420.............. .............. A

Chemotherapy, push

0.00 1.25

N/A

0.07

1.32

N/A

XXX technique. 96422.............. .............. A

Chemotherapy,infusio 0.00 1.23

N/A

0.07

1.30

N/A

XXX n method. 96423.............. .............. A

Chemo, infuse method 0.00 0.48

N/A

0.02

0.50

N/A

ZZZ add-on. 96425.............. .............. A

Chemotherapy,infusio 0.00 1.43

N/A

0.07

1.50

N/A

XXX n method. 96440.............. .............. A

Chemotherapy,

2.37 7.46 1.05

0.12

9.95 3.54

000 intracavitary. 96445.............. .............. A

Chemotherapy,

2.20 7.43 1.03

0.07

9.70 3.30

000 intracavitary. 96450.............. .............. A

Chemotherapy, into

1.89 6.30 0.92

0.06

8.25 2.87

000 CNS. 96520.............. .............. A

Port pump refill &

0.00 0.89

N/A

0.05

0.94

N/A

XXX main. 96530.............. .............. A

Syst pump refill &

0.00 1.06

N/A

0.05

1.11

N/A

XXX main. 96542.............. .............. A

Chemotherapy

1.42 3.83 0.55

0.05

5.30 2.02

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 2.79

N/A

0.03

2.82

N/A

XXX skin. 96570.............. .............. A

Photodynamic tx, 30

1.10

N/A 0.37

0.04

N/A 1.51

ZZZ min. 96571.............. .............. A

Photodynamic tx,

0.55

N/A 0.20

0.02

N/A 0.77

ZZZ addl 15 min. 96900.............. .............. A

Ultraviolet light

0.00 0.49

N/A

0.02

0.51

N/A

XXX therapy. 96902.............. .............. B

Trichogram.......... 0.41 0.25 0.16

0.01

0.67 0.58

XXX 96910.............. .............. A

Photochemotherapy

0.00 1.09

N/A

0.03

1.12

N/A

XXX with UV-B. 96912.............. .............. A

Photochemotherapy

0.00 1.38

N/A

0.04

1.42

N/A

XXX with UV-A. 96913.............. .............. A

Photochemotherapy,

0.00 1.82

N/A

0.08

1.90

N/A

XXX UV-A or B. 96920.............. .............. A

Laser tx, skin 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 0.75 0.46

0.05

2.00 1.71

XXX 97002.............. .............. A

Pt re-evaluation.... 0.60 0.45 0.24

0.02

1.07 0.86

XXX 97003.............. .............. A

Ot evaluation....... 1.20 0.88 0.41

0.05

2.13 1.66

XXX 97004.............. .............. A

Ot re-evaluation.... 0.60 0.63 0.20

0.02

1.25 0.82

XXX 97005.............. .............. I

Athletic train eval. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 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 0.05

N/A

0.01

0.12

N/A

XXX therapy. 97012.............. .............. A

Mechanical traction

0.25 0.14

N/A

0.01

0.40

N/A

XXX therapy. 97014.............. .............. I

Electric stimulation 0.18 0.14

N/A

0.01

0.33

N/A

XXX therapy. 97016.............. .............. A

Vasopneumatic device 0.18 0.19

N/A

0.01

0.38

N/A

XXX therapy. 97018.............. .............. A

Paraffin bath

0.06 0.11

N/A

0.01

0.18

N/A

XXX therapy. 97020.............. .............. A

Microwave therapy... 0.06 0.06

N/A

0.01

0.13

N/A

XXX 97022.............. .............. A

Whirlpool therapy... 0.17 0.22

N/A

0.01

0.40

N/A

XXX 97024.............. .............. A

Diathermy treatment. 0.06 0.06

N/A

0.01

0.13

N/A

XXX 97026.............. .............. A

Infrared therapy.... 0.06 0.06

N/A

0.01

0.13

N/A

XXX 97028.............. .............. A

Ultraviolet therapy. 0.08 0.07

N/A

0.01

0.16

N/A

XXX 97032.............. .............. A

Electrical

0.25 0.16

N/A

0.01

0.42

N/A

XXX stimulation. 97033.............. .............. A

Electric current

0.26 0.41

N/A

0.02

0.69

N/A

XXX therapy. 97034.............. .............. A

Contrast bath

0.21 0.16

N/A

0.01

0.38

N/A

XXX therapy.

[[Page 49235]]

97035.............. .............. A

Ultrasound therapy.. 0.21 0.11

N/A

0.01

0.33

N/A

XXX 97036.............. .............. A

Hydrotherapy........ 0.28 0.33

N/A

0.01

0.62

N/A

XXX 97039.............. .............. A

Physical therapy

0.20 0.11

N/A

0.01

0.32

N/A

XXX treatment. 97110.............. .............. A

Therapeutic

0.45 0.28

N/A

0.03

0.76

N/A

XXX exercises. 97112.............. .............. A

Neuromuscular

0.45 0.31

N/A

0.02

0.78

N/A

XXX reeducation. 97113.............. .............. A

Aquatic therapy/

0.44 0.41

N/A

0.03

0.88

N/A

XXX exercises. 97116.............. .............. A

Gait training

0.40 0.24

N/A

0.02

0.66

N/A

XXX therapy. 97124.............. .............. A

Massage therapy..... 0.35 0.23

N/A

0.01

0.59

N/A

XXX 97139.............. .............. A

Physical medicine

0.21 0.21

N/A

0.01

0.43

N/A

XXX procedure. 97140.............. .............. A

Manual therapy...... 0.43 0.26

N/A

0.02

0.71

N/A

XXX 97150.............. .............. A

Group therapeutic

0.27 0.16

N/A

0.02

0.45

N/A

XXX procedures. 97504.............. .............. A

Orthotic training... 0.45 0.33

N/A

0.03

0.81

N/A

XXX 97520.............. .............. A

Prosthetic training. 0.45 0.28

N/A

0.02

0.75

N/A

XXX 97530.............. .............. A

Therapeutic

0.44 0.32

N/A

0.02

0.78

N/A

XXX activities. 97532.............. .............. A

Cognitive skills

0.44 0.21

N/A

0.01

0.66

N/A

XXX development. 97533.............. .............. A

Sensory integration. 0.44 0.24

N/A

0.01

0.69

N/A

XXX 97535.............. .............. A

Self care mngment

0.45 0.34

N/A

0.02

0.81

N/A

XXX training. 97537.............. .............. A

Community/work

0.45 0.27

N/A

0.01

0.73

N/A

XXX reintegration. 97542.............. .............. A

Wheelchair mngment

0.45 0.28

N/A

0.01

0.74

N/A

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. 97601.............. .............. A

Wound(s) care,

0.50 0.50

N/A

0.04

1.04

N/A

XXX selective. 97703.............. .............. A

Prosthetic checkout. 0.25 0.42

N/A

0.02

0.69

N/A

XXX 97750.............. .............. A

Physical performance 0.45 0.30

N/A

0.02

0.77

N/A

XXX test. 97799.............. .............. C

Physical medicine

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. 97802.............. .............. A

Medical nutrition,

0.00 0.47

N/A

0.01

0.48

N/A

XXX indiv, in. 97803.............. .............. A

Med nutrition,

0.00 0.47

N/A

0.01

0.48

N/A

XXX indiv, subseq. 97804.............. .............. A

Medical nutrition,

0.00 0.18

N/A

0.01

0.19

N/A

XXX group. 98925.............. .............. A

Osteopathic

0.45 0.33 0.14

0.01

0.79 0.60

000 manipulation. 98926.............. .............. A

Osteopathic

0.65 0.43 0.25

0.02

1.10 0.92

000 manipulation. 98927.............. .............. A

Osteopathic

0.87 0.52 0.30

0.03

1.42 1.20

000 manipulation. 98928.............. .............. A

Osteopathic

1.03 0.61 0.35

0.03

1.67 1.41

000 manipulation. 98929.............. .............. A

Osteopathic

1.19 0.69 0.37

0.04

1.92 1.60

000 manipulation. 98940.............. .............. A

Chiropractic

0.45 0.24 0.12

0.01

0.70 0.58

000 manipulation. 98941.............. .............. A

Chiropractic

0.65 0.30 0.18

0.02

0.97 0.85

000 manipulation. 98942.............. .............. A

Chiropractic

0.87 0.37 0.24

0.03

1.27 1.14

000 manipulation. 98943.............. .............. N

Chiropractic

0.40 0.25 0.15

0.01

0.66 0.56

XXX manipulation. 99082.............. .............. C

Unusual physician

0.00 0.00 0.00

0.00

0.00 0.00

XXX travel. 99141.............. .............. B

Sedation, iv/im or

0.80 1.99 0.39

0.04

2.83 1.23

XXX inhalant. 99142.............. .............. B

Sedation, oral/

0.60 1.03 0.31

0.03

1.66 0.94

XXX rectal/nasal. 99170.............. .............. A

Anogenital exam,

1.75 1.72 0.53

0.07

3.54 2.35

000 child. 99175.............. .............. A

Induction of

0.00 1.39

N/A

0.08

1.47

N/A

XXX vomiting. 99183.............. .............. A

Hyperbaric oxygen

2.34 4.83 0.74

0.12

7.29 3.20

XXX therapy. 99185.............. .............. A

Regional hypothermia 0.00 0.64

N/A

0.03

0.67

N/A

XXX 99186.............. .............. A

Total body

0.00 1.78

N/A

0.37

2.15

N/A

XXX hypothermia. 99195.............. .............. A

Phlebotomy.......... 0.00 0.44

N/A

0.02

0.46

N/A

XXX 99199.............. .............. C

Special service/proc/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX report. 99201.............. .............. A

Office/outpatient

0.45 0.51 0.16

0.02

0.98 0.63

XXX visit, new. 99202.............. .............. A

Office/outpatient

0.88 0.81 0.32

0.05

1.74 1.25

XXX visit, new. 99203.............. .............. A

Office/outpatient

1.34 1.16 0.49

0.08

2.58 1.91

XXX visit, new. 99204.............. .............. A

Office/outpatient

2.00 1.54 0.72

0.10

3.64 2.82

XXX visit, new. 99205.............. .............. A

Office/outpatient

2.67 1.83 0.94

0.12

4.62 3.73

XXX visit, new. 99211.............. .............. A

Office/outpatient

0.17 0.41 0.06

0.01

0.59 0.24

XXX visit, est. 99212.............. .............. A

Office/outpatient

0.45 0.56 0.16

0.02

1.03 0.63

XXX visit, est. 99213.............. .............. A

Office/outpatient

0.67 0.72 0.23

0.03

1.42 0.93

XXX visit, est. 99214.............. .............. A

Office/outpatient

1.10 1.07 0.39

0.04

2.21 1.53

XXX visit, est. 99215.............. .............. A

Office/outpatient

1.77 1.37 0.63

0.07

3.21 2.47

XXX visit, est.

[[Page 49236]]

