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

[Federal Register: November 7, 2003 (Volume 68, Number 216)]

[Rules and Regulations]

[Page 63195-63395]

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

[DOCID:fr07no03-11]

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Part II

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; Final Rule

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 410 and 414

[CMS-1476-FC]

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: Final rule with comment period.

SUMMARY: This final rule will 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. In addition, this rule updates the codes subject to the physician self-referral prohibition. We also make revisions to the sustainable growth rate and the anesthesia conversion factor.

These changes will ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services.

We are also finalizing the calendar year (CY) 2003 interim RVUs and are issuing interim RVUs for new and revised procedure codes for CY 2004.

As required by the statute, we are announcing that the physician fee schedule update for CY 2004 is -4.5 percent, the initial estimate of the sustainable growth rate for CY 2004 is 7.4 percent, and the conversion factor for CY 2004 is $35.1339.

We published a proposed rule (68 FR 50428) in the Federal Register on Part B drug payment reform on August 20, 2003. This proposed rule would also make changes to Medicare payment for furnishing or administering certain drugs and biologicals. We have not finalized these proposals to take into account that the Congress is considering legislation that would address these issues. We will continue to monitor legislative activity that would reform the Medicare Part B drug payment system. If legislation is not enacted soon on this issue, we remain committed to completing the regulatory process.

DATES: Effective date: These regulations are effective on January 1, 2004.

Comment date: We will consider comments on the physician self- referral designated health services additions and deletions identified in Tables 8 and 9, and the interim work RVUs for selected procedure codes identified in Addendum C if we receive them at the appropriate address, as provided in the addresses section, no later than 5 p.m. on January 6, 2004.

ADDRESSES: In commenting, please refer to file code CMS-1476-FC. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. 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-FC, 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 21244-8013.

(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 if you wish to retain 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:

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

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).)

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

Joanne Sinsheimer, (410) 786-4620 (for issues related to updates to the list of certain services subject to the physician self-referral prohibitions).

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

SUPPLEMENTARY INFORMATION:

Copies: To order copies of the Federal Register containing this document, send your request to: New Orders, Superintendent of Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954. Specify the date of the issue requested and enclose a check or money order payable to the Superintendent of Documents, or enclose your Visa or Master Card number and expiration date. Credit card orders can also be placed by calling the order desk at (202) 512-1800 or by faxing to (202) 512- 2250. The cost for each copy is $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 .

Accessing Physician Fee Schedule Web Site and Pricing Information

Information on the physician fee schedule and pricing files can be found on our homepage. You can access this data by typing the following: http://cms.hhs.gov/physicians/pfs or 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. Scroll down and under ``Payment/Billing'' select ``Physician Fee Schedule'.

The Physician Fee Schedule pricing information is contained in two public use files.

(1) National Physician Fee Schedule Relative Value File--This file contains all CPT/HCPCS (excluding codes beginning with B, E, L, K, and O), their short descriptions and a status indicator, which denotes whether or not the service is priced under the physician fee schedule. The file also contains the components used in the calculation of the annual pricing amount (that is., the RVUs, GPCIs, and

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conversion factor), anesthesia conversion factors, and the payment policy indicators used to price the claims with surgical modifiers. This file does not contain the calculated pricing amounts.

(2) Physician Fee Schedule Payment Amount File National/Carrier-- This file contains the CPT code and the Medicare price for all services priced under the Physician Fee Schedule. These data can be downloaded for (a) the entire country, or (b) for a selected carrier (in most cases carriers correlate with states). There is no option of requesting data for selected HCPCS codes. The zip file, which is downloaded, contains a file named PF04pc.doc, which explains the data contained in each column. This file also contains a description of pricing localities used in the Physician Fee Schedule. Due to the size of the national file (as well as many of the carrier-specific files), these data are provided in a comma-delimited format, which can be used to populate database applications. Generally speaking, these data are too large for Excel, however if a carrier specific file has 3 or fewer localities, Excel can be used.

Another file that providers may find useful is the Zipcode to Carrier Locality File. This file will map ZIP Codes to CMS carriers and localities and map Zip Codes to their State and determine whether the ZIP Code has a rural designation as determined by CMS. You can access this file by typing the following: http://cms.hhs.gov/providers/pufdownload/default.asp#alphanu or 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. Scroll down and under ``Payment/Billing'' select ``Medicare Payment Systems.''

4. Scroll down and under Coding Files select ``Zipcode to Carrier Locality File.''

Table of Contents

I. Background

A. Legislative History

B. Published Changes to the Fee Schedule II. Specific Provisions for Calendar Year 2004

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

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

C. Status of Anesthesia Work and 5-Year Review

D. Payment Policies for Anesthesia Services

E. Technical Correction

F. Publication Issues IV. Refinement of Relative Value Units for Calendar Year 2004 and Response to Public Comments on Interim Relative Value Units for 2003 V. Update to the Codes for Physician Self-Referral Prohibition VI. Physician Fee Schedule Update for Calendar Year 2004 VII. Allowed Expenditures for Physicians' Services and the Sustainable Growth Rate VIII. Anesthesia and Physician Fee Schedule Conversion Factors for CY 2004 IX. Telehealth Originating Site Facility Fee Payment Amount Update X. Provisions of the Final Rule XI. Collection of Information Requirements XII. Response to Comments XIII. 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 with Interim RVUs Addendum D--2004 Geographic Practice Cost Indices by Medicare Carrier and Locality Addendum E--2005 Geographic Practice Cost Indices by Medicare Carrier and Locality Addendum F--Updated List of CPT/HCPCS Codes Used to Describe Certain Designated Health Services Under the Physician Self-Referral Provision

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 APC Ambulatory Payment Classification BBA Balanced Budget Act of 1997 BBRA Balanced Budget Refinement Act of 1999 BIPA Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 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 DHHS Department of Health and Human Services E/M Evaluation and management ESRD End-Stage Renal Disease GAF Geographic adjustment factor GPCI Geographic practice cost index HCPCS Healthcare Common Procedure Coding System HHA Home health agency 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 OMB Office of Management and Budget PC Professional component PEAC Practice Expense Advisory Committee PPO Preferred Provider Organization PPS Prospective payment system PRA Paperwork Reduction Act of 1995 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 (SGR) 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) that are 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

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$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 Physicians' Current Procedural Terminology (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; annual glaucoma screenings for high-risk beneficiaries; coverage for medical nutrition therapy services for certain beneficiaries; expanded payment for telehealth services; payment for certain Indian Health Service for some services under the physician fee schedule; and revision of 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 SGR, the anesthesia conversion factor (CF), and the work values for some gastroenterologic services. We finalized the calendar year (CY) 2002 interim RVUs and assigned interim RVUs for new and revised procedure codes for 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 Sec. 485.618 to allow registered nurses (RNs) to provide 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 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 and 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.

C. Components of the Fee Schedule Payment Amounts

Under the formula set forth in section 1848(b)(1) of the Act, the payment amount for each service paid under the physician fee schedule is the product of three factors--(1) a nationally uniform relative value for the service; (2) a geographic adjustment factor (GAF) for each physician fee schedule area; and (3) a nationally uniform conversion factor (CF) for the service. The CF converts the relative values into payment amounts.

For each physician fee schedule service, there are three relative values--(1) an RVU for physician work; (2) an RVU for practice expense; and (3) an RVU for malpractice expense. For each of these components of the fee schedule, there is a geographic practice cost index (GPCI) for each fee schedule area. The GPCIs reflect the relative costs of practice expenses, malpractice insurance, and physician work in an area compared to the national average for each component.

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

Payment = [(RVU work x GPCI work) + (RVU practice expense x GPCI practice expense) + (RVU malpractice x GPCI malpractice)] x CF

The CF for CY 2004 appears in section IX. The RVUs for CY 2004 are in Addendum B. The GPCIs for CY 2004 can be found in Addendum D.

Section 1848(e) of the Act requires us to develop GAFs for all physician fee schedule areas. The total GAF for a fee schedule area is equal to a weighted average of the individual GPCIs for each of the three components of the service. In accordance with the statute, however, the GAF for the physician's work reflects one-quarter of the relative cost of physician's work compared to the national average.

D. Development of the Relative Value System

1. Work Relative Value Units (RVUs)

Approximately 7,500 codes represent services included in the physician fee schedule. The work RVUs established for the implementation of the fee schedule in January 1992 were developed with extensive input from the physician community. A research team at the Harvard School of Public Health developed the original work RVUs for most codes in a cooperative agreement with us. In constructing the vignettes for the original RVUs, Harvard worked with expert panels of physicians and obtained input from physicians from numerous specialties.

The RVUs for radiology services were based on the American College of Radiology (ACR) relative value scale,

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which we integrated into the overall physician fee schedule. The RVUs for anesthesia services were based on RVUs from a uniform relative value guide. We established a separate CF for anesthesia services, and we continue to recognize time as a factor in determining payment for these services. As a result, there is a separate payment system for anesthesia services. 2. Practice Expense and Malpractice Expense Relative Value Units

Section 1848(c)(2)(C) of the Act required that the practice expense and malpractice expense RVUS equal the product of the base allowed charges and the practice expense and malpractice percentages for the service. Base allowed charges are defined as the national average allowed charges for the service furnished during 1991, as estimated using the most recent data available. For most services, we used 1989 charge data aged to reflect the 1991 payment rules, since those were the most recent data available for the 1992 fee schedule.

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 service. As amended by the BBA, section 1848(c) required the new payment methodology to be phased in over 4 years, effective for services furnished in 1999, with resource-based practice expense RVUs becoming fully effective in 2002. The BBA also required us to implement resource-based malpractice RVUs for services furnished beginning in 2000.

II. Specific Provisions for Calendar Year 2004

In response to the publication of the August 15, 2003 proposed rule, (68 FR 49030), and the December 2002 interim final rule, (67 FR 79966), we received approximately 2,433 comments. We received comments from individual physicians, health care workers, and professional associations and societies. The majority of comments addressed the physician fee schedule proposals related to the dialysis G codes, ``incident to'' therapy services, and the geographic practice cost indices locality payment discussion issue.

The proposed rule discussed policies that affected the RVUs on which payment for certain services would be based. Certain changes implemented through this final rule are subject to the $20 million limitation on annual adjustments contained in section 1848(c)(2)(B)(ii)(II) of the Act.

After reviewing the comments and determining the policies we would implement, we have estimated the costs and savings of these policies and added those costs and savings to the estimated costs associated with any other changes in RVUs for 2004. We discuss in detail the effects of these changes in the Regulatory Impact Analysis in section XIII.

For the convenience of the reader, the headings for the policy issues correspond to the headings used in the August 15, 2003 proposed rule. More detailed background information for each issue can be found in the December 2002 interim final rule with comment period and the August 2003 proposed rule.

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)(B)(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)(B)(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

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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) Nonphysician 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 nonphysician 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 interim measure to allocate the direct practice expense cost pool for radiology specialties to the most appropriate SMS specialty. (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. Nonphysician Workpool

The nonphysician work pool is a special methodology that we used to determine practice expense RVUs for many services that do not have physician work RVUs. While the nonphysician work pool is of benefit to many of the services that were originally included, we have allowed specialties to request that their services be removed from the pool. Because the nonphysician work pool includes a variety of services performed by many different specialties, we use the ``all physician'' average practice expense per hour in place of a specialty-specific practice expense per hour.

As discussed in the August 15, 2003 proposed rule, we are continuing to study the alternatives that are available and any modifications to the nonphysician workpool would be published in proposed rulemaking.

Comment: Several specialty societies expressed support for the ongoing study of this complex issue and appreciate that any modifications to the nonphysician workpool would be published as proposed rulemaking for review and comment prior to implementation. A biopharmaceutical company commented that we should move forward to develop a new methodology that better recognizes actual resource consumption so that we can develop a preferable alternative.

Response: We are appreciative of the support and will continue to study this issue.

b. Supplemental Practice Expense Survey Data

i. Survey Criteria and Submission Dates

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. 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 proposed to change the required submission date to March 1, which would allow us to publish our decisions regarding survey data in the proposed rule and provide an opportunity for public comment on survey results. We also proposed 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 would be March 1, 2004 and March 1, 2005, respectively.

Comment: Specialty societies expressed appreciation for our proposal to extend the deadline for submission of surveys. Commenters also approved of our proposal to change the due date for submission of supplemental practice expense survey data to March 1, so that the implications of the use of the survey data could be discussed in the proposed rule.

Response: We will implement the change in the submission dates for supplementary surveys as proposed. The deadline for submission of the supplemental data to be considered in CY 2005 and CY 2006 would be March 1, 2004 and March 1, 2005, respectively. We will revise Sec. 414.22(b)(6)(ii) to reflect this change.

ii. Submission of Supplemental Surveys

The College of American Pathologists (CAP) submitted supplemental survey data for independent laboratories for consideration for CY 2004. Our contractor, The Lewin Group, evaluated the data and has recommended acceptance.

Comment: Based on our proposal to revise the date for submission of supplemental survey data, CAP requested that we delay incorporation of this survey data until next year's proposed rule. CAP also expressed an interest in being able to evaluate the combined effects of the use of the new survey data along with the technical change for pathology services before the changes are implemented. Therefore, CAP requested that we also extend the moratorium on calculating the technical component as the difference between the global and professional component practice expense RVUs by one additional year, as discussed in the August 15, 2003 proposed rule. This request for a delay in incorporating the new survey data, as well as extending the moratorium was supported by the AMA and several specialty societies.

Response: We agree with the comments that suggest extending by one year the moratorium on calculating the technical component practice expense RVU as the difference between the global and professional component RVUs for pathology services. We also agree with comments suggesting that we not incorporate the CAP survey into the practice expense methodology until next year. We will evaluate the CAP

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survey in next year's proposed rule at the same time we show the effect of the above described change for pathology services.

c. Practice Expense for a professional component service

While we typically assign all staff, equipment and supply costs for services with professional and technical components (PC and TC) to the technical portion of the service, in the proposed rule we discussed limited instances where it is appropriate to assign direct inputs to a PC service. We proposed 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. Specifically we proposed 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.

Comment: The RUC, the AMA, the American College of Physicians and societies representing cardiologists, cardiac rhythm specialists, interventional radiologists, nuclear medicine, chest physicians, radiation oncologists, radiologists, endocrinologists and dermatologists expressed support for this change in methodology. Commenters were also in agreement with the specific CPT codes mentioned in the proposed rule, but requested that direct inputs also be added to the PC of CPT codes 93619, 93620 and 93642, which were reviewed at the January PEAC meeting. The RUC comment indicated that additional codes might be identified at future PEAC/RUC meetings.

Response: We will finalize the proposed assignment of direct practice expense to the proposed 14 cardiac services and will add the PEAC recommended inputs to the PC of CPT codes 93619, 93620 and 93642, as requested by the commenters.

d. 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 2003, we used the most recent complete year of utilization data to determine the practice expense RVUs. 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 August 15, 2003 rule we proposed 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. Since we will not have any utilization data at the time we first establish practice expense RVUs for a new code, we proposed 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.

Comment: The specialty societies representing internal medicine, rheumatology and pulmonary medicine supported our proposal to use 1997 through 2000 Medicare utilization data for all codes that were in existence at that time and to use specialty-specific Medicare utilization data for codes created after 2000 when utilization data first become available, using the ``all physician'' average when we do not have sufficient information to assign a given specialty. These commenters, as well as several others, suggested that the RUC and the specialty societies could 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. However, a specialty society representing gastroenterology expressed concern that we are moving forward with plans to shift the basis of our methodology for compiling data to a five-year basis. The commenter urged us to not make changes until extensive impact comparisons are conducted that can be evaluated by physician community.

Response: We will implement our proposal to use specialty-specific Medicare utilization data for codes created after 2000 at the first opportunity they become available to us. We will also 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. Information about the specialty we assign to a code that has no utilization data can be found in the utilization data files we make available on the CMS web site following final rule publication. With respect to the comment about shifting to a 5-year basis of utilization data for the practice expense methodology, we are making no change in policy for codes that existed in the 1997 to 2000 period. We are using only the later year utilization data for codes that have been created since that time. Any information from the RUC that could assist us in this process would be welcomed.

Comment: A specialty society representing colon and rectal surgeons agreed with our general utilization methodology, but disagreed that averaged 1997-2000 utilization data should be used for all codes that were not in existence for the entire period. The commenter argued that the frequency for these codes might be artificially low because the coding was new and that this may impact the relativity between new and old codes in the same family with similar inputs. The society suggested that any code that did not exist during the entire 1997-2000 period default to 2002 or most recent data.

Response: As we have explained, the Medicare utilization is important to the practice expense methodology because it determines which specialty scaling factors will be applied to the estimated practice expense input values in determining the practice expense RVUs for each service. The proportion of the volume billed by each specialty is more important to determining the practice expense RVU for a given service than the total volume. If the code is low in volume but the proportion of the code's volume billed by each specialty is generally consistent over time, there will be little or no difference in a code's practice expense RVUs, whether we use its initial year of utilization or a later year to determine its value.

Comment: Commenters representing dermatology as well as a pharmaceutical company expressed concern regarding the decrease in payment for photodynamic therapy, CPT code 95657. The commenters noted our discussion in the proposed rule indicating that this reduction in the practice expense RVUs is occurring because of updates to the Medicare utilization data used in the practice expense methodology. As a result of the updated utilization data, the practice expense methodology now uses the dermatology scaling factor (0.54) for supplies instead of the all physician average (1.29), and this change leads to the reduction in payment for the code. The commenters urged us to reconsider the proposal and at least to reinstate physicians' ability to bill separately in 2004 for the light-activating agent under the appropriate J code and also to remove the drug from the practice expense portion of the procedure.

Response: One of the functions of the utilization data in our practice expense methodology is to assign all procedures to the specialty-specific cost pools of the

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specialty or specialties performing them. Each cost pool has its own scaling factor. This scaling factor is used to scale the aggregate CPEP procedure-level costs for a specialty to the aggregate costs for the same specialty as determined by the SMS practice expense data. As we indicated in the proposed rule, we do not have utilization data upon which to determine the practice expense RVUs for a new code at the time it is created. As a default, we have assigned many new codes the ``all physician'' scaling factor until we have the data to move these codes into the appropriate specialty cost pools. Because it allows us to apply the appropriate specialty scaling factor, the use of the updated utilization data in the practice expense methodology can lead to increases or decreases in the value of a code, even though its practice expenses remain unchanged. In this case, the supplies scaling factor for dermatology is lower than that for ``all physicians,'' leading to a decrease in practice expense RVUs when the dermatology scaling factor was applied to the CPEP data of the photodynamic therapy service.

We believe the initial practice RVUs for photodynamic therapy were too high, because the later information on Medicare utilization indicates that we should have used the dermatology scaling factor which would have produced a lower practice expense value. As we indicate above, we are working to minimize changes that will occur in the practice expense RVUs for a service by making an initial assumption about which specialty will likely bill us for a service. However, we believe our policy for new codes should be consistent with how we determine the practice expense RVUs for existing codes, even if updates to the Medicare utilization data lead to increases or decreases in the practice expense RVUs.

Though we believe that it is appropriate to use the updated utilization that results in a reduction in payment for CPT code 96567, we will pay separately for the light activating agent beginning January 1, 2004. However, we are also further considering whether Medicare should pay separately for certain topical drugs in certain circumstances. Any change in policy would be discussed in future rulemaking.

Comment: Specialty societies representing radiation oncology, as well as individual commenters, expressed concern about the decrease in payment for the intensity modulated radiation therapy (IMRT) treatment service, CPT code 77418. The commenters stated that this was due to a ``quirk'' in the utilization data relating to new codes and requested that this code be priced by the non-physician work pool methodology.

Response: We will calculate the practice expense RVUs for the IMRT treatment service, CPT code 77418, using the nonphysician workpool methodology. This will be consistent with the way we currently calculate the practice expense for all other radiation therapy services with no physician work RVUs.

Comment: The specialty society representing radiation oncology also noted that there was a reduction in the practice expense RVUs for the intensity modulated radiation therapy planning procedure, CPT code 77301. A remote cardiac monitoring service questioned why the use of new utilization data could decrease the value of a code such as HCPCS code G0249 for the provision of test material and equipment for home INR monitoring.

Response: Both CPT code 77301 and HCPCS code G0249 were new codes for which we did not have utilization data and which were initially assigned the ``all physician'' scaling factor. As described above, now that we have the utilization data, the services have been placed in the specialty-specific cost pools based on how the service is billed to Medicare, which have lower scaling factors than the ``all physician.'' This shift has led to the reduced practice expense RVUs for CPT code 77301. If we had placed this code in the radiation oncology cost pool to begin with, it would have had the reduced practice expense payments for the past two years as well. HCPCS code G0249 will actually have increased practice expense RVUs in 2004 due to the effect of the repricing of supplies.

Comment: We received one comment that questioned how updated utilization data could have such a huge and direct effect on specific codes. The commenter requested clarification from us on the workings of the utilization data within the practice expense methodology so that the public will understand how utilization data will affect new technologies in the future.

Response: As explained above, one of the functions of the utilization data in our practice expense methodology is to assign all procedures to the specialty-specific cost pools of the specialty or specialties performing them. If we do not know the specialty, we have used ``all physician'' scaling factors. The ``all physician'' scaling factors could be higher or lower than the specialty-specific scaling factor and produce different RVUs for the code. For instance, CPT code 77301-26 is a PC service that has no direct cost inputs. Thus, its practice expense RVUs are affected only by the indirect cost scaling factor. To develop the 2003 practice expense RVUs for this code, we adjusted indirect costs allocated to this code by the ``all physician'' indirect cost scaling factor of 0.57. However, for 2004, we have Medicare utilization data from 2002 for this procedure code. Radiation oncologists and radiologists respectively billed Medicare for 67 percent and 30 percent of the total volume of services provided to Medicare patients in 2002. The weighted average scaling factor for all the specialties that bill Medicare for this procedure code is 0.48. Since we are adjusting indirect costs by 0.48 instead of 0.57, the final practice expense value is lower.

e. Practice Expense Advisory Committee (PEAC)

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.

1. Recommendations on CPEP Inputs for 2003

In the December 31, 2002 proposed rule, we responded to the PEAC recommendations for the refinement to the CPEP direct practice expense inputs for over 1200 codes, including refinements to codes from almost every major specialty. In addition, the recommendations included standardized times for office-based clinical staff for services provided during a patient's hospitalization and for discharge day management services, as well as pre-service clinical staff times for 323 neurosurgery procedures. We reviewed and accepted all of the recommendations. We received the following comments on these revisions.

Comment: We received comments from specialty societies representing dermatology, dermatolgic surgery and Mohs surgery expressing concern regarding the decrease in practice expense RVUs for skin biopsy procedures, CPT codes 11100 and 11101 and the destruction of benign or premalignant lesion services, CPT codes 17000 and 17003. The commenters questioned whether the reductions reflect errors in the validated practice expense inputs used in the practice expense calculations.

Response: We have checked the practice expense inputs and found that these match the clinical staff, supply and equipment inputs as recommended by the RUC. The reduction in practice expense RVUs was caused by the

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refinement of these inputs, which, in turn, was based on the presentation made to the PEAC by the dermatology specialty society. We will, therefore, not make any further revisions to the practice expense inputs for these services in this final rule.

2. Recommendations on CPEP Inputs for 2004

In the August 15, 2003 proposed rule we included the PEAC recommendations from meetings held in September of 2002 and January 2003 as well as recommendations on the refinements to the clinical staff time for all 90-day global services. In addition, the PEAC convened a workgroup to make recommendations on the refinement of all the 116 remaining evaluation and management codes. We reviewed the submitted PEAC recommendations and proposed to accept them.

Comment: The American Osteopathic Association expressed appreciation that we supported the recommended changes for the osteopathic manipulative treatment codes and commended us for accepting the PEAC recommendations for the clinical staff times for 90-day global codes. The American College of Obstetricians and Gynecologists stated that our acceptance of the PEAC recommendations is an example of exceptional cooperation and collaboration in meeting the healthcare needs of Americans served by the Medicare program. The American Academy of Dermatology applauded our acceptance of the year's PEAC recommendations. The AMA and the American College of Radiology stated that they appreciate our recognition of the significant resources specialty societies have devoted to the practice expense refinement process and is thankful that our practice expense staff avail themselves of specialty society input. The American College of Surgeons also supported our acceptance of the PEAC recommendations, including the decision to permit exceptions to the standard pre-service times for some surgical procedures. The College other specialty societies also expressed appreciation for our commitment to the refinement process.

Response: We, in turn, are appreciative of these positive comments. We believe that it is only because of the cooperative working relationship between the specialty societies, the AMA and CMS that there has been such a high level of success in tackling practice expense refinement.

Comment: The American College of Physicians as well as other specialty societies representing surgeons, otolaryngologists, podiatrists, geriatric psychiatrists, obstetricians and gynecologists, cataract and refractive surgeons, neurosurgeons, dermatologists, rheumatologists, radiologists and radiation oncologists supported our inclusion of the PEAC recommendations in the proposed rule because this would better enable specialty societies to address their impact and make comments prior to publication of the final rule.

However, specialty societies representing chest physicians and thoracic physicians disagreed with our decision to change our previous practice of including the PEAC recommendations in the final, rather than the proposed rule, because this meant that the recommendations from the March PEAC meeting were not included for this year. The society argued that changing this long-standing policy without announcing it in the Federal Register is inappropriate. The comment also contended that the specialty societies agreed to the inputs at the PEAC meeting; therefore, negative comments would not be forthcoming.

Response: We discussed this issue at the January PEAC meeting and indicated that we were considering including the PEAC recommendations in the proposed rule and that the March recommendations would most likely not be included. We made this decision because, now that the PEAC is refining such a large number of codes, the revisions to the inputs were not only changing the practice expense RVUs of the refined codes, but also the values of services that were not refined. Therefore, we believed it was prudent that revisions be subject to comment before the revisions were implemented.

Comment: The specialty society representing podiatry identified some discrepancies between the PEAC recommendations and the inputs in the CPEP database for CPT codes 10060, 11000, 11055, 11056, 11057 and 11752 and requested that these be corrected.

Response: We have made the corrections as requested.

Comment: The American Society of Transplant Surgeons (ASTS) commented that it is not appropriate to apply either the PEAC-approved standard clinical staff times or RN/LPN/MTA staff blend for 90-day global procedures to the transplant recipient or living donor services. ASTS stated that it had been unaware that the PEAC was applying the standard to all 90-day services unless a case was made to the PEAC that the times should be increased. ASTS argued that there are substantial atypical staff times required for transplant recipients due, in large part, to the intensive education required for the transplant patient. The commenter noted that the three new CPT codes for living donor hepatectomies, CPT codes 47140-47142, were given increased pre-service clinical staff time by the RUC and have an RN as the staff type. ASTS requested that the current clinical staff times be retained and that an RN be assigned rather than the blended staff type to the following transplant services: CPT codes 32851, 32852, 32853, 32854, 33935, 33945, 47135, 47136, 48554, 48556, 50320, 50360, 50365, 50380, 50547.

Response: It does seem reasonable that at least some of these services would have increased pre-times as do the living donor hepatectomies recently reviewed by the RUC. Therefore, we will restore the original CPEP clinical staff pre-times and use the RN staff type for the above services on an interim basis for the coming year. We anticipate that the society will bring all of these codes to the PEAC for review for either the January or March meeting to ensure that the times for the codes receive the same scrutiny as did the new transplant codes. It should be noted that a few of the codes have lower original CPEP pre-time than the PEAC standard of 60 minutes; for those codes we did not change the PEAC standard time. We also are not revising the post-procedure clinical staff times for these codes, because the current times are in line with the post-service times assigned to the new living donor hepatectomy codes recently reviewed by the RUC.

Comment: A commenter noted that high dose rate (HDR) brachytherapy CPT codes 77781, 77782, 77783 and 77784 were not listed in Addendum C of the proposed rule. Since these codes were approved by the PEAC and forwarded to CMS, ACR questioned why these codes were not listed.

Response: The CPEP data base files had been revised to reflect the PEAC recommendations for these codes. It was an oversight that they were not included in Addendum C.

Comment: The American College of Surgeons listed several possible errors in the CPEP database:

CPT code 11450--missing 1 minute of staff time

CPT codes 10080, 10081, 11770, 12032, 12035, 12046, 12047, 21550, 21920, 37609, 38300, 45300-45327, and 46600-46615--missing correct number of gloves.

CPT codes 45900, 45905, 45910, 47382, 49320, 49321, 49322, 49422, 49429--supplies listed incorrectly--have nonfacility inputs when PEAC recommended none in office setting.

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Response: We thank the College for checking the database so carefully. We have made the suggested corrections, with the following notes: For CPT codes 10080, 10081 and 11770, the PEAC recommendation listed 5 gloves, not 6. For CPT codes 45300-45327 and 46600-46615, we adjusted the quantity of unsterile gloves to reflect that there are 2 pair in the minimum visit supply package; in addition, CPT codes 45321 and 45327 were not priced in the nonfacility setting.

Comment: The American Society of Colon and Rectal Surgeons noted a few errors in the CPEP supply database. The supply inputs had not been changed to match the accepted new recommendations for CPT codes 45900, 45905, 45910, 47382, 49320, 49321, 49322, 49422 and 49429.

Response: We have made the corrections to the supply database and thank the specialty for bringing this to our attention.

Comment: The American Speech-Language-Hearing Association (ASHA) questioned the proposed 28 percent reduction in the practice expense for CPT code 92507, Treatment of speech, language, voice, communication, auditory processing and/or aural rehabilitation status. The reduction is attributable to a decrease in clinical staff time. ASHA contended that the PEAC recommendation was based on a vignette for a child receiving such therapy, but that the time involved with a typical adult patient receiving this treatment is much longer. ASHA stated that a more reasonable time for clinical staff for this service is 69 minutes compared to the proposed 46 minutes.

Response: We understand that the scenario for performing this service for a child might be very different than for an adult because an adult can participate in a more protracted therapy session. Because it is not clear to us at this time what would be the typical scenario, we will, on an interim basis, average the clinical staff time needed during a speech therapy session for a child with that suggested by ASHA for an adult. We will, therefore, assign 58 minutes of clinical staff time to this service, with the expectation that ASHA will present CPT code 92507 for further discussion and review at the PEAC.

Comment: We received several comments in response to our acceptance of PEAC recommendations for evaluation and management (E/M) codes that reduced payment rates for six nursing home services (CPT codes 99301- 99303 and 99311-99313) and two home visit codes (CPT codes 99348 and 99350). This payment reduction is primarily due to a decrease in the clinical staff time assigned to these services.

The American Academy of Family Physicians (AAFP) supported our acceptance of the PEAC recommendations for the E/M nursing facility services. The commenter noted that current practice expenses are higher for services provided in the non-SNF nursing facility than those provided in the SNF facility. The commenter contended that the direct practice expense inputs should not vary based on the type of nursing facility setting and supported the elimination of the current differential in the practice expense RVUs between the SNF and non-SNF facility setting.

However, the American Medical Directors Association (AMDA) representing long term care physicians, the American Geriatrics Society (AGS) and a health care management company, Health Essentials, all disagreed with our decision to accept the E/M nursing facility PEAC recommendations and asked us to reconsider our decision to implement them in 2004. The request to delay implementation was echoed by the American Academy of Home Care Physicians and AGS relating to the two E/ M home visit codes.

The home care physicians argued that the PEAC recommendations for the two home visit codes are flawed because these codes have not yet been surveyed by the specialty performing this service. The commenters also contended that their views were not represented when the PEAC considered the refinements of the E/M home visit codes. Similarly, the AMDA noted that the PEAC workgroup responsible for formulating the recommendations for the nursing facility codes did not include long term care physicians. The AMA also commented on this issue and expressed concern that the PEAC recommendations did not include the views of all the relevant medical specialties and requested that we delay implementation of these E/M code recommendations to allow impacted medical specialties an opportunity to present new information to the PEAC.

In addition, the AMDA expressed concern regarding the current work RVUs for nursing home visit services.

Response: At the time the PEAC recommendations were forwarded to CMS, we agreed with the views expressed by the AFPP as to the reasonableness of the practice expense recommendations for the E/M codes for the nursing facility and home visits. However, we are also of the opinion that the relevant medical specialties should be given the opportunity to have their views considered by the PEAC. Consequently, we will not go forward with these E/M recommendations in 2004. This will allow time for the PEAC to reconsider the eight E/M codes with input from representatives from the nursing home and home visit specialties. We will use current CPEP practice expense inputs to price these codes for 2004.

With regard to the concern expressed about the work RVUs for the nursing home visits, in the 2004 final rule we will solicit recommendations on codes to be reviewed during the next 5-year review of work and we suggest that the society recommend review of these codes.

Comment: A specialty society representing gastroenterologists commented that the increased clinical staff pre-time added to certain colorectal procedures needs to be applied equally to gastroenterologists who provide those services.

Response: We have a single payment for each procedure regardless of the specialty performing the service. Therefore, gastroenterologists will be paid the same as colorectal surgeons when performing those services for which we allowed increased pre-service clinical staff time.

Comment: The American College of Radiology submitted several corrections to the CPEP database for those instances where the database differed from the PEAC recommendations that we accepted. The College stated its appreciation for the opportunity to review the practice expense data file for completeness and accuracy and applauded our efforts to ensure that the database captures correct and complete practice expense data.

Response: We thank the College for the time and effort expended in checking this detailed data. We have made revisions to 19 codes: We changed the quantity of sodium chloride injection for CPT codes 78306, 78315, 78460, 78461, 78464, and 78465; adjusted the quantity of films for CPT code 76812; added missing supplies to CPT codes 77408, 77409, 77411, 77412, 77414, 77416, 76830 and 77290; removed equipment that had been deleted from CPT codes 78478 and 78480; and corrected a typographical error in the pre-service clinical staff time for CPT codes 73218 and 75555.

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

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performed by each specialty. The costs of the original inputs assigned by the Clinical Practice Expert Panels (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.

We contracted with a consultant to assist in obtaining current pricing information and also to recommend revisions to improve the uniformity and consistency of the CPEP supply database. On the basis of these recommendations, in the August 15, 2003 proposed rule, we proposed updates to the cost information for supplies in the database. In addition, we proposed the following database revisions:

--Assignment of supply categories.

We proposed that supplies be assigned to one of 14 categories.

--Consolidation/standardization of item descriptions.

We proposed combining items which appeared to be duplicative and modifiying descriptions using a key first word when possible for easier identification of items. For example, ``mayo stand cover'' and ``drape, sterile Mayo'' have both been changed to ``drape, sterile, for Mayo stand.''

--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 proposed to standardize the unit description of items. We also proposed to specifically identify items intended for single use through the use of ``uou'' (unit of use) following the unit. These changes were reflected in Addendum D of the proposed rule.

There were also items that had not been identified or for which pricing information was not found that were included in Table 1 in the August 15 proposed rule. Items that we proposed to delete from the database were also identified in this table. We requested that commenters, particularly the relevant specialty groups, provide us with the needed pricing information with appropriate documentation. We also stated if we did not obtain verified pricing information for an item, it would be eliminated from the database.

Comment: The RUC expressed appreciation for the enormity of the repricing project and stated that the proposed approach was well organized and comprehensive. The American Association of Orthopedic Surgeons also agreed that the assignment of supply categories would be helpful in future refinement activities. The American College of Physicians, the American College of Surgeons, and the American Urological Association expressed support for our proposal to create a numbering system and to standardize the descriptions of supply items to increase accuracy of use. The American Academy of Dermatology also supported this standardization of proposed ``unit of use'' as long as its application does not assume that ``one size fits all'' as some supplies may go from milliliter to liter in usage. The American Society of Cataract and Refractive Surgery and the Outpatient Ophthalmic Surgery Society thanked us for the repricing proposal because this will ensure that we are using the more accurate and up-to-date supply costs, thus reimbursing physicians more fairly. The American College of Radiology recognized the need to update supply and pricing information in the practice expense database and commended us for committing to this extensive project. The American College of Surgeons also agreed that the update of prices for supplies will improve the accuracy of the direct practice expense data. The Society of Nuclear Medicine commended us for committing to this extensive project. The American Urological Association also appreciated this effort and acknowledged it as a huge undertaking.

Response: We appreciate the positive feedback and would like to thank all the staff of the specialty societies who worked with our contractor to obtain the most representative prices for all of the supplies in the CPEP input database.

Comment: A specialty society representing podiatrists agreed with removal of hallux implant and the broach kit from the list of supplies to be included under practice expense as both are separately billable and the broach kit is also reusable. The commenter did not agree with removal of the sterile ankle tourniquet since this is packaged as a single use item. The comment included pricing information at $42.87 each (with documentation) for this supply.

Response: We will delete the hallux implant and the broach kit from the CPEP supply data. We will retain the ankle tourniquet using the pricing information supplied by the society.

Comment: Several commenters expressed concern about the reduction in nonfacility practice expense for the interstitial laser coagulation of the prostate procedure, CPT code 52647. A manufacturer of endo- surgery equipment stated that the main reason for this decrease was the decrease in the price assigned to the laser fiber used in this procedure. We had proposed a price of $290 for this item, but the commenter submitted documentation that indicated that the laser fiber should be priced at $850 for CPT code 52647. In addition, the commenter noted that we had proposed in Table 1 to delete the laser fiber because it was reusable; however, this was incorrect as the laser fiber used in this procedure could not be reused and should not be deleted from our supply list.

Response: When the laser fiber was repriced, we believed the item included in the supply list for CPT code 52647 was the same as a ``laser tip,'' which was priced at $290. We thank the commenters for clarifying the issue. We agree that the laser fiber used in this procedure is a disposable supply that we will retain in our CPEP supply data at the $850 price documented by the commenter.

Comment: Commenters representing cardiac arrhythmia specialists and a remote cardiac monitoring system recommend that we not delete the transtelephonic monitor as a supply even though we are correct that the patient and physician re-use this supply during the course of the pacemaker's life. The specialty society commenter requested that the expense of this supply, which costs $190, should be spread out over approximately 5 years.

Response: The transtelephonic monitor as described would be considered a piece of equipment, rather than a reusable supply. However, unless the equipment costs over $500, we consider it as an indirect cost and it is not included as a direct input. Therefore, we will delete the item from our list of direct practice expense inputs as proposed.

Comment: A specialty society representing chest physicians agreed that the oximetry sensory probe, CPAP nasal pillow and flow sensor are reusable and should be deleted from the list of CPEP supply inputs. The society also agreed that albuterol is separately billable and should also be deleted. Another commenter, representing sleep medicine, agreed that the nasal pillow should be deleted. However, the commenter representing chest physicians and a commenter representing thoracic physicians disagreed with the proposal to delete

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methacholine chloride because there is no ``J'' code to use when billing, thus forcing physicians to used an unlisted service code. The commenters also contended that the aerochamber should not be deleted because, although reusable, it has a life of only about six months and should be costed out accordingly. In addition, the commenters disagreed that the inhaler is separately billable because a multi-use canister is utilized for this test; therefore, the amount used from the canister for each test should be included in the practice expense.

Response: We will delete the oximetry sensory probe, CPAP nasal pillow and flow sensor and albuterol from the list of CPEP supply inputs. We will also delete the aerochamber, because an item that is reusable over a six-month period cannot be classified as a disposable supply. The commenter is correct that there is not a HCPCS ``J'' code for methacholine chloride. Therefore, we will keep this in the supply database as requested so that physicians can avoid the burden of submitting paper claims. We also will keep the inhalant in the database using the quantity of 1 gram per procedure at $0.788.

Comment: Specialty societies representing radiologists and interventional radiologists disagreed with the classification of the Arrow mechanical thrombectomy device as reusable. The commenter contended that this device is single-use because the difficulty in cleaning the intra-luminary surface areas could lead to a risk of contamination if the device is reused. Moreover, reprocessing the thrombectomy device may result in fatigue-related failure.

The societies also disagreed with our contention that a Seldinger needle is reusable; rather a Seldinger needle is single-use and should not be removed as a supply item. It is the commenter's understanding that hospitals are not in the practice of resterilizing Seldinger needles.

While generally favoring reorganization of CMS' supply listing for ease of use and not directly opposed to supply categories, one of the commenters was concerned over the potential loss of granularity of cost data associated with the use of supply categories and would oppose the averaging of costs for the supply categories unless it is appropriate to average from a cost and clinical standpoint. A similar comment was sent by the radiology specialty society.

Response: We will retain the thrombectomy device and the Seldinger needle as disposable supplies in our CPEP input database. With regard to the classification of supplies, the commenter misunderstands the purpose of assigning a classification to each supply. This will not be used for pricing purposes in any way. Rather, the classifications can be useful as a way to sort the long list of supplies in the database to make it easier to find a particular item.

Comment: The contractor responsible for helping us with the repricing of supplies informed us that a supply assigned to the endometrial ablation procedure, CPT code 58353, was listed as a catheter tray when it should be described as a thermal ablation balloon catheter at a price of $727. In addition, our contractor supplied us with prices for several new supply and equipment items mainly for otolaryngology, that were not priced in the proposed rule but were included in the PEAC recommendations.

Response: We will make the appropriate changes in the CPEP supply and equipment databases.

Comment: Commenters representing pediatricians, pulmonary physicians and family physicians pointed out that the new price we had assigned to the safety syringe and needle did not cover the actual cost of purchasing the entire needle stick device that is required by the Occupational Safety and Health Administration.

Response: Our repricing contractor researched this issue for us and agreed that the price we were proposing was too low for the appropriate item. Based on documentation for a 10 ml Syringe with SafetyGlide Needle, the safety syringe and needle will be priced at $.435 each, instead of the $.28 that was proposed.

Comment: A surgical society commenter pointed out that we listed an achalasia balloon in Table 1 in the proposed rule and indicated that it was a supply used with CPT codes 45905 and 45910. The commenter stated that both of these codes were refined in January and that they were not priced in the office setting; therefore the balloon should no longer be listed as a supply used with these services.

Response: Our CPEP database currently has these codes priced only in the facility setting. However, these services had previously been priced in the office and Table 1 was apparently developed before the last of the PEAC recommendations were entered. The achalasia balloon no longer appears on the CPEP supply database.

Comment: We received comments from the American College of Physicians and another medical society representing allergy and immunology with concerns about reductions in reimbursement for the five venom immunology CPT Codes (95145-95149). The commenters believe the reductions are due, in part, to the use of incorrect supply costs for venom extracts that we priced at $5.18 per ml. The commenters provided documentation of current prices of five different venoms from two of the largest manufacturers of venom extracts. They proposed a price- averaging methodology utilizing the small and large quantities of venoms that are available from the two suppliers. A price of $12.22 per milliliter of venom antigen results from using this methodology, and the commenters suggest that this price be used in valuing four of the five CPT Codes for venom immunology, with the exception of CPT Code 95147. When a patient requires three stinging insect venoms, as for CPT 95147, the commenters believe the 3-Vespid mix is typically used. Again, the commenters suggested the same price-averaging method noted above using cost information from the two vendors, which results in a price of $23.49 per ml. This 3-vespid mix price could also be used to value CPT Codes 95148 (four venoms) and 96149 (five venoms) with the single venom, priced at $12.22, added once to CPT code 97148 and twice to CPT Code 97149.

Response: We were pleased to receive the comments, as well as the requested documentation, on the price for various venom extracts, because the venom pricing information was not included in the PEAC recommendations forwarded after the September 2002 meeting for these CPT Codes. This lack of data necessitated the use of a generic stinging insect venom price of $5.18 per ml. We accept the pricing information supplied by these specialty societies, although we do not agree with their proposed averaging of prices from both the small (5ml and 6ml) and larger (10ml and 12ml) quantities of venoms. We believe it is more appropriate to average the venom prices using the larger (10ml and 12ml) quantities because of the volume that is used in an accepted venom immunotherapy program, which consists of a build up period of about four months followed by monthly maintenance therapy. The following prices result from this approach: $10.70 per ml of venom and $21.26 for the 3-Vespid Mix. Venom pricing for the five CPT codes would be as follows: CPT Code 95145 (one venom) at $10.70, CPT Code 95146 (two venoms) at $21.40, 95147 (three venoms using 3-vespid mix), would be $21.26; CPT Code 97148 (four venoms), $21.26 + $10.70 = $31.96; and the venom antigen price for

[[Page 63207]]

CPT Code 97149 (five venoms) would be $42.66 ($21.26 + $10.70 + $10.70).

Comment: JCAAI also supplied pricing information for the multi-tine device that was requested in Table 1 of our proposed rule. As was suggested above, the commenters again proposed we average costs for high and low volume purchases, excluding bulk pricing, to obtain the price for each test.

Response: We appreciate the pricing information forwarded by JCAAI and selected a purchase quantity that is in the middle of the suggested range. For percutaneous allergy testing, CPT code 95004. This purchase quantity represents testing 200 typical patients, each receiving 40 tests. We have added this Multi-tine per test price, $0.233,to the CPEP database for CPT codes 95004 and 95010.

Comment: The American Speech-Language-Hearing Association (ASHA) provided pricing information for the following items accompanied by the requested documentation: Aphasia assessment treatment forms--$2.84 (for a diagnostic aphasia examination form and aphasia diagnostic profile), communication books/treatment notebook--$1.50 and eartip insert--$0.65 each or $0.39 each (two sources). The American Academy of Otolaryngology--Head and Neck Surgery (AAO-HNS) submitted a price for the eartip insert of $0.23 each and suggested that the communication books/treatment notebook be deleted. The (AAO-HNS)also submitted a price for cottonoids at $0.875 each and for the phenol applicator kit at $15.95 each.

Response: We will use the submitted price for the aphasia forms and will price the eartip insert at $0.423, which is the average of the three prices submitted. The notebook, which is assigned to the speech- language therapy code, would be used over a course of treatment, and is not a disposable supply that is used or priced for a single service. Therefore, we will delete this item from our CPEP supply data. For the phenol applicator kit, we will use the price of $15.152 per kit that represents an average price for a 6-kit and a 24-kit quantity purchase. Because these kits contain the phenol that is used in the procedures, phenol has been deleted as a separate supply from the 11 CPT codes that are assigned the kit. AAO-HNS used a 10-pack quantity to assign a price to each cottonoid, but we are using a 200-pack quantity that reflects the high usage of this item. Therefore, we are using $0.773 as the price for each cottonoid.

Comment: Specialty societies representing radiation oncology and radiology disagreed that the fiducial screws used with the intensity modulated radiation therapy procedure should be deleted from the CPEP input supply list. The society argued that the screws are typically used for this procedure and that they are not separately billable.

Response: We will retain the fiducial screws in the list of supplies assigned to the intensity modulated radiation therapy procedure.

Comment: The American Society of Colon and Rectal Surgeons offered description changes for two services, CPT codes 46917 and 46924. The society recommended that the descriptor for the laser tip for both codes be changed to ``laser tip, bare (single use)'' at $150. The commenter also requested that an ablation laser generator at $59,890 be added to both codes and the existing laser, diode laser, and laser generator be deleted.

Response: A note from our contractor who is working on our repricing effort verified the above changes and we have revised our supply and equipment databases to reflect them.

Comment: The American Association of Orthopaedic Surgeons agreed with the proposed supply deletions listed in Table 1 of the proposed rule that are used in orthopaedic surgery. In addition, the association agreed with the concept of standardization of unit descriptions. However, the comment contends that the term ``unit of use (uou)'' is unclear and that we should consider alternative terms and abbreviations that would be more intuitive.

Response: The supply items in Table 1 that were listed for orthopaedic surgery are broach kit, hallux implant, sterile hand table drape, sterile cuff tourniquet, cephalosporin and sterile ankle tourniquet. As stated above, we will be deleting the broach kit and hallux implant and will also delete the hand table drape, cuff tourniquet and cephalosporin. As also noted above, we will retain the sterile ankle tourniquet in the supply database because the comment from the podiatry society argued that this item was not typically reused.

With regard to the comment on the use of ``unit of use,'' we selected the ``unit of use'' (uou) term to indicate any item that is packaged for single use, even if the item is not completely used up. This most often occurs with items that are packaged sterile. For example, ``bacitracin (0.9gm uou)'' refers to one 0.9gm foil package. The quantity entered would be 1 and not a smaller amount such as 0.3. Once this foil package is broken, it is considered ``used up'' and therefore the unit of use is 0.9gm. Specifically, any item with a ``unit of use'' designation is meant to be indicated in whole number ``unit of use'' quantities, not partials (e.g., entered as 1, 2, 3, etc, and not 0.5, 1.5, etc.).

Comment: A commenter representing sleep medicine stated that our proposed price of $25 is significantly below prices for standard CPAP masks used in the polysomnography service, CPT code 95811. The commenter submitted prices from two manufacturers that average to $88.

Response: It appears that the commenter has submitted prices for a reusable CPAP mask that would not be included in our CPEP data as a disposable supply. Therefore, we will price the disposable mask at $25.135, as proposed.

Comment: We received a comment from the American Physical Therapy Association (APTA) that contended there is a rank order anomaly caused by the increased price for the electrode used for CPT code 97033, iontophoresis. APTA noted that the price of a ``pair'' of electrodes was $16 in 2001 but has increased to $23.98 under our current supply repricing initiative. APTA has asked that we review the proposed cost of this item as a means to moderate the rank order anomaly.

Response: We appreciate the comments offered by APTA and have reviewed the cost of the supplies assigned to the iontophoresis service. We determined that the electrodes for this service are packaged and priced as ``kits'' that contain the complete set of electrodes needed to provide one iontophoresis treatment. Therefore, only one electrode ``kit'' is needed for this code, as opposed to the two electrode ``pairs'' currently in our supply database. Consequently, we have changed the supply list for iontophoresis in our database to reflect that there is one kit, not two electrodes, at the proposed price of $11.99. We believe that this should correct the rank order anomaly.

The following table, ``Table 1 Items Needing Specialty Input,'' lists those items on which we had requested specialty input, comments we received and the actions we are taking.

[[Page 63208]]

Table 1.--Items Needing Specialty Input

2003 PE

Prior status of

2003 PE supply description

2003 PE unit

price Primary specialties supply item Commenter response CMS action taken

Acetylcholine 10%................ 1 gram..............

$0.40 Nurse practitioner, See Note C. Need None............... See Note D. neurology.

patient-use item, not R&D item. Aerochamber...................... 1 item.............. ........... Cardiology,

Item may be

Agree--reusable. Disagree--Deleted. internal medicine. deleted. May not Requests item be be typical and may retained. be separately billable. Albuterol........................ 1 ampule............ ........... Family practice, See Note B......... Agree--separately Deleted internal medicine.

billable. Anthralin ointment............... 1 g.................

2.75 Dermatology........ See Note C......... None............... See Note D. Aphasia assessment--forms average 1 item..............

0.95 Psychiatry,

See Note C......... Pricing information Retained at neurology.

submitted at $2.84. submitted price. Balloon, achalasia............... 1 item.............. 255.00 General surgery, See Note C. (Codes NA in non-facility. Deleted. colon and rectal utilizing this surgery.

item being reviewed by CPT). Blood dress package.............. 1 item.............. ........... Neurosurgery....... Item may be

None............... Deleted. deleted. Gowning items listed separately. Broach kit....................... 1 item.............. ........... Podiatry,

See Note A......... Agree--separately Deleted. orthopaedic

billable and surgery.

reusable. Cable for EMG needle electrode... 1 item..............

1.20 Neurology, PM&R.... See Note A......... None............... Deleted. Centimeter ruler................. 1 each..............

2.39 Radiation oncology, See Note A......... None............... Deleted. dermatology. Cephalosporin.................... 1 gm................ ........... Podiatry,

See Note B......... Agree--separately Deleted orthopedic surgery.

billable. Chordae Villae sampling kit...... 1 item.............. ........... Obstetrics,

Item may be

None............... Deleted. gynecology.

deleted. Duplicated item with catheter- stylet kit. Collagen kit..................... 1 each.............. 1383.00 Urology............ Need kit contents. NA in non-facility. Deleted. Collagen sold as individual syringe. No commercial kit available. Communication book/Treatment 1 each.............. ........... Otolaryngology, See Note C......... Audiology priced at Deleted--reusable. notebooks.

audiology.

$1.50 or $3.50. ENT proposed to delete. Cottonoids....................... 1 item.............. ........... Otolaryngology..... See Note C......... Submitted price of Retained at $0.73. $0.875. CPAP nasal pillow................ 1 each.............. ........... Pulmonary medicine. Item may be

Agree--not typical. Deleted. deleted. Disposable CPAP face mask also included in code 95811. Nasal pillows used with reusable mask. Cysto-catheter kit............... 1 item..............

9.04 Urology, general Need kit contents None............... Deleted. practice.

and source/pricing information. Detection kit.................... 1 slide.............

8.50 Pathology,

See Note C......... None............... See Note D. neurology. Developmental testing--forms 1 item..............

2.64 Clinical

See Note C.

Submitted price of Retained at average.

psychologist,

(Original item $0.40 for 96110 submitted prices. multiple other price estimated by and $2.44 for specialties.

CPEP member.). 96111. Eartip insert with sound tube.... 1 item.............. ........... Otolaryngology, See Note C......... Pricing information Retained at $0.423. audiology.

submitted by two specialties. EEG electrode, gold DIN.......... 1 item..............

0.07 Neurology.......... See Note A......... None............... See Note E. Electrode, ring.................. 1 item.............. 475.00 Obstetrics,

See Note A......... None............... Deleted. gynecology, urology.

[[Page 63209]]

Electrodes, pickup, black tin, 1 item..............

0.42 Podiatry, neurology See Note A......... None............... See Note E. 9mm. Electrodes, pickup, red tin, 9mm. 1 item..............

0.42 Podiatry, neurology See Note A......... None............... See Note E. Fiducial screws, set of 4........ 1 set............... 558.00 Radiation oncology. Item may be

Disagree--not

Agree--Retained. deleted. May not separately be typical and may billable. be separately

Specialty requests billable. (Screws item be retained. used for IMRT head fixation device, but typical patient vignette is prostate cancer.). Film, fluoroscopic............... 1 sheet.............

3.51 Diagnostic

See Note C......... None............... See Note D. radiology, anesthesia. Flow sensors..................... 1 item..............

1.51 Pulmonary medicine, See Note A......... Agree--reusable.... Deleted. internal medicine. Gold-palladium target............ 1 item..............

0.59 Pathology.......... See Note A......... None............... Deleted. Hallux implant................... 1 item.............. ........... Podiatry,

See Note B......... Agree--separately Deleted. orthopaedic

billable. surgery. Headcover for MRI................ 1 item..............

0.05 Diagnostic

See Note C......... None............... See Note D. radiology. Inhalant......................... 1 ml................

0.75 Cardiology,

Item may be deleted Use is typical..... Retained at $0.788. internal medicine. (May not be ``typical'' for service.). Laryngeal mirror................. 1 item.............. ........... Diagnostic

See Note A......... None............... Deleted. radiology, otolaryngology. Laser fiber...................... 1 item.............. 595.00 Urology............ See Note A......... Disagree--not

Agree--retained at reusable.

submitted price. Submitted price of $850. Laser fiber cleaving tool........ 1 item.............. 200.00 Urology............ See Note A......... None............... Deleted. Methylcholine chloride........... 1 dose..............

48.50 Pulmonary medicine, See Note B......... Disagree--not

Agree--Retained at internal medicine.

separately

$39.95. billable. Requests item be retained. Mounting tray.................... 1 each..............

40.00 Radiation oncology, See Note A......... None............... Deleted. diagnostic radiology. Multi-tine device................ 1 item.............. ........... Allergy/immunology. See Note C......... Submitted pricing Retained at $0.23. information. Needle, 4 inch................... 1 item.............. ........... Obstetrics,

See Note C......... None............... Deleted. gynecology. Needle, 4-6 inch................. 1 item.............. ........... Obstetrics,

See Note C......... None............... Deleted. gynecology. Needle, seldinger................ 1 item..............

72.90 Diagnostic

See Note A......... Disagree--not

Agree--Retained. radiology,

reusable. multiple other specialties. Neurobehavioral status--forms 1 item..............

5.77 Clinical

See Note C.

None............... See Note D. average.

psychologist,

(Original item multiple other price estimated by specialites.

CPEP member.). Oximetry sensor probe............ 1 item..............

15.00 Multiple

See Note A......... Agree--resuable.... Deleted. specialties. Penile clamp..................... 1 item..............

40.70 Urology............ See Note A......... None............... Deleted. Phenol applicator kit............ 1 unit.............. ........... Otolaryngology..... See Note C......... Pricing information Retained at submitted.

$15.152. Primary antibodies............... 1 slide.............

3.52 Pathology,

See Note C......... None............... See Note D. neurology. Psych testing--forms average..... 1 item..............

2.30 Clinical

See Note C......... None............... See Note D. psychologist. Receive coil..................... .................... ........... Diagnostic

See Note A......... None............... Deleted. radiology. Ruler............................ 1 each..............

2.67 Radiation oncology, See Note A......... None............... Deleted. diagnostic radiology. Scissors and clamp, disposable... 1 each..............

0.62 Radiation oncology, Need clamp

None............... See Note D. diagnostic

description and radiology.

source/pricing.

[[Page 63210]]

Sealant spray.................... .................... ........... Radiation oncology, See Note C......... None............... See Note D. diagnostic. Silverman needle................. 1 item..............

66.35 Urology............ See Note A......... None............... Deleted. Skin prep, one step.............. 1 item..............

26.00 Cardiology......... Need inches used None............... See Note D. per procedure (196in per roll). Smoke evacuation cartridge....... 1 item.............. 146.50 Obstetrics,

See Note A......... None............... Deleted. gynecology. Sterile, hand table drape (24x43) .................... ........... Orthopaedic

Item Deleted.

Agree.............. Deleted. surgery, hand

Integral part of surgery.

hand/upper extremity drape supply item. Sterilizing tray................. 1 each..............

64.00 Radiation oncology, See Note A......... None............... Deleted. diagnostic radiology. Steroid.......................... 1 cc................

1.29 Urology............ See Note B......... None............... Deleted. Sweat cells, 4 in a set.......... 1 set............... 260.00 Neurology.......... See Note A......... None............... Deleted. Thrombectomy device.............. 1 item.............. 600.00 Diagnostic

Additional

Disagree--device is Agree--Retained. radiology.

information

not reusable. required. Device is reusable. Need to identify specific PTD single-use accessories (e.g. sheath rotator drive basket). Tourniquet, ankle, sterile....... 1 item.............. ........... Podiatry,

See Note A......... Disagree--packaged Agree--retained at orthopaedic

for single use. submitted price. surgery.

Price submitted at $42.87. Tourniquet, cuff sterile......... .................... ........... Orthopaedic

See Note A......... Agree.............. Deleted. surgery, hand surgery. Traction straps.................. 1 item..............

60.00 Radiation oncology, See Note A......... None............... Deleted. diagnostic radiology. Transtelephonic monitor.......... ....................

10.56 Cardiology......... See Note A......... Agree--resuable, Disagree--Deleted. but requests item be retained.

* CPT codes/descriptions only are copyright 2003 American Medical Assn. All Rights Reserved. Applicable FARS/DFARS apply. Notes: A. Item deleted. Reusable B. Item deleted. Separately Billable C. Additional information required. D. Issue is pending. Still under review. E. Issue is pending. Reuse discussion needed.

h. Miscellaneous Practice Expense Issues

Hyperbaric Oxygen Services

We proposed 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, when performed in the office setting:

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.

Comment: A freestanding hyperbaric oxygen center expressed appreciation that we priced this procedure in the non-facility setting. The commenter also requested that we add certain staff time and some supplies to the practice expense inputs assigned to this service.

The additional supplies requested include disinfectant for cleaning the hyperbaric chamber after each patient, two otoscope covers to check patients' ears pre and post treatment, and a denture cup and urinal. An additional 24 minutes of clinical staff time (using the standard staff blend) was also requested for preparing the room, greeting and gowning the patient, patient education, taking vital signs before and after treatment, positioning the patient and cleaning the room.

Response: We believe that the request for the above additional practice expense inputs is reasonable. Currently, we have assigned clinical staff time only for assisting during the procedure itself; additional time was calculated using the times used by the PEAC for the tasks listed. Therefore, we are adding these inputs to those already assigned to the hyperbaric oxygen service. We have also requesting that the PEAC review these inputs at a future meeting and the RUC has stated that the PEAC will be reviewing this CPT code at the January or March 2004 meeting.

Comment: A commenter from another freestanding hyperbaric center expressed concern that the proposed physician fee schedule payment for CPT 99183 is approximately 25 percent of the payment in the hospital setting. The commenter lists additional costs that

[[Page 63211]]

should be considered such as special cleaners and solvents for cleaning the chamber, the costs of adherence to quality standards and costs for laundering patients' clothing, sheets and blankets. The commenter also stated that the hyperbaric chamber costs more than the $125,000 we have assigned the item.

Response: As mentioned above, we have added disinfectant solution for cleaning the chamber. We will be proposing the repricing of all equipment in our CPEP database next year, which should ensure that the price for the hyperbaric chamber reflects the typical cost. The cost of laundering and much of the quality assurance costs are considered indirect and are not reflected in our direct cost database. However, if the PEAC does refine this code as planned, we will review any recommendation submitted.

Maxillofacial Prosthetics PE/hour

We proposed to eliminate the special practice expense pool for maxillofacial prosthetic services and to use otolaryngology as the crosswalk for oral surgeons and maxillofacial surgeons as a more appropriate approximation of the specialties' practice expense per hour.

Comment: The American Association of Oral and Maxillofacial Surgeons expressed appreciation for our work on this issue over the past three years and heartily concurred with the decision to crosswalk maxillofacial prosthetics to otolaryngology. The American Academy of Otolaryngology-Head and Neck Surgery also supported our proposed crosswalk.

Response: We will implement the crosswalk of maxillofacial prosthetics to otolaryngology as proposed.

Holter Monitoring Codes

We proposed revising the practice expense inputs for holter monitoring codes to remove items that were not needed to perform the services. Specifically, we proposed deleting the ECG electrodes and laser paper, as well as the electric bed, computer and holter monitor from CPT codes 93225 and 93231 and deleting the razor, nonsterile gloves, alcohol swab and tape, as well as the electric bed and exam table from CPT codes 93226 and 93232.

Comment: A commenter representing an independent diagnostic testing facility and another representing cardiologists expressed support for the proposed revisions to the holter monitor codes.

We also received a comment from the RUC stating that the direct practice expense inputs for these above holter monitoring services will be reviewed by the PEAC at the January 2004 meeting.

Response: We will make the proposed changes to the holter monitoring codes on an interim basis and will be glad to review the recommendations from the PEAC when we receive them next year.

Other Practice Expense Issues

Comment: We have received requests from several commenters that we value certain procedures currently priced only in the facility setting in the non-facility setting as well. A manufacturer commented that there is a need to price the hysteroscopic endometrial ablation procedure, CPT code 58563, in the office to ensure Medicare patient access to this alternative to hysterectomy in the least intrusive and least costly setting. Several individual gynecologists have expressed concern about the absence of a nonfacility rate for this service because the facility payment does not cover the costs of performing this procedure in the office.

A manufacturer of endoscopic and surgical supplies and equipment expressed concern that several urology services which had previously been priced in the non-facility setting, are no longer priced in that setting. The commenter contended that the procedures can be performed safely in the office and that patients will be forced to go to a hospital or ambulatory surgical center for these procedures if the office payment does not reflect the direct costs incurred by the physician. The services in question are three cystourethroscopy procedures, CPT codes 52224, 52275, 52276, and two destruction of penile lesion procedures, CPT codes 54057 and 54065.

A consultant representing non-hospital based providers of LDL apheresis, CPT code 36516, requested that we price this procedure in the nonfacility setting and provided some cost data for this code. The commenter stated that this procedure is commonly provided outside of hospitals. A medical technology company requested that we price the percutaneous implantation of neurostimulator electrodes procedure, CPT code 64561, in the nonfacility setting. This service had previously been priced in the office.

Response: We are aware that technological advances make it now possible for more procedures to be safely performed in a physician's office. However, CPT code 58563 has recently been reviewed by the PEAC, and neither the gynecology specialty society nor the PEAC recommended pricing this code in the office setting. Likewise, the urology procedures and the neurostimulator service were reviewed this year by the PEAC and the apheresis services last year by the RUC, and the PEAC and the RUC recommended that these services not be priced in the office setting based on the presentation made by the specialty societies. We would not rule out working further with the commenters on these requests, but we believe that it would not be appropriate to take such an action in this final rule. We will be willing to discuss this issue further to determine whether any action should be proposed in the future.

Comment: The RUC comment identified the following anomalies in the CPEP database for the clinical staff time for a few codes with 000 day global periods: B. (1) Percutaneous Abscess Drainage Codes

In 1997, CPT created new codes to differentiate between open and percutaneous abscess drainage. Unlike their open procedure counterparts, all of the percutaneous codes were assigned a global period of 000 days with no follow-up visits assigned. However, CMS crosswalked the direct inputs from the open codes, which have a different global period, to the percutaneous codes, including the time assigned for post-procedure office visits. The percutaneous abscess drainage codes identified are CPT codes 32201, 44901, 47011, 48511, 49021, 49041, 49061, 50021, 58823. The comment stated that each of these codes is currently priced in the facility setting only. Because these procedures are predominately performed in the inpatient setting, the comment further recommended that we assign zero direct practice expense inputs for these codes. (2) Closure of Eyelid by Suture

The commenter also pointed out that CPT code 67875, Closure of eyelid by suture, has an assigned global period of 000 and includes no post-procedure visits in the work relative value. However, the original CPEP process appears to have assigned the code clinical staff time, supplies, and equipment related to a follow up visit.

Response: We agree with the RUC that these 0-day global codes should not have any direct costs assigned for post-procedure follow up visits. Therefore, we are deleting from the database all the inputs related to such visits.

Comment: Several commenters have expressed concern with the unexplained reduction in nonfacility practice expense RVUs for HCPCS code G0166, External counterpulsation.

Response: We have examined the practice expense data files and have

[[Page 63212]]

discovered an error in the database. This has now been corrected.

Comment: A specialty society representing dermatology commented that the practice expense RVUS for laser treatment of psoriasis procedures, CPT codes 96920-96922, appear overvalued.

Response: The practice expense has increased for these codes because we did not have a price for the laser tip used in these procedures until this year. The laser tip is now priced at $240. We have made adjustments to ensure the practice expense RVUs reflect the correct pricing of supplies as well as the specialty performing the service.

Comment: One specialty society that represents gastroenterologists commented that we cut the payment rate for the colonoscopy procedure, CPT 45385, by 10 percent in the nonfacility setting without explanation or justification.

Response: The decrease in payment for this code is due to the decreased practice expense inputs now assigned to the service. The PEAC submitted recommendations for the direct practice expense inputs for this service that were based on a presentation made by two other gastroenterological specialty societies, and we have accepted these recommendations because we believe them to be reasonable. The code was included on Addendum C, ``Codes for Which We Received PEAC Recommendation on Practice Expense Direct Cost Inputs,'' in the proposed rule.

Comment: Several commenters representing pediatricians, family physicians and chest physicians stated their concern with the proposed decrease in the practice expense RVUs for immunization services, CPT codes 90471 and 90472, which were removed from the non-physician work pool and priced under the top-down methodology starting in 2003.

Response: We will return the two immunization services to the nonphysician work pool. As discussed above, we are increasing the price assigned to the needle stick prevention device that is in the supply list for the immunization codes. However, the practice expense RVUs for these codes would still be less than the current values. As discussed above, the price for the needle stick prevention device is still fluctuating as new manufacturers enter the market. In addition, it is still not clear exactly which device is optimal for the protection of medical staff. Therefore, until these issues are settled, we will price these immunization services in the nonphysician work pool. This will prevent any sharp decrease in payment for these codes, as well as for payments for the HCPCS G-codes for administration of influenza, hepatitis and pneumococcal vaccines, which are crosswalked to the payment for CPT code 90471.

Comment: We received a comment from Venable, a diathermy manufacturer, who voiced concerns about previous decreases in both the work and the practice expense RVUs for the diathermy procedure, CPT code 97024. According to the commenter, the PEAC recommendations we accepted for 2002 included a substantial reduction in clinical labor time, the elimination of supplies, and the undervaluing of the diathermy equipment, including the assignment of inadequate time for equipment use. Citing our current CPEP price of $3,120 as too low, the commenter noted the cost of the diathermy machines they manufacture range from $19,000 to $30,000 and noted the actual time of a typical treatment is 20 minutes, and not 15, as currently listed. A previous comment from the electrophysiology specialty section of the American Physical Therapy Association (APTA) stated that the average cost of diathermy ranges between $10,000 and $15,000.

Response: We believe the practice expense recommendation we accepted from the PEAC in 2001 for the clinical labor and supplies is appropriate. We would note here that the resultant PEAC recommendation for clinical labor was just one minute less than that proposed by the American Physical Therapy Association at the 2001 PEAC meeting. We continue to support the PEAC's decision to eliminate the supplies for some of the modality procedures, including diathermy, since these services are typically performed with other therapy procedures where the supply costs are captured. However, we agree with the commenter that the current pricing of the diathermy equipment in our CPEP database appears too low, and we will price the diathermy, on an interim basis, at $10,000 for the 2004 fee schedule. In addition, we will assign the requested 20 minutes as the typical time the diathermy equipment is in use for each service. We are planning to propose a repricing of all of the equipment included in our database next year and will revisit the pricing of the diathermy equipment at that time.

In response to the commenter's work RVU concern, next year's final rule will solicit recommendations of codes to be considered for review under the five-year review of work that is to occur in 2005.

Comment: A commenter representing prosthetic urology focused on reductions in payment for several 90-day global prosthetic urology procedures. The commenter contended that these procedures were affected by the adoption of the standard clinical staff times for 90-day global procedures that did not reflect the extra staff time required for patient training during post-procedure visits. In addition, almost half of the prosthetic urology services were established in 2002 and this appeared to have a negative effect on these codes. The commenter strongly recommended that the standard clinical staff times not be applied to the prosthetic urology codes and that we reinstate the ``benchmark'' clinical staff times.

Response: The commenter is correct that the major cause of the decrease in practice expense RVUs for these services is the use of the standard clinical staff time for 90-day global services. We do not have ``benchmark'' clinical staff times to reinstate for any of these services. Rather, the current staff times are from the original CPEP panel estimates that have not been reviewed by any multi-specialty panel, such as the PEAC. We accepted the PEAC recommendation to apply the standard clinical staff time to all 90-day global services that had not been reviewed by the PEAC as having exceptions to the standard times. All specialties, including urology, had ample opportunity to present any codes for which they believed the standards did not apply; these urology codes were not brought to the PEAC for review. We do not believe we have a sufficient factual basis for changing the clinical staff times for these services in this final rule. However, we would consider any recommendations for revising the pre- and post-service clinical staff times in the future. As to the effect of using the most recent utilization data in calculating the practice expense RVUs for the new prosthetic urology services, please see the discussion on ``Utilization Data'' earlier in this section.

Comment: A specialty society representing emergency medicine, an emergency medicine practice management association and an emergency medicine physician practice management organization all commented that the adjustment made in the November 2, 1998 final rule (63 FR 58821) to use the ``all physician'' practice expense per hour to calculate two indirect cost pools does not make up for the uncompensated care costs of emergency medicine physicians. The practice management association questioned our previous claim that this

[[Page 63213]]

adjustment was made as a proxy for uncompensated care and asserted it was rather a generic measure to address the low practice expense per hour for emergency medicine. The specialty society commented that it would be difficult to design a supplementary survey to capture the needed data on the levels of uncompensated care.

Response: It is amply clear from reading our entire response in the November 2, 1998 final rule that we considered the adjustment to the indirect costs to serve as a proxy for the uncompensated care experienced by emergency medicine physicians. We believe that, if this adjustment is seen by the specialty as insufficient, the best recourse is for the specialty to undertake a supplementary practice expense survey. By working with our contractor, the Lewin Group, the specialty society should be able to modify the survey in such a way that more accurate data on uncompensated care could be obtained. The data from such a survey could then take the place of the current adjustment to the practice expense per hour for emergency medicine because a proxy for uncompensated care would no longer be needed.

Comment: We received comments from a provider of extracorporeal photopheresis therapy, CPT code 36522, requesting a refinement of the practice expenses of this service in the office setting. Believing this service to be undervalued, the commenter supplied a comprehensive listing of the direct inputs, for the labor, equipment and supplies deemed necessary for the provision of this in-office service. Of particular note among the various suggested supply items was the inclusion of a photopheresis procedural kit.

Response: We want to thank the photopheresis provider for the practice expense suggestions. At this time, we do not have sufficient information regarding the typical resources needed to proceed with a comprehensive refinement of the practice expenses for the in-office provision of photopheresis. However, in reviewing the commenter's various practice expense proposals, we were struck by the obvious absence of the photopheresis procedural kit in our supply database. Consequently, this kit has been added to our CPEP database on an interim basis. We note that there are general similarities between the commenter's proposed inputs for clinical labor and equipment and our current data. We would anticipate a future discussion regarding this service in order to fully refine the practice expense direct cost inputs for photopheresis.

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). 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 and implement only \1/2\ 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. As explained in the August 15, 2003 proposed rule, the fourth GPCI review and revision was scheduled for implementation in 2004. However, 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 would occur for implementation in January 2004. 2. Malpractice GPCI Proposal

The malpractice GPCI is the most volatile of the three indices with relatively large variations existing between geographic payment localities. We proposed using actual 1999 through 2002 malpractice premium data and forecasting the malpractice premium rates for 2003. We were unable to include proposed malpractice GPCIs based upon this revised malpractice premium data in the August 15, 2003 proposed rule because we were still in the process of collecting the data. We stated that the revised malpractice GPCIs published in this year's final physician fee schedule regulation would be considered interim and subject to public comment. 3. Collection and Review of Malpractice Premium Data

For purposes of the 2004 update to the malpractice GPCIs we collected actual malpractice premium data for years 1999 through 2001. For 2002 we were able to obtain actual malpractice premium data for 32 states plus Puerto Rico. Where actual malpractice premium data were obtained, premiums were collected from the 20 physician specialties with the largest share of total Medicare RVUs for 2002. Premiums were collected from those insurers with the largest market share and those insurers that when summed with other large insurers comprised at least 50 percent of the state market share for claims-made policies with a $1 million individual case limit and $3 million aggregate case limit.

For those 18 states plus the District of Columbia for which we were unable to obtain actual 2002 premium data, we estimated the 2002 premium based upon an examination of growth rates from 1999 to 2001.

Malpractice premium data were not available for 2003. Two statistical approaches were examined to forecast 2003 malpractice premiums, simple extrapolation and projections based upon the average of historical year-to-year changes (mean rate of change). In most instances, the forecast 2003 premiums were similar using either approach. There was a tendency for the linear extrapolation method to yield slightly more extreme values (positive and negative) so the more conservative, mean rate of change approach was chosen.

Comment: Several commenters expressed concern about the continued use of proxy data, especially HUD residential rent data and nonphysician professional wage data, in the GPCI methodology.

Response: This final rule does not update the work or practice expense GPCIs. Any questions related to the use of proxy data in the calculation of the work and practice expense GPCIs will be responded to as part of future rulemaking.

Comment: One commenter stated that there should be no geographic differences under the physician fee schedule. This commenter felt that the data sources utilized for the construction of the locality specific GPCI indices do not accurately reflect legitimate differences in physician practice costs and that the current methodology did not appropriately reflect the variation that might be caused by case mix, availability of health care resources, and individual practice styles.

Response: Section 1848(e)(1)(A) of the Act requires that payments vary among areas as resources costs vary as reflected by the GPCIs. We agree that there will be some variation in case mix and practice styles between different specialties and individual practitioners. The physician fee schedule was established in 1992 to eliminate the large unjustifiable payment differences that existed among services, specialties, and geographic areas by establishing a national uniform payment system that can vary only as area resource costs vary as measured by the GPCIs. The GPCI component weights represent the

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average physician expense weights across all physician specialties and are intended to reflect the average costs across all services and specialties in a geographic area and not to reflect exactly the costs of each individual practitioner.

Comment: One commenter stated that there should be no geographic payment differentials because these payment differentials operate as a disincentive for practitioners to practice medicine in rural areas.

Response: Section 1848(e)(1)(A) of the Act requires that payments vary among areas as resources costs vary as reflected by the GPCIs. It should be recognized that the current methodology associated with the calculation of GPCIs partially benefits practitioners in rural areas. This is because the law requires that only one-quarter of area cost differences in physician work, the largest of the three fee schedule components, be recognized. Thus, about 40 percent of fee schedule payments are by statute not adjusted for area cost differences. When combined with the index of 1.000 for medical equipment, supplies, and miscellaneous (which represents about 13 percent of total physician resource costs) this means that there is a national fee schedule for about 53 percent of the average physician payment. That is, only about 47 percent of overall physician payments are adjusted for area resource cost differences. In addition, 34 states have a single statewide GPCI wherein 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.

Comment: One commenter felt that we should not use projected 2003 premium data and instead should actually collect 2003 premium data.

Response: Currently, 2003 premium data is not available. This is why we will utilize projected 2003 premium data in this update. We plan to utilize more current premium data as it becomes available.

Comment: Although several commenters expressed their support for the use of more current malpractice premium data, a few commenters had concerns about the use of 2001 through projected 2003 premium data and felt that we should use only projected 2004 premium data in place of the three year average.

Response: Since the malpractice index has proven to be the most volatile of the indices in past updates, with significant changes from year-to-year, we will not base the malpractice GPCI upon just one year of projected data. In order to protect against aberrant premiums for any given year, we will utilize a three-year average. We will use 2001 through projected 2003 premium data for the three-year average.

The current methodology projects 2003 malpractice premiums based upon actual malpractice premiums for 1999 through 2002. Since we will continue to collect updated malpractice premium data, we do not think it is appropriate to project through 2004 absent actual 2003 malpractice premium data.

Comment: One commenter suggested that due to the volatility associated with malpractice insurance premium data, we should collect premium data and re-scale the Malpractice GPCI annually.

Response: We agree that, because malpractice insurance premiums are volatile, the Malpractice GPCI is also the most volatile of the three indices. We also agree with the commenter's suggestion regarding annual collection of malpractice premium data. We plan to undertake this collection for 2003 premium data in early 2004. If premium data suggest a re-scaling is warranted, we may revise the GPCIs more frequently than every three years.

Comment: Several commenters requested that we make available to the public the malpractice premium data that was utilized in the calculation of the revised malpractice GPCIs.

Response: Since some of the data upon which the GPCIs were constructed is based upon the reporting of individual malpractice insurance companies, there are some confidentiality issues associated with making the malpractice premium data public. We will attempt to make available any information that is appropriate on our Web site at http://www.cms.hhs.gov.

Comment: The American Medical Association's Relative Value Update Committee (RUC) has requested that CMS work with the RUC's Professional Liability Insurance Workgroup to explore the utilization of premium data that might be collected by the RUC.

Response: We agree with the RUC request and look forward to working with the RUC to obtain more current professional liability premium data. 4. Interim 2004 Malpractice GPCIs

Acquiring data on malpractice insurance rates and using that data to adjust Medicare payments for future malpractice insurance prices is a difficult task. Malpractice insurance rates are quite volatile due to a variety of factors. Some of these factors are changes in State insurance laws, business decisions of malpractice insurance carriers, and changes in how medicine is practiced.

The volatility of malpractice premium data was quite evident in the data we collected in conducting our review of malpractice GPCIs. Based on these data and the comments received on the August 15, 2003 proposed rule, we have modified some of our GPCI calculations and assumptions.

We are very concerned about implementing sharp changes in malpractice GPCIs for 2004, which directly impact physician fee schedule payment amounts. At the same time, we recognize the importance of updating malpractice GPCIs to ensure local differences in physician costs are included in payment amounts. To be sensitive to both of these considerations, we decided to apply a modulating factor of .5 to the changes in the malpractice GPCIs. In other words, as part of our review and analysis of the malpractice GPCIs, we reduced the difference between the new and previous malpractice GPCIs by 50 percent.

As directed by the statute, we will implement \1/2\ of this change in the first year (CY 2004) and \1/2\ of this change in the second year (CY 2005). During this two-year phase-in, we will continue to monitor local malpractice markets, work with the State Departments of Insurance, and collaborate with the RUC to obtain the most current and best malpractice premium data available. As better data are obtained, we will review, propose changes, and revise the malpractice GPCIs as appropriate. The transitional 2004 and full 2005 GPCIs can be found at Addendum D and Addendum E, respectively. These malpractice GPCI revisions necessitate a budget neutrality adjustment, as required by law. Therefore, we adjusted the 2004 through 2006 malpractice GPCIs by 1.0021. 5. Payment Localities

In the August 15, 2003 proposed rule we requested comments on the composition of the current 89 Medicare physician payment localities to which the GPCIs are applied.

Comment: We received numerous comments from professional medical associations, beneficiaries, and practitioners requesting that the specific counties in which they practice medicine or receive medical care be removed from their current locality assignment.

Response: We will continue to examine alternatives for reconfiguring the current locality structure. We expect to further consider this issue as part of future rulemaking.

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C. Coding Issues

1. Payment Policy for CPT Tracking Codes

The November 1, 2001 final rule (66 FR 55269) included a discussion of CPT Category III codes (also known as CPT tracking codes) and stated that carriers have discretion for coverage and payment of services described by these CPT tracking codes unless we have made a national coverage determination (NCD). We have received requests to create national payment amounts for some CPT tracking codes even if there has been no NCD. Based on these requests, we proposed to change our policy regarding payment for CPT tracking codes and 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. This policy change would not change the contractor's discretion over coverage for the CPT tracking codes, but could establish a payment level to be used if the contractor finds that coverage is warranted. In addition, carriers would not be required to establish a payment amount for a tracking code until they receive a claim for the code.

Comment: Several commenters expressed concerns about this proposal. They believe that establishing a national payment rate for these codes risks premature creation of payment levels of reimbursement and creates an expectation for the future value of the code. The commenters also stated that establishment of a national price could also subvert the RUC process because such pricing could influence subsequent RUC valuation or our acceptance of the RUC's recommendations. Other commenters were supportive of the proposal, with some suggesting that we work with the specialty societies and the RUC in determining appropriate payment rates. One commenter suggested that an alternative to the proposal would be to use the existing refinement panel process because these refinement panels are multispecialty and feature the relevant specialty expertise. One commenter also requested we establish RVUs for specific tracking codes in the final rule.

Response: We understand the reservations and concerns of the commenters. As we indicated in the proposed rule, we would determine national payment amounts for CPT tracking codes only when there is a significant programmatic need for us to do so. If there is a need to establish payment amounts for a tracking code, we would appreciate the assistance of the relevant specialty societies and the RUC and such pricing would be subject to public comment. However, in some instances, interim values might need to be established if timing does not permit us to obtain prior input from the medical community.

Final Decision

We will finalize our proposal to create national payment policies and determine national payment amounts for CPT tracking codes when there is a significant programmatic need for us to do so. We note that, as discussed in the August 15, 2003 proposed rule, this policy change would not change the contractor's discretion over coverage for CPT tracking codes, but would establish a payment level if the contractor finds that coverage is warranted. 2. Excision of Benign and Malignant Lesions

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 for 2003. These codes are now reported based on the excised diameter (actual skin removed) rather than on the size of the lesion. Based on these changes to the code descriptors, we proposed 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.

Comment: The specialty society representing dermatology objected to this proposal and contended that the excision of malignant lesions generally goes deeper and is more time-consuming than the excision of benign lesions and that malignant lesion excision also requires greater skill and embodies greater risk. The society stated that this proposal ignores a multi-specialty effort by a CPT Integumentary Workgroup, the CPT Editorial Panel and the RUC to revise the code descriptors and to assign work RVUs to these services. This view was supported by a joint comment from the heads of several surgical specialties. The RUC also urged us to delay finalizing this proposal until the RUC has the opportunity to provide further recommendations related to these services. In addition, the specialty societies representing podiatry, general surgery, colon and rectal surgery, osteopathy, ophthalmology, plastic surgery, otolaryngology as well as the AMA, the Mayo Foundation and individual physicians also urged us to withdraw this proposal. Medical Group Management Association requested the policy rationale for equating the work RVUs for the benign and malignant code pairs. The specialty society representing family physicians agreed with and supported our position that there is no difference in physician work involved in excising a benign or malignant lesion. However, the commenter did not support our proposal to implement such RVU changes unilaterally and stated that we should utilize the CPT and RUC process.

Response and Final Decision: We still believe that the physician work for these services is sufficiently similar not to warrant differences in the work RVUs. However, we will maintain the 2003 work RVUs as interim values for 2004 to allow opportunity for the specialty to resurvey these services. Note: That due to the adjustments to work RVUs to match the MEI weights, the work RVUs in Addendum B may differ from the values in 2003. 3. Create G Codes for Monitoring Heart Rhythms

As explained in the August 15, 2003 proposed rule, technological advances have made cardiac telemetry equipment, typically used in hospitals, available in the home setting. Coverage of this technology is currently at the discretion of the local Medicare contractors because there is no national coverage determination for this service. We proposed to establish new HCPCS codes to specifically describe this service along with proposed RVUs and PE inputs for payment as follows:

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)

We proposed 0.52 physician work RVUs and 0.24 malpractice RVUs for this service and proposed crosswalking the practice expense inputs from 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.

[[Page 63216]]

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).

We proposed 0.07 malpractice RVUs and crosswalked the practice expense inputs from 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).

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

We proposed 0.15 malpractice RVUs and crosswalked the practice expense inputs from 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.

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 proposed 0.52 physician work RVUs and 0.02 malpractice RVUs and also crosswalked the practice expense inputs, from 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.

Comment: Commenters representing cardiac arrhythmia specialists and cardiologists recommended that we withdraw the proposal to create new G codes for monitoring heart rhythms. The commenters stated that this request was not made by the medical community nor from the manufacturers of these heart rhythm monitoring systems. The commenters contended that the proposal appears to address specifically one manufacturer and specifies a particular mode of transmission and patient location, even though there are other new systems of this type that are not captured by this proposal.

The commenters recommended that we allow this technology to be utilized on a local level before implementing a national coding solution. The commenters further supported that when this new technology warrants a national coding solution, a CPT coding application should be initiated and then the code should be sent to the RUC for review. The commenting specialties stated their willingness to provide medical input into the evaluation, coding and reimbursement for this new technology. Two commenters also stated that the descriptors and the proposed reimbursement do not reflect the monitoring systems that have been developed. Other commenters also requested that we withdraw or reconsider our proposal, as it did not follow the established process for creating and valuing new codes. One specialty society representing clinical endocrinologists supported the establishment of these HCPCS codes, while another commenter, a cardiac monitoring company, provided a general outline of how the various cardiac monitoring technologies can best be used for maximum quality and value. Another commenter suggested that until efficiency of the new technology is demonstrated this proposal should be postponed.

Response: Our intention in proposing these G codes was to recognize and nationally price all currently available real time cardiac telemetry monitoring technology. It was not intended to address only one system currently in use. Based on the concerns raised by commenters, we will not proceed with these proposed HCPCS codes because we want to ensure that any HCPCS codes developed encompass the various technologies that are being utilized for such monitoring. 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 August 15, 2003 proposed rule discussed our concerns that 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. We indicated that we understood the laboratory community would be reviewing this issue and considering whether to recommend changes to the current coding for the procedure. We also requested recommendations on appropriate values for the procedure should we wish to develop a future proposal.

Comments: Commenters, both individuals and organizations, asked that we not put forth a proposal for payment of flow cytometry. The College of American Pathologists (CAP) has proposed coding revisions to both the immunology and anatomic pathology section of CPT and is working with other groups to establish practice guidelines for flow cytometry. CAP asked that we not establish new ``G'' codes for 2004, but work with CAP and allow the CPT and RUC evaluation process to be used to determine appropriate coding and relative value units for flow cytometry.

Decision: We agree with the commenters. We will work with CAP, the CPT and the RUC to develop appropriate coding and payment policies for flow cytometry. 5. Change in Payments to Physicians Managing Patients on Dialysis

In the August 15, 2003 rule, we proposed to make CPT codes 90918, 90919, 90920, and 90921 for the monthly capitation payments (MCP) invalid for Medicare. We also proposed to create 3 new G codes in place of each CPT code with payments varying with the number of visits provided within each month to an end stage renal disease (ESRD) patient. Under our proposal, there would 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 would 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. These new codes would be reported once per month for services performed in an outpatient setting that are related to the patient's ESRD. These physician services would 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.

The proposed codes are as follows:

GXXX5--End Stage Renal Disease (ESRD) related services per full month, for patients under 2 years of age to

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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 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 based the proposed payments on the assumption that many physicians would provide 4 or more visits to their ESRD patients and a smaller proportion would provide 2-3 visits or only 1 visit per month. Using Medicare utilization data from 2002, we proposed the following relative value units for the new G codes that would make Medicare's aggregate payments for ESRD related services under the physician fee schedule approximately equal to current payments for procedure codes 90918 to 90921:

Table 2

Practice Code

Physician 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

As part of the proposed rule we also solicited comments on how to further revise our payment methodology to improve quality of care and outcomes. We requested information that could help us design future demonstrations that would study 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.

Comment: We received many comments from physicians, the RUC, specialty societies, dialysis centers and nephrologists, as well as other individuals and organizations who expressed concerns with our proposal to alter the way physicians are reimbursed for services provided to End Stage Renal Disease (ESRD) patients and who urged us to withdraw the proposal. The RUC and the AMA, as well as other specialty organizations, expressed disappointment that we developed this proposal without consultation from the medical community and outside the usual CPT and RUC process. The Renal Physicians Association (RPA), the American Society for Nephrology (ASN), the American Association for Kidney Patients (AAKP), and the National Kidney Foundation (NKF) all supported the principle of optimizing nephrologist-dialysis patient interaction, which is included in the proposal. However, the RPA contended that the proposal as currently constituted is unworkable, may negatively impact some dialysis patients and is being put on an unreasonably precipitous implementation schedule. The AAKP outlined similar concerns but believed that increased nephrologist-dialysis patient interaction will lead to improved outcomes and also urged that an advisory committee be established to assist in the effort to further improve quality and coordination of care for dialysis

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patients. The Medicare Payment Advisory Commission (MedPAC) agreed that the current payment method lacks accountability and quality incentives, and thus encouraged CMS to address these issues. However, MedPAC also expressed concern that without baseline data it was unclear how we could determine and measure the impact of the proposed changes on quality and access. MedPAC further stated that the adjustments to payment should be made subsequent to the collection of information on resource costs and clinical guidelines. Together with these adjustments, further incentives should be added to the monthly payment to reward and improve the quality and access of dialysis-related physician care, which is consistent with MedPAC's June 2003 recommendations. Below are the specific issues raised by commenters:

Disproportionate Payment Differences

Many comments concerned the large variation in proposed payments to physicians who see a patient only once a month, compared to the proposed payment for seeing a patient either two or three times during the month or four or more times during the month. In addition, commenters stated there is more work involved in managing care of the ESRD patients between visits.

Response: Based on our review of the comments, we agree that a significant amount of physician work for patients with ESRD occurs outside of the face-to-face visit with the patients. Since there may be significant physician work associated with providing physician services to ESRD patients between visits, we agree that there should be less difference in the payment levels than we proposed. By raising the minimum payment level, we are accounting for the extensive patient care coordination and other non-face-to-face management required by ESRD patients. However, we continue to believe that more physician work is associated with more frequent face-to-face visits with the patient, and any variation in the payment amounts should reflect this difference.

First, we determined the appropriate relative relationship among different codes. For instance, we believe that approximately 25 percent more physician work is involved with providing two to three visits than with a single visit, and 50 percent more physician work is associated with providing four or more visits. By paying a single amount regardless of how often the patient is seen, we believe our current policy pays too much if the patient is seen fewer than four times per month. Thus, we revised our payment to be consistent with different levels of physician work associated with providing monthly management of dialysis patients. We are setting our aggregate revised payments equal to aggregate current payments. Consistent with these assumptions, we determined the following RVUs:

Table 3.--Relative Values for New Monthly Capitation Codes

Practice Age of patient

HCPCS

Number of visits

Work

expense Malpractice

Total

Patients Other Than Home Dialysis

5spec each. 43219 *............................. ........... Esophagus endoscopy...

2.80 ...........

2.80 43256 *............................. ........... Uppr gi endoscopy w

4.35 ...........

4.35 stent. 44383 *............................. ........... Ileoscopy w/stent.....

2.94 ...........

2.94 45340............................... ........... Sig w/balloon dilation

1.66

1.96

1.89 51798............................... ........... Us urine capacity

0.00

0.38

0.00 measure. 75954............................... ........... Illiac aneurysm

1.36

2.93

2.25 endovas rpr. 92613............................... ........... Endoscopy swallow tst

0.00

0.99

0.71 (fees). 92615............................... ........... Eval laryngoscopy

0.00

0.88

0.63 sense test. 92617............................... ........... Interprt fees/

0.00

1.10

0.79 laryngeal test.

\1\ All CPT codes and descriptions copyright 2003 American Medical Association. All rights are reserved and applicable FARS/DFARS clauses apply. * The work RVUs for these codes were revised for 2003 by CMS to finalize outstanding issues related to the five- year review of the gastroenterology codes.

2. Interim 2003 Codes

CPT code 17310 Chemosurgery (Mohs micrographic technique) including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and complete histopathological preparation including the first routine stain (e.g. hematoxylin and eosin, toluidine blue); each additional specimen after the first 5 specimens, fixed or fresh tissue, any stage (List separately in addition to code for primary procedure).

Prior to 2003, this code was reported once for all specimens over five generated during a particular stage of Mohs surgery. Beginning in 2003, the code is used to report each specimen over five during a particular stage of Mohs surgery. The RUC recommended maintaining 0.95 work RVUs for this code as an interim value. We disagreed and assigned a work value of 0.62 work RVUs to this code pending further recommendations from the RUC. We believed this value was appropriate for the new descriptor since it allows reporting of CPT code 17310 for each specimen rather than reporting once for all specimens. It also places this code in the correct rank with the other Mohs surgery services, CPT codes 17304-17307, and with the codes for pathology consultation during surgery, CPT codes 88331 and 88332.

Commenters disagreed with the rationale we had used to arrive at the interim work value and indicated that we used inappropriate time/ intensity data and failed to include surgery work, focusing only on pathology work. Commenters also stated that the intent of this code has not changed and that CMS had ignored past policy which recognizes CPT code 17310 as an add-on service and thus allows the separate billing of services for each additional specimen beyond the first five. Based on these comments, we referred this code to the multispecialty validation panel for review.

[[Page 63227]]

Final decision: As a result of the statistical analysis of the 2003 multispecialty validation panel ratings, we have assigned 0.95 work RVUs to CPT code 17310.

CPT Code 38204 Management of recipient hematopoietic progenitor cell donor search and cell acquisition.

We disagreed with the RUC recommendation of 2.00 work RVUs for CPT code 38204. We believed we are already making payment for any physician work associated with this service as part of our payment for other bone marrow transplant codes (that is, CPT codes 38205, 38206, 38240, 38241, and 38242) and have significant concerns about how this code would be used in actual practice. Therefore, we assigned CPT code 38204 a status indicator of ``B,'' meaning that we will not make separate payment for this service.

Comments: Some commenters urged us to reconsider the RUC recommendation. In addition, the RUC submitted a comment disagreeing with our contention that the physician work associated with this code is included in other transplant codes. The RUC also asserted that discussions of this issue at the RUC meetings provided substantive information on how this code would be used.

Response: We continue to believe that the work of this service is contained in other transplant codes and are maintaining the status indicator of ``B.'' Therefore, we will not make separate payment for this service. CPT Codes 43219 Esophagoscopy, rigid or flexible; with insertion of plastic tube or stent, 43256 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with transendoscopic stent placement (includes predilation), and 44383 Ileoscopy, through stoma; with transendoscopic stent placement (includes predilation).

As explained in the December 31, 2002 final rule, the work RVUs for these codes were revised by CMS to finalize outstanding issues related to the five-year review of the gastroenterology codes. For CPT code 43219, we maintained the work RVU of 2.80. Review of information supplied by specialty societies did not provide compelling evidence that the work RVUs should be changed. Based on a review of the physician time data and a comparison to other stent placement codes, we assigned 4.35 work RVUs to CPT code 43256 and 2.94 work RVUs to CPT code 44383, in order to place these services in proper rank order to the other stent placement codes.

Comment: Some commenters felt that we improperly intervened in assigning work RVUs to these services albeit to correct rank order anomalies. Based on these comments we referred these codes to the multispecialty validation panel for review.

Response: As a result of the statistical analysis of the 2003 multispecialty validation panel ratings, we are retaining work RVUs of 2.80 for CPT code 43219, 4.35 for CPT code 43256 and 2.94 for CPT code 44383.

CPT code 45335 Sigmoidoscopy, flexible; with directed submucosal injections any substance.

The RUC recommended work RVUs of 1.46 for CPT code 45335 based on a comparison to CPT code 45330, with incremental work RVUs added to reflect increased pre-, intra-, and post-service work. We disagreed with the RUC recommendation and compared this service to the analysis and recommendation provided by the RUC for CPT code 43201, which is also a new submucosal injection code. Based on the increased risk of complications (resulting in higher intra-service intensities) and the fact that several sites are being injected instead of one, we assigned a work RVU of 1.36 to CPT code 45335.

Comment: Some commenters expressed concern about the rejection of the RUC recommendation for this service and believed that we had misinterpreted the RUC findings.

Response: Upon further review and consideration of the RUC recommendation we will accept the RUC recommended work RVU of 1.46 for this service.

CPT Code 45340 Sigmoidoscopy, flexible; with dilation by balloon, each stricture.

The RUC recommended a work RVU of 1.96 for this code, which includes 1.00 RVU for the incremental work based on the need for conscious sedation to perform this procedure. (Other flexible sigmoidoscopies do not require conscious sedation.) In the December 31, 2002 rule we stated that we did not believe it is appropriate to assign a work RVU for CPT code 45340 that is based on the presumption that a portion of the work value is for the provision of conscious sedation. Rather, we compared the RUC recommendations for work and physician time for other endoscopic dilation codes to the incremental times for CPT code 45340 and assigned a work RVU of 1.66 to CPT code 45340.

Comment: Some commenters urged us to accept the RUC recommendation, noting that our characterization of RUC recommendations on conscious sedation was inaccurate. The commenters stated that the RUC has concluded that there is an increase in the amount of physician work relating to conscious sedation, but has been unable to identify a specific numerical value for that additional increment. The RUC is in the process of determining the universe of codes that include conscious sedation as an inherent part of the service provided by the operating physician to ensure these services are appropriately valued. Based on these comments we referred this code to the multispecialty validation panel for review.

Response: As a result of the statistical analysis of the 2003 multispecialty validation panel ratings, we have assigned 1.89 work RVUs to CPT code 45340.

CPT Code 51798 Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, nonimaging.

The RUC recommended 0.38 work RVUs based on a urology survey that reported that this procedure is performed 75 percent of the time by the physician and also based on a comparison of this procedure to CPT code 76857, Ultrasound, pelvic (nonobstetric, B-scan and/or real time with image documentation; complete. We disagreed. This code is replacing a HCPCS level two code that was assigned 0.00 work RVUs because it is typically performed by a nurse or other clinical staff. We believed that CPT code 51798 is, therefore, also a nonphysician service and assigned 0.00 work RVUs to this service.

Comment: Some commenters requested that we reconsider our decision to assign 0.00 work RVUS to this service. The commenters argued that our reason for disagreeing with the RUC recommendation is based on a stated belief that there is no physician work involved, not on actual survey data as presented by the American Urological Association (AUA) and accepted by the RUC. Commenters urged that CMS work with AUA to review this decision or include this code as part of the multi- specialty validation panel for refinement of work RVUs. Based on these comments, we referred this code to the multispecialty validation panel for review.

Response: As a result of the statistical analysis of the 2003 multispecialty validation panel ratings, we will retain 0.00 work RVUs for CPT code 51798.

CPT Codes 58545-58554 Laproscopic hysterectomy/myonectomy procedures.

[[Page 63228]]

We accepted the RUC recommendations for work RVUs for these services.

Comment: Some commenters stated that new values have been established for these services based on new survey data and that the RUC has new recommendations for these services. In their comments on the December 31, 2002 rule, the RUC included these new work RVU recommendations and urged us to review these during the refinement process.

Response: We are in agreement with the RUC recommended values for these services. However, to provide an opportunity for public comment we are including these in the RUC Recommendations for New and Revised codes for 2004 (table xx) and will consider the RVUs interim for 2004.

CPT code 75954 Endovascular graft placement for repair of iliac artery (e.g. aneurysm, pseudoaneurysm, ateriovenous malformation, trauma) radiological supervision and interpretation.

The RUC agreed with the specialty societies and recommended a value of 2.93 work RVUs based on comparing this code to CPT codes 75952, Endovascular repair of infrarenal abdominal aortic anuerysm or dissection, radiological supervision and interpretation, (work RVU of 4.5) and 75953, Placement of proximal or distal extension prosthesis for endovascular repair of infra renal abdominal aortic aneurysm, radiological supervision and interpretation, (work RVU of 1.36). The recommended RVU was midway between the RVUs of the reference procedures. We did not agree with the RUC recommendation. Based on the specialty societies' description of the work of CPT code 75954 (which is virtually identical to the description of the work for CPT code 75953) and in order to maintain correct rank order in this family of codes, we assigned a work RVU of 1.36 to CPT code 75954.

Comment: Some commenters expressed concern about the rejection of the RUC recommendation, particularly since the recommendation was based on data presented by several specialty societies. The commenters stated that the data reflected the proper rank order of this service and indicated that physicians in those specialties that perform ileac aneurysm endorepair may be in a better position to judge the relationship of this code to other imaging services. Based on these comments, we referred this code to the multispecialty validation panel for review.

Response: As a result of the statistical analysis of the 2003 multispecialty validation panel ratings, we have assigned 2.25 work RVUs to CPT code 75954.

CPT code 92610 Clinical Evaluation of swallowing function.

In the December 2002 final rule, this CPT code replaced HCPCS code G0195, which had a work RVU of 1.50 in 2002. The Healthcare Professionals Advisory Committee (HCPAC) recommendation of a work RVU of 0.00 for CPT code 92610 was accepted by CMS.

Comment: Some commenters representing the long term care industry expressed concern with the reduction in work for this service. The rule provided no explanation of the HCPAC recommendation of 0.00 work RVUs for this service and the commenters requested that this issue be addressed.

Response: As requested by the commenters, a discussion of the HCPAC recommendation of 0.00 work RVUS was provided as part of the multispecialty validation panel, which was attended by the commenters. CPT codes 92613 Flexible fiberoptic endoscopic evaluation of swallowing by cine or video recording; physician interpretation and report only, 92615 Flexible fiberoptic endoscopic evaluation, laryngeal sensory testing by cine or video recording; physician interpretation and report only, and 92617 Flexible fiberoptic endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; physician interpretation and report only.

We did not accept the RUC recommendations for work RVUs for these services (0.99 for 92613, 0.88 for 92615 and 1.10 for 92617) and assigned each of these CPT codes a work RVU of 0.00. We stated that these three services refer only to a separately identified physician review and interpretation of the fiberoptic endoscopic evaluation and that we consider this physician interpretation and report bundled into an E/M service. We stated that the physician who does not perform the testing should only bill for the patient when performing an E/M service, not as the supervisor of another professional performing and reviewing the initial fiberoptic endoscopic evaluation. The interpretation is an integral part of the testing itself and, if a nonphysician professional has the credentials and experience to perform this testing, then that professional should also provide the interpretation of the findings.

Comment: Some commenters urged us to reconsider the RVUs and payment policies related to these services and to accept the RUC recommendations for these codes. The commenters asserted that the physician's detailed frame-by-frame analysis of the video recorded procedure needed to develop the diagnosis and report following this testing is not related to an E/M service. Rather, this is similar to other services where there is a report and interpretation by the physician that is separate from an E/M service. The commenters further stated that the RUC valued each procedure code and physician interpretation and report code separately, based on the coding structure created by CPT. As a result, the interpretation and reporting is separated from each test, and the RUC recommendations do not combine the interpretation with the testing. If the code were to combine the work of interpretation and the testing then the code descriptor would need to be modified and work RVUs revalued. As a final point, commenters disputed our assertion that a nonphysician professional with the credentials and experience to perform this testing should also provide the interpretation of the findings. Based on these comments we referred this code to the multispecialty validation panel for review.

Response: As a result of the statistical analysis of the 2003 multispecialty validation panel ratings, we have assigned 0.71 work RVUs to CPT code 92613; 0.63 work RVUs to CPT code 92615; 0.79 work RVUs to CPT code 92617.

In the December 31, 2002 final rule (67 FR 79966), we also responded to the RUC recommendations on the practice expense inputs for the new and revised CPT codes for CY 2003. There were no comments received on these and therefore we are finalizing our proposals.

Late RUC Recommendations

As we indicated in the August 15, 2003 proposed rule, RUC recommendations for RVUs for 23 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 during refinement. Several specialties also requested that we consider the late RUC recommendations. We had considered addressing these as part of the refinement process, but determined that we should follow the process used for all RUC recommendations and solicit public comment on the valuation

[[Page 63229]]

of these services. Therefore, we are including the RVUs for codes listed in the table below, along with the codes that are new and revised for 2004, as interim for 2004. Following is a discussion of those codes for which did not accept the RUC recommendation.

Table 5.--2003 Late RUC Recommendations

CMS assigned

RUC CPT code \1\

Short descriptor 2003 work RVU recommendation

CMS decision

2004 work RVU

21030............................... Excise max/zygoma b9

3.89

4.50 Agree...............................

4.50 tumor. 21040............................... Removal of jaw bone

3.89

4.50 Agree...............................

4.50 lesion. 21742............................... Repair sternum/nuss w/o

(2)

(2) Agree...............................

(2) scope. 21743............................... Repair sternum/nuss w/o

(2)

(2) Agree...............................

(2) scope. 36511............................... Apheresis wbc............

1.74

1.74 Agree...............................

1.74 36512............................... Apheresis rbc............

1.74

1.74 Agree...............................

1.74 36513............................... Apheresis platelets......

1.74

1.74 Agree...............................

1.74 36514............................... Apheresis plasma.........

1.74

1.74 Agree...............................

1.74 36515............................... Apheresis, adsorp/

1.74

1.74 Agree...............................

1.74 reinfuse. 36516............................... Apheresis, selective.....

1.74

1.22 Agree...............................

1.22 38207 (Lab Codes)................... Cryopreserve stem cells..

(3)

0.47 Disagree............................

(4) 38210 (Lab Codes)................... T-cell depletion of

(3)

0.94 Disagree............................

(4) harvest. 38211 (Lab Codes)................... Tumor cell deplete of

(3)

0.71 Disagree............................

(4) harvest. 38212 (Lab Codes)................... Rbc depletion of harvest.

(3)

0.47 Disagree............................

(4) 38213 (Lab Codes)................... Platelet deplete of

(3)

0.24 Disagree............................

(4) harvest. 38214 (Lab Codes)................... Volume deplete of harvest

(3)

0.24 Disagree............................

(4) 38215 (Lab Codes)................... Harvest Stem cell

(3)

0.55 Disagree............................

(4) concentrate. 93784............................... Ambulatory BP monitoring.

0.17

0.38 Agree...............................

0.38 93786............................... Ambulatory BP recording..

0.00

0.00 Agree...............................

0.00 93788............................... Ambulatory BP analysis...

(5)

0.00 Agree...............................

0.00 93790............................... Review/report BP

0.17

0.38 Agree...............................

0.38 recording.

\1\ All CPT codes and descriptions copyright 2003 American Medical Association. All rights are reserved and applicable FARS/DFARS clauses apply. \2\ Carrier Priced. \3\ Assigned Status Indicator of ``I''. \4\ Maintain Status Indicator of ``I''. \5\ Assigned Status Indicator of ``N''

[[Page 63230]]

Note : CPT codes 38208, 38209 and 95990 are addressed later in this section (new and revised codes for 2004)and are also included in table 4. Also these work RVUs may differ from the work RVUs in Addenda B and C that reflect the adjustment to match the MEI weights.

CPT codes 38207 Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage, 38210 Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion, 38211 Transplant preparation of hematopoietic progenitor cells; tumor cell depletion, 38212 Transplant preparation of hematopoietic progenitor cells; red blood cell removal, 38213 Transplant preparation of hematopoietic progenitor cells; platelet depletion, 38214 Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion, 38215 Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer.

We continue to have the same concerns as outlined in the December 31, 2002 final rule (67 FR 80007) with respect to moving these codes off of the laboratory fee schedule. We are maintaining a status indicator ``I'' for these services making them not valid for Medicare purposes.

CPT Codes 93784 Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report, 93786 Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only, 93788 Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report, and 93790 Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; physician review with interpretation and report.

The RUC recommendations for these codes were received too late for inclusion in the 2003 final rule. We had established the following work RVUs for these services during 2002 in response to a national coverage determination: CPT code 93784-0.17 work RVUs; 93786-0.00 work RVUs; 93790-0.17 work RVUs and had indicated that CPT code 93788 was not covered. We stated we would maintain these work RVUs until we receive a RUC recommendation.

Comment: Some commenters urged us to consider the RUC recommendations during the refinement process and also questioned the noncovered status of CPT code 93788. CPT codes 93786 and 93788 are two separate codes for the technical component and the coding format is identical to the coding used for Holter monitoring, which also has two codes for the TC of the service. Commenters also requested that CPT code 93788 be listed as a covered service.

Response: We are accepting the RUC recommendation of 0.38 work RVUs for CPT codes 93784 and 93790 and 0.00 work RVUs for CPT code 93786. We have reviewed the issue of noncoverage of CPT code 93788 and based upon the information provided by the commenters will recognize CPT code 93788 for coverage and payment under the physician fee schedule. We are also accepting the RUC recommendation of 0.00 for CPT code 93788.

We received the following comments on HCPCS codes established in the December 31, 2002 final rule.

GO262 Small intestinal imaging; intraluminal, from ligament of Treitz to the ileocecal valve, includes physician interpretation and report.

We created this code to describe a new diagnostic test for which we will make separate payment under the physician fee schedule. We assigned a work RVU of 2.12 to the code based on a comparison to the work of other diagnostic tests and procedures that require review of significant amounts of data.

Comment: Some commenters stated that that the time we used to establish the work RVU was greatly underestimated and may have been based on a misunderstanding of some of the time data contained in published literature. Based on limited survey data of physicians performing this procedure and comparison to the intensity of other services, commenters recommended a work RVU of 7.80.

Response: We are deleting HCPCS code G0262 since there is a new CPT code 91110, Gastrointestinal tract imaging, intraluminal (e.g., capsule endoscopy), esophagus through ileum, with physician interpretation and report, which will be used to report this service in 2004. We note that we accepted the RUC recommendation of 3.65 work RVUs for CPT 91110. If the commenters do not agree with the valuation of this service they may submit comments on this issue. GO268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing.

This code was created to allow payment to a physician who removes impacted cerumen on the same date as his or her employed audiologist performs audiologic function testing. We noted that routine removal of cerumen is not paid separately, because it is considered to be part of the procedure with which it is billed (for example, audiologic function testing). This code is to be used only in those unusual circumstances when an employed audiologist who bills under a physician uniform provider identifier number (UPIN) performs audiologic function testing on the same day as removal of impacted cerumen requiring physician expertise for removal. This code should not be used when the audiologist removes cerumen, because removal of cerumen is considered to be part of the diagnostic testing and is not paid separately.

Comment: Commenters stated that creation of this G code was problematic because there could be many other ``incident to'' services in which a physician performs a separate medically necessary procedure, that, if less extensive, would be considered to be included in a nonphysician provider service. The commenters suggested that a modifier could be used to describe this situation, avoiding the creation of a G code.

Response: We disagree and believe that this is a unique situation that is most appropriately handled through the use of a G code. GO269 Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug.)

We created this code due to the inappropriate reporting of this service with codes for such procedures as ``blood vessel repair'' and ``repair of arterial pseudoaneurysm'', and indicated that there would be no separate payment for this service as the work, practice expense, and malpractice risk is included in the main invasive procedure.

Comment: Commenters disagreed with the creation of this G code because it is intended to report a service that is a required component of another service and believed that the creation of this code may lead to the creation of many codes for reporting inclusive procedures separately. Some commenters suggested that the creation of parenthetical

[[Page 63231]]

instructions in CPT to instruct that ``referenced procedures (i.e., blood vessel repair, repair of arterial pseudoaneurysm) would not be appropriately reported in addition to the interventional vascular procedure'' would address our concerns. Other commenters disagreed with our assertion that closure devices are included in the practice expense payment, as such devices are not typically used in every interventional or surgical case. Commenters suggested this code be a technical component service only and have RVUs commensurate with the cost of the device.

Response: As we indicated in the December 31, 2002, final rule, this code was created to address a specific concern about inappropriate reporting of this service using such procedures as ``blood vessel repair'' and ``repair of arterial pseudoaneurysm.'' Since this service is considered part of the main invasive procedure, to the extent this is typically part of the invasive procedure, it is accounted for under the practice expense methodology. We will continue to consider this code bundled for Medicare purposes, that is, no separate payment will be made under the physician fee schedule. GO272 Naso/oro gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report)

We indicated we were creating this code for use until an identical CPT code can become effective. We assigned this code a work RVU of 0.32.

Comment: Commenters disagreed with the 0.32 value assigned to this service and recommended that we replace the work RVUs with the RUC recommended work value for CPT code 43752.

Response: We are deleting HCPCS code G0272 and CPT code 43752, Naso-or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report), will be used to report this service. GO273 Radiopharmaceutical biodistribution, single or multiple scans on one or more days, pre-treatment planning for radiopharmaceutical therapy of non-Hodgkin's lymphoma, includes administration of radiopharmaceutical (e.g., radiolabeled antibodies) and GO274 Radiopharmaceutical therapy, non-Hodgkin's lymphoma, includes administration of radiopharmaceutical (e.g., radiolabeled antibodies)

We created G0273 to describe radionuclide scanning to determine the biodistribution of Zevulin. We assigned 0.86 work RVUs to this code based on a comparison to CPT code 78802, Radiopharmaceutical localization of tumor; whole body. We established G0274 to allow appropriate reporting of this new service and assigned a work RVU of 2.07 to this code.

Comment: Commenters urged us to reevaluate the RVUs assigned to these codes and expressed concern that a lack of understanding about this service has led to its inappropriate valuation. Additionally, commenters requested that we present these codes to the AMA for consideration by the CPT Editorial Panel and RUC.

Response: We are deleting HCPCS codes G0273 and G0274. CPT codes 79403, Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion, and 78802, Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body single day imaging, will be used to report these services. GO275 Renal artery angiography (unilateral or bilateral) performed at the time of cardiac catheterization, includes catheter placement in the renal artery, injection of dye, flush aortogram and radiologic supervision and interpretation and production of images (List separately in addition to primary procedure) and GO278 Iliac artery angiography performed at the same time of cardiac catheterization, includes catheter placement, injection of dye, radiologic supervision and interpretation and production of images (List separately in addition to primary procedure)

We created these add-on codes to assure proper reporting of and payment for renal and iliac angiography performed at the time of cardiac angiography. We determined the work value of 0.25 for these two add-on procedures by using the work values for CPT codes 75625, Aortography, abdominal, by serialography, radiological supervision and interpretation and 93544 Injection procedure during cardiac catherization; for aortography and adjusting for the procedure time.

Comment: Commenters suggested that, if the true intention for the creation of G0275 was to assure correct coding of selective renal angiography performed in conjunction with cardiac catheterization, the RVUs are too low and not commensurate with the work associated with selective unilateral and/or bilateral renal angiography. However, if CMS'' intention for G0275 is non-selective renal angiography, then this should be stated clearly in the code descriptor. Commenters also considered the work RVUs assigned to G0278 to be too low. If G0278 is meant to be a selective procedure, then the work RVU should take into consideration the selective catheterization codes (CPT codes 36425 and 36425) and associated imaging codes (CPT codes 75710 and 75716).

Response: As announced in Program Memorandum, Transmittal AB-03- 119, Change Request 2853) issued August 8, 2003, the descriptors for these two services specify that they apply to non-selective angiography and have been revised as follows: GO275 Renal artery angiography, non-selective, one or both kidneys, performed at the time of cardiac catheterization and/or coronary angiography, includes positioning or placement of any catheter in the abdominal aorta at or near the origins (ostia) of the renal arteries, injection of dye, flush aortogram, production of permanent images, and radiologic supervision and interpretation (List separately in addition to primary procedure). and GO278 Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, inkjecton of dye, production of permanent images, and radioogic supervision and interpretation (List separately in addition to primary procedure). We will be retaining the work RVU of 0.25 for these two codes. GO279 Extracorporeal shock wave therapy; involving elbow epicondylitis GO280 Extracorporeal shock wave therapy; involving other than elbow epicondylitis or plantar fascitis

In the December 31, 2002 final rule we incorrectly established RVUs for CPT code 0020T, Extracorporeal shock

[[Page 63232]]

wave therapy; involving musculoskeletal system, which is an emerging technology code and also created two new HCPCS codes (G0279 and G0280) with payments based on our valuation of this CPT code. In the August 15, 2003 proposed rule we also requested additional information on these services.

Comment: Commenters on the December 2002 rule indicated that assignment of RVUs for CPT code 0020T is contrary to national policy established in the November 1, 2001 (66 FR 55269) final rule. They also indicated that the assumptions used to assign RVUs to these services were incorrect and undervalued these services.

Response: In a correction notice published May 30, 2003 (68 FR 32400) we indicated that we had incorrectly assigned RVUs to these services and they would be carrier priced.

Comment: Commenters on the December 2002 rule expressed concern that the G codes were not reflective of the changes in technology and FDA approval of ESWT. Commenters also disagreed with our categorization and portrayal of CPT 0020T as a procedure similar to other physical therapy modalities. Commenters urged us to correct and clarify that CPT 0020T is not physical therapy service but a physician procedure and thus should be removed from the list of codes identifying certain designated health services.

Response: We understand that this is a changing technology and believe the current descriptors accommodate these changes. We are removing CPT 0020T from the list of designated health services in Addendum F since we agree that, at this time, this service is predominantly performed by medical specialties such as orthopedists and podiatrists.

Comment: Commenters on the August 15, 2003 proposed rule urged us to continue to have these services priced by the carrier and expressed concern that our request for additional information indicated we would be establishing national payment amounts for these services. In addition, several physicians provided information on how this service is used in their offices, including cost information as well as a description of the procedure. Some commenters recommended that separate G codes be established to differentiate between the high and low energy levels that are currently used, as this impacts the treatment protocols as well as the resources used in these procedures.

Response: The purpose for soliciting information in the proposed rule was to gain a better understanding of the use of the various systems as well as the resources involved with this procedure. We appreciate the information the commenters provided and will continue to review this issue to determine if coding changes are warranted. We are retaining the current codes, G0279, G0280 and CPT code 0020T under the fee schedule and these will continue to be carrier priced. We believe this will enable the carriers to make appropriate payment for these services based on resources used. In addition, as previously discussed, we are removing CPT code 0020T from the list of designated health services in Addendum F.

GO288 Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery.

We created this code, which is a technical component code, to assure accurate reporting of this service by independent diagnostic testing facilities (IDTFs) that perform this service. This service includes receipt of a Computed Tomographic Angiogram (CTA), post-CTA processing using specialized software, and burning the 3D model onto a CD and returning it to the operating surgeon. This 3D only model is used to assist vascular surgeons in planning for, or monitoring the results of, endovascular aneurysm repair. The service is a technical service provided under the general supervision of a physician according to the supervision requirements for IDTFs.

Comment: Commenters requested clarification on whether this code could be used for the treatment planning both prior to surgery as well as for post-surgical monitoring. They also indicated that it should be expanded to include the use of enhanced computed tomography scans or magnetic resonance images and not just those generated by CTA. In addition, one commenter suggested that CMS ensure that this HCPCS code is used only for those technologies that meet the following criteria: (1) The ability to perform precise modeling of multiple clinically- relevant objects; (2) the ability to generate specific measurements essential for surgical planning and follow-up; (3) built-in quality control and self-validation capabilities; (4) FDA marketing clearance for use in surgical planning and follow-up treatment; and (5) conformance to standards adopted by the International Standards of Organization (ISO).

Commenters also suggested that the payment for this code be revised so that it is more in line with the payment for these services when administered in the outpatient setting.

Response: We agree that this service can be used for treatment planning prior to surgery as well as for post-surgical monitoring and have revised the code descriptor to clarify this point. The descriptor for this code is revised as follows:

G0288 Reconstruction, computed tomographic angiography of aorta for preoperative planning and evaluation post vascular surgery.

However, we are not expanding this service to include the use of enhanced computed tomography scans or magnetic resonance, as we have not been presented with information to support its use with these other data sources. We assume that physicians providing this service will abide by the FDA labeling requirements for the specific equipment used. Payment for services under the outpatient prospective payment system is based on a different methodology than services paid under the physician fee schedule. As required by section 1848 of the Act, payment under the physician fee schedule is based on national relative value units based on resources used in furnishing the service. We believe the RVUs established for this service are reflective of the resources used, and therefore do not believe this should be carrier priced.

GO289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chrondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee.

We created this add-on code to permit appropriate reporting of arthroscopic procedures performed in different compartments of the same knee during the same operative session. We stated that this code should be reported only when the physician spends at least 15 minutes in the additional compartment performing the procedure. It should not be reported if the reason for performing the procedure is due to a problem caused by the arthroscopic procedure itself. We noted that this code is to be used when a procedure is performed in the lateral, medial, or patellar compartments in addition to the main procedure. We assigned a work RVU of 1.48 to this code RVUs based on a comparison to CPT codes 29874, 29877 and 29870, the base procedure for this family of codes.

Comment: Commenters appreciated our efforts to address the issue of reimbursement for this procedure. However, they expressed concern about the specific reference to a 15 minute time requirement. The commenters believed that this was inappropriate because using time in this manner

[[Page 63233]]

rewards and encourages inefficient work and penalizes efficient physicians, which ultimately has an impact on the quality of care delivered to Medicare beneficiaries.

Response: We understand the concerns expressed by the commenters and regret any confusion that the time reference may have created. This reference to time was intended as a guideline to ensure that this add- on code is used only when the procedure performed is a substantive procedure needed to produce a significant improvement in the patient's condition. Documentation supporting this should be reflected in the operative note.

Establishment of Interim Work Relative Value Units for New and Revised Physician's Current Procedural Terminology (CPT) Codes and New Healthcare Common Procedure Coding System Codes (HCPCS) for 2004 (Includes Table titled American Medical Association Specialty Relative Value Update Committee and Health Care Professionals Advisory Committee Recommendations and CMS's Decisions for New and Revised 2004 CPT Codes)

One aspect of establishing RVUs for 2004 was related to the assignment of interim work RVUs for all new and revised CPT codes. As described in our November 25, 1992 notice on the 1993 physician fee schedule (57 FR 55983) and in section III.B. of the November 22, 1996 final rule (61 FR 59505 through 59506), we established a process, based on recommendations received from the AMA's RUC, for establishing interim work RVUs for new and revised codes.

This year we received work RVU recommendations for approximately 132 new and revised CPT codes from the RUC. Our staff and medical officers reviewed the RUC recommendations by comparing them to our reference set or to other comparable services for which work RVUs had previously been established, or to both of these criteria. We also considered the relationships among the new and revised codes for which we received RUC recommendations. We agreed with the majority of the relative relationships reflected in the RUC values. In some instances, when we agreed with the relationships, we nonetheless revised the work RVUs to achieve work neutrality within families of codes. That is, the work RVUs have been adjusted so that the sum of the new or revised work RVUs (weighted by projected frequency of use) for a family will be the same as the sum of the current work RVUs (weighted by projected frequency of use). We reviewed all the RUC recommendations. We accepted approximately 95 percent and we disagreed with approximately 5 percent of the RUC recommended values. In the majority of these instances, we agreed with the relativity established by the RUC, but needed to adjust work RVUs to retain budget neutrality.

We received 2 recommendations from the HCPAC. We agreed with both of the HCPAC recommendations.

Table 5, titled ``AMA RUC and HCPAC Recommendations and CMS Decisions for New and Revised 2004 CPT Codes'', lists the new or revised CPT codes, and their associated work RVUs, that will be interim in 2004. This table includes the following information:

[sbull] A ``'' identifies a new code for 2004.

[sbull] CPT code. This is the CPT code for a service.

[sbull] Modifier. A ``26'' in this column indicates that the work RVUs are for the professional component of the code.

[sbull] Description. This is an abbreviated version of the narrative description of the code.

[sbull] RUC recommendations. This column identifies the work RVUs recommended by the RUC.

[sbull] HCPAC recommendations. This column identifies the work RVUs recommended by the HCPAC.

[sbull] CMS decision. This column indicates whether we agreed with the RUC recommendation (``agree'') or we disagreed with the RUC recommendation (``disagree''). Codes for which we did not accept the RUC recommendation are discussed in greater detail following this table. An ``(a)'' indicates that no RUC recommendation was provided.

[sbull] 2004 Work RVUs. This column establishes the 2004 work RVUs for physician work. These work RVUs may differ from the work RVUs in Addenda B and C that reflect the adjustments to work RVUs to match the MEI weights.

Table 6.--AMA RUC and HCPAC Recommendations and CMS Decisions for New and Revised 2004 CPT Codes

RUC

HCPAC

2004 work

* CPT code

Mod

Description recommendation recommendation CMS decision

RVU

20982.... ........... Ablate, bone

7.27 .............. Agree...........

7.27 tumor(s) perq. 21685.... ........... Hyoid myotomy &

13.00 .............. Agree...........

13.00 suspension. 22532.... ........... Lat thorax spine

24.00 .............. Agree...........

24.00 fusion. 22533.... ........... Lat lumbar spine

23.12 .............. Agree...........

23.12 fusion. 22534.... ........... Lat thor/lumb,

6.00 .............. Agree...........

6.00 add'l seg. 31622............. ........... Dx bronchoscope/

2.78 .............. Agree...........

2.78 wash. 31623............. ........... Dx bronchoscope/

2.88 .............. Agree...........

2.88 brush. 31624............. ........... Dx bronchoscope/

2.88 .............. Agree...........

2.88 lavage. 31625............. ........... Bronchoscopy w/

3.37 .............. Agree...........

3.37 biopsy (s). 31628............. ........... Bronchoscopy/

3.81 .............. Agree...........

3.81 lung bx, each. 31629............. ........... Bronchoscopy/

4.10 .............. Agree...........

4.10 needle bx, each. 31630............. ........... Bronchoscopy

3.82 .............. Agree...........

3.82 dilate/fx repr. 31631............. ........... Bronchoscopy,

4.37 .............. Agree...........

4.37 dilate w/stent. 31632.... ........... Bronchoscopy/

1.03 .............. Agree...........

1.03 lung bx, add'l. 31633.... ........... Bronchoscopy/

1.32 .............. Agree...........

1.32 needle bx add'l. 31635............. ........... Bronchoscopy w/

3.68 .............. Agree...........

3.68 fb removal. 31640............. ........... Bronchoscopy w/

4.94 .............. Agree...........

4.94 tumor excise. 33310............. ........... Exploratory

18.51 .............. Agree...........

18.51 heart surgery. 33315............. ........... Exploratory

22.37 .............. Agree..........

22.37 heart surgery. 34805.... ........... Endovasc abdo

21.88 .............. Agree...........

21.88 repair w/pros. 35510.... ........... Artery bypass

23.00 .............. Agree...........

23.00 graft. 35512.... ........... Artery bypass

22.50 .............. Agree...........

22.50 graft. 35522.... ........... Artery bypass

21.76 .............. Agree...........

21.76 graft. 35525.... ........... Artery bypass

20.63 .............. Agree...........

20.63 graft. 35697.... ........... Reimplant artery

3.00 .............. Agree...........

3.00 each.

[[Page 63234]]

36555.... ........... Insert non-

2.68 .............. Agree...........

2.68 tunnel cv cath. 36556.... ........... Insert non-

2.50 .............. Agree...........

2.50 tunnel cv cath. 36557.... ........... Insert tunneled

5.10 .............. Agree...........

5.10 cv cath. 36558.... ........... Insert tunneled

4.80 .............. Agree...........

4.80 cv cath. 36560.... ........... Insert tunneled

6.25 .............. Agree...........

6.25 cv cath. 36561.... ........... Insert tunneled

6.00 .............. Agree...........

6.00 cv cath. 36563.... ........... Insert tunneled

6.20 .............. Agree...........

6.20 cv cath. 36565.... ........... Insert tunneled

6.00 .............. Agree...........

6.00 cv cath. 36566.... ........... Insert tunneled

6.50 .............. Agree...........

6.50 cv cath. 36568.... ........... Insert tunneled

1.92 .............. Agree...........

1.92 cv cath. 36569.... ........... Insert tunneled

1.82 .............. Agree...........

1.82 cv cath. 36570.... ........... Insert tunneled

5.32 .............. Agree...........

5.32 cv cath. 36571.... ........... Insert tunneled

5.30 .............. Agree...........

5.30 cv cath. 36575.... ........... Repair tunneled

0.67 .............. Agree...........

0.67 cv cath. 36576.... ........... Repair tunneled

3.19 .............. Agree...........

3.19 cv cath. 36578.... ........... Repair tunneled

3.50 .............. Agree...........

3.50 cv cath. 36580.... ........... Replace tunneled

1.31 .............. Agree...........

1.31 cv cath. 36581.... ........... Replace tunneled

3.44 .............. Agree...........

3.44 cv cath. 36582.... ........... Replace tunneled

5.20 .............. Agree...........

5.20 cv cath. 36583.... ........... Replace tunneled

5.25 .............. Agree...........

5.25 cv cath. 36584.... ........... Replace tunneled

1.20 .............. Agree...........

1.20 cv cath. 36585.... ........... Replace tunneled

4.80 .............. Agree...........

4.80 cv cath. 36589.... ........... Removal tunneled

2.27 .............. Agree...........

2.27 cv cath. 36590.... ........... Removal tunneled

3.30 .............. Agree...........

3.30 cv cath. 36595.... ........... Mech remov

3.60 .............. Agree...........

3.60 tunneled cv cath. 36596.... ........... Mech remov

0.75 .............. Agree...........

0.75 tunneled cv cath. 36597.... ........... Repositoin

1.21 .............. Agree...........

1.21 venous catheter. 36838.... ........... Dist revas

20.63 .............. Agree...........

20.63 ligation, hemo. 37765.... ........... Phleb veins--

7.35 .............. Agree...........

7.35 extrem--to 20. 37766.... ........... Phleb veins--

9.30 .............. Agree...........

9.30 extrem 20 +. 37785............. ........... Ligate/divide/

3.84 .............. Agree...........

3.84 excise vein. 38208............. ........... Thaw preserved

0.56 .............. Disagree........

0.00 stem cells. 38209............. ........... Wash harvest

0.24 .............. Disagree........

0.00 stem cells. 43235............. ........... Uppr gi

2.39 .............. Agree...........

2.39 endoscopy, diagnosis. 43237.... ........... Endoscopic us

3.99 .............. Agree...........

3.99 exam, esoph. 43238.... ........... Uppr gi

5.03 .............. Agree...........

5.03 endoscopy w/us fn bx. 43242............. ........... Uppr gi

7.31 .............. Agree...........

7.31 endoscopy w/us fn bx. 43259............. ........... Endoscopic

5.20 .............. Agree...........

5.20 ultrasound exam. 43752............. ........... Nasal/orogastric

0.82 .............. Disagree........

0.68 w/stent. 47133............. ........... Removal of donor [dagger] .............. Agree........... [dagger] liver. 47140.... ........... Partial removal,

55.00 .............. Agree...........

55.00 donor liver. 47141.... ........... Partial removal,

67.50 .............. Agree...........

67.50 donor liver. 47142.... ........... Partial removal,

75.00 .............. Agree...........

75.00 donor liver. 53500.... ........... Urethrlys,

12.21 .............. Agree...........

12.21 transvag w/ scope. 57425.... ........... Laparoscopy,

15.75 .............. Agree...........

15.75 surg, colpopexy. 58545............. ........... Laparoscopic

14.21 .............. Agree...........

14.21 myomectomy. 58546............. ........... Laparo-

19.00 .............. Agree...........

19.00 myomectomy, complex. 58550............. ........... Laparo-asst vag

14.19 .............. Agree...........

14.19 hysterectomy. 58552............. ........... Laparo-vag hyst

16.00 .............. Agree...........

16.00 incl t/o. 58553............. ........... Laparo-vag hyst,

20.00 .............. Agree...........

20.00 complex. 58554............. ........... Laparo-vag hyst

22.00 .............. Agree...........

22.00 w/t/o, compl. 59070.... ........... Transabdom

5.25 .............. Agree...........

5.25 amnioinfus w/us. 59072.... ........... Umbilical cord

9.00 .............. Agree...........