99217.............. .............. A

Observation care

1.28

N/A 0.54

0.05

N/A 1.87

XXX discharge. 99218.............. .............. A

Observation care.... 1.28

N/A 0.44

0.05

N/A 1.77

XXX 99219.............. .............. A

Observation care.... 2.14

N/A 0.72

0.08

N/A 2.94

XXX 99220.............. .............. A

Observation care.... 2.99

N/A 1.03

0.11

N/A 4.13

XXX 99221.............. .............. A

Initial hospital

1.28

N/A 0.45

0.05

N/A 1.78

XXX care. 99222.............. .............. A

Initial hospital

2.14

N/A 0.75

0.08

N/A 2.97

XXX care. 99223.............. .............. A

Initial hospital

2.99

N/A 1.04

0.10

N/A 4.13

XXX care. 99231.............. .............. A

Subsequent hospital

0.64

N/A 0.23

0.02

N/A 0.89

XXX care. 99232.............. .............. A

Subsequent hospital

1.06

N/A 0.37

0.03

N/A 1.46

XXX care. 99233.............. .............. A

Subsequent hospital

1.51

N/A 0.53

0.05

N/A 2.09

XXX care. 99234.............. .............. A

Observ/hosp same

2.56

N/A 1.00

0.11

N/A 3.67

XXX date. 99235.............. .............. A

Observ/hosp same

3.42

N/A 1.30

0.13

N/A 4.85

XXX date. 99236.............. .............. A

Observ/hosp same

4.27

N/A 1.59

0.17

N/A 6.03

XXX date. 99238.............. .............. A

Hospital discharge

1.28

N/A 0.55

0.04

N/A 1.87

XXX day. 99239.............. .............. A

Hospital discharge

1.75

N/A 0.74

0.05

N/A 2.54

XXX day. 99241.............. .............. A

Office consultation. 0.64 0.66 0.22

0.04

1.34 0.90

XXX 99242.............. .............. A

Office consultation. 1.29 1.07 0.47

0.09

2.45 1.85

XXX 99243.............. .............. A

Office consultation. 1.72 1.42 0.63

0.10

3.24 2.45

XXX 99244.............. .............. A

Office consultation. 2.58 1.85 0.92

0.13

4.56 3.63

XXX 99245.............. .............. A

Office consultation. 3.43 2.30 1.23

0.16

5.89 4.82

XXX 99251.............. .............. A

Initial inpatient

0.66

N/A 0.25

0.04

N/A 0.95

XXX consult. 99252.............. .............. A

Initial inpatient

1.32

N/A 0.51

0.08

N/A 1.91

XXX consult. 99253.............. .............. A

Initial inpatient

1.82

N/A 0.69

0.09

N/A 2.60

XXX consult. 99254.............. .............. A

Initial inpatient

2.64

N/A 0.99

0.11

N/A 3.74

XXX consult. 99255.............. .............. A

Initial inpatient

3.65

N/A 1.36

0.15

N/A 5.16

XXX consult. 99261.............. .............. A

Follow-up inpatient

0.42

N/A 0.15

0.02

N/A 0.59

XXX consult. 99262.............. .............. A

Follow-up inpatient

0.85

N/A 0.31

0.03

N/A 1.19

XXX consult. 99263.............. .............. A

Follow-up inpatient

1.27

N/A 0.46

0.04

N/A 1.77

XXX consult. 99271.............. .............. A

Confirmatory

0.45 0.56 0.16

0.03

1.04 0.64

XXX consultation. 99272.............. .............. A

Confirmatory

0.84 0.83 0.31

0.06

1.73 1.21

XXX consultation. 99273.............. .............. A

Confirmatory

1.19 1.12 0.45

0.07

2.38 1.71

XXX consultation. 99274.............. .............. A

Confirmatory

1.73 1.38 0.65

0.09

3.20 2.47

XXX consultation. 99275.............. .............. A

Confirmatory

2.31 1.65 0.83

0.10

4.06 3.24

XXX consultation. 99281.............. .............. A

Emergency dept visit 0.33

N/A 0.09

0.02

N/A 0.44

XXX 99282.............. .............. A

Emergency dept visit 0.55

N/A 0.15

0.03

N/A 0.73

XXX 99283.............. .............. A

Emergency dept visit 1.24

N/A 0.31

0.08

N/A 1.63

XXX 99284.............. .............. A

Emergency dept visit 1.95

N/A 0.48

0.12

N/A 2.55

XXX 99285.............. .............. A

Emergency dept visit 3.06

N/A 0.73

0.19

N/A 3.98

XXX 99289.............. .............. A

Ped crit care

4.80

N/A 1.70

0.14

N/A 6.64

XXX transport. 99290.............. .............. A

Ped crit care

2.40

N/A 0.84

0.07

N/A 3.31

ZZZ transport addl. 99291.............. .............. A

Critical care, first 4.00 2.39 1.30

0.14

6.53 5.44

XXX hour. 99292.............. .............. A

Critical care, addl

2.00 0.82 0.65

0.07

2.89 2.72

ZZZ 30 min. 99293.............. .............. A

Ped critical care,

16.00

N/A 5.04

0.70

N/A 21.74

XXX initial. 99294.............. .............. A

Ped critical care,

8.00

N/A 2.52

0.23

N/A 10.75

XXX subseq. 99295.............. .............. A

Neonate crit care,

18.49

N/A 5.47

0.70

N/A 24.66

XXX initial. 99296.............. .............. A

Neonate critical

8.00

N/A 2.60

0.23

N/A 10.83

XXX care subseq. 99298.............. .............. A

Ic for lbw infant surfaces perm. D2330.............. .............. N

Resin one surface-

0.00 0.00 0.00

0.00

0.00 0.00

XXX anterior.

[[Page 49240]]

D2331.............. .............. N

Resin two surfaces-

0.00 0.00 0.00

0.00

0.00 0.00

XXX anterior. D2332.............. .............. N

Resin three surfaces- 0.00 0.00 0.00

0.00

0.00 0.00

XXX anterio. D2335.............. .............. N

Resin 4/0.00 0.00 0.00

0.00

0.00 0.00

XXX surf or w incis an. D2390.............. .............. N

Ant resin-based

0.00 0.00 0.00

0.00

0.00 0.00

XXX cmpst crown. D2391.............. .............. N

Post 1 srfc

0.00 0.00 0.00

0.00

0.00 0.00

XXX resinbased cmpst. D2392.............. .............. N

Post 2 srfc

0.00 0.00 0.00

0.00

0.00 0.00

XXX resinbased cmpst. D2393.............. .............. N

Post 3 srfc

0.00 0.00 0.00

0.00

0.00 0.00

XXX resinbased cmpst. D2394.............. .............. N

Post =4srfc resinbase cmpst. D2410.............. .............. N

Dental gold foil one 0.00 0.00 0.00

0.00

0.00 0.00

XXX surface. D2420.............. .............. N

Dental gold foil two 0.00 0.00 0.00

0.00

0.00 0.00

XXX surface. D2430.............. .............. N

Dental gold foil

0.00 0.00 0.00

0.00

0.00 0.00

XXX three surfa. D2510.............. .............. N

Dental inlay metalic 0.00 0.00 0.00

0.00

0.00 0.00

XXX 1 surf. D2520.............. .............. N

Dental inlay

0.00 0.00 0.00

0.00

0.00 0.00

XXX metallic 2 surf. D2530.............. .............. N

Dental inlay metl 3/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX more sur. D2542.............. .............. N

Dental onlay

0.00 0.00 0.00

0.00

0.00 0.00

XXX metallic 2 surf. D2543.............. .............. N

Dental onlay

0.00 0.00 0.00

0.00

0.00 0.00

XXX metallic 3 surf. D2544.............. .............. N

Dental onlay metl 4/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX more sur. D2610.............. .............. N

Inlay porcelain/

0.00 0.00 0.00

0.00

0.00 0.00

XXX ceramic 1 su. D2620.............. .............. N

Inlay porcelain/

0.00 0.00 0.00

0.00

0.00 0.00

XXX ceramic 2 su. D2630.............. .............. N

Dental onlay porc 3/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX more sur. D2642.............. .............. N

Dental onlay

0.00 0.00 0.00

0.00

0.00 0.00

XXX porcelin 2 surf. D2643.............. .............. N

Dental onlay

0.00 0.00 0.00

0.00

0.00 0.00

XXX porcelin 3 surf. D2644.............. .............. N

Dental onlay porc 4/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX more sur. D2650.............. .............. N

Inlay composite/

0.00 0.00 0.00

0.00

0.00 0.00

XXX resin one su. D2651.............. .............. N

Inlay composite/

0.00 0.00 0.00

0.00

0.00 0.00

XXX resin two su. D2652.............. .............. N

Dental inlay resin 3/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX mre sur. D2662.............. .............. N

Dental onlay resin 2 0.00 0.00 0.00

0.00

0.00 0.00

XXX surface. D2663.............. .............. N

Dental onlay resin 3 0.00 0.00 0.00

0.00

0.00 0.00

XXX surface. D2664.............. .............. N

Dental onlay resin 4/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX mre sur. D2710.............. .............. N

Crown resin

0.00 0.00 0.00

0.00

0.00 0.00

XXX laboratory. D2720.............. .............. N

Crown resin w/ high

0.00 0.00 0.00

0.00

0.00 0.00

XXX noble me. D2721.............. .............. N

Crown resin w/ base

0.00 0.00 0.00

0.00

0.00 0.00

XXX metal. D2722.............. .............. N

Crown resin w/ noble 0.00 0.00 0.00

0.00

0.00 0.00

XXX metal. D2740.............. .............. N

Crown porcelain/

0.00 0.00 0.00

0.00

0.00 0.00

XXX ceramic subs. D2750.............. .............. N

Crown porcelain w/ h 0.00 0.00 0.00

0.00

0.00 0.00

XXX noble m.

[[Page 49241]]

D2751.............. .............. N

Crown porcelain

0.00 0.00 0.00

0.00

0.00 0.00

XXX fused base m. D2752.............. .............. N

Crown porcelain w/

0.00 0.00 0.00

0.00

0.00 0.00

XXX noble met. D2780.............. .............. N

Crown 3/4 cast hi

0.00 0.00 0.00

0.00

0.00 0.00

XXX noble met. D2781.............. .............. N

Crown 3/4 cast base

0.00 0.00 0.00

0.00

0.00 0.00

XXX metal. D2782.............. .............. N

Crown 3/4 cast noble 0.00 0.00 0.00

0.00

0.00 0.00

XXX metal. D2783.............. .............. N

Crown 3/4 porcelain/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX ceramic. D2790.............. .............. N

Crown full cast high 0.00 0.00 0.00

0.00

0.00 0.00

XXX noble m. D2791.............. .............. N

Crown full cast base 0.00 0.00 0.00

0.00

0.00 0.00

XXX metal. D2792.............. .............. N

Crown full cast

0.00 0.00 0.00

0.00

0.00 0.00

XXX noble metal. D2799.............. .............. N

Provisional crown... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D2910.............. .............. N

Dental recement

0.00 0.00 0.00

0.00

0.00 0.00

XXX inlay. D2920.............. .............. N

Dental recement

0.00 0.00 0.00

0.00

0.00 0.00

XXX crown. D2930.............. .............. N

Prefab stnlss steel

0.00 0.00 0.00

0.00

0.00 0.00

XXX crwn pri. D2931.............. .............. N

Prefab stnlss steel

0.00 0.00 0.00

0.00

0.00 0.00

XXX crown pe. D2932.............. .............. N

Prefabricated resin

0.00 0.00 0.00

0.00

0.00 0.00

XXX crown. D2933.............. .............. N

Prefab stainless

0.00 0.00 0.00

0.00

0.00 0.00

XXX steel crown. D2940.............. .............. N

Dental sedative

0.00 0.00 0.00

0.00

0.00 0.00

XXX filling. D2950.............. .............. N

Core build-up incl

0.00 0.00 0.00

0.00

0.00 0.00

XXX any pins. D2951.............. .............. N

Tooth pin retention. 0.00 0.00 0.00

0.00

0.00 0.00

XXX D2952.............. .............. N

Post and core cast + 0.00 0.00 0.00

0.00

0.00 0.00

XXX crown. D2953.............. .............. N

Each addtnl cast

0.00 0.00 0.00

0.00

0.00 0.00

XXX post. D2954.............. .............. N

Prefab post/core +

0.00 0.00 0.00

0.00

0.00 0.00

XXX crown. D2955.............. .............. N

Post removal........ 0.00 0.00 0.00

0.00

0.00 0.00

XXX D2957.............. .............. N

Each addtnl prefab

0.00 0.00 0.00

0.00

0.00 0.00

XXX post. D2960.............. .............. N

Laminate labial

0.00 0.00 0.00

0.00

0.00 0.00

XXX veneer. D2961.............. .............. N

Lab labial veneer

0.00 0.00 0.00

0.00

0.00 0.00

XXX resin. D2962.............. .............. N

Lab labial veneer

0.00 0.00 0.00

0.00

0.00 0.00

XXX porcelain. D2970.............. .............. R

Temporary- fractured 0.00 0.00 0.00

0.00

0.00 0.00

YYY tooth. D2980.............. .............. N

Crown repair........ 0.00 0.00 0.00

0.00

0.00 0.00

XXX D2999.............. .............. R

Dental unspec

0.00 0.00 0.00

0.00

0.00 0.00

YYY restorative pr. D3110.............. .............. N

Pulp cap direct..... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D3120.............. .............. N

Pulp cap indirect... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D3220.............. .............. N

Therapeutic

0.00 0.00 0.00

0.00

0.00 0.00

XXX pulpotomy. D3221.............. .............. N

Gross pulpal

0.00 0.00 0.00

0.00

0.00 0.00

XXX debridement. D3230.............. .............. N

Pulpal therapy

0.00 0.00 0.00

0.00

0.00 0.00

XXX anterior prim. D3240.............. .............. N

Pulpal therapy

0.00 0.00 0.00

0.00

0.00 0.00

XXX posterior pri. D3310.............. .............. N

Anterior............ 0.00 0.00 0.00

0.00

0.00 0.00

XXX D3320.............. .............. N

Root canal therapy 2 0.00 0.00 0.00

0.00

0.00 0.00

XXX canals. D3330.............. .............. N

Root canal therapy 3 0.00 0.00 0.00

0.00

0.00 0.00

XXX canals. D3331.............. .............. N

Non-surg tx root

0.00 0.00 0.00

0.00

0.00 0.00

XXX canal obs. D3332.............. .............. N

Incomplete

0.00 0.00 0.00

0.00

0.00 0.00

XXX endodontic tx. D3333.............. .............. N

Internal root repair 0.00 0.00 0.00

0.00

0.00 0.00

XXX D3346.............. .............. N

Retreat root canal

0.00 0.00 0.00

0.00

0.00 0.00

XXX anterior. D3347.............. .............. N

Retreat root canal

0.00 0.00 0.00

0.00

0.00 0.00

XXX bicuspid. D3348.............. .............. N

Retreat root canal

0.00 0.00 0.00

0.00

0.00 0.00

XXX molar. D3351.............. .............. N

Apexification/recalc 0.00 0.00 0.00

0.00

0.00 0.00

XXX initial. D3352.............. .............. N

Apexification/recalc 0.00 0.00 0.00

0.00

0.00 0.00

XXX interim. D3353.............. .............. N

Apexification/recalc 0.00 0.00 0.00

0.00

0.00 0.00

XXX final.