9.00 occlud w/us. 59074.... ........... Fetal fluid

5.25 .............. Agree...........

5.25 drainage w/us. 59076.... ........... Fetal shunt

9.00 .............. Agree...........

9.00 placement, w/us. 59897.... [dagger] Fetal invas px w/ [dagger] .............. Agree........... [dagger] us. 61537.... ........... Removal of brain

25.00 .............. Agree...........

25.00 tissue. 61538............. ........... Removal of brain

26.81 .............. Agree...........

26.81 tissue. 61539............. ........... Removal of brain

32.08 .............. Agree...........

32.08 tissue. 61540.... ........... Removal of brain

30.00 .............. Agree...........

30.00 tissue. 61543............. ........... Removal of brain

29.22 .............. Agree...........

29.22 tissue. 61566.... ........... Removal of brain

31.00 .............. Agree...........

31.00 tissue. 61567.... ........... Incision of

35.50 .............. Agree...........

35.50 brain tissue. 61863.... ........... Implant

19.00 .............. Disagree........

13.92 neuroelectrode. 61864.... ........... Implant

4.50 .............. Agree...........

4.50 neuroelectrode, add'l. 61867.... ........... Implant

31.34 .............. Disagree........

22.96 neuroelectrode. 61868.... ........... Implant

7.92 .............. Agree...........

7.92 neuroelectrde, add'l. 63101.... ........... Removal of

32.00 .............. Agree...........

32.00 vertebral boby. 63102.... ........... Removal of

32.00 .............. Agree...........

32.00 vertebral body.

[[Page 63235]]

63103.... ........... Removal

5.00 .............. Disagree........

3.90 vertebral body add-on. 64449.... ........... N block inj,

3.00 .............. Agree...........

3.00 lumbar plexus. 64517.... ........... N block inj,

2.20 .............. Agree...........

2.20 hypogas plxs. 64680............. ........... Injection

2.62 .............. Agree...........

2.62 treatment of nerve. 64681.... ........... Injection

3.55 .............. Agree...........

3.55 treatment of nerve. 65780.... ........... Ocular reconst,

10.25 .............. Agree...........

10.25 transplant. 65781.... ........... Ocular reconst,

17.67 .............. Agree...........

17.67 transplant. 65782.... ........... Ocular reconst,

15.00 .............. Agree...........

15.00 transplant. 67912.... ........... Correction

5.68 .............. Agree...........

5.68 eyelid w/ implant. 68371.... ........... Harvest eye

4.90 .............. Agree...........

4.90 tissue, alograft. 70557.... ........... Mri brain w/o

2.90 .............. Agree...........

2.90 dye. 70558.... ........... Mri brain w/dye.

3.20 .............. Agree...........

3.20 70559.... ........... Mri brain w/o &

3.20 .............. Agree...........

3.20 w/dye. 75901............. ........... Remove cva

0.49 .............. Agree...........

0.49 device obstruct. 75902............. ........... Remove cva lumen

0.39 .............. Agree...........

0.39 obstruct. 75998.... ........... Fluoroguide for

0.38 .............. Agree...........

0.38 vein device. 76082.... ........... Computer

0.06 .............. Agree...........

0.06 mammogram add- on. 76083.... ........... Computer

0.06 .............. Agree...........

0.06 mammogram add- on. 76514.... ........... Echo exam of

0.17 .............. Agree...........

0.17 eye, thickness. 76937.... ........... Us guide,

0.30 .............. Agree...........

0.30 vascular access. 78800............. ........... Tumor imaging,

0.66 .............. Agree...........

0.66 limited area. 78801............. ........... Tumor imaging,

0.79 .............. Agree...........

0.79 mult areas. 78802............. ........... Tumor imaging,

0.86 .............. Agree...........

0.86 whole body. 78803............. ........... Tumor imaging

1.09 .............. Agree...........

1.09 (3D). 78804.... ........... Tumor imaging,

1.07 .............. Agree...........

1.07 whole body. 79100............. ........... Repeat

1.32 .............. Agree...........

1.32 hyperthyroid therapy. 79400............. ........... Nonhemato

1.96 .............. Agree...........

1.96 nuclear therapy. 79403.... ........... Hematopoetic

2.25 .............. Agree...........

2.25 nuclear therapy. 85396.... ........... Clotting assay,

0.37 .............. Agree...........

0.37 whole blood. 88112.... ........... Cytopath, cell

1.18 .............. Agree...........

1.18 enhance blood. 88342............. ........... Immunohistochemi

0.85 .............. Agree...........

0.85 stry. 88358............. ........... Analysis, tumor.

0.95 .............. Agree...........

0.95 88361.... ........... Immunohistochemi

0.94 .............. Agree...........

0.94 stry, tumor. 91110.... ........... Gi tract capsule

3.65 .............. Agree...........

3.65 endoscopy. 95990............. ........... Spin/brain pump

0.00 .............. Agree...........

0.00 refil & main. 95991.... ........... Spin/brain pump

0.77 .............. Agree...........

0.77 refil & main. 96110............. ........... Developmental

0.00 .............. Agree...........

0.00 test, lim. 96111............. ........... Developmental

2.60 .............. Agree...........

2.60 test, extend. 97537............. ........... Community/Work ..............

0.45 Agree...........

0.45 reintegration. 97755.... ........... Assistive

..............

0.62 Agree...........

0.62 technology assess.

(a) No Final RUC recommendation provided. New CPT codes. * All CPT codes copyright 2004 American Medical Association.

[dagger] Carrier.

Table 6, which is titled ``AMA RUC ANESTHESIA RECOMMENDATIONS AND CMS DECISIONS FOR NEW AND REVISED 2004 CPT CODES'', lists the new or revised CPT codes for anesthesia and their base units that will be interim in 2004. This table includes the following information:

[sbull] CPT code. This is the CPT code for a service.

[sbull] Description. This is an abbreviated version of the narrative description of the code.

[sbull] RUC recommendations. This column identifies the base units recommended by the RUC.

[sbull] CMS decision. This column indicates whether we agreed with the RUC recommendation (``agree'') or we disagreed with the RUC recommendation (``disagree''). Codes for which we did not accept the RUC recommendation are discussed in greater detail following this table.

[sbull] 2004 Base Units. This column establishes the 2004 base units for these services.

Table 7.--AMA RUC ANESTHSIA RECOMMENDATIONS AND CMS DECISIONS FOR NEW AND REVISED CPT CODES

RUC

2003 base * CPT code

Description recommendation

CMS decision

units

00529.................... ANESTH, CHEST

11 Agree....................

11 PARTITION VIEW. 01173.................... ANESTH, FX REPAIR,

12 Agree....................

12 PELVIS.

[[Page 63236]]

01958.................... ANESTH, ANTEPARTUM

5 Agree....................

5 MANIPUL.

*All CPT codes copyright 2004 American Medical Association. New CPT code.

Discussion of Codes for Which There Were No RUC Recommendations or for Which the RUC Recommendations Were Not Accepted

The following is a summary of our rationale for not accepting particular RUC work RVU or base unit recommendations. It is arranged by type of service in CPT order. Additionally, we also discuss those CPT codes for which we received no RUC recommendations for physician work RVUs. This summary refers only to work RVUs or base units.

CPT code 43752 Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report)

The RUC recommended a work RVU of 0.82 for this service based on a comparison of this procedure to CPT code 44500. While we agree that CPT code 43752 is similar in work intensity to CPT code 44500, we feel the intra-service time is more appropriately valued at the 25th percentile (15 minutes of intra-service time vs. 20 minutes of intra-service time). This reduces the total time associated with CPT code 43752 from 30 minutes to 25 minutes. We applied the ratio of the RUC recommended value of 0.82 work RVU over 30 minutes to the revised intra-service time of 25 minutes to assign 0.68 interim work RVUs for CPT code 43752.

CPT code 63103 Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (e.g., for tumor or retropulsed bone fragments); thoracic or lumbar, each additional segment. (List separately in addition to code for primary procedure)

The RUC recommended a work RVU of 5.00 for this service based on a comparison of this procedure to CPT code 63088. It was unclear from the clinical vignettes supplied by the specialty society whether the additional corpectomy would more commonly involve the lumbar or the thoracic region of the spine. There is a significant difference in work intensity associated with the resection of an additional corpus in the thoracic region as opposed to the lumbar region. For this reason we applied the ratio of the reference service (CPT code 63088) to its primary service (CPT code 63087) to CPT code 63101 (primary service associated with CPT 63103) to assign 3.90 interim work RVUs for CPT code 63103.

CPT code 61863 Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (e.g., thalamus, globus pallidus, subthalamic nucleus, periventricular, periaqueductal gray), without use of intraoperative microelectrode recording; first array and CPT code 61867 Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (e.g., thalamus, globus pallidus, subthalamic nucleus, periventricular, periaqueductal gray), with use of intraoperative microelectrode recording; first array

The RUC recommended a work RVU of 19.00 for CPT code 61863 and 31.34 work RVUs for CPT code 61867. These two new CPT codes replace existing CPT code 61862 (work RVU=19.34). Although we agree with the relative relationship established by the RUC for these services, in order to retain budget neutrality, we adjusted the RUC recommended values. Thus, the recommended values were adjusted in order that the total relative values remain constant before and after the inclusion of the new CPT codes.

We assigned 13.92 work RVUs to CPT code 61863 and 22.96 work RVUs to CPT code 61867.

CPT code 38208 Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing and CPT code 38209 Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing

We continue to have the same concerns as outlined in the December 31, 2002 final rule (67 FR 80007) with respect to moving these codes from the laboratory fee schedule and thus establishing relative values under the physician fee schedule. We are maintaining a status indicator ``I'' for these services, making them not valid for payment under the Medicare Physician Fee Schedule.

CPT code 96111 Developmental testing extended (includes assessment of motor, language, social, adaptive, and/or cognitive functioning by standardized developmental instruments, eg Bayley Scales of Infant Development) with interpretation and report, per hour

Although we agree with the RUC recommended work RVU of 2.60 for CPT code 96111, we note that the tests under this code will no longer be paid on a per hour basis. That is, total payment for the services under CPT code 96111 is based on one hour of provision of the tests. It is our understanding that these tests can be completed typically in one hour. That is, some of the tests can be administered in less than one hour and some may require a little more than one hour, so that the average time for all of the tests works out to be one hour. Therefore, regardless of the total number of hours it takes to complete the services under CPT code 96111 or whether the services are split up and spread over a number of days, payment will be made for 96111 based on only one unit/hour at 2.6 RVUs.

Establishment of Interim Practice Expense RVUs for New and Revised Physician's Current Procedural Terminology (CPT) Codes and New Healthcare Common Procedure Coding System (HCPCS) Codes for 2004.

We have developed a process for establishing interim practice expense RVUs for new and revised codes that is similar to that used for work RVUs. Under this process, the RUC recommends the practice expense direct inputs, that is, the staff time, supplies and equipment, associated with each new code. We then review the recommendations in a manner similar to our evaluation of the recommended work RVUs.

[[Page 63237]]

The RUC recommendations on the practice expense inputs for the new and revised 2004 codes were submitted to us as interim recommendations. We, therefore, consider that these recommendations are still subject to further refinement by the PEAC, or by us, if it is determined that such future review is needed. We may also revisit these inputs in light of future decisions of the PEAC regarding supply and equipment packages and standardized approaches to pre- and post-service clinical staff times.

We have accepted, in the interim, almost all of the practice expense recommendations submitted by the RUC for the codes listed in the following table titled ``AMA RUC and HCPAC RVU Recommendations and CMS Decisions for New and Revised 2004 CPT Codes.''

We made the following minor changes to the inputs where relevant:

[sbull] We deleted the 3-minute phone calls in the post service period to conform to our established standard for all codes with 10 and 90-day global periods.

[sbull] We also deleted equipment when individual items did not meet the minimum $500 requirement.

[sbull] We deleted certain equipment items that represent indirect, rather than direct costs, including lead shielding, lead lined radioactive waste box and lead-lined sharps box.

[sbull] We deleted the L-Block table shield because it is included in the price and description of the dose calibrator, another CPEP equipment item.

[sbull] We made minor changes to clinical labor and supplies, for several central venous access (CVA) codes in order to bring uniformity to this new family of codes.

[sbull] We assigned, on an interim basis, the clinical labor RN designation for CPT code 95991, physician administered refilling and maintenance of spinal or brain implantable pump, until the PEAC has an opportunity to review the necessity for this clinical assignment.

V. Update to the Codes for Physician Self-Referral Prohibition

A. Background

On January 4, 2001 we published in the Federal Register a final rule with comment period, ``Medicare and Medicaid Programs; Physicians Referrals to Health Care Entities With Which They Have Financial Relationships'' (66 FR 856). That final rule incorporated into regulations the provisions in paragraphs (a), (b) and (h) of section 1877 of the Act. Section 1877 of the Act prohibits a physician from referring a Medicare beneficiary for certain ``designated health services'' to a health care entity with which the physician (or a member of the physician's immediate family) has a financial relationship, unless an exception applies. In the final rule, we published an attachment listing all of the CPT and HCPCS codes that defined the entire scope of the following designated health services for purposes of section 1877 of the Act: clinical laboratory services; physical therapy services (including speech-language pathology services); occupational therapy services; radiology and certain other imaging services; and radiation therapy services and supplies.

In the January 2001 final rule, we stated that we would update the list of codes used to define these designated health services (the ``Code List'') in an addendum to the annual physician fee schedule final rule. The purpose of the update is to conform the Code List to the most recent publications of CPT and HCPCS codes. The last update of the Code List was included in the December 31, 2002 physician fee schedule final rule in Addendum E and was subsequently corrected in a notice that was published in the Federal Register (68 FR 32400) on May 30, 2003.

The updated all-inclusive Code List effective January 1, 2004 is presented in Addendum F in this final rule. We intend to publish annually the all-inclusive Code List in an addendum to the physician fee schedule final rule. The updated all-inclusive Code List will also be available on our Web site at http://www.cms.hhs.gov/medlearn/refphys.asp .

B. Response to Comments

We received public comments on three issues relating to the most recent Code List. The comments and our responses are stated below.

Comment: One commenter noted that we added three new ``Q'' codes (Q3021, Q3022, and Q3023) for hepatitis B vaccines. Program Memorandum AB-02-185 issued on December 31, 2002 deleted these HCPCS codes. However, the Program Memorandum also reactivated the following CPT codes for hepatitis B vaccine: 90740, 90743, 90744, 90746 and 90747.

Response: The commenter is correct. We erred in adding the ``Q'' codes to the list of services that may qualify for an exception under 42 CFR 411.355(h) concerning exceptions for preventive screening tests, immunizations, and vaccines. This was corrected in the correction notice published on May 30, 2003 (68 FR 32400).

Comment: Some commenters objected to the addition of CPT code 0020T (Extracorporeal shock wave therapy; involving plantar fascia) to the list of physical therapy services for purposes of the physician self- referral prohibition. The commenters stated that CPT 0020T is currently a physician service involving anesthesia and therefore, should not be characterized as a physical therapy service.

Response: We agree with the commenters and have removed CPT code 0020T from the list of designated health services. Further discussion of this comment and response is included in section IV.C.2 of this preamble concerning the HCPCS codes G0279 and G0280 relating to extracorporeal shock wave therapy.

Comment: One commenter noted that the annual Code List update does not include codes for the following designated health services: Durable medical equipment and supplies; parenteral and enteral nutrients, equipment and supplies; prosthetics, orthotics and prothestic devices and supplies; home health services; outpatient prescription drugs; and inpatient and outpatient hospital services. The commenter recommended that we include the CPT and HCPCS codes for these designated health services in the annual update and in the quarterly updated Microsoft Excel spreadsheet of RVU values, global periods and supervision levels for Medicare covered-services posted on the CMS Web site. Alternatively, the commenter requested that we clarify that the Code List is not exhaustive and indicate where providers can obtain more information on the remaining categories.

Response: As explained in the January 4, 2001 final rule with comment (66 FR 923), we believe that the regulatory definitions of the designated health services at issue are sufficiently clear to permit entities and physicians to identify them readily. Moreover, some of these designated health services are not amenable to definition solely through codes. Regardless, to define these services through codes or to change the frequency of the Code List update would require a change in the text of the regulatory definitions for the various designated health services found in Sec. 411.351. The purpose of this Code List is simply to make those ministerial changes necessary to conform the Code List to the current CPT and HCPCS code publications. Making substantive changes to the regulatory definitions is beyond the scope of this update and cannot be accomplished without first proposing

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the changes in a Notice of Proposed Rulemaking. Lastly, we cannot accept the commenter's suggestion that we explain that the Code List is not exhaustive because such a statement is false. The Code List is exhaustive with respect to the specific designated health services that it defines, and for the reasons noted above, we are not defining the remaining designated health services through codes.

C. Revisions Effective for 2004

Tables 7 and 8, below, identify the additions and deletions, respectively, to the comprehensive Code List last published in Addendum E of the December 2002 physician fee schedule final rule and subsequently corrected in the May 30, 2003 correction notice (68 FR 32400). Tables 7 and 8 also identify the additions and deletions to the lists of codes used to identify the items and services that may qualify for the exceptions in Sec. 411.355(g) (regarding EPO and other dialysis-related outpatient prescription drugs furnished in or by an end-stage renal dialysis (ESRD) facility) and in Sec. 411.355(h) (regarding preventive screening tests, immunizations and vaccines).

We will consider comments with respect to the codes listed in Tables 8 and 9 below, if we receive them by the date specified in the DATES section of this final rule.

Table 8.--Additions to the Physician Self-Referral HCPCS/CPT \1\ Codes

Clinical Laboratory Services 0058T.................................. Cryopreservation, ovary tiss. 0059T.................................. Cryopreservation, oocyte. G0027.................................. Semen analysis. G0306.................................. CBC/diffwbc w/o platelet. G0307.................................. CBC without platelet. G0328.................................. Fecal blood scrn immunoassay.

Physical Therapy, Occupational Therapy, and Speech-Language Pathology Services

97755.................................. Assistive technology assess.

Radiology and Certain Other Imaging Services

72198.................................. Mr angio pelvis w/o & w/dye. 76082.................................. Computer mammogram add-on. 76083.................................. Computer mammogram add-on. 76514.................................. Echo exam of eye, thickness. 91110.................................. Gi tract capsule endoscopy.

Radiation Therapy Services and Supplies

G0173.................................. Stereo radiosurgery, complete. G0251.................................. Linear acc based stero radio. G0338.................................. Linear accelerator stero pln. G0339.................................. Robot lin-radsurg com, first. G0340.................................. Robt lin-radsurg fractx 2-5.

Drugs Used by Patients Undergoing Dialysis

Q4054.................................. Darbepoetin alfa, esrd use.

Q4055.................................. Epoetin alfa, esrd use.

Preventive Screening Tests, Immunizations and Vaccines

76083.................................. Computer mammogram add-on. 90655.................................. Flu vaccine, 6-35 mo, im.

\1\ CPT codes and descriptions only are copyright 2003 American Medical Association. All rights are reserved and applicable FARS/DFARS clauses apply.

Table 9.--Deletions to the Physician Self-Referral HCPCS/CPT \1\ Codes

Physical Therapy, Occupational Therapy, and Speech-Language Pathology Services

0020T.................................. Extracorp shock wave tx, ft.

Q0086.................................. Physical therapy evaluation.

Radiology and Certain Other Imaging Services

76085.................................. Computer mammogram add-on. 76831.................................. Echo exam, uterus. G0236.................................. Digital film conv. GO262.................................. Sm intestinal image capsule.

Radiation Therapy Services and Supplies

G0274.................................. Radiopharm tx, non-Hodgkins.

Drugs Used by Patients Undergoing Dialysis

Q9920.................................. Epoetin with hct = 40.

Preventive Screening Tests, Immunizations and Vaccines

76085.................................. Computer mammogram add-on. 90659.................................. Flu vacine, whole, im.

\1\ CPT codes and descriptions only are copyright 2003 American Medical Association. All rights are reserved and applicable FARS/DFARS clauses apply.

The additions specified in Table 8 generally reflect new CPT and HCPCS codes that become effective January 1, 2004 or that became effective since our last update. It also reflects the addition of codes recently recognized by Medicare for payment purposes.

Additionally, we are adding two G-codes (G0173, ``Stereo radiosurgery, complete'' and G0251, ``Linear acc based stero radio'') to the category of radiation therapy services and supplies. These codes became effective for Medicare payment purposes in August 2000 and July 2002, respectively and should have been reflected in previous Code Lists.

Table 8 also reflects the addition of 2 new HCPCS codes (Q4054 and Q4055) to the list of dialysis-related outpatient prescription drugs that may qualify for the exception described in Sec. 411.355(g) regarding those items. The physician self-referral prohibition will not apply to these drugs if they meet the conditions set forth in Sec. 411.355(g). Table X also reflects the addition of a screening mammography code (CPT 76083) and a flu vaccine code (CPT 90655) to the list that identifies preventive screening tests, immunizations and vaccines that may qualify for the exception described in Sec. 411.355(h) for such items and services. The physician self-referral prohibition will not apply to these services if they meet the conditions set forth in Sec. 411.355(h) concerning the exception for preventive screening tests, immunizations, and vaccines.

Table 8 reflects the deletions necessary to conform the Code List to the most recent publications of CPT and HCPCS codes, as well as additional deletions that we have determined are necessary as described below.

Under the category of physical therapy, occupational therapy and speech-language pathology services, we are removing CPT code 0020T, extracorporeal shock wave therapy for plantar fascia consistent with the response to the comment discussed in section IV.C.2 and VI.B of this preamble.

Under the category of radiology and certain other imaging services, we are deleting CPT code 76831 for an echo exam of the uterus. This code should never have appeared on the Code List.

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Our definition of ``radiology and certain other imaging services'' at Sec. 411.351 specifically excludes any x-ray, fluoroscopy or ultrasonic procedure that requires ``the insertion of a needle, catheter, tube, or probe''. The type of procedure described by CPT code 76831 involves infusion tubing and should be removed from the Code List.

Under the category of radiation therapy services and supplies, we are removing HCPCS code G0274 for radiopharmaceutical therapy for non- Hodgkin's lymphoma because it is a nuclear medicine service. Our definition of ``radiation therapy services and supplies'' at Sec. 411.351 specifically excludes nuclear medicine procedures. Thus, HCPCS code G0274 should never have appeared on the Code List.

VI. Physician Fee Schedule Update for Calendar Year 2004

A. Physician Fee Schedule Update

The physician fee schedule update is determined using a formula specified by statute. Under section 1848(d)(4) of the Act, the update is equal to the product of 1 plus the percentage increase in the Medicare Economic Index (MEI) (divided by 100) and 1 plus the update adjustment factor (UAF). For CY 2004, the MEI is equal to 2.9 percent (1.029). The UAF is -7.0 percent (0.930). Section 1848(d)(4)(F) of the Act requires an additional -0.2 percent (0.998) reduction to the update for 2004. Thus, the product of the MEI (1.029), the UAF (0.930), and the statutory adjustment factor (0.998) equals the CY 2004 update of - 4.5 percent (0.9551).

The negative physician fee schedule update occurs under a mandatory statutory formula. The law gives us no alternative to reducing the physician fee schedule rates. Only Congress can change the law and avert a reduction in 2004 physician fee schedule rates. Without a congressional act to change the law, the Department is compelled to announce a physician fee schedule update for CY 2004 of -4.5 percent. The Department's calculations are explained below.

B. 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 a 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 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 adjusting for productivity 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 rebasing and revising 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 rebasing and revising 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 base year for that version of the MEI was 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 price proxies reflect more current conditions. For this reason, we are rebasing the MEI to reflect physicians' expenses in 2000. In addition, we are revising the cost categories in the MEI and changing three of the proxies we currently use to ensure that the index is appropriately reflecting price changes. We will continue to adjust the MEI using economy-wide multifactor productivity.

The expense categories in the rebased and revised 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 the weights 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 and their associated price proxies. We are rebasing 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.

Comment: One commenter suggested that we update the weights in the MEI to a more recent base year, possibly CY 2004. While the commenter agreed with us that there is a lack of data to do so, the commenter suggested using the price change in each of the proxies to estimate weights for 2004 as an alternative to 2000 data.

Response: We selected CY 2000 as the base year for two reasons: (1) CY 2000 data were the most recent data available from the AMA, and (2) we felt the CY 2000 data were representative of the changing distribution of physician earnings and practice expenses over time. We do not expect that the experience of the past 3 or 4 years would have a significant impact on the MEI for the CY 2004 update, particularly since changing the weights from 1996 to 2000 had such a minimal effect. In addition, the price proxies that we use capture the current price changes in each of the categories that make up the MEI.

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While we agree that it would be optimal to develop MEI weights based on more recent data, we recognize the lack of data to do so. We also recognize that an alternative would be to use price changes in each of the proxies to update the weights to a more recent base year, similar to the methodology we used to develop the distribution of detailed practice expense categories in the current structure. In that case, we used price changes from 1998 to 2000 to develop weights for 2000.

However, as we indicated in the proposed rule, this method has a major drawback in that it assumes that the quantity of inputs would increase at the same rate as the price of those inputs. This may not be the case over longer time periods (for instance, 2000-2004) where there is likely to be substitution away from more costly inputs toward those which are less costly. Our experience with rebasing indexes has also shown that the weights for major categories do not change very much over time, even though the individual price changes for those categories can differ significantly. In addition, because the MEI is a Laspeyres-type index, the price changes between the base period and the current period are reflected in the relative importance of each category in determining the overall increase. Therefore, we feel that basing the index on CY 2000 data and reflecting current price changes likely represents a reasonable estimate of physicians' current experience.

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 10 lists the set of mutually exclusive and exhaustive cost categories that make up the rebased and revised MEI.

Table 10.--Rebased and Revised Medicare Economic Index Expenditure Categories, Weights, and Price Proxies

2000--Expense Expense category

weights\1\ 1996--Expense

Price proxy \2\

weights

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.........

18.653

16.812 .................................

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

13.808

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.

Other Practice Expenses....................

18.129 ............. .................................

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

4.319

4.516 ................................. Supplies.

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

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

Pharmaceuticals............................

2.308 ............. PPI Pharmaceutical Preparations.

Other 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. \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 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 the 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 Current Population Survey, 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

The rebased and revised MEI uses 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 is based on AMA data for 2000 and is 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.

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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. 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 time spent by a physician.

To obtain further detail for both wages/salaries and benefits, the ratio between these categories for 1996 (based on the 1996-based 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 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 other than malpractice expense, 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 nonphysician 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 will 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. This distribution for the 1996-based and 2000-based MEI are presented in Table 10.

Table 11.--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

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

(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 both premiums and the amount of coverage purchased by physicians in 2000 compared to 1996. While the weight does not reflect the cost experience for 2001 and 2002, the proxy used in the rebased and revised index does reflect the price increases associated with the recent rise in malpractice costs.

Comment: Some commenters were concerned that the rebased and revised MEI does not appropriately reflect the recent increase in professional liability insurance (PLI) premiums that physicians are experiencing.

Response: As we indicated in the proposed rule, the weights in the rebased and revised MEI reflect the distribution of physicians' costs in CY 2000 and do not reflect the more recent experience of physicians, particularly as it pertains to PLI. While it would be optimal to base the weights on more recent data, there is not a more recent, comprehensive measure that would meet our criteria for determining weights in the MEI.

We also indicated that while the weights do not reflect the more recent

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experience, the proxy we use to measure the price change in this category does reflect more recent price changes in premiums and is the most current data available through the second quarter of 2003. This MEI PLI data, like that used in the development of the GPCIs, does not reflect total expenditures on PLI, which would be needed to develop more current weights for the MEI. In order to develop cost weights, expenditure data for all costs facing physicians are needed. (iii) Office, Medical Equipment, Pharmaceuticals and Medical Materials and Supplies Expenses, and 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 directly account for changes in the quantity or intensity 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 aged 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 aged using the Producer Price Index (PPI) for Pharmaceutical preparations and the medical materials and supplies category was updated using the PPI for surgical appliances and supplies.

Finally, the Other Expenses 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 1996-based 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.

Comment: One commenter suggested for the purposes of future changes to the MEI, that CMS consider inputs that are vastly different than when the MEI was first developed, such as costs of complying with government regulatory requirements and interpreter services for patients.

Response: We thoroughly research many of the known data sources on a regular basis to determine the appropriate number of detailed categories that make up the MEI. If we determine that a different combination of inputs is needed we will revise the MEI to reflect a more current cost distribution. However, CMS does not have the detailed expenditure and price data for the types of expenditures the commenter indicated. CMS will continue to work with other outside entities in the future to ensure the MEI is as accurate and representative as possible. It should also be noted that these costs are already captured in the MEI, as all costs are captured in the index, just not separately broken out for the reasons previously stated. 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)

Producer price indices (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)

Consumer price indices (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)

Average hourly earnings (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

[[Page 63243]]

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 service, commodity, or geographic area, the higher the possibility of sampling variability.

The third criterion is timeliness of actual published data. For this reason, we prefer monthly and quarterly data to annual data. 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 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, timeliness, and public availability. Below we discuss the price-wage proxies for the rebased and revised MEI (shown in Table 5).

(a) Expense Categories in the MEI

Physician Time

In the rebased and revised 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)). It should be noted that 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 ensures parity in the rate of change in wages for the average worker and those 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 2000-based MEI will use the ECI for fringe benefits for total private industry as the price proxy for physician fringe benefits, the same proxy used for the 1996-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 used Current Population Survey data on earnings and employment by occupation to develop labor cost shares for the nonphysician occupational groups shown in Table 10. BLS maintains an ECI for each occupational group, and we use these ECIs as price proxies for nonphysician employee wages in the 2000-based 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 2000-based MEI will use 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. This is the same proxy used for the 1996-based MEI.

Office Expense

Office expenses include rent or mortgage for office space, furnishings, insurance, utilities, and telephone. We continue to use 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 separately accounted 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 pharmaceutical preparations 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 use the PPI for pharmaceutical preparations, rather than the CPI for prescription drugs, because physicians generally purchase drugs directly from a

[[Page 63244]]

wholesaler. The PPIs we use measure price changes at the final stage of production and not intermediate production, however.

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. For the CY 2004 update we were able to obtain data from 7 carriers, all of which were in the top 15 companies in 2001 in terms of market share. 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.

Our research has indicated that 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.

Comment: Several commenters were concerned about the 6.6 percent increase in the PLI component of the MEI published in the proposed rule and felt that this did not represent the actual increase in premiums physicians are experiencing.

Response: We indicated in the proposed rule that the 6.6 percent increase in the PLI component of the index was based on a forecast. For this final rule we have incorporated actual data (through the second quarter of 2003) that indicates that the increase in the proxy for the PLI component of the MEI is 16.9 percent.

Medical Equipment

Medical equipment includes depreciation, leases, and rent on medical equipment. We will 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 Expenses

This category includes the residual subcategory of other 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 condensed the structure compared to that used in the 1996-based MEI because we lack the data to develop a representative weight for transportation, as discussed above. This change resulted in only a negligible effect on the overall MEI over the past 8 years; the average annual 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 new method, adjusting for multifactor productivity applied to the entire index, in the rebased and revised MEI.

As described in the December 31, 2002 (68 FR 9568) final rule, we use 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 also 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 1996-based MEI. The adjustment will be based on the latest available actual historical economy-wide multifactor productivity data, as measured by BLS. For the 2004 update, this means using the multifactor productivity data through 2001, the latest available information. 5. Results of Rebasing

Because the rebased and revised MEI is similar in structure to the 1996-based MEI, 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 other expenses declined.

The update using the rebased and revised MEI for the 2004 Physician Fee Schedule is an increase of 2.9 percent. This incorporates historical data through the second quarter of 2003.

[[Continued on page 63245]]

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

[[pp. 63245-63294]] Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004

[[Continued from page 63244]]

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Table 12.--Annual Percent Change in the Revised and Rebased Medicare Economic Index, 2004--All Categories

Increase in the Medicare Economic Index Update for Calendar Year 2004 \1\

2000 weights 2004 percent Cost categories and price measures

\2\

changes

Medicare Economic Index Total,

n/a

2.9 productivity adjusted..................

Productivity: 10-year moving average

n/a

0.9 of Multifactor productivity, private nonfarm business sector.... Medicare Economic Index Total, without

100.000

3.8 productivity adjustment................

1. Physician's Own Time \3\.........

52.466

3.6 a. Wages and Salaries: Average

42.730

3.2 Hourly Earnings, private Nonfarm........................ b. Fringe Benefits: Employment

9.735

5.4 Cost Index, benefits, private nonfarm........................

2. Physician's Practice Expense \3\.

47.534

4.0 a. Nonphysician Employee

18.653

3.4 Compensation................... 1. Wages and Salaries:

13.808

2.8 Employment Cost Index, wages and salaries, weighted by occupation..... 2. Fringe Benefits:

4.845

5.0 Employment Cost Index, fringe benefits, white collar..................... b. Office Expense: Consumer

12.209

2.5 Price Index (CPI-U), housing... c. Drugs and Medical Materials

4.319

3.1 and Supplies................... 1. Medical Materials and

2.011

1.0 Supplies: Producer Price Index, surgical appliances and supplies/Consumer Price Index (CPI-U), medical equipment and supplies (equally weighted)......... 2. Pharmaceuticals: Producer

2.308

4.9 Price Index (PPI pharmaceutical preparations).............. d. Professional Liability

3.865

16.9 Insurance: premiums \4\........ e. Medical Equipment: PPI,

2.055

2.3 medical instruments and equipment...................... f. Other Expenses...............

6.433

1.9

\1\ The rates of historical change are estimated for the 12-month period ending June 30, 2002, which is the period used for computing the calendar year 2004 update. The price proxy values are based upon the latest available Bureau of Labor Statistics data as of September 22, 2002. \2\ The weights shown for the MEI components are the 2000 base-year weights, which may not sum to subtotals or totals because of rounding. The MEI is a fixed-weight, Laspeyres-type input price index whose category weights indicate the distribution of expenditures among the inputs to physicians' services for calendar year 2000. To determine the MEI level for a given year, the price proxy level for each component is multiplied by its 2000 weight. The sum of these products (weights multiplied by the price index levels) over all cost categories yields the composite MEI level for a given year. The annual percent change in the MEI levels is an estimate of price change over time for a fixed market basket of inputs to physicians' services. Due to rounding, weights may not sum to 100.000 percent. \3\ The measures of productivity, average hourly earnings, Employment Cost Indexes, as well as the various Producer and Consumer Price Indexes can be found on the Bureau of Labor Statistics Web site http://stats.bls.gov . \4\ Derived from data collected from several major insurers (the latest available historical percent change data are for the period ending second quarter of 2003). n/a Productivity is factored into the MEI categories as an adjustment to the price variables; therefore, no explicit weight exists for productivity in the MEI.

As is the case with this index rebasing, our experience in previous rebasing and revising indexes has been that there is usually a very small effect on the overall percent change. The difference is typically between zero and 0.3 percentage points per year on average. The rebased and revised MEI overall percent increase for the CY 2004 update is only 0.1 percentage point higher compared to the 1996-based MEI. This is also the case for this final rule. When the MEI was last rebased, there was no difference in the average annual percentage change from 1985 to 1998. When the PPS hospital indices were rebased, the average difference in the percentage change was less than one-tenth of a percentage point from 1995 to 2002.

The first reason for this small difference between the 1996-based and 2000-based MEI percent changes is that the weight of professional liability insurance increased, giving it a higher relative importance in the index in 2000. This category also increased at a faster pace than other index categories during 2002 and projected for 2003, resulting in an even greater relative importance for this index by 2004 and causing it to have a larger effect on the overall index compared to the 1996-based MEI.

In addition, the pharmaceuticals from the medical materials and supplies category grew faster than the overall medical materials and supplies in the 1996-based MEI. In addition, the faster growth in the aggregate medical materials and supplies category combined with a higher weight in the 2000-based index gave the category a higher relative importance. However, these increases were mostly offset by declines in weight of some of the other categories, most notably physician earnings. 6. Adjustments to RVUs To Match the New MEI Weights

As discussed in the August 15, 2003 proposed rule, 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 either 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 proposed adjusting all 3 categories of RVUs rather than adjusting only the practice expense and malpractice RVUs, which would have resulted in a reduction to the physician fee schedule conversion factor in addition to the -4.2 percent reduction that was forecasted. Specifically, we proposed to reduce the physician work RVUs by an estimated 0.35 percent (0.9965) and the practice expense RVUs by an estimated 1.15 percent (0.9885) and to increase the malpractice RVUs by an estimated 21.7 percent (1.217) to match the rebased MEI weights.

[[Page 63246]]

Comment: We received comments from a number of physician organizations opposing any adjustment to the physician work RVUs. Several of the comments appreciated our reluctance to reduce the physician fee schedule conversion factor by an additional 0.3 percentage points when there will already be a large reduction in the physician fee schedule update. One commenter stated that any additional reduction to the physician fee schedule conversion factor would be inappropriate. However, these comments also stated that that the physician work RVUs should remain constant and stable. There were a number of comments that stated that across-the-board adjustments should never be applied to the work component of the Resource Based Relative Value System. One comment indicated that we should not make any adjustments to the work RVUs unless they are recommended by the RUC. Several of the comments stated that the proposed adjustments to the RVUs to match the MEI weights would not assist the physician community in addressing the professional liability crisis since any increase in physician fees for some services will be offset by reductions in other services. Additional payments by Medicare to cover increased professional liability costs, or congressional action, are necessary to alleviate this problem. Some of the comments indicated that CMS did not provide sufficient information to make a determination as to how the two proposals would affect individual codes because the adjustments were not applied to the RVUs shown in Addendum B of the proposed rule. Several of the comments stated that the stability of work RVUs is essential since they are used by private payors, physician compensation systems, and in productivity analysis. The RUC commented that they depend upon the stability in these values as they review new and revised codes, both in magnitude estimation and in any calculations regarding intra-work per unit of time (IWPUT). One comment suggested CMS create a separate adjustment factor to adjust payments without changing the conversion factor or the RVUs, as it did for the first five-year review of the Medicare physician fee schedule in 1995. We also received a comment urging us to review the Secretary's ``ancillary policies'' authority under section 1848(c)(4) of Act to determine whether CMS has statutory authority to increase PLI relative value units without reducing the work and practice expense relative value units.

We also received several comments that expressed support for maintaining stability in the practice expense RVUs. The comment stated ``much like what is done with work relative values, any code-level refinements due to annual coding changes that result in a non-budget neutral impact should not result in a reduction of all practice expense relative values. The comment requested that CMS present an analysis of this issue in an upcoming proposed rule and recommended that adjustments related to the MEI rebasing not be applied to the practice expense relative values.

Response: We share the concern about establishing stability in the practice expense RVUs. As we indicated in the June 28, 2002 proposed rule (67 FR 43851), ``once the refinement process is complete, we believe the physician community has a reasonable expectation that the practice expense RVUs will not change from year to year unless further refinement is undertaken.'' We plan to analyze in an upcoming proposed rule whether there are any alternatives to our current practice of rescaling the practice expense RVUs to apply budget neutrality. However, we disagree with the comments that suggest we only increase the malpractice expense RVUs and not apply any adjustments to the work and practice expense RVUs to match the MEI weights. It is not possible to match the aggregate RVUs to the new MEI weights if we make no adjustments to both work and practice expense and adjust only the malpractice RVUs and the conversion factor. While it would be possible to maintain budget neutrality for the increase in malpractice RVUs by reducing the conversion factor, the aggregate number of RVUs for work and practice expense would not match the MEI weights unless we could adjust at least two of the three RVUs in combination with applying a compensating adjustment to the CF.

We have considered the comment suggesting that we use the Secretary's section 1848(c) ``ancillary'' policies authority to adjust the RVUs to match the MEI weights but not maintain budget neutrality. Section 1848(c) states that the Secretary may establish ancillary policies (with respect to the use of modifiers, local codes, and other matters) as may be necessary to implement this section.'' We believe that this section of the statute must, nonetheless, be read consistently with the requirements of section 1848(c)(2)(B)(ii)(II) of the Act requiring that changes to RVUs cannot cause the amount of expenditures to increase or decrease by more than $20 million from the amount of expenditures that would have been made if such adjustments had not been made. We believe the statute is clear and any increase in the malpractice expense RVUs must be offset by decreases to the work and practice expense RVUs or the conversion factor.

We also do not believe that the work RVUs should be maintained and a separate ``work adjustor'' established. While such policy was adopted following the 5-year review of physician work in 1997, we used this procedure only because the effect of the work adjustor could be removed once resource-based practice expense RVUs were adopted in 1999. We did not find the work adjustor to be desirable. It added an extra element to the physician fee schedule payment calculation and created confusion and questions among the public who had difficulty using the RVUs determine a payment amount that matched the amount actually paid by Medicare.

We acknowledge the comments that indicate that the work RVUs are used for many purposes other than Medicare payment. While our proposal would slightly reduce the absolute value of the physician work RVUs, it would not change their relative values since there would be a uniform decrease to all of the RVUs. We believe the relative relationship among the values for the services makes them useful for analysis for purposes other than Medicare payment. Since the relative values will be left unchanged, we do not believe the work RVUs will lose their utility for these other uses.

We disagree that our proposed rule did not provide enough information upon which to determine the impact on payment for a given service. The proposed rule provided the specific level of the estimated adjustments. While we did not actually apply the adjustments to the RVUs shown in Addendum B, any interested party could determine the effect of our proposal on any given service with the information we provided. We further noted that the adjustments we provided were estimated and would change once we made final determinations of the work, practice expense and malpractice RVUs for 2004. For the final rule, we will reduce the work RVUs by 0.57 percent (0.9943), the practice expense by 0.77 (0.9923) percent and increase the malpractice RVUs by 19.86 percent (1.1986). We have also modeled the impact of our proposal by specialty in the impact section of this final rule.

With respect to the comments about our proposal and the large increases in professional liability premiums, we

[[Page 63247]]

have not asserted that our policy to adjust the RVUs will resolve this issue. While the comments that our policy will increase payments for some service and decrease payments for payments for others are correct, we note that payments for services with high malpractice RVUs will increase the most in payment while there will be negligible impact on payment for most other services. Such a policy will improve our payment policies by giving more weight to the malpractice RVU in determining Medicare total payment consistent with the proportion that professional liability expenses represent of total physician expenses. As indicated in the impact section, services provided by cardiac and thoracic surgeons, neurosurgeons, orthopedic surgeons, vascular surgeons and emergency physicians are increasing in payment as a result of this proposal. There will be little impact of these adjustments on all other specialties.

C. The Update Adjustment Factor

Section 1848(d) of the Act provides that the physician fee schedule update is equal to the product of the MEI and an ``update adjustment factor'' or UAF. The UAF is applied to make actual and target expenditures (referred to in the law as ``allowed expenditures'') equal. Allowed expenditures are equal to actual expenditures in a base period updated each year by the SGR. The SGR sets the annual rate of growth in allowed expenditures and is determined by a formula specified in section 1848(f) of the Act. 1. Calculation Under Current Law

Under section 1848(d)(4)(A) of the Act, the physician fee schedule update for a year is equal to the product of--(1) 1 plus the Secretary's estimate of the percentage increase in the MEI for the year, divided by 100 and (2) 1 plus the Secretary's estimate of the UAF for the year. Under section 1848(d)(4)(B) of the Act, the UAF for a year beginning with 2001 is equal to the sum of the following--

[sbull] Prior Year Adjustment Component. An amount determined by--

[sbull] Computing the difference (which may be positive or negative) between the amount of the allowed expenditures for physicians' services for the prior year (the year prior to the year for which the update is being determined) and the amount of the actual expenditures for such services for that year;

[sbull] Dividing that difference by the amount of the actual expenditures for such services for that year; and

[sbull] Multiplying that quotient by 0.75.

[sbull] Cumulative Adjustment Component. An amount determined by--

[sbull] Computing the difference (which may be positive or negative) between the amount of the allowed expenditures for physicians' services from April 1, 1996, through the end of the prior year and the amount of the actual expenditures for such services during that period;

[sbull] Dividing that difference by actual expenditures for such services for the prior year as increased by the sustainable growth rate for the year for which the update adjustment factor is to be determined; and

[sbull] Multiplying that quotient by 0.33.

Section 1848(d)(4)(E) of the Act requires the Secretary to recalculate allowed expenditures consistent with section 1848(f)(3) of the Act. Section 1848(f)(3) specifies that the SGR (and, in turn, allowed expenditures) for the upcoming calendar year (2004 in this case), the current calendar year (2003) and the preceding calendar year (2002) are to be determined on the basis of the best data available as of September 1 of the current year. Allowed expenditures are initially estimated and subsequently revised twice. The second revision occurs after the calendar year has ended (that is, we are making the final revision to 2002 allowed expenditures in this final rule). Once the SGR and allowed expenditures for a year have been revised twice, they are final.

Table 13 shows annual and cumulative allowed expenditures for physicians' services from April 1, 1996 through the end of the current calendar year, including the transition period to a calendar year system that occurred in 1999.

Table 13

Cumulative Annual allowed allowed Period

expenditures expenditures

FY/CY SGR ($ in

($ in billions) billions)

4/1/96-3/31/97.......................

48.9

48.9 N/A 4/1/97-3/31/98.......................

50.5

99.4 FY 1998 = 3.2% 4/1/98-3/31/99.......................

52.6

152.0 FY 1999 = 4.2% 1/1/99-3/31/99.......................

13.3

(\1\) FY 1999 = 4.2% 4/1/99-12/31/99......................

42.1

(\2\) FY 2000 = 6.9% 1/1/99-12/31/99......................

55.3

194.1 FY 1999/2000\3\ 1/1/00-12/31/00......................

59.4

253.4 CY 2000 = 7.3% 1/1/01-12/31/01......................

62.0

315.5 CY 2001 = 4.5% 1/1/02-12/31/02......................

67.2

382.6 CY 2002 = 8.2% 1/1/03-12/31/03......................

71.7

454.2 CY 2003 = 6.7% 1/1/04-12/31/04......................

77.0

528.6 CY 2004 = 7.4%

\1\ Allowed expenditures for the first quarter of 1999 are based on the FY 1999 SGR. \2\ Allowed expenditures for the last three quarters of 1999 are based on the FY 2000 SGR. \3\ Allowed expenditures in the first year (April 1, 1996-March 31, 1997) are equal to actual expenditures. All subsequent figures are equal to quarterly allowed expenditure figures increased by the applicable SGR. Cumulative allowed expenditures are equal to the sum of annual allowed expenditures. We provide more detailed quarterly allowed and actual expenditure data on our Web site under the Medicare Actuary's publications at the following address: http://www.cms.hhs.gov/statistics/actuary/. We expect to update the web site with the most current information later this month.

Consistent with section 1848(d)(4)(E) of the Act, table 13 includes our final revision of allowed expenditures for 2002, a recalculation of allowed expenditures for 2003, and our initial estimate of allowed expenditures for 2004. To determine the update adjustment factor for 2004, the statute requires that we use allowed and actual expenditures from April 1, 1996 through December 31, 2003 and the 2004 SGR. Consistent with section 1848(d)(4)(E), we will be making further revisions to 2003 and 2004 SGRs and 2003 allowed expenditures. Because we have

[[Page 63248]]

incomplete actual expenditure data for 2003, we are using an estimate for this period. Any difference between current estimates and final figures will be taken into account in determining the update adjustment factor for future years.

We are using figures from table 13 in the statutory formula illustrated below:

[GRAPHIC] [TIFF OMITTED] TR07NO03.000

UAF = Update Adjustment Factor Target03= Allowed Expenditures for 2003 or $71.7 billion Actual03= Estimated Actual Expenditures for 2003 = $77.8 billion Target4/96-12/03= Allowed Expenditures from 4/1/1996-12/31/ 2002 = $454.2 billion Actual4/96-12/02= Estimated Actual Expenditures from 4/1/ 1996-12/31/2003 = $462.0 billion SGR03= 7.4 percent (1.074)

[GRAPHIC] [TIFF OMITTED] TR07NO03.001

Section 1848(d)(4)(D) of the Act indicates that the UAF determined under section 1848(d)(4)(B) of the Act for a year may not be less than -0.070 or greater than 0.03. The calculated UAF of -0.090 is less than the statutory limit of -0.070. Therefore, the UAF for 2004 will be - 0.70.

Section 1848(d)(4)(A)(ii) of the Act indicates that 1 should be added to the UAF determined under section 1848(d)(4)(B) of the Act. Thus, adding 1 to -0.070 makes the update adjustment factor equal to 0.930.

VII. Allowed Expenditures for Physicians' Services and the Sustainable Growth Rate

A. Medicare Sustainable Growth Rate

The SGR is an annual growth rate that applies to physicians' services paid for by Medicare. The use of the SGR is intended to control growth in aggregate Medicare expenditures for physicians' services. Payments for services are not withheld if the percentage increase in actual expenditures exceeds the SGR. Rather, the physician fee schedule update, as specified in section 1848(d)(4) of the Act, is adjusted based on a comparison of allowed expenditures (determined using the SGR) and actual expenditures. If actual expenditures exceed allowed expenditures, the update is reduced. If actual expenditures are less than allowed expenditures, the update is increased.

Section 1848(f)(2) of the Act specifies that the SGR for a year (beginning with 2001) is equal to the product of the following four factors:

(1) The estimated change in fees for physicians' services.

(2) The estimated change in the average number of Medicare fee-for- service beneficiaries.

(3) The estimated projected growth in real GDP per capita.

(4) The estimated change in expenditures due to changes in law or regulations.

In general, section 1848(f)(3) of the Act requires us to publish SGRs for 3 different time periods, no later than November 1 of each year, using the best data available as of September 1 of each year. Under section 1848(f)(3)(C)(i) of the Act, the SGR is estimated and subsequently revised twice (beginning with the FY and CY 2000 SGRs) based on later data. (The Consolidated Appropriations Reduction Resolution of 2003 (P.L. 108-7) contained a provision permitting revision of the FY 1998 and FY 1999 SGRs. See the February 28, 2003 Federal Register (68 FR 9567) for a discussion of these SGRs. Under section 1848(f)(3)(C)(ii) of the Act, there are no further revisions to the SGR once it has been estimated and subsequently revised in each of the 2 years following the preliminary estimate. In this final rule, we are making our preliminary estimate of the 2004 SGR, a revision to the 2003 SGR, and our final revision to the 2002 SGR.

B. Physicians' Services

Section 1848(f)(4)(A) of the Act defines the scope of physicians' services covered by the SGR. The statute indicates that the term ``physicians' services'' includes other items and services (such as clinical diagnostic laboratory tests and radiology services), specified by the Secretary, that are commonly performed or furnished by a physician or in a physician's office, but does not include services furnished to a Medicare+Choice plan enrollee. We published a definition of physicians' services for use in the SGR in the Federal Register (66 FR 55316) on November 1, 2001. We defined ``physicians' services'' to include many of the medical and other health services listed in section 1861(s) of the Act. For purposes of determining allowed expenditures, actual expenditures, and SGRs through December 31, 2002, we have specified that ``physicians' services'' include the following medical and other health services if bills for the items and services are processed and paid by Medicare carriers (and those items and services paid through intermediaries where specified):

[sbull] Physicians' services.

[sbull] Services and supplies furnished incident to physicians' services.

[sbull] Outpatient physical therapy services and outpatient occupational therapy services.

[sbull] Antigens prepared by or under the direct supervision of a physician.

[sbull] Services of physician assistants, certified registered nurse anesthetists, certified nurse midwives, clinical psychologists, clinical social workers, nurse practitioners, and clinical nurse specialists.

[sbull] Screening tests for prostate cancer, colorectal cancer, and glaucoma.

[sbull] Screening mammography, screening pap smears, and screening pelvic exams.

[sbull] Diabetes outpatient self-management training services.

[sbull] Medical nutrition therapy services.

[sbull] Diagnostic x-ray tests, diagnostic laboratory tests, and other diagnostic tests (including outpatient diagnostic laboratory tests paid through intermediaries).

[sbull] X-ray, radium, and radioactive isotope therapy.

[sbull] Surgical dressings, splints, casts, and other devices used for the reduction of fractures and dislocations.

[sbull] Bone mass measurements.

[[Page 63249]]

C. Provisions Related to the Sustainable Growth Rate

Section 211(b)(1) of the BBRA amended section 1848(f)(1) of the Act to require that three SGR estimates be published in the Federal Register not later than November 1 of every year. In this final rule, we are publishing our preliminary estimate of the SGR for 2004, a revised estimate of the SGR for 2003, and our final determination of the SGR for 2002. Consistent with section 1848(f)(3)(C) of the Act, we are using the best data available to us as of September 1, 2003 for all of the figures.

D. Preliminary Estimate of the SGR for 2004

Our preliminary estimate of the 2004 SGR is 7.4 percent. We first estimated the 2004 SGR in March and made the estimate available to the Medicare Payment Advisory Commission and on our website. Table 13 shows our March estimates and our current estimates of the factors included in the SGR:

Table 14

Current Statutory factors

March estimate estimate

Fees.................................. 2.3% (1.023) 2.7% (1.027) Enrollment............................ 1.3% (1.013) 1.7% (1.017) Real Per Capita GDP................... 2.7% (1.027) 2.8% (1.028) Law and Regulation.................... 0.0% (1.000) 0.0% (1.000)

Total............................. 6.4% (1.064) 7.4% (1.074)

Note: Consistent with section 1848(f)(2) of the Act, the statutory factors are multiplied, not added, to produce the total (that is, 1.027 x 1.017 x 1.028 x 1.000 = 1.074.) A more detailed explanation of each figure is provided below in section G.1.

E. Revised SGR for 2003

Our current estimate of the 2003 SGR is 6.7 percent. Table 14 shows our preliminary estimate of the 2003 SGR that was published in the Federal Register on December 1, 2002 (67 FR 80027) and our current estimate:

Table 15

12/31/02

Current Statutory factors

estimate

estimate

Fees.................................. 2.9% (1.029) 2.8% (1.028) Enrollment............................ 1.2% (1.012) 2.4% (1.024) Real Per Capita GDP................... 3.3% (1.033) 1.4% (1.014) Law and Regulation.................... 0.0% (1.000) 0.0% (1.000)

Total............................. 7.6% (1.076) 6.7% (1.067)

A more detailed explanation of each figure is provided below in section G.2.

F. Final Sustainable Growth Rate for 2002

The SGR for 2002 is 8.3 percent. Table 16 shows our preliminary estimate of the SGR published in the Federal Register on November 1, 2001 (66 FR 55317), our revised estimate published in the Federal Register on December 31, 2001 (67 FR 80028) and the final figures determined using the latest available data:

Table 16

11/1/01

12/31/02 Statutory factors

estimate estimate (\1\) Final

Fees............................................................ 2.3% (1.023) 2.5% (1.025) 2.5% (1.025) Enrollment...................................................... 0.7% (1.007) 2.8% (1.028) 3.2% (1.032) Real Per Capita GDP............................................. 1.7% (1.027) 2.3% (1.023) 1.4% (1.014) Law and Reg..................................................... 0.8% (1.008) 1.1% (1.011) 1.0% (1.010)

\1\ The figures for fees, enrollment and real per capita GDP from the 12/31/02 final rule are shown here. We made a subsequent change to the law and regulations factor and the total in the February 28, 2003 Federal Register (68 FR 9572). We show the revised law and regulation factor and total in the above table.

[[Page 63250]]

A more detailed explanation of each figure is provided below in section G.2.

G. Calculation of 2004, 2003, and 2002 Sustainable Growth Rates

1. Detail on the 2004 SGR

All of the figures used to determine the 2004 SGR are estimates that will be revised based on subsequent data. Any differences between these estimates and the actual measurement of these figures will be included in future revisions of the SGR and allowed expenditures and incorporated into subsequent physician fee schedule updates.

Factor 1--Changes in Fees for Physicians' Services (Before Applying Legislative Adjustments) for CY 2004

This factor is calculated as a weighted average of the 2004 fee increases for the different types of services included in the definition of physicians' services for the SGR. Medical and other health services paid using the physician fee schedule are estimated to account for approximately 80.3 percent of total allowed charges included in the SGR in 2004 and are updated using the MEI. The MEI for 2004 is 2.9 percent. Diagnostic laboratory tests are estimated to represent approximately 7.4 percent of Medicare allowed charges included in the SGR in 2004 and the costs of these tests are updated by the CPI-U. The CPI-U for 2004 that will be used to update clinical diagnostic laboratory tests is 2.1 percent. Drugs represent 12.3 percent of Medicare allowed charges included in the SGR. We are projecting a weighted average change in fees for drugs that are included in the SGR of 2.0 percent. Table 16 shows the weighted average of the MEI, laboratory and drug price increases for 2004:

Table 17

Weight Update

Physician.....................................

0.803

2.9 Laboratory....................................

0.074

2.1 Drugs.........................................

0.123

2.0 Weighted Average..............................

1.000

2.7

After taking into account the elements described in table 16, we estimate that the weighted-average increase in fees for physicians' services in 2004 under the SGR (before applying any legislative adjustments) will be 2.7 percent.

Factor 2--The Percentage Change in the Average Number of Part B Enrollees from 2003 to 2004

This factor is our estimate of the percent change in the average number of fee-for-service enrollees from 2003 to 2004. Services provided to Medicare+Choice (M+C) plan enrollees are outside the scope of the SGR and are excluded from this estimate. Our actuaries estimate that the average number of Medicare Part B fee-for-service enrollees will increase by 1.7 percent from 2003 to 2004. Table 18 illustrates how this figure was determined:

Table 18

2003

2004

Overall....................................... \1\ 38.535 \1\ 39.013 Medicare +Choice.............................. \1\ 4.689 \1\ 4.606 Net........................................... \1\ 33.847 \1\ 34.407 Percent Increase.............................. ........... \2\ 1.7

\1\ Millions. \2\ Percent.

An important factor affecting fee-for-service enrollment is beneficiary enrollment in Medicare+Choice plans. Because it is difficult to estimate the size of the Medicare+Choice enrollee population before the start of a calendar year, at this time, we do not know how actual enrollment in Medicare+Choice plans will compare to current estimates. For this reason, the estimate may change substantially as actual Medicare fee-for-service enrollment for 2004 becomes known.

Factor 3--Estimated Real Gross Domestic Product Per Capita Growth in 2004

We estimate that the growth in real per capita GDP from 2003 to 2004 will be 2.8 percent. Our past experience indicates that there have also been large changes in estimates of real per capita GDP growth made before the year begins and the actual change in GDP computed after the year is complete. Thus, it is likely that this figure will change as actual information on economic performance becomes available to us in 2004.

Factor 4--Percentage Change in Expenditures for Physicians' Services Resulting From Changes in Law or Regulations in CY 2004 Compared With CY 2003

We are not projecting any change in spending in 2004 due to changes in law or regulations. 2. Detail on the 2003 SGR

A more detailed discussion of our revised estimates of the four elements of the 2003 SGR follows.

Factor 1--Changes in Fees for Physicians' Services (Before Applying Legislative Adjustments) for 2003

This factor was calculated as a weighted average of the 2003 fee increases that apply for the different types of services included in the definition of physicians' services for the SGR.

We estimate that services paid using the physician fee schedule account for approximately 82.7 percent of total allowed charges included in the SGR in 2003. These services were updated using the 2003 MEI of 3.0 percent. We estimate that diagnostic laboratory tests represent approximately 7.1 percent of total allowed charges included in the SGR in 2003. These services were updated by the 2003 CPI-U of 1.1 percent. We estimate that drugs represent 10.2 percent of Medicare allowed charges included in the SGR in 2003. Pursuant to section 1842(o) of the Act, Medicare pays for drugs based on 95 percent of AWP. Using wholesale pricing information and Medicare utilization for drugs included in the SGR, we estimate weighted average fee increases for drugs of 1.9 percent in 2003. Table 19 shows the weighted average of the MEI, laboratory and drug price increases for 2003:

Table 19

Weight Update

Physician.....................................

0.827

3.0 Laboratory....................................

0.071

1.1 Drugs.........................................

0.102

1.9 Weighted Average..............................

1.000

2.8

After taking into account the elements described in table 19, we estimate that the weighted-average increase in fees for physicians' services in 2003 under the SGR (before applying any legislative adjustments) will be 2.8 percent.

Factor 2--The Percentage Change in the Average Number of Part B Enrollees from 2002 to 2003

Our actuaries estimate that the average number of Medicare Part B fee-for-service enrollees (excluding beneficiaries enrolled in M+C plans) increased by 2.4 percent in 2003. Table 20 illustrates how we determined this figure:

Table 20 [In millions]

2002

2003

Overall....................................... 38.074 38.535

[[Page 63251]]

Medicare +Choice..............................

5.005

4.689 Net........................................... 33.069 33.847 Percent Increase.............................. ...........

2.4%

Our actuaries' estimate of the 2.8 percent change in the average number of fee-for-service enrollees, net of Medicare+Choice enrollment for 2003, compared to 2002 is different from our preliminary estimate (1.2 percent for 2003 from the December 31, 2002 final rule (67 FR 80029)) because the historical base from which our actuarial estimate is made has changed. We now have complete information on Medicare fee- for-service enrollment for 2002 that is different than the figure we used one year ago. Further, we now have information on actual fee-for- service enrollment for the first 8 months of 2003. We would caution that our estimate of fee-for-service enrollment for 2003 could change again once we have complete information for the entire year.

Factor 3--Estimated Real Gross Domestic Product Per Capita Growth in 2003

We estimate that the growth in real per capita GDP will be 1.4 percent in 2003. Our past experience indicates that there have also been large differences between our estimates of real per capita GDP growth made prior to the year's end and the actual change in this factor. Thus, it is likely that this figure will change further as complete actual information on 2003 economic performance becomes available to us in 2004.

Factor 4--Percentage Change in Expenditures for Physicians' Services Resulting From Changes in Law or Regulations in 2003 Compared With 2002

There were no statutory or regulatory changes that affected Medicare expenditures for services included in the SGR in 2003. 3. Detail on the 2002 SGR

A more detailed discussion of our revised estimates of the four elements of the 2002 SGR follows.

Factor 1--Changes in Fees for Physicians' Services (Before Applying Legislative Adjustments) for 2002

This factor was calculated as a weighted average of the 2002 fee increases that apply for the different types of services included in the definition of physicians' services for the SGR.

Services paid using the physician fee schedule accounted for approximately 84.1 percent of total Medicare allowed charges included in the SGR in 2002, and are updated using the MEI. The MEI for 2002 was 2.6 percent. Diagnostic laboratory tests represent approximately 7.2 of total Medicare allowed charges included in the SGR, and are typically updated by the CPI-U. However, the BBA required a 0.0 percent update in 2002 for laboratory services. Drugs represented approximately 8.7 percent of total Medicare allowed charges included in the SGR in 2002. Pursuant to section 1842(o) of the Act, Medicare pays for drugs based on 95 percent of AWP. Using wholesale pricing information and Medicare utilization for drugs included in the SGR, we estimate a weighted average fee increase for drugs of 2.8 percent in 2002. Table 21 shows the weighted average of the MEI, laboratory and drug price increases for 2002:

Table 21

Weight Update

Physician.....................................

0.841

2.6 Laboratory....................................

0.072

0.0 Drugs.........................................

0.087

2.8 Weighted Average..............................

1.000

2.5

After taking into account the elements described in table 21, we estimate that the weighted-average increase in fees for physicians' services in 2002 under the SGR (before applying any legislative adjustments) was 2.5 percent.

Factor 2--The Percentage Change in the Average Number of Part B Enrollees from 2001 to 2002

We estimate the increase in the average number of fee-for-service enrollees (excluding beneficiaries enrolled in M+C plans) from 2001 to 2002 was 3.2 percent. Our calculation of this factor is based on complete data from 2002. Table 22 illustrates the calculation of this factor:

Table 22 [In millions]

2001

2002

Overall....................................... 37.650 38.074 Medicare +Choice..............................

5.608

5.005 Net........................................... 32.041 33.069 Percent Increase.............................. ...........

3.2%

Factor 3--Estimated Real Gross Domestic Product Per Capita Growth in 2002

We estimate that the growth in real per capita GDP was 1.4 percent in 2002. This is a final figure based on complete data for 2002.

Factor 4--Percentage Change in Expenditures for Physicians' Services Resulting From Changes in Law or Regulations in 2002 Compared With 2001

Sections 101 through 104 of the BIPA added Medicare coverage for a variety of new services that will affect the 2002 SGR. In addition, section 112 of BIPA made changes that will result in additional Medicare coverage for certain drugs that will affect 2002 spending for services included in the SGR. Prior to the enactment of the BIPA, Medicare paid only for drugs that cannot be self-administered by the patient. BIPA allows Medicare to pay for drugs that can be, but are not usually, self-administered. Accordingly, we are accounting for the increased Medicare drug expenditures that will result from implementation of section 112 of the BIPA. We are also adjusting this factor to account for including screening mammography services in the SGR consistent with our discussion of this issue in the November 1, 2001 Federal Register (66 FR 55318). After taking these provisions into account, our final estimate of the percentage change in expenditures for physicians' services resulting from changes in law or regulations is 1.0 percent for 2002.

VIII. Anesthesia and Physician Fee Schedule Conversion Factors for Calendar Year 2004

The 2004 physician fee schedule CF will be $35.1339. The 2004 national average anesthesia conversion factor is $16.43.

The specific calculations to determine the physician fee schedule and anesthesia CFs for 2004 are explained below.

Detail on Calculation of the 2004 Physician Fee Schedule Conversion Factor

Physician Fee Schedule Conversion Factor

Under section 1848(d)(1)(A) of the Act, the physician fee schedule CF is equal to the CF for the previous year multiplied by the update determined under section 1848(d)(4) of the Act.