[[Page 49242]]

D3410.............. .............. N

Apicoect/perirad

0.00 0.00 0.00

0.00

0.00 0.00

XXX surg anter. D3421.............. .............. N

Root surgery

0.00 0.00 0.00

0.00

0.00 0.00

XXX bicuspid. D3425.............. .............. N

Root surgery molar.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX D3426.............. .............. N

Root surgery ea add

0.00 0.00 0.00

0.00

0.00 0.00

XXX root. D3430.............. .............. N

Retrograde filling.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX D3450.............. .............. N

Root amputation..... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D3460.............. .............. R

Endodontic

0.00 0.00 0.00

0.00

0.00 0.00

YYY endosseous implan. D3470.............. .............. N

Intentional

0.00 0.00 0.00

0.00

0.00 0.00

XXX replantation. D3910.............. .............. N

Isolation- tooth w

0.00 0.00 0.00

0.00

0.00 0.00

XXX rubb dam. D3920.............. .............. N

Tooth splitting..... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D3950.............. .............. N

Canal prep/fitting

0.00 0.00 0.00

0.00

0.00 0.00

XXX of dowel. D3999.............. .............. R

Endodontic procedure 0.00 0.00 0.00

0.00

0.00 0.00

YYY D4210.............. .............. I

Gingivectomy/plasty

0.00 0.00 0.00

0.00

0.00 0.00

XXX per quad. D4211.............. .............. I

Gingivectomy/plasty

0.00 0.00 0.00

0.00

0.00 0.00

XXX per toot. D4240.............. .............. N

Gingival flap proc w/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX planin. D4241.............. .............. N

Gngvl flap w

0.00 0.00 0.00

0.00

0.00 0.00

XXX rootplan 1-3 th. D4245.............. .............. N

Apically positioned

0.00 0.00 0.00

0.00

0.00 0.00

XXX flap. D4249.............. .............. N

Crown lengthen hard

0.00 0.00 0.00

0.00

0.00 0.00

XXX tissue. D4260.............. .............. R

Osseous surgery per

0.00 0.00 0.00

0.00

0.00 0.00

YYY quadrant. D4261.............. .............. N

Osseous surgl-

0.00 0.00 0.00

0.00

0.00 0.00

XXX 3teethperquad. D4263.............. .............. R

Bone replce graft

0.00 0.00 0.00

0.00

0.00 0.00

YYY first site. D4264.............. .............. R

Bone replce graft

0.00 0.00 0.00

0.00

0.00 0.00

YYY each add. D4265.............. .............. N

Bio mtrls to aid

0.00 0.00 0.00

0.00

0.00 0.00

XXX soft/os reg. D4266.............. .............. N

Guided tiss regen

0.00 0.00 0.00

0.00

0.00 0.00

XXX resorble. D4267.............. .............. N

Guided tiss regen

0.00 0.00 0.00

0.00

0.00 0.00

XXX nonresorb. D4268.............. .............. R

Surgical revision

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. D4270.............. .............. R

Pedicle soft tissue

0.00 0.00 0.00

0.00

0.00 0.00

YYY graft pr. D4271.............. .............. R

Free soft tissue

0.00 0.00 0.00

0.00

0.00 0.00

YYY graft proc. D4273.............. .............. R

Subepithelial tissue 0.00 0.00 0.00

0.00

0.00 0.00

YYY graft. D4274.............. .............. N

Distal/proximal

0.00 0.00 0.00

0.00

0.00 0.00

XXX wedge proc. D4275.............. .............. N

Soft tissue

0.00 0.00 0.00

0.00

0.00 0.00

XXX allograft. D4276.............. .............. N

Con tissue w dble

0.00 0.00 0.00

0.00

0.00 0.00

XXX ped graft. D4320.............. .............. N

Provision splnt

0.00 0.00 0.00

0.00

0.00 0.00

XXX intracoronal. D4321.............. .............. N

Provisional splint

0.00 0.00 0.00

0.00

0.00 0.00

XXX extracoro. D4341.............. .............. N

Periodontal scaling

0.00 0.00 0.00

0.00

0.00 0.00

XXX & root. D4342.............. .............. N

Periodontal scaling

0.00 0.00 0.00

0.00

0.00 0.00

XXX 1-3teeth. D4355.............. .............. R

Full mouth

0.00 0.00 0.00

0.00

0.00 0.00

YYY debridement. D4381.............. .............. R

Localized chemo

0.00 0.00 0.00

0.00

0.00 0.00

YYY delivery. D4910.............. .............. N

Periodontal maint

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedures. D4920.............. .............. N

Unscheduled dressing 0.00 0.00 0.00

0.00

0.00 0.00

XXX change. D4999.............. .............. N

Unspecified

0.00 0.00 0.00

0.00

0.00 0.00

XXX periodontal proc. D5110.............. .............. N

Dentures complete

0.00 0.00 0.00

0.00

0.00 0.00

XXX maxillary. D5120.............. .............. N

Dentures complete

0.00 0.00 0.00

0.00

0.00 0.00

XXX mandible.

[[Page 49243]]

D5130.............. .............. N

Dentures immediat

0.00 0.00 0.00

0.00

0.00 0.00

XXX maxillary. D5140.............. .............. N

Dentures immediat

0.00 0.00 0.00

0.00

0.00 0.00

XXX mandible. D5211.............. .............. N

Dentures maxill part 0.00 0.00 0.00

0.00

0.00 0.00

XXX resin. D5212.............. .............. N

Dentures mand part

0.00 0.00 0.00

0.00

0.00 0.00

XXX resin. D5213.............. .............. N

Dentures maxill part 0.00 0.00 0.00

0.00

0.00 0.00

XXX metal. D5214.............. .............. N

Dentures mandibl

0.00 0.00 0.00

0.00

0.00 0.00

XXX part metal. D5281.............. .............. N

Removable partial

0.00 0.00 0.00

0.00

0.00 0.00

XXX denture. D5410.............. .............. N

Dentures adjust

0.00 0.00 0.00

0.00

0.00 0.00

XXX cmplt maxil. D5411.............. .............. N

Dentures adjust

0.00 0.00 0.00

0.00

0.00 0.00

XXX cmplt mand. D5421.............. .............. N

Dentures adjust part 0.00 0.00 0.00

0.00

0.00 0.00

XXX maxill. D5422.............. .............. N

Dentures adjust part 0.00 0.00 0.00

0.00

0.00 0.00

XXX mandbl. D5510.............. .............. N

Dentur repr broken

0.00 0.00 0.00

0.00

0.00 0.00

XXX compl bas. D5520.............. .............. N

Replace denture

0.00 0.00 0.00

0.00

0.00 0.00

XXX teeth complt. D5610.............. .............. N

Dentures repair

0.00 0.00 0.00

0.00

0.00 0.00

XXX resin base. D5620.............. .............. N

Rep part denture

0.00 0.00 0.00

0.00

0.00 0.00

XXX cast frame. D5630.............. .............. N

Rep partial denture

0.00 0.00 0.00

0.00

0.00 0.00

XXX clasp. D5640.............. .............. N

Replace part denture 0.00 0.00 0.00

0.00

0.00 0.00

XXX teeth. D5650.............. .............. N

Add tooth to partial 0.00 0.00 0.00

0.00

0.00 0.00

XXX denture. D5660.............. .............. N

Add clasp to partial 0.00 0.00 0.00

0.00

0.00 0.00

XXX denture. D5670.............. .............. N

Replc tth&acrlc on

0.00 0.00 0.00

0.00

0.00 0.00

XXX mtl frmwk. D5671.............. .............. N

Replc tth&acrlc

0.00 0.00 0.00

0.00

0.00 0.00

XXX mandibular. D5710.............. .............. N

Dentures rebase

0.00 0.00 0.00

0.00

0.00 0.00

XXX cmplt maxil. D5711.............. .............. N

Dentures rebase

0.00 0.00 0.00

0.00

0.00 0.00

XXX cmplt mand. D5720.............. .............. N

Dentures rebase part 0.00 0.00 0.00

0.00

0.00 0.00

XXX maxill. D5721.............. .............. N

Dentures rebase part 0.00 0.00 0.00

0.00

0.00 0.00

XXX mandbl. D5730.............. .............. N

Denture reln cmplt

0.00 0.00 0.00

0.00

0.00 0.00

XXX maxil ch. D5731.............. .............. N

Denture reln cmplt

0.00 0.00 0.00

0.00

0.00 0.00

XXX mand chr. D5740.............. .............. N

Denture reln part

0.00 0.00 0.00

0.00

0.00 0.00

XXX maxil chr. D5741.............. .............. N

Denture reln part

0.00 0.00 0.00

0.00

0.00 0.00

XXX mand chr. D5750.............. .............. N

Denture reln cmplt

0.00 0.00 0.00

0.00

0.00 0.00

XXX max lab. D5751.............. .............. N

Denture reln cmplt

0.00 0.00 0.00

0.00

0.00 0.00

XXX mand lab. D5760.............. .............. N

Denture reln part

0.00 0.00 0.00

0.00

0.00 0.00

XXX maxil lab. D5761.............. .............. N

Denture reln part

0.00 0.00 0.00

0.00

0.00 0.00

XXX mand lab. D5810.............. .............. N

Denture interm cmplt 0.00 0.00 0.00

0.00

0.00 0.00

XXX maxill. D5811.............. .............. N

Denture interm cmplt 0.00 0.00 0.00

0.00

0.00 0.00

XXX mandbl. D5820.............. .............. N

Denture interm part

0.00 0.00 0.00

0.00

0.00 0.00

XXX maxill. D5821.............. .............. N

Denture interm part

0.00 0.00 0.00

0.00

0.00 0.00

XXX mandbl. D5850.............. .............. N

Denture tiss conditn 0.00 0.00 0.00

0.00

0.00 0.00

XXX maxill. D5851.............. .............. N

Denture tiss condtin 0.00 0.00 0.00

0.00

0.00 0.00

XXX mandbl. D5860.............. .............. N

Overdenture complete 0.00 0.00 0.00

0.00

0.00 0.00

XXX

[[Page 49244]]

D5861.............. .............. N

Overdenture partial. 0.00 0.00 0.00

0.00

0.00 0.00

XXX D5862.............. .............. N

Precision attachment 0.00 0.00 0.00

0.00

0.00 0.00

XXX D5867.............. .............. N

Replacement of

0.00 0.00 0.00

0.00

0.00 0.00

XXX precision att. D5875.............. .............. N

Prosthesis

0.00 0.00 0.00

0.00

0.00 0.00

XXX modification. D5899.............. .............. N

Removable

0.00 0.00 0.00

0.00

0.00 0.00

XXX prosthodontic proc. D5911.............. .............. R

Facial moulage

0.00 0.00 0.00

0.00

0.00 0.00

YYY sectional. D5912.............. .............. R

Facial moulage

0.00 0.00 0.00

0.00

0.00 0.00

YYY complete. D5913.............. .............. I

Nasal prosthesis.... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D5914.............. .............. I

Auricular prosthesis 0.00 0.00 0.00

0.00

0.00 0.00

XXX D5915.............. .............. I

Orbital prosthesis.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX D5916.............. .............. I

Ocular prosthesis... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D5919.............. .............. I

Facial prosthesis... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D5922.............. .............. I

Nasal septal

0.00 0.00 0.00

0.00

0.00 0.00

XXX prosthesis. D5923.............. .............. I

Ocular prosthesis

0.00 0.00 0.00

0.00

0.00 0.00

XXX interim. D5924.............. .............. I

Cranial prosthesis.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX D5925.............. .............. I

Facial augmentation

0.00 0.00 0.00

0.00

0.00 0.00

XXX implant. D5926.............. .............. I

Replacement nasal

0.00 0.00 0.00

0.00

0.00 0.00

XXX prosthesis. D5927.............. .............. I

Auricular

0.00 0.00 0.00

0.00

0.00 0.00

XXX replacement. D5928.............. .............. I

Orbital replacement. 0.00 0.00 0.00

0.00

0.00 0.00

XXX D5929.............. .............. I

Facial replacement.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX D5931.............. .............. I

Surgical obturator.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX D5932.............. .............. I

Postsurgical

0.00 0.00 0.00

0.00

0.00 0.00

XXX obturator. D5933.............. .............. I

Refitting of

0.00 0.00 0.00

0.00

0.00 0.00

XXX obturator. D5934.............. .............. I

Mandibular flange

0.00 0.00 0.00

0.00

0.00 0.00

XXX prosthesis. D5935.............. .............. I

Mandibular denture

0.00 0.00 0.00

0.00

0.00 0.00

XXX prosth. D5936.............. .............. I

Temp obturator

0.00 0.00 0.00

0.00

0.00 0.00

XXX prosthesis. D5937.............. .............. I

Trismus appliance... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D5951.............. .............. R