We are illustrating the calculation for the 2004 physician fee schedule CF in table 23:

[[Page 63252]]

Table 23

2003 Conversion Factor....................................... $36.7856 2004 Update.................................................. 0.9551 2004 Conversion Factor....................................... $35.1339

Anesthesia Fee Schedule Conversion Factor

Anesthesia services do not have RVUs like other physician fee schedule services. Therefore, we account for any necessary RVU adjustments through an adjustment to the anesthesia fee schedule CF. We are adjusting the anesthesia CF to reflect the RVUs adjustments being made to all other physician fee schedule services to match the revised MEI weights. The 2003 anesthesia CF is $17.05. Physician work represents 79.02 percent of the anesthesia CF (0.7902). We are decreasing this portion of the anesthesia CF by 0.57 percent (0.9943). Practice expenses represent 13.75 percent (0.1375) of the anesthesia CF. We are reducing this portion of the anesthesia conversion factor by 0.77 percent (0.9923) for the adjustment to match the RVUs with the MEI weights. In addition, we are increasing the practice expense portion of the anesthesia CF by 0.18 percent (1.0018) for changes to anesthesia practice expenses resulting from the refinement of practice expense RVUs. Taken together, we are reducing the practice expense portion of the anesthesia fee schedule CF by 0.59 percent (0.9923 x 1.0018 = 0.9941). Professional liability insurance represents 7.23 percent (0.0723) of the anesthesia CF. We are increasing this portion of the anesthesia CF by 19.86 percent (1.1986). Taken together, the adjustments to the work, practice expense and malpractice portions of the anesthesia CF result in a total adjustment of 1.090 percent (0.7903 *0.9943) + ((0.1347 x 0.9941) + (0.0723 x 1.1986) = 1.0090. To determine the anesthesia fee schedule CF for 2004, we used the following figures:

Table 24

2003 Anesthesia Conversion Factor............................ $17.0522 Adjustments to match MEI weights and practice expense factor. 1.0090 2004 Update.................................................. 0.9551 2004 Anesthesia Conversion Factor............................ $16.4339

IX. Telehealth Originating Site Facility Fee Payment Amount Update

Section 1834(m) of the Act establishes the payment amount for the Medicare telehealth originating site facility fee for telehealth services provided from October 1, 2001, through December 31 2002, at $20. For telehealth services provided on or after January 1 of each subsequent calendar year, the telehealth originating site facility fee is increased by the percentage increase in the MEI as defined in section 1842(i)(3) of the Act. The MEI increase for 2004 is 2.9 percent.

Therefore, for CY 2004, the payment amount for HCPCS code ``Q3014, telehealth originating site facility fee'' is 80 percent of the lesser of the actual charge or $21.20.

The Medicare telehealth originating site facility fee and MEI increase by the applicable time period is shown below.

Table 25

MEI Facility fee

increase Period (percent)

$20.00.......................................... N/A 10/01/2001- 12/31/2002 $20.60.......................................... 3.0 01/01/2003- 12/31/2003 $21.20.......................................... 2.9 01/01/2004- 12/31/2004

X. Provisions of the Final Regulations

This final rule with comment period adopts the provisions of the August 2003 proposed rule except as noted elsewhere in the preamble. The following is a highlight of the changes made from the proposed rule.

For geographic practice cost indices, based upon the volatility of the premium data collected, our review of the comments received on the August 15, 2003 proposed rule, and our review of malpractice GPCIs, we have modified some of our GPCI calculations and assumptions. We reduced the overall impact associated with revision to the malpractice GPCIs by a factor of 50 percent to mitigate for the volatility of the data. As directed by the statute, we will implement half of this change in the first year (CY 2004) and half of this change in the second year (CY 2005).

For the creation G codes for monitoring heart rhythms issue, based on concerns raised by commenters, we will not proceed with the proposed HCPCS codes because we want to ensure that any HCPCS codes developed, encompass the various technologies that are being utilized for such monitoring.

For changes in payments to physicians managing patients on dialysis, we are moving forward with our proposals and we are adjusting the payment rates for the established G codes. In addition we are adding additional codes to address the concerns raised about home dialysis.

For the definition of diabetes for diabetes self-management training we adopted the AACE clinical definition. We also expanded our general language to include other types of diabetes.

For excision of benign and malignant lesions, we are not moving forward with our proposal, however, we will maintain the 2003 work RVUs as interim values for 2004 to allow opportunity for the specialty to resurvey these services.

For payment policies for anesthesia services we have decided to allow teaching anesthesiologists to bill, similarly to teaching CRNAs, for their involvement in two concurrent cases involving residents.

XI. 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 (44 U.S.C. 35).

XII. Response to Comments

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

XIII. 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 final rules with economically significant effects (that is, a final rule that would have an annual effect on the economy of $100

[[Page 63253]]

million or more in any 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 physician fee schedule changes that we are adopting in this final rule. We are making several changes to the physician fee schedule RVUs in this final rule. In general, section 1848(c)(2)(B)(ii)(II) requires that changes to RVUs cannot increase or decrease expenditures more than $20 million. Thus, changes to the RVUs made pursuant to section 1848(c)(2)(B)(ii)(II) must be budget neutral. That is, increases in payments resulting from RVU changes must be offset by decreases in payments for other services and there will be redistribution in payment among physicians, practitioners and suppliers that bill Medicare for physician fee schedule services. We expect that the changes we are making to the physician fee schedule RVUs under section 1848(c) will result in a redistribution of Medicare allowed charges of more than $100 million in one year. For this reason, we are considering this final rule to be economically significant. Therefore, this final rule is a major rule and we have prepared a regulatory impact analysis.

The RFA requires that we analyze regulatory options for small businesses and other entities. We prepare a Regulatory Flexibility Analysis unless we certify that a rule would not have a significant economic impact on a substantial number of small entities. The analysis must include a justification concerning the reason action is being taken, the kinds and number of small entities the rule affects, and an explanation of any meaningful options that achieve the objectives 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 final 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, non-physician practitioners, 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 900,000 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 final rule complies with the RFA requirements. Section 202 of the Unfunded Mandates Reform Act of 1995 also requires that agencies assess anticipated costs and benefits before issuing any rule that may result in expenditure in any 1 year by State, local, or tribal governments, in the aggregate, or by the private sector, of $110 million. This final 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 final 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 final rule, we are making changes to the Medicare Economic Index, refining resource-based practice based practice expense RVUs, creating new codes for dialysis patient visits to their physicians and making a variety of other 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 policy changes in the relevant sections in this final rule. While this rule revises 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 final rule contain a description of significant alternatives.

A. Physician Fee Schedule Relative Value Units

As indicated above, we are making changes to the work and practice expense RVUs under the provisions of section 1848(c)(2) of the Act and section 429(b) of BIPA. 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 making several changes under section 1848(c)(2) that would result in a change of expenditures that would exceed $20 million threshold 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 revised policy in CY 2004. We apply a uniform adjustment factor to make the aggregate number of revised practice expense relative values equal the estimated number that would be paid under current policy. We are applying this policy for all changes that we are making under section 1848(c).

Table 26 shows the specialty level impact on payment of changes being made 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 17 of their revenues from physician schedule services and the remainder for laboratory fee schedule services that are unaffected by this rule. We modeled the impact of all changes to the relative value units and illustrated their effect in table 26. The column labeled ``NPRM'' shows the combined effect of all of the changes contained in the August 15, 2003 proposed rule (see 68 FR 49033 to 49038 for a detailed discussion of each provision).

The column labeled ``Practice Expense Refinements'' shows the impact on payment from further changes to the practice expense inputs that we made using information that became available to us since the proposed rule. In some cases, we made changes to the practice expense inputs in response to public comments. In other situations, we may have received

[[Page 63254]]

a price for an item of medical equipment or supplies where we previously did not have one. In most cases, these changes may increase or decrease the practice expense RVU for a given code but will have very little impact across all of the services provided by a specialty. However, in one case, we include prices for several items of equipment and supplies that are generally used by otolaryngologists. The addition of this new information increased payment for many procedural services provided by otolaryngologists and reduced payment for their diagnostic services. The net effect of these changes is to increase payments to otolaryngologists by the 1 percent shown in table x. Audiologists provide many of the same diagnostic services that are billed to Medicare by otolaryngologists resulting in the approximate 2 percent decrease in payment shown in table 26 for audiologists. Similarly, there may be some very small additional impact on allergy from the additional practice expense refinements. There were a number of coding changes made by CPT to central venous access codes. It is possible there may be small impact on payment from these coding changes for interventional radiology.

The ``Practice Expense Refinements'' column also shows an increase in payment of 2 percent for radiation oncology and 1 percent for portable x-ray suppliers. These impacts are a result of our decision to use the non-physician work pool methodology to develop the practice expense RVUs for procedure code 77418 (Intensity Modulated Radiation Therapy).

We also modeled the effect of adjusting the RVUs to match the new MEI weights. Because we are increasing the malpractice RVUs by approximately 20 percent, adjusting the RVUs to match the new MEI weights will result in an increase in payment for those specialties that perform services with high malpractice RVUs. Payments to cardiac surgery, neurosurgery, orthopedic surgery, thoracic surgery and vascular surgery will increase by approximately 1 percent. The column labeled ``Total'' shows the impact of all changes that we are making to the work and practice expense RVUs for 2004.

[[Page 63255]]

Table 26.--Impact of Physician Fee Schedule Changes on Total Medicare Allowed Charges by Physician, Practitioner and Supplier Subcategory

Adjusting Medicare

Practice RVUs to Specialty

allowed

NPRM

expense match MEI Total charges (percent) refinements weights (percent) (millions)

(percent) (percent)

Physicians:

ALLERGY/IMMUNOLOGY....................

$153

-1

-1

0

-2

ANESTHESIOLOGY........................

1,327

0

0

0

0

CARDIAC SURGERY.......................

321

0

0

1

0

CARDIOLOGY............................

5,759

0

0

0

0

CLINICS...............................

1,167

0

0

0

0

COLON AND RECTAL SURGERY..............

101

1

0

0

1

CRITICAL CARE.........................

108

-1

0

0

-1

DERMATOLOGY...........................

1,708

0

0

0

0

EMERGENCY MEDICINE....................

1,444

0

0

0

0

ENDOCRINOLOGY.........................

246

1

0

0

1

FAMILY PRACTICE.......................

4,005

1

0

0

1

GASTROENTEROLOGY......................

1,513

-1

0

0

-1

GENERAL PRACTICE......................

954

0

0

0

0

GENERAL SURGERY.......................

2,110

-1

0

0

0

GERIATRICS............................

97

-1

1

0

0

HAND SURGERY..........................

46

-2

0

0

-2

HEMATOLOGY/ONCOLOGY...................

1,086

1

0

0

1

INFECTIOUS DISEASE....................

336

0

0

0

0

INTERNAL MEDICINE.....................

7,917

1

0

0

1

INTERVENTIONAL RADIOLOGY..............

155

0

-1

0

0

NEPHROLOGY............................

1,187

0

0

0

0

NEUROLOGY.............................

1,072

1

0

0

1

NEUROSURGERY..........................

433

0

0

1

1

OBSTETRICS/GYNECOLOGY.................

550

1

0

0

1

OPHTHALMOLOGY.........................

4,291

-1

0

0

-1

ORTHOPEDIC SURGERY....................

2,645

-2

0

1

-1

OTOLARNGOLOGY.........................

735

2

1

0

3

PATHOLOGY.............................

799

0

0

0

0

PEDIATRICS............................

58

0

0

0

0

PHYSICAL MEDICINE.....................

594

1

0

0

1

PLASTIC SURGERY.......................

274

0

0

0

0

PSYCHIATRY............................

1,073

0

0

0

0

PULMONARY DISEASE.....................

1,305

-1

0

0

-1

RADIATION ONCOLOGY....................

1,002

-3

2

0

0

RADIOLOGY.............................

4,230

0

0

0

0

RHEUMATOLOGY..........................

352

1

0

0

1

THORACIC SURGERY......................

446

-1

0

1

0

UROLOGY...............................

1,540

2

0

0

1

VASCULAR SURGERY......................

429

-1

0

1

0 Practitioners:

AUDIOLOGIST...........................

25

-1

-2

1

-1

CHIROPRACTOR..........................

589

0

0

0

0

CLINICAL PSYCHOLOGIST.................

449

0

0

0

0

CLINICAL SOCIAL WORKER................

277

0

0

0

0

NURSE ANESTHETIST.....................

452

0

0

1

1

NURSE PRACTITIONER....................

434

-1

1

0

0

OPTOMETRY.............................

611

1

0

0

0

ORAL/MAXILLOFACIAL SURGERY............

33

8

0

0

8

PHYSICAL/OCCUPATIONAL THERAPY.........

835

0

0

1

0

PHYSICIANS ASSISTANT..................

322

0

0

0

0

PODIATRY..............................

1,307

-1

0

0

-1 Suppliers:

DIAGNOSTIC TESTING FACILITY...........

728

0

0

0

0

INDEPENDENT LABORATORY................

508

2

0

0

1

PORTABLE X-RAY SUPPLIER...............

82

-1

1

0

0 Other:

ALL OTHER.............................

54

0

0

0

0

ALL PHYSICIAN FEE SCHEDULE............

60,385

0

0

0

0

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)(4) of the Act, as explained in section VI of this final rule, we are reducing the physician fee schedule conversion factor by approximately 4.5 percent. In table 27, we are showing the estimated change in average payments by specialty based on provisions of this final rule

[[Page 63256]]

and the estimated physician fee schedule update.

Table 27.--Impact of Physician Fee Schedule Changes on Total Medicare Allowed Charges by Physician, Practitioner, and Supplier Subcategory Including the Effect of the Physician Fee Schedule Update

Physician Medicare Impact of

fee Specialty

allowed RVU changes schedule

Total charges (percent) update (percent) (millions)

(percent)

Physicians:

ALLERGY/IMMUNOLOGY..................................

$153

-2

-4.5

-6

ANESTHESIOLOGY......................................

1,327

0

-4.5

-4

CARDIAC SURGERY.....................................

321

0

-4.5

-4

CARDIOLOGY..........................................

5,759

0

-4.5

-4

CLINICS.............................................

1,167

0

-4.5

-4

COLON AND RECTAL SURGERY............................

101

1

-4.5

-4

CRITICAL CARE.......................................

108

-1

-4.5

-5

DERMATOLOGY.........................................

1,708

0

-4.5

-5

EMERGENCY MEDICINE..................................

1,444

0

-4.5

-4

ENDOCRINOLOGY.......................................

246

1

-4.5

-4

FAMILY PRACTICE.....................................

4,005

1

-4.5

-4

GASTROENTEROLOGY....................................

1,513

-1

-4.5

-5

GENERAL PRACTICE....................................

954

0

-4.5

-4

GENERAL SURGERY.....................................

2,110

0

-4.5

-5

GERIATRICS..........................................

97

0

-4.5

-5

HAND SURGERY........................................

46

-2

-4.5

-7

HEMATOLOGY/ONCOLOGY.................................

1,086

1

-4.5

-4

INFECTIOUS DISEASE..................................

336

0

-4.5

-5

INTERNAL MEDICINE...................................

7,917

1

-4.5

-4

INTERVENTIONAL RADIOLOGY............................

155

0

-4.5

-5

NEPHROLOGY..........................................

1,187

0

-4.5

-5

NEUROLOGY...........................................

1,072

1

-4.5

-3

NEUROSURGERY........................................

433

1

-4.5

-4

OBSTETRICS/GYNECOLOGY...............................

550

1

-4.5

-4

OPHTHALMOLOGY.......................................

4,291

-1

-4.5

-5

ORTHOPEDIC SURGERY..................................

2,645

-1

-4.5

-6

OTOLARNGOLOGY.......................................

735

3

-4.5

-2

PATHOLOGY...........................................

799

0

-4.5

-4

PEDIATRICS..........................................

58

0

-4.5

-4

PHYSICAL MEDICINE...................................

594

1

-4.5

-4

PLASTIC SURGERY.....................................

274

0

-4.5

-4

PSYCHIATRY..........................................

1,073

0

-4.5

-5

PULMONARY DISEASE...................................

1,305

-1

-4.5

-6

RADIATION ONCOLOGY..................................

1,002

0

-4.5

-5

RADIOLOGY...........................................

4,230

0

-4.5

-5

RHEUMATOLOGY........................................

352

1

-4.5

-3

THORACIC SURGERY....................................

446

0

-4.5

-4

UROLOGY.............................................

1,540

1

-4.5

-3

VASCULAR SURGERY....................................

429

0

-4.5

-5 Practitioners:

AUDIOLOGIST.........................................

25

-1

-4.5

-6

CHIROPRACTOR........................................

589

0

-4.5

-4

CLINICAL PSYCHOLOGIST...............................

449

0

-4.5

-5

CLINICAL SOCIAL WORKER..............................

277

0

-4.5

-5

NURSE ANESTHETIST...................................

452

1

-4.5

-4

NURSE PRACTITIONER..................................

434

0

-4.5

-4

OPTOMETRY...........................................

611

0

-4.5

-4

ORAL/MAXILLOFACIAL SURGERY..........................

33

8

-4.5

3

PHYSICAL/OCCUPATIONAL THERAPY.......................

835

0

-4.5

-4

PHYSICIANS ASSISTANT................................

322

0

-4.5

-4

PODIATRY............................................

1,307

-1

-4.5

-5 Suppliers:

DIAGNOSTIC TESTING FACILITY.........................

728

0

-4.5

-5

INDEPENDENT LABORATORY..............................

508

1

-4.5

-3

PORTABLE X-RAY SUPPLIER.............................

82

0

-4.5

-4 Other:

ALL OTHER...........................................

54

0

-4.5

-4

ALL PHYSICIAN FEE SCHEDULE..........................

60,385

0

-4.5

-4

[[Page 63257]]

Table 28 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 work, practice expense and malpractice 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).

Table 28.--Impact of Final Rule and Physician Fee Schedule Update on Medicare Payment for Selected Procedures

Non-Facility

Facility HCPCS

MOD

DESC -------------------------------------------------------------------- Old

New % change Old

New % change

11721............ ...... Debride nail, 6 $37.52 $36.19

-4 29.06 28.11

-3 or more. 17000............ ...... Destroy benign/ 61.43 57.27

-7 33.11 33.73

2 premlg lesion. 27130............ ...... Total hip

N/A

N/A

N/A 1,343.41 1,290.82

-4 arthroplasty. 27236............ ...... Treat thigh

N/A

N/A

N/A 1,068.99 1,024.86

-4 fracture. 27244............ ...... Treat thigh

N/A

N/A

N/A 1,155.44 1,050.15

-9 fracture. 27447............ ...... Total knee

N/A

N/A

N/A 1,445.67 1,390.25

-4 arthroplasty. 33533............ ...... CABG, arterial,

N/A

N/A

N/A 1,799.18 1,742.99

-3 single. 35301............ ...... Rechanneling of

N/A

N/A

N/A 1,073.77 1,043.83

-3 artery. 43239............ ...... Upper GI

337.69 305.31

-10 155.97 150.02

-4 endoscopy, biopsy. 45385............ ...... Lesion removal 545.53 471.85

-14 290.61 271.23

-7 colonoscopy. 66821............ ...... After cataract 231.01 227.32

-2 214.83 224.15

4 laser surgery. 66984............ ...... Cataract surg w/

N/A

N/A

N/A 672.81 645.06

-4 iol, 1 stage. 67210............ ...... Treatment of

604.39 544.58

-10 548.47 528.41

-4 retinal lesion. 71010............ 26 Chest x-ray..... 9.20 8.78

-5

9.20

8.78

-5 71020............ 26 Chest x-ray..... 11.04 10.54

-5 11.04 10.54

-5 76091............ ...... Mammogram, both 94.17 89.94

-4

N/A

N/A

N/A breasts. 76091............ 26 Mammogram, both 44.14 42.16

-4 44.14 42.16

-4 breasts. 76092............ ...... Mammogram,

82.77 79.40

-4

N/A

N/A

N/A screening. 76092............ 26 Mammogram,

36.05 34.08

-5 36.05 34.08

-5 screening. 77427............ ...... Radiation tx

168.11 158.81

-6 168.11 158.81

-6 management, x5. 78465............ 26 Heart image

75.41 71.67

-5 75.41 71.67

-5 (3d), multiple. 88305............ 26 Tissue exam by

40.83 39.00

-4 40.83 39.00

-4 pathologist. 90801............ ...... Psy dx interview 148.98 141.94

-5 140.52 133.16

-5 90806............ ...... Psytx, off, 45- 96.38 91.70

-5 92.70 88.54

-4 50 min. 90807............ ...... Psytx, off, 45- 102.63 97.32

-5 100.06 95.21

-5 50 min w/e&m. 90862............ ...... Medication

50.76 48.13

-5 47.82 45.32

-5 management. 90935............ ...... Hemodialysis,

N/A

N/A

N/A 71.36 67.81

-5 one evaluation. 92004............ ...... Eye exam, new

123.60 119.46

-3 88.29 83.62

-5 patient. 92012............ ...... Eye exam

61.43 60.08

-2 36.05 34.08

-5 established pat. 92014............ ...... Eye exam &

91.60 88.19

-4 58.86 55.86

-5 treatment. 92980............ ...... Insert

N/A

N/A

N/A 800.45 763.81

-5 intracoronary stent. 92982............ ...... Coronary artery

N/A

N/A

N/A 594.46 566.71

-5 dilation. 93000............ ...... Electrocardiogra 26.12 24.95

-2

N/A

N/A

N/A m, complete. 93010............ ...... Electrocardiogra 8.83 8.43

-5

8.83

8.43

-5 m report. 93015............ ...... Cardiovascular 104.10 99.78

-4

N/A

N/A

N/A stress test. 93307............ 26 Echo exam of

48.19 46.03

-4 48.19 46.03

-4 heart. 93510............ 26 Left heart

231.38 237.86

3 231.38 237.86

3 catheterization. 98941............ ...... Chiropractic

35.68 34.08

-4 31.27 29.86

-5 manipulation. 99203............ ...... Office/

92.70 90.65

-2 70.26 67.46

-4 outpatient visit, new. 99204............ ...... Office/

132.06 128.24

-3 103.74 99.08

-4 outpatient visit, new. 99205............ ...... Office/

168.48 161.97

-4 137.58 130.70

-5 outpatient visit, new. 99211............ ...... Office/

20.60 20.73

1

8.83

8.43

-5 outpatient visit, est. 99212............ ...... Office/

36.42 36.19

-1 23.17 22.13

-4 outpatient visit, est. 99213............ ...... Office/

51.13 49.89

-2 34.58 33.03

-4 outpatient visit, est. 99214............ ...... Office/

79.82 77.29

-3 56.65 53.75

-5 outpatient visit, est. 99215............ ...... Office/

116.98 112.43

-4 91.23 86.78

-5 outpatient visit, est. 99221............ ...... Initial hospital

N/A

N/A

N/A 65.85 62.54

-5 care. 99222............ ...... Initial hospital

N/A

N/A

N/A 109.25 104.00

-5 care. 99223............ ...... Initial hospital

N/A

N/A

N/A 151.92 144.75

-5 care. 99231............ ...... Subsequent

N/A

N/A

N/A 32.74 31.27

-4 hospital care. 99232............ ...... Subsequent

N/A

N/A

N/A 54.07 51.30

-5 hospital care. 99233............ ...... Subsequent

N/A

N/A

N/A 76.88 73.43

-4 hospital care. 99236............ ...... Observ/hosp same

N/A

N/A

N/A 216.67 211.86

-2 date. 99238............ ...... Hospital

N/A

N/A

N/A 69.16 65.70

-5 discharge day. 99239............ ...... Hospital

N/A

N/A

N/A 93.80 89.24

-5 discharge day. 99241............ ...... Office

47.45 47.08

-1 33.11 31.97

-3 consultation. 99242............ ...... Office

88.29 86.08

-3 68.05 65.35

-4 consultation. 99243............ ...... Office

116.61 113.83

-2 90.49 86.43

-4 consultation. 99244............ ...... Office

165.90 160.91

-3 134.27 127.89

-5 consultation. 99245............ ...... Office

215.20 206.94

-4 177.67 169.35

-5 consultation. 99251............ ...... Initial

N/A

N/A

N/A 34.95 33.73

-3 inpatient consult. 99252............ ...... Initial

N/A

N/A

N/A 70.26 67.46

-4 inpatient consult. 99253............ ...... Initial

N/A

N/A

N/A 96.01 91.35

-5 inpatient consult.

[[Page 63258]]

99254............ ...... Initial

N/A

N/A

N/A 137.95 131.05

-5 inpatient consult. 99255............ ...... Initial

N/A

N/A

N/A 189.81 180.94

-5 inpatient consult. 99261............ ...... Follow-up

N/A

N/A

N/A 22.07 20.73

-6 inpatient consult. 99262............ ...... Follow-up

N/A

N/A

N/A 43.77 42.16

-4 inpatient consult. 99263............ ...... Follow-up

N/A

N/A

N/A 65.11 62.19

-4 inpatient consult. 99282............ ...... Emergency dept

N/A

N/A

N/A 26.85 26.00

-3 visit. 99283............ ...... Emergency dept

N/A

N/A

N/A 60.33 57.62

-4 visit. 99284............ ...... Emergency dept

N/A

N/A

N/A 94.17 89.94

-4 visit. 99285............ ...... Emergency dept

N/A

N/A

N/A 146.77 140.18

-4 visit. 99291............ ...... Critical care, 210.05 229.07

9 200.11 191.13

-4 first hour. 99292............ ...... Critical care, 107.78 101.19

-6 100.06 95.21

-5 add'l 30 min. 99301............ ...... Nursing facility 71.00 67.46

-5 61.06 57.97

-5 care. 99302............ ...... Nursing facility 96.75 92.05

-5 81.30 77.65

-4 care. 99303............ ...... Nursing facility 119.92 114.19

-5 101.16 96.27

-5 care. 99311............ ...... Nursing fac

40.83 39.00

-4 30.53 28.81

-6 care, subseq. 99312............ ...... Nursing fac

62.54 59.38

-5 50.40 48.13

-5 care, subseq. 99313............ ...... Nursing fac

85.71 81.16

-5 71.73 68.16

-5 care, subseq. 99348............ ...... Home visit, est 74.31 70.62

-5

N/A

N/A

N/A patient. 99350............ ...... Home visit, est 167.74 160.21

-4

N/A

N/A

N/A patient. G0317............ ...... ESRDrelsvc 4+/ 262.28 285.29

9 262.28 285.29

9 mo; 20+yr. G0318............ ...... ESRDrelsvc 2-3/ 262.28 237.51

-9 262.28 237.51

-9 mo; 20+yr. G0319............ ...... ESRDrelsvc 1/mo; 262.28 190.07

-28 262.28 190.07

-28 20+yr.

B. Geographic Practice Cost Index Changes

Section 1848(e)(1)(A) of the Act requires that payments under the Medicare physician fee schedule vary among payment areas only to the extent that area costs vary as reflected by the area GPCIs. The GPCIs measure areas cost differences in the three components of the physician fee schedule: Physician work, practice expenses, and malpractice insurance. Section 1848(e)(1)(C) of the Act requires that the GPCIs be reviewed and, if necessary, revised at least every 3 years. Due to problems with the availability of U.S. Census Bureau data, which is the major resource utilized in both the work and practice expense GPCIs, we have updated only the malpractice GPCI in this regulation.

The first GPCI revision was implemented in 1995. The second revision was implemented in 1998. The third revision was implemented in 2001. This constitutes the fourth revision to the GPCIs. Section 1848(e)(1)(C) of the Act also requires that GPCI revisions be phased in equally over a 2-year period if more than one year has elapsed since the last adjustment.

In order to mitigate the volatility associated with malpractice insurance premiums, we reduced the percent change in the malpractice GPCIs by a factor of 50 percent. As directed by the statute, we will implement \1/2\ of this change in the first year (CY 2004) and \1/2\ of this change in the second year (CY 2005). During this two-year phase- in, we will continue to work with the State Departments of Insurance to obtain the most current malpractice premium data available. As more current data are obtained, we will review and revise the malpractice GPCIs as appropriate.

An estimate of the 2004 proposed malpractice GPCI changes can be demonstrated by a comparison of area geographic adjustment factors (GAFs). The GAFs are a weighted composite of each area's work, practice expense, and malpractice expense GPCIs using the national GPCI cost share weights. While we do not actually use the GAFs in computing the fee schedule payment for a specific service, they are useful in comparing overall area costs and payments. The actual effect on payment for any specific service will deviate from the GAF to the extent that the service's proportions of work, practice expenses, and malpractice expense RVUs differ from those of the GAF. Table 27 shows the estimated effects of the revised 2004 malpractice GPCIs on area GAFs. As directed by statute, the 2004 GAFs reflect only \1/2\ of the impact of the revision to the malpractice GPCIs.

With the exception of Detroit, Michigan, no locality experienced an increase of more than 1 percent in total payments due to the revision of their malpractice GPCI for 2004. Alternatively, locality specific decreases in total payments due to the revision of the malpractice GPCIs do not exceed 1 percent for any given locality in 2004.

Table 29.--Revised Geographic Adjustment Factors from Final Rule

Locality

Percent Carrier No.

No.

Locality name 2003 GAF 2004 GAF difference

00510...............................

00 Alabama...............

0.927

0.923

-0.4 00831...............................

01 Alaska................

1.115

1.113

-0.1 00832...............................

00 Arizona...............

0.991

0.991

0.0 00520...............................

13 Arkansas..............

0.889

0.885

-0.4 31146...............................

26 Anaheim/Santa Ana, CA.

1.096

1.098

0.1 31146...............................

18 Los Angeles, CA.......

1.088

1.088

0.0 31140...............................

03 Marin/Napa/Solano, CA.

1.103

1.104

0.0 31140...............................

07 Oakland/Berkeley, CA..

1.112

1.111

0.0

[[Page 63259]]

31140...............................

05 San Francisco, CA.....

1.221

1.223

0.2 31140...............................

06 San Mateo, CA.........

1.199

1.201

0.2 31140...............................

09 Santa Clara, CA.......

1.184

1.184

0.1 31146...............................

17 Ventura, CA...........

1.061

1.060

-0.1 31146...............................

99 Rest of California*...

1.010

1.008

-0.2 31140...............................

99 Rest of California*...

1.010

1.008

-0.2 00824...............................

01 Colorado..............

0.983

0.982

-0.2 00591...............................

00 Connecticut...........

1.092

1.092

0.0 00902...............................

01 Delaware..............

1.016

1.018

0.2 00903...............................

01 DC + MD/VA Suburbs....

1.094

1.095

0.1 00590...............................

03 Fort Lauderdale, FL...

1.034

1.036

0.3 00590...............................

04 Miami, FL.............

1.079

1.085

0.5 00590...............................

99 Rest of Florida.......

0.972

0.974

0.2 00511...............................

01 Atlanta, GA...........

1.026

1.027

0.1 00511...............................

99 Rest of Georgia.......

0.936

0.935

-0.1 00833...............................

01 Hawaii/Guam...........

1.046

1.046

0.0 05130...............................

00 Idaho.................

0.912

0.907

-0.5 00952...............................

16 Chicago, IL...........

1.079

1.087

0.7 00952...............................

12 East St. Louis, IL....

0.983

0.988

0.5 00952...............................

15 Suburban Chicago, IL..

1.054

1.059

0.5 00952...............................

99 Rest of Illinois......

0.939

0.940

0.1 00630...............................

00 Indiana...............

0.940

0.935

-0.5 00826...............................

00 Iowa..................

0.912

0.909

-0.4 00650...............................

00 Kansas *..............

0.928

0.925

-0.3 00740...............................

02 Kansas *..............

0.928

0.925

-0.3 00660...............................

00 Kentucky..............

0.923

0.921

-0.2 00528...............................

01 New Orleans, LA.......

0.985

0.984

0.0 00528...............................

99 Rest of Louisiana.....

0.930

0.929

-0.1 31142...............................

03 Southern Maine........

0.977

0.975

-0.2 31142...............................

99 Rest of Maine.........

0.930

0.927

-0.3 00901...............................

01 Baltimore/Surr. Cntys,

1.025

1.025

0.0 MD. 00901...............................

99 Rest of Maryland......

0.972

0.970

-0.2 31143...............................

01 Metropolitan Boston...

1.117

1.118

0.2 31143...............................

99 Rest of Massachusetts.

1.053

1.054

0.1 00953...............................

01 Detroit, MI...........

1.095

1.106

1.0 00953...............................

99 Rest of Michigan......

0.990

0.992

0.2 00954...............................

00 Minnesota.............

0.966

0.962

-0.5 00512...............................

00 Mississippi...........

0.900

0.896

-0.4 00740...............................

04 Metropolitan Kansas

0.974

0.975

0.1 City, MO. 00523...............................

01 Metropolitan St.

0.965

0.966

0.0 Louis, MO. 00740...............................

99 Rest of Missouri *....

0.890

0.889

-0.1 00523...............................

99 Rest of Missouri *....

0.890

0.889

-0.1 00751...............................

01 Montana...............

0.912

0.913

0.1 00655...............................

00 Nebraska..............

0.902

0.898

-0.4 00834...............................

00 Nevada................

1.026

1.025

-0.1 31144...............................

40 New Hampshire.........

0.999

1.001

0.2 00805...............................

01 Northern NJ...........

1.109

1.111

0.2 00805...............................

99 Rest of New Jersey....

1.058

1.060

0.2 00521...............................

05 New Mexico............

0.940

0.938

-0.2 00803...............................

01 Manhattan, NY.........

1.221

1.225

0.3 00803...............................

02 Nyc Suburbs/Long I.,

1.174

1.179

0.4 NY. 00803...............................

03 Poughkpsie/N Nyc

1.046

1.047

0.1 Suburbs, NY. 14330...............................

04 Queens, NY............

1.156

1.161

0.4 00801...............................

99 Rest of New York......

0.968

0.964

-0.4 05535...............................

00 North Carolina........

0.941

0.939

-0.2 00820...............................

01 North Dakota..........

0.911

0.907

-0.4 00883...............................

00 Ohio..................

0.968

0.968

0.0 00522...............................

00 Oklahoma..............

0.912

0.907

-0.7 00835...............................

01 Portland, OR..........

1.000

0.998

-0.3 00835...............................

99 Rest of Oregon........

0.932

0.929

-0.4 00865...............................

01 Metropolitan

1.064

1.067

0.3 Philadelphia, PA. 00865...............................

99 Rest of Pennsylvania..

0.957

0.955

-0.2 00973...............................

20 Puerto Rico...........

0.790

0.784

-0.8 00870...............................

01 Rhode Island..........

1.033

1.033

0.0 00880...............................

01 South Carolina........

0.922

0.919

-0.4 00820...............................

02 South Dakota..........

0.894

0.889

-0.6 05440...............................

35 Tennessee.............

0.931

0.928

-0.3 00900...............................

31 Austin, TX............

0.986

0.988

0.2 00900...............................

20 Beaumont, TX..........

0.960

0.960

0.0 00900...............................

09 Brazoria, TX..........

0.997

0.999

0.1 00900...............................

11 Dallas, TX............

1.031

1.033

0.3

[[Page 63260]]

00900...............................

28 Fort Worth, TX........

0.983

0.985

0.2 00900...............................

15 Galveston, TX.........

0.991

0.992

0.1 00900...............................

18 Houston, TX...........

1.025

1.026

0.1 00900...............................

99 Rest of Texas.........

0.929

0.932

0.2 00910...............................

09 Utah..................

0.951

0.948

-0.2 31145...............................

50 Vermont...............

0.965

0.962

-0.3 00973...............................

50 Virgin Islands........

0.991

0.992

0.1 00904...............................

00 Virginia..............

0.949

0.947

-0.2 00836...............................

02 Seattle (King Cnty),

1.038

1.038

0.0 WA. 00836...............................

99 Rest of Washington....

0.971

0.970

-0.1 00884...............................

16 West Virginia.........

0.929

0.933

0.5 00951...............................

00 Wisconsin.............

0.958

0.954

-0.4 00825...............................

21 Wyoming...............

0.938

0.936

-0.2

C. Tracking Codes

We are adopting a 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. Our policy will have no effect on Medicare expenditures but will allow for more flexibility in determining payment rates for new services.

D. G Codes for Managing Dialysis Patients

As previously discussed in section II.D., 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 establishing new G codes for these services and are aligning Medicare's payment to recognize the higher amount of physician work associated with more frequent face-to-face visits. Aggregated Medicare payments to physicians for treating dialysis patients will not be increased or decreased by the establishment of these new procedure codes. Relative to payment based on the current CPT codes, Medicare payments to physicians for providing fewer than four visits per month will decrease. If the physician provides four or more visits per month, payment will increase. The net effect of these payment changes will not increase or decrease aggregate Medicare payment for physician services provided to dialysis patients.

E. Rebasing and Revising the MEI

Section IV.B. of this final rule discusses rebasing and revising the MEI for the CY 2004 physician fee schedule. Substituting the 2000 MEI weights in place of the 1996 weights increases the MEI by 0.1 percent for 2004. After 2004, the MEI in some years is likely to be unaffected by using more recent year weights while other years may have slightly higher increases (between 0.1 to 0.2 percentage points).

F. Definition of Diabetes for Diabetes Self-Management Training

In section III.A., we revised the definition of diabetes for purposes of the Outpatient Diabetes Self-Management Training benefit and are using this definition 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.

G. Payment Policies for Anesthesia Services

In section III.D. of this final rule, we discussed Medicare payment for anesthesia services involving anesthesiologists and residents. Effective January 1, 2004, we are revising our teaching anesthesia rules to allow teaching anesthesiologists to bill, similar to teaching CRNAs, for their involvement in two concurrent cases with residents. The policy change will allow anesthesiologists to be paid either under the rules for medical direction or the same way that teaching CRNAs are paid for two concurrent cases. We are uncertain how the practice arrangements of teaching anesthesiologists will change as a result of this new policy. We believe that most teaching anesthesiologists will continue to function under the medical direction practice model for concurrent cases involving residents. Therefore, we believe there will be minimal change in Medicare program expenditures as a result of this change.

H. 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.

I. 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. 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. Nevertheless, we remain concerned about the issue and will continue to study the issue to the best of our ability with available resources.

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

[[Page 63261]]

List of Subjects

42 CFR Part 410

Health facilities, Health professions, Kidney diseases,

42 CFR Part 414

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

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

PART 410--SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS

0 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).

0 2. Section 410.130 is amended by revising the definition of ``Diabetes'' to read as follows:

Sec. 410.130 Definitions

* * * * *

Diabetes means diabetes mellitus, a condition of abnormal glucose metabolism diagnosed using the following criteria: A fasting blood sugar greater than or equal to 126 mg/dL on two different occasions; a 2 hour post-glucose challenge greater than or equal to 200 mg/dL on 2 different occasions; or a random glucose test over 200 mg/dL for a person with symptoms of uncontrolled diabetes. * * * * *

0 3. Section 410.140 is amended by adding the definition of ``Diabetes'' in alphabetical order to read as follows:

Sec. 410.140 Definitions

* * * * *

Diabetes means diabetes mellitus, a condition of abnormal glucose metabolism diagnosed using the following criteria: A fasting blood sugar greater than or equal to 126 mg/dL on two different occasions; a 2 hour post-glucose challenge greater than or equal to 200 mg/dL on 2 different occasions; or a random glucose test over 200 mg/dL for a person with symptoms of uncontrolled diabetes. * * * * *

0 4. Section 410.141 is amended by revising paragraph (d) to read as follows:

Sec. 410.141 Outpatient diabetes self-management training.

* * * * *

(d) 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

0 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)).

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

Sec. 414.22 Relative value units (RVUs).

* * * * *

(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 and by March 1, 2005 to determine CY 2006 practice expense RVUs. * * * * *

0 3. Section 414.46 is amended to-- 0 a. Redesignate paragraphs (e) through (g) as paragraphs (f) through (h), respectively. 0 b. Add new paragraph (e). 0 The addition reads as follows:

Sec. 414.46 Additional rules for payment of anesthesia services.

* * * * *

(e) Physicians involved with two concurrent cases with residents. The physician can bill base units and time units based on the amount of time the physician is actually present with the resident during each of two concurrent cases furnished on or after January 1, 2004.

(1) To bill the base units, the physician must be present with the resident during the pre- and post-anesthesia care included in the base units.

(2) If the physician is not present with the resident during pre- and post-anesthesia care, then the physician may bill the case as a medically directed case in accordance with paragraph (d) of this section. * * * * * (Catalog of Federal Domestic Assistance Program No. 93.774, Medicare--Supplementary Medical Insurance Program)

Dated: October 28, 2003. Thomas A Scully, Administrator, Centers for Medicare & Medicaid Services.

Approved: October 28, 2003. Tommy G. Thompson, Secretary.

Note: These addenda will not appear in the Code of Federal Regulations.

Addendum A--Explanation and Use of Addenda B

The addenda on the following pages provide various data pertaining to the Medicare fee schedule for physicians' services furnished in 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 and most alphanumeric 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 non-physicians' 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

[[Page 63262]]

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 = Non-covered service. These codes are non-covered 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 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.

\2\ Copyright 2003 American Dental Association. All rights reserved.

\3\ +Indicates RVUs are not used for Medicare payment.

[[Page 63262]]

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

Physician Non-

Non- CPT\1\/HCPCS\2\

MOD

Status

Description

work facility Facility Malpractice facility Facility Global RVUs\3\ 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............ ............. D

endo repair abd aa

0.00 0.00 0.00

0.00

0.00 0.00

XXX aorto uni. 0003T............ ............. C

Cervicography......... 0.00 0.00 0.00

0.00

0.00 0.00

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

Perc cath stent/brain

0.00 0.00 0.00

0.00

0.00 0.00

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

Perc cath stent/brain

0.00 0.00 0.00

0.00

0.00 0.00

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

Perc cath stent/brain

0.00 0.00 0.00

0.00

0.00 0.00

XXX 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 vasc

0.00 0.00 0.00

0.00

0.00 0.00

XXX lesion. 0017T............ ............. C

Photocoagulat macular

0.00 0.00 0.00

0.00

0.00 0.00

XXX drusen. 0018T............ ............. C

Transcranial magnetic

0.00 0.00 0.00

0.00

0.00 0.00

XXX 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............ ............. D

Ultrasonic pachymetry. 0.00 0.00 0.00

0.00

0.00 0.00

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

Measure remnant

0.00 0.00 0.00

0.00

0.00 0.00

XXX lipoproteins.

[[Page 63263]]

0027T............ ............. C

Endoscopic epidural

0.00 0.00 0.00

0.00

0.00 0.00

XXX lysis. 0028T............ ............. C

Dexa body composition

0.00 0.00 0.00

0.00

0.00 0.00

XXX 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/direct

0.00 0.00 0.00

0.00

0.00 0.00

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

Endovasc taa repr incl 0.00 0.00 0.00

0.00

0.00 0.00

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

Endovasc taa repr w/o

0.00 0.00 0.00

0.00

0.00 0.00

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

Insert endovasc

0.00 0.00 0.00

0.00

0.00 0.00

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

Endovasc prosth, taa,

0.00 0.00 0.00

0.00

0.00 0.00

XXX 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 w/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX cover. 0039T............ ............. C

Rad s/i, endovasc taa

0.00 0.00 0.00

0.00

0.00 0.00

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

Rad s/i, endovasc taa

0.00 0.00 0.00

0.00

0.00 0.00

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

Detect ur infect agnt

0.00 0.00 0.00

0.00

0.00 0.00

XXX w/cpas. 0042T............ ............. C

Ct perfusion w/

0.00 0.00 0.00

0.00

0.00 0.00

XXX contrast, cbf. 0043T............ ............. C

Co expired gas

0.00 0.00 0.00

0.00

0.00 0.00

XXX analysis. 0044T............ ............. C

Whole body photography 0.00 0.00 0.00

0.00

0.00 0.00

XXX 0045T............ ............. C

Whole body photography 0.00 0.00 0.00

0.00

0.00 0.00

XXX 0046T............ ............. C

Cath lavage, mammary

0.00 0.00 0.00

0.00

0.00 0.00

XXX duct(s. 0047T............ ............. C

Cath lavage, mammary

0.00 0.00 0.00

0.00

0.00 0.00

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

Implant ventricular

0.00 0.00 0.00

0.00

0.00 0.00

XXX device. 0049T............ ............. C

External circulation

0.00 0.00 0.00

0.00

0.00 0.00

XXX assist. 0050T............ ............. C

Removal circulation

0.00 0.00 0.00

0.00

0.00 0.00

XXX assist. 0051T............ ............. C

Implant total heart

0.00 0.00 0.00

0.00

0.00 0.00

XXX system. 0052T............ ............. C

Replace component

0.00 0.00 0.00

0.00

0.00 0.00

XXX heart syst. 0053T............ ............. C

Replace component

0.00 0.00 0.00

0.00

0.00 0.00

XXX heart syst. 0054T............ ............. C

Bone surgery using

0.00 0.00 0.00

0.00

0.00 0.00

XXX computer. 0055T............ ............. C

Bone surgery using

0.00 0.00 0.00

0.00

0.00 0.00

XXX computer. 0056T............ ............. C

Bone surgery using

0.00 0.00 0.00

0.00

0.00 0.00

XXX computer. 0057T............ ............. C

Uppr gi scope w/ thrml 0.00 0.00 0.00

0.00

0.00 0.00

XXX txmnt. 0058T............ ............. C

Cryopreservation,

0.00 0.00 0.00

0.00

0.00 0.00

XXX ovary tiss. 0059T............ ............. C

Cryopreservation,

0.00 0.00 0.00

0.00

0.00 0.00

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

Electrical impedance

0.00 0.00 0.00

0.00

0.00 0.00

XXX scan. 0061T............ ............. C

Destruction of tumor,

0.00 0.00 0.00

0.00

0.00 0.00

XXX breast. 10021............ ............. A

Fna w/o image......... 1.26 2.22 0.55

0.08

3.56 1.89

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

Fna w/image........... 1.26 2.65 0.43

0.06

3.97 1.75

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

Acne surgery.......... 1.17 1.02 0.68

0.06

2.25 1.91

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

Drainage of skin

1.16 1.22 0.95

0.10

2.48 2.21

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

Drainage of skin

2.39 1.84 1.53

0.20

4.43 4.12

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

Drainage of pilonidal

1.16 3.19 1.16

0.11

4.46 2.43

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

Drainage of pilonidal

2.44 4.16 1.53

0.23

6.83 4.20

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

Remove foreign body... 1.21 1.48 0.42

0.12

2.81 1.75

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

Remove foreign body... 2.67 3.36 1.91

0.30

6.33 4.88

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

Drainage of hematoma/

1.52 1.53 0.91

0.18

3.23 2.61

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

Puncture drainage of

1.19 0.73 0.47

0.13

2.05 1.79

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

Complex drainage,

2.24 3.27 2.09

0.30

5.81 4.63

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

Debride infected skin. 0.60 0.58 0.22

0.06

1.24 0.88

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

Debride infected skin

0.30 0.23 0.11

0.02

0.55 0.43

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

Debride skin, fx...... 4.18 6.80 2.35

0.54 11.52 7.07

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

Debride skin/muscle,

4.92 8.12 2.39

0.64 13.68 7.95

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

Debride skin/muscle/

6.84 12.02 3.90

1.07 19.93 11.81

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

Debride skin, partial. 0.50 0.52 0.21

0.06

1.08 0.77

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

Debride skin, full.... 0.82 0.65 0.33

0.07

1.54 1.22

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

Debride skin/tissue... 1.11 0.98 0.47

0.11

2.20 1.69

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

Debride tissue/muscle. 2.37 3.47 2.63

0.29

6.13 5.29

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

Debride tissue/muscle/ 3.04 4.58 3.80

0.41

8.03 7.25

010 bone. 11055............ ............. R

Trim skin lesion...... 0.43 0.56 0.17

0.02

1.01 0.62

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

Trim skin lesions, 2

0.61 0.64 0.24

0.04

1.29 0.89

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

Trim skin lesions,

0.79 0.73 0.31

0.05

1.57 1.15

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

Biopsy, skin lesion... 0.81 1.27 0.37

0.05

2.13 1.23

000 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 1.07 0.78

0.05

1.89 1.60

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 1.01 0.22

0.04

1.56 0.77

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

Shave skin lesion..... 0.85 1.13 0.38

0.05

2.03 1.28

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

Shave skin lesion..... 1.04 1.32 0.47

0.06

2.42 1.57

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

Shave skin lesion..... 1.23 1.61 0.53

0.07

2.91 1.83

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

Shave skin lesion..... 0.67 0.85 0.27

0.05

1.57 0.99

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

Shave skin lesion..... 0.98 1.12 0.43

0.06

2.16 1.47

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

Shave skin lesion..... 1.13 1.31 0.50

0.06

2.50 1.69

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

Shave skin lesion..... 1.40 1.47 0.61

0.08

2.95 2.09

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

Shave skin lesion..... 0.73 1.14 0.33

0.05

1.92 1.11

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

Shave skin lesion..... 1.04 1.26 0.50

0.06

2.36 1.60

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

Shave skin lesion..... 1.19 1.46 0.56

0.07

2.72 1.82

000

[[Page 63264]]

11313............ ............. A

Shave skin lesion..... 1.61 1.84 0.72

0.11

3.56 2.44

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

Exc tr-ext b9+marg 0.5 0.85 2.04 0.90

0.07

2.96 1.82

010 4 cm. 11440............ ............. A

Exc face-mm b9+marg

1.05 2.31 1.35

0.10

3.46 2.50

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

Removal, sweat gland

2.71 5.20 2.06

0.31

8.22 5.08

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

Removal, sweat gland

3.93 6.84 2.59

0.47 11.24 6.99

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

Removal, sweat gland

2.50 5.29 2.04

0.28

8.07 4.82

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

Removal, sweat gland

3.93 7.08 2.73

0.48 11.49 7.14

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

Removal, sweat gland

3.23 5.23 2.30

0.36

8.82 5.89

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

Removal, sweat gland

4.38 6.96 2.82

0.48 11.82 7.68

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

Exc tr-ext mlg+marg

1.30 2.70 0.99

0.11

4.11 2.40

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

Exc h-f-nk-sp mlg+marg 1.18 2.66 0.97

0.11

3.95 2.26

010 0.5 4 cm. 11640............ ............. A

Exc face-mm malig+marg 1.34 2.73 1.13

0.12

4.19 2.59

010 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

0.05

1.03 0.80

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

Removal of nail plate. 1.12 1.03 0.44

0.11

2.26 1.67

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

Remove nail plate, add- 0.57 0.45 0.23

0.06

1.08 0.86

ZZZ on. 11740............ ............. A

Drain blood from under 0.37 0.86 0.14

0.04

1.27 0.55

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

Removal of nail bed... 1.85 2.15 1.75

0.19

4.19 3.79

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

Remove nail bed/finger 2.65 2.99 2.99

0.40

6.04 6.04

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

Biopsy, nail unit..... 1.30 1.10 0.56

0.07

2.47 1.93

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

Repair of nail bed.... 1.57 1.86 1.23

0.20

3.63 3.00

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

Reconstruction of nail 2.87 2.29 1.85

0.38

5.54 5.10

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

Excision of nail fold, 0.69 1.16 0.53

0.06

1.91 1.28

010 toe. 11770............ ............. A

Removal of pilonidal

2.60 3.58 1.53

0.29

6.47 4.42

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

Removal of pilonidal

5.71 5.79 3.36

0.67 12.17 9.74

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

Removal of pilonidal

6.94 7.27 3.90

0.82 15.03 11.66

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

Injection into skin

0.52 0.66 0.22

0.02

1.20 0.76

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

Added skin lesions

0.80 0.67 0.36

0.04

1.51 1.20

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

Correct skin color

1.60 2.01 0.78

0.20

3.81 2.58

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

Correct skin color

1.92 2.38 0.98

0.25

4.55 3.15

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

Correct skin color

0.49 0.38 0.25

0.06

0.93 0.80

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

Therapy for contour

0.84 1.17 0.42

0.07

2.08 1.33

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

Therapy for contour

1.18 1.51 0.52

0.12

2.81 1.82

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

Therapy for contour

1.68 1.89 0.69

0.20

3.77 2.57

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

Therapy for contour

1.84 2.46 0.91

0.23

4.53 2.98

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

Insert tissue

9.03

NA 10.65

1.05

NA 20.73

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

Replace tissue

7.02

NA 6.16

0.92

NA 14.10

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

Remove tissue

2.12 7.20 4.81

0.25

9.57 7.18

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

Insert contraceptive

+1.47 1.43 0.58

0.17

3.07 2.22

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

Removal of

1.77 1.72 0.69

0.20

3.69 2.66

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

Removal/reinsert

+3.28 2.28 1.27

0.37

5.93 4.92

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

Implant hormone

1.47 1.11 0.56

0.12

2.70 2.15

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

Insert drug implant

1.47 1.76 0.69

0.17

3.40 2.33

XXX device.

[[Page 63265]]

11982............ ............. A

Remove drug implant

1.77 1.99 0.85

0.20

3.96 2.82

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

Remove/insert drug

3.28 2.34 1.49

0.37

5.99 5.14

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

Repair superficial

1.69 2.04 0.50

0.16

3.89 2.35

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

Repair superficial

1.85 2.10 0.95

0.18

4.13 2.98

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

Repair superficial

2.23 2.40 1.06

0.20

4.83 3.49

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

Repair superficial

2.84 2.90 1.25

0.28

6.02 4.37

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

Repair superficial

3.65 3.48 1.56

0.37

7.50 5.58

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

Repair superficial

4.10 3.91 1.86

0.44

8.45 6.40

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

Repair superficial

1.75 2.20 0.51

0.17

4.12 2.43

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

Repair superficial

1.98 2.35 0.98

0.19

4.52 3.15

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

Repair superficial

2.45 2.65 1.11

0.22

5.32 3.78

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

Repair superficial

3.17 3.23 1.30

0.29

6.69 4.76

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

Repair superficial

3.91 3.65 1.58

0.38

7.94 5.87

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

Repair superficial

4.68

NA 1.93

0.47

NA 7.08

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

Repair superficial

5.50

NA 2.30

0.55

NA 8.35

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

Closure of split wound 2.61 2.70 1.77

0.29

5.60 4.67

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

Closure of split wound 1.83 1.77 1.42

0.23

3.83 3.48

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

Layer closure of

2.14 2.33 0.82

0.18

4.65 3.14

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

Layer closure of

2.46 3.93 1.86

0.18

6.57 4.50

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

Layer closure of

2.90 3.21 1.43

0.25

6.36 4.58

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

Layer closure of

3.41 5.34 2.21

0.36

9.11 5.98

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

Layer closure of

4.03 5.43 2.41

0.49

9.95 6.93

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

Layer closure of

4.64 6.52 2.81

0.59 11.75 8.04

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

Layer closure of

2.36 2.50 0.87

0.20

5.06 3.43

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

Layer closure of

2.72 3.24 1.39

0.20

6.16 4.31

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

Layer closure of

3.12 3.24 1.58

0.29

6.65 4.99

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

Layer closure of

3.62 3.72 2.20

0.41

7.75 6.23

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

Layer closure of

4.23 6.68 2.80

0.48 11.39 7.51

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

Layer closure of

4.62 6.54 3.13

0.49 11.65 8.24

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

Layer closure of

2.46 3.26 1.38

0.19

5.91 4.03

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

Layer closure of

2.75 3.21 1.36

0.20

6.16 4.31

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

Layer closure of

3.10 3.25 1.52

0.24

6.59 4.86

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

Layer closure of

3.44 3.59 1.62

0.30

7.33 5.36

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

Layer closure of

4.40 4.59 2.16

0.42

9.41 6.98

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

Layer closure of

5.21 6.85 3.11

0.52 12.58 8.84

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

Layer closure of

5.93 6.18 3.80

0.60 12.71 10.33

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

Repair of wound or

3.10 3.55 1.80

0.25

6.90 5.15

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

Repair of wound or

3.90 3.79 2.24

0.26

7.95 6.40

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

Repair wound/lesion

1.23 0.74 0.58

0.12

2.09 1.93

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

Repair of wound or

3.28 3.65 1.84

0.28

7.21 5.40

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

Repair of wound or

4.31 4.01 2.34

0.30

8.62 6.95

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

Repair wound/lesion

1.43 0.87 0.64

0.14

2.44 2.21

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

Repair of wound or

3.77 3.92 2.16

0.30

7.99 6.23

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

Repair of wound or

5.92 4.73 3.21

0.38 11.03 9.51

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

Repair wound/lesion

2.18 1.21 1.04

0.20

3.59 3.42

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

Repair of wound or

3.79 5.56 2.63

0.35

9.70 6.77

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

Repair of wound or

4.42 5.46 3.07

0.34 10.22 7.83

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

Repair of wound or

6.29 6.14 3.97

0.46 12.89 10.72

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

Repair wound/lesion

2.37 1.36 1.15

0.22

3.95 3.74

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

Late closure of wound. 10.42

NA 7.19

1.43

NA 19.04

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

Skin tissue

5.86 8.61 5.18

0.55 15.02 11.59

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

Skin tissue

8.42 10.06 6.66

0.78 19.26 15.86

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

Skin tissue

6.55 9.27 6.05

0.60 16.42 13.20

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

Skin tissue

10.00 10.56 7.82

0.83 21.39 18.65

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

Skin tissue

7.83 8.35 6.94

0.66 16.84 15.43

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

Skin tissue

11.42 10.76 8.78

0.85 23.03 21.05

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

Skin tissue

8.45 9.18 7.77

0.71 18.34 16.93

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

Skin tissue

12.22 11.79 9.62

0.90 24.91 22.74

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

Skin tissue

11.69 11.31 9.27

1.05 24.05 22.01

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

Skin tissue

9.56

NA 7.20

1.31

NA 18.07

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

Skin graft............ 3.98 3.85 2.22

0.44

8.27 6.64

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

Skin graft add-on..... 0.99 1.38 0.42

0.13

2.50 1.54

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

Skin pinch graft...... 4.28 6.03 4.78

0.55 10.86 9.61

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

Skin split graft...... 9.00 12.77 7.88

1.13 22.90 18.01

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

Skin split graft add-

1.71 3.88 1.68

0.22

5.81 3.61

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

Skin split graft...... 9.77 10.90 7.86

1.08 21.75 18.71

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

Skin split graft add-

2.65 4.63 1.90

0.32

7.60 4.87

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

Skin full graft....... 7.98 10.83 6.06

0.87 19.68 14.91

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

Skin full graft add-on 1.31 1.05 0.63

0.17

2.53 2.11

ZZZ 15220............ ............. A

Skin full graft....... 7.83 10.71 6.51

0.82 19.36 15.16

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

Skin full graft add-on 1.18 0.91 0.58

0.14

2.23 1.90

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

Skin full graft....... 8.99 10.27 7.73

0.96 20.22 17.68

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

Skin full graft add-on 1.85 1.46 0.92

0.20

3.51 2.97

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

Skin full graft....... 10.00 9.98 8.70

0.76 20.74 19.46

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

Skin full graft add-on 2.22 2.75 1.44

0.20

5.17 3.86

ZZZ

[[Page 63266]]

15342............ ............. A

Cultured skin graft,

0.99 1.84 0.56

0.11

2.94 1.66

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

Culture skn graft addl 0.25 0.27 0.10

0.02

0.54 0.37

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

Skin homograft........ 3.98 8.31 4.88

0.50 12.79 9.36

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

Skin homograft add-on. 0.99 0.95 0.40

0.13

2.07 1.52

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

Skin heterograft...... 3.98 4.21 4.13

0.48

8.67 8.59

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

Skin heterograft add-

0.99 1.23 0.45

0.13

2.35 1.57

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

Form skin pedicle flap 9.16 9.27 6.74

1.15 19.58 17.05

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

Form skin pedicle flap 9.22 8.48 6.32

1.11 18.81 16.65

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

Form skin pedicle flap 9.82 8.89 7.02

1.10 19.81 17.94

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

Form skin pedicle flap 8.64 9.51 6.49

0.86 19.01 15.99

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

Skin graft............ 1.90 7.17 2.73

0.23

9.30 4.86

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

Skin graft............ 2.41 3.78 3.07

0.30

6.49 5.78

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

Skin graft............ 2.92 7.54 3.71

0.34 10.80 6.97

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

Skin graft............ 3.25 6.92 3.98

0.34 10.51 7.57

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

Transfer skin pedicle

3.95 6.79 4.06

0.43 11.17 8.44

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

Muscle-skin graft,

17.74 18.24 12.34

1.80 37.78 31.88

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

Muscle-skin graft,

17.69 18.13 12.44

2.29 38.11 32.42

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

Muscle-skin graft, arm 16.18 18.35 11.33

2.13 36.66 29.64

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

Muscle-skin graft, leg 17.82 18.14 11.86

2.34 38.30 32.02

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

Island pedicle flap

10.19 9.92 7.97

0.74 20.85 18.90

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

Neurovascular pedicle 11.34

NA 9.09

1.39

NA 21.82

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

Free myo/skin flap

35.03

NA 20.93

3.73

NA 59.69

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

Free skin flap,

35.03

NA 21.96

4.04

NA 61.03

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

Free fascial flap,

34.90

NA 21.95

4.22

NA 61.07

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

Composite skin graft.. 8.69 9.82 7.09

0.86 19.37 16.64

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

Derma-fat-fascia graft 7.48

NA 6.77

0.93

NA 15.18

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

Hair transplant punch

3.94 2.82 1.34

0.52

7.28 5.80

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

Hair transplant punch

5.51 5.44 2.85

0.72 11.67 9.08

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

Abrasion treatment of

7.25 7.16 7.16

0.49 14.90 14.90

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

Abrasion treatment of

4.82 5.41 5.41

0.32 10.55 10.55

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

Abrasion treatment of

4.30 4.38 4.38

0.25

8.93 8.93

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

Abrasion treatment of

4.27 4.98 4.22

0.31

9.56 8.80

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

Abrasion, lesion,

2.02 1.65 1.29

0.13

3.80 3.44

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

Abrasion, lesions, add- 0.33 0.32 0.16

0.02

0.67 0.51

ZZZ on. 15788............ ............. R

Chemical peel, face,

2.08 3.38 2.29

0.13

5.59 4.50

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

Chemical peel, face,

4.89 6.48 5.02

0.32 11.69 10.23

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

Chemical peel,

1.85 3.21 2.79

0.12

5.18 4.76

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

Chemical peel,

3.72

NA 4.20

0.20

NA 8.12

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

Salabrasion........... 4.71 3.94 3.94

0.50

9.15 9.15

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

Salabrasion........... 5.36 6.37 5.58

0.62 12.35 11.56

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

Plastic surgery, neck. 9.33

NA 7.28

0.92

NA 17.53

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

Revision of lower

5.12 6.92 5.40

0.36 12.40 10.88

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

Revision of lower

5.69 7.31 5.58

0.37 13.37 11.64

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

Revision of upper

4.42 5.87 4.41

0.26 10.55 9.09

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

Revision of upper

7.01 7.86 6.29

0.38 15.25 13.68

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

Excise excessive skin 12.33

NA 8.32

1.56

NA 22.21

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

Excise excessive skin 11.52

NA 8.46

1.45

NA 21.43

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

Excise excessive skin 10.58

NA 8.18

1.40

NA 20.16

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

Excise excessive skin 10.79

NA 7.75

1.41

NA 19.95

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

Excise excessive skin 11.60 11.58 7.71

1.35 24.53 20.66

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

Excise excessive skin

9.29

NA 6.88

1.14

NA 17.31

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

Excise excessive skin

8.38 8.01 7.08

0.93 17.32 16.39

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

Excise excessive skin

7.09

NA 6.15

0.70

NA 13.94

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

Excise excessive skin

9.33 7.95 6.27

1.05 18.33 16.65

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

Graft for face nerve

13.18

NA 10.15

1.38

NA 24.71

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

Graft for face nerve

23.13

NA 15.24

3.18

NA 41.55

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

Flap for face nerve

37.74

NA 23.29

4.78

NA 65.81

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

Skin and muscle

12.50

NA 9.47

0.96

NA 22.93

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

Removal of sutures.... +0.78 1.61 0.30

0.05

2.44 1.13

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

Removal of sutures.... 0.86 1.75 0.34

0.06

2.67 1.26

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

Dressing change not

0.86 1.88 0.36

0.08

2.82 1.30

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

Test for blood flow in 1.94 1.29 0.79

0.16

3.39 2.89

000 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

7.90

NA 5.66

0.99

NA 14.55

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

Removal of tail bone

9.84

NA 7.39

1.27

NA 18.50

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

Remove sacrum pressure 9.19

NA 5.80

1.14

NA 16.13

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

Remove sacrum pressure 10.79

NA 8.03

1.37

NA 20.19

090 sore.