Feeding aid......... 0.00 0.00 0.00

0.00

0.00 0.00

YYY D5952.............. .............. I

Pediatric speech aid 0.00 0.00 0.00

0.00

0.00 0.00

XXX D5953.............. .............. I

Adult speech aid.... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D5954.............. .............. I

Superimposed

0.00 0.00 0.00

0.00

0.00 0.00

XXX prosthesis. D5955.............. .............. I

Palatal lift

0.00 0.00 0.00

0.00

0.00 0.00

XXX prosthesis. D5958.............. .............. I

Intraoral con def

0.00 0.00 0.00

0.00

0.00 0.00

XXX inter plt. D5959.............. .............. I

Intraoral con def

0.00 0.00 0.00

0.00

0.00 0.00

XXX mod palat. D5960.............. .............. I

Modify speech aid

0.00 0.00 0.00

0.00

0.00 0.00

XXX prosthesis. D5982.............. .............. I

Surgical stent...... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D5983.............. .............. R

Radiation applicator 0.00 0.00 0.00

0.00

0.00 0.00

YYY D5984.............. .............. R

Radiation shield.... 0.00 0.00 0.00

0.00

0.00 0.00

YYY D5985.............. .............. R

Radiation cone

0.00 0.00 0.00

0.00

0.00 0.00

YYY locator. D5986.............. .............. N

Fluoride applicator. 0.00 0.00 0.00

0.00

0.00 0.00

XXX D5987.............. .............. R

Commissure splint... 0.00 0.00 0.00

0.00

0.00 0.00

YYY D5988.............. .............. I

Surgical splint..... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D5999.............. .............. I

Maxillofacial

0.00 0.00 0.00

0.00

0.00 0.00

XXX prosthesis. D6010.............. .............. I

Odontics endosteal

0.00 0.00 0.00

0.00

0.00 0.00

XXX implant. D6020.............. .............. I

Odontics abutment

0.00 0.00 0.00

0.00

0.00 0.00

XXX placement. D6040.............. .............. I

Odontics eposteal

0.00 0.00 0.00

0.00

0.00 0.00

XXX implant. D6050.............. .............. I

Odontics transosteal 0.00 0.00 0.00

0.00

0.00 0.00

XXX implnt. D6053.............. .............. N

Implnt/abtmnt spprt

0.00 0.00 0.00

0.00

0.00 0.00

XXX remv dnt. D6054.............. .............. N

Implnt/abtmnt spprt

0.00 0.00 0.00

0.00

0.00 0.00

XXX remvprtl. D6055.............. .............. I

Implant connecting

0.00 0.00 0.00

0.00

0.00 0.00

XXX bar. D6056.............. .............. N

Prefabricated

0.00 0.00 0.00

0.00

0.00 0.00

XXX abutment. D6057.............. .............. N

Custom abutment..... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D6058.............. .............. N

Abutment supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX crown.

[[Page 49245]]

D6059.............. .............. N

Abutment supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX mtl crown. D6060.............. .............. N

Abutment supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX mtl crown. D6061.............. .............. N

Abutment supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX mtl crown. D6062.............. .............. N

Abutment supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX mtl crown. D6063.............. .............. N

Abutment supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX mtl crown. D6064.............. .............. N

Abutment supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX mtl crown. D6065.............. .............. N

Implant supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX crown. D6066.............. .............. N

Implant supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX mtl crown. D6067.............. .............. N

Implant supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX mtl crown. D6068.............. .............. N

Abutment supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX retainer. D6069.............. .............. N

Abutment supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX retainer. D6070.............. .............. N

Abutment supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX retainer. D6071.............. .............. N

Abutment supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX retainer. D6072.............. .............. N

Abutment supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX retainer. D6073.............. .............. N

Abutment supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX retainer. D6074.............. .............. N

Abutment supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX retainer. D6075.............. .............. N

Implant supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX retainer. D6076.............. .............. N

Implant supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX retainer. D6077.............. .............. N

Implant supported

0.00 0.00 0.00

0.00

0.00 0.00

XXX retainer. D6078.............. .............. N

Implnt/abut suprtd

0.00 0.00 0.00

0.00

0.00 0.00

XXX fixd dent. D6079.............. .............. N

Implnt/abut suprtd

0.00 0.00 0.00

0.00

0.00 0.00

XXX fixd dent. D6080.............. .............. I

Implant maintenance. 0.00 0.00 0.00

0.00

0.00 0.00

XXX D6090.............. .............. I

Repair implant...... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D6095.............. .............. I

Odontics repr

0.00 0.00 0.00

0.00

0.00 0.00

XXX abutment. D6100.............. .............. I

Removal of implant.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX D6199.............. .............. I

Implant procedure... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D6210.............. .............. N

Prosthodont high

0.00 0.00 0.00

0.00

0.00 0.00

XXX noble metal. D6211.............. .............. N

Bridge base metal

0.00 0.00 0.00

0.00

0.00 0.00

XXX cast. D6212.............. .............. N

Bridge noble metal

0.00 0.00 0.00

0.00

0.00 0.00

XXX cast. D6240.............. .............. N

Bridge porcelain

0.00 0.00 0.00

0.00

0.00 0.00

XXX high noble. D6241.............. .............. N

Bridge porcelain

0.00 0.00 0.00

0.00

0.00 0.00

XXX base metal. D6242.............. .............. N

Bridge porcelain

0.00 0.00 0.00

0.00

0.00 0.00

XXX nobel metal. D6245.............. .............. N

Bridge porcelain/

0.00 0.00 0.00

0.00

0.00 0.00

XXX ceramic. D6250.............. .............. N

Bridge resin w/high

0.00 0.00 0.00

0.00

0.00 0.00

XXX noble. D6251.............. .............. N

Bridge resin base

0.00 0.00 0.00

0.00

0.00 0.00

XXX metal. D6252.............. .............. N

Bridge resin w/noble 0.00 0.00 0.00

0.00

0.00 0.00

XXX metal. D6253.............. .............. N

Provisional pontic.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX D6545.............. .............. N

Dental retainr cast

0.00 0.00 0.00

0.00

0.00 0.00

XXX metl. D6548.............. .............. N

Porcelain/ceramic

0.00 0.00 0.00

0.00

0.00 0.00

XXX retainer. D6600.............. .............. N

Porcelain/ceramic

0.00 0.00 0.00

0.00

0.00 0.00

XXX inlay 2srf. D6601.............. .............. N

Porc/ceram inlay = 3 surfac. D6602.............. .............. N

Cst hgh nble mtl

0.00 0.00 0.00

0.00

0.00 0.00

XXX inlay 2 srf.

[[Page 49246]]

D6603.............. .............. N

Cst hgh nble mtl

0.00 0.00 0.00

0.00

0.00 0.00

XXX inlay =3sr. D6604.............. .............. N

Cst bse mtl inlay 2

0.00 0.00 0.00

0.00

0.00 0.00

XXX surfaces. D6605.............. .............. N

Cst bse mtl inlay

0.00 0.00 0.00

0.00

0.00 0.00

XXX = 3 surfa. D6606.............. .............. N

Cast noble metal

0.00 0.00 0.00

0.00

0.00 0.00

XXX inlay 2 sur. D6607.............. .............. N

Cst noble mtl inlay

0.00 0.00 0.00

0.00

0.00 0.00

XXX =3 surf. D6608.............. .............. N

Onlay porc/crmc 2

0.00 0.00 0.00

0.00

0.00 0.00

XXX surfaces. D6609.............. .............. N

Onlay porc/crmc =3 surfaces. D6610.............. .............. N

Onlay cst hgh nbl

0.00 0.00 0.00

0.00

0.00 0.00

XXX mtl 2 srfc. D6611.............. .............. N

Onlay cst hgh nbl

0.00 0.00 0.00

0.00

0.00 0.00

XXX mtl =3srf. D6612.............. .............. N

Onlay cst base mtl 2 0.00 0.00 0.00

0.00

0.00 0.00

XXX surface. D6613.............. .............. N

Onlay cst base mtl

0.00 0.00 0.00

0.00

0.00 0.00

XXX =3 surfa. D6614.............. .............. N

Onlay cst nbl mtl 2

0.00 0.00 0.00

0.00

0.00 0.00

XXX surfaces. D6615.............. .............. N

Onlay cst nbl mtl

0.00 0.00 0.00

0.00

0.00 0.00

XXX =3 surfac. D6720.............. .............. N

Retain crown resin w 0.00 0.00 0.00

0.00

0.00 0.00

XXX hi nble. D6721.............. .............. N

Crown resin w/base

0.00 0.00 0.00

0.00

0.00 0.00

XXX metal. D6722.............. .............. N

Crown resin w/noble

0.00 0.00 0.00

0.00

0.00 0.00

XXX metal. D6740.............. .............. N

Crown porcelain/

0.00 0.00 0.00

0.00

0.00 0.00

XXX ceramic. D6750.............. .............. N

Crown porcelain high 0.00 0.00 0.00

0.00

0.00 0.00

XXX noble. D6751.............. .............. N

Crown porcelain base 0.00 0.00 0.00

0.00

0.00 0.00

XXX metal. D6752.............. .............. N

Crown porcelain

0.00 0.00 0.00

0.00

0.00 0.00

XXX noble metal. D6780.............. .............. N

Crown 3/4 high noble 0.00 0.00 0.00

0.00

0.00 0.00

XXX metal. D6781.............. .............. N

Crown 3/4 cast based 0.00 0.00 0.00

0.00

0.00 0.00

XXX metal. D6782.............. .............. N

Crown 3/4 cast noble 0.00 0.00 0.00

0.00

0.00 0.00

XXX metal. D6783.............. .............. N

Crown 3/4 porcelain/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX ceramic. D6790.............. .............. N

Crown full high

0.00 0.00 0.00

0.00

0.00 0.00

XXX noble metal. D6791.............. .............. N

Crown full base

0.00 0.00 0.00

0.00

0.00 0.00

XXX metal cast. D6792.............. .............. N

Crown full noble

0.00 0.00 0.00

0.00

0.00 0.00

XXX metal cast. D6793.............. .............. N

Provisional retainer 0.00 0.00 0.00

0.00

0.00 0.00

XXX crown. D6920.............. .............. R

Dental connector bar 0.00 0.00 0.00

0.00

0.00 0.00

YYY D6930.............. .............. N

Dental recement

0.00 0.00 0.00

0.00

0.00 0.00

XXX bridge. D6940.............. .............. N

Stress breaker...... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D6950.............. .............. N

Precision attachment 0.00 0.00 0.00

0.00

0.00 0.00

XXX D6970.............. .............. N

Post & core plus

0.00 0.00 0.00

0.00

0.00 0.00

XXX retainer. D6971.............. .............. N

Cast post bridge

0.00 0.00 0.00

0.00

0.00 0.00

XXX retainer. D6972.............. .............. N

Prefab post & core

0.00 0.00 0.00

0.00

0.00 0.00

XXX plus reta. D6973.............. .............. N

Core build up for

0.00 0.00 0.00

0.00

0.00 0.00

XXX retainer. D6975.............. .............. N

Coping metal........ 0.00 0.00 0.00

0.00

0.00 0.00

XXX D6976.............. .............. N

Each addtnl cast

0.00 0.00 0.00

0.00

0.00 0.00

XXX post. D6977.............. .............. N

Each addtl prefab

0.00 0.00 0.00

0.00

0.00 0.00

XXX post. D6980.............. .............. N

Bridge repair....... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D6985.............. .............. N

Pediatric partial

0.00 0.00 0.00

0.00

0.00 0.00

XXX denture fx. D6999.............. .............. N

Fixed prosthodontic

0.00 0.00 0.00

0.00

0.00 0.00

XXX proc.