[[Page 63267]]

15934............ ............. A

Remove sacrum pressure 12.62

NA 8.24

1.62

NA 22.48

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

Remove sacrum pressure 14.49

NA 10.52

1.87

NA 26.88

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

Remove sacrum pressure 12.31

NA 8.44

1.58

NA 22.33

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

Remove sacrum pressure 14.13

NA 10.06

1.81

NA 26.00

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

Remove hip pressure

9.29

NA 6.29

1.17

NA 16.75

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

Remove hip pressure

11.36

NA 9.68

1.47

NA 22.51

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

Remove hip pressure

11.39

NA 8.80

1.45

NA 21.64

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

Remove hip pressure

12.62

NA 9.84

1.65

NA 24.11

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

Remove hip pressure

21.45

NA 14.57

2.78

NA 38.80

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

Remove thigh pressure

7.50

NA 5.52

0.96

NA 13.98

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

Remove thigh pressure 10.66

NA 8.04

1.37

NA 20.07

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

Remove thigh pressure 11.33

NA 7.91

1.43

NA 20.67

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

Remove thigh pressure 12.56

NA 9.16

1.65

NA 23.37

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

Remove thigh pressure 15.43

NA 10.95

1.97

NA 28.35

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

Remove thigh pressure 15.39

NA 11.24

1.99

NA 28.62

090 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

0.88 0.87 0.27

0.07

1.82 1.22

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

Treatment of burn(s).. 0.87 0.67 0.64

0.08

1.62 1.59

000 16015............ ............. A

Treatment of burn(s).. 2.34

NA 1.17

0.26

NA 3.77

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

Treatment of burn(s).. 0.80 1.30 0.62

0.07

2.17 1.49

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

Treatment of burn(s).. 1.84 1.82 0.98

0.19

3.85 3.01

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

Treatment of burn(s).. 2.07 2.23 1.14

0.22

4.52 3.43

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

Incision of burn scab, 3.73

NA 1.48

0.43

NA 5.64

090 initi. 16036............ ............. A

Escharotomy; addl

1.49

NA 0.61

0.13

NA 2.23

ZZZ incision. 17000............ ............. A

Destroy benign/premlg

0.60 0.99 0.32

0.04

1.63 0.96

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

Destroy lesions, 2-14. 0.15 0.11 0.07

0.01

0.27 0.23

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

Destroy lesions, 15 or 2.77 2.34 1.31

0.14

5.25 4.22

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

Destruction of skin

4.56 4.93 3.37

0.34

9.83 8.27

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

Destruction of skin

9.11 7.60 5.51

0.64 17.35 15.26

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

Destruction of skin

13.12 9.72 7.76

1.07 23.91 21.95

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

Destruct lesion, 1-14. 0.65 1.65 0.51

0.05

2.35 1.21

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

Destruct lesion, 15 or 0.91 1.71 0.61

0.05

2.67 1.57

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

Chemical cautery,

0.50 1.25 0.36

0.05

1.80 0.91

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

Destruction of skin

0.90 1.30 0.46

0.05

2.25 1.41

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

Destruction of skin

1.16 1.64 0.60

0.06

2.86 1.82

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

Destruction of skin

1.57 1.92 0.79

0.08

3.57 2.44

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

Destruction of skin

1.78 2.09 0.86

0.10

3.97 2.74

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

Destruction of skin

1.93 2.26 0.89

0.10

4.29 2.92

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

Destruction of skin

2.33 2.55 1.00

0.13

5.01 3.46

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

Destruction of skin

1.31 1.74 0.64

0.07

3.12 2.02

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

Destruction of skin

1.48 1.81 0.75

0.07

3.36 2.30

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

Destruction of skin

1.76 2.02 0.88

0.08

3.86 2.72

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

Destruction of skin

2.04 2.24 0.99

0.11

4.39 3.14

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

Destruction of skin

2.58 2.60 1.22

0.13

5.31 3.93

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

Destruction of skin

3.18 3.00 1.46

0.18

6.36 4.82

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

Destruction of skin

1.16 1.64 0.58

0.06

2.86 1.80

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

Destruction of skin

1.71 1.93 0.86

0.08

3.72 2.65

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

Destruction of skin

2.03 2.19 1.02

0.11

4.33 3.16

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

Destruction of skin

2.62 2.59 1.27

0.13

5.34 4.02

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

Destruction of skin

3.19 2.98 1.53

0.17

6.34 4.89

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

Destruction of skin

4.41 3.75 2.21

0.26

8.42 6.88

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

1 stage mohs, up to 5

7.56 8.19 3.61

0.37 16.12 11.54

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

2 stage mohs, up to 5

2.83 3.86 1.36

0.14

6.83 4.33

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

3 stage mohs, up to 5

2.83 3.88 1.37

0.14

6.85 4.34

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

Mohs addl stage up to

2.83 3.82 1.38

0.14

6.79 4.35

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

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

Cryotherapy of skin... 0.76 0.38 0.31

0.05

1.19 1.12

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

Skin peel therapy..... 1.42 1.48 0.75

0.07

2.97 2.24

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

Hair removal by

0.00 0.00 0.00

0.00

0.00 0.00

000 electrolysis. 17999............ ............. C

Skin tissue procedure. 0.00 0.00 0.00

0.00

0.00 0.00

YYY 19000............ ............. A

Drainage of breast

0.84 2.05 0.36

0.08

2.97 1.28

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

Drain breast lesion

0.42 0.80 0.14

0.04

1.26 0.60

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

Incision of breast

3.55 6.08 2.81

0.42 10.05 6.78

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

Injection for breast x- 1.52 3.37 0.51

0.08

4.97 2.11

000 ray. 19100............ ............. A

Bx breast percut w/o

1.26 2.17 0.43

0.12

3.55 1.81

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

Biopsy of breast, open 3.16 4.72 1.70

0.24

8.12 5.10

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

Bx breast percut w/

1.99 4.01 0.66

0.16

6.16 2.81

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

Bx breast percut w/

3.68 12.14 1.25

0.19 16.01 5.12

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

Nipple exploration.... 4.28 5.90 3.10

0.53 10.71 7.91

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

Excise breast duct

3.65 5.93 2.72

0.46 10.04 6.83

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

Removal of breast

5.53 4.63 3.11

0.67 10.83 9.31

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

Excision, breast

6.03 4.89 3.33

0.73 11.65 10.09

090 lesion. 19126............ ............. A

Excision, addl breast

2.91

NA 1.01

0.36

NA 4.28

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

Removal of breast

5.11 7.37 3.46

0.62 13.10 9.19

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

Removal of breast

5.96

NA 3.49

0.73

NA 10.18

090 tissue.

[[Page 63268]]

19162............ ............. A

Remove breast tissue, 13.45

NA 6.45

1.65

NA 21.55

090 nodes. 19180............ ............. A

Removal of breast..... 8.75

NA 5.13

1.05

NA 14.93

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

Removal of breast..... 7.69

NA 4.85

0.95

NA 13.49

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

Removal of breast..... 15.40

NA 8.12

1.81

NA 25.33

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

Removal of breast..... 15.63

NA 8.38

1.87

NA 25.88

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

Removal of breast..... 15.91

NA 8.37

1.94

NA 26.22

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

Removal of chest wall 15.35

NA 11.13

1.97

NA 28.45

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

Revision of chest wall 18.79

NA 17.58

2.72

NA 39.09

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

Extensive chest wall

21.43

NA 18.37

3.04

NA 42.84

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

Place needle wire,

1.26 3.02 0.43

0.07

4.35 1.76

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

Place needle wire,

0.63 1.75 0.21

0.04

2.42 0.88

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

Place breast clip,

0.00 2.81

NA

0.01

2.82

NA

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

Suspension of breast.. 10.63

NA 7.67

1.38

NA 19.68

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

Reduction of large

15.53

NA 11.32

2.03

NA 28.88

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

Enlarge breast........ 5.82

NA 4.98

0.76

NA 11.56

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

Enlarge breast with

8.40

NA 6.67

1.08

NA 16.15

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

Removal of breast

5.65

NA 5.13

0.73

NA 11.51

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

Removal of implant

7.55

NA 6.13

0.97

NA 14.65

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

Immediate breast

6.29

NA 3.16

0.82

NA 10.27

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

Delayed breast

11.14

NA 9.07

1.45

NA 21.66

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

Breast reconstruction. 8.87 14.35 7.19

1.14 24.36 17.20

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

Correct inverted

7.53 12.94 5.07

0.96 21.43 13.56

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

Breast reconstruction. 18.06

NA 14.01

2.35

NA 34.42

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

Breast reconstruction. 19.15

NA 11.91

2.49

NA 33.55

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

Breast reconstruction. 40.77

NA 23.88

4.69

NA 69.34

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

Breast reconstruction. 21.16

NA 11.35

2.72

NA 35.23

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

Breast reconstruction. 25.58

NA 16.74

3.33

NA 45.65

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

Breast reconstruction. 32.24

NA 20.48

4.21

NA 56.93

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

Breast reconstruction. 29.65

NA 19.99

3.88

NA 53.52

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

Surgery of breast

8.00

NA 7.03

1.03

NA 16.06

090 capsule. 19371............ ............. A

Removal of breast

9.30

NA 7.96

1.21

NA 18.47

090 capsule. 19380............ ............. A

Revise breast

9.09

NA 7.84

1.17

NA 18.10

090 reconstruction. 19396............ ............. A

Design custom breast

2.16 5.84 1.00

0.28

8.28 3.44

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... 2.11 2.38 1.63

0.20

4.69 3.94

010 20005............ ............. A

Incision of deep

3.40 3.37 2.14

0.41

7.18 5.95

010 abscess. 20100............ ............. A

Explore wound, neck... 10.02 5.86 4.42

1.19 17.07 15.63

010 20101............ ............. A

Explore wound, chest.. 3.20 2.99 1.61

0.29

6.48 5.10

010 20102............ ............. A

Explore wound, abdomen 3.92 3.56 1.82

0.42

7.90 6.16

010 20103............ ............. A

Explore wound,

5.27 4.19 3.25

0.68 10.14 9.20

010 extremity. 20150............ ............. A

Excise epiphyseal bar. 13.61

NA 7.30

1.15

NA 22.06

090 20200............ ............. A

Muscle biopsy......... 1.45 3.17 0.79

0.20

4.82 2.44

000 20205............ ............. A

Deep muscle biopsy.... 2.34 4.19 1.22

0.28

6.81 3.84

000 20206............ ............. A

Needle biopsy, muscle. 0.98 3.21 0.35

0.07

4.26 1.40

000 20220............ ............. A

Bone biopsy, trocar/

1.26 4.80 2.82

0.07

6.13 4.15

000 needle. 20225............ ............. A

Bone biopsy, trocar/

1.86 4.38 2.99

0.13

6.37 4.98

000 needle. 20240............ ............. A

Bone biopsy,

3.21

NA 2.54

0.40

NA 6.15

010 excisional. 20245............ ............. A

Bone biopsy,

7.74

NA 6.33

0.53

NA 14.60

010 excisional. 20250............ ............. A

Open bone biopsy...... 5.00

NA 4.59

0.60

NA 10.19

010 20251............ ............. A

Open bone biopsy...... 5.53

NA 5.24

0.95

NA 11.72

010 20500............ ............. A

Injection of sinus

1.22 6.00 3.94

0.12

7.34 5.28

010 tract. 20501............ ............. A

Inject sinus tract for 0.76 3.02 0.25

0.04

3.82 1.05

000 x-ray. 20520............ ............. A

Removal of foreign

1.84 2.28 1.83

0.20

4.32 3.87

010 body. 20525............ ............. A

Removal of foreign

3.48 3.43 2.69

0.48

7.39 6.65

010 body. 20526............ ............. A

Ther injection, carp

0.93 0.97 0.52

0.07

1.97 1.52

000 tunnel. 20550............ ............. A

Inj tendon sheath/

0.75 0.72 0.24

0.07

1.54 1.06

000 ligament. 20551............ ............. A

Inj tendon origin/

0.75 0.69 0.34

0.07

1.51 1.16

000 insertion. 20552............ ............. A

Inj trigger point, 1/2 0.66 0.74 0.21

0.07

1.47 0.94

000 muscl. 20553............ ............. A

Inject trigger points, 0.75 0.85 0.23

0.07

1.67 1.05

000 =/3. 20600............ ............. A

Drain/inject, joint/

0.66 0.65 0.36

0.07

1.38 1.09

000 bursa. 20605............ ............. A

Drain/inject, joint/

0.68 0.76 0.37

0.07

1.51 1.12

000 bursa. 20610............ ............. A

Drain/inject, joint/

0.79 0.95 0.43

0.10

1.84 1.32

000 bursa. 20612............ ............. A

Aspirate/inj ganglion

0.70 0.72 0.34

0.07

1.49 1.11

000 cyst. 20615............ ............. A

Treatment of bone cyst 2.27 2.57 1.85

0.23

5.07 4.35

010 20650............ ............. A

Insert and remove bone 2.22 2.44 1.96

0.34

5.00 4.52

010 pin. 20660............ ............. A

Apply, rem fixation

2.50 3.11 1.72

0.58

6.19 4.80

000 device. 20661............ ............. A

Application of head

4.86

NA 5.03

1.10

NA 10.99

090 brace. 20662............ ............. A

Application of pelvis

6.04

NA 5.51

0.97

NA 12.52

090 brace. 20663............ ............. A

Application of thigh

5.40

NA 4.82

0.92

NA 11.14

090 brace. 20664............ ............. A

Halo brace application 8.01

NA 7.12

1.79

NA 16.92

090 20665............ ............. A

Removal of fixation

1.30 2.09 1.33

0.20

3.59 2.83

010 device. 20670............ ............. A

Removal of support

1.73 6.77 3.95

0.28

8.78 5.96

010 implant. 20680............ ............. A

Removal of support

3.33 3.24 3.24

0.55

7.12 7.12

090 implant. 20690............ ............. A

Apply bone fixation

3.50

NA 2.49

0.56

NA 6.55

090 device. 20692............ ............. A

Apply bone fixation

6.37

NA 3.78

0.72

NA 10.87

090 device.

[[Page 63269]]

20693............ ............. A

Adjust bone fixation

5.83

NA 5.59

1.02

NA 12.44

090 device. 20694............ ............. A

Remove bone fixation

4.14 6.94 4.53

0.68 11.76 9.35

090 device. 20802............ ............. A

Replantation, arm,

40.92

NA 21.66

6.96

NA 69.54

090 complete. 20805............ ............. A

Replant forearm,

49.72

NA 35.31

4.73

NA 89.76

090 complete. 20808............ ............. A

Replantation hand,

61.30

NA 43.88

7.78

NA 112.96

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

Replantation digit,

30.76

NA 39.66

3.61

NA 74.03

090 complete. 20822............ ............. A

Replantation digit,

25.44

NA 36.34

3.68

NA 65.46

090 complete. 20824............ ............. A

Replantation thumb,

30.76

NA 38.52

4.17

NA 73.45

090 complete. 20827............ ............. A

Replantation thumb,

26.26

NA 38.35

3.85

NA 68.46

090 complete. 20838............ ............. A

Replantation foot,

41.17

NA 22.95

7.01

NA 71.13

090 complete. 20900............ ............. A

Removal of bone for

5.55 7.42 5.85

0.92 13.89 12.32

090 graft. 20902............ ............. A

Removal of bone for

7.51

NA 6.94

1.27

NA 15.72

090 graft. 20910............ ............. A

Remove cartilage for

5.31 7.21 5.49

0.60 13.12 11.40

090 graft. 20912............ ............. A

Remove cartilage for

6.31

NA 6.15

0.66

NA 13.12

090 graft. 20920............ ............. A

Removal of fascia for

5.28

NA 4.45

0.65

NA 10.38

090 graft. 20922............ ............. A

Removal of fascia for

6.57 6.83 5.13

1.05 14.45 12.75

090 graft. 20924............ ............. A

Removal of tendon for

6.44

NA 5.98

0.98

NA 13.40

090 graft. 20926............ ............. A

Removal of tissue for

5.50

NA 4.99

0.87

NA 11.36

090 graft. 20930............ ............. B

Spinal bone allograft. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 20931............ ............. A

Spinal bone allograft. 1.80

NA 0.94

0.41

NA 3.15

ZZZ 20936............ ............. B

Spinal bone autograft. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 20937............ ............. A

Spinal bone autograft. 2.77

NA 1.47

0.52

NA 4.76

ZZZ 20938............ ............. A

Spinal bone autograft. 3.00

NA 1.58

0.62

NA 5.20

ZZZ 20950............ ............. A

Fluid pressure, muscle 1.25 1.38 1.01

0.19

2.82 2.45

000 20955............ ............. A

Fibula bone graft,

38.99

NA 25.26

5.21

NA 69.46

090 microvasc. 20956............ ............. A

Iliac bone graft,

39.05

NA 25.12

6.92

NA 71.09

090 microvasc. 20957............ ............. A

Mt bone graft,

40.42

NA 19.28

6.88

NA 66.58

090 microvasc. 20962............ ............. A

Other bone graft,

39.05

NA 26.68

6.22

NA 71.95

090 microvasc. 20969............ ............. A

Bone/skin graft,

43.67

NA 27.76

5.20

NA 76.63

090 microvasc. 20970............ ............. A

Bone/skin graft, iliac 42.81

NA 26.14

5.56

NA 74.51

090 crest. 20972............ ............. A

Bone/skin graft,

42.74 22.01 20.35

7.28 72.03 70.37

090 metatarsal. 20973............ ............. A

Bone/skin graft, great 45.50

NA 25.54

5.57

NA 76.61

090 toe. 20974............ ............. A

Electrical bone

0.62 0.63 0.56

0.11

1.36 1.29

000 stimulation. 20975............ ............. A

Electrical bone

2.59

NA 1.75

0.50

NA 4.84

000 stimulation. 20979............ ............. A

Us bone stimulation... 0.62 0.78 0.34

0.05

1.45 1.01

000 20982............ ............. A

Ablate, bone tumor(s)

7.24 106.25 3.02

0.68 114.17 10.94

000 perq. 20999............ ............. C

Musculoskeletal

0.00 0.00 0.00

0.00

0.00 0.00

YYY surgery. 21010............ ............. A

Incision of jaw joint. 10.08

NA 7.33

0.65

NA 18.06

090 21015............ ............. A

Resection of facial

5.26

NA 5.59

0.62

NA 11.47

090 tumor. 21025............ ............. A

Excision of bone,

10.00 10.33 8.32

0.95 21.28 19.27

090 lower jaw. 21026............ ............. A

Excision of facial

4.82 7.03 5.59

0.48 12.33 10.89

090 bone(s). 21029............ ............. A

Contour of face bone

7.67 8.70 6.33

0.89 17.26 14.89

090 lesion. 21030............ ............. A

Excise max/zygoma b9

3.87 6.57 4.05

0.72 11.16 8.64

090 tumor. 21031............ ............. A

Remove exostosis,

3.22 4.64 3.18

0.34

8.20 6.74

090 mandible. 21032............ ............. A

Remove exostosis,

3.22 4.68 3.29

0.32

8.22 6.83

090 maxilla. 21034............ ............. A

Excise max/zygoma mlg 16.08 13.73 11.44

1.64 31.45 29.16

090 tumor. 21040............ ............. A

Excise mandible lesion 3.87 6.61 3.88

0.23 10.71 7.98

090 21044............ ............. A

Removal of jaw bone

11.79

NA 8.80

1.04

NA 21.63

090 lesion. 21045............ ............. A

Extensive jaw surgery. 16.08

NA 11.56

1.44

NA 29.08

090 21046............ ............. A

Remove mandible cyst

12.93

NA 12.85

1.21

NA 26.99

090 complex. 21047............ ............. A

Excise lwr jaw cyst w/ 18.64

NA 13.60

1.83

NA 34.07

090 repair. 21048............ ............. A

Remove maxilla cyst

13.42

NA 13.13

1.21

NA 27.76

090 complex. 21049............ ............. A

Excis uppr jaw cyst w/ 17.90

NA 13.19

1.21

NA 32.30

090 repair. 21050............ ............. A

Removal of jaw joint.. 10.71

NA 10.40

1.01

NA 22.12

090 21060............ ............. A

Remove jaw joint

10.17

NA 9.92

1.39

NA 21.48

090 cartilage. 21070............ ............. A

Remove coronoid

8.15

NA 7.11

0.80

NA 16.06

090 process. 21076............ ............. A

Prepare face/oral

13.34 12.86 10.30

1.63 27.83 25.27

010 prosthesis. 21077............ ............. A

Prepare face/oral

33.56 32.61 26.51

4.11 70.28 64.18

090 prosthesis. 21079............ ............. A

Prepare face/oral

22.21 22.50 17.70

1.91 46.62 41.82

090 prosthesis. 21080............ ............. A

Prepare face/oral

24.96 25.54 20.02

3.06 53.56 48.04

090 prosthesis. 21081............ ............. A

Prepare face/oral

22.75 23.24 18.01

2.24 48.23 43.00

090 prosthesis. 21082............ ............. A

Prepare face/oral

20.75 20.13 16.18

1.75 42.63 38.68

090 prosthesis. 21083............ ............. A

Prepare face/oral

19.19 19.60 14.91

2.35 41.14 36.45

090 prosthesis. 21084............ ............. A

Prepare face/oral

22.38 22.97 17.87

1.88 47.23 42.13

090 prosthesis. 21085............ ............. A

Prepare face/oral

8.95 8.62 6.97

0.78 18.35 16.70

010 prosthesis. 21086............ ............. A

Prepare face/oral

24.78 24.61 19.86

2.23 51.62 46.87

090 prosthesis. 21087............ ............. A

Prepare face/oral

24.78 24.19 19.66

2.66 51.63 47.10

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 fixation 4.20 5.71 4.68

0.22 10.13 9.10

090 21110............ ............. A

Interdental fixation.. 5.18 7.10 5.74

0.34 12.62 11.26

090 21116............ ............. A

Injection, jaw joint x- 0.81 7.40 0.34

0.06

8.27 1.21

000 ray. 21120............ ............. A

Reconstruction of chin 4.90 8.97 5.36

0.35 14.22 10.61

090 21121............ ............. A

Reconstruction of chin 7.60 10.56 6.73

0.67 18.83 15.00

090 21122............ ............. A

Reconstruction of chin 8.47

NA 7.16

0.71

NA 16.34

090

[[Page 63270]]

21123............ ............. A

Reconstruction of chin 11.10

NA 8.36

1.39

NA 20.85

090 21125............ ............. A

Augmentation, lower

10.56 11.94 8.38

0.86 23.36 19.80

090 jaw bone. 21127............ ............. A

Augmentation, lower

11.06 14.70 9.23

0.91 26.67 21.20

090 jaw bone. 21137............ ............. A

Reduction of forehead. 9.76

NA 7.52

0.64

NA 17.92

090 21138............ ............. A

Reduction of forehead. 12.12

NA 9.41

1.76

NA 23.29

090 21139............ ............. A

Reduction of forehead. 14.53

NA 9.88

1.22

NA 25.63

090 21141............ ............. A

Reconstruct midface,

18.00

NA 14.06

1.95

NA 34.01

090 lefort. 21142............ ............. A

Reconstruct midface,

18.70

NA 13.25

1.39

NA 33.34

090 lefort. 21143............ ............. A

Reconstruct midface,

19.47

NA 14.29

1.08

NA 34.84

090 lefort. 21145............ ............. A

Reconstruct midface,

19.83

NA 14.33

2.51

NA 36.67

090 lefort. 21146............ ............. A

Reconstruct midface,

20.59

NA 15.80

2.55

NA 38.94

090 lefort. 21147............ ............. A

Reconstruct midface,

21.65

NA 15.47

1.82

NA 38.94

090 lefort. 21150............ ............. A

Reconstruct midface,

25.10

NA 14.27

1.31

NA 40.68

090 lefort. 21151............ ............. A

Reconstruct midface,

28.14

NA 18.00

2.37

NA 48.51

090 lefort. 21154............ ............. A

Reconstruct midface,

30.35

NA 20.41

5.83

NA 56.59

090 lefort. 21155............ ............. A

Reconstruct midface,

34.25

NA 22.55

6.57

NA 63.37

090 lefort. 21159............ ............. A

Reconstruct midface,

42.14

NA 24.74

8.08

NA 74.96

090 lefort. 21160............ ............. A

Reconstruct midface,

46.18

NA 24.69

5.26

NA 76.13

090 lefort. 21172............ ............. A

Reconstruct orbit/

27.64

NA 14.22

2.29

NA 44.15

090 forehead. 21175............ ............. A

Reconstruct orbit/

32.98

NA 18.51

6.18

NA 57.67

090 forehead. 21179............ ............. A

Reconstruct entire

22.12

NA 15.02

2.97

NA 40.11

090 forehead. 21180............ ............. A

Reconstruct entire

25.05

NA 16.24

2.58

NA 43.87

090 forehead. 21181............ ............. A

Contour cranial bone

9.84

NA 7.61

1.16

NA 18.61

090 lesion. 21182............ ............. A

Reconstruct cranial

32.01

NA 19.87

3.03

NA 54.91

090 bone. 21183............ ............. A

Reconstruct cranial

35.11

NA 21.59

3.30

NA 60.00

090 bone. 21184............ ............. A

Reconstruct cranial

38.02

NA 22.79

4.94

NA 65.75

090 bone. 21188............ ............. A

Reconstruction of

22.33

NA 15.34

2.22

NA 39.89

090 midface. 21193............ ............. A

Reconst lwr jaw w/o

17.05

NA 13.13

1.83

NA 32.01

090 graft. 21194............ ............. A

Reconst lwr jaw w/

19.73

NA 14.25

1.67

NA 35.65

090 graft. 21195............ ............. A

Reconst lwr jaw w/o

17.14

NA 13.43

1.44

NA 32.01

090 fixation. 21196............ ............. A

Reconst lwr jaw w/

18.80

NA 14.05

1.94

NA 34.79

090 fixation. 21198............ ............. A

Reconstr lwr jaw

14.08

NA 11.03

1.26

NA 26.37

090 segment. 21199............ ............. A

Reconstr lwr jaw w/

15.91

NA 9.29

1.51

NA 26.71

090 advance. 21206............ ............. A

Reconstruct upper jaw 14.02

NA 10.95

1.21

NA 26.18

090 bone. 21208............ ............. A

Augmentation of facial 10.17 14.68 9.39

1.10 25.95 20.66

090 bones. 21209............ ............. A

Reduction of facial

6.68 12.02 7.32

0.72 19.42 14.72

090 bones. 21210............ ............. A

Face bone graft....... 10.17 13.85 9.53

1.05 25.07 20.75

090 21215............ ............. A

Lower jaw bone graft.. 10.71 13.65 9.72

1.25 25.61 21.68

090 21230............ ............. A

Rib cartilage graft... 10.71

NA 8.66

1.15

NA 20.52

090 21235............ ............. A

Ear cartilage graft... 6.68 11.49 7.17

0.62 18.79 14.47

090 21240............ ............. A

Reconstruction of jaw 13.97

NA 12.87

1.38

NA 28.22

090 joint. 21242............ ............. A

Reconstruction of jaw 12.88

NA 12.35

1.68

NA 26.91

090 joint. 21243............ ............. A

Reconstruction of jaw 20.67

NA 18.10

2.22

NA 40.99

090 joint. 21244............ ............. A

Reconstruction of

11.79

NA 10.17

1.14

NA 23.10

090 lower jaw. 21245............ ............. A

Reconstruction of jaw. 11.79 16.29 9.83

1.05 29.13 22.67

090 21246............ ............. A

Reconstruction of jaw. 12.40 14.73 9.96

1.45 28.58 23.81

090 21247............ ............. A

Reconstruct lower jaw 22.50

NA 18.15

2.65

NA 43.30

090 bone. 21248............ ............. A

Reconstruction of jaw. 11.41 13.18 9.42

1.21 25.80 22.04

090 21249............ ............. A

Reconstruction of jaw. 17.42 16.78 12.81

1.67 35.87 31.90

090 21255............ ............. A

Reconstruct lower jaw 16.62

NA 12.90

1.35

NA 30.87

090 bone. 21256............ ............. A

Reconstruction of

16.10

NA 12.29

1.25

NA 29.64

090 orbit. 21260............ ............. A

Revise eye sockets.... 16.43

NA 9.04

1.50

NA 26.97

090 21261............ ............. A

Revise eye sockets.... 31.31

NA 19.43

2.64

NA 53.38

090 21263............ ............. A

Revise eye sockets.... 28.26

NA 13.03

2.59

NA 43.88

090 21267............ ............. A

Revise eye sockets.... 18.79

NA 13.35

1.62

NA 33.76

090 21268............ ............. A

Revise eye sockets.... 24.34

NA 15.50

0.95

NA 40.79

090 21270............ ............. A

Augmentation, cheek

10.17 12.06 8.19

0.87 23.10 19.23

090 bone. 21275............ ............. A

Revision, orbitofacial 11.18

NA 8.84

1.23

NA 21.25

090 bones. 21280............ ............. A

Revision of eyelid.... 6.00

NA 6.13

0.32

NA 12.45

090 21282............ ............. A

Revision of eyelid.... 3.47

NA 4.72

0.25

NA 8.44

090 21295............ ............. A

Revision of jaw muscle/ 1.52

NA 2.86

0.16

NA 4.54

090 bone. 21296............ ............. A

Revision of jaw muscle/ 4.23

NA 4.49

0.36

NA 9.08

090 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 2.43 0.26

0.11

3.26 1.09

000 fracture. 21310............ ............. A

Treatment of nose

0.58 2.38 0.15

0.06

3.02 0.79

000 fracture. 21315............ ............. A

Treatment of nose

1.50 3.08 1.29

0.14

4.72 2.93

010 fracture. 21320............ ............. A

Treatment of nose

1.84 4.30 1.86

0.18

6.32 3.88

010 fracture. 21325............ ............. A

Treatment of nose

3.75

NA 3.80

0.37

NA 7.92

090 fracture. 21330............ ............. A

Treatment of nose

5.35

NA 5.34

0.58

NA 11.27

090 fracture. 21335............ ............. A

Treatment of nose

8.56

NA 6.88

0.77

NA 16.21

090 fracture. 21336............ ............. A

Treat nasal septal

5.69

NA 6.14

0.54

NA 12.37

090 fracture. 21337............ ............. A

Treat nasal septal

2.68 5.17 3.73

0.26

8.11 6.67

090 fracture. 21338............ ............. A

Treat nasoethmoid

6.42

NA 6.04

0.64

NA 13.10

090 fracture. 21339............ ............. A

Treat nasoethmoid

8.04

NA 6.83

0.91

NA 15.78

090 fracture. 21340............ ............. A

Treatment of nose

10.71

NA 8.80

1.02

NA 20.53

090 fracture.

[[Page 63271]]

21343............ ............. A

Treatment of sinus

12.88

NA 10.26

1.27

NA 24.41

090 fracture. 21344............ ............. A

Treatment of sinus

19.61

NA 13.85

2.06

NA 35.52

090 fracture. 21345............ ............. A

Treat nose/jaw

8.11 11.68 8.00

0.72 20.51 16.83

090 fracture. 21346............ ............. A

Treat nose/jaw

10.55 13.35 9.12

1.02 24.92 20.69

090 fracture. 21347............ ............. A

Treat nose/jaw

12.62

NA 9.87

1.37

NA 23.86

090 fracture. 21348............ ............. A

Treat nose/jaw

16.59

NA 11.44

1.80

NA 29.83

090 fracture. 21355............ ............. A

Treat cheek bone

3.75 4.76 2.40

0.35

8.86 6.50

010 fracture. 21356............ ............. A

Treat cheek bone

4.13 11.83 3.25

0.43 16.39 7.81

010 fracture. 21360............ ............. A

Treat cheek bone

6.42 14.06 6.26

0.62 21.10 13.30

090 fracture. 21365............ ............. A

Treat cheek bone

14.86

NA 11.91

1.56

NA 28.33

090 fracture. 21366............ ............. A

Treat cheek bone

17.67

NA 11.78

1.69

NA 31.14

090 fracture. 21385............ ............. A

Treat eye socket

9.11

NA 7.14

0.77

NA 17.02

090 fracture. 21386............ ............. A

Treat eye socket

9.11

NA 7.56

0.91

NA 17.58

090 fracture. 21387............ ............. A

Treat eye socket

9.64

NA 7.62

0.93

NA 18.19

090 fracture. 21390............ ............. A

Treat eye socket

10.07

NA 8.11

0.84

NA 19.02

090 fracture. 21395............ ............. A

Treat eye socket

12.61

NA 9.43

1.31

NA 23.35

090 fracture. 21400............ ............. A

Treat eye socket

1.39 3.77 2.14

0.14

5.30 3.67

090 fracture. 21401............ ............. A

Treat eye socket

3.24 5.15 3.91

0.41

8.80 7.56

090 fracture. 21406............ ............. A

Treat eye socket

6.97

NA 6.42

0.71

NA 14.10

090 fracture. 21407............ ............. A

Treat eye socket

8.56

NA 7.22

0.80

NA 16.58

090 fracture. 21408............ ............. A

Treat eye socket

12.31

NA 9.31

1.49

NA 23.11

090 fracture. 21421............ ............. A

Treat mouth roof

5.11 10.04 6.23

0.50 15.65 11.84

090 fracture. 21422............ ............. A

Treat mouth roof

8.27 11.42 7.18

0.83 20.52 16.28

090 fracture. 21423............ ............. A

Treat mouth roof

10.34

NA 8.58

1.14

NA 20.06

090 fracture. 21431............ ............. A

Treat craniofacial

7.01 10.79 6.93

0.70 18.50 14.64

090 fracture. 21432............ ............. A

Treat craniofacial

8.56

NA 6.24

0.66

NA 15.46

090 fracture. 21433............ ............. A

Treat craniofacial

25.21

NA 17.03

2.95

NA 45.19

090 fracture. 21435............ ............. A

Treat craniofacial

17.15

NA 13.11

1.99

NA 32.25

090 fracture. 21436............ ............. A

Treat craniofacial

27.88

NA 18.63

2.78

NA 49.29

090 fracture. 21440............ ............. A

Treat dental ridge

2.68 8.15 4.17

0.26 11.09 7.11

090 fracture. 21445............ ............. A

Treat dental ridge

5.35 10.58 6.36

0.66 16.59 12.37

090 fracture. 21450............ ............. A

Treat lower jaw

2.95 10.78 3.82

0.28 14.01 7.05

090 fracture. 21451............ ............. A

Treat lower jaw

4.84 8.88 5.83

0.47 14.19 11.14

090 fracture. 21452............ ............. A

Treat lower jaw

1.97 7.96 3.61

0.17 10.10 5.75

090 fracture. 21453............ ............. A

Treat lower jaw

5.51 10.64 6.92

0.59 16.74 13.02

090 fracture. 21454............ ............. A

Treat lower jaw

6.42

NA 6.63

0.66

NA 13.71

090 fracture. 21461............ ............. A

Treat lower jaw

8.04 12.68 8.39

0.87 21.59 17.30

090 fracture. 21462............ ............. A

Treat lower jaw

9.73 14.24 9.13

0.96 24.93 19.82

090 fracture. 21465............ ............. A

Treat lower jaw

11.84

NA 10.17

1.01

NA 23.02

090 fracture. 21470............ ............. A

Treat lower jaw

15.25

NA 12.39

1.63

NA 29.27

090 fracture. 21480............ ............. A

Reset dislocated jaw.. 0.61 1.98 0.19

0.06

2.65 0.86

000 21485............ ............. A

Reset dislocated jaw.. 3.97 6.01 4.86

0.37 10.35 9.20

090 21490............ ............. A

Repair dislocated jaw. 11.79

NA 10.02

1.57

NA 23.38

090 21493............ ............. A

Treat hyoid bone

1.26

NA 2.89

0.12

NA 4.27

090 fracture. 21494............ ............. A

Treat hyoid bone

6.24

NA 5.78

0.53

NA 12.55

090 fracture. 21495............ ............. A

Treat hyoid bone

5.66

NA 6.05

0.49

NA 12.20

090 fracture. 21497............ ............. A

Interdental wiring.... 3.84 6.62 5.08

0.37 10.83 9.29

090 21499............ ............. C

Head surgery procedure 0.00 0.00 0.00

0.00

0.00 0.00

YYY 21501............ ............. A

Drain neck/chest

3.79 4.74 3.92

0.43

8.96 8.14

090 lesion. 21502............ ............. A

Drain chest lesion.... 7.08

NA 5.63

0.95

NA 13.66

090 21510............ ............. A

Drainage of bone

5.71

NA 5.62

0.80

NA 12.13

090 lesion. 21550............ ............. A

Biopsy of neck/chest.. 2.05 3.68 1.75

0.16

5.89 3.96

010 21555............ ............. A

Remove lesion, neck/

4.33 5.12 3.20

0.49

9.94 8.02

090 chest. 21556............ ............. A

Remove lesion, neck/

5.54

NA 4.15

0.61

NA 10.30

090 chest. 21557............ ............. A

Remove tumor, neck/

8.83

NA 5.48

1.02

NA 15.33

090 chest. 21600............ ............. A

Partial removal of rib 6.85

NA 5.71

0.97

NA 13.53

090 21610............ ............. A

Partial removal of rib 14.53

NA 9.16

2.22

NA 25.91

090 21615............ ............. A

Removal of rib........ 9.81

NA 6.61

1.44

NA 17.86

090 21616............ ............. A

Removal of rib and

11.97

NA 7.98

1.57

NA 21.52

090 nerves. 21620............ ............. A

Partial removal of

6.75

NA 5.98

0.92

NA 13.65

090 sternum. 21627............ ............. A

Sternal debridement... 6.77

NA 6.29

0.98

NA 14.04

090 21630............ ............. A

Extensive sternum

17.28

NA 11.99

2.34

NA 31.61

090 surgery. 21632............ ............. A

Extensive sternum

18.04

NA 10.79

2.59

NA 31.42

090 surgery. 21685............ ............. A

Hyoid myotomy &

12.93

NA 10.21

1.51

NA 24.65

090 suspension. 21700............ ............. A

Revision of neck

6.15 6.14 4.82

0.37 12.66 11.34

090 muscle. 21705............ ............. A

Revision of neck

9.55

NA 5.68

1.10

NA 16.33

090 muscle/rib. 21720............ ............. A

Revision of neck

5.65 5.53 4.68

0.96 12.14 11.29

090 muscle. 21725............ ............. A

Revision of neck

6.95

NA 5.58

1.08

NA 13.61

090 muscle. 21740............ ............. A

Reconstruction of

16.41

NA 8.38

2.43

NA 27.22

090 sternum. 21742............ ............. C

Repair stern/nuss w/o

0.00 0.00 0.00

0.00

0.00 0.00

090 scope. 21743............ ............. C

Repair sternum/nuss w/ 0.00 0.00 0.00

0.00

0.00 0.00

090 scope. 21750............ ............. A

Repair of sternum

10.71

NA 5.91

1.62

NA 18.24

090 separation. 21800............ ............. A

Treatment of rib

0.95 2.13 1.44

0.11

3.19 2.50

090 fracture. 21805............ ............. A

Treatment of rib

2.73

NA 3.30

0.35

NA 6.38

090 fracture. 21810............ ............. A

Treatment of rib

6.82

NA 4.96

0.72

NA 12.50

090 fracture(s).

[[Page 63272]]

21820............ ............. A

Treat sternum fracture 1.27 2.67 1.85

0.18

4.12 3.30

090 21825............ ............. A

Treat sternum fracture 7.37

NA 6.50

1.01

NA 14.88

090 21899............ ............. C

Neck/chest surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 21920............ ............. A

Biopsy soft tissue of

2.05 3.31 1.50

0.14

5.50 3.69

010 back. 21925............ ............. A

Biopsy soft tissue of

4.46 6.70 3.37

0.53 11.69 8.36

090 back. 21930............ ............. A

Remove lesion, back or 4.97 5.55 3.50

0.59 11.11 9.06

090 flank. 21935............ ............. A

Remove tumor, back.... 17.86

NA 10.32

2.24

NA 30.42

090 22100............ ............. A

Remove part of neck

9.67

NA 7.72

1.86

NA 19.25

090 vertebra. 22101............ ............. A

Remove part, thorax

9.75

NA 7.93

1.81

NA 19.49

090 vertebra. 22102............ ............. A

Remove part, lumbar

9.75

NA 8.18

1.75

NA 19.68

090 vertebra. 22103............ ............. A

Remove extra spine

2.33

NA 1.23

0.44

NA 4.00

ZZZ segment. 22110............ ............. A

Remove part of neck

12.67

NA 9.39

2.64

NA 24.70

090 vertebra. 22112............ ............. A

Remove part, thorax

12.74

NA 9.41

2.35

NA 24.50

090 vertebra. 22114............ ............. A

Remove part, lumbar

12.74

NA 9.41

2.37

NA 24.52

090 vertebra. 22116............ ............. A

Remove extra spine

2.31

NA 1.18

0.48

NA 3.97

ZZZ segment. 22210............ ............. A

Revision of neck spine 23.68

NA 15.71

5.07

NA 44.46

090 22212............ ............. A

Revision of thorax

19.31

NA 13.41

3.33

NA 36.05

090 spine. 22214............ ............. A

Revision of lumbar

19.34

NA 13.92

3.33

NA 36.59

090 spine. 22216............ ............. A

Revise, extra spine

6.01

NA 3.18

1.17

NA 10.36

ZZZ segment. 22220............ ............. A

Revision of neck spine 21.25

NA 13.95

4.37

NA 39.57

090 22222............ ............. A

Revision of thorax

21.40

NA 11.74

3.69

NA 36.83

090 spine. 22224............ ............. A

Revision of lumbar

21.40

NA 14.39

3.84

NA 39.63

090 spine. 22226............ ............. A

Revise, extra spine

6.01

NA 3.14

1.21

NA 10.36

ZZZ segment. 22305............ ............. A

Treat spine process

2.04 3.22 2.41

0.35

5.61 4.80

090 fracture. 22310............ ............. A

Treat spine fracture.. 2.60 4.94 4.17

0.44

7.98 7.21

090 22315............ ............. A

Treat spine fracture.. 8.79 13.58 7.63

1.64 24.01 18.06

090 22318............ ............. A

Treat odontoid fx w/o 21.38

NA 13.70

5.11

NA 40.19

090 graft. 22319............ ............. A

Treat odontoid fx w/

23.86

NA 15.09

5.71

NA 44.66

090 graft. 22325............ ............. A

Treat spine fracture.. 18.20

NA 12.28

3.13

NA 33.61

090 22326............ ............. A

Treat neck spine

19.48

NA 12.99

4.24

NA 36.71

090 fracture. 22327............ ............. A

Treat thorax spine

19.09

NA 12.58

3.30

NA 34.97

090 fracture. 22328............ ............. A

Treat each add spine

4.58

NA 2.30

0.79

NA 7.67

ZZZ fx. 22505............ ............. A

Manipulation of spine. 1.86

NA 0.95

0.32

NA 3.13

010 22520............ ............. A

Percut vertebroplasty

8.86 103.00 4.39

1.19 113.05 14.44

010 thor. 22521............ ............. A

Percut vertebroplasty

8.29 91.36 4.23

1.11 100.76 13.63

010 lumb. 22522............ ............. A

Percut vertebroplasty

4.29

NA 1.71

0.40

NA 6.40

ZZZ addl. 22532............ ............. A

Lat thorax spine

23.86

NA 14.92

4.53

NA 43.31

090 fusion. 22533............ ............. A

Lat lumbar spine

22.99

NA 13.60

3.81

NA 40.40

090 fusion. 22534............ ............. A

Lat thor/lumb, addl

5.97

NA 3.08

1.17

NA 10.22

ZZZ seg. 22548............ ............. A

Neck spine fusion..... 25.67

NA 16.03

5.97

NA 47.67

090 22554............ ............. A

Neck spine fusion..... 18.51

NA 12.47

4.21

NA 35.19

090 22556............ ............. A

Thorax spine fusion... 23.33

NA 14.81

4.53

NA 42.67

090 22558............ ............. A

Lumbar spine fusion... 22.15

NA 13.37

3.81

NA 39.33

090 22585............ ............. A

Additional spinal

5.50

NA 2.83

1.17

NA 9.50

ZZZ fusion. 22590............ ............. A

Spine & skull spinal

20.39

NA 13.47

4.57

NA 38.43

090 fusion. 22595............ ............. A

Neck spinal fusion.... 19.28

NA 12.96

4.34

NA 36.58

090 22600............ ............. A

Neck spine fusion..... 16.05

NA 11.28

3.46

NA 30.79

090 22610............ ............. A

Thorax spine fusion... 15.93

NA 11.46

3.19

NA 30.58

090 22612............ ............. A

Lumbar spine fusion... 20.88

NA 14.25

3.93

NA 39.06

090 22614............ ............. A

Spine fusion, extra

6.40

NA 3.40

1.25

NA 11.05

ZZZ segment. 22630............ ............. A

Lumbar spine fusion... 20.72

NA 13.71

4.54

NA 38.97

090 22632............ ............. A

Spine fusion, extra

5.20

NA 2.70

1.08

NA 8.98

ZZZ segment. 22800............ ............. A

Fusion of spine....... 18.15

NA 12.78

3.25

NA 34.18

090 22802............ ............. A

Fusion of spine....... 30.70

NA 19.68

5.30

NA 55.68

090 22804............ ............. A

Fusion of spine....... 36.06

NA 22.81

6.27

NA 65.14

090 22808............ ............. A

Fusion of spine....... 26.12

NA 16.42

5.23

NA 47.77

090 22810............ ............. A

Fusion of spine....... 30.10

NA 18.47

5.38

NA 53.95

090 22812............ ............. A

Fusion of spine....... 32.51

NA 20.13

5.60

NA 58.24

090 22818............ ............. A

Kyphectomy, 1-2

31.65

NA 19.07

6.00

NA 56.72

090 segments. 22819............ ............. A

Kyphectomy, 3 or more. 36.23

NA 20.21

6.23

NA 62.67

090 22830............ ............. A

Exploration of spinal 10.79

NA 7.98

2.07

NA 20.84

090 fusion. 22840............ ............. A

Insert spine fixation 12.47

NA 6.58

2.43

NA 21.48

ZZZ device. 22841............ ............. B

Insert spine fixation

0.00 0.00 0.00

0.00

0.00 0.00

XXX device. 22842............ ............. A

Insert spine fixation 12.51

NA 6.60

2.45

NA 21.56

ZZZ device. 22843............ ............. A

Insert spine fixation 13.38

NA 6.70

2.52

NA 22.60

ZZZ device. 22844............ ............. A

Insert spine fixation 16.35

NA 8.87

2.90

NA 28.12

ZZZ device. 22845............ ............. A

Insert spine fixation 11.89

NA 6.16

2.66

NA 20.71

ZZZ device. 22846............ ............. A

Insert spine fixation 12.35

NA 6.42

2.71

NA 21.48

ZZZ device. 22847............ ............. A

Insert spine fixation 13.72

NA 7.12

2.83

NA 23.67

ZZZ device. 22848............ ............. A

Insert pelv fixation

5.97

NA 3.23

1.05

NA 10.25

ZZZ device. 22849............ ............. A

Reinsert spinal

18.40

NA 11.89

3.44

NA 33.73

090 fixation. 22850............ ............. A

Remove spine fixation

9.47

NA 7.08

1.81

NA 18.36

090 device. 22851............ ............. A

Apply spine prosth

6.67

NA 3.40

1.33

NA 11.40

ZZZ device. 22852............ ............. A

Remove spine fixation

8.96

NA 6.87

1.68

NA 17.51

090 device. 22855............ ............. A

Remove spine fixation 15.04

NA 9.83

3.28

NA 28.15

090 device.

[[Page 63273]]

22899............ ............. C

Spine surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 22900............ ............. A

Remove abdominal wall

5.77

NA 3.31

0.70

NA 9.78

090 lesion. 22999............ ............. C

Abdomen surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 23000............ ............. A

Removal of calcium

4.34 5.27 4.21

0.60 10.21 9.15

090 deposits. 23020............ ............. A

Release shoulder joint 8.88

NA 7.65

1.47

NA 18.00

090 23030............ ............. A

Drain shoulder lesion. 3.41 3.05 2.97

0.50

6.96 6.88

010 23031............ ............. A

Drain shoulder bursa.. 2.72 2.74 2.74

0.40

5.86 5.86

010 23035............ ............. A

Drain shoulder bone

8.56

NA 8.59

1.43

NA 18.58

090 lesion. 23040............ ............. A

Exploratory shoulder

9.15

NA 7.93

1.53

NA 18.61

090 surgery. 23044............ ............. A

Exploratory shoulder

7.08

NA 6.56

1.16

NA 14.80

090 surgery. 23065............ ............. A

Biopsy shoulder

2.26 2.85 1.56

0.17

5.28 3.99

010 tissues. 23066............ ............. A

Biopsy shoulder

4.14 5.15 4.11

0.60

9.89 8.85

090 tissues. 23075............ ............. A

Removal of shoulder

2.38 2.27 1.84

0.30

4.95 4.52

010 lesion. 23076............ ............. A

Removal of shoulder

7.59

NA 5.84

1.04

NA 14.47

090 lesion. 23077............ ............. A

Remove tumor of

16.00

NA 10.88

2.17

NA 29.05

090 shoulder. 23100............ ............. A

Biopsy of shoulder

6.00

NA 5.76

0.97

NA 12.73

090 joint. 23101............ ............. A

Shoulder joint surgery 5.55

NA 5.44

0.92

NA 11.91

090 23105............ ............. A

Remove shoulder joint

8.18

NA 7.25

1.35

NA 16.78

090 lining. 23106............ ............. A

Incision of collarbone 5.93

NA 5.80

0.98

NA 12.71

090 joint. 23107............ ............. A

Explore treat shoulder 8.57

NA 7.46

1.43

NA 17.46

090 joint. 23120............ ............. A

Partial removal,

7.07

NA 6.55

1.19

NA 14.81

090 collar bone. 23125............ ............. A

Removal of collar bone 9.34

NA 7.69

1.52

NA 18.55

090 23130............ ............. A

Remove shoulder bone,

7.51

NA 7.18

1.27

NA 15.96

090 part. 23140............ ............. A

Removal of bone lesion 6.85

NA 5.46

0.98

NA 13.29

090 23145............ ............. A

Removal of bone lesion 9.04

NA 7.66

1.49

NA 18.19

090 23146............ ............. A

Removal of bone lesion 7.79

NA 7.21

1.33

NA 16.33

090 23150............ ............. A

Removal of humerus

8.43

NA 7.05

1.37

NA 16.85

090 lesion. 23155............ ............. A

Removal of humerus

10.29

NA 8.55

1.44

NA 20.28

090 lesion. 23156............ ............. A

Removal of humerus

8.63

NA 7.46

1.41

NA 17.50

090 lesion. 23170............ ............. A

Remove collar bone

6.82

NA 6.38

1.01

NA 14.21

090 lesion. 23172............ ............. A

Remove shoulder blade

6.86

NA 6.47

1.14

NA 14.47

090 lesion. 23174............ ............. A

Remove humerus lesion. 9.46

NA 8.46

1.56

NA 19.48

090 23180............ ............. A

Remove collar bone

8.48

NA 9.29

1.41

NA 19.18

090 lesion. 23182............ ............. A

Remove shoulder blade

8.10

NA 8.94

1.29

NA 18.33

090 lesion. 23184............ ............. A

Remove humerus lesion. 9.33

NA 9.65

1.49

NA 20.47

090 23190............ ............. A

Partial removal of

7.20

NA 6.29

1.16

NA 14.65

090 scapula. 23195............ ............. A

Removal of head of

9.75

NA 7.85

1.65

NA 19.25

090 humerus. 23200............ ............. A

Removal of collar bone 12.01

NA 9.00

1.77

NA 22.78

090 23210............ ............. A

Removal of shoulder

12.42

NA 9.37

1.93

NA 23.72

090 blade. 23220............ ............. A

Partial removal of

14.48

NA 10.99

2.43

NA 27.90

090 humerus. 23221............ ............. A

Partial removal of

17.64

NA 11.96

3.01

NA 32.61

090 humerus. 23222............ ............. A

Partial removal of

23.78

NA 16.00

4.04

NA 43.82

090 humerus. 23330............ ............. A

Remove shoulder

1.84 2.07 1.91

0.22

4.13 3.97

010 foreign body. 23331............ ............. A

Remove shoulder

7.34

NA 6.86

1.22

NA 15.42

090 foreign body. 23332............ ............. A

Remove shoulder

11.55

NA 9.41

1.94

NA 22.90

090 foreign body. 23350............ ............. A

Injection for shoulder 0.99 3.84 0.34

0.06

4.89 1.39

000 x-ray. 23395............ ............. A

Muscle

16.75

NA 12.87

2.74

NA 32.36

090 transfer,shoulder/arm. 23397............ ............. A

Muscle transfers...... 16.04

NA 11.50

2.68

NA 30.22

090 23400............ ............. A

Fixation of shoulder

13.46

NA 10.24

2.29

NA 25.99

090 blade. 23405............ ............. A

Incision of tendon &

8.32

NA 7.04

1.34

NA 16.70

090 muscle. 23406............ ............. A

Incise tendon(s) &

10.73

NA 8.49

1.77

NA 20.99

090 muscle(s). 23410............ ............. A

Repair rotator cuff,

12.38

NA 9.51

2.06

NA 23.95

090 acute. 23412............ ............. A

Repair rotator cuff,

13.23

NA 10.00

2.23

NA 25.46

090 chronic. 23415............ ............. A

Release of shoulder

9.91

NA 8.06

1.67

NA 19.64

090 ligament. 23420............ ............. A

Repair of shoulder.... 13.22

NA 10.89

2.23

NA 26.34

090 23430............ ............. A

Repair biceps tendon.. 9.92

NA 8.20

1.68

NA 19.80

090 23440............ ............. A

Remove/transplant

10.42

NA 8.38

1.76

NA 20.56

090 tendon. 23450............ ............. A

Repair shoulder

13.32

NA 9.97

2.23

NA 25.52

090 capsule. 23455............ ............. A

Repair shoulder

14.29

NA 10.56

2.41

NA 27.26

090 capsule. 23460............ ............. A

Repair shoulder

15.28

NA 11.49

2.60

NA 29.37

090 capsule. 23462............ ............. A

Repair shoulder

15.21

NA 10.89

2.59

NA 28.69

090 capsule. 23465............ ............. A

Repair shoulder

15.76

NA 11.42

1.93

NA 29.11

090 capsule. 23466............ ............. A

Repair shoulder

14.14

NA 11.39

2.40

NA 27.93

090 capsule. 23470............ ............. A

Reconstruct shoulder

17.05

NA 12.25

2.88

NA 32.18

090 joint. 23472............ ............. A

Reconstruct shoulder

20.98

NA 14.42

2.84

NA 38.24

090 joint. 23480............ ............. A

Revision of collar

11.12

NA 8.87

1.87

NA 21.86

090 bone. 23485............ ............. A

Revision of collar

13.35

NA 10.01

2.21

NA 25.57

090 bone. 23490............ ............. A

Reinforce clavicle.... 11.79

NA 8.79

1.33

NA 21.91

090 23491............ ............. A

Reinforce shoulder

14.13

NA 10.81

2.40

NA 27.34

090 bones. 23500............ ............. A

Treat clavicle

2.07 3.70 2.60

0.31

6.08 4.98

090 fracture. 23505............ ............. A

Treat clavicle

3.67 5.39 3.80

0.60

9.66 8.07

090 fracture. 23515............ ............. A

Treat clavicle

7.37

NA 6.60

1.23

NA 15.20

090 fracture. 23520............ ............. A

Treat clavicle

2.15 3.70 2.75

0.31

6.16 5.21

090 dislocation. 23525............ ............. A

Treat clavicle

3.58 5.34 3.93

0.53

9.45 8.04

090 dislocation. 23530............ ............. A

Treat clavicle

7.27

NA 6.05

1.02

NA 14.34

090 dislocation.

[[Page 63274]]

23532............ ............. A

Treat clavicle

7.96

NA 6.99

1.35

NA 16.30

090 dislocation. 23540............ ............. A

Treat clavicle

2.22 4.31 2.51

0.29

6.82 5.02

090 dislocation. 23545............ ............. A

Treat clavicle

3.23 4.56 3.43

0.47

8.26 7.13

090 dislocation. 23550............ ............. A

Treat clavicle

7.20

NA 6.46

1.13

NA 14.79

090 dislocation. 23552............ ............. A

Treat clavicle

8.40

NA 7.34

1.41

NA 17.15

090 dislocation. 23570............ ............. A

Treat shoulder blade

2.22 3.71 2.91

0.35

6.28 5.48

090 fx. 23575............ ............. A

Treat shoulder blade

4.04 5.83 4.30

0.64 10.51 8.98

090 fx. 23585............ ............. A

Treat scapula fracture 8.91

NA 7.68

1.50

NA 18.09

090 23600............ ............. A

Treat humerus fracture 2.91 5.80 3.87

0.47

9.18 7.25

090 23605............ ............. A

Treat humerus fracture 4.84 6.67 5.01

0.80 12.31 10.65

090 23615............ ............. A

Treat humerus fracture 9.30

NA 8.79

1.57

NA 19.66

090 23616............ ............. A

Treat humerus fracture 21.15

NA 14.28

3.57

NA 39.00

090 23620............ ............. A

Treat humerus fracture 2.39 5.26 3.27

0.38

8.03 6.04

090 23625............ ............. A

Treat humerus fracture 3.91 6.39 4.60

0.64 10.94 9.15

090 23630............ ............. A

Treat humerus fracture 7.31

NA 6.67

1.23

NA 15.21

090 23650............ ............. A

Treat shoulder

3.37 4.75 2.94

0.37

8.49 6.68

090 dislocation. 23655............ ............. A

Treat shoulder

4.54

NA 4.23

0.62

NA 9.39

090 dislocation. 23660............ ............. A

Treat shoulder

7.45

NA 6.44

1.21

NA 15.10

090 dislocation. 23665............ ............. A

Treat dislocation/

4.44 6.66 4.99

0.72 11.82 10.15

090 fracture. 23670............ ............. A

Treat dislocation/

7.85

NA 6.90

1.32

NA 16.07

090 fracture. 23675............ ............. A

Treat dislocation/

6.02 7.65 6.13

0.99 14.66 13.14

090 fracture. 23680............ ............. A

Treat dislocation/

10.00

NA 8.18

1.67

NA 19.85

090 fracture. 23700............ ............. A

Fixation of shoulder.. 2.51

NA 2.32

0.42

NA 5.25

010 23800............ ............. A

Fusion of shoulder

14.08

NA 10.58

2.36

NA 27.02

090 joint. 23802............ ............. A

Fusion of shoulder

16.51

NA 10.38

2.80

NA 29.69

090 joint. 23900............ ............. A

Amputation of arm &

19.61

NA 12.05

2.96

NA 34.62

090 girdle. 23920............ ............. A

Amputation at shoulder 14.53

NA 10.21

2.30

NA 27.04

090 joint. 23921............ ............. A

Amputation follow-up

5.46 5.28 5.28

0.93 11.67 11.67

090 surgery. 23929............ ............. C

Shoulder surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 23930............ ............. A

Drainage of arm lesion 2.92 2.75 2.36

0.38

6.05 5.66

010 23931............ ............. A

Drainage of arm bursa. 1.78 2.46 2.21

0.25

4.49 4.24

010 23935............ ............. A

Drain arm/elbow bone

6.06

NA 6.18

1.01

NA 13.25

090 lesion. 24000............ ............. A

Exploratory elbow

5.79

NA 5.42

0.92

NA 12.13

090 surgery. 24006............ ............. A

Release elbow joint... 9.26

NA 7.77

1.52

NA 18.55

090 24065............ ............. A

Biopsy arm/elbow soft

2.07 2.12 1.80

0.17

4.36 4.04

010 tissue. 24066............ ............. A

Biopsy arm/elbow soft

5.18 5.81 4.33

0.73 11.72 10.24

090 tissue. 24075............ ............. A

Remove arm/elbow

3.90 5.11 3.71

0.52

9.53 8.13

090 lesion. 24076............ ............. A

Remove arm/elbow

6.26

NA 5.14

0.84

NA 12.24

090 lesion. 24077............ ............. A

Remove tumor of arm/

11.69

NA 8.75

1.58

NA 22.02

090 elbow. 24100............ ............. A

Biopsy elbow joint

4.90

NA 4.52

0.74

NA 10.16

090 lining. 24101............ ............. A

Explore/treat elbow

6.10

NA 5.92

1.01

NA 13.03

090 joint. 24102............ ............. A

Remove elbow joint

7.98

NA 6.91

1.31

NA 16.20

090 lining. 24105............ ............. A

Removal of elbow bursa 3.59

NA 4.41

0.59

NA 8.59

090 24110............ ............. A

Remove humerus lesion. 7.35

NA 6.78

1.19

NA 15.32

090 24115............ ............. A

Remove/graft bone

9.58

NA 7.43

1.38

NA 18.39

090 lesion. 24116............ ............. A

Remove/graft bone

11.74

NA 9.21

1.99

NA 22.94

090 lesion. 24120............ ............. A

Remove elbow lesion... 6.61

NA 5.94

1.04

NA 13.59

090 24125............ ............. A

Remove/graft bone

7.85

NA 6.25

1.05

NA 15.15

090 lesion. 24126............ ............. A

Remove/graft bone

8.26

NA 7.04

1.08

NA 16.38

090 lesion. 24130............ ............. A

Removal of head of

6.21

NA 6.01

1.04

NA 13.26

090 radius. 24134............ ............. A

Removal of arm bone

9.67

NA 9.27

1.57

NA 20.51

090 lesion. 24136............ ............. A

Remove radius bone

7.94

NA 7.49

1.02

NA 16.45

090 lesion. 24138............ ............. A

Remove elbow bone

8.00

NA 7.75

1.34

NA 17.09

090 lesion. 24140............ ............. A

Partial removal of arm 9.13

NA 9.60

1.47

NA 20.20

090 bone. 24145............ ............. A

Partial removal of

7.54

NA 8.24

1.21

NA 16.99

090 radius. 24147............ ............. A

Partial removal of

7.50

NA 8.73

1.25

NA 17.48

090 elbow. 24149............ ............. A

Radical resection of

14.12

NA 11.54

2.28

NA 27.94

090 elbow. 24150............ ............. A

Extensive humerus

13.19

NA 10.22

2.17

NA 25.58

090 surgery. 24151............ ............. A

Extensive humerus

15.49

NA 11.81

2.62

NA 29.92

090 surgery. 24152............ ............. A

Extensive radius

10.00

NA 7.96

1.43

NA 19.39

090 surgery. 24153............ ............. A

Extensive radius

11.47

NA 5.90

0.77

NA 18.14

090 surgery. 24155............ ............. A

Removal of elbow joint 11.66

NA 8.48

1.70

NA 21.84

090 24160............ ............. A

Remove elbow joint

7.79

NA 6.85

1.28

NA 15.92

090 implant. 24164............ ............. A

Remove radius head

6.19

NA 5.73

1.01

NA 12.93

090 implant. 24200............ ............. A

Removal of arm foreign 1.75 1.99 1.69

0.18

3.92 3.62

010 body. 24201............ ............. A

Removal of arm foreign 4.53 5.75 4.37

0.67 10.95 9.57

090 body. 24220............ ............. A

Injection for elbow x- 1.30 10.48 0.45

0.08 11.86 1.83

000 ray. 24300............ ............. A

Manipulate elbow w/

3.73

NA 5.54

0.59

NA 9.86

090 anesth. 24301............ ............. A

Muscle/tendon transfer 10.14

NA 8.27

1.56

NA 19.97

090 24305............ ............. A

Arm tendon lengthening 7.41

NA 6.75

1.17

NA 15.33

090 24310............ ............. A

Revision of arm tendon 5.95

NA 5.79

0.89

NA 12.63

090 24320............ ............. A

Repair of arm tendon.. 10.50

NA 7.82

1.20

NA 19.52

090 24330............ ............. A

Revision of arm

9.55

NA 7.96

1.45

NA 18.96

090 muscles. 24331............ ............. A

Revision of arm

10.59

NA 8.68

1.69

NA 20.96

090 muscles. 24332............ ............. A

Tenolysis, triceps.... 7.41

NA 6.66

0.92

NA 14.99

090

[[Page 63275]]

24340............ ............. A

Repair of biceps

7.85

NA 6.99

1.29

NA 16.13

090 tendon. 24341............ ............. A

Repair arm tendon/

7.85

NA 7.83

1.29

NA 16.97

090 muscle. 24342............ ............. A

Repair of ruptured

10.56

NA 8.54

1.77

NA 20.87

090 tendon. 24343............ ............. A

Repr elbow lat ligmnt

8.60

NA 8.02

1.35

NA 17.97

090 w/tiss. 24344............ ............. A

Reconstruct elbow lat 13.92

NA 11.43

2.19

NA 27.54

090 ligmnt. 24345............ ............. A

Repr elbw med ligmnt w/ 8.60

NA 7.91

1.35

NA 17.86

090 tissu. 24346............ ............. A

Reconstruct elbow med 13.92

NA 11.28

2.19

NA 27.39

090 ligmnt. 24350............ ............. A

Repair of tennis elbow 5.22

NA 5.57

0.86

NA 11.65

090 24351............ ............. A

Repair of tennis elbow 5.88

NA 5.92

0.98

NA 12.78

090 24352............ ............. A

Repair of tennis elbow 6.39

NA 6.18

1.08

NA 13.65

090 24354............ ............. A

Repair of tennis elbow 6.44

NA 6.14

1.05

NA 13.63

090 24356............ ............. A

Revision of tennis

6.64

NA 6.32

1.08

NA 14.04

090 elbow. 24360............ ............. A

Reconstruct elbow

12.27

NA 9.46

2.03

NA 23.76

090 joint. 24361............ ............. A

Reconstruct elbow

14.00

NA 10.56

2.34

NA 26.90

090 joint. 24362............ ............. A

Reconstruct elbow

14.90

NA 10.08

2.30

NA 27.28

090 joint. 24363............ ............. A

Replace elbow joint... 18.38

NA 13.67

3.02

NA 35.07

090 24365............ ............. A

Reconstruct head of

8.34

NA 7.15

1.33

NA 16.82

090 radius. 24366............ ............. A

Reconstruct head of

9.08

NA 7.51

1.53

NA 18.12

090 radius. 24400............ ............. A

Revision of humerus... 11.00

NA 9.00

1.83

NA 21.83

090 24410............ ............. A

Revision of humerus... 14.74

NA 10.54

2.27

NA 27.55

090 24420............ ............. A

Revision of humerus... 13.36

NA 10.77

2.18

NA 26.31

090 24430............ ............. A

Repair of humerus..... 12.74

NA 9.85

2.16

NA 24.75

090 24435............ ............. A

Repair humerus with

13.09

NA 10.95

2.21

NA 26.25

090 graft. 24470............ ............. A

Revision of elbow

8.69

NA 7.69

1.47

NA 17.85

090 joint. 24495............ ............. A

Decompression of

8.07

NA 9.03

1.10

NA 18.20

090 forearm. 24498............ ............. A

Reinforce humerus..... 11.85

NA 9.38

2.00

NA 23.23

090 24500............ ............. A

Treat humerus fracture 3.19 5.46 3.66

0.49

9.14 7.34

090 24505............ ............. A

Treat humerus fracture 5.14 7.37 5.34

0.86 13.37 11.34

090 24515............ ............. A

Treat humerus fracture 11.58

NA 9.44

1.95

NA 22.97

090 24516............ ............. A

Treat humerus fracture 11.58

NA 9.21

1.95

NA 22.74

090 24530............ ............. A

Treat humerus fracture 3.48 5.45 3.99

0.56

9.49 8.03

090 24535............ ............. A

Treat humerus fracture 6.83 8.47 6.48

1.15 16.45 14.46

090 24538............ ............. A

Treat humerus fracture 9.38

NA 8.79

1.50

NA 19.67

090 24545............ ............. A

Treat humerus fracture 10.40

NA 8.50

1.76

NA 20.66

090 24546............ ............. A

Treat humerus fracture 15.60

NA 11.43

2.61

NA 29.64

090 24560............ ............. A

Treat humerus fracture 2.78 5.13 3.26

0.42

8.33 6.46

090 24565............ ............. A

Treat humerus fracture 5.53 7.37 5.46

0.89 13.79 11.88

090 24566............ ............. A

Treat humerus fracture 7.75

NA 8.21

1.32

NA 17.28

090 24575............ ............. A

Treat humerus fracture 10.60

NA 8.38

1.73

NA 20.71

090 24576............ ............. A

Treat humerus fracture 2.84 5.00 3.64

0.46

8.30 6.94

090 24577............ ............. A

Treat humerus fracture 5.76 7.65 5.76

0.97 14.38 12.49

090 24579............ ............. A

Treat humerus fracture 11.53

NA 8.93

1.94

NA 22.40

090 24582............ ............. A

Treat humerus fracture 8.50

NA 9.10

1.44

NA 19.04

090 24586............ ............. A

Treat elbow fracture.. 15.12

NA 11.23

2.54

NA 28.89

090 24587............ ............. A

Treat elbow fracture.. 15.07

NA 11.04

2.57

NA 28.68

090 24600............ ............. A

Treat elbow

4.21 5.63 3.58

0.59 10.43 8.38

090 dislocation. 24605............ ............. A

Treat elbow

5.39

NA 5.32

0.86

NA 11.57

090 dislocation. 24615............ ............. A

Treat elbow

9.37

NA 7.81

1.57

NA 18.75

090 dislocation. 24620............ ............. A

Treat elbow fracture.. 6.94

NA 6.18

1.08

NA 14.20

090 24635............ ............. A

Treat elbow fracture.. 13.11

NA 14.37

2.21

NA 29.69

090 24640............ ............. A

Treat elbow

1.19 1.96 0.88

0.13

3.28 2.20

010 dislocation. 24650............ ............. A

Treat radius fracture. 2.15 4.60 2.78

0.34

7.09 5.27

090 24655............ ............. A

Treat radius fracture. 4.37 6.84 4.74

0.70 11.91 9.81

090 24665............ ............. A

Treat radius fracture. 8.09

NA 7.56

1.35

NA 17.00

090 24666............ ............. A

Treat radius fracture. 9.44

NA 8.14

1.58

NA 19.16

090 24670............ ............. A

Treat ulnar fracture.. 2.53 4.50 3.06

0.40

7.43 5.99

090 24675............ ............. A

Treat ulnar fracture.. 4.69 6.80 4.87

0.78 12.27 10.34

090 24685............ ............. A

Treat ulnar fracture.. 8.75

NA 7.60

1.47

NA 17.82

090 24800............ ............. A

Fusion of elbow joint. 11.14

NA 8.81

1.69

NA 21.64

090 24802............ ............. A

Fusion/graft of elbow 13.61

NA 10.44

2.27

NA 26.32

090 joint. 24900............ ............. A

Amputation of upper

9.55

NA 7.43

1.41

NA 18.39

090 arm. 24920............ ............. A

Amputation of upper

9.49

NA 7.59

1.46

NA 18.54

090 arm. 24925............ ............. A

Amputation follow-up

7.03

NA 6.34

1.14

NA 14.51

090 surgery. 24930............ ............. A

Amputation follow-up

10.19

NA 7.59

1.47

NA 19.25

090 surgery. 24931............ ............. A

Amputate upper arm &

12.65

NA 6.19

1.87

NA 20.71

090 implant. 24935............ ............. A

Revision of amputation 15.47

NA 8.50

1.89

NA 25.86

090 24940............ ............. C

Revision of upper arm. 0.00 0.00 0.00

0.00

0.00 0.00

090 24999............ ............. C

Upper arm/elbow

0.00 0.00 0.00

0.00

0.00 0.00

YYY surgery. 25000............ ............. A

Incision of tendon

3.36

NA 7.03

0.54

NA 10.93

090 sheath. 25001............ ............. A

Incise flexor carpi

3.36

NA 4.13

0.54

NA 8.03

090 radialis. 25020............ ............. A

Decompress forearm 1

5.89

NA 10.04

0.91

NA 16.84

090 space. 25023............ ............. A

Decompress forearm 1

12.89

NA 15.51

1.82

NA 30.22

090 space. 25024............ ............. A

Decompress forearm 2

9.45

NA 7.49

1.49

NA 18.43

090 spaces. 25025............ ............. A

Decompress forearm 2

16.45

NA 10.06

2.61

NA 29.12

090 spaces. 25028............ ............. A

Drainage of forearm

5.22

NA 8.54

0.73

NA 14.49

090 lesion.