[[Page 49247]]

D7111.............. .............. R

Coronal remnants

0.00 0.00 0.00

0.00

0.00 0.00

XXX deciduous t. D7140.............. .............. R

Extraction erupted

0.00 0.00 0.00

0.00

0.00 0.00

XXX tooth/exr. D7210.............. .............. R

Rem imp tooth w

0.00 0.00 0.00

0.00

0.00 0.00

YYY mucoper flp. D7220.............. .............. R

Impact tooth remov

0.00 0.00 0.00

0.00

0.00 0.00

YYY soft tiss. D7230.............. .............. R

Impact tooth remov

0.00 0.00 0.00

0.00

0.00 0.00

YYY part bony. D7240.............. .............. R

Impact tooth remov

0.00 0.00 0.00

0.00

0.00 0.00

YYY comp bony. D7241.............. .............. R

Impact tooth rem

0.00 0.00 0.00

0.00

0.00 0.00

YYY bony w/comp. D7250.............. .............. R

Tooth root removal.. 0.00 0.00 0.00

0.00

0.00 0.00

YYY D7260.............. .............. R

Oral antral fistula

0.00 0.00 0.00

0.00

0.00 0.00

YYY closure. D7261.............. .............. R

Primary closure

0.00 0.00 0.00

0.00

0.00 0.00

XXX sinus perf. D7270.............. .............. N

Tooth reimplantation 0.00 0.00 0.00

0.00

0.00 0.00

XXX D7272.............. .............. N

Tooth

0.00 0.00 0.00

0.00

0.00 0.00

XXX transplantation. D7280.............. .............. N

Exposure impact

0.00 0.00 0.00

0.00

0.00 0.00

XXX tooth orthod. D7281.............. .............. N

Exposure tooth aid

0.00 0.00 0.00

0.00

0.00 0.00

XXX eruption. D7282.............. .............. N

Mobilize erupted/

0.00 0.00 0.00

0.00

0.00 0.00

XXX malpos toot. D7285.............. .............. I

Biopsy of oral

0.00 0.00 0.00

0.00

0.00 0.00

XXX tissue hard. D7286.............. .............. I

Biopsy of oral

0.00 0.00 0.00

0.00

0.00 0.00

XXX tissue soft. D7287.............. .............. I

Cytology sample

0.00 0.00 0.00

0.00

0.00 0.00

XXX collection. D7290.............. .............. N

Repositioning of

0.00 0.00 0.00

0.00

0.00 0.00

XXX teeth. D7291.............. .............. R

Transseptal

0.00 0.00 0.00

0.00

0.00 0.00

YYY fiberotomy. D7310.............. .............. I

Alveoplasty w/

0.00 0.00 0.00

0.00

0.00 0.00

XXX extraction. D7320.............. .............. I

Alveoplasty w/o

0.00 0.00 0.00

0.00

0.00 0.00

XXX extraction. D7340.............. .............. I

Vestibuloplasty

0.00 0.00 0.00

0.00

0.00 0.00

XXX ridge extens. D7350.............. .............. I

Vestibuloplasty

0.00 0.00 0.00

0.00

0.00 0.00

XXX exten graft. D7410.............. .............. I

Rad exc lesion up to 0.00 0.00 0.00

0.00

0.00 0.00

XXX 1.25 cm. D7411.............. .............. I

Excision benign

0.00 0.00 0.00

0.00

0.00 0.00

XXX lesion1. 25c. D7412.............. .............. I

Excision benign

0.00 0.00 0.00

0.00

0.00 0.00

XXX lesion compl. D7413.............. .............. I

Excision malig

0.00 0.00 0.00

0.00

0.00 0.00

XXX lesion1. 25cm. D7415.............. .............. I

Excision malig les

0.00 0.00 0.00

0.00

0.00 0.00

XXX complicat. D7440.............. .............. I

Malig tumor exc to

0.00 0.00 0.00

0.00

0.00 0.00

XXX 1.25 cm. D7441.............. .............. I

Malig tumor 1.25 cm. D7450.............. .............. I

Rem odontogen cyst

0.00 0.00 0.00

0.00

0.00 0.00

XXX to 1.25cm. D7451.............. .............. I

Rem odontogen cyst

0.00 0.00 0.00

0.00

0.00 0.00

XXX 1.25 cm. D7460.............. .............. I

Rem nonodonto cyst

0.00 0.00 0.00

0.00

0.00 0.00

XXX to 1.25cm. D7461.............. .............. I

Rem nonodonto cyst

0.00 0.00 0.00

0.00

0.00 0.00

XXX 1.25 cm. D7465.............. .............. I

Lesion destruction.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX D7471.............. .............. I

Rem exostosis any

0.00 0.00 0.00

0.00

0.00 0.00

XXX site. D7472.............. .............. I

Removal of torus

0.00 0.00 0.00

0.00

0.00 0.00

XXX palatinus. D7473.............. .............. I

Remove torus

0.00 0.00 0.00

0.00

0.00 0.00

XXX mandibularis. D7485.............. .............. I

Surg reduct

0.00 0.00 0.00

0.00

0.00 0.00

XXX osseoustuberosit. D7490.............. .............. I

Mandible resection.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX

[[Page 49248]]

D7510.............. .............. I

I&d absc intraoral

0.00 0.00 0.00

0.00

0.00 0.00

XXX soft tiss. D7520.............. .............. I

I&d abscess

0.00 0.00 0.00

0.00

0.00 0.00

XXX extraoral. D7530.............. .............. I

Removal fb skin/

0.00 0.00 0.00

0.00

0.00 0.00

XXX areolar tiss. D7540.............. .............. I

Removal of fb

0.00 0.00 0.00

0.00

0.00 0.00

XXX reaction. D7550.............. .............. I

Removal of sloughed

0.00 0.00 0.00

0.00

0.00 0.00

XXX off bone. D7560.............. .............. I

Maxillary sinusotomy 0.00 0.00 0.00

0.00

0.00 0.00

XXX D7610.............. .............. I

Maxilla open reduct

0.00 0.00 0.00

0.00

0.00 0.00

XXX simple. D7620.............. .............. I

Clsd reduct simpl

0.00 0.00 0.00

0.00

0.00 0.00

XXX maxilla fx. D7630.............. .............. I

Open red simpl

0.00 0.00 0.00

0.00

0.00 0.00

XXX mandible fx. D7640.............. .............. I

Clsd red simpl

0.00 0.00 0.00

0.00

0.00 0.00

XXX mandible fx. D7650.............. .............. I

Open red simp malar/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX zygom fx. D7660.............. .............. I

Clsd red simp malar/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX zygom fx. D7670.............. .............. I

Closd rductn splint

0.00 0.00 0.00

0.00

0.00 0.00

XXX alveolus. D7671.............. .............. I

Alveolus open

0.00 0.00 0.00

0.00

0.00 0.00

XXX reduction. D7680.............. .............. I

Reduct simple facial 0.00 0.00 0.00

0.00

0.00 0.00

XXX bone fx. D7710.............. .............. I

Maxilla open reduct

0.00 0.00 0.00

0.00

0.00 0.00

XXX compound. D7720.............. .............. I

Clsd reduct compd

0.00 0.00 0.00

0.00

0.00 0.00

XXX maxilla fx. D7730.............. .............. I

Open reduct compd

0.00 0.00 0.00

0.00

0.00 0.00

XXX mandble fx. D7740.............. .............. I

Clsd reduct compd

0.00 0.00 0.00

0.00

0.00 0.00

XXX mandble fx. D7750.............. .............. I

Open red comp malar/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX zygma fx. D7760.............. .............. I

Clsd red comp malar/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX zygma fx. D7770.............. .............. I

Open reduc compd

0.00 0.00 0.00

0.00

0.00 0.00

XXX alveolus fx. D7771.............. .............. I

Alveolus clsd reduc

0.00 0.00 0.00

0.00

0.00 0.00

XXX stblz te. D7780.............. .............. I

Reduct compnd facial 0.00 0.00 0.00

0.00

0.00 0.00

XXX bone fx. D7810.............. .............. I

Tmj open reduct-

0.00 0.00 0.00

0.00

0.00 0.00

XXX dislocation. D7820.............. .............. I

Closed tmp

0.00 0.00 0.00

0.00

0.00 0.00

XXX manipulation. D7830.............. .............. I

Tmj manipulation

0.00 0.00 0.00

0.00

0.00 0.00

XXX under anest. D7840.............. .............. I

Removal of tmj

0.00 0.00 0.00

0.00

0.00 0.00

XXX condyle. D7850.............. .............. I

Tmj meniscectomy.... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D7852.............. .............. I

Tmj repair of joint

0.00 0.00 0.00

0.00

0.00 0.00

XXX disc. D7854.............. .............. I

Tmj excisn of joint

0.00 0.00 0.00

0.00

0.00 0.00

XXX membrane. D7856.............. .............. I

Tmj cutting of a

0.00 0.00 0.00

0.00

0.00 0.00

XXX muscle. D7858.............. .............. I

Tmj reconstruction.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX D7860.............. .............. I

Tmj cutting into

0.00 0.00 0.00

0.00

0.00 0.00

XXX joint. D7865.............. .............. I

Tmj reshaping

0.00 0.00 0.00

0.00

0.00 0.00

XXX components. D7870.............. .............. I

Tmj aspiration joint 0.00 0.00 0.00

0.00

0.00 0.00

XXX fluid. D7871.............. .............. N

Lysis + lavage w

0.00 0.00 0.00

0.00

0.00 0.00

XXX catheters. D7872.............. .............. I

Tmj diagnostic

0.00 0.00 0.00

0.00

0.00 0.00

XXX arthroscopy. D7873.............. .............. I

Tmj arthroscopy

0.00 0.00 0.00

0.00

0.00 0.00

XXX lysis adhesn. D7874.............. .............. I

Tmj arthroscopy disc 0.00 0.00 0.00

0.00

0.00 0.00

XXX reposit. D7875.............. .............. I

Tmj arthroscopy

0.00 0.00 0.00

0.00

0.00 0.00

XXX synovectomy.

[[Page 49249]]

D7876.............. .............. I

Tmj arthroscopy

0.00 0.00 0.00

0.00

0.00 0.00

XXX discectomy. D7877.............. .............. I

Tmj arthroscopy

0.00 0.00 0.00

0.00

0.00 0.00

XXX debridement. D7880.............. .............. I

Occlusal orthotic

0.00 0.00 0.00

0.00

0.00 0.00

XXX appliance. D7899.............. .............. I

Tmj unspecified

0.00 0.00 0.00

0.00

0.00 0.00

XXX therapy. D7910.............. .............. I

Dent sutur recent

0.00 0.00 0.00

0.00

0.00 0.00

XXX wnd to 5cm. D7911.............. .............. I

Dental suture wound

0.00 0.00 0.00

0.00

0.00 0.00

XXX to 5 cm. D7912.............. .............. I

Suture complicate

0.00 0.00 0.00

0.00

0.00 0.00

XXX wnd 5 cm. D7920.............. .............. I

Dental skin graft... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D7940.............. .............. R

Reshaping bone

0.00 0.00 0.00

0.00

0.00 0.00

YYY orthognathic. D7941.............. .............. I

Bone cutting ramus

0.00 0.00 0.00

0.00

0.00 0.00

XXX closed. D7943.............. .............. I

Cutting ramus open w/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX graft. D7944.............. .............. I

Bone cutting

0.00 0.00 0.00

0.00

0.00 0.00

XXX segmented. D7945.............. .............. I

Bone cutting body

0.00 0.00 0.00

0.00

0.00 0.00

XXX mandible. D7946.............. .............. I

Reconstruction

0.00 0.00 0.00

0.00

0.00 0.00

XXX maxilla total. D7947.............. .............. I

Reconstruct maxilla

0.00 0.00 0.00

0.00

0.00 0.00

XXX segment. D7948.............. .............. I

Reconstruct midface

0.00 0.00 0.00

0.00

0.00 0.00

XXX no graft. D7949.............. .............. I

Reconstruct midface

0.00 0.00 0.00

0.00

0.00 0.00

XXX w/graft. D7950.............. .............. I

Mandible graft...... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D7955.............. .............. I

Repair maxillofacial 0.00 0.00 0.00

0.00

0.00 0.00

XXX defects. D7960.............. .............. I

Frenulectomy/

0.00 0.00 0.00

0.00

0.00 0.00

XXX frenulotomy. D7970.............. .............. I

Excision

0.00 0.00 0.00

0.00

0.00 0.00

XXX hyperplastic tissue. D7971.............. .............. I

Excision pericoronal 0.00 0.00 0.00

0.00

0.00 0.00

XXX gingiva. D7972.............. .............. I

Surg redct fibrous

0.00 0.00 0.00

0.00

0.00 0.00

XXX tuberosit. D7980.............. .............. I

Sialolithotomy...... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D7981.............. .............. I

Excision of salivary 0.00 0.00 0.00

0.00

0.00 0.00

XXX gland. D7982.............. .............. I

Sialodochoplasty.... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D7983.............. .............. I

Closure of salivary

0.00 0.00 0.00

0.00

0.00 0.00

XXX fistula. D7990.............. .............. I

Emergency

0.00 0.00 0.00

0.00

0.00 0.00

XXX tracheotomy. D7991.............. .............. I

Dental

0.00 0.00 0.00

0.00

0.00 0.00

XXX coronoidectomy. D7995.............. .............. I

Synthetic graft

0.00 0.00 0.00

0.00

0.00 0.00

XXX facial bones. D7996.............. .............. I

Implant mandible for 0.00 0.00 0.00

0.00

0.00 0.00

XXX augment. D7997.............. .............. N

Appliance removal... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D7999.............. .............. I

Oral surgery

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. D8010.............. .............. N

Limited dental tx

0.00 0.00 0.00

0.00

0.00 0.00

XXX primary. D8020.............. .............. N

Limited dental tx

0.00 0.00 0.00

0.00

0.00 0.00

XXX transition. D8030.............. .............. N

Limited dental tx

0.00 0.00 0.00

0.00

0.00 0.00

XXX adolescent. D8040.............. .............. N

Limited dental tx

0.00 0.00 0.00

0.00

0.00 0.00

XXX adult. D8050.............. .............. N

Intercep dental tx

0.00 0.00 0.00

0.00

0.00 0.00

XXX primary. D8060.............. .............. N

Intercep dental tx

0.00 0.00 0.00

0.00

0.00 0.00

XXX transitn. D8070.............. .............. N

Compre dental tx

0.00 0.00 0.00

0.00

0.00 0.00

XXX transition. D8080.............. .............. N

Compre dental tx

0.00 0.00 0.00

0.00

0.00 0.00

XXX adolescent. D8090.............. .............. N

Compre dental tx

0.00 0.00 0.00

0.00

0.00 0.00

XXX adult. D8210.............. .............. N

Orthodontic rem

0.00 0.00 0.00

0.00

0.00 0.00

XXX appliance tx.

[[Page 49250]]

D8220.............. .............. N

Fixed appliance

0.00 0.00 0.00

0.00

0.00 0.00

XXX therapy habt. D8660.............. .............. N

Preorthodontic tx

0.00 0.00 0.00

0.00

0.00 0.00

XXX visit. D8670.............. .............. N

Periodic orthodontc

0.00 0.00 0.00

0.00

0.00 0.00

XXX tx visit. D8680.............. .............. N

Orthodontic

0.00 0.00 0.00

0.00

0.00 0.00

XXX retention. D8690.............. .............. N

Orthodontic

0.00 0.00 0.00

0.00

0.00 0.00

XXX treatment. D8691.............. .............. N

Repair ortho

0.00 0.00 0.00

0.00

0.00 0.00

XXX appliance. D8692.............. .............. N

Replacement retainer 0.00 0.00 0.00

0.00

0.00 0.00

XXX D8999.............. .............. N

Orthodontic

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure. D9110.............. .............. R

Tx dental pain minor 0.00 0.00 0.00

0.00

0.00 0.00

YYY proc. D9210.............. .............. I

Dent anesthesia w/o

0.00 0.00 0.00

0.00

0.00 0.00

XXX surgery. D9211.............. .............. I

Regional block

0.00 0.00 0.00

0.00

0.00 0.00

XXX anesthesia. D9212.............. .............. I

Trigeminal block

0.00 0.00 0.00

0.00

0.00 0.00

XXX anesthesia. D9215.............. .............. I

Local anesthesia.... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D9220.............. .............. I

General anesthesia.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX D9221.............. .............. I

General anesthesia

0.00 0.00 0.00

0.00

0.00 0.00

XXX ea ad 15m. D9230.............. .............. R

Analgesia........... 0.00 0.00 0.00

0.00

0.00 0.00

YYY D9241.............. .............. I

Intravenous sedation 0.00 0.00 0.00

0.00

0.00 0.00

XXX D9242.............. .............. I

IV sedation ea ad 30 0.00 0.00 0.00

0.00

0.00 0.00

XXX m. D9248.............. .............. R

Sedation (non-iv)... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D9310.............. .............. I

Dental consultation. 0.00 0.00 0.00

0.00

0.00 0.00

XXX D9410.............. .............. I

Dental house call... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D9420.............. .............. I

Hospital call....... 0.00 0.00 0.00

0.00

0.00 0.00

XXX D9430.............. .............. I

Office visit during

0.00 0.00 0.00

0.00

0.00 0.00

XXX hours. D9440.............. .............. I

Office visit after

0.00 0.00 0.00

0.00

0.00 0.00

XXX hours. D9450.............. .............. I

Case presentation tx 0.00 0.00 0.00

0.00

0.00 0.00

XXX plan. D9610.............. .............. I

Dent therapeutic

0.00 0.00 0.00

0.00

0.00 0.00

XXX drug inject. D9630.............. .............. R

Other drugs/

0.00 0.00 0.00

0.00

0.00 0.00

YYY medicaments. D9910.............. .............. N

Dent appl

0.00 0.00 0.00

0.00

0.00 0.00

XXX desensitizing med. D9911.............. .............. N

Appl desensitizing

0.00 0.00 0.00

0.00

0.00 0.00

XXX resin. D9920.............. .............. N

Behavior management. 0.00 0.00 0.00

0.00

0.00 0.00

XXX D9930.............. .............. R

Treatment of

0.00 0.00 0.00

0.00

0.00 0.00

YYY complications. D9940.............. .............. R

Dental occlusal

0.00 0.00 0.00

0.00

0.00 0.00

YYY guard. D9941.............. .............. N

Fabrication athletic 0.00 0.00 0.00

0.00

0.00 0.00

XXX guard. D9950.............. .............. R

Occlusion analysis.. 0.00 0.00 0.00

0.00

0.00 0.00

YYY D9951.............. .............. R

Limited occlusal

0.00 0.00 0.00

0.00

0.00 0.00

YYY adjustment. D9952.............. .............. R

Complete occlusal

0.00 0.00 0.00

0.00

0.00 0.00

YYY adjustment. D9970.............. .............. N

Enamel microabrasion 0.00 0.00 0.00

0.00

0.00 0.00

XXX D9971.............. .............. N

Odontoplasty 1-2

0.00 0.00 0.00

0.00

0.00 0.00

XXX teeth. D9972.............. .............. N

Extrnl bleaching per 0.00 0.00 0.00

0.00

0.00 0.00

XXX arch. D9973.............. .............. N

Extrnl bleaching per 0.00 0.00 0.00

0.00

0.00 0.00

XXX tooth. D9974.............. .............. N

Intrnl bleaching per 0.00 0.00 0.00

0.00

0.00 0.00

XXX tooth. D9999.............. .............. I

Adjunctive procedure 0.00 0.00 0.00

0.00

0.00 0.00

XXX G0001.............. .............. X

Drawing blood for

0.00 0.00 0.00

0.00

0.00 0.00

XXX specimen. G0008.............. .............. X

Admin influenza

0.00 0.00 0.00

0.00

0.00 0.00

XXX virus vac. G0009.............. .............. X

Admin pneumococcal

0.00 0.00 0.00

0.00

0.00 0.00

XXX vaccine. G0010.............. .............. X

Admin hepatitis b

0.00 0.00 0.00

0.00

0.00 0.00

XXX vaccine. G0030.............. .............. C

PET imaging prev PET 0.00 0.00 0.00

0.00

0.00 0.00

XXX single. G0030.............. 26............ A

PET imaging prev PET 1.50 0.60 0.60

0.04

2.14 2.14

XXX single. G0030.............. TC............ C

PET imaging prev PET 0.00 0.00 0.00

0.00

0.00 0.00

XXX single. G0031.............. .............. C

PET imaging prev PET 0.00 0.00 0.00

0.00

0.00 0.00

XXX multple.

[[Page 49251]]

G0031.............. 26............ A

PET imaging prev PET 1.87 0.74 0.74

0.06

2.67 2.67

XXX multple. G0031.............. TC............ C

PET imaging prev PET 0.00 0.00 0.00

0.00

0.00 0.00

XXX multple. G0032.............. .............. C

PET follow SPECT

0.00 0.00 0.00

0.00

0.00 0.00

XXX 78464 singl. G0032.............. 26............ A

PET follow SPECT

1.50 0.56 0.56

0.05

2.11 2.11

XXX 78464 singl. G0032.............. TC............ C

PET follow SPECT

0.00 0.00 0.00

0.00

0.00 0.00

XXX 78464 singl. G0033.............. .............. C

PET follow SPECT

0.00 0.00 0.00

0.00

0.00 0.00

XXX 78464 mult. G0033.............. 26............ A

PET follow SPECT

1.87 0.75 0.75

0.06

2.68 2.68

XXX 78464 mult. G0033.............. TC............ C

PET follow SPECT

0.00 0.00 0.00

0.00

0.00 0.00

XXX 78464 mult. G0034.............. .............. C

PET follow SPECT

0.00 0.00 0.00

0.00

0.00 0.00

XXX 76865 singl. G0034.............. 26............ A

PET follow SPECT

1.50 0.58 0.58

0.05

2.13 2.13

XXX 76865 singl. G0034.............. TC............ C

PET follow SPECT

0.00 0.00 0.00

0.00

0.00 0.00

XXX 76865 singl. G0035.............. .............. C

PET follow SPECT

0.00 0.00 0.00

0.00

0.00 0.00

XXX 78465 mult. G0035.............. 26............ A

PET follow SPECT

1.87 0.74 0.74

0.06

2.67 2.67

XXX 78465 mult. G0035.............. TC............ C

PET follow SPECT

0.00 0.00 0.00

0.00

0.00 0.00

XXX 78465 mult. G0036.............. .............. C

PET follow cornry

0.00 0.00 0.00

0.00

0.00 0.00

XXX angio sing. G0036.............. 26............ A

PET follow cornry

1.50 0.58 0.58

0.04

2.12 2.12

XXX angio sing. G0036.............. TC............ C

PET follow cornry

0.00 0.00 0.00

0.00

0.00 0.00

XXX angio sing. G0037.............. .............. C

PET follow cornry

0.00 0.00 0.00

0.00

0.00 0.00

XXX angio mult. G0037.............. 26............ A

PET follow cornry

1.87 0.73 0.73

0.06

2.66 2.66

XXX angio mult. G0037.............. TC............ C

PET follow cornry

0.00 0.00 0.00

0.00

0.00 0.00

XXX angio mult. G0038.............. .............. C

PET follow myocard

0.00 0.00 0.00

0.00

0.00 0.00

XXX perf sing. G0038.............. 26............ A

PET follow myocard

1.50 0.54 0.54

0.04

2.08 2.08

XXX perf sing. G0038.............. TC............ C

PET follow myocard

0.00 0.00 0.00

0.00

0.00 0.00

XXX perf sing. G0039.............. .............. C

PET follow myocard

0.00 0.00 0.00

0.00

0.00 0.00

XXX perf mult. G0039.............. 26............ A

PET follow myocard

1.87 0.73 0.73

0.07

2.67 2.67

XXX perf mult. G0039.............. TC............ C

PET follow myocard

0.00 0.00 0.00

0.00

0.00 0.00

XXX perf mult. G0040.............. .............. C

PET follow stress

0.00 0.00 0.00

0.00

0.00 0.00

XXX echo singl. G0040.............. 26............ A

PET follow stress

1.50 0.61 0.61

0.04

2.15 2.15

XXX echo singl. G0040.............. TC............ C

PET follow stress

0.00 0.00 0.00

0.00

0.00 0.00

XXX echo singl. G0041.............. .............. C

PET follow stress

0.00 0.00 0.00

0.00

0.00 0.00

XXX echo mult. G0041.............. 26............ A

PET follow stress

1.87 0.75 0.75

0.05

2.67 2.67

XXX echo mult. G0041.............. TC............ C

PET follow stress

0.00 0.00 0.00

0.00

0.00 0.00

XXX echo mult. G0042.............. .............. C

PET follow

0.00 0.00 0.00

0.00

0.00 0.00

XXX ventriculogm sing.