[[Page 63276]]

25031............ ............. A

Drainage of forearm

4.12

NA 8.35

0.60

NA 13.07

090 bursa. 25035............ ............. A

Treat forearm bone

7.32

NA 14.20

1.17

NA 22.69

090 lesion. 25040............ ............. A

Explore/treat wrist

7.14

NA 7.42

1.15

NA 15.71

090 joint. 25065............ ............. A

Biopsy forearm soft

1.98 2.83 2.83

0.14

4.95 4.95

010 tissues. 25066............ ............. A

Biopsy forearm soft

4.11

NA 7.33

0.59

NA 12.03

090 tissues. 25075............ ............. A

Removel forearm lesion 3.72

NA 6.19

0.48

NA 10.39

090 subcu. 25076............ ............. A

Removel forearm lesion 4.89

NA 10.08

0.71

NA 15.68

090 deep. 25077............ ............. A

Remove tumor, forearm/ 9.70

NA 12.84

1.32

NA 23.86

090 wrist. 25085............ ............. A

Incision of wrist

5.47

NA 7.38

0.85

NA 13.70

090 capsule. 25100............ ............. A

Biopsy of wrist joint. 3.88

NA 5.46

0.60

NA 9.94

090 25101............ ............. A

Explore/treat wrist

4.66

NA 6.02

0.72

NA 11.40

090 joint. 25105............ ............. A

Remove wrist joint

5.82

NA 7.57

0.92

NA 14.31

090 lining. 25107............ ............. A

Remove wrist joint

6.39

NA 8.50

0.98

NA 15.87

090 cartilage. 25110............ ............. A

Remove wrist tendon

3.90

NA 7.34

0.58

NA 11.82

090 lesion. 25111............ ............. A

Remove wrist tendon

3.37

NA 4.88

0.50

NA 8.75

090 lesion. 25112............ ............. A

Reremove wrist tendon

4.50

NA 5.49

0.65

NA 10.64

090 lesion. 25115............ ............. A

Remove wrist/forearm

8.77

NA 14.60

1.33

NA 24.70

090 lesion. 25116............ ............. A

Remove wrist/forearm

7.07

NA 13.67

1.08

NA 21.82

090 lesion. 25118............ ............. A

Excise wrist tendon

4.35

NA 5.94

0.66

NA 10.95

090 sheath. 25119............ ............. A

Partial removal of

6.01

NA 7.85

0.96

NA 14.82

090 ulna. 25120............ ............. A

Removal of forearm

6.07

NA 12.58

0.97

NA 19.62

090 lesion. 25125............ ............. A

Remove/graft forearm

7.44

NA 13.37

1.22

NA 22.03

090 lesion. 25126............ ............. A

Remove/graft forearm

7.51

NA 13.46

1.20

NA 22.17

090 lesion. 25130............ ............. A

Removal of wrist

5.23

NA 6.58

0.79

NA 12.60

090 lesion. 25135............ ............. A

Remove & graft wrist

6.85

NA 7.61

1.07

NA 15.53

090 lesion. 25136............ ............. A

Remove & graft wrist

5.94

NA 6.76

0.70

NA 13.40

090 lesion. 25145............ ............. A

Remove forearm bone

6.33

NA 12.61

0.98

NA 19.92

090 lesion. 25150............ ............. A

Partial removal of

7.05

NA 8.49

1.15

NA 16.69

090 ulna. 25151............ ............. A

Partial removal of

7.35

NA 13.23

1.11

NA 21.69

090 radius. 25170............ ............. A

Extensive forearm

11.03

NA 15.64

1.82

NA 28.49

090 surgery. 25210............ ............. A

Removal of wrist bone. 5.92

NA 6.98

0.87

NA 13.77

090 25215............ ............. A

Removal of wrist bones 7.85

NA 8.99

1.22

NA 18.06

090 25230............ ............. A

Partial removal of

5.20

NA 6.29

0.79

NA 12.28

090 radius. 25240............ ............. A

Partial removal of

5.14

NA 7.16

0.83

NA 13.13

090 ulna. 25246............ ............. A

Injection for wrist x- 1.44 10.14 0.49

0.08 11.66 2.01

000 ray. 25248............ ............. A

Remove forearm foreign 5.11

NA 8.83

0.65

NA 14.59

090 body. 25250............ ............. A

Removal of wrist

6.56

NA 6.06

1.01

NA 13.63

090 prosthesis. 25251............ ............. A

Removal of wrist

9.52

NA 7.90

1.38

NA 18.80

090 prosthesis. 25259............ ............. A

Manipulate wrist w/

3.73

NA 5.53

0.60

NA 9.86

090 anesthes. 25260............ ............. A

Repair forearm tendon/ 7.76

NA 14.06

1.16

NA 22.98

090 muscle. 25263............ ............. A

Repair forearm tendon/ 7.78

NA 13.95

1.13

NA 22.86

090 muscle. 25265............ ............. A

Repair forearm tendon/ 9.82

NA 14.83

1.43

NA 26.08

090 muscle. 25270............ ............. A

Repair forearm tendon/ 5.97

NA 12.74

0.91

NA 19.62

090 muscle. 25272............ ............. A

Repair forearm tendon/ 7.00

NA 13.45

1.07

NA 21.52

090 muscle. 25274............ ............. A

Repair forearm tendon/ 8.70

NA 14.17

1.37

NA 24.24

090 muscle. 25275............ ............. A

Repair forearm tendon

8.45

NA 7.54

1.35

NA 17.34

090 sheath. 25280............ ............. A

Revise wrist/forearm

7.18

NA 13.17

1.09

NA 21.44

090 tendon. 25290............ ............. A

Incise wrist/forearm

5.26

NA 15.71

0.79

NA 21.76

090 tendon. 25295............ ............. A

Release wrist/forearm

6.51

NA 12.73

1.03

NA 20.27

090 tendon. 25300............ ............. A

Fusion of tendons at

8.75

NA 8.61

1.28

NA 18.64

090 wrist. 25301............ ............. A

Fusion of tendons at

8.35

NA 8.25

1.29

NA 17.89

090 wrist. 25310............ ............. A

Transplant forearm

8.09

NA 13.59

1.21

NA 22.89

090 tendon. 25312............ ............. A

Transplant forearm

9.52

NA 14.49

1.46

NA 25.47

090 tendon. 25315............ ............. A

Revise palsy hand

10.14

NA 15.05

1.51

NA 26.70

090 tendon(s). 25316............ ............. A

Revise palsy hand

12.26

NA 16.80

2.09

NA 31.15

090 tendon(s). 25320............ ............. A

Repair/revise wrist

10.71

NA 11.33

1.58

NA 23.62

090 joint. 25332............ ............. A

Revise wrist joint.... 11.34

NA 9.16

1.75

NA 22.25

090 25335............ ............. A

Realignment of hand... 12.81

NA 11.84

1.99

NA 26.64

090 25337............ ............. A

Reconstruct ulna/

10.11

NA 11.19

1.57

NA 22.87

090 radioulnar. 25350............ ............. A

Revision of radius.... 8.73

NA 14.43

1.40

NA 24.56

090 25355............ ............. A

Revision of radius.... 10.11

NA 15.08

1.73

NA 26.92

090 25360............ ............. A

Revision of ulna...... 8.38

NA 14.33

1.40

NA 24.11

090 25365............ ............. A

Revise radius & ulna.. 12.33

NA 16.13

2.00

NA 30.46

090 25370............ ............. A

Revise radius or ulna. 13.28

NA 16.47

2.25

NA 32.00

090 25375............ ............. A

Revise radius & ulna.. 12.97

NA 16.95

2.21

NA 32.13

090 25390............ ............. A

Shorten radius or ulna 10.34

NA 15.08

1.65

NA 27.07

090 25391............ ............. A

Lengthen radius or

13.57

NA 17.06

2.07

NA 32.70

090 ulna. 25392............ ............. A

Shorten radius & ulna. 13.87

NA 16.41

2.07

NA 32.35

090 25393............ ............. A

Lengthen radius & ulna 15.78

NA 18.06

2.24

NA 36.08

090 25394............ ............. A

Repair carpal bone,

10.34

NA 8.33

1.68

NA 20.35

090 shorten. 25400............ ............. A

Repair radius or ulna. 10.86

NA 15.66

1.80

NA 28.32

090 25405............ ............. A

Repair/graft radius or 14.30

NA 17.77

2.34

NA 34.41

090 ulna. 25415............ ............. A

Repair radius & ulna.. 13.27

NA 17.01

2.24

NA 32.52

090 25420............ ............. A

Repair/graft radius & 16.24

NA 18.76

2.64

NA 37.64

090 ulna. 25425............ ............. A

Repair/graft radius or 13.13

NA 22.34

1.93

NA 37.40

090 ulna.

[[Page 63277]]

25426............ ............. A

Repair/graft radius & 15.73

NA 17.43

2.67

NA 35.83

090 ulna. 25430............ ............. A

Vasc graft into carpal 9.20

NA 7.36

1.28

NA 17.84

090 bone. 25431............ ............. A

Repair nonunion carpal 10.38

NA 8.32

0.67

NA 19.37

090 bone. 25440............ ............. A

Repair/graft wrist

10.38

NA 9.53

1.69

NA 21.60

090 bone. 25441............ ............. A

Reconstruct wrist

12.83

NA 9.99

2.19

NA 25.01

090 joint. 25442............ ............. A

Reconstruct wrist

10.79

NA 8.86

1.49

NA 21.14

090 joint. 25443............ ............. A

Reconstruct wrist

10.33

NA 8.74

1.56

NA 20.63

090 joint. 25444............ ............. A

Reconstruct wrist

11.09

NA 9.16

1.71

NA 21.96

090 joint. 25445............ ............. A

Reconstruct wrist

9.63

NA 7.97

1.51

NA 19.11

090 joint. 25446............ ............. A

Wrist replacement..... 16.46

NA 11.94

2.64

NA 31.04

090 25447............ ............. A

Repair wrist joint(s). 10.31

NA 8.62

1.61

NA 20.54

090 25449............ ............. A

Remove wrist joint

14.41

NA 10.69

2.12

NA 27.22

090 implant. 25450............ ............. A

Revision of wrist

7.83

NA 10.54

1.05

NA 19.42

090 joint. 25455............ ............. A

Revision of wrist

9.44

NA 11.45

1.28

NA 22.17

090 joint. 25490............ ............. A

Reinforce radius...... 9.49

NA 14.19

1.43

NA 25.11

090 25491............ ............. A

Reinforce ulna........ 9.90

NA 14.92

1.69

NA 26.51

090 25492............ ............. A

Reinforce radius and

12.26

NA 15.79

1.94

NA 29.99

090 ulna. 25500............ ............. A

Treat fracture of

2.44 4.04 2.76

0.34

6.82 5.54

090 radius. 25505............ ............. A

Treat fracture of

5.18 7.31 5.31

0.83 13.32 11.32

090 radius. 25515............ ............. A

Treat fracture of

9.13

NA 7.55

1.46

NA 18.14

090 radius. 25520............ ............. A

Treat fracture of

6.22 7.52 5.93

1.02 14.76 13.17

090 radius. 25525............ ............. A

Treat fracture of

12.17

NA 10.04

2.01

NA 24.22

090 radius. 25526............ ............. A

Treat fracture of

12.91

NA 13.74

2.16

NA 28.81

090 radius. 25530............ ............. A

Treat fracture of ulna 2.08 4.19 2.84

0.32

6.59 5.24

090 25535............ ............. A

Treat fracture of ulna 5.11 6.93 5.23

0.82 12.86 11.16

090 25545............ ............. A

Treat fracture of ulna 8.85

NA 7.73

1.47

NA 18.05

090 25560............ ............. A

Treat fracture radius

2.43 4.09 2.70

0.32

6.84 5.45

090 & ulna. 25565............ ............. A

Treat fracture radius

5.60 7.44 5.38

0.91 13.95 11.89

090 & ulna. 25574............ ............. A

Treat fracture radius

6.97

NA 7.21

1.15

NA 15.33

090 & ulna. 25575............ ............. A

Treat fracture radius/ 10.39

NA 9.50

1.75

NA 21.64

090 ulna. 25600............ ............. A

Treat fracture radius/ 2.62 4.52 2.99

0.41

7.55 6.02

090 ulna. 25605............ ............. A

Treat fracture radius/ 5.78 8.12 6.08

0.97 14.87 12.83

090 ulna. 25611............ ............. A

Treat fracture radius/ 7.73

NA 8.94

1.29

NA 17.96

090 ulna. 25620............ ............. A

Treat fracture radius/ 8.50

NA 7.36

1.40

NA 17.26

090 ulna. 25622............ ............. A

Treat wrist bone

2.60 4.69 3.18

0.40

7.69 6.18

090 fracture. 25624............ ............. A

Treat wrist bone

4.50 7.06 4.96

0.73 12.29 10.19

090 fracture. 25628............ ............. A

Treat wrist bone

8.38

NA 7.89

1.37

NA 17.64

090 fracture. 25630............ ............. A

Treat wrist bone

2.86 4.61 2.99

0.44

7.91 6.29

090 fracture. 25635............ ............. A

Treat wrist bone

4.36 6.83 3.97

0.47 11.66 8.80

090 fracture. 25645............ ............. A

Treat wrist bone

7.21

NA 6.86

1.11

NA 15.18

090 fracture. 25650............ ............. A

Treat wrist bone

3.03 4.88 3.27

0.44

8.35 6.74

090 fracture. 25651............ ............. A

Pin ulnar styloid

5.33

NA 5.45

0.86

NA 11.64

090 fracture. 25652............ ............. A

Treat fracture ulnar

7.56

NA 6.93

1.22

NA 15.71

090 styloid. 25660............ ............. A

Treat wrist

4.73

NA 4.71

0.71

NA 10.15

090 dislocation. 25670............ ............. A

Treat wrist

7.87

NA 7.15

1.28

NA 16.30

090 dislocation. 25671............ ............. A

Pin radioulnar

5.97

NA 6.04

0.97

NA 12.98

090 dislocation. 25675............ ............. A

Treat wrist

4.64 6.57 4.66

0.68 11.89 9.98

090 dislocation. 25676............ ............. A

Treat wrist

7.99

NA 7.40

1.32

NA 16.71

090 dislocation. 25680............ ............. A

Treat wrist fracture.. 5.96

NA 4.80

0.73

NA 11.49

090 25685............ ............. A

Treat wrist fracture.. 9.72

NA 7.96

1.50

NA 19.18

090 25690............ ............. A

Treat wrist

5.47

NA 5.45

0.93

NA 11.85

090 dislocation. 25695............ ............. A

Treat wrist

8.29

NA 7.27

1.28

NA 16.84

090 dislocation. 25800............ ............. A

Fusion of wrist joint. 9.70

NA 9.20

1.56

NA 20.46

090 25805............ ............. A

Fusion/graft of wrist 11.22

NA 10.35

1.81

NA 23.38

090 joint. 25810............ ............. A

Fusion/graft of wrist 10.51

NA 9.99

1.64

NA 22.14

090 joint. 25820............ ............. A

Fusion of hand bones.. 7.41

NA 7.96

1.15

NA 16.52

090 25825............ ............. A

Fuse hand bones with

9.22

NA 9.32

1.44

NA 19.98

090 graft. 25830............ ............. A

Fusion, radioulnar jnt/ 10.00

NA 14.86

1.52

NA 26.38

090 ulna. 25900............ ............. A

Amputation of forearm. 8.96

NA 13.02

1.29

NA 23.27

090 25905............ ............. A

Amputation of forearm. 9.07

NA 12.99

1.27

NA 23.33

090 25907............ ............. A

Amputation follow-up

7.76

NA 12.36

1.21

NA 21.33

090 surgery. 25909............ ............. A

Amputation follow-up

8.91

NA 12.89

1.28

NA 23.08

090 surgery. 25915............ ............. A

Amputation of forearm. 16.98

NA 19.72

2.89

NA 39.59

090 25920............ ............. A

Amputate hand at wrist 8.63

NA 8.09

1.27

NA 17.99

090 25922............ ............. A

Amputate hand at wrist 7.38

NA 7.25

1.11

NA 15.74

090 25924............ ............. A

Amputation follow-up

8.41

NA 8.31

1.28

NA 18.00

090 surgery. 25927............ ............. A

Amputation of hand.... 8.75

NA 12.27

1.22

NA 22.24

090 25929............ ............. A

Amputation follow-up

7.55

NA 6.09

1.07

NA 14.71

090 surgery. 25931............ ............. A

Amputation follow-up

7.77

NA 12.18

1.05

NA 21.00

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

1.53 5.77 1.69

0.17

7.47 3.39

010 abscess. 26011............ ............. A

Drainage of finger

2.18 9.17 2.33

0.30 11.65 4.81

010 abscess. 26020............ ............. A

Drain hand tendon

4.64

NA 5.63

0.71

NA 10.98

090 sheath. 26025............ ............. A

Drainage of palm bursa 4.79

NA 5.42

0.72

NA 10.93

090 26030............ ............. A

Drainage of palm

5.90

NA 6.06

0.86

NA 12.82

090 bursa(s).

[[Page 63278]]

26034............ ............. A

Treat hand bone lesion 6.19

NA 6.33

0.95

NA 13.47

090 26035............ ............. A

Decompress fingers/

9.46

NA 8.20

1.34

NA 19.00

090 hand. 26037............ ............. A

Decompress fingers/

7.21

NA 6.67

1.04

NA 14.92

090 hand. 26040............ ............. A

Release palm

3.31

NA 4.03

0.54

NA 7.88

090 contracture. 26045............ ............. A

Release palm

5.53

NA 5.62

0.89

NA 12.04

090 contracture. 26055............ ............. A

Incise finger tendon

2.67 14.70 3.89

0.43 17.80 6.99

090 sheath. 26060............ ............. A

Incision of finger

2.79

NA 3.49

0.42

NA 6.70

090 tendon. 26070............ ............. A

Explore/treat hand

3.67

NA 3.40

0.42

NA 7.49

090 joint. 26075............ ............. A

Explore/treat finger

3.77

NA 3.81

0.48

NA 8.06

090 joint. 26080............ ............. A

Explore/treat finger

4.22

NA 4.83

0.62

NA 9.67

090 joint. 26100............ ............. A

Biopsy hand joint

3.65

NA 4.14

0.54

NA 8.33

090 lining. 26105............ ............. A

Biopsy finger joint

3.69

NA 4.22

0.54

NA 8.45

090 lining. 26110............ ............. A

Biopsy finger joint

3.51

NA 4.02

0.53

NA 8.06

090 lining. 26115............ ............. A

Removel hand lesion

3.84 13.49 4.72

0.58 17.91 9.14

090 subcut. 26116............ ............. A

Removel hand lesion,

5.50

NA 5.98

0.83

NA 12.31

090 deep. 26117............ ............. A

Remove tumor, hand/

8.50

NA 7.10

1.21

NA 16.81

090 finger. 26121............ ............. A

Release palm

7.50

NA 6.97

1.13

NA 15.60

090 contracture. 26123............ ............. A

Release palm

9.24

NA 8.84

1.40

NA 19.48

090 contracture. 26125............ ............. A

Release palm

4.58

NA 2.48

0.68

NA 7.74

ZZZ contracture. 26130............ ............. A

Remove wrist joint

5.39

NA 5.36

0.78

NA 11.53

090 lining. 26135............ ............. A

Revise finger joint,

6.92

NA 6.47

1.04

NA 14.43

090 each. 26140............ ............. A

Revise finger joint,

6.13

NA 6.03

0.91

NA 13.07

090 each. 26145............ ............. A

Tendon excision, palm/ 6.28

NA 6.05

0.92

NA 13.25

090 finger. 26160............ ............. A

Remove tendon sheath

3.13 12.84 4.08

0.47 16.44 7.68

090 lesion. 26170............ ............. A

Removal of palm

4.74

NA 4.94

0.72

NA 10.40

090 tendon, each. 26180............ ............. A

Removal of finger

5.15

NA 5.41

0.77

NA 11.33

090 tendon. 26185............ ............. A

Remove finger bone.... 5.22

NA 5.97

0.80

NA 11.99

090 26200............ ............. A

Remove hand bone

5.48

NA 5.35

0.85

NA 11.68

090 lesion. 26205............ ............. A

Remove/graft bone

7.66

NA 6.91

1.14

NA 15.71

090 lesion. 26210............ ............. A

Removal of finger

5.12

NA 5.42

0.77

NA 11.31

090 lesion. 26215............ ............. A

Remove/graft finger

7.06

NA 6.32

0.92

NA 14.30

090 lesion. 26230............ ............. A

Partial removal of

6.29

NA 5.91

1.01

NA 13.21

090 hand bone. 26235............ ............. A

Partial removal,

6.15

NA 5.81

0.93

NA 12.89

090 finger bone. 26236............ ............. A

Partial removal,

5.29

NA 5.34

0.79

NA 11.42

090 finger bone. 26250............ ............. A

Extensive hand surgery 7.51

NA 6.46

1.10

NA 15.07

090 26255............ ............. A

Extensive hand surgery 12.36

NA 9.45

1.26

NA 23.07

090 26260............ ............. A

Extensive finger

6.99

NA 6.20

0.99

NA 14.18

090 surgery. 26261............ ............. A

Extensive finger

9.04

NA 6.28

1.01

NA 16.33

090 surgery. 26262............ ............. A

Partial removal of

5.64

NA 5.35

0.84

NA 11.83

090 finger. 26320............ ............. A

Removal of implant

3.96

NA 4.30

0.59

NA 8.85

090 from hand. 26340............ ............. A

Manipulate finger w/

2.49

NA 4.79

0.36

NA 7.64

090 anesth. 26350............ ............. A

Repair finger/hand

5.96

NA 15.67

0.87

NA 22.50

090 tendon. 26352............ ............. A

Repair/graft hand

7.64

NA 16.25

1.11

NA 25.00

090 tendon. 26356............ ............. A

Repair finger/hand

8.02

NA 19.11

1.19

NA 28.32

090 tendon. 26357............ ............. A

Repair finger/hand

8.53

NA 16.71

1.22

NA 26.46

090 tendon. 26358............ ............. A

Repair/graft hand

9.09

NA 17.61

1.28

NA 27.98

090 tendon. 26370............ ............. A

Repair finger/hand

7.07

NA 16.11

1.08

NA 24.26

090 tendon. 26372............ ............. A

Repair/graft hand

8.71

NA 17.50

1.27

NA 27.48

090 tendon. 26373............ ............. A

Repair finger/hand

8.11

NA 17.07

1.17

NA 26.35

090 tendon. 26390............ ............. A

Revise hand/finger

9.14

NA 14.07

1.31

NA 24.52

090 tendon. 26392............ ............. A

Repair/graft hand

10.20

NA 17.86

1.51

NA 29.57

090 tendon. 26410............ ............. A

Repair hand tendon.... 4.60

NA 12.74

0.68

NA 18.02

090 26412............ ............. A

Repair/graft hand

6.27

NA 14.08

0.96

NA 21.31

090 tendon. 26415............ ............. A

Excision, hand/finger

8.29

NA 12.43

0.92

NA 21.64

090 tendon. 26416............ ............. A

Graft hand or finger

9.32

NA 15.37

1.44

NA 26.13

090 tendon. 26418............ ............. A

Repair finger tendon.. 4.23

NA 13.10

0.60

NA 17.93

090 26420............ ............. A

Repair/graft finger

6.73

NA 14.43

0.99

NA 22.15

090 tendon. 26426............ ............. A

Repair finger/hand

6.11

NA 13.92

0.92

NA 20.95

090 tendon. 26428............ ............. A

Repair/graft finger

7.17

NA 14.73

1.01

NA 22.91

090 tendon. 26432............ ............. A

Repair finger tendon.. 4.00

NA 10.81

0.58

NA 15.39

090 26433............ ............. A

Repair finger tendon.. 4.53

NA 11.49

0.67

NA 16.69

090 26434............ ............. A

Repair/graft finger

6.06

NA 12.20

0.85

NA 19.11

090 tendon. 26437............ ............. A

Realignment of tendons 5.79

NA 12.12

0.89

NA 18.80

090 26440............ ............. A

Release palm/finger

4.99

NA 14.34

0.74

NA 20.07

090 tendon. 26442............ ............. A

Release palm & finger

8.11

NA 16.79

1.13

NA 26.03

090 tendon. 26445............ ............. A

Release hand/finger

4.29

NA 14.09

0.65

NA 19.03

090 tendon. 26449............ ............. A

Release forearm/hand

6.96

NA 16.57

1.01

NA 24.54

090 tendon. 26450............ ............. A

Incision of palm

3.65

NA 7.66

0.55

NA 11.86

090 tendon. 26455............ ............. A

Incision of finger

3.62

NA 7.59

0.56

NA 11.77

090 tendon. 26460............ ............. A

Incise hand/finger

3.44

NA 7.40

0.53

NA 11.37

090 tendon. 26471............ ............. A

Fusion of finger

5.70

NA 11.79

0.87

NA 18.36

090 tendons. 26474............ ............. A

Fusion of finger

5.29

NA 11.97

0.83

NA 18.09

090 tendons. 26476............ ............. A

Tendon lengthening.... 5.15

NA 11.49

0.74

NA 17.38

090 26477............ ............. A

Tendon shortening..... 5.12

NA 11.66

0.72

NA 17.50

090 26478............ ............. A

Lengthening of hand

5.77

NA 12.37

0.92

NA 19.06

090 tendon.

[[Page 63279]]

26479............ ............. A

Shortening of hand

5.71

NA 12.22

0.91

NA 18.84

090 tendon. 26480............ ............. A

Transplant hand tendon 6.65

NA 15.85

1.01

NA 23.51

090 26483............ ............. A

Transplant/graft hand

8.24

NA 16.31

1.23

NA 25.78

090 tendon. 26485............ ............. A

Transplant palm tendon 7.66

NA 16.18

1.13

NA 24.97

090 26489............ ............. A

Transplant/graft palm

9.50

NA 12.70

1.17

NA 23.37

090 tendon. 26490............ ............. A

Revise thumb tendon... 8.36

NA 13.32

1.26

NA 22.94

090 26492............ ............. A

Tendon transfer with

9.57

NA 14.14

1.43

NA 25.14

090 graft. 26494............ ............. A

Hand tendon/muscle

8.42

NA 13.76

1.35

NA 23.53

090 transfer. 26496............ ............. A

Revise thumb tendon... 9.54

NA 13.75

1.40

NA 24.69

090 26497............ ............. A

Finger tendon transfer 9.52

NA 14.12

1.40

NA 25.04

090 26498............ ............. A

Finger tendon transfer 13.92

NA 16.73

2.09

NA 32.74

090 26499............ ............. A

Revision of finger.... 8.93

NA 13.66

1.13

NA 23.72

090 26500............ ............. A

Hand tendon

5.93

NA 12.24

0.79

NA 18.96

090 reconstruction. 26502............ ............. A

Hand tendon

7.10

NA 12.72

1.04

NA 20.86

090 reconstruction. 26504............ ............. A

Hand tendon

7.43

NA 13.15

1.01

NA 21.59

090 reconstruction. 26508............ ............. A

Release thumb

5.98

NA 12.24

0.91

NA 19.13

090 contracture. 26510............ ............. A

Thumb tendon transfer. 5.40

NA 11.93

0.85

NA 18.18

090 26516............ ............. A

Fusion of knuckle

7.11

NA 12.79

1.08

NA 20.98

090 joint. 26517............ ............. A

Fusion of knuckle

8.78

NA 14.12

1.15

NA 24.05

090 joints. 26518............ ............. A

Fusion of knuckle

8.97

NA 13.93

1.35

NA 24.25

090 joints. 26520............ ............. A

Release knuckle

5.27

NA 14.80

0.78

NA 20.85

090 contracture. 26525............ ............. A

Release finger

5.30

NA 14.91

0.79

NA 21.00

090 contracture. 26530............ ............. A

Revise knuckle joint.. 6.65

NA 6.08

1.03

NA 13.76

090 26531............ ............. A

Revise knuckle with

7.86

NA 7.07

1.21

NA 16.14

090 implant. 26535............ ............. A

Revise finger joint... 5.21

NA 3.73

0.79

NA 9.73

090 26536............ ............. A

Revise/implant finger

6.33

NA 9.84

0.96

NA 17.13

090 joint. 26540............ ............. A

Repair hand joint..... 6.39

NA 12.49

0.97

NA 19.85

090 26541............ ............. A

Repair hand joint with 8.57

NA 13.99

1.34

NA 23.90

090 graft. 26542............ ............. A

Repair hand joint with 6.74

NA 12.54

1.04

NA 20.32

090 graft. 26545............ ............. A

Reconstruct finger

6.88

NA 12.93

0.95

NA 20.76

090 joint. 26546............ ............. A

Repair nonunion hand.. 8.87

NA 15.37

1.37

NA 25.61

090 26548............ ............. A

Reconstruct finger

7.98

NA 13.55

1.17

NA 22.70

090 joint. 26550............ ............. A

Construct thumb

21.12

NA 18.39

2.16

NA 41.67

090 replacement. 26551............ ............. A

Great toe-hand

46.31

NA 34.09

7.87

NA 88.27

090 transfer. 26553............ ............. A

Single transfer, toe- 46.01

NA 23.43

2.39

NA 71.83

090 hand. 26554............ ............. A

Double transfer, toe- 54.64

NA 38.69

9.30

NA 102.63

090 hand. 26555............ ............. A

Positional change of

16.54

NA 18.86

2.55

NA 37.95

090 finger. 26556............ ............. A

Toe joint transfer.... 46.99

NA 34.88

7.99

NA 89.86

090 26560............ ............. A

Repair of web finger.. 5.35

NA 10.41

0.72

NA 16.48

090 26561............ ............. A

Repair of web finger.. 10.86

NA 13.07

0.83

NA 24.76

090 26562............ ............. A

Repair of web finger.. 14.91

NA 17.78

1.17

NA 33.86

090 26565............ ............. A

Correct metacarpal

6.70

NA 12.60

1.01

NA 20.31

090 flaw. 26567............ ............. A

Correct finger

6.78

NA 12.53

1.01

NA 20.32

090 deformity. 26568............ ............. A

Lengthen metacarpal/

9.03

NA 16.27

1.32

NA 26.62

090 finger. 26580............ ............. A

Repair hand deformity. 18.08

NA 13.88

1.75

NA 33.71

090 26587............ ............. A

Reconstruct extra

13.97

NA 9.14

1.34

NA 24.45

090 finger. 26590............ ............. A

Repair finger

17.86

NA 14.56

1.58

NA 34.00

090 deformity. 26591............ ............. A

Repair muscles of hand 3.23

NA 10.56

0.44

NA 14.23

090 26593............ ............. A

Release muscles of

5.28

NA 11.63

0.77

NA 17.68

090 hand. 26596............ ............. A

Excision constricting

8.90

NA 9.12

1.04

NA 19.06

090 tissue. 26600............ ............. A

Treat metacarpal

1.95 4.13 2.69

0.30

6.38 4.94

090 fracture. 26605............ ............. A

Treat metacarpal

2.83 5.31 3.62

0.46

8.60 6.91

090 fracture. 26607............ ............. A

Treat metacarpal

5.33

NA 6.41

0.84

NA 12.58

090 fracture. 26608............ ............. A

Treat metacarpal

5.33

NA 6.42

0.87

NA 12.62

090 fracture. 26615............ ............. A

Treat metacarpal

5.30

NA 5.59

0.84

NA 11.73

090 fracture. 26641............ ............. A

Treat thumb

3.92 5.47 3.64

0.50

9.89 8.06

090 dislocation. 26645............ ............. A

Treat thumb fracture.. 4.38 6.17 4.23

0.65 11.20 9.26

090 26650............ ............. A

Treat thumb fracture.. 5.69

NA 6.84

0.92

NA 13.45

090 26665............ ............. A

Treat thumb fracture.. 7.56

NA 6.88

1.16

NA 15.60

090 26670............ ............. A

Treat hand dislocation 3.67 4.96 3.09

0.43

9.06 7.19

090 26675............ ............. A

Treat hand dislocation 4.61 6.30 4.47

0.67 11.58 9.75

090 26676............ ............. A

Pin hand dislocation.. 5.49

NA 6.87

0.91

NA 13.27

090 26685............ ............. A

Treat hand dislocation 6.94

NA 6.32

1.14

NA 14.40

090 26686............ ............. A

Treat hand dislocation 7.89

NA 7.10

1.26

NA 16.25

090 26700............ ............. A

Treat knuckle

3.67 4.71 3.02

0.42

8.80 7.11

090 dislocation. 26705............ ............. A

Treat knuckle

4.17 6.10 4.31

0.60 10.87 9.08

090 dislocation. 26706............ ............. A

Pin knuckle

5.09

NA 5.15

0.77

NA 11.01

090 dislocation. 26715............ ............. A

Treat knuckle

5.71

NA 5.78

0.90

NA 12.39

090 dislocation. 26720............ ............. A

Treat finger fracture, 1.65 3.94 2.65

0.24

5.83 4.54

090 each. 26725............ ............. A

Treat finger fracture, 3.31 6.16 4.09

0.52

9.99 7.92

090 each. 26727............ ............. A

Treat finger fracture, 5.20

NA 6.48

0.83

NA 12.51

090 each. 26735............ ............. A

Treat finger fracture, 5.95

NA 5.92

0.92

NA 12.79

090 each. 26740............ ............. A

Treat finger fracture, 1.93 3.60 2.73

0.29

5.82 4.95

090 each. 26742............ ............. A

Treat finger fracture, 3.83 5.88 3.90

0.59 10.30 8.32

090 each. 26746............ ............. A

Treat finger fracture, 5.78

NA 5.97

0.89

NA 12.64

090 each.

[[Page 63280]]

26750............ ............. A

Treat finger fracture, 1.69 3.18 2.12

0.23

5.10 4.04

090 each. 26755............ ............. A

Treat finger fracture, 3.08 4.85 3.10

0.44

8.37 6.62

090 each. 26756............ ............. A

Pin finger fracture,

4.36

NA 6.10

0.67

NA 11.13

090 each. 26765............ ............. A

Treat finger fracture, 4.15

NA 4.82

0.61

NA 9.58

090 each. 26770............ ............. A

Treat finger

3.00 4.47 2.60

0.32

7.79 5.92

090 dislocation. 26775............ ............. A

Treat finger

3.69 5.92 3.88

0.52 10.13 8.09

090 dislocation. 26776............ ............. A

Pin finger dislocation 4.77

NA 6.27

0.76

NA 11.80

090 26785............ ............. A

Treat finger

4.19

NA 4.85

0.65

NA 9.69

090 dislocation. 26820............ ............. A

Thumb fusion with

8.21

NA 13.77

1.33

NA 23.31

090 graft. 26841............ ............. A

Fusion of thumb....... 7.09

NA 13.67

1.16

NA 21.92

090 26842............ ............. A

Thumb fusion with

8.19

NA 13.85

1.32

NA 23.36

090 graft. 26843............ ............. A

Fusion of hand joint.. 7.57

NA 12.79

1.19

NA 21.55

090 26844............ ............. A

Fusion/graft of hand

8.68

NA 13.82

1.34

NA 23.84

090 joint. 26850............ ............. A

Fusion of knuckle..... 6.93

NA 12.70

1.07

NA 20.70

090 26852............ ............. A

Fusion of knuckle with 8.41

NA 13.41

1.26

NA 23.08

090 graft. 26860............ ............. A

Fusion of finger joint 4.66

NA 11.68

0.72

NA 17.06

090 26861............ ............. A

Fusion of finger jnt,

1.73

NA 0.94

0.26

NA 2.93

ZZZ add-on. 26862............ ............. A

Fusion/graft of finger 7.33

NA 12.89

1.10

NA 21.32

090 joint. 26863............ ............. A

Fuse/graft added joint 3.88

NA 2.14

0.61

NA 6.63

ZZZ 26910............ ............. A

Amputate metacarpal

7.56

NA 11.83

1.08

NA 20.47

090 bone. 26951............ ............. A

Amputation of finger/

4.56

NA 10.74

0.67

NA 15.97

090 thumb. 26952............ ............. A

Amputation of finger/

6.27

NA 12.35

0.89

NA 19.51

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

7.44

NA 7.70

1.10

NA 16.24

090 lesion. 26991............ ............. A

Drainage of pelvis

6.64 7.56 6.00

1.02 15.22 13.66

090 bursa. 26992............ ............. A

Drainage of bone

12.95

NA 11.00

2.10

NA 26.05

090 lesion. 27000............ ............. A

Incision of hip tendon 5.59

NA 5.35

0.91

NA 11.85

090 27001............ ............. A

Incision of hip tendon 6.90

NA 6.21

1.14

NA 14.25

090 27003............ ............. A

Incision of hip tendon 7.30

NA 6.62

1.11

NA 15.03

090 27005............ ............. A

Incision of hip tendon 9.60

NA 7.93

1.63

NA 19.16

090 27006............ ............. A

Incision of hip

9.62

NA 8.08

1.59

NA 19.29

090 tendons. 27025............ ............. A

Incision of hip/thigh 11.10

NA 8.67

1.65

NA 21.42

090 fascia. 27030............ ............. A

Drainage of hip joint. 12.94

NA 9.76

2.17

NA 24.87

090 27033............ ............. A

Exploration of hip

13.31

NA 10.03

2.24

NA 25.58

090 joint. 27035............ ............. A

Denervation of hip

16.59

NA 12.45

2.04

NA 31.08

090 joint. 27036............ ............. A

Excision of hip joint/ 12.81

NA 10.13

2.16

NA 25.10

090 muscle. 27040............ ............. A

Biopsy of soft tissues 2.85 2.65 2.07

0.25

5.75 5.17

010 27041............ ............. A

Biopsy of soft tissues 9.83

NA 6.80

1.21

NA 17.84

090 27047............ ............. A

Remove hip/pelvis

7.41 6.62 5.05

0.95 14.98 13.41

090 lesion. 27048............ ............. A

Remove hip/pelvis

6.21

NA 5.10

0.87

NA 12.18

090 lesion. 27049............ ............. A

Remove tumor, hip/

13.58

NA 8.93

1.92

NA 24.43

090 pelvis. 27050............ ............. A

Biopsy of sacroiliac

4.34

NA 4.52

0.64

NA 9.50

090 joint. 27052............ ............. A

Biopsy of hip joint... 6.19

NA 5.95

1.02

NA 13.16

090 27054............ ............. A

Removal of hip joint

8.49

NA 7.44

1.40

NA 17.33

090 lining. 27060............ ............. A

Removal of ischial

5.40

NA 4.88

0.72

NA 11.00

090 bursa. 27062............ ............. A

Remove femur lesion/

5.34

NA 5.28

0.89

NA 11.51

090 bursa. 27065............ ............. A

Removal of hip bone

5.87

NA 5.60

0.91

NA 12.38

090 lesion. 27066............ ............. A

Removal of hip bone

10.27

NA 8.59

1.70

NA 20.56

090 lesion. 27067............ ............. A

Remove/graft hip bone 13.75

NA 10.79

2.34

NA 26.88

090 lesion. 27070............ ............. A

Partial removal of hip 10.66

NA 9.88

1.63

NA 22.17

090 bone. 27071............ ............. A

Partial removal of hip 11.39

NA 10.86

1.81

NA 24.06

090 bone. 27075............ ............. A

Extensive hip surgery. 34.80

NA 19.89

2.66

NA 57.35

090 27076............ ............. A

Extensive hip surgery. 21.99

NA 14.93

3.43

NA 40.35

090 27077............ ............. A

Extensive hip surgery. 39.77

NA 23.36

3.81

NA 66.94

090 27078............ ............. A

Extensive hip surgery. 13.36

NA 10.54

2.00

NA 25.90

090 27079............ ............. A

Extensive hip surgery. 13.67

NA 10.20

2.23

NA 26.10

090 27080............ ............. A

Removal of tail bone.. 6.35

NA 5.14

0.96

NA 12.45

090 27086............ ............. A

Remove hip foreign

1.86 2.03 1.89

0.20

4.09 3.95

010 body. 27087............ ............. A

Remove hip foreign

8.49

NA 6.79

1.31

NA 16.59

090 body. 27090............ ............. A

Removal of hip

11.09

NA 8.74

1.86

NA 21.69

090 prosthesis. 27091............ ............. A

Removal of hip

22.01

NA 14.02

3.73

NA 39.76

090 prosthesis. 27093............ ............. A

Injection for hip x-

1.29 12.36 0.49

0.11 13.76 1.89

000 ray. 27095............ ............. A

Injection for hip x-

1.49 10.91 0.53

0.12 12.52 2.14

000 ray. 27096............ ............. A

Inject sacroiliac

1.39 9.63 0.34

0.10 11.12 1.83

000 joint. 27097............ ............. A

Revision of hip tendon 8.75

NA 6.56

1.46

NA 16.77

090 27098............ ............. A

Transfer tendon to

8.78

NA 7.16

1.49

NA 17.43

090 pelvis. 27100............ ............. A

Transfer of abdominal 11.02

NA 8.83

1.88

NA 21.73

090 muscle. 27105............ ............. A

Transfer of spinal

11.70

NA 9.31

1.99

NA 23.00

090 muscle. 27110............ ............. A

Transfer of iliopsoas 13.18

NA 9.54

1.65

NA 24.37

090 muscle. 27111............ ............. A

Transfer of iliopsoas 12.08

NA 9.28

1.77

NA 23.13

090 muscle. 27120............ ............. A

Reconstruction of hip 17.91

NA 11.87

2.94

NA 32.72

090 socket. 27122............ ............. A

Reconstruction of hip 14.89

NA 11.02

2.49

NA 28.40

090 socket. 27125............ ............. A

Partial hip

14.61

NA 10.60

2.46

NA 27.67

090 replacement. 27130............ ............. A

Total hip arthroplasty 20.01

NA 13.35

3.38

NA 36.74

090 27132............ ............. A

Total hip arthroplasty 23.17

NA 15.65

3.91

NA 42.73

090

[[Page 63281]]

27134............ ............. A

Revise hip joint

28.36

NA 17.88

4.76

NA 51.00

090 replacement. 27137............ ............. A

Revise hip joint

21.05

NA 13.96

3.56

NA 38.57

090 replacement. 27138............ ............. A

Revise hip joint

22.04

NA 14.44

3.73

NA 40.21

090 replacement. 27140............ ............. A

Transplant femur ridge 12.17

NA 9.52

2.00

NA 23.69

090 27146............ ............. A

Incision of hip bone.. 17.33

NA 12.38

2.72

NA 32.43

090 27147............ ............. A

Revision of hip bone.. 20.46

NA 13.49

3.13

NA 37.08

090 27151............ ............. A

Incision of hip bones. 22.38

NA 8.38

3.74

NA 34.50

090 27156............ ............. A

Revision of hip bones. 24.49

NA 16.27

4.17

NA 44.93

090 27158............ ............. A

Revision of pelvis.... 19.63

NA 11.37

3.12

NA 34.12

090 27161............ ............. A

Incision of neck of

16.61

NA 12.21

2.78

NA 31.60

090 femur. 27165............ ............. A

Incision/fixation of

17.81

NA 12.99

3.01

NA 33.81

090 femur. 27170............ ............. A

Repair/graft femur

15.98

NA 11.42

2.64

NA 30.04

090 head/neck. 27175............ ............. A

Treat slipped

8.41

NA 6.65

1.43

NA 16.49

090 epiphysis. 27176............ ............. A

Treat slipped

11.98

NA 9.09

2.01

NA 23.08

090 epiphysis. 27177............ ............. A

Treat slipped

14.99

NA 10.95

2.53

NA 28.47

090 epiphysis. 27178............ ............. A

Treat slipped

11.92

NA 8.51

2.01

NA 22.44

090 epiphysis. 27179............ ............. A

Revise head/neck of

12.91

NA 10.02

2.21

NA 25.14

090 femur. 27181............ ............. A

Treat slipped

14.60

NA 10.26

2.09

NA 26.95

090 epiphysis. 27185............ ............. A

Revision of femur

9.13

NA 7.66

1.55

NA 18.34

090 epiphysis. 27187............ ............. A

Reinforce hip bones... 13.46

NA 10.44

2.27

NA 26.17

090 27193............ ............. A

Treat pelvic ring

5.53 7.18 5.80

0.92 13.63 12.25

090 fracture. 27194............ ............. A

Treat pelvic ring

9.59 8.86 7.58

1.58 20.03 18.75

090 fracture. 27200............ ............. A

Treat tail bone

1.83 3.08 2.21

0.26

5.17 4.30

090 fracture. 27202............ ............. A

Treat tail bone

7.00

NA 17.89

0.83

NA 25.72

090 fracture. 27215............ ............. A

Treat pelvic

9.99

NA 7.25

1.64

NA 18.88

090 fracture(s). 27216............ ............. A

Treat pelvic ring

15.10

NA 9.84

2.58

NA 27.52

090 fracture. 27217............ ............. A

Treat pelvic ring

14.03

NA 10.27

2.34

NA 26.64

090 fracture. 27218............ ............. A

Treat pelvic ring

20.04

NA 11.64

3.42

NA 35.10

090 fracture. 27220............ ............. A

Treat hip socket

6.14 7.13 5.57

1.02 14.29 12.73

090 fracture. 27222............ ............. A

Treat hip socket

12.63

NA 9.98

2.12

NA 24.73

090 fracture. 27226............ ............. A

Treat hip wall

14.83

NA 8.05

2.48

NA 25.36

090 fracture. 27227............ ............. A

Treat hip fracture(s). 23.32

NA 15.52

3.88

NA 42.72

090 27228............ ............. A

Treat hip fracture(s). 27.01

NA 17.76

4.52

NA 49.29

090 27230............ ............. A

Treat thigh fracture.. 5.47 6.59 5.11

0.87 12.93 11.45

090 27232............ ............. A

Treat thigh fracture.. 10.62

NA 7.26

1.74

NA 19.62

090 27235............ ............. A

Treat thigh fracture.. 12.09

NA 9.50

2.05

NA 23.64

090 27236............ ............. A

Treat thigh fracture.. 15.51

NA 11.05

2.61

NA 29.17

090 27238............ ............. A

Treat thigh fracture.. 5.49

NA 5.15

0.91

NA 11.55

090 27240............ ............. A

Treat thigh fracture.. 12.43

NA 9.47

2.03

NA 23.93

090 27244............ ............. A

Treat thigh fracture.. 15.85

NA 11.37

2.67

NA 29.89

090 27245............ ............. A

Treat thigh fracture.. 20.19

NA 13.84

3.42

NA 37.45

090 27246............ ............. A

Treat thigh fracture.. 4.68 5.73 4.47

0.79 11.20 9.94

090 27248............ ............. A

Treat thigh fracture.. 10.39

NA 8.28

1.74

NA 20.41

090 27250............ ............. A

Treat hip dislocation. 6.91

NA 4.84

0.82

NA 12.57

090 27252............ ............. A

Treat hip dislocation. 10.33

NA 7.47

1.64

NA 19.44

090 27253............ ............. A

Treat hip dislocation. 12.85

NA 9.82

2.17

NA 24.84

090 27254............ ............. A

Treat hip dislocation. 18.16

NA 12.16

3.02

NA 33.34

090 27256............ ............. A

Treat hip dislocation. 4.10 3.47 2.11

0.59

8.16 6.80

010 27257............ ............. A

Treat hip dislocation. 5.19

NA 2.92

0.67

NA 8.78

010 27258............ ............. A

Treat hip dislocation. 15.34

NA 11.03

2.47

NA 28.84

090 27259............ ............. A

Treat hip dislocation. 21.43

NA 14.27

3.58

NA 39.28

090 27265............ ............. A

Treat hip dislocation. 5.02

NA 4.81

0.78

NA 10.61

090 27266............ ............. A

Treat hip dislocation. 7.45

NA 6.33

1.25

NA 15.03

090 27275............ ............. A

Manipulation of hip

2.26

NA 2.15

0.37

NA 4.78

010 joint. 27280............ ............. A

Fusion of sacroiliac

13.31

NA 10.41

2.37

NA 26.09

090 joint. 27282............ ............. A

Fusion of pubic bones. 11.28

NA 8.33

1.37

NA 20.98

090 27284............ ............. A

Fusion of hip joint... 23.32

NA 14.99

2.83

NA 41.14

090 27286............ ............. A

Fusion of hip joint... 23.32

NA 15.98

2.84

NA 42.14

090 27290............ ............. A

Amputation of leg at

23.15

NA 14.32

3.52

NA 40.99

090 hip. 27295............ ............. A

Amputation of leg at

18.54

NA 11.65

2.82

NA 33.01

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

6.45 7.42 5.91

0.96 14.83 13.32

090 lesion. 27303............ ............. A

Drainage of bone

8.23

NA 7.32

1.37

NA 16.92

090 lesion. 27305............ ............. A

Incise thigh tendon &

5.89

NA 5.40

0.92

NA 12.21

090 fascia. 27306............ ............. A

Incision of thigh

4.59

NA 4.85

0.74

NA 10.18

090 tendon. 27307............ ............. A

Incision of thigh

5.77

NA 5.58

0.93

NA 12.28

090 tendons. 27310............ ............. A

Exploration of knee

9.22

NA 7.62

1.55

NA 18.39

090 joint. 27315............ ............. A

Partial removal, thigh 6.93

NA 4.88

0.95

NA 12.76

090 nerve. 27320............ ............. A

Partial removal, thigh 6.26

NA 5.18

0.93

NA 12.37

090 nerve. 27323............ ............. A

Biopsy, thigh soft

2.27 2.22 1.94

0.20

4.69 4.41

010 tissues. 27324............ ............. A

Biopsy, thigh soft

4.87

NA 4.40

0.71

NA 9.98

090 tissues. 27327............ ............. A

Removal of thigh

4.44 5.40 3.95

0.60 10.44 8.99

090 lesion. 27328............ ............. A

Removal of thigh

5.54

NA 4.61

0.79

NA 10.94

090 lesion. 27329............ ............. A

Remove tumor, thigh/

14.06

NA 9.62

2.01

NA 25.69

090 knee. 27330............ ............. A

Biopsy, knee joint

4.94

NA 4.69

0.79

NA 10.42

090 lining.

[[Page 63282]]

27331............ ............. A

Explore/treat knee

5.85

NA 5.57

0.97

NA 12.39

090 joint. 27332............ ............. A

Removal of knee

8.22

NA 7.14

1.38

NA 16.74

090 cartilage. 27333............ ............. A

Removal of knee

7.26

NA 6.68

1.23

NA 15.17

090 cartilage. 27334............ ............. A

Remove knee joint

8.65

NA 7.46

1.45

NA 17.56

090 lining. 27335............ ............. A

Remove knee joint

9.94

NA 8.27

1.69

NA 19.90

090 lining. 27340............ ............. A

Removal of kneecap

4.16

NA 4.57

0.70

NA 9.43

090 bursa. 27345............ ............. A

Removal of knee cyst.. 5.89

NA 5.66

0.97

NA 12.52

090 27347............ ............. A

Remove knee cyst...... 5.75

NA 5.48

0.91

NA 12.14

090 27350............ ............. A

Removal of kneecap.... 8.12

NA 7.26

1.38

NA 16.76

090 27355............ ............. A

Remove femur lesion... 7.61

NA 6.88

1.28

NA 15.77

090 27356............ ............. A

Remove femur lesion/

9.43

NA 7.97

1.55

NA 18.95

090 graft. 27357............ ............. A

Remove femur lesion/

10.47

NA 8.80

1.77

NA 21.04

090 graft. 27358............ ............. A

Remove femur lesion/

4.71

NA 2.56

0.80

NA 8.07

ZZZ fixation. 27360............ ............. A

Partial removal, leg

10.44

NA 10.04

1.70

NA 22.18

090 bone(s). 27365............ ............. A

Extensive leg surgery. 16.18

NA 11.80

2.71

NA 30.69

090 27370............ ............. A

Injection for knee x-

0.95 12.16 0.33

0.07 13.18 1.35

000 ray. 27372............ ............. A

Removal of foreign

5.04 6.08 4.73

0.74 11.86 10.51

090 body. 27380............ ............. A

Repair of kneecap

7.12

NA 7.33

1.20

NA 15.65

090 tendon. 27381............ ............. A

Repair/graft kneecap

10.28

NA 9.14

1.73

NA 21.15

090 tendon. 27385............ ............. A

Repair of thigh muscle 7.72

NA 7.67

1.31

NA 16.70

090 27386............ ............. A

Repair/graft of thigh 10.50

NA 9.57

1.79

NA 21.86

090 muscle. 27390............ ............. A

Incision of thigh

5.30

NA 5.31

0.83

NA 11.44

090 tendon. 27391............ ............. A

Incision of thigh

7.16

NA 6.70

1.19

NA 15.05

090 tendons. 27392............ ............. A

Incision of thigh

9.15

NA 7.80

1.47

NA 18.42

090 tendons. 27393............ ............. A

Lengthening of thigh

6.35

NA 5.91

1.08

NA 13.34

090 tendon. 27394............ ............. A

Lengthening of thigh

8.45

NA 7.35

1.40

NA 17.20

090 tendons. 27395............ ............. A

Lengthening of thigh

11.66

NA 9.49

1.95

NA 23.10

090 tendons. 27396............ ............. A

Transplant of thigh

7.82

NA 7.13

1.33

NA 16.28

090 tendon. 27397............ ............. A

Transplants of thigh

11.22

NA 9.14

1.89

NA 22.25

090 tendons. 27400............ ............. A

Revise thigh muscles/

8.97

NA 7.42

1.41

NA 17.80

090 tendons. 27403............ ............. A

Repair of knee

8.28

NA 7.22

1.39

NA 16.89

090 cartilage. 27405............ ............. A

Repair of knee

8.60

NA 7.54

1.45

NA 17.59

090 ligament. 27407............ ............. A

Repair of knee

10.22

NA 8.39

1.65

NA 20.26

090 ligament. 27409............ ............. A

Repair of knee

12.83

NA 10.01

2.10

NA 24.94

090 ligaments. 27418............ ............. A

Repair degenerated

10.79

NA 8.95

1.81

NA 21.55

090 kneecap. 27420............ ............. A

Revision of unstable

9.77

NA 8.15

1.65

NA 19.57

090 kneecap. 27422............ ............. A

Revision of unstable

9.72

NA 8.16

1.64

NA 19.52

090 kneecap. 27424............ ............. A

Revision/removal of

9.75

NA 8.13

1.65

NA 19.53

090 kneecap. 27425............ ............. A

Lat retinacular

5.19

NA 5.55

0.87

NA 11.61

090 release open. 27427............ ............. A

Reconstruction, knee.. 9.31

NA 7.82

1.55

NA 18.68

090 27428............ ............. A

Reconstruction, knee.. 13.92

NA 11.21

2.34

NA 27.47

090 27429............ ............. A

Reconstruction, knee.. 15.43

NA 12.47

2.61

NA 30.51

090 27430............ ............. A

Revision of thigh

9.61

NA 8.05

1.62

NA 19.28

090 muscles. 27435............ ............. A

Incision of knee joint 9.44

NA 8.45

1.59

NA 19.48

090 27437............ ............. A

Revise kneecap........ 8.41

NA 7.19

1.41

NA 17.01

090 27438............ ............. A

Revise kneecap with

11.17

NA 8.51

1.87

NA 21.55

090 implant. 27440............ ............. A

Revision of knee joint 10.37

NA 6.08

1.70

NA 18.15

090 27441............ ............. A

Revision of knee joint 10.76

NA 6.76

1.79

NA 19.31

090 27442............ ............. A

Revision of knee joint 11.82

NA 8.90

2.01

NA 22.73

090 27443............ ............. A

Revision of knee joint 10.87

NA 8.67

1.82

NA 21.36

090 27445............ ............. A

Revision of knee joint 17.58

NA 12.35

2.98

NA 32.91

090 27446............ ............. A

Revision of knee joint 15.75

NA 11.26

2.66

NA 29.67

090 27447............ ............. A

Total knee

21.36

NA 14.61

3.60

NA 39.57

090 arthroplasty. 27448............ ............. A

Incision of thigh..... 11.00

NA 8.74

1.81

NA 21.55

090 27450............ ............. A

Incision of thigh..... 13.90

NA 10.71

2.35

NA 26.96

090 27454............ ............. A

Realignment of thigh

17.46

NA 12.62

2.95

NA 33.03

090 bone. 27455............ ............. A

Realignment of knee... 12.75

NA 9.96

2.13

NA 24.84

090 27457............ ............. A

Realignment of knee... 13.37

NA 10.01

2.25

NA 25.63

090 27465............ ............. A

Shortening of thigh

13.79

NA 10.45

2.23

NA 26.47

090 bone. 27466............ ............. A

Lengthening of thigh

16.24

NA 12.00

2.30

NA 30.54

090 bone. 27468............ ............. A

Shorten/lengthen

18.86

NA 12.58

3.21

NA 34.65

090 thighs. 27470............ ............. A

Repair of thigh....... 15.98

NA 11.96

2.68

NA 30.62

090 27472............ ............. A

Repair/graft of thigh. 17.62

NA 12.86

2.98

NA 33.46

090 27475............ ............. A

Surgery to stop leg

8.59

NA 7.30

1.35

NA 17.24

090 growth. 27477............ ............. A

Surgery to stop leg

9.79

NA 7.82

1.57

NA 19.18

090 growth. 27479............ ............. A

Surgery to stop leg

12.73

NA 9.96

2.17

NA 24.86

090 growth. 27485............ ............. A

Surgery to stop leg

8.79

NA 7.46

1.49

NA 17.74

090 growth. 27486............ ............. A

Revise/replace knee

19.16

NA 13.48

3.24

NA 35.88

090 joint. 27487............ ............. A

Revise/replace knee

25.13

NA 16.59

4.24

NA 45.96

090 joint. 27488............ ............. A

Removal of knee

15.65

NA 11.66

2.65

NA 29.96

090 prosthesis. 27495............ ............. A

Reinforce thigh....... 15.46

NA 11.59

2.61

NA 29.66

090 27496............ ............. A

Decompression of thigh/ 6.08

NA 5.77

0.92

NA 12.77

090 knee. 27497............ ............. A

Decompression of thigh/ 7.13

NA 5.71

1.01

NA 13.85

090 knee. 27498............ ............. A

Decompression of thigh/ 7.94

NA 6.13

1.16

NA 15.23

090 knee. 27499............ ............. A

Decompression of thigh/ 8.95

NA 7.06

1.41

NA 17.42

090 knee.

[[Page 63283]]

27500............ ............. A

Treatment of thigh

5.89 7.09 5.05

0.96 13.94 11.90

090 fracture. 27501............ ............. A

Treatment of thigh

5.89 7.65 5.73

0.99 14.53 12.61

090 fracture. 27502............ ............. A

Treatment of thigh

10.52

NA 8.20

1.79

NA 20.51

090 fracture. 27503............ ............. A

Treatment of thigh

10.52

NA 8.35

1.79

NA 20.66

090 fracture. 27506............ ............. A

Treatment of thigh

17.35

NA 12.84

2.79

NA 32.98

090 fracture. 27507............ ............. A

Treatment of thigh

13.91

NA 9.98

2.34

NA 26.23

090 fracture. 27508............ ............. A

Treatment of thigh

5.80 7.05 5.38

0.96 13.81 12.14

090 fracture. 27509............ ............. A

Treatment of thigh

7.67

NA 7.99

1.29

NA 16.95

090 fracture. 27510............ ............. A

Treatment of thigh

9.08

NA 7.25

1.51

NA 17.84

090 fracture. 27511............ ............. A

Treatment of thigh

13.56

NA 11.31

2.29

NA 27.16

090 fracture. 27513............ ............. A

Treatment of thigh

17.82

NA 13.97

3.01

NA 34.80

090 fracture. 27514............ ............. A

Treatment of thigh

17.20

NA 13.44

2.89

NA 33.53

090 fracture. 27516............ ............. A

Treat thigh fx growth

5.34 7.35 5.44

0.89 13.58 11.67

090 plate. 27517............ ............. A

Treat thigh fx growth

8.73 8.99 7.42

1.46 19.18 17.61

090 plate. 27519............ ............. A

Treat thigh fx growth 14.93

NA 11.75

2.51

NA 29.19

090 plate. 27520............ ............. A

Treat kneecap fracture 2.84 5.29 3.46

0.46

8.59 6.76

090 27524............ ............. A

Treat kneecap fracture 9.94

NA 8.23

1.68

NA 19.85

090 27530............ ............. A

Treat knee fracture... 3.76 5.95 4.32

0.61 10.32 8.69

090 27532............ ............. A

Treat knee fracture... 7.26 7.90 6.32

1.22 16.38 14.80

090 27535............ ............. A

Treat knee fracture... 11.43

NA 10.20

1.93

NA 23.56

090 27536............ ............. A

Treat knee fracture... 15.56

NA 11.60

2.62

NA 29.78

090 27538............ ............. A

Treat knee fracture(s) 4.84 7.14 5.14

0.80 12.78 10.78

090 27540............ ............. A

Treat knee fracture... 13.03

NA 9.57

2.16

NA 24.76

090 27550............ ............. A

Treat knee dislocation 5.73 6.66 4.99

0.82 13.21 11.54

090 27552............ ............. A

Treat knee dislocation 7.85

NA 6.94

1.32

NA 16.11

090 27556............ ............. A

Treat knee dislocation 14.33

NA 11.78

2.41

NA 28.52

090 27557............ ............. A

Treat knee dislocation 16.67

NA 13.26

2.84

NA 32.77

090 27558............ ............. A

Treat knee dislocation 17.62

NA 13.22

3.01

NA 33.85

090 27560............ ............. A

Treat kneecap

3.80 5.65 3.35

0.48

9.93 7.63

090 dislocation. 27562............ ............. A

Treat kneecap

5.76

NA 4.85

0.83

NA 11.44

090 dislocation. 27566............ ............. A

Treat kneecap

12.16

NA 9.35

2.07

NA 23.58

090 dislocation. 27570............ ............. A

Fixation of knee joint 1.73

NA 1.83

0.29

NA 3.85

010 27580............ ............. A

Fusion of knee........ 19.26

NA 14.91

3.24

NA 37.41

090 27590............ ............. A

Amputate leg at thigh. 11.96

NA 7.14

1.62

NA 20.72

090 27591............ ............. A

Amputate leg at thigh. 12.61

NA 8.95

1.95

NA 23.51

090 27592............ ............. A

Amputate leg at thigh. 9.96

NA 6.64

1.40

NA 18.00

090 27594............ ............. A

Amputation follow-up

6.88

NA 5.48

0.98

NA 13.34

090 surgery. 27596............ ............. A

Amputation follow-up

10.54

NA 7.28

1.49

NA 19.31

090 surgery. 27598............ ............. A

Amputate lower leg at 10.47

NA 7.38

1.49

NA 19.34

090 knee. 27599............ ............. C

Leg surgery procedure. 0.00 0.00 0.00

0.00

0.00 0.00

YYY 27600............ ............. A

Decompression of lower 5.62

NA 4.72

0.82

NA 11.16

090 leg. 27601............ ............. A

Decompression of lower 5.61

NA 5.05

0.83

NA 11.49

090 leg. 27602............ ............. A

Decompression of lower 7.31

NA 5.34

1.02

NA 13.67

090 leg. 27603............ ............. A

Drain lower leg lesion 4.91 10.78 4.88

0.67 16.36 10.46

090 27604............ ............. A

Drain lower leg bursa. 4.44 8.71 4.57

0.65 13.80 9.66

090 27605............ ............. A

Incision of achilles

2.85 8.89 2.36

0.46 12.20 5.67

010 tendon. 27606............ ............. A

Incision of achilles

4.12 10.17 3.44

0.68 14.97 8.24

010 tendon. 27607............ ............. A

Treat lower leg bone

7.92

NA 6.65

1.29

NA 15.86

090 lesion. 27610............ ............. A

Explore/treat ankle

8.29

NA 7.13

1.38

NA 16.80

090 joint. 27612............ ............. A

Exploration of ankle

7.29

NA 6.18

1.21

NA 14.68

090 joint. 27613............ ............. A

Biopsy lower leg soft

2.16 3.81 1.78

0.19

6.16 4.13

010 tissue. 27614............ ............. A

Biopsy lower leg soft

5.63 8.89 4.67

0.74 15.26 11.04

090 tissue. 27615............ ............. A

Remove tumor, lower

12.49

NA 10.68

1.67

NA 24.84

090 leg. 27618............ ............. A

Remove lower leg

5.06 9.20 4.26

0.65 14.91 9.97

090 lesion. 27619............ ............. A

Remove lower leg

8.35 10.73 6.23

1.21 20.29 15.79

090 lesion. 27620............ ............. A

Explore/treat ankle

5.95

NA 5.55

0.99

NA 12.49

090 joint. 27625............ ............. A

Remove ankle joint

8.25

NA 6.61

1.39

NA 16.25

090 lining. 27626............ ............. A

Remove ankle joint

8.86

NA 7.08

1.47

NA 17.41

090 lining. 27630............ ............. A

Removal of tendon

4.77 9.12 4.51

0.72 14.61 10.00

090 lesion. 27635............ ............. A

Remove lower leg bone

7.74

NA 6.92

1.27

NA 15.93

090 lesion. 27637............ ............. A

Remove/graft leg bone

9.79

NA 8.43

1.65

NA 19.87

090 lesion. 27638............ ............. A

Remove/graft leg bone 10.51

NA 8.48

1.76

NA 20.75

090 lesion. 27640............ ............. A

Partial removal of

11.31

NA 10.93

1.85

NA 24.09

090 tibia. 27641............ ............. A

Partial removal of

9.19

NA 8.92

1.46

NA 19.57

090 fibula. 27645............ ............. A

Extensive lower leg

14.09

NA 12.47

2.37

NA 28.93

090 surgery. 27646............ ............. A

Extensive lower leg

12.59

NA 11.45

1.86

NA 25.90

090 surgery. 27647............ ............. A

Extensive ankle/heel

12.17

NA 7.91

1.97

NA 22.05

090 surgery. 27648............ ............. A

Injection for ankle x- 0.95 9.54 0.33

0.06 10.55 1.34

000 ray. 27650............ ............. A

Repair achilles tendon 9.63

NA 7.59

1.62

NA 18.84

090 27652............ ............. A

Repair/graft achilles 10.27

NA 8.10

1.74

NA 20.11

090 tendon. 27654............ ............. A

Repair of achilles

9.96

NA 7.30

1.69

NA 18.95

090 tendon. 27656............ ............. A

Repair leg fascia

4.54 10.07 4.04

0.58 15.19 9.16

090 defect. 27658............ ............. A

Repair of leg tendon,

4.95 9.29 4.82

0.82 15.06 10.59

090 each. 27659............ ............. A

Repair of leg tendon,

6.77 11.42 5.85

1.15 19.34 13.77

090 each. 27664............ ............. A

Repair of leg tendon,

4.56 11.39 4.79

0.76 16.71 10.11

090 each.

[[Page 63284]]

27665............ ............. A

Repair of leg tendon,

5.37 11.17 5.24

0.90 17.44 11.51

090 each. 27675............ ............. A

Repair lower leg

7.14

NA 5.85

1.21

NA 14.20

090 tendons. 27676............ ............. A

Repair lower leg

8.37

NA 6.85

1.38

NA 16.60

090 tendons. 27680............ ............. A

Release of lower leg

5.71

NA 5.25

0.96

NA 11.92

090 tendon. 27681............ ............. A

Release of lower leg

6.78

NA 6.02

1.10

NA 13.90

090 tendons. 27685............ ............. A

Revision of lower leg

6.46 8.21 5.57

1.09 15.76 13.12

090 tendon. 27686............ ............. A

Revise lower leg

7.42 12.67 6.66

1.26 21.35 15.34

090 tendons. 27687............ ............. A

Revision of calf

6.20

NA 5.48

1.05

NA 12.73

090 tendon. 27690............ ............. A

Revise lower leg

8.66

NA 6.52

1.46

NA 16.64

090 tendon. 27691............ ............. A

Revise lower leg

9.90

NA 7.90

1.68

NA 19.48

090 tendon. 27692............ ............. A

Revise additional leg

1.86

NA 0.94

0.31

NA 3.11

ZZZ tendon. 27695............ ............. A

Repair of ankle

6.47

NA 5.98

1.08

NA 13.53

090 ligament. 27696............ ............. A

Repair of ankle

8.22

NA 6.57

1.39

NA 16.18

090 ligaments. 27698............ ............. A

Repair of ankle

9.31

NA 7.06

1.57

NA 17.94

090 ligament. 27700............ ............. A

Revision of ankle

9.24

NA 5.69

1.49

NA 16.42

090 joint. 27702............ ............. A

Reconstruct ankle

13.59

NA 10.43

2.30

NA 26.32

090 joint. 27703............ ............. A

Reconstruction, ankle 15.78

NA 11.20

2.68

NA 29.66

090 joint. 27704............ ............. A

Removal of ankle

7.58

NA 5.61

0.73

NA 13.92

090 implant. 27705............ ............. A

Incision of tibia..... 10.32

NA 8.33

1.73

NA 20.38

090 27707............ ............. A

Incision of fibula.... 4.35

NA 5.07

0.72

NA 10.14

090 27709............ ............. A

Incision of tibia &

9.89

NA 8.25

1.67

NA 19.81

090 fibula. 27712............ ............. A

Realignment of lower

14.17

NA 10.84

2.40

NA 27.41

090 leg. 27715............ ............. A

Revision of lower leg. 14.31

NA 10.95

2.40

NA 27.66

090 27720............ ............. A

Repair of tibia....... 11.72

NA 9.56

1.99

NA 23.27

090 27722............ ............. A

Repair/graft of tibia. 11.75

NA 9.32

1.98

NA 23.05

090 27724............ ............. A

Repair/graft of tibia. 18.10

NA 12.58

2.52

NA 33.20

090 27725............ ............. A

Repair of lower leg... 15.50

NA 12.01

2.64

NA 30.15

090 27727............ ............. A

Repair of lower leg... 13.93

NA 10.52

2.21

NA 26.66

090 27730............ ............. A

Repair of tibia

7.37 17.94 6.52

0.90 26.21 14.79

090 epiphysis. 27732............ ............. A

Repair of fibula

5.29 11.72 5.06

0.76 17.77 11.11

090 epiphysis. 27734............ ............. A

Repair lower leg

8.43

NA 6.49

1.02

NA 15.94

090 epiphyses. 27740............ ............. A

Repair of leg

9.25 20.84 8.01

1.57 31.66 18.83

090 epiphyses. 27742............ ............. A

Repair of leg

10.24 12.64 7.34

1.86 24.74 19.44

090 epiphyses. 27745............ ............. A

Reinforce tibia....... 10.01

NA 8.30

1.65

NA 19.96

090 27750............ ............. A

Treatment of tibia

3.17 5.43 3.81

0.52

9.12 7.50

090 fracture. 27752............ ............. A

Treatment of tibia

5.81 7.46 5.55

0.98 14.25 12.34

090 fracture. 27756............ ............. A

Treatment of tibia

6.74

NA 6.60

1.13

NA 14.47

090 fracture. 27758............ ............. A

Treatment of tibia

11.60

NA 9.29

1.82

NA 22.71

090 fracture. 27759............ ............. A

Treatment of tibia

13.68

NA 10.43

2.31

NA 26.42

090 fracture. 27760............ ............. A

Treatment of ankle

2.99 5.31 3.59

0.47

8.77 7.05

090 fracture. 27762............ ............. A

Treatment of ankle

5.22 7.20 5.22

0.85 13.27 11.29

090 fracture. 27766............ ............. A

Treatment of ankle

8.31

NA 7.24

1.40

NA 16.95

090 fracture. 27780............ ............. A

Treatment of fibula

2.63 4.98 3.25

0.40

8.01 6.28

090 fracture. 27781............ ............. A

Treatment of fibula

4.37 6.42 4.54

0.68 11.47 9.59

090 fracture. 27784............ ............. A

Treatment of fibula

7.07

NA 6.53

1.17

NA 14.77

090 fracture. 27786............ ............. A

Treatment of ankle

2.82 5.15 3.37

0.44

8.41 6.63

090 fracture. 27788............ ............. A

Treatment of ankle

4.42 6.54 4.54

0.73 11.69 9.69

090 fracture. 27792............ ............. A

Treatment of ankle

7.62

NA 6.98

1.28

NA 15.88

090 fracture. 27808............ ............. A

Treatment of ankle

2.81 5.76 3.65

0.46

9.03 6.92

090 fracture. 27810............ ............. A

Treatment of ankle

5.10 7.03 5.05

0.85 12.98 11.00

090 fracture. 27814............ ............. A

Treatment of ankle

10.62

NA 8.63

1.80

NA 21.05

090 fracture. 27816............ ............. A

Treatment of ankle

2.87 5.05 3.45

0.44

8.36 6.76

090 fracture. 27818............ ............. A

Treatment of ankle

5.47 7.14 5.10

0.89 13.50 11.46

090 fracture. 27822............ ............. A

Treatment of ankle

10.94

NA 10.75

1.55

NA 23.24

090 fracture. 27823............ ............. A

Treatment of ankle

12.93

NA 11.61

1.98

NA 26.52

090 fracture. 27824............ ............. A

Treat lower leg

2.87 5.63 3.78

0.47

8.97 7.12

090 fracture. 27825............ ............. A

Treat lower leg

6.15 8.28 5.92

1.02 15.45 13.09

090 fracture. 27826............ ............. A

Treat lower leg

8.49

NA 8.96

1.43

NA 18.88

090 fracture. 27827............ ............. A

Treat lower leg

13.98

NA 12.85

2.35

NA 29.18

090 fracture. 27828............ ............. A

Treat lower leg

16.14

NA 14.00

2.72

NA 32.86

090 fracture. 27829............ ............. A

Treat lower leg joint. 5.46

NA 6.85

0.92

NA 13.23

090 27830............ ............. A

Treat lower leg

3.77 5.19 3.88

0.53

9.49 8.18

090 dislocation. 27831............ ............. A

Treat lower leg

4.53

NA 4.50

0.73

NA 9.76

090 dislocation. 27832............ ............. A

Treat lower leg

6.45

NA 6.22

1.09

NA 13.76

090 dislocation. 27840............ ............. A

Treat ankle

4.55

NA 3.95

0.56

NA 9.06

090 dislocation. 27842............ ............. A

Treat ankle

6.17

NA 5.15

0.91

NA 12.23

090 dislocation. 27846............ ............. A

Treat ankle

9.73

NA 8.01

1.63

NA 19.37

090 dislocation. 27848............ ............. A

Treat ankle

11.14

NA 9.81

1.86

NA 22.81

090 dislocation. 27860............ ............. A

Fixation of ankle

2.33

NA 2.03

0.37

NA 4.73

010 joint. 27870............ ............. A

Fusion of ankle joint, 13.83

NA 10.61

2.34

NA 26.78

090 open. 27871............ ............. A

Fusion of tibiofibular 9.12

NA 7.70

1.55

NA 18.37

090 joint. 27880............ ............. A

Amputation of lower

11.78

NA 7.51

1.65

NA 20.94

090 leg. 27881............ ............. A

Amputation of lower

12.27

NA 9.09

1.91

NA 23.27

090 leg. 27882............ ............. A

Amputation of lower

8.89

NA 7.00

1.23

NA 17.12

090 leg. 27884............ ............. A

Amputation follow-up

8.16

NA 6.13

1.14

NA 15.43

090 surgery.

[[Page 63285]]

27886............ ............. A

Amputation follow-up

9.27

NA 6.88

1.35

NA 17.50

090 surgery. 27888............ ............. A

Amputation of foot at

9.61

NA 7.67

1.51

NA 18.79

090 ankle. 27889............ ............. A

Amputation of foot at

9.92

NA 6.79

1.43

NA 18.14

090 ankle. 27892............ ............. A

Decompression of leg.. 7.35

NA 5.89

1.03

NA 14.27

090 27893............ ............. A

Decompression of leg.. 7.31

NA 5.80

1.08

NA 14.19

090 27894............ ............. A

Decompression of leg.. 10.43

NA 7.99

1.50

NA 19.92

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

2.71 5.88 3.54

0.37

8.96 6.62

010 foot. 28002............ ............. A

Treatment of foot

4.59 7.30 4.68

0.67 12.56 9.94

010 infection. 28003............ ............. A

Treatment of foot

8.36 7.75 6.10

1.23 17.34 15.69

090 infection. 28005............ ............. A

Treat foot bone lesion 8.63

NA 6.43

1.37

NA 16.43

090 28008............ ............. A

Incision of foot

4.42 5.75 3.59

0.67 10.84 8.68

090 fascia. 28010............ ............. A

Incision of toe tendon 2.82 5.59 2.94

0.47

8.88 6.23

090 28011............ ............. A

Incision of toe

4.12 7.50 4.29

0.70 12.32 9.11

090 tendons. 28020............ ............. A

Exploration of foot

4.98 7.14 4.25

0.77 12.89 10.00

090 joint. 28022............ ............. A

Exploration of foot

4.64 6.16 3.97

0.74 11.54 9.35

090 joint. 28024............ ............. A

Exploration of toe

4.36 6.26 4.03

0.60 11.22 8.99

090 joint. 28030............ ............. A

Removal of foot nerve. 6.11

NA 3.62

1.02

NA 10.75

090 28035............ ............. A

Decompression of tibia 5.06 5.59 4.07

0.85 11.50 9.98

090 nerve. 28043............ ............. A

Excision of foot

3.52 5.85 3.31

0.54

9.91 7.37

090 lesion. 28045............ ............. A

Excision of foot

4.69 6.19 3.75

0.74 11.62 9.18

090 lesion. 28046............ ............. A

Resection of tumor,

10.12 9.53 7.42

1.35 21.00 18.89

090 foot. 28050............ ............. A

Biopsy of foot joint

4.23 5.84 3.70

0.66 10.73 8.59

090 lining. 28052............ ............. A

Biopsy of foot joint

3.92 6.05 3.60

0.61 10.58 8.13

090 lining. 28054............ ............. A

Biopsy of toe joint

3.43 5.88 3.40

0.54

9.85 7.37

090 lining. 28060............ ............. A

Partial removal, foot

5.20 6.46 4.07

0.83 12.49 10.10

090 fascia. 28062............ ............. A

Removal of foot fascia 6.48 7.21 4.24

1.02 14.71 11.74

090 28070............ ............. A

Removal of foot joint

5.07 6.02 3.93

0.82 11.91 9.82

090 lining. 28072............ ............. A

Removal of foot joint

4.55 6.50 4.37

0.77 11.82 9.69

090 lining. 28080............ ............. A

Removal of foot lesion 3.56 5.99 3.74

0.60 10.15 7.90

090 28086............ ............. A

Excise foot tendon

4.75 9.60 4.74

0.79 15.14 10.28

090 sheath. 28088............ ............. A

Excise foot tendon

3.84 7.13 4.04

0.62 11.59 8.50

090 sheath. 28090............ ............. A

Removal of foot lesion 4.38 6.09 3.59

0.68 11.15 8.65

090 28092............ ............. A

Removal of toe lesions 3.62 6.40 3.65

0.55 10.57 7.82

090 28100............ ............. A

Removal of ankle/heel

5.63 9.33 4.86

0.91 15.87 11.40

090 lesion. 28102............ ............. A

Remove/graft foot

7.69

NA 6.09

1.16

NA 14.94

090 lesion. 28103............ ............. A

Remove/graft foot

6.46 8.50 4.81

1.07 16.03 12.34

090 lesion. 28104............ ............. A

Removal of foot lesion 5.09 6.41 4.09

0.83 12.33 10.01

090 28106............ ............. A

Remove/graft foot

7.12

NA 4.64

1.21

NA 12.97

090 lesion. 28107............ ............. A

Remove/graft foot

5.53 7.33 4.37

0.89 13.75 10.79

090 lesion. 28108............ ............. A

Removal of toe lesions 4.14 5.50 3.38

0.62 10.26 8.14

090 28110............ ............. A

Part removal of

4.06 6.09 3.72

0.59 10.74 8.37

090 metatarsal. 28111............ ............. A

Part removal of

4.98 7.28 4.23

0.76 13.02 9.97

090 metatarsal. 28112............ ............. A

Part removal of

4.46 6.77 4.10

0.72 11.95 9.28

090 metatarsal. 28113............ ............. A

Part removal of

4.76 6.89 4.71

0.76 12.41 10.23

090 metatarsal. 28114............ ............. A

Removal of metatarsal

9.73 12.06 8.60

1.63 23.42 19.96

090 heads. 28116............ ............. A

Revision of foot...... 7.71 7.28 5.28

1.23 16.22 14.22

090 28118............ ............. A

Removal of heel bone.. 5.93 7.20 4.57

0.95 14.08 11.45

090 28119............ ............. A

Removal of heel spur.. 5.36 6.27 3.91

0.89 12.52 10.16

090 28120............ ............. A

Part removal of ankle/ 5.37 8.79 5.12

0.83 14.99 11.32

090 heel. 28122............ ............. A

Partial removal of

7.25 7.98 5.75

1.15 16.38 14.15

090 foot bone. 28124............ ............. A

Partial removal of toe 4.78 6.14 4.10

0.78 11.70 9.66

090 28126............ ............. A

Partial removal of toe 3.50 5.39 3.55

0.59

9.48 7.64

090 28130............ ............. A

Removal of ankle bone. 8.06

NA 6.78

1.33

NA 16.17

090 28140............ ............. A

Removal of metatarsal. 6.87 8.35 5.05

1.01 16.23 12.93

090 28150............ ............. A

Removal of toe........ 4.07 6.04 3.82

0.62 10.73 8.51

090 28153............ ............. A

Partial removal of toe 3.64 5.46 3.11

0.59

9.69 7.34

090 28160............ ............. A

Partial removal of toe 3.72 5.75 3.87

0.61 10.08 8.20

090 28171............ ............. A

Extensive foot surgery 9.55

NA 5.76

1.35

NA 16.66

090 28173............ ............. A

Extensive foot surgery 8.75 8.35 5.70

1.25 18.35 15.70

090 28175............ ............. A

Extensive foot surgery 6.02 6.75 4.13

0.90 13.67 11.05

090 28190............ ............. A

Removal of foot

1.95 6.60 3.55

0.19

8.74 5.69

010 foreign body. 28192............ ............. A

Removal of foot

4.61 6.51 3.76

0.62 11.74 8.99

090 foreign body. 28193............ ............. A

Removal of foot

5.70 6.42 4.16

0.76 12.88 10.62

090 foreign body. 28200............ ............. A

Repair of foot tendon. 4.57 6.00 3.75

0.71 11.28 9.03

090 28202............ ............. A

Repair/graft of foot

6.80 8.17 4.67

1.03 16.00 12.50

090 tendon. 28208............ ............. A

Repair of foot tendon. 4.35 5.79 3.50

0.71 10.85 8.56

090 28210............ ............. A

Repair/graft of foot

6.31 7.20 4.25

0.92 14.43 11.48

090 tendon. 28220............ ............. A

Release of foot tendon 4.50 5.62 3.60

0.76 10.88 8.86

090 28222............ ............. A

Release of foot

5.59 6.01 4.28

0.92 12.52 10.79

090 tendons. 28225............ ............. A

Release of foot tendon 3.64 5.32 3.11

0.60

9.56 7.35

090 28226............ ............. A

Release of foot

4.50 5.67 3.89

0.74 10.91 9.13

090 tendons. 28230............ ............. A

Incision of foot

4.22 5.69 3.84

0.71 10.62 8.77

090 tendon(s). 28232............ ............. A

Incision of toe tendon 3.37 5.73 3.48

0.58

9.68 7.43

090 28234............ ............. A

Incision of foot

3.35 5.89 3.51

0.55

9.79 7.41

090 tendon.

[[Page 63286]]

28238............ ............. A

Revision of foot

7.69 8.06 5.12

1.29 17.04 14.10

090 tendon. 28240............ ............. A

Release of big toe.... 4.34 5.65 3.67

0.73 10.72 8.74

090 28250............ ............. A

Revision of foot

5.89 6.60 4.31

0.97 13.46 11.17

090 fascia. 28260............ ............. A

Release of midfoot

7.91 7.15 5.19

1.29 16.35 14.39

090 joint. 28261............ ............. A

Revision of foot

11.66 9.00 7.41

1.99 22.65 21.06

090 tendon. 28262............ ............. A

Revision of foot and

15.74 14.48 11.56

2.66 32.88 29.96

090 ankle. 28264............ ............. A

Release of midfoot

10.29 8.59 7.90

1.75 20.63 19.94

090 joint. 28270............ ............. A

Release of foot

4.73 5.96 4.24

0.80 11.49 9.77

090 contracture. 28272............ ............. A

Release of toe joint,

3.78 5.20 3.07

0.62

9.60 7.47

090 each. 28280............ ............. A

Fusion of toes........ 5.16 7.33 4.56

0.86 13.35 10.58

090 28285............ ............. A

Repair of hammertoe... 4.56 6.02 3.88

0.77 11.35 9.21

090 28286............ ............. A

Repair of hammertoe... 4.53 5.80 3.71

0.77 11.10 9.01

090 28288............ ............. A

Partial removal of

4.71 6.76 5.36

0.78 12.25 10.85

090 foot bone. 28289............ ............. A

Repair hallux rigidus. 7.00 9.07 6.27

1.15 17.22 14.42

090 28290............ ............. A

Correction of bunion.. 5.63 7.09 5.34

0.95 13.67 11.92

090 28292............ ............. A

Correction of bunion.. 7.00 7.88 5.81

1.17 16.05 13.98

090 28293............ ............. A

Correction of bunion.. 9.10 10.95 6.07

1.53 21.58 16.70

090 28294............ ............. A

Correction of bunion.. 8.51 7.72 5.14

1.39 17.62 15.04

090 28296............ ............. A

Correction of bunion.. 9.13 8.23 5.86

1.53 18.89 16.52

090 28297............ ............. A

Correction of bunion.. 9.13 9.21 6.83

1.57 19.91 17.53

090 28298............ ............. A

Correction of bunion.. 7.89 7.38 5.46

1.34 16.61 14.69

090 28299............ ............. A

Correction of bunion.. 10.52 8.80 6.48

1.49 20.81 18.49

090 28300............ ............. A

Incision of heel bone. 9.49 13.25 7.14

1.57 24.31 18.20

090 28302............ ............. A

Incision of ankle bone 9.50 13.25 7.03

1.38 24.13 17.91

090 28304............ ............. A

Incision of midfoot

9.11 8.25 5.86

1.20 18.56 16.17

090 bones. 28305............ ............. A

Incise/graft midfoot

10.44 11.00 6.88

0.66 22.10 17.98

090 bones. 28306............ ............. A

Incision of metatarsal 5.83 7.27 4.30

0.97 14.07 11.10

090 28307............ ............. A

Incision of metatarsal 6.29 11.70 5.39

0.85 18.84 12.53

090 28308............ ............. A

Incision of metatarsal 5.26 6.13 3.80

0.89 12.28 9.95

090 28309............ ............. A

Incision of

12.71

NA 8.14

1.97

NA 22.82

090 metatarsals. 28310............ ............. A

Revision of big toe... 5.40 6.30 4.00

0.91 12.61 10.31

090 28312............ ............. A

Revision of toe....... 4.52 6.03 4.15

0.74 11.29 9.41

090 28313............ ............. A

Repair deformity of

4.98 6.50 5.51

0.82 12.30 11.31

090 toe. 28315............ ............. A

Removal of sesamoid

4.83 5.88 3.70

0.79 11.50 9.32

090 bone. 28320............ ............. A

Repair of foot bones.. 9.13

NA 6.83

1.52

NA 17.48

090 28322............ ............. A

Repair of metatarsals. 8.29 10.24 6.39

1.40 19.93 16.08

090 28340............ ............. A

Resect enlarged toe

6.94 7.12 4.47

1.17 15.23 12.58

090 tissue. 28341............ ............. A

Resect enlarged toe... 8.36 7.30 5.00

1.41 17.07 14.77

090 28344............ ............. A

Repair extra toe(s)... 4.24 6.85 3.73

0.72 11.81 8.69

090 28345............ ............. A

Repair webbed toe(s).. 5.89 7.07 4.83

1.01 13.97 11.73

090 28360............ ............. A

Reconstruct cleft foot 13.26

NA 10.61

2.25

NA 26.12

090 28400............ ............. A

Treatment of heel

2.15 4.33 3.03

0.35

6.83 5.53

090 fracture. 28405............ ............. A

Treatment of heel

4.54 5.57 4.58

0.76 10.87 9.88

090 fracture. 28406............ ............. A

Treatment of heel

6.27

NA 6.87

1.04

NA 14.18

090 fracture. 28415............ ............. A

Treat heel fracture... 15.88

NA 13.39

2.68

NA 31.95

090 28420............ ............. A

Treat/graft heel

16.55

NA 13.10

2.74

NA 32.39

090 fracture. 28430............ ............. A

Treatment of ankle

2.08 4.12 2.65

0.32

6.52 5.05

090 fracture. 28435............ ............. A

Treatment of ankle

3.38 4.56 3.68

0.56

8.50 7.62

090 fracture. 28436............ ............. A

Treatment of ankle

4.68

NA 5.96

0.79

NA 11.43

090 fracture. 28445............ ............. A

Treat ankle fracture.. 15.53

NA 11.14

1.55

NA 28.22

090 28450............ ............. A

Treat midfoot

1.89 4.12 2.55

0.30

6.31 4.74

090 fracture, each. 28455............ ............. A

Treat midfoot

3.07 4.01 3.45

0.52

7.60 7.04

090 fracture, each. 28456............ ............. A

Treat midfoot fracture 2.66

NA 4.26

0.43

NA 7.35

090 28465............ ............. A

Treat midfoot

6.97

NA 6.44

1.04

NA 14.45

090 fracture, each. 28470............ ............. A

Treat metatarsal

1.98 3.92 2.52

0.31

6.21 4.81

090 fracture. 28475............ ............. A

Treat metatarsal

2.95 4.10 3.22

0.49

7.54 6.66

090 fracture. 28476............ ............. A

Treat metatarsal

3.36

NA 5.05

0.55

NA 8.96

090 fracture. 28485............ ............. A

Treat metatarsal

5.68

NA 5.61

0.96

NA 12.25

090 fracture. 28490............ ............. A

Treat big toe fracture 1.08 2.23 1.77

0.16

3.47 3.01

090 28495............ ............. A

Treat big toe fracture 1.57 2.52 2.10

0.23

4.32 3.90

090 28496............ ............. A

Treat big toe fracture 2.32 9.82 3.67

0.38 12.52 6.37

090 28505............ ............. A

Treat big toe fracture 3.79 9.82 4.75

0.60 14.21 9.14

090 28510............ ............. A

Treatment of toe

1.08 2.00 1.73

0.16

3.24 2.97

090 fracture. 28515............ ............. A

Treatment of toe

1.45 2.36 2.02

0.20

4.01 3.67

090 fracture. 28525............ ............. A

Treat toe fracture.... 3.30 9.41 4.30

0.53 13.24 8.13

090 28530............ ............. A

Treat sesamoid bone

1.05 2.10 1.49

0.16

3.31 2.70

090 fracture. 28531............ ............. A

Treat sesamoid bone

2.34 9.07 2.53

0.40 11.81 5.27

090 fracture. 28540............ ............. A

Treat foot dislocation 2.03 2.90 2.71

0.29

5.22 5.03

090 28545............ ............. A

Treat foot dislocation 2.44 2.89 2.89

0.40

5.73 5.73

090 28546............ ............. A

Treat foot dislocation 3.18 8.02 4.88

0.55 11.75 8.61

090 28555............ ............. A

Repair foot

6.26 11.64 6.62

1.05 18.95 13.93

090 dislocation. 28570............ ............. A

Treat foot dislocation 1.65 2.92 2.31

0.26

4.83 4.22

090 28575............ ............. A

Treat foot dislocation 3.29 4.43 4.08

0.54

8.26 7.91

090 28576............ ............. A

Treat foot dislocation 4.15 10.33 5.57

0.67 15.15 10.39

090 28585............ ............. A

Repair foot

7.94 8.23 6.61

1.35 17.52 15.90

090 dislocation.

[[Page 63287]]

28600............ ............. A

Treat foot dislocation 1.88 3.32 2.70

0.29

5.49 4.87

090 28605............ ............. A

Treat foot dislocation 2.69 3.79 3.65

0.42

6.90 6.76

090 28606............ ............. A

Treat foot dislocation 4.87 16.21 6.07

0.82 21.90 11.76

090 28615............ ............. A

Repair foot

7.73

NA 8.08

1.31

NA 17.12

090 dislocation. 28630............ ............. A

Treat toe dislocation. 1.69 1.24 1.14

0.20

3.13 3.03

010 28635............ ............. A

Treat toe dislocation. 1.90 1.68 1.51

0.29

3.87 3.70

010 28636............ ............. A

Treat toe dislocation. 2.75 6.22 3.10

0.47

9.44 6.32

010 28645............ ............. A

Repair toe dislocation 4.20 5.73 3.54

0.70 10.63 8.44

090 28660............ ............. A

Treat toe dislocation. 1.22 1.63 1.19

0.13

2.98 2.54

010 28665............ ............. A

Treat toe dislocation. 1.91 1.67 1.65

0.29

3.87 3.85

010 28666............ ............. A

Treat toe dislocation. 2.64 6.07 2.26

0.46

9.17 5.36

010 28675............ ............. A

Repair of toe

2.90 8.92 3.81

0.49 12.31 7.20

090 dislocation. 28705............ ............. A

Fusion of foot bones.. 18.69

NA 12.56

2.55

NA 33.80

090 28715............ ............. A

Fusion of foot bones.. 13.03

NA 9.84

2.21

NA 25.08

090 28725............ ............. A

Fusion of foot bones.. 11.54

NA 8.39

1.95

NA 21.88

090 28730............ ............. A

Fusion of foot bones.. 10.70

NA 8.56

1.81

NA 21.07

090 28735............ ............. A

Fusion of foot bones.. 10.79

NA 7.96

1.81

NA 20.56

090 28737............ ............. A

Revision of foot bones 9.59

NA 6.94

1.63

NA 18.16

090 28740............ ............. A

Fusion of foot bones.. 7.97 11.72 6.51

1.35 21.04 15.83

090 28750............ ............. A

Fusion of big toe

7.26 13.11 6.66

1.23 21.60 15.15

090 joint. 28755............ ............. A

Fusion of big toe

4.71 6.90 3.90

0.79 12.40 9.40

090 joint. 28760............ ............. A

Fusion of big toe

7.71 8.14 5.69

1.28 17.13 14.68

090 joint. 28800............ ............. A

Amputation of midfoot. 8.16

NA 6.09

1.17

NA 15.42

090 28805............ ............. A

Amputation thru

8.34

NA 5.94

1.16

NA 15.44

090 metatarsal. 28810............ ............. A

Amputation toe &

6.17

NA 4.79

0.84

NA 11.80

090 metatarsal. 28820............ ............. A

Amputation of toe..... 4.38 8.58 4.12

0.61 13.57 9.11

090 28825............ ............. A

Partial amputation of

3.57 8.00 3.82

0.52 12.09 7.91

090 toe. 28899............ ............. C

Foot/toes surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 29000............ ............. A

Application of body

2.24 3.14 1.75

0.36

5.74 4.35

000 cast. 29010............ ............. A

Application of body

2.05 3.33 1.75

0.32

5.70 4.12

000 cast. 29015............ ............. A

Application of body

2.40 3.04 1.60

0.25

5.69 4.25

000 cast. 29020............ ............. A

Application of body

2.10 3.33 1.43

0.19

5.62 3.72

000 cast. 29025............ ............. A

Application of body

2.39 3.30 1.86

0.31

6.00 4.56

000 cast. 29035............ ............. A

Application of body

1.76 3.49 1.56

0.29

5.54 3.61

000 cast. 29040............ ............. A

Application of body

2.21 2.60 1.53

0.42

5.23 4.16

000 cast. 29044............ ............. A

Application of body

2.11 3.84 1.87

0.35

6.30 4.33

000 cast. 29046............ ............. A

Application of body

2.40 3.33 2.05

0.41

6.14 4.86

000 cast. 29049............ ............. A

Application of figure

0.88 1.26 0.55

0.14

2.28 1.57

000 eight. 29055............ ............. A

Application of

1.77 2.85 1.45

0.29

4.91 3.51

000 shoulder cast. 29058............ ............. A

Application of

1.30 1.52 0.73

0.17

2.99 2.20

000 shoulder cast. 29065............ ............. A

Application of long

0.87 1.28 0.74

0.14

2.29 1.75

000 arm cast. 29075............ ............. A

Application of forearm 0.77 1.22 0.67

0.13

2.12 1.57

000 cast. 29085............ ............. A

Apply hand/wrist cast. 0.87 1.25 0.64

0.13

2.25 1.64

000 29086............ ............. A

Apply finger cast..... 0.62 0.94 0.53

0.07

1.63 1.22

000 29105............ ............. A

Apply long arm splint. 0.87 1.20 0.53

0.13

2.20 1.53

000 29125............ ............. A

Apply forearm splint.. 0.59 1.00 0.41

0.07

1.66 1.07

000 29126............ ............. A

Apply forearm splint.. 0.77 1.22 0.48

0.07

2.06 1.32

000 29130............ ............. A

Application of finger

0.50 0.47 0.17

0.06

1.03 0.73

000 splint. 29131............ ............. A

Application of finger

0.55 0.74 0.25

0.04

1.33 0.84

000 splint. 29200............ ............. A

Strapping of chest.... 0.65 0.76 0.37

0.05

1.46 1.07

000 29220............ ............. A

Strapping of low back. 0.64 0.73 0.40

0.08

1.45 1.12

000 29240............ ............. A

Strapping of shoulder. 0.71 0.87 0.39

0.06

1.64 1.16

000 29260............ ............. A

Strapping of elbow or

0.55 0.76 0.34

0.05

1.36 0.94

000 wrist. 29280............ ............. A

Strapping of hand or

0.51 0.83 0.35

0.05

1.39 0.91

000 finger. 29305............ ............. A

Application of hip

2.02 3.22 1.73

0.35

5.59 4.10

000 cast. 29325............ ............. A

Application of hip

2.31 3.40 1.92

0.37

6.08 4.60

000 casts. 29345............ ............. A

Application of long

1.39 1.71 1.05

0.23

3.33 2.67

000 leg cast. 29355............ ............. A

Application of long

1.52 1.67 1.11

0.24

3.43 2.87

000 leg cast. 29358............ ............. A

Apply long leg cast

1.42 1.98 1.08

0.23

3.63 2.73

000 brace. 29365............ ............. A

Application of long

1.17 1.60 0.93

0.20

2.97 2.30

000 leg cast. 29405............ ............. A

Apply short leg cast.. 0.86 1.19 0.70

0.14

2.19 1.70

000 29425............ ............. A

Apply short leg cast.. 1.00 1.19 0.73

0.17

2.36 1.90

000 29435............ ............. A

Apply short leg cast.. 1.17 1.51 0.91

0.20

2.88 2.28

000 29440............ ............. A

Addition of walker to

0.57 0.67 0.28

0.08

1.32 0.93

000 cast. 29445............ ............. A

Apply rigid leg cast.. 1.77 1.77 0.97

0.29

3.83 3.03

000 29450............ ............. A

Application of leg

2.07 1.47 1.10

0.16

3.70 3.33

000 cast. 29505............ ............. A

Application, long leg

0.69 1.17 0.48

0.07

1.93 1.24

000 splint. 29515............ ............. A

Application lower leg

0.73 0.86 0.49

0.08

1.67 1.30

000 splint. 29520............ ............. A

Strapping of hip...... 0.54 0.89 0.47

0.02

1.45 1.03

000 29530............ ............. A

Strapping of knee..... 0.57 0.81 0.35

0.05

1.43 0.97

000 29540............ ............. A

Strapping of ankle and/ 0.51 0.42 0.32

0.05

0.98 0.88

000 or ft. 29550............ ............. A

Strapping of toes..... 0.47 0.42 0.28

0.06

0.95 0.81

000 29580............ ............. A

Application of paste

0.57 0.66 0.36

0.06

1.29 0.99

000 boot. 29590............ ............. A

Application of foot

0.76 0.51 0.30

0.07

1.34 1.13

000 splint. 29700............ ............. A

Removal/revision of

0.57 0.88 0.29

0.08

1.53 0.94

000 cast.

[[Page 63288]]

29705............ ............. A

Removal/revision of

0.76 0.80 0.39

0.12

1.68 1.27

000 cast. 29710............ ............. A

Removal/revision of

1.33 1.51 0.70

0.20

3.04 2.23

000 cast. 29715............ ............. A

Removal/revision of

0.93 1.16 0.41

0.10

2.19 1.44

000 cast. 29720............ ............. A

Repair of body cast... 0.68 1.11 0.39

0.12

1.91 1.19

000 29730............ ............. A

Windowing of cast..... 0.75 0.79 0.36

0.12

1.66 1.23

000 29740............ ............. A

Wedging of cast....... 1.11 1.12 0.50

0.18

2.41 1.79

000 29750............ ............. A

Wedging of clubfoot

1.25 1.05 0.59

0.19

2.49 2.03

000 cast. 29799............ ............. C

Casting/strapping

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 29800............ ............. A

Jaw arthroscopy/

6.39

NA 7.20

1.01

NA 14.60

090 surgery. 29804............ ............. A

Jaw arthroscopy/

8.09

NA 8.51

0.79

NA 17.39

090 surgery. 29805............ ............. A

Shoulder arthroscopy,

5.86

NA 5.72

1.01

NA 12.59

090 dx. 29806............ ............. A

Shoulder arthroscopy/ 14.29

NA 11.06

2.40

NA 27.75

090 surgery. 29807............ ............. A

Shoulder arthroscopy/ 13.82

NA 10.89

2.33

NA 27.04

090 surgery. 29819............ ............. A

Shoulder arthroscopy/

7.58

NA 6.74

1.28

NA 15.60

090 surgery. 29820............ ............. A

Shoulder arthroscopy/

7.03

NA 6.18

1.19

NA 14.40

090 surgery. 29821............ ............. A

Shoulder arthroscopy/

7.68

NA 6.76

1.29

NA 15.73

090 surgery. 29822............ ............. A

Shoulder arthroscopy/

7.39

NA 6.64

1.25

NA 15.28

090 surgery. 29823............ ............. A

Shoulder arthroscopy/

8.12

NA 7.16

1.38

NA 16.66

090 surgery. 29824............ ............. A

Shoulder arthroscopy/

8.20

NA 7.41

1.38

NA 16.99

090 surgery. 29825............ ............. A

Shoulder arthroscopy/

7.58

NA 6.72

1.27

NA 15.57

090 surgery. 29826............ ............. A

Shoulder arthroscopy/

8.94

NA 7.49

1.51

NA 17.94

090 surgery. 29827............ ............. A

Arthroscop rotator

15.27

NA 11.44

2.23

NA 28.94

090 cuff repr. 29830............ ............. A

Elbow arthroscopy..... 5.73

NA 5.31

0.95

NA 11.99

090 29834............ ............. A

Elbow arthroscopy/

6.24

NA 5.79

1.03

NA 13.06

090 surgery. 29835............ ............. A

Elbow arthroscopy/

6.44

NA 5.83

1.05

NA 13.32

090 surgery. 29836............ ............. A

Elbow arthroscopy/

7.51

NA 6.73

1.27

NA 15.51

090 surgery. 29837............ ............. A

Elbow arthroscopy/

6.83

NA 6.08

1.15

NA 14.06

090 surgery. 29838............ ............. A

Elbow arthroscopy/

7.67

NA 6.84

1.28

NA 15.79

090 surgery. 29840............ ............. A

Wrist arthroscopy..... 5.51

NA 5.30

0.83

NA 11.64

090 29843............ ............. A

Wrist arthroscopy/

5.98

NA 5.60

0.98

NA 12.56

090 surgery. 29844............ ............. A

Wrist arthroscopy/

6.33

NA 5.79

1.03

NA 13.15

090 surgery. 29845............ ............. A

Wrist arthroscopy/

7.48

NA 6.46

1.01

NA 14.95

090 surgery. 29846............ ............. A

Wrist arthroscopy/

6.71

NA 6.01

1.07

NA 13.79

090 surgery. 29847............ ............. A

Wrist arthroscopy/

7.04

NA 6.16

1.09

NA 14.29

090 surgery. 29848............ ............. A

Wrist endoscopy/

5.41

NA 5.55

0.86

NA 11.82

090 surgery. 29850............ ............. A

Knee arthroscopy/

8.14

NA 5.10

0.89

NA 14.13

090 surgery. 29851............ ............. A

Knee arthroscopy/

13.03

NA 9.76

2.17

NA 24.96

090 surgery. 29855............ ............. A

Tibial arthroscopy/

10.56

NA 8.69

1.80

NA 21.05

090 surgery. 29856............ ............. A

Tibial arthroscopy/

14.06

NA 10.63

2.40

NA 27.09

090 surgery. 29860............ ............. A

Hip arthroscopy, dx... 8.00

NA 6.90

1.37

NA 16.27

090 29861............ ............. A

Hip arthroscopy/

9.10

NA 7.31

1.55

NA 17.96

090 surgery. 29862............ ............. A

Hip arthroscopy/

9.84

NA 8.48

1.67

NA 19.99

090 surgery. 29863............ ............. A

Hip arthroscopy/

9.84

NA 8.42

1.68

NA 19.94

090 surgery. 29870............ ............. A

Knee arthroscopy, dx.. 5.04

NA 4.85

0.80

NA 10.69

090 29871............ ............. A

Knee arthroscopy/

6.51

NA 5.83

1.05

NA 13.39

090 drainage. 29873............ ............. A

Knee arthroscopy/

5.97

NA 6.45

0.87

NA 13.29

090 surgery. 29874............ ............. A

Knee arthroscopy/

7.01

NA 6.04

1.04

NA 14.09

090 surgery. 29875............ ............. A

Knee arthroscopy/

6.27

NA 5.80

1.05

NA 13.12

090 surgery. 29876............ ............. A

Knee arthroscopy/

7.87

NA 6.96

1.33

NA 16.16

090 surgery. 29877............ ............. A

Knee arthroscopy/

7.31

NA 6.67

1.23

NA 15.21

090 surgery. 29879............ ............. A

Knee arthroscopy/

7.99

NA 7.05

1.35

NA 16.39

090 surgery. 29880............ ............. A

Knee arthroscopy/

8.45

NA 7.29

1.43

NA 17.17

090 surgery. 29881............ ............. A

Knee arthroscopy/

7.72

NA 6.89

1.31

NA 15.92

090 surgery. 29882............ ............. A

Knee arthroscopy/

8.60

NA 7.18

1.31

NA 17.09

090 surgery. 29883............ ............. A

Knee arthroscopy/

10.99

NA 9.00

1.59

NA 21.58

090 surgery. 29884............ ............. A

Knee arthroscopy/

7.29

NA 6.63

1.23

NA 15.15

090 surgery. 29885............ ............. A

Knee arthroscopy/

9.04

NA 7.89

1.52

NA 18.45

090 surgery. 29886............ ............. A

Knee arthroscopy/

7.50

NA 6.77

1.27

NA 15.54

090 surgery. 29887............ ............. A

Knee arthroscopy/

8.99

NA 7.86

1.52

NA 18.37

090 surgery. 29888............ ............. A

Knee arthroscopy/

13.82

NA 10.19

2.34

NA 26.35

090 surgery. 29889............ ............. A

Knee arthroscopy/

15.91

NA 12.36

2.53

NA 30.80

090 surgery. 29891............ ............. A

Ankle arthroscopy/

8.35

NA 7.42

1.40

NA 17.17

090 surgery. 29892............ ............. A

Ankle arthroscopy/

8.95

NA 7.68

1.51

NA 18.14

090 surgery. 29893............ ............. A

Scope, plantar

5.19 6.20 3.96

0.89 12.28 10.04

090 fasciotomy. 29894............ ............. A

Ankle arthroscopy/

7.17

NA 5.45

1.21

NA 13.83

090 surgery. 29895............ ............. A

Ankle arthroscopy/

6.95

NA 5.45

1.16

NA 13.56

090 surgery. 29897............ ............. A

Ankle arthroscopy/

7.14

NA 5.85

1.21

NA 14.20

090 surgery. 29898............ ............. A

Ankle arthroscopy/

8.27

NA 6.17

1.37

NA 15.81

090 surgery. 29899............ ............. A

Ankle arthroscopy/

13.83

NA 9.94

2.34

NA 26.11

090 surgery. 29900............ ............. A

Mcp joint arthroscopy, 5.39

NA 5.77

0.90

NA 12.06

090 dx. 29901............ ............. A

Mcp joint arthroscopy, 6.10

NA 6.15

1.02

NA 13.27

090 surg. 29902............ ............. A

Mcp joint arthroscopy, 6.66

NA 6.45

1.11

NA 14.22

090 surg. 29999............ ............. C

Arthroscopy of joint.. 0.00 0.00 0.00

0.00

0.00 0.00

YYY 30000............ ............. A

Drainage of nose

1.42 4.24 1.43

0.12

5.78 2.97

010 lesion. 30020............ ............. A

Drainage of nose

1.42 3.39 1.50

0.10

4.91 3.02

010 lesion.

[[Page 63289]]

30100............ ............. A

Intranasal biopsy..... 0.93 2.07 0.82

0.07

3.07 1.82

000 30110............ ............. A

Removal of nose

1.62 3.40 1.60

0.14

5.16 3.36

010 polyp(s). 30115............ ............. A

Removal of nose

4.33

NA 4.06

0.37

NA 8.76

090 polyp(s). 30117............ ............. A

Removal of intranasal

3.14 4.43 3.31

0.26

7.83 6.71

090 lesion. 30118............ ............. A

Removal of intranasal

9.63

NA 7.35

0.79

NA 17.77

090 lesion. 30120............ ............. A

Revision of nose...... 5.24 5.59 5.54

0.49 11.32 11.27

090 30124............ ............. A

Removal of nose lesion 3.08

NA 3.07

0.24

NA 6.39

090 30125............ ............. A

Removal of nose lesion 7.12

NA 5.98

0.65

NA 13.75

090 30130............ ............. A

Removal of turbinate

3.36

NA 3.55

0.26

NA 7.17

090 bones. 30140............ ............. A

Removal of turbinate

3.41

NA 4.01

0.29

NA 7.71

090 bones. 30150............ ............. A

Partial removal of

9.09

NA 7.74

0.91

NA 17.74

090 nose. 30160............ ............. A

Removal of nose....... 9.53

NA 7.73

0.93

NA 18.19

090 30200............ ............. A

Injection treatment of 0.78 1.72 0.78

0.07

2.57 1.63

000 nose. 30210............ ............. A

Nasal sinus therapy... 1.07 2.19 1.34

0.10

3.36 2.51

010 30220............ ............. A

Insert nasal septal

1.53 4.55 1.56

0.13

6.21 3.22

010 button. 30300............ ............. A

Remove nasal foreign

1.03 4.89 2.00

0.08

6.00 3.11

010 body. 30310............ ............. A

Remove nasal foreign

1.95

NA 3.22

0.17

NA 5.34

010 body. 30320............ ............. A

Remove nasal foreign

4.49

NA 4.53

0.43

NA 9.45

090 body. 30400............ ............. R

Reconstruction of nose 9.77

NA 9.27

0.96

NA 20.00

090 30410............ ............. R

Reconstruction of nose 12.91

NA 11.06

1.29

NA 25.26

090 30420............ ............. R

Reconstruction of nose 15.79

NA 12.55

1.49

NA 29.83

090 30430............ ............. R

Revision of nose...... 7.17

NA 8.20

0.74

NA 16.11

090 30435............ ............. R

Revision of nose...... 11.64

NA 10.74

1.32

NA 23.70

090 30450............ ............. R

Revision of nose...... 18.54

NA 14.26

1.83

NA 34.63

090 30460............ ............. A

Revision of nose...... 9.90

NA 7.81

1.02

NA 18.73

090 30462............ ............. A

Revision of nose...... 19.46

NA 13.83

2.30

NA 35.59

090 30465............ ............. A

Repair nasal stenosis. 11.57

NA 7.76

1.16

NA 20.49

090 30520............ ............. A

Repair of nasal septum 5.67

NA 5.21

0.49

NA 11.37

090 30540............ ............. A

Repair nasal defect... 7.71

NA 5.70

0.64

NA 14.05

090 30545............ ............. A

Repair nasal defect... 11.32

NA 8.73

0.96

NA 21.01

090 30560............ ............. A

Release of nasal

1.25 4.99 2.18

0.11

6.35 3.54

010 adhesions. 30580............ ............. A

Repair upper jaw

6.65 7.26 6.19

0.60 14.51 13.44

090 fistula. 30600............ ............. A

Repair mouth/nose

5.99 6.39 5.58

0.84 13.22 12.41

090 fistula. 30620............ ............. A

Intranasal

5.94

NA 5.84

0.54

NA 12.32

090 reconstruction. 30630............ ............. A

Repair nasal septum

7.08

NA 6.25

0.61

NA 13.94

090 defect. 30801............ ............. A

Cauterization, inner

1.08 2.20 2.09

0.10

3.38 3.27

010 nose. 30802............ ............. A

Cauterization, inner

2.02 2.74 2.60

0.18

4.94 4.80

010 nose. 30901............ ............. A

Control of nosebleed.. 1.20 1.38 0.33

0.11

2.69 1.64

000 30903............ ............. A

Control of nosebleed.. 1.53 2.84 0.51

0.14

4.51 2.18

000 30905............ ............. A

Control of nosebleed.. 1.96 3.62 0.77

0.18

5.76 2.91

000 30906............ ............. A

Repeat control of

2.44 4.00 1.22

0.20

6.64 3.86

000 nosebleed. 30915............ ............. A

Ligation, nasal sinus

7.16

NA 5.89

0.60

NA 13.65

090 artery. 30920............ ............. A

Ligation, upper jaw

9.77

NA 7.56

0.83

NA 18.16

090 artery. 30930............ ............. A

Therapy, fracture of

1.25

NA 1.67

0.11

NA 3.03

010 nose. 30999............ ............. C

Nasal surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 31000............ ............. A

Irrigation, maxillary

1.14 2.96 1.43

0.10

4.20 2.67

010 sinus. 31002............ ............. A

Irrigation, sphenoid

1.90

NA 3.34

0.17

NA 5.41

010 sinus. 31020............ ............. A

Exploration, maxillary 2.92 4.18 3.55

0.24

7.34 6.71

090 sinus. 31030............ ............. A

Exploration, maxillary 5.89 5.73 4.85

0.50 12.12 11.24

090 sinus. 31032............ ............. A

Explore sinus, remove

6.53

NA 5.66

0.56

NA 12.75

090 polyps. 31040............ ............. A

Exploration behind

9.37

NA 6.35

0.85

NA 16.57

090 upper jaw. 31050............ ............. A

Exploration, sphenoid

5.25

NA 4.55

0.47

NA 10.27

090 sinus. 31051............ ............. A

Sphenoid sinus surgery 7.07

NA 5.92

0.66

NA 13.65

090 31070............ ............. A

Exploration of frontal 4.26

NA 4.25

0.36

NA 8.87

090 sinus. 31075............ ............. A

Exploration of frontal 9.11

NA 7.29

0.77

NA 17.17

090 sinus. 31080............ ............. A

Removal of frontal

11.35

NA 8.53

0.93

NA 20.81

090 sinus. 31081............ ............. A

Removal of frontal

12.68

NA 9.59

2.21

NA 24.48

090 sinus. 31084............ ............. A

Removal of frontal

13.43

NA 10.15

1.15

NA 24.73

090 sinus. 31085............ ............. A

Removal of frontal

14.12

NA 10.52

1.41

NA 26.05

090 sinus. 31086............ ............. A

Removal of frontal

12.79

NA 9.96

1.08

NA 23.83

090 sinus. 31087............ ............. A

Removal of frontal

13.03

NA 9.89

1.38

NA 24.30

090 sinus. 31090............ ............. A

Exploration of sinuses 9.48

NA 8.67

0.79

NA 18.94

090 31200............ ............. A

Removal of ethmoid

4.94

NA 5.07

0.30

NA 10.31

090 sinus. 31201............ ............. A

Removal of ethmoid

8.32

NA 6.89

0.70

NA 15.91

090 sinus. 31205............ ............. A

Removal of ethmoid

10.18

NA 7.71

0.70

NA 18.59

090 sinus. 31225............ ............. A

Removal of upper jaw.. 19.12

NA 13.88

1.65

NA 34.65

090 31230............ ............. A

Removal of upper jaw.. 21.81

NA 15.29

1.88

NA 38.98

090 31231............ ............. A

Nasal endoscopy, dx... 1.09 3.59 0.92

0.10

4.78 2.11

000 31233............ ............. A

Nasal/sinus endoscopy, 2.17 4.53 1.53

0.19

6.89 3.89

000 dx. 31235............ ............. A

Nasal/sinus endoscopy, 2.62 5.16 1.78

0.22

8.00 4.62

000 dx. 31237............ ............. A

Nasal/sinus endoscopy, 2.96 5.46 1.93

0.25

8.67 5.14

000 surg. 31238............ ............. A

Nasal/sinus endoscopy, 3.24 5.51 2.14

0.28

9.03 5.66

000 surg. 31239............ ............. A

Nasal/sinus endoscopy, 8.65

NA 8.37

0.55

NA 17.57

010 surg. 31240............ ............. A

Nasal/sinus endoscopy, 2.60

NA 1.78

0.22

NA 4.60

000 surg. 31254............ ............. A

Revision of ethmoid

4.62

NA 2.92

0.38

NA 7.92

000 sinus.

[[Page 63290]]

31255............ ............. A

Removal of ethmoid

6.92

NA 4.20

0.59

NA 11.71

000 sinus. 31256............ ............. A

Exploration maxillary

3.27

NA 2.16

0.28

NA 5.71

000 sinus. 31267............ ............. A

Endoscopy, maxillary

5.43

NA 3.36

0.46

NA 9.25

000 sinus. 31276............ ............. A

Sinus endoscopy,

8.80

NA 5.22

0.74

NA 14.76

000 surgical. 31287............ ............. A

Nasal/sinus endoscopy, 3.90

NA 2.51

0.32

NA 6.73

000 surg. 31288............ ............. A

Nasal/sinus endoscopy, 4.55

NA 2.88

0.38

NA 7.81

000 surg. 31290............ ............. A

Nasal/sinus endoscopy, 17.14

NA 12.27

1.44

NA 30.85

010 surg. 31291............ ............. A

Nasal/sinus endoscopy, 18.09

NA 12.68

2.07

NA 32.84

010 surg. 31292............ ............. A

Nasal/sinus endoscopy, 14.68

NA 10.83

1.19

NA 26.70

010 surg. 31293............ ............. A

Nasal/sinus endoscopy, 16.12

NA 11.63

1.16

NA 28.91

010 surg. 31294............ ............. A

Nasal/sinus endoscopy, 18.95

NA 13.14

1.25

NA 33.34

010 surg. 31299............ ............. C

Sinus surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 31300............ ............. A

Removal of larynx

14.21

NA 12.17

1.19

NA 27.57

090 lesion. 31320............ ............. A

Diagnostic incision,

5.23

NA 7.36

0.48

NA 13.07

090 larynx. 31360............ ............. A

Removal of larynx..... 16.98

NA 14.11

1.44

NA 32.53

090 31365............ ............. A

Removal of larynx..... 24.02

NA 17.82

2.06

NA 43.90

090 31367............ ............. A

Partial removal of

21.74

NA 17.57

1.88

NA 41.19

090 larynx. 31368............ ............. A

Partial removal of

26.94

NA 21.23

2.28

NA 50.45

090 larynx. 31370............ ............. A

Partial removal of

21.26

NA 17.21

1.81

NA 40.28

090 larynx. 31375............ ............. A

Partial removal of

20.09

NA 15.53

1.71

NA 37.33

090 larynx. 31380............ ............. A

Partial removal of

20.09

NA 15.47

1.68

NA 37.24

090 larynx. 31382............ ............. A

Partial removal of

20.40

NA 16.74

1.73

NA 38.87

090 larynx. 31390............ ............. A

Removal of larynx &

27.37

NA 21.47

2.34

NA 51.18

090 pharynx. 31395............ ............. A

Reconstruct larynx &

30.91

NA 25.41

2.72

NA 59.04

090 pharynx. 31400............ ............. A

Revision of larynx.... 10.25

NA 10.13

0.86

NA 21.24

090 31420............ ............. A

Removal of epiglottis. 10.16

NA 9.91

0.85

NA 20.92

090 31500............ ............. A

Insert emergency

2.32

NA 0.56

0.18

NA 3.06

000 airway. 31502............ ............. A

Change of windpipe

0.65 1.52 0.26

0.05

2.22 0.96

000 airway. 31505............ ............. A

Diagnostic

0.61 1.59 0.64

0.05

2.25 1.30

000 laryngoscopy. 31510............ ............. A

Laryngoscopy with

1.91 3.46 1.30

0.18

5.55 3.39

000 biopsy. 31511............ ............. A

Remove foreign body,

2.15 3.28 1.12

0.19

5.62 3.46

000 larynx. 31512............ ............. A

Removal of larynx

2.06 3.36 1.41

0.19

5.61 3.66

000 lesion. 31513............ ............. A

Injection into vocal

2.09

NA 1.51

0.18

NA 3.78

000 cord. 31515............ ............. A

Laryngoscopy for

1.79 3.77 1.11

0.14

5.70 3.04

000 aspiration. 31520............ ............. A

Diagnostic

2.55

NA 1.62

0.20

NA 4.37

000 laryngoscopy. 31525............ ............. A

Diagnostic

2.62 3.90 1.71

0.22

6.74 4.55

000 laryngoscopy. 31526............ ............. A

Diagnostic

2.56

NA 1.77

0.22

NA 4.55

000 laryngoscopy. 31527............ ............. A

Laryngoscopy for

3.25

NA 1.93

0.25

NA 5.43

000 treatment. 31528............ ............. A

Laryngoscopy and

2.36

NA 1.47

0.19

NA 4.02

000 dilation. 31529............ ............. A

Laryngoscopy and

2.66

NA 1.73

0.22

NA 4.61

000 dilation. 31530............ ............. A

Operative laryngoscopy 3.37

NA 2.00

0.29

NA 5.66

000 31531............ ............. A

Operative laryngoscopy 3.57

NA 2.33

0.30

NA 6.20

000 31535............ ............. A

Operative laryngoscopy 3.14

NA 2.04

0.26

NA 5.44

000 31536............ ............. A

Operative laryngoscopy 3.54

NA 2.31

0.30

NA 6.15

000 31540............ ............. A

Operative laryngoscopy 4.11

NA 2.61

0.35

NA 7.07

000 31541............ ............. A

Operative laryngoscopy 4.50

NA 2.85

0.38

NA 7.73

000 31560............ ............. A

Operative laryngoscopy 5.43

NA 3.20

0.46

NA 9.09

000 31561............ ............. A

Operative laryngoscopy 5.97

NA 3.41

0.50

NA 9.88

000 31570............ ............. A

Laryngoscopy with

3.85 5.81 2.45

0.29

9.95 6.59

000 injection. 31571............ ............. A

Laryngoscopy with

4.25

NA 2.66

0.36

NA 7.27

000 injection. 31575............ ............. A

Diagnostic

1.09 1.91 0.92

0.10

3.10 2.11

000 laryngoscopy. 31576............ ............. A

Laryngoscopy with

1.96 3.66 1.33

0.16

5.78 3.45

000 biopsy. 31577............ ............. A

Remove foreign body,

2.46 3.78 1.59

0.20

6.44 4.25

000 larynx. 31578............ ............. A

Removal of larynx

2.82 4.30 1.58

0.24

7.36 4.64

000 lesion. 31579............ ............. A

Diagnostic

2.25 3.84 1.54

0.19

6.28 3.98

000 laryngoscopy. 31580............ ............. A

Revision of larynx.... 12.31

NA 11.24

1.04

NA 24.59

090 31582............ ............. A

Revision of larynx.... 21.50

NA 17.63

1.82

NA 40.95

090 31584............ ............. A

Treat larynx fracture. 19.53

NA 14.73

1.70

NA 35.96

090 31585............ ............. A

Treat larynx fracture. 4.61

NA 5.65

0.36

NA 10.62

090 31586............ ............. A

Treat larynx fracture. 7.98

NA 8.44

0.67

NA 17.09

090 31587............ ............. A

Revision of larynx.... 11.92

NA 10.16

1.05

NA 23.13

090 31588............ ............. A

Revision of larynx.... 13.04

NA 13.26

1.10

NA 27.40

090 31590............ ............. A

Reinnervate larynx.... 6.93

NA 8.92

0.60

NA 16.45

090 31595............ ............. A

Larynx nerve surgery.. 8.29

NA 7.73

0.74

NA 16.76

090 31599............ ............. C

Larynx surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 31600............ ............. A

Incision of windpipe.. 7.14

NA 3.22

0.41

NA 10.77

000 31601............ ............. A

Incision of windpipe.. 4.42

NA 2.42

0.47

NA 7.31

000 31603............ ............. A

Incision of windpipe.. 4.13

NA 1.74

0.42

NA 6.29

000 31605............ ............. A

Incision of windpipe.. 3.56

NA 1.20

0.40

NA 5.16

000 31610............ ............. A

Incision of windpipe.. 8.71

NA 7.51

0.83

NA 17.05

090 31611............ ............. A

Surgery/speech

5.61

NA 6.02

0.48

NA 12.11

090 prosthesis. 31612............ ............. A

Puncture/clear

0.90 1.13 0.36

0.07

2.10 1.33

000 windpipe. 31613............ ............. A

Repair windpipe

4.56

NA 5.43

0.44

NA 10.43

090 opening. 31614............ ............. A

Repair windpipe

7.08

NA 7.87

0.61

NA 15.56

090 opening. 31615............ ............. A

Visualization of

2.08 2.66 1.22

0.17

4.91 3.47

000 windpipe.