[[Page 49252]]

G0042.............. 26............ A

PET follow

1.50 0.62 0.62

0.04

2.16 2.16

XXX ventriculogm sing. G0042.............. TC............ C

PET follow

0.00 0.00 0.00

0.00

0.00 0.00

XXX ventriculogm sing. G0043.............. .............. C

PET follow

0.00 0.00 0.00

0.00

0.00 0.00

XXX ventriculogm mult. G0043.............. 26............ A

PET follow

1.87 0.76 0.76

0.06

2.69 2.69

XXX ventriculogm mult. G0043.............. TC............ C

PET follow

0.00 0.00 0.00

0.00

0.00 0.00

XXX ventriculogm mult. G0044.............. .............. C

PET following rest

0.00 0.00 0.00

0.00

0.00 0.00

XXX ECG singl. G0044.............. 26............ A

PET following rest

1.50 0.61 0.61

0.04

2.15 2.15

XXX ECG singl. G0044.............. TC............ C

PET following rest

0.00 0.00 0.00

0.00

0.00 0.00

XXX ECG singl. G0045.............. .............. C

PET following rest

0.00 0.00 0.00

0.00

0.00 0.00

XXX ECG mult. G0045.............. 26............ A

PET following rest

1.87 0.74 0.74

0.06

2.67 2.67

XXX ECG mult. G0045.............. TC............ C

PET following rest

0.00 0.00 0.00

0.00

0.00 0.00

XXX ECG mult. G0046.............. .............. C

PET follow stress

0.00 0.00 0.00

0.00

0.00 0.00

XXX ECG singl. G0046.............. 26............ A

PET follow stress

1.50 0.61 0.61

0.04

2.15 2.15

XXX ECG singl. G0046.............. TC............ C

PET follow stress

0.00 0.00 0.00

0.00

0.00 0.00

XXX ECG singl. G0047.............. .............. C

PET follow stress

0.00 0.00 0.00

0.00

0.00 0.00

XXX ECG mult. G0047.............. 26............ A

PET follow stress

1.87 0.75 0.75

0.06

2.68 2.68

XXX ECG mult. G0047.............. TC............ C

PET follow stress

0.00 0.00 0.00

0.00

0.00 0.00

XXX ECG mult. G0101.............. .............. A

CA screen;pelvic/

0.45 0.54 0.17

0.01

1.00 0.63

XXX breast exam. G0102.............. .............. A

Prostate ca

0.17 0.41 0.06

0.01

0.59 0.24

XXX screening; dre. G0104.............. .............. A

CA screen;flexi

0.96 2.25 0.53

0.05

3.26 1.54

000 sigmoidscope. G0105.............. .............. A

Colorectal scrn; hi

3.70 6.30 1.68

0.20 10.20 5.58

000 risk ind. G0106.............. .............. A

Colon CA

0.99 2.57

N/A

0.15

3.71

N/A

XXX screen;barium enema. G0106.............. 26............ A

Colon CA

0.99 0.33 0.33

0.04

1.36 1.36

XXX screen;barium enema. G0106.............. TC............ A

Colon CA

0.00 2.23

N/A

0.11

2.34

N/A

XXX screen;barium enema. G0108.............. .............. A

Diab manage trn per

0.00 0.83

N/A

0.01

0.84

N/A

XXX indiv. G0109.............. .............. A

Diab manage trn ind/ 0.00 0.48

N/A

0.01

0.49

N/A

XXX group. G0110.............. .............. R

Nett pulm-rehab

0.90 0.72 0.29

0.03

1.65 1.22

XXX educ; ind. G0111.............. .............. R

Nett pulm-rehab

0.27 0.30 0.14

0.01

0.58 0.42

XXX educ; group. G0112.............. .............. R

Nett;nutrition guid, 1.72 1.25 0.67

0.05

3.02 2.44

XXX initial. G0113.............. .............. R

Nett;nutrition

1.29 0.85 0.42

0.04

2.18 1.75

XXX guid,subseqnt. G0114.............. .............. R

Nett; psychosocial

1.20 0.49 0.38

0.03

1.72 1.61

XXX consult. G0115.............. .............. R

Nett; psychological

1.20 0.64 0.38

0.04

1.88 1.62

XXX testing. G0116.............. .............. R

Nett; psychosocial

1.11 1.02 0.34

0.04

2.17 1.49

XXX counsel. G0117.............. .............. T

Glaucoma scrn hgh

0.45 0.72 0.19

0.02

1.19 0.66

XXX risk direc. G0118.............. .............. T

Glaucoma scrn hgh

0.17 0.53 0.07

0.01

0.71 0.25

XXX risk direc. G0120.............. .............. A

Colon ca scrn;

0.99 2.57

N/A

0.15

3.71

N/A

XXX barium enema. G0120.............. 26............ A

Colon ca scrn;

0.99 0.33 0.33

0.04

1.36 1.36

XXX barium enema.

[[Page 49253]]

G0120.............. TC............ A

Colon ca scrn;

0.00 2.23

N/A

0.11

2.34

N/A

XXX barium enema. G0121.............. .............. A

Colon ca scrn not hi 3.70 6.30 1.68

0.20 10.20 5.58

000 rsk ind. G0122.............. .............. N

Colon ca scrn;

0.99 2.62

N/A

0.15

3.76

N/A

XXX barium enema. G0122.............. 26............ N

Colon ca scrn;

0.99 0.38 0.38

0.04

1.41 1.41

XXX barium enema. G0122.............. TC............ N

Colon ca scrn;

0.00 2.23

N/A

0.11

2.34

N/A

XXX barium enema. G0124.............. .............. A

Screen c/v thin

0.42 0.18 0.18

0.01

0.61 0.61

XXX layer by MD. G0125.............. .............. C

PET image pulmonary

0.00 0.00 0.00

0.00

0.00 0.00

XXX nodule. G0125.............. 26............ A

PET image pulmonary

1.50 0.54 0.54

0.05

2.09 2.09

XXX nodule. G0125.............. TC............ C

PET image pulmonary

0.00 0.00 0.00

0.00

0.00 0.00

XXX nodule. G0127.............. .............. R

Trim nail(s)........ 0.17 0.26 0.07

0.01

0.44 0.25

000 G0128.............. .............. R

CORF skilled nursing 0.08 0.03 0.03

0.01

0.12 0.12

XXX service. G0130.............. .............. A

Single energy x-ray

0.22 0.88

N/A

0.05

1.15

N/A

XXX study. G0130.............. 26............ A

Single energy x-ray

0.22 0.07 0.07

0.01

0.30 0.30

XXX study. G0130.............. TC............ A

Single energy x-ray

0.00 0.80

N/A

0.04

0.84

N/A

XXX study. G0141.............. .............. A

Scr c/v cyto,autosys 0.42 0.18 0.18

0.01

0.61 0.61

XXX and md. G0166.............. .............. A

Extrnl counterpulse, 0.07 2.93 0.03

0.01

3.01 0.11

XXX per tx. G0167.............. .............. C

Hyperbaric oz tx;no

0.00 0.00 0.00

0.00

0.00 0.00

XXX md reqrd. G0168.............. .............. A

Wound closure by

0.45 2.03 0.16

0.01

2.49 0.62

000 adhesive. G0179.............. .............. A

MD recertification

0.45 1.09

N/A

0.01

1.55

N/A

XXX HHA PT. G0180.............. .............. A

MD certification HHA 0.67 1.32

N/A

0.02

2.01

N/A

XXX patient. G0181.............. .............. A

Home health care

1.73 1.56

N/A

0.06

3.35

N/A

XXX supervision. G0182.............. .............. A

Hospice care

1.73 1.75

N/A

0.06

3.54

N/A

XXX supervision. G0186.............. .............. C

Dstry eye lesn,fdr

0.00 0.00 0.00

0.00

0.00 0.00

YYY vssl tech. G0202.............. .............. A

Screeningmammography 0.70 2.78

N/A

0.09

3.57

N/A

XXX digital. G0202.............. 26............ A

Screeningmammography 0.70 0.23 0.23

0.03

0.96 0.96

XXX digital. G0202.............. TC............ A

Screeningmammography 0.00 2.54

N/A

0.06

2.60

N/A

XXX digital. G0204.............. .............. A

Diagnosticmammograph 0.87 2.80

N/A

0.10

3.77

N/A

XXX ydigital. G0204.............. 26............ A

Diagnosticmammograph 0.87 0.29 0.29

0.04

1.20 1.20

XXX ydigital. G0204.............. TC............ A

Diagnosticmammograph 0.00 2.50

N/A

0.06

2.56

N/A

XXX ydigital. G0206.............. .............. A

Diagnosticmammograph 0.70 2.26

N/A

0.09

3.05

N/A

XXX ydigital. G0206.............. 26............ A

Diagnosticmammograph 0.70 0.23 0.23

0.04

0.97 0.97

XXX ydigital. G0206.............. TC............ A

Diagnosticmammograph 0.00 2.02

N/A

0.05

2.07

N/A

XXX ydigital. G0210.............. .............. C

PET img wholebody

0.00 0.00 0.00

0.00

0.00 0.00

XXX dxlung. G0210.............. 26............ A

PET img wholebody

1.50 0.52 0.52

0.04

2.06 2.06

XXX dxlung. G0210.............. TC............ C

PET img wholebody

0.00 0.00 0.00

0.00

0.00 0.00

XXX dxlung. G0211.............. .............. C

PET img wholbody

0.00 0.00 0.00

0.00

0.00 0.00

XXX init lung.

[[Page 49254]]

G0211.............. 26............ A

PET img wholbody

1.50 0.52 0.52

0.04

2.06 2.06

XXX init lung. G0211.............. TC............ C

PET img wholbody

0.00 0.00 0.00

0.00

0.00 0.00

XXX init lung. G0212.............. .............. C

PET img wholebod

0.00 0.00 0.00

0.00

0.00 0.00

XXX restag lung. G0212.............. 26............ A

PET img wholebod

1.50 0.53 0.53

0.04

2.07 2.07

XXX restag lung. G0212.............. TC............ C

PET img wholebod

0.00 0.00 0.00

0.00

0.00 0.00

XXX restag lung. G0213.............. .............. C

PET img wholbody dx. 0.00 0.00 0.00

0.00

0.00 0.00

XXX G0213.............. 26............ A

PET img wholbody dx. 1.50 0.52 0.52

0.04

2.06 2.06

XXX G0213.............. TC............ C

PET img wholbody dx. 0.00 0.00 0.00

0.00

0.00 0.00

XXX G0214.............. .............. C

PET img wholebod

0.00 0.00 0.00

0.00

0.00 0.00

XXX init. G0214.............. 26............ A

PET img wholebod

1.50 0.52 0.52

0.04

2.06 2.06

XXX init. G0214.............. TC............ C

PET img wholebod

0.00 0.00 0.00

0.00

0.00 0.00

XXX init. G0215.............. .............. C

PETimg wholebod

0.00 0.00 0.00

0.00

0.00 0.00

XXX restag. G0215.............. 26............ A

PETimg wholebod

1.50 0.53 0.53

0.04

2.07 2.07

XXX restag. G0215.............. TC............ C

PETimg wholebod

0.00 0.00 0.00

0.00

0.00 0.00

XXX restag. G0216.............. .............. C

PET img wholebod dx

0.00 0.00 0.00

0.00

0.00 0.00

XXX melanoma. G0216.............. 26............ A

PET img wholebod dx

1.50 0.52 0.52

0.04

2.06 2.06

XXX melanoma. G0216.............. TC............ C

PET img wholebod dx

0.00 0.00 0.00

0.00

0.00 0.00

XXX melanoma. G0217.............. .............. C

PET img wholebod

0.00 0.00 0.00

0.00

0.00 0.00

XXX init melan. G0217.............. 26............ A

PET img wholebod

1.50 0.53 0.53

0.04

2.07 2.07

XXX init melan. G0217.............. TC............ C

PET img wholebod

0.00 0.00 0.00

0.00

0.00 0.00

XXX init melan. G0218.............. .............. C

PET img wholebod

0.00 0.00 0.00

0.00

0.00 0.00

XXX restag mela. G0218.............. 26............ A

PET img wholebod

1.50 0.53 0.53

0.04

2.07 2.07

XXX restag mela. G0218.............. TC............ C

PET img wholebod

0.00 0.00 0.00

0.00

0.00 0.00

XXX restag mela. G0220.............. .............. C

PET img wholebod dx

0.00 0.00 0.00

0.00

0.00 0.00

XXX lymphoma. G0220.............. 26............ A

PET img wholebod dx

1.50 0.52 0.52

0.04

2.06 2.06

XXX lymphoma. G0220.............. TC............ C

PET img wholebod dx

0.00 0.00 0.00

0.00

0.00 0.00

XXX lymphoma. G0221.............. .............. C

PET imag wholbod

0.00 0.00 0.00

0.00

0.00 0.00

XXX init lympho. G0221.............. 26............ A

PET imag wholbod

1.50 0.52 0.52

0.04

2.06 2.06

XXX init lympho. G0221.............. TC............ C

PET imag wholbod

0.00 0.00 0.00

0.00

0.00 0.00

XXX init lympho. G0222.............. .............. C

PET imag wholbod

0.00 0.00 0.00

0.00

0.00 0.00

XXX resta lymph. G0222.............. 26............ A

PET imag wholbod

1.50 0.53 0.53

0.04

2.07 2.07

XXX resta lymph. G0222.............. TC............ C

PET imag wholbod

0.00 0.00 0.00

0.00

0.00 0.00

XXX resta lymph. G0223.............. .............. C

PET imag wholbod reg 0.00 0.00 0.00

0.00

0.00 0.00

XXX dx head. G0223.............. 26............ A

PET imag wholbod reg 1.50 0.53 0.53

0.04

2.07 2.07

XXX dx head. G0223.............. TC............ C

PET imag wholbod reg 0.00 0.00 0.00

0.00

0.00 0.00

XXX dx head. G0224.............. .............. C

PET imag wholbod reg 0.00 0.00 0.00

0.00

0.00 0.00

XXX ini hea. G0224.............. 26............ A

PET imag wholbod reg 1.50 0.52 0.52

0.04

2.06 2.06

XXX ini hea.

[[Page 49255]]

G0224.............. TC............ C

PET imag wholbod reg 0.00 0.00 0.00

0.00

0.00 0.00

XXX ini hea. G0225.............. .............. C

PET whol restag

0.00 0.00 0.00

0.00

0.00 0.00

XXX headneckonly. G0225.............. 26............ A

PET whol restag

1.50 0.53 0.53

0.04

2.07 2.07

XXX headneckonly. G0225.............. TC............ C

PET whol restag

0.00 0.00 0.00

0.00

0.00 0.00

XXX headneckonly. G0226.............. .............. C

PET img wholbody dx

0.00 0.00 0.00

0.00

0.00 0.00

XXX esophagl. G0226.............. 26............ A

PET img wholbody dx

1.50 0.54 0.54

0.04

2.08 2.08

XXX esophagl. G0226.............. TC............ C

PET img wholbody dx

0.00 0.00 0.00

0.00

0.00 0.00

XXX esophagl. G0227.............. .............. C

PET img wholbod ini

0.00 0.00 0.00

0.00

0.00 0.00

XXX esophage. G0227.............. 26............ A

PET img wholbod ini

1.50 0.54 0.54

0.04

2.08 2.08

XXX esophage. G0227.............. TC............ C

PET img wholbod ini

0.00 0.00 0.00

0.00

0.00 0.00

XXX esophage. G0228.............. .............. C

PET img wholbod

0.00 0.00 0.00

0.00

0.00 0.00

XXX restg esopha. G0228.............. 26............ A

PET img wholbod

1.50 0.53 0.53

0.04

2.07 2.07

XXX restg esopha. G0228.............. TC............ C

PET img wholbod

0.00 0.00 0.00

0.00

0.00 0.00

XXX restg esopha. G0229.............. .............. C

PET img metaboloc

0.00 0.00 0.00

0.00

0.00 0.00

XXX brain pres. G0229.............. 26............ A

PET img metaboloc

1.50 0.53 0.53

0.04

2.07 2.07

XXX brain pres. G0229.............. TC............ C

PET img metaboloc

0.00 0.00 0.00

0.00

0.00 0.00

XXX brain pres. G0230.............. .............. C

PET myocard

0.00 0.00 0.00

0.00

0.00 0.00

XXX viability post. G0230.............. 26............ A

PET myocard

1.50 0.55 0.55

0.04

2.09 2.09

XXX viability post. G0230.............. TC............ C

PET myocard

0.00 0.00 0.00

0.00

0.00 0.00

XXX viability post. G0231.............. .............. C

PET WhBD colorec;

0.00 0.00 0.00

0.00

0.00 0.00

XXX gamma cam. G0231.............. 26............ A

PET WhBD colorec;

1.50 0.53 0.53

0.04

2.07 2.07

XXX gamma cam. G0231.............. TC............ C

PET WhBD colorec;

0.00 0.00 0.00

0.00

0.00 0.00

XXX gamma cam. G0232.............. .............. C

PET whbd lymphoma;

0.00 0.00 0.00

0.00

0.00 0.00

XXX gamma cam. G0232.............. 26............ A

PET whbd lymphoma;

1.50 0.53 0.53

0.04

2.07 2.07

XXX gamma cam. G0232.............. TC............ C

PET whbd lymphoma;

0.00 0.00 0.00

0.00

0.00 0.00

XXX gamma cam. G0233.............. .............. C

PET whbd melanoma;

0.00 0.00 0.00

0.00

0.00 0.00

XXX gamma cam. G0233.............. 26............ A

PET whbd melanoma;

1.50 0.53 0.53

0.04

2.07 2.07

XXX gamma cam. G0233.............. TC............ C

PET whbd melanoma;

0.00 0.00 0.00

0.00

0.00 0.00

XXX gamma cam. G0234.............. .............. C

PET WhBD pulm nod;

0.00 0.00 0.00

0.00

0.00 0.00

XXX gamma cam. G0234.............. 26............ A

PET WhBD pulm nod;

1.50 0.53 0.53

0.04

2.07 2.07

XXX gamma cam. G0234.............. TC............ C

PET WhBD pulm nod;

0.00 0.00 0.00

0.00

0.00 0.00

XXX gamma cam. G0236.............. .............. A

Digital film convert 0.06 0.44

N/A

0.02

0.52

N/A

ZZZ diag ma. G0236.............. 26............ A

Digital film convert 0.06 0.02 0.02

0.01

0.09 0.09

ZZZ diag ma. G0236.............. TC............ A

Digital film convert 0.00 0.42

N/A

0.01

0.43

N/A

ZZZ diag ma.

[[Page 49256]]

G0237.............. .............. A

Therapeutic procd

0.00 0.47

N/A

0.02

0.49

N/A

XXX strg endur. G0238.............. .............. C

Oth resp proc, indiv 0.00 0.00 0.00

0.00

0.00 0.00

XXX G0239.............. .............. C

Oth resp proc, group 0.00 0.00 0.00

0.00

0.00 0.00

XXX G0245.............. .............. R

Initial foot exam pt 0.88 0.81 0.32

0.05

1.74 1.25

XXX lops. G0246.............. .............. R

Followup eval of

0.45 0.56 0.16

0.02

1.03 0.63

XXX foot pt lop. G0247.............. .............. R

Routine footcare pt

0.50 0.54 0.21

0.05

1.09 0.76

ZZZ w lops. G0248.............. .............. R

Demonstrate use home 0.00 6.92

N/A

0.01

6.93

N/A

XXX inr mon. G0249.............. .............. R

Provide test

0.00 4.12

N/A

0.01

4.13

N/A

XXX material,equipm. G0250.............. .............. R

MD review interpret

0.18 0.06 0.06

0.01

0.25 0.25

XXX of test. G0252.............. 26............ N

PET imaging initial

1.50 0.58 0.58

0.04

2.12 2.12

XXX dx. G0253.............. .............. C

PET image brst

0.00 0.00 0.00

0.00

0.00 0.00

XXX dection recur. G0253.............. 26............ A

PET image brst

1.87 0.72 0.72

0.07

2.66 2.66

XXX dection recur. G0253.............. TC............ C

PET image brst

0.00 0.00 0.00

0.00

0.00 0.00

XXX dection recur. G0254.............. .............. C

PET image brst eval

0.00 0.00 0.00

0.00

0.00 0.00

XXX to tx. G0254.............. 26............ A

PET image brst eval

1.87 0.72 0.72

0.07

2.66 2.66

XXX to tx. G0254.............. TC............ C

PET image brst eval

0.00 0.00 0.00

0.00

0.00 0.00

XXX to tx. G0262.............. .............. A

Sm intestinal image

2.12 20.88

N/A

0.08 23.08

N/A

XXX capsule. G0262.............. 26............ A

Sm intestinal image

2.12 0.82 0.82

0.02

2.96 2.96

XXX capsule. G0262.............. TC............ A

Sm intestinal image

0.00 20.06

N/A

0.06 20.12

N/A

XXX capsule. G0268.............. .............. A

Removal of impacted

0.61 0.66 0.25

0.04

1.31 0.90

000 wax md. G0270.............. .............. A

MNT subs tx for

0.00 0.47

N/A

0.01

0.48

N/A

XXX change dx. G0271.............. .............. A

Group MNT 2 or more

0.00 0.18

N/A

0.01

0.19

N/A

XXX 30 mins. G0272.............. .............. A

Naso/oro gastric

0.32

N/A 0.12

0.02

N/A 0.46

000 tube pl MD. G0273.............. .............. A

Pretx planning, non- 0.86 11.40

N/A

0.28 12.54

N/A

XXX Hodgkins. G0273.............. 26............ A

Pretx planning, non- 0.86 0.33 0.33

0.03

1.22 1.22

XXX Hodgkins. G0273.............. TC............ A

Pretx planning, non- 0.00 11.06

N/A

0.25 11.31

N/A

XXX Hodgkins. G0274.............. .............. A

Radiopharm tx, non-

2.07 3.42

N/A

0.20

5.69

N/A

XXX Hodgkins. G0274.............. 26............ A

Radiopharm tx, non-

2.07 0.80 0.80

0.08

2.95 2.95

XXX Hodgkins. G0274.............. TC............ A

Radiopharm tx, non-

0.00 2.62

N/A

0.12

2.74

N/A

XXX Hodgkins. G0275.............. .............. A

Renal angio, cardiac 0.25

N/A 0.10

0.01

N/A 0.36

ZZZ cath. G0278.............. .............. A

Iliac art

0.25

N/A 0.10

0.01

N/A 0.36

ZZZ angio,cardiac cath. G0279.............. .............. C

Excorp shock tx,

0.00 0.00 0.00

0.00

0.00 0.00

XXX elbow epi. G0280.............. .............. C

Excorp shock tx

0.00 0.00 0.00

0.00

0.00 0.00

XXX other than. G0281.............. .............. A

Elec stim unattend

0.18 0.11

N/A

0.01

0.30

N/A

XXX for press. G0283.............. .............. A

Elec stim other than 0.18 0.11

N/A

0.01

0.30

N/A

XXX wound. G0288.............. .............. A

Recon, CTA for surg

0.00 10.62

N/A

0.15 10.77

N/A

XXX plan. G0289.............. .............. A

Arthro, loose body + 1.48

N/A 0.57

0.27

N/A 2.32

ZZZ chondro. Gxx10.............. .............. A

ESRDrelsvc 1/mo; 2-

2.32 1.14 1.14

0.10

3.56 3.56

XXX 11yr. Gxx11.............. .............. A

ESRDrelsvc 4+/mo; 12- 8.47 4.54 4.54

0.35 13.36 13.36

XXX 19yr. Gxx12.............. .............. A

ESRDrelsvc 2-3/mo;

3.14 1.68 1.68

0.13

4.95 4.95

XXX 12-19yr. Gxx13.............. .............. A

ESRDrelsvc 1/mo; 12- 2.05 1.10 1.10

0.08

3.23 3.23

XXX 19yr.

[[Page 49257]]

Gxx14.............. .............. A

ESRDrelsvc 4+/mo;

5.16 2.94 2.94

0.22

8.32 8.32

XXX 20+yr. Gxx15.............. .............. A

ESRDrelsvc 2-3/mo;

1.94 1.10 1.10

0.08

3.12 3.12

XXX 20+yr. Gxx16.............. .............. A

ESRDrelsvc 1/mo;

1.27 0.73 0.73

0.06

2.06 2.06

XXX 20+yr. Gxxx1.............. .............. A

Monitor arrhyth/

0.52 7.45

N/A

0.24

8.21

N/A

XXX 30day. Gxxx2.............. .............. A

Monitor arrhyth/

0.00 1.24

N/A

0.07

1.31

N/A

XXX 30day;rec. Gxxx3.............. .............. A

Monitor arrhyth/

0.00 6.02

N/A

0.15

6.17

N/A

XXX 30day;analy. Gxxx4.............. .............. A

Monitor arrhyth/

0.52 0.19 0.19

0.02

0.73 0.73

XXX 30day;interp. Gxxx5.............. .............. A

ESRDrelsvc 4+/mo;

12.92 8.70 8.70

0.60 22.22 22.22

XXX undr2. Gxxx6.............. .............. A

ESRDrelsvc 2-3/mo;

5.19 3.49 3.49

0.24

8.92 8.92

XXX undr2. Gxxx7.............. .............. A

ESRDrelsvc 1/mo;

3.39 2.29 2.29

0.16

5.84 5.84

XXX undr2. Gxxx8.............. .............. A

ESRDrelsvc 4+/mo; 2- 9.91 4.86 4.86

0.43 15.20 15.20

XXX 11yr. Gxxx9.............. .............. A

ESRDrelsvc 2-3/mo; 2- 3.55 1.74 1.74

0.15

5.44 5.44

XXX 11yr. M0064.............. .............. A

Visit for drug

0.37 0.34 0.12

0.01

0.72 0.50

XXX monitoring. P3001.............. .............. A

Screening pap smear

0.42 0.18 0.18

0.01

0.61 0.61

XXX by phys. Q0035.............. .............. A

Cardiokymography.... 0.17 0.45

N/A

0.03

0.65

N/A

XXX Q0035.............. 26............ A

Cardiokymography.... 0.17 0.07 0.07

0.01

0.25 0.25

XXX Q0035.............. TC............ A

Cardiokymography.... 0.00 0.39

N/A

0.02

0.41

N/A

XXX Q0091.............. .............. A

Obtaining screen pap 0.37 0.68 0.14

0.01

1.06 0.52

XXX smear. Q0092.............. .............. A

Set up port xray

0.00 0.32

N/A

0.01

0.33

N/A

XXX equipment. R0070.............. .............. C

Transport portable x- 0.00 0.00 0.00

0.00

0.00 0.00

XXX ray. R0075.............. .............. C

Transport port x-ray 0.00 0.00 0.00

0.00

0.00 0.00

XXX multipl. V5299.............. .............. R

Hearing service..... 0.00 0.00 0.00

0.00

0.00 0.00

XXX V5362.............. .............. R

Speech screening.... 0.00 0.00 0.00

0.00

0.00 0.00

XXX V5363.............. .............. R

Language screening.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX V5364.............. .............. R

Dysphagia screening. 0.00 0.00 0.00

0.00

0.00 0.00 XXX

\1\ CPT codes and descriptions only are copyright American Medical Association. All Right Reserved. Applicable FARS/DFARS Apply. \2\ Copyright American Dental Association. All right reserved.

[[Page 49257]]

BILLING CODE 4120-01-P

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

[[pp. 49279-49300]] Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004

[[Continued from page 49278]]

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

BILLING CODE 4120-01-C

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