[[Page 63291]]

31622............ ............. A

Dx bronchoscope/wash.. 2.76 4.20 0.89

0.17

7.13 3.82

000 31623............ ............. A

Dx bronchoscope/brush. 2.86 5.09 0.90

0.17

8.12 3.93

000 31624............ ............. A

Dx bronchoscope/lavage 2.86 4.32 0.90

0.16

7.34 3.92

000 31625............ ............. A

Bronchoscopy w/

3.35 5.41 1.27

0.19

8.95 4.81

000 biopsy(s). 31628............ ............. A

Bronchoscopy/lung bx,

3.79 5.62 1.36

0.17

9.58 5.32

000 each. 31629............ ............. A

Bronchoscopy/needle

3.35

NA 1.24

0.16

NA 4.75

000 bx, each. 31630............ ............. A

Bronchoscopy dilate/fx 3.80

NA 1.98

0.36

NA 6.14

000 repr. 31631............ ............. A

Bronchoscopy, dilate w/ 4.35

NA 2.01

0.37

NA 6.73

000 stent. 31632............ ............. A

Bronchoscopy/lung bx,

1.02 0.76 0.32

0.17

1.95 1.51

ZZZ addl. 31633............ ............. A

Bronchoscopy/needle bx 1.31 0.92 0.41

0.17

2.40 1.89

ZZZ addl. 31635............ ............. A

Bronchoscopy w/fb

3.66

NA 1.68

0.25

NA 5.59

000 removal. 31640............ ............. A

Bronchoscopy w/tumor

4.91

NA 2.33

0.44

NA 7.68

000 excise. 31641............ ............. A

Bronchoscopy, treat

5.00

NA 2.12

0.36

NA 7.48

000 blockage. 31643............ ............. A

Diag bronchoscope/

3.48

NA 1.32

0.18

NA 4.98

000 catheter. 31645............ ............. A

Bronchoscopy, clear

3.14

NA 1.22

0.16

NA 4.52

000 airways. 31646............ ............. A

Bronchoscopy, reclear

2.70

NA 1.09

0.14

NA 3.93

000 airway. 31656............ ............. A

Bronchoscopy, inj for

2.16

NA 0.93

0.12

NA 3.21

000 x-ray. 31700............ ............. A

Insertion of airway

1.33 2.08 0.69

0.08

3.49 2.10

000 catheter. 31708............ ............. A

Instill airway

1.40

NA 0.60

0.07

NA 2.07

000 contrast dye. 31710............ ............. A

Insertion of airway

1.29

NA 0.71

0.07

NA 2.07

000 catheter. 31715............ ............. A

Injection for bronchus 1.10

NA 0.61

0.07

NA 1.78

000 x-ray. 31717............ ............. A

Bronchial brush biopsy 2.11 2.89 0.87

0.11

5.11 3.09

000 31720............ ............. A

Clearance of airways.. 1.05 1.48 0.33

0.07

2.60 1.45

000 31725............ ............. A

Clearance of airways.. 1.95 1.84 0.59

0.12

3.91 2.66

000 31730............ ............. A

Intro, windpipe wire/

2.83 2.24 1.09

0.18

5.25 4.10

000 tube. 31750............ ............. A

Repair of windpipe.... 12.95

NA 11.61

1.22

NA 25.78

090 31755............ ............. A

Repair of windpipe.... 15.84

NA 14.34

1.38

NA 31.56

090 31760............ ............. A

Repair of windpipe.... 22.22

NA 10.50

1.77

NA 34.49

090 31766............ ............. A

Reconstruction of

30.26

NA 13.52

3.79

NA 47.57

090 windpipe. 31770............ ............. A

Repair/graft of

22.38

NA 10.01

2.72

NA 35.11

090 bronchus. 31775............ ............. A

Reconstruct bronchus.. 23.41

NA 11.67

3.49

NA 38.57

090 31780............ ............. A

Reconstruct windpipe.. 17.62

NA 11.05

1.86

NA 30.53

090 31781............ ............. A

Reconstruct windpipe.. 23.40

NA 12.06

2.45

NA 37.91

090 31785............ ............. A

Remove windpipe lesion 17.13

NA 10.32

1.63

NA 29.08

090 31786............ ............. A

Remove windpipe lesion 23.84

NA 13.13

2.64

NA 39.61

090 31800............ ............. A

Repair of windpipe

7.39

NA 4.88

0.80

NA 13.07

090 injury. 31805............ ............. A

Repair of windpipe

13.06

NA 7.10

1.74

NA 21.90

090 injury. 31820............ ............. A

Closure of windpipe

4.46 5.59 4.96

0.42 10.47 9.84

090 lesion. 31825............ ............. A

Repair of windpipe

6.77 7.68 7.11

0.60 15.05 14.48

090 defect. 31830............ ............. A

Revise windpipe scar.. 4.47 5.74 5.33

0.43 10.64 10.23

090 31899............ ............. C

Airways surgical

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 32000............ ............. A

Drainage of chest..... 1.53 3.13 0.49

0.08

4.74 2.10

000 32002............ ............. A

Treatment of collapsed 2.18 3.34 0.84

0.13

5.65 3.15

000 lung. 32005............ ............. A

Treat lung lining

2.18 6.45 0.69

0.20

8.83 3.07

000 chemically. 32020............ ............. A

Insertion of chest

3.96

NA 1.45

0.43

NA 5.84

000 tube. 32035............ ............. A

Exploration of chest.. 8.62

NA 5.71

1.22

NA 15.55

090 32036............ ............. A

Exploration of chest.. 9.62

NA 6.23

1.44

NA 17.29

090 32095............ ............. A

Biopsy through chest

8.31

NA 5.22

1.19

NA 14.72

090 wall. 32100............ ............. A

Exploration/biopsy of 15.15

NA 7.65

1.74

NA 24.54

090 chest. 32110............ ............. A

Explore/repair chest.. 22.87

NA 10.54

1.95

NA 35.36

090 32120............ ............. A

Re-exploration of

11.47

NA 6.87

1.70

NA 20.04

090 chest. 32124............ ............. A

Explore chest free

12.65

NA 7.04

1.81

NA 21.50

090 adhesions. 32140............ ............. A

Removal of lung

13.85

NA 7.50

2.01

NA 23.36

090 lesion(s). 32141............ ............. A

Remove/treat lung

13.92

NA 7.38

2.06

NA 23.36

090 lesions. 32150............ ............. A

Removal of lung

14.07

NA 7.47

1.92

NA 23.46

090 lesion(s). 32151............ ............. A

Remove lung foreign

14.13

NA 7.85

1.79

NA 23.77

090 body. 32160............ ............. A

Open chest heart

9.25

NA 5.21

1.21

NA 15.67

090 massage. 32200............ ............. A

Drain, open, lung

15.20

NA 8.48

1.75

NA 25.43

090 lesion. 32201............ ............. A

Drain, percut, lung

3.98

NA 1.32

0.22

NA 5.52

000 lesion. 32215............ ............. A

Treat chest lining.... 11.27

NA 6.69

1.61

NA 19.57

090 32220............ ............. A

Release of lung....... 23.86

NA 12.56

2.86

NA 39.28

090 32225............ ............. A

Partial release of

13.88

NA 7.47

2.04

NA 23.39

090 lung. 32310............ ............. A

Removal of chest

13.36

NA 7.22

1.98

NA 22.56

090 lining. 32320............ ............. A

Free/remove chest

23.86

NA 11.88

3.00

NA 38.74

090 lining. 32400............ ............. A

Needle biopsy chest

1.75 1.73 0.56

0.08

3.56 2.39

000 lining. 32402............ ............. A

Open biopsy chest

7.52

NA 4.96

1.09

NA 13.57

090 lining. 32405............ ............. A

Biopsy, lung or

1.92 2.14 0.64

0.11

4.17 2.67

000 mediastinum. 32420............ ............. A

Puncture/clear lung... 2.17

NA 0.83

0.13

NA 3.13

000 32440............ ............. A

Removal of lung....... 24.86

NA 12.56

3.07

NA 40.49

090 32442............ ............. A

Sleeve pneumonectomy.. 26.09

NA 14.29

3.74

NA 44.12

090 32445............ ............. A

Removal of lung....... 24.95

NA 13.70

3.73

NA 42.38

090 32480............ ............. A

Partial removal of

23.61

NA 11.77

2.68

NA 38.06

090 lung. 32482............ ............. A

Bilobectomy........... 24.86

NA 12.62

2.82

NA 40.30

090 32484............ ............. A

Segmentectomy......... 20.57

NA 11.08

3.04

NA 34.69

090 32486............ ............. A

Sleeve lobectomy...... 23.78

NA 12.84

3.60

NA 40.22

090

[[Page 63292]]

32488............ ............. A

Completion

25.56

NA 13.39

3.81

NA 42.76

090 pneumonectomy. 32491............ ............. R

Lung volume reduction. 21.13

NA 12.19

3.19

NA 36.51

090 32500............ ............. A

Partial removal of

21.87

NA 11.98

2.12

NA 35.97

090 lung. 32501............ ............. A

Repair bronchus add-on 4.66

NA 1.52

0.67

NA 6.85

ZZZ 32520............ ............. A

Remove lung & revise

21.56

NA 10.98

3.25

NA 35.79

090 chest. 32522............ ............. A

Remove lung & revise

24.06

NA 11.81

3.40

NA 39.27

090 chest. 32525............ ............. A

Remove lung & revise

26.35

NA 12.50

3.90

NA 42.75

090 chest. 32540............ ............. A

Removal of lung lesion 14.56

NA 9.33

2.21

NA 26.10

090 32601............ ............. A

Thoracoscopy,

5.43

NA 2.36

0.76

NA 8.55

000 diagnostic. 32602............ ............. A

Thoracoscopy,

5.93

NA 2.52

0.84

NA 9.29

000 diagnostic. 32603............ ............. A

Thoracoscopy,

7.77

NA 3.06

0.91

NA 11.74

000 diagnostic. 32604............ ............. A

Thoracoscopy,

8.73

NA 3.46

1.16

NA 13.35

000 diagnostic. 32605............ ............. A

Thoracoscopy,

6.89

NA 2.89

1.03

NA 10.81

000 diagnostic. 32606............ ............. A

Thoracoscopy,

8.35

NA 3.33

1.19

NA 12.87

000 diagnostic. 32650............ ............. A

Thoracoscopy, surgical 10.69

NA 6.57

1.50

NA 18.76

090 32651............ ............. A

Thoracoscopy, surgical 12.84

NA 7.08

1.80

NA 21.72

090 32652............ ............. A

Thoracoscopy, surgical 18.55

NA 9.87

2.76

NA 31.18

090 32653............ ............. A

Thoracoscopy, surgical 12.80

NA 6.80

1.86

NA 21.46

090 32654............ ............. A

Thoracoscopy, surgical 12.37

NA 7.29

1.81

NA 21.47

090 32655............ ............. A

Thoracoscopy, surgical 13.03

NA 7.09

1.83

NA 21.95

090 32656............ ............. A

Thoracoscopy, surgical 12.84

NA 7.66

1.93

NA 22.43

090 32657............ ............. A

Thoracoscopy, surgical 13.57

NA 7.48

1.97

NA 23.02

090 32658............ ............. A

Thoracoscopy, surgical 11.56

NA 7.09

1.76

NA 20.41

090 32659............ ............. A

Thoracoscopy, surgical 11.52

NA 7.21

1.67

NA 20.40

090 32660............ ............. A

Thoracoscopy, surgical 17.33

NA 9.17

2.51

NA 29.01

090 32661............ ............. A

Thoracoscopy, surgical 13.17

NA 7.55

1.99

NA 22.71

090 32662............ ............. A

Thoracoscopy, surgical 16.35

NA 8.57

2.41

NA 27.33

090 32663............ ............. A

Thoracoscopy, surgical 18.36

NA 10.42

2.73

NA 31.51

090 32664............ ............. A

Thoracoscopy, surgical 14.12

NA 7.51

2.04

NA 23.67

090 32665............ ............. A

Thoracoscopy, surgical 15.45

NA 8.04

2.15

NA 25.64

090 32800............ ............. A

Repair lung hernia.... 13.61

NA 7.29

1.81

NA 22.71

090 32810............ ............. A

Close chest after

12.98

NA 7.35

1.86

NA 22.19

090 drainage. 32815............ ............. A

Close bronchial

23.02

NA 10.69

3.40

NA 37.11

090 fistula. 32820............ ............. A

Reconstruct injured

21.36

NA 11.99

2.77

NA 36.12

090 chest. 32850............ ............. X

Donor pneumonectomy... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 32851............ ............. A

Lung transplant,

38.41

NA 26.78

5.87

NA 71.06

090 single. 32852............ ............. A

Lung transplant with

41.56

NA 31.65

6.20

NA 79.41

090 bypass. 32853............ ............. A

Lung transplant,

47.54

NA 30.49

7.35

NA 85.38

090 double. 32854............ ............. A

Lung transplant with

50.69

NA 33.59

7.68

NA 91.96

090 bypass. 32900............ ............. A

Removal of rib(s)..... 20.15

NA 9.75

2.90

NA 32.80

090 32905............ ............. A

Revise & repair chest 20.63

NA 9.95

3.04

NA 33.62

090 wall. 32906............ ............. A

Revise & repair chest 26.62

NA 11.85

3.96

NA 42.43

090 wall. 32940............ ............. A

Revision of lung...... 19.32

NA 9.22

2.96

NA 31.50

090 32960............ ............. A

Therapeutic

1.83 1.80 0.58

0.14

3.77 2.55

000 pneumothorax. 32997............ ............. A

Total lung lavage..... 5.97

NA 1.92

0.66

NA 8.55

000 32999............ ............. C

Chest surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 33010............ ............. A

Drainage of heart sac. 2.23

NA 0.97

0.16

NA 3.36

000 33011............ ............. A

Repeat drainage of

2.23

NA 1.00

0.16

NA 3.39

000 heart sac. 33015............ ............. A

Incision of heart sac. 6.76

NA 4.83

0.77

NA 12.36

090 33020............ ............. A

Incision of heart sac. 12.54

NA 6.61

1.80

NA 20.95

090 33025............ ............. A

Incision of heart sac. 12.02

NA 6.17

1.80

NA 19.99

090 33030............ ............. A

Partial removal of

18.60

NA 9.24

2.88

NA 30.72

090 heart sac. 33031............ ............. A

Partial removal of

21.67

NA 9.74

3.33

NA 34.74

090 heart sac. 33050............ ............. A

Removal of heart sac

14.28

NA 7.63

2.07

NA 23.98

090 lesion. 33120............ ............. A

Removal of heart

24.42

NA 11.27

3.67

NA 39.36

090 lesion. 33130............ ............. A

Removal of heart

21.27

NA 9.93

3.01

NA 34.21

090 lesion. 33140............ ............. A

Heart revascularize

19.89

NA 10.53

2.72

NA 33.14

090 (tmr). 33141............ ............. A

Heart tmr w/other

4.81

NA 1.55

0.66

NA 7.02

ZZZ procedure. 33200............ ............. A

Insertion of heart

12.41

NA 6.84

1.40

NA 20.65

090 pacemaker. 33201............ ............. A

Insertion of heart

10.12

NA 6.48

1.45

NA 18.05

090 pacemaker. 33206............ ............. A

Insertion of heart

6.63

NA 4.54

0.60

NA 11.77

090 pacemaker. 33207............ ............. A

Insertion of heart

7.99

NA 4.75

0.68

NA 13.42

090 pacemaker. 33208............ ............. A

Insertion of heart

8.08

NA 4.87

0.65

NA 13.60

090 pacemaker. 33210............ ............. A

Insertion of heart

3.28

NA 1.27

0.20

NA 4.75

000 electrode. 33211............ ............. A

Insertion of heart

3.38

NA 1.33

0.20

NA 4.91

000 electrode. 33212............ ............. A

Insertion of pulse

5.49

NA 3.40

0.53

NA 9.42

090 generator. 33213............ ............. A

Insertion of pulse

6.33

NA 3.78

0.55

NA 10.66

090 generator. 33214............ ............. A

Upgrade of pacemaker

7.71

NA 4.99

0.62

NA 13.32

090 system. 33215............ ............. A

Reposition pacing-

4.73

NA 3.19

0.43

NA 8.35

090 defib lead. 33216............ ............. A

Insert lead pace-

5.75

NA 4.30

0.43

NA 10.48

090 defib, one. 33217............ ............. A

Insert lead pace-

5.72

NA 4.34

0.43

NA 10.49

090 defib, dual. 33218............ ............. A

Repair lead pace-

5.41

NA 4.35

0.48

NA 10.24

090 defib, one. 33220............ ............. A

Repair lead pace-

5.49

NA 4.34

0.47

NA 10.30

090 defib, dual. 33222............ ............. A

Revise pocket,

4.93

NA 4.34

0.47

NA 9.74

090 pacemaker. 33223............ ............. A

Revise pocket, pacing- 6.42

NA 4.61

0.53

NA 11.56

090 defib.

[[Page 63293]]

33224............ ............. A

Insert pacing lead &

9.00

NA 4.05

0.43

NA 13.48

000 connect. 33225............ ............. A

L ventric pacing lead

8.29

NA 3.24

0.43

NA 11.96

ZZZ add-on. 33226............ ............. A

Reposition l ventric

8.64

NA 3.91

0.43

NA 12.98

000 lead. 33233............ ............. A

Removal of pacemaker

3.27

NA 3.28

0.26

NA 6.81

090 system. 33234............ ............. A

Removal of pacemaker

7.78

NA 4.93

0.67

NA 13.38

090 system. 33235............ ............. A

Removal pacemaker

9.35

NA 6.80

0.82

NA 16.97

090 electrode. 33236............ ............. A

Remove electrode/

12.53

NA 7.22

1.79

NA 21.54

090 thoracotomy. 33237............ ............. A

Remove electrode/

13.63

NA 7.61

1.88

NA 23.12

090 thoracotomy. 33238............ ............. A

Remove electrode/

15.13

NA 8.06

1.87

NA 25.06

090 thoracotomy. 33240............ ............. A

Insert pulse generator 7.56

NA 4.62

0.64

NA 12.82

090 33241............ ............. A

Remove pulse generator 3.22

NA 2.97

0.25

NA 6.44

090 33243............ ............. A

Remove eltrd/

22.51

NA 11.15

3.03

NA 36.69

090 thoracotomy. 33244............ ............. A

Remove eltrd, transven 13.68

NA 8.87

1.26

NA 23.81

090 33245............ ............. A

Insert epic eltrd pace- 14.22

NA 7.86

1.53

NA 23.61

090 defib. 33246............ ............. A

Insert epic eltrd/

20.59

NA 10.15

2.66

NA 33.40

090 generator. 33249............ ............. A

Eltrd/insert pace-

14.15

NA 8.51

0.96

NA 23.62

090 defib. 33250............ ............. A

Ablate heart dysrhythm 21.73

NA 11.22

1.21

NA 34.16

090 focus. 33251............ ............. A

Ablate heart dysrhythm 24.74

NA 11.33

2.89

NA 38.96

090 focus. 33253............ ............. A

Reconstruct atria..... 30.88

NA 13.44

4.41

NA 48.73

090 33261............ ............. A

Ablate heart dysrhythm 24.74

NA 11.46

3.38

NA 39.58

090 focus. 33282............ ............. A

Implant pat-active ht

4.15

NA 4.11

0.47

NA 8.73

090 record. 33284............ ............. A

Remove pat-active ht

2.49

NA 3.52

0.28

NA 6.29

090 record. 33300............ ............. A

Repair of heart wound. 17.82

NA 9.06

2.29

NA 29.17

090 33305............ ............. A

Repair of heart wound. 21.32

NA 10.30

3.21

NA 34.83

090 33310............ ............. A

Exploratory heart

18.40

NA 9.27

2.71

NA 30.38

090 surgery. 33315............ ............. A

Exploratory heart

22.24

NA 10.53

3.48

NA 36.25

090 surgery. 33320............ ............. A

Repair major blood

16.69

NA 8.14

1.99

NA 26.82

090 vessel(s). 33321............ ............. A

Repair major vessel... 20.08

NA 9.53

3.24

NA 32.85

090 33322............ ............. A

Repair major blood

20.50

NA 10.07

3.01

NA 33.58

090 vessel(s). 33330............ ............. A

Insert major vessel

21.31

NA 10.06

2.98

NA 34.35

090 graft. 33332............ ............. A

Insert major vessel

23.82

NA 10.37

2.94

NA 37.13

090 graft. 33335............ ............. A

Insert major vessel

29.84

NA 12.98

4.54

NA 47.36

090 graft. 33400............ ............. A

Repair of aortic valve 28.34

NA 15.16

3.70

NA 47.20

090 33401............ ............. A

Valvuloplasty, open... 23.77

NA 13.23

3.25

NA 40.25

090 33403............ ............. A

Valvuloplasty, w/cp

24.75

NA 13.87

2.97

NA 41.59

090 bypass. 33404............ ............. A

Prepare heart-aorta

28.38

NA 14.06

3.97

NA 46.41

090 conduit. 33405............ ............. A

Replacement of aortic 34.80

NA 17.66

4.63

NA 57.09

090 valve. 33406............ ............. A

Replacement of aortic 37.29

NA 18.47

4.88

NA 60.64

090 valve. 33410............ ............. A

Replacement of aortic 32.27

NA 16.11

4.93

NA 53.31

090 valve. 33411............ ............. A

Replacement of aortic 36.04

NA 18.11

4.99

NA 59.14

090 valve. 33412............ ............. A

Replacement of aortic 41.76

NA 19.84

5.59

NA 67.19

090 valve. 33413............ ............. A

Replacement of aortic 43.25

NA 20.20

5.11

NA 68.56

090 valve. 33414............ ............. A

Repair of aortic valve 30.18

NA 13.72

4.54

NA 48.44

090 33415............ ............. A

Revision, subvalvular 27.00

NA 11.75

3.90

NA 42.65

090 tissue. 33416............ ............. A

Revise ventricle

30.18

NA 13.11

4.61

NA 47.90

090 muscle. 33417............ ............. A

Repair of aortic valve 28.37

NA 13.21

4.29

NA 45.87

090 33420............ ............. A

Revision of mitral

22.57

NA 9.71

1.77

NA 34.05

090 valve. 33422............ ............. A

Revision of mitral

25.79

NA 13.17

3.96

NA 42.92

090 valve. 33425............ ............. A

Repair of mitral valve 26.85

NA 12.64

3.60

NA 43.09

090 33426............ ............. A

Repair of mitral valve 32.81

NA 16.57

4.64

NA 54.02

090 33427............ ............. A

Repair of mitral valve 39.77

NA 18.74

5.15

NA 63.66

090 33430............ ............. A

Replacement of mitral 33.31

NA 16.71

4.73

NA 54.75

090 valve. 33460............ ............. A

Revision of tricuspid 23.47

NA 10.93

3.62

NA 38.02

090 valve. 33463............ ............. A

Valvuloplasty,

25.47

NA 12.51

3.80

NA 41.78

090 tricuspid. 33464............ ............. A

Valvuloplasty,

27.17

NA 13.09

4.16

NA 44.42

090 tricuspid. 33465............ ............. A

Replace tricuspid

28.63

NA 12.58

4.33

NA 45.54

090 valve. 33468............ ............. A

Revision of tricuspid 29.95

NA 13.23

4.79

NA 47.97

090 valve. 33470............ ............. A

Revision of pulmonary 20.69

NA 10.65

3.37

NA 34.71

090 valve. 33471............ ............. A

Valvotomy, pulmonary

22.12

NA 9.70

3.60

NA 35.42

090 valve. 33472............ ............. A

Revision of pulmonary 22.12

NA 11.73

3.50

NA 37.35

090 valve. 33474............ ............. A

Revision of pulmonary 22.91

NA 10.68

3.40

NA 36.99

090 valve. 33475............ ............. A

Replacement, pulmonary 32.81

NA 14.87

3.16

NA 50.84

090 valve. 33476............ ............. A

Revision of heart

25.62

NA 11.87

2.88

NA 40.37

090 chamber. 33478............ ............. A

Revision of heart

26.59

NA 12.58

4.27

NA 43.44

090 chamber. 33496............ ............. A

Repair, prosth valve

27.09

NA 12.39

4.12

NA 43.60

090 clot. 33500............ ............. A

Repair heart vessel

25.40

NA 11.23

3.36

NA 39.99

090 fistula. 33501............ ............. A

Repair heart vessel

17.68

NA 8.20

2.46

NA 28.34

090 fistula. 33502............ ............. A

Coronary artery

20.92

NA 10.72

3.01

NA 34.65

090 correction. 33503............ ............. A

Coronary artery graft. 21.66

NA 9.77

1.70

NA 33.13

090 33504............ ............. A

Coronary artery graft. 24.52

NA 11.59

3.64

NA 39.75

090 33505............ ............. A

Repair artery w/tunnel 26.69

NA 12.78

1.82

NA 41.29

090 33506............ ............. A

Repair artery,

35.30

NA 14.37

3.82

NA 53.49

090 translocation. 33508............ ............. A

Endoscopic vein

0.31

NA 0.10

0.04

NA 0.45

ZZZ harvest. 33510............ ............. A

CABG, vein, single.... 28.83

NA 15.76

3.75

NA 48.34

090 33511............ ............. A

CABG, vein, two....... 29.83

NA 16.46

4.00

NA 50.29

090

[[Continued on page 63295]]

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

[[pp. 63295-63344]] Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004

[[Continued from page 63294]]

[[Page 63294]]

33512............ ............. A

CABG, vein, three..... 31.62

NA 17.00

4.43

NA 53.05

090 33513............ ............. A

CABG, vein, four...... 31.82

NA 17.16

4.78

NA 53.76

090 33514............ ............. A

CABG, vein, five...... 32.56

NA 17.41

5.24

NA 55.21

090 33516............ ............. A

Cabg, vein, six or

34.80

NA 18.15

5.54

NA 58.49

090 more. 33517............ ............. A

CABG, artery-vein,

2.56

NA 0.82

0.38

NA 3.76

ZZZ single. 33518............ ............. A

CABG, artery-vein, two 4.82

NA 1.56

0.73

NA 7.11

ZZZ 33519............ ............. A

CABG, artery-vein,

7.08

NA 2.28

1.07

NA 10.43

ZZZ three. 33521............ ............. A

CABG, artery-vein,

9.35

NA 3.02

1.41

NA 13.78

ZZZ four. 33522............ ............. A

CABG, artery-vein,

11.60

NA 3.74

1.77

NA 17.11

ZZZ five. 33523............ ............. A

Cabg, art-vein, six or 13.87

NA 4.45

2.13

NA 20.45

ZZZ more. 33530............ ............. A

Coronary artery,

5.83

NA 1.88

0.87

NA 8.58

ZZZ bypass/reop. 33533............ ............. A

CABG, arterial, single 29.83

NA 15.90

3.88

NA 49.61

090 33534............ ............. A

CABG, arterial, two... 32.02

NA 17.07

4.35

NA 53.44

090 33535............ ............. A

CABG, arterial, three. 34.30

NA 17.54

4.76

NA 56.60

090 33536............ ............. A

Cabg, arterial, four

37.29

NA 17.82

3.94

NA 59.05

090 or more. 33542............ ............. A

Removal of heart

28.69

NA 12.64

4.33

NA 45.66

090 lesion. 33545............ ............. A

Repair of heart damage 36.57

NA 15.30

5.27

NA 57.14

090 33572............ ............. A

Open coronary

4.42

NA 1.43

0.66

NA 6.51

ZZZ endarterectomy. 33600............ ............. A

Closure of valve...... 29.34

NA 12.45

2.76

NA 44.55

090 33602............ ............. A

Closure of valve...... 28.38

NA 12.53

3.48

NA 44.39

090 33606............ ............. A

Anastomosis/artery-

30.56

NA 13.45

4.30

NA 48.31

090 aorta. 33608............ ............. A

Repair anomaly w/

30.91

NA 13.70

5.00

NA 49.61

090 conduit. 33610............ ............. A

Repair by enlargement. 30.44

NA 13.96

4.82

NA 49.22

090 33611............ ............. A

Repair double

33.81

NA 13.75

3.93

NA 51.49

090 ventricle. 33612............ ............. A

Repair double

34.80

NA 14.79

5.32

NA 54.91

090 ventricle. 33615............ ............. A

Repair, modified

33.81

NA 14.85

3.78

NA 52.44

090 fontan. 33617............ ............. A

Repair single

36.79

NA 15.61

4.90

NA 57.30

090 ventricle. 33619............ ............. A

Repair single

44.74

NA 20.07

5.65

NA 70.46

090 ventricle. 33641............ ............. A

Repair heart septum

21.27

NA 9.32

3.20

NA 33.79

090 defect. 33645............ ............. A

Revision of heart

24.68

NA 11.44

3.92

NA 40.04

090 veins. 33647............ ............. A

Repair heart septum

28.57

NA 13.42

4.04

NA 46.03

090 defects. 33660............ ............. A

Repair of heart

29.83

NA 13.16

3.38

NA 46.37

090 defects. 33665............ ............. A

Repair of heart

28.44

NA 13.26

4.57

NA 46.27

090 defects. 33670............ ............. A

Repair of heart

34.80

NA 13.40

2.61

NA 50.81

090 chambers. 33681............ ............. A

Repair heart septum

30.44

NA 14.21

4.23

NA 48.88

090 defect. 33684............ ............. A

Repair heart septum

29.48

NA 13.35

4.52

NA 47.35

090 defect. 33688............ ............. A

Repair heart septum

30.45

NA 10.80

4.66

NA 45.91

090 defect. 33690............ ............. A

Reinforce pulmonary

19.44

NA 9.98

3.07

NA 32.49

090 artery. 33692............ ............. A

Repair of heart

30.57

NA 13.73

4.52

NA 48.82

090 defects. 33694............ ............. A

Repair of heart

33.81

NA 14.16

5.12

NA 53.09

090 defects. 33697............ ............. A

Repair of heart

35.79

NA 14.34

5.44

NA 55.57

090 defects. 33702............ ............. A

Repair of heart

26.39

NA 12.18

4.14

NA 42.71

090 defects. 33710............ ............. A

Repair of heart

29.54

NA 13.76

4.61

NA 47.91

090 defects. 33720............ ............. A

Repair of heart defect 26.41

NA 12.04

3.85

NA 42.30

090 33722............ ............. A

Repair of heart defect 28.25

NA 13.28

4.55

NA 46.08

090 33730............ ............. A

Repair heart-vein

34.05

NA 14.14

3.42

NA 51.61

090 defect(s). 33732............ ............. A

Repair heart-vein

28.00

NA 13.31

3.33

NA 44.64

090 defect. 33735............ ............. A

Revision of heart

21.27

NA 10.06

1.34

NA 32.67

090 chamber. 33736............ ............. A

Revision of heart

23.39

NA 11.67

3.24

NA 38.30

090 chamber. 33737............ ............. A

Revision of heart

21.64

NA 10.87

3.51

NA 36.02

090 chamber. 33750............ ............. A

Major vessel shunt.... 21.29

NA 10.32

2.09

NA 33.70

090 33755............ ............. A

Major vessel shunt.... 21.67

NA 8.65

3.51

NA 33.83

090 33762............ ............. A

Major vessel shunt.... 21.67

NA 10.35

1.91

NA 33.93

090 33764............ ............. A

Major vessel shunt &

21.67

NA 10.20

2.31

NA 34.18

090 graft. 33766............ ............. A

Major vessel shunt.... 22.63

NA 11.20

3.64

NA 37.47

090 33767............ ............. A

Major vessel shunt.... 24.36

NA 11.60

3.76

NA 39.72

090 33770............ ............. A

Repair great vessels

36.79

NA 14.56

5.38

NA 56.73

090 defect. 33771............ ............. A

Repair great vessels

34.45

NA 12.62

5.60

NA 52.67

090 defect. 33774............ ............. A

Repair great vessels

30.80

NA 13.96

5.01

NA 49.77

090 defect. 33775............ ............. A

Repair great vessels

32.02

NA 14.42

5.20

NA 51.64

090 defect. 33776............ ............. A

Repair great vessels

33.85

NA 15.16

5.49

NA 54.50

090 defect. 33777............ ............. A

Repair great vessels

33.27

NA 15.09

5.41

NA 53.77

090 defect. 33778............ ............. A

Repair great vessels

39.77

NA 16.27

5.79

NA 61.83

090 defect. 33779............ ............. A

Repair great vessels

36.00

NA 15.45

2.88

NA 54.33

090 defect. 33780............ ............. A

Repair great vessels

41.51

NA 18.87

6.24

NA 66.62

090 defect. 33781............ ............. A

Repair great vessels

36.24

NA 13.78

5.89

NA 55.91

090 defect. 33786............ ............. A

Repair arterial trunk. 38.78

NA 16.09

5.62

NA 60.49

090 33788............ ............. A

Revision of pulmonary 26.47

NA 12.05

3.98

NA 42.50

090 artery. 33800............ ............. A

Aortic suspension..... 16.15

NA 7.73

1.33

NA 25.21

090 33802............ ............. A

Repair vessel defect.. 17.56

NA 8.97

1.87

NA 28.40

090 33803............ ............. A

Repair vessel defect.. 19.49

NA 9.53

3.15

NA 32.17

090 33813............ ............. A

Repair septal defect.. 20.53

NA 10.55

3.33

NA 34.41

090 33814............ ............. A

Repair septal defect.. 25.62

NA 12.26

3.02

NA 40.90

090 33820............ ............. A

Revise major vessel... 16.20

NA 8.05

2.52

NA 26.77

090 33822............ ............. A

Revise major vessel... 17.22

NA 8.58

2.79

NA 28.59

090

[[Page 63295]]

33824............ ............. A

Revise major vessel... 19.41

NA 9.68

3.13

NA 32.22

090 33840............ ............. A

Remove aorta

20.51

NA 9.99

2.83

NA 33.33

090 constriction. 33845............ ............. A

Remove aorta

21.99

NA 10.97

3.48

NA 36.44

090 constriction. 33851............ ............. A

Remove aorta

21.15

NA 10.36

3.43

NA 34.94

090 constriction. 33852............ ............. A

Repair septal defect.. 23.57

NA 11.20

3.82

NA 38.59

090 33853............ ............. A

Repair septal defect.. 31.54

NA 14.32

5.07

NA 50.93

090 33860............ ............. A

Ascending aortic graft 37.78

NA 16.02

5.15

NA 58.95

090 33861............ ............. A

Ascending aortic graft 41.76

NA 17.27

5.08

NA 64.11

090 33863............ ............. A

Ascending aortic graft 44.74

NA 18.23

5.51

NA 68.48

090 33870............ ............. A

Transverse aortic arch 43.75

NA 17.93

6.10

NA 67.78

090 graft. 33875............ ............. A

Thoracic aortic graft. 32.87

NA 13.80

4.89

NA 51.56

090 33877............ ............. A

Thoracoabdominal graft 42.36

NA 16.28

6.08

NA 64.72

090 33910............ ............. A

Remove lung artery

24.45

NA 11.15

3.67

NA 39.27

090 emboli. 33915............ ............. A

Remove lung artery

20.90

NA 9.60

1.44

NA 31.94

090 emboli. 33916............ ............. A

Surgery of great

25.68

NA 11.18

3.64

NA 40.50

090 vessel. 33917............ ............. A

Repair pulmonary

24.36

NA 11.85

3.80

NA 40.01

090 artery. 33918............ ............. A

Repair pulmonary

26.30

NA 12.22

4.10

NA 42.62

090 atresia. 33919............ ............. A

Repair pulmonary

39.77

NA 17.13

4.17

NA 61.07

090 atresia. 33920............ ............. A

Repair pulmonary

31.77

NA 13.76

4.33

NA 49.86

090 atresia. 33922............ ............. A

Transect pulmonary

23.39

NA 10.81

2.76

NA 36.96

090 artery. 33924............ ............. A

Remove pulmonary shunt 5.47

NA 1.80

0.89

NA 8.16

ZZZ 33930............ ............. X

Removal of donor heart/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX lung. 33935............ ............. R

Transplantation, heart/ 60.61

NA 28.07

9.77

NA 98.45

090 lung. 33940............ ............. X

Removal of donor heart 0.00 0.00 0.00

0.00

0.00 0.00

XXX 33945............ ............. R

Transplantation of

41.86

NA 20.81

6.50

NA 69.17

090 heart. 33960............ ............. A

External circulation

19.25

NA 4.91

2.57

NA 26.73

000 assist. 33961............ ............. A

External circulation

10.87

NA 3.60

1.76

NA 16.23

ZZZ assist. 33967............ ............. A

Insert ia percut

4.82

NA 1.86

0.34

NA 7.02

000 device. 33968............ ............. A

Remove aortic assist

0.64

NA 0.23

0.08

NA 0.95

000 device. 33970............ ............. A

Aortic circulation

6.71

NA 2.25

0.84

NA 9.80

000 assist. 33971............ ............. A

Aortic circulation

9.63

NA 5.90

1.16

NA 16.69

090 assist. 33973............ ............. A

Insert balloon device. 9.70

NA 3.27

1.21

NA 14.18

000 33974............ ............. A

Remove intra-aortic

14.33

NA 7.80

1.77

NA 23.90

090 balloon. 33975............ ............. A

Implant ventricular

20.88

NA 6.20

2.06

NA 29.14

XXX device. 33976............ ............. A

Implant ventricular

22.87

NA 7.42

3.38

NA 33.67

XXX device. 33977............ ............. A

Remove ventricular

19.18

NA 10.69

2.92

NA 32.79

090 device. 33978............ ............. A

Remove ventricular

21.61

NA 11.38

3.19

NA 36.18

090 device. 33979............ ............. A

Insert intracorporeal 45.74

NA 14.63

4.77

NA 65.14

XXX device. 33980............ ............. A

Remove intracorporeal 55.93

NA 24.64

5.51

NA 86.08

090 device. 33999............ ............. C

Cardiac surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 34001............ ............. A

Removal of artery clot 12.84

NA 6.70

1.75

NA 21.29

090 34051............ ............. A

Removal of artery clot 15.12

NA 7.59

2.28

NA 24.99

090 34101............ ............. A

Removal of artery clot 9.94

NA 5.35

1.33

NA 16.62

090 34111............ ............. A

Removal of arm artery

9.94

NA 5.37

1.02

NA 16.33

090 clot. 34151............ ............. A

Removal of artery clot 24.86

NA 10.50

2.21

NA 37.57

090 34201............ ............. A

Removal of artery clot 9.97

NA 5.41

1.22

NA 16.60

090 34203............ ............. A

Removal of leg artery 16.41

NA 8.09

1.64

NA 26.14

090 clot. 34401............ ............. A

Removal of vein clot.. 24.86

NA 10.71

1.44

NA 37.01

090 34421............ ............. A

Removal of vein clot.. 11.93

NA 6.29

1.14

NA 19.36

090 34451............ ............. A

Removal of vein clot.. 26.85

NA 11.43

1.91

NA 40.19

090 34471............ ............. A

Removal of vein clot.. 10.12

NA 5.38

1.08

NA 16.58

090 34490............ ............. A

Removal of vein clot.. 9.80

NA 5.43

0.87

NA 16.10

090 34501............ ............. A

Repair valve, femoral 15.91

NA 8.34

1.64

NA 25.89

090 vein. 34502............ ............. A

Reconstruct vena cava. 26.80

NA 12.20

3.58

NA 42.58

090 34510............ ............. A

Transposition of vein 18.84

NA 9.29

1.92

NA 30.05

090 valve. 34520............ ............. A

Cross-over vein graft. 17.85

NA 8.74

1.69

NA 28.28

090 34530............ ............. A

Leg vein fusion....... 16.55

NA 8.63

2.47

NA 27.65

090 34800............ ............. A

Endovasc abdo repair w/ 20.63

NA 9.19

1.79

NA 31.61

090 tube. 34802............ ............. A

Endovasc abdo repr w/ 22.87

NA 9.88

1.98

NA 34.73

090 device. 34804............ ............. A

Endovasc abdo repr w/ 22.87

NA 9.88

1.98

NA 34.73

090 device. 34805............ ............. A

Endovasc abdo repair w/ 21.76

NA 9.51

1.98

NA 33.25

090 pros. 34808............ ............. A

Endovasc abdo occlud

4.11

NA 1.38

0.35

NA 5.84

ZZZ device. 34812............ ............. A

Xpose for endoprosth,

6.71

NA 2.25

0.59

NA 9.55

000 femorl. 34813............ ............. A

Femoral endovas graft

4.77

NA 1.58

0.41

NA 6.76

ZZZ add-on. 34820............ ............. A

Xpose for endoprosth,

9.69

NA 3.26

0.84

NA 13.79

000 iliac. 34825............ ............. A

Endovasc extend

11.93

NA 6.20

1.03

NA 19.16

090 prosth, init. 34826............ ............. A

Endovasc exten prosth, 4.11

NA 1.39

0.35

NA 5.85

ZZZ addl. 34830............ ............. A

Open aortic tube

32.40

NA 13.68

2.80

NA 48.88

090 prosth repr. 34831............ ............. A

Open aortoiliac prosth 35.14

NA 11.90

3.03

NA 50.07

090 repr. 34832............ ............. A

Open aortofemor prosth 35.14

NA 14.67

3.03

NA 52.84

090 repr. 34833............ ............. A

Xpose for endoprosth, 11.93

NA 4.54

0.84

NA 17.31

000 iliac. 34834............ ............. A

Xpose, endoprosth,

5.32

NA 2.25

0.59

NA 8.16

000 brachial. 34900............ ............. A

Endovasc iliac repr w/ 16.29

NA 7.90

1.79

NA 25.98

090 graft. 35001............ ............. A

Repair defect of

19.53

NA 9.52

2.92

NA 31.97

090 artery. 35002............ ............. A

Repair artery rupture, 20.88

NA 9.78

2.18

NA 32.84

090 neck.

[[Page 63296]]

35005............ ............. A

Repair defect of

18.02

NA 8.88

1.62

NA 28.52

090 artery. 35011............ ............. A

Repair defect of

17.90

NA 8.00

1.56

NA 27.46

090 artery. 35013............ ............. A

Repair artery rupture, 21.87

NA 9.71

2.29

NA 33.87

090 arm. 35021............ ............. A

Repair defect of

19.54

NA 9.25

2.31

NA 31.10

090 artery. 35022............ ............. A

Repair artery rupture, 23.05

NA 10.01

2.39

NA 35.45

090 chest. 35045............ ............. A

Repair defect of arm

17.47

NA 7.61

1.50

NA 26.58

090 artery. 35081............ ............. A

Repair defect of

27.85

NA 11.45

3.84

NA 43.14

090 artery. 35082............ ............. A

Repair artery rupture, 38.28

NA 15.35

4.88

NA 58.51

090 aorta. 35091............ ............. A

Repair defect of

35.20

NA 13.61

4.90

NA 53.71

090 artery. 35092............ ............. A

Repair artery rupture, 44.74

NA 17.73

5.17

NA 67.64

090 aorta. 35102............ ............. A

Repair defect of

30.58

NA 12.40

4.12

NA 47.10

090 artery. 35103............ ............. A

Repair artery rupture, 40.27

NA 15.95

4.54

NA 60.76

090 groin. 35111............ ............. A

Repair defect of

24.86

NA 10.53

2.17

NA 37.56

090 artery. 35112............ ............. A

Repair artery

29.83

NA 12.07

2.34

NA 44.24

090 rupture,spleen. 35121............ ............. A

Repair defect of

29.83

NA 12.41

3.51

NA 45.75

090 artery. 35122............ ............. A

Repair artery rupture, 34.80

NA 13.93

4.24

NA 52.97

090 belly. 35131............ ............. A

Repair defect of

24.86

NA 10.76

2.53

NA 38.15

090 artery. 35132............ ............. A

Repair artery rupture, 29.83

NA 12.42

2.97

NA 45.22

090 groin. 35141............ ............. A

Repair defect of

19.89

NA 8.89

1.98

NA 30.76

090 artery. 35142............ ............. A

Repair artery rupture, 23.17

NA 10.39

2.10

NA 35.66

090 thigh. 35151............ ............. A

Repair defect of

22.51

NA 10.02

2.31

NA 34.84

090 artery. 35152............ ............. A

Repair artery rupture, 25.47

NA 11.34

2.31

NA 39.12

090 knee. 35161............ ............. A

Repair defect of

18.65

NA 9.08

2.65

NA 30.38

090 artery. 35162............ ............. A

Repair artery rupture. 19.67

NA 9.57

2.65

NA 31.89

090 35180............ ............. A

Repair blood vessel

13.54

NA 6.99

1.73

NA 22.26

090 lesion. 35182............ ............. A

Repair blood vessel

29.83

NA 12.76

2.25

NA 44.84

090 lesion. 35184............ ............. A

Repair blood vessel

17.90

NA 8.31

1.61

NA 27.82

090 lesion. 35188............ ............. A

Repair blood vessel

14.20

NA 7.61

1.83

NA 23.64

090 lesion. 35189............ ............. A

Repair blood vessel

27.84

NA 11.94

2.54

NA 42.32

090 lesion. 35190............ ............. A

Repair blood vessel

12.68

NA 6.49

1.59

NA 20.76

090 lesion. 35201............ ............. A

Repair blood vessel

16.05

NA 7.99

1.40

NA 25.44

090 lesion. 35206............ ............. A

Repair blood vessel

13.17

NA 6.60

1.25

NA 21.02

090 lesion. 35207............ ............. A

Repair blood vessel

10.09

NA 7.59

1.38

NA 19.06

090 lesion. 35211............ ............. A

Repair blood vessel

21.99

NA 10.31

3.39

NA 35.69

090 lesion. 35216............ ............. A

Repair blood vessel

18.64

NA 8.81

2.60

NA 30.05

090 lesion. 35221............ ............. A

Repair blood vessel

24.25

NA 10.02

2.15

NA 36.42

090 lesion. 35226............ ............. A

Repair blood vessel

14.42

NA 7.51

1.01

NA 22.94

090 lesion. 35231............ ............. A

Repair blood vessel

19.89

NA 9.79

1.58

NA 31.26

090 lesion. 35236............ ............. A

Repair blood vessel

17.01

NA 7.96

1.43

NA 26.40

090 lesion. 35241............ ............. A

Repair blood vessel

22.99

NA 10.74

3.48

NA 37.21

090 lesion. 35246............ ............. A

Repair blood vessel

26.30

NA 11.29

2.66

NA 40.25

090 lesion. 35251............ ............. A

Repair blood vessel

30.03

NA 11.91

2.24

NA 44.18

090 lesion. 35256............ ............. A

Repair blood vessel

18.26

NA 8.43

1.58

NA 28.27

090 lesion. 35261............ ............. A

Repair blood vessel

17.70

NA 8.03

1.61

NA 27.34

090 lesion. 35266............ ............. A

Repair blood vessel

14.83

NA 7.04

1.39

NA 23.26

090 lesion. 35271............ ............. A

Repair blood vessel

21.99

NA 10.21

3.32

NA 35.52

090 lesion. 35276............ ............. A

Repair blood vessel

24.11

NA 11.01

2.84

NA 37.96

090 lesion. 35281............ ............. A

Repair blood vessel

27.84

NA 11.79

2.18

NA 41.81

090 lesion. 35286............ ............. A

Repair blood vessel

16.07

NA 8.08

1.63

NA 25.78

090 lesion. 35301............ ............. A

Rechanneling of artery 18.59

NA 8.45

2.67

NA 29.71

090 35311............ ............. A

Rechanneling of artery 26.85

NA 11.49

3.30

NA 41.64

090 35321............ ............. A

Rechanneling of artery 15.91

NA 7.34

1.63

NA 24.88

090 35331............ ............. A

Rechanneling of artery 26.05

NA 11.22

3.25

NA 40.52

090 35341............ ............. A

Rechanneling of artery 24.97

NA 10.93

3.44

NA 39.34

090 35351............ ............. A

Rechanneling of artery 22.87

NA 9.64

2.74

NA 35.25

090 35355............ ............. A

Rechanneling of artery 18.39

NA 8.13

2.16

NA 28.68

090 35361............ ............. A

Rechanneling of artery 28.04

NA 11.77

3.19

NA 43.00

090 35363............ ............. A

Rechanneling of artery 30.03

NA 12.58

3.32

NA 45.93

090 35371............ ............. A

Rechanneling of artery 14.64

NA 6.98

1.58

NA 23.20

090 35372............ ............. A

Rechanneling of artery 17.90

NA 8.09

1.83

NA 27.82

090 35381............ ............. A

Rechanneling of artery 15.72

NA 7.83

2.16

NA 25.71

090 35390............ ............. A

Reoperation, carotid

3.17

NA 1.06

0.46

NA 4.69

ZZZ add-on. 35400............ ............. A

Angioscopy............ 2.98

NA 1.04

0.41

NA 4.43

ZZZ 35450............ ............. A

Repair arterial

10.01

NA 4.05

1.01

NA 15.07

000 blockage. 35452............ ............. A

Repair arterial

6.87

NA 3.15

0.91

NA 10.93

000 blockage. 35454............ ............. A

Repair arterial

6.01

NA 2.84

0.80

NA 9.65

000 blockage. 35456............ ............. A

Repair arterial

7.31

NA 3.27

0.98

NA 11.56

000 blockage. 35458............ ............. A

Repair arterial

9.44

NA 3.98

1.31

NA 14.73

000 blockage. 35459............ ............. A

Repair arterial

8.58

NA 3.64

1.15

NA 13.37

000 blockage. 35460............ ............. A

Repair venous blockage 6.01

NA 2.68

0.79

NA 9.48

000 35470............ ............. A

Repair arterial

8.58

NA 3.88

0.60

NA 13.06

000 blockage. 35471............ ............. A

Repair arterial

10.01

NA 4.50

0.60

NA 15.11

000 blockage. 35472............ ............. A

Repair arterial

6.87

NA 3.26

0.47

NA 10.60

000 blockage. 35473............ ............. A

Repair arterial

6.01

NA 2.94

0.41

NA 9.36

000 blockage. 35474............ ............. A

Repair arterial

7.32

NA 2.91

0.48

NA 10.71

000 blockage.

[[Page 63297]]

35475............ ............. R

Repair arterial

9.44

NA 4.10

0.56

NA 14.10

000 blockage. 35476............ ............. A

Repair venous blockage 6.01

NA 2.88

0.32

NA 9.21

000 35480............ ............. A

Atherectomy, open..... 11.02

NA 4.51

1.35

NA 16.88

000 35481............ ............. A

Atherectomy, open..... 7.57

NA 3.44

1.01

NA 12.02

000 35482............ ............. A

Atherectomy, open..... 6.61

NA 3.09

0.90

NA 10.60

000 35483............ ............. A

Atherectomy, open..... 8.05

NA 3.53

0.97

NA 12.55

000 35484............ ............. A

Atherectomy, open..... 10.38

NA 4.23

1.35

NA 15.96

000 35485............ ............. A

Atherectomy, open..... 9.44

NA 4.06

1.27

NA 14.77

000 35490............ ............. A

Atherectomy,

11.02

NA 4.75

0.66

NA 16.43

000 percutaneous. 35491............ ............. A

Atherectomy,

7.57

NA 3.32

0.59

NA 11.48

000 percutaneous. 35492............ ............. A

Atherectomy,

6.61

NA 3.22

0.52

NA 10.35

000 percutaneous. 35493............ ............. A

Atherectomy,

8.05

NA 3.83

0.56

NA 12.44

000 percutaneous. 35494............ ............. A

Atherectomy,

10.38

NA 4.45

0.58

NA 15.41

000 percutaneous. 35495............ ............. A

Atherectomy,

9.44

NA 4.42

0.61

NA 14.47

000 percutaneous. 35500............ ............. A

Harvest vein for

6.41

NA 2.04

0.76

NA 9.21

ZZZ bypass. 35501............ ............. A

Artery bypass graft... 19.08

NA 8.43

2.79

NA 30.30

090 35506............ ............. A

Artery bypass graft... 19.56

NA 9.39

2.79

NA 31.74

090 35507............ ............. A

Artery bypass graft... 19.56

NA 9.36

2.72

NA 31.64

090 35508............ ............. A

Artery bypass graft... 18.54

NA 9.28

2.80

NA 30.62

090 35509............ ............. A

Artery bypass graft... 17.97

NA 8.76

2.54

NA 29.27

090 35510............ ............. A

Artery bypass graft... 22.87

NA 10.22

2.09

NA 35.18

090 35511............ ............. A

Artery bypass graft... 21.08

NA 9.34

2.09

NA 32.51

090 35512............ ............. A

Artery bypass graft... 22.37

NA 10.05

2.09

NA 34.51

090 35515............ ............. A

Artery bypass graft... 18.54

NA 9.23

2.71

NA 30.48

090 35516............ ............. A

Artery bypass graft... 16.23

NA 6.87

2.25

NA 25.35

090 35518............ ............. A

Artery bypass graft... 21.08

NA 9.04

2.13

NA 32.25

090 35521............ ............. A

Artery bypass graft... 22.07

NA 9.81

2.18

NA 34.06

090 35522............ ............. A

Artery bypass graft... 21.64

NA 9.79

2.09

NA 33.52

090 35525............ ............. A

Artery bypass graft... 20.51

NA 9.41

2.09

NA 32.01

090 35526............ ............. A

Artery bypass graft... 29.78

NA 12.37

2.61

NA 44.76

090 35531............ ............. A

Artery bypass graft... 35.99

NA 14.57

3.49

NA 54.05

090 35533............ ............. A

Artery bypass graft... 27.84

NA 11.77

2.82

NA 42.43

090 35536............ ............. A

Artery bypass graft... 31.52

NA 13.06

3.14

NA 47.72

090 35541............ ............. A

Artery bypass graft... 25.65

NA 11.17

3.28

NA 40.10

090 35546............ ............. A

Artery bypass graft... 25.39

NA 10.90

3.40

NA 39.69

090 35548............ ............. A

Artery bypass graft... 21.45

NA 9.45

2.94

NA 33.84

090 35549............ ............. A

Artery bypass graft... 23.22

NA 10.30

3.32

NA 36.84

090 35551............ ............. A

Artery bypass graft... 26.52

NA 11.41

3.82

NA 41.75

090 35556............ ............. A

Artery bypass graft... 21.64

NA 9.73

2.97

NA 34.34

090 35558............ ............. A

Artery bypass graft... 21.08

NA 9.56

1.89

NA 32.53

090 35560............ ............. A

Artery bypass graft... 31.82

NA 13.31

3.27

NA 48.40

090 35563............ ............. A

Artery bypass graft... 24.06

NA 10.53

2.01

NA 36.60

090 35565............ ............. A

Artery bypass graft... 23.07

NA 10.18

2.05

NA 35.30

090 35566............ ............. A

Artery bypass graft... 26.77

NA 11.46

3.62

NA 41.85

090 35571............ ............. A

Artery bypass graft... 23.92

NA 10.93

2.57

NA 37.42

090 35572............ ............. A

Harvest

6.78

NA 2.35

0.76

NA 9.89

ZZZ femoropopliteal vein. 35582............ ............. A

Vein bypass graft..... 26.98

NA 11.61

3.73

NA 42.32

090 35583............ ............. A

Vein bypass graft..... 22.24

NA 10.22

3.03

NA 35.49

090 35585............ ............. A

Vein bypass graft..... 28.23

NA 12.35

3.85

NA 44.43

090 35587............ ............. A

Vein bypass graft..... 24.61

NA 11.53

2.60

NA 38.74

090 35600............ ............. A

Harvest artery for

4.92

NA 1.60

0.72

NA 7.24

ZZZ cabg. 35601............ ............. A

Artery bypass graft... 17.40

NA 8.59

2.49

NA 28.48

090 35606............ ............. A

Artery bypass graft... 18.60

NA 8.97

2.60

NA 30.17

090 35612............ ............. A

Artery bypass graft... 15.67

NA 7.83

2.06

NA 25.56

090 35616............ ............. A

Artery bypass graft... 15.61

NA 8.02

2.21

NA 25.84

090 35621............ ............. A

Artery bypass graft... 19.89

NA 8.69

2.01

NA 30.59

090 35623............ ............. A

Bypass graft, not vein 23.86

NA 10.51

2.29

NA 36.66

090 35626............ ............. A

Artery bypass graft... 27.59

NA 11.78

3.46

NA 42.83

090 35631............ ............. A

Artery bypass graft... 33.81

NA 13.90

3.39

NA 51.10

090 35636............ ............. A

Artery bypass graft... 29.33

NA 12.43

2.84

NA 44.60

090 35641............ ............. A

Artery bypass graft... 24.43

NA 11.00

3.39

NA 38.82

090 35642............ ............. A

Artery bypass graft... 17.88

NA 8.70

2.21

NA 28.79

090 35645............ ............. A

Artery bypass graft... 17.37

NA 8.35

2.29

NA 28.01

090 35646............ ............. A

Artery bypass graft... 30.82

NA 13.10

4.35

NA 48.27

090 35647............ ............. A

Artery bypass graft... 27.84

NA 11.78

3.93

NA 43.55

090 35650............ ............. A

Artery bypass graft... 18.89

NA 8.38

1.97

NA 29.24

090 35651............ ............. A

Artery bypass graft... 24.90

NA 10.86

3.03

NA 38.79

090 35654............ ............. A

Artery bypass graft... 24.86

NA 10.70

2.52

NA 38.08

090 35656............ ............. A

Artery bypass graft... 19.42

NA 8.60

2.65

NA 30.67

090 35661............ ............. A

Artery bypass graft... 18.89

NA 8.93

1.80

NA 29.62

090 35663............ ............. A

Artery bypass graft... 21.87

NA 9.96

1.86

NA 33.69

090 35665............ ............. A

Artery bypass graft... 20.88

NA 9.49

2.11

NA 32.48

090 35666............ ............. A

Artery bypass graft... 22.06

NA 10.68

2.62

NA 35.36

090 35671............ ............. A

Artery bypass graft... 19.22

NA 9.40

2.01

NA 30.63

090 35681............ ............. A

Composite bypass graft 1.59

NA 0.54

0.22

NA 2.35

ZZZ

[[Page 63298]]

35682............ ............. A

Composite bypass graft 7.16

NA 2.41

0.99

NA 10.56

ZZZ 35683............ ............. A

Composite bypass graft 8.45

NA 2.84

1.17

NA 12.46

ZZZ 35685............ ............. A

Bypass graft patency/

4.03

NA 1.36

0.30

NA 5.69

ZZZ patch. 35686............ ............. A

Bypass graft/av fist

3.33

NA 1.14

0.25

NA 4.72

ZZZ patency. 35691............ ............. A

Arterial transposition 17.95

NA 8.46

2.47

NA 28.88

090 35693............ ............. A

Arterial transposition 15.27

NA 7.67

2.16

NA 25.10

090 35694............ ............. A

Arterial transposition 19.05

NA 8.69

2.55

NA 30.29

090 35695............ ............. A

Arterial transposition 19.05

NA 8.61

2.62

NA 30.28

090 35697............ ............. A

Reimplant artery each. 2.98

NA 1.03

0.41

NA 4.42

ZZZ 35700............ ............. A

Reoperation, bypass

3.06

NA 1.02

0.43

NA 4.51

ZZZ graft. 35701............ ............. A

Exploration, carotid

8.45

NA 5.16

0.77

NA 14.38

090 artery. 35721............ ............. A

Exploration, femoral

7.14

NA 4.43

0.71

NA 12.28

090 artery. 35741............ ............. A

Exploration popliteal

7.95

NA 4.69

0.72

NA 13.36

090 artery. 35761............ ............. A

Exploration of artery/ 5.34

NA 4.05

0.72

NA 10.11

090 vein. 35800............ ............. A

Explore neck vessels.. 6.98

NA 4.63

0.95

NA 12.56

090 35820............ ............. A

Explore chest vessels. 12.81

NA 6.93

1.93

NA 21.67

090 35840............ ............. A

Explore abdominal

9.71

NA 5.31

1.27

NA 16.29

090 vessels. 35860............ ............. A

Explore limb vessels.. 5.52

NA 4.03

0.76

NA 10.31

090 35870............ ............. A

Repair vessel graft

22.04

NA 9.81

2.96

NA 34.81

090 defect. 35875............ ............. A

Removal of clot in

10.07

NA 5.24

1.16

NA 16.47

090 graft. 35876............ ............. A

Removal of clot in

16.90

NA 7.59

2.25

NA 26.74

090 graft. 35879............ ............. A

Revise graft w/vein... 15.91

NA 7.74

1.62

NA 25.27

090 35881............ ............. A

Revise graft w/vein... 17.90

NA 8.71

1.73

NA 28.34

090 35901............ ............. A

Excision, graft, neck. 8.14

NA 5.34

1.08

NA 14.56

090 35903............ ............. A

Excision, graft,

9.34

NA 5.99

1.23

NA 16.56

090 extremity. 35905............ ............. A

Excision, graft,

31.07

NA 13.14

2.58

NA 46.79

090 thorax. 35907............ ............. A

Excision, graft,

34.80

NA 14.15

2.60

NA 51.55

090 abdomen. 36000............ ............. A

Place needle in vein.. 0.18 0.62 0.05

0.01

0.81 0.24

XXX 36002............ ............. A

Pseudoaneurysm

1.95 2.92 1.00

0.12

4.99 3.07

000 injection trt. 36005............ ............. A

Injection ext

0.94 8.42 0.32

0.05

9.41 1.31

000 venography. 36010............ ............. A

Place catheter in vein 2.42

NA 0.79

0.19

NA 3.40

XXX 36011............ ............. A

Place catheter in vein 3.12

NA 1.04

0.20

NA 4.36

XXX 36012............ ............. A

Place catheter in vein 3.50

NA 1.16

0.20

NA 4.86

XXX 36013............ ............. A

Place catheter in

2.51

NA 0.66

0.20

NA 3.37

XXX artery. 36014............ ............. A

Place catheter in

3.00

NA 1.00

0.17

NA 4.17

XXX artery. 36015............ ............. A

Place catheter in

3.50

NA 1.16

0.19

NA 4.85

XXX artery. 36100............ ............. A

Establish access to

3.00

NA 1.11

0.22

NA 4.33

XXX artery. 36120............ ............. A

Establish access to

2.00

NA 0.65

0.13

NA 2.78

XXX artery. 36140............ ............. A

Establish access to

2.00

NA 0.64

0.14

NA 2.78

XXX artery. 36145............ ............. A

Artery to vein shunt.. 2.00

NA 0.66

0.12

NA 2.78

XXX 36160............ ............. A

Establish access to

2.51

NA 0.84

0.24

NA 3.59

XXX aorta. 36200............ ............. A

Place catheter in

3.00 77.01 1.02

0.18 80.19 4.20

XXX aorta. 36215............ ............. A

Place catheter in

4.65

NA 1.59

0.26

NA 6.50

XXX artery. 36216............ ............. A

Place catheter in

5.25

NA 1.78

0.29

NA 7.32

XXX artery. 36217............ ............. A

Place catheter in

6.26

NA 2.16

0.38

NA 8.80

XXX artery. 36218............ ............. A

Place catheter in

1.00

NA 0.35

0.06

NA 1.41

ZZZ artery. 36245............ ............. A

Place catheter in

4.65

NA 1.67

0.28

NA 6.60

XXX artery. 36246............ ............. A

Place catheter in

5.25

NA 1.81

0.31

NA 7.37

XXX artery. 36247............ ............. A

Place catheter in

6.26

NA 2.12

0.38

NA 8.76

XXX artery. 36248............ ............. A

Place catheter in

1.00

NA 0.35

0.07

NA 1.42

ZZZ artery. 36260............ ............. A

Insertion of infusion

9.65

NA 4.96

1.20

NA 15.81

090 pump. 36261............ ............. A

Revision of infusion

5.42

NA 3.62

0.60

NA 9.64

090 pump. 36262............ ............. A

Removal of infusion

4.00

NA 2.80

0.52

NA 7.32

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 yr. 36430............ ............. A

Blood transfusion

0.00 0.99

NA

0.06

1.05

NA

XXX service. 36440............ ............. A

Bl push transfuse, 2

1.02

NA 0.29

0.10

NA 1.41

XXX yr or 5 yr. 49507............ ............. A

Prp i/hern init

9.52

NA 4.58

0.99

NA 15.09

090 block5 yr. 49520............ ............. A

Rerepair ing hernia,

9.58

NA 4.53

1.01

NA 15.12

090 reduce. 49521............ ............. A

Rerepair ing hernia,

11.90

NA 5.34

1.25

NA 18.49

090 blocked. 49525............ ............. A

Repair ing hernia,

8.52

NA 4.18

0.89

NA 13.59

090 sliding. 49540............ ............. A

Repair lumbar hernia.. 10.33

NA 4.84

1.08

NA 16.25

090 49550............ ............. A

Rpr rem hernia, init,

8.58

NA 4.21

0.90

NA 13.69

090 reduce. 49553............ ............. A

Rpr fem hernia, init

9.39

NA 4.51

0.99

NA 14.89

090 blocked. 49555............ ............. A

Rerepair fem hernia,

8.98

NA 4.37

0.95

NA 14.30

090 reduce. 49557............ ............. A

Rerepair fem hernia,

11.09

NA 5.09

1.16

NA 17.34

090 blocked. 49560............ ............. A

Rpr ventral hern init, 11.50

NA 5.26

1.20

NA 17.96

090 reduc. 49561............ ............. A

Rpr ventral hern init, 14.17

NA 6.17

1.47

NA 21.81

090 block. 49565............ ............. A

Rerepair ventrl hern, 11.50

NA 5.33

1.20

NA 18.03

090 reduce. 49566............ ............. A

Rerepair ventrl hern, 14.32

NA 6.24

1.49

NA 22.05

090 block. 49568............ ............. A

Hernia repair w/mesh.. 4.86

NA 1.70

0.60

NA 7.16

ZZZ 49570............ ............. A

Rpr epigastric hern,

5.66

NA 3.22

0.60

NA 9.48

090 reduce. 49572............ ............. A

Rpr epigastric hern,

6.69

NA 3.54

0.70

NA 10.93

090 blocked. 49580............ ............. A

Rpr umbil hern, reduc

4.09

NA 2.68

0.41

NA 7.18

090 5 yr. 49587............ ............. A

Rpr umbil hern, block

7.52

NA 3.82

0.78

NA 12.12

090 5 yr. 49590............ ............. A

Repair spigilian

8.49

NA 4.18

0.89

NA 13.56

090 hernia. 49600............ ............. A

Repair umbilical

10.90

NA 5.42

1.35

NA 17.67

090 lesion. 49605............ ............. A

Repair umbilical

75.57

NA 28.95

3.08

NA 107.60

090 lesion. 49606............ ............. A

Repair umbilical

18.49

NA 7.82

2.66

NA 28.97

090 lesion.

[[Page 63312]]

49610............ ............. A

Repair umbilical

10.44

NA 5.34

0.92

NA 16.70

090 lesion. 49611............ ............. A

Repair umbilical

8.87

NA 6.56

0.78

NA 16.21

090 lesion. 49650............ ............. A

Laparo hernia repair

6.23

NA 3.26

0.77

NA 10.26

090 initial. 49651............ ............. A

Laparo hernia repair

8.19

NA 4.13

1.01

NA 13.33

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

12.21

NA 6.34

1.47

NA 20.02

090 wall. 49904............ ............. A

Omental flap, extra-

19.89

NA 15.64

2.29

NA 37.82

090 abdom. 49905............ ............. A

Omental flap, intra-

6.51

NA 2.31

0.73

NA 9.55

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 kidney. 10.92

NA 5.48

0.95

NA 17.35

090 50020............ ............. A

Renal abscess, open

14.58

NA 8.90

0.96

NA 24.44

090 drain. 50021............ ............. A

Renal abscess, percut

3.36

NA 1.11

0.18

NA 4.65

000 drain. 50040............ ............. A

Drainage of kidney.... 14.85

NA 8.51

0.98

NA 24.34

090 50045............ ............. A

Exploration of kidney. 15.37

NA 6.88

1.27

NA 23.52

090 50060............ ............. A

Removal of kidney

19.19

NA 8.13

1.37

NA 28.69

090 stone. 50065............ ............. A

Incision of kidney.... 20.67

NA 6.38

1.35

NA 28.40

090 50070............ ............. A

Incision of kidney.... 20.20

NA 8.52

1.44

NA 30.16

090 50075............ ............. A

Removal of kidney

25.20

NA 10.30

1.81

NA 37.31

090 stone. 50080............ ............. A

Removal of kidney

14.63

NA 7.92

1.03

NA 23.58

090 stone. 50081............ ............. A

Removal of kidney

21.68

NA 10.46

1.56

NA 33.70

090 stone. 50100............ ............. A

Revise kidney blood

16.00

NA 8.01

1.97

NA 25.98

090 vessels. 50120............ ............. A

Exploration of kidney. 15.82

NA 7.06

1.25

NA 24.13

090 50125............ ............. A

Explore and drain

16.43

NA 7.21

1.28

NA 24.92

090 kidney. 50130............ ............. A

Removal of kidney

17.19

NA 7.46

1.25

NA 25.90

090 stone. 50135............ ............. A

Exploration of kidney. 19.07

NA 8.08

1.41

NA 28.56

090 50200............ ............. A

Biopsy of kidney...... 2.62

NA 0.91

0.14

NA 3.67

000 50205............ ............. A

Biopsy of kidney...... 11.25

NA 5.30

1.13

NA 17.68

090 50220............ ............. A

Remove kidney, open... 17.05

NA 7.52

1.39

NA 25.96

090 50225............ ............. A

Removal kidney open,

20.11

NA 8.45

1.51

NA 30.07

090 complex. 50230............ ............. A

Removal kidney open,

21.94

NA 8.93

1.62

NA 32.49

090 radical. 50234............ ............. A

Removal of kidney &

22.27

NA 9.14

1.64

NA 33.05

090 ureter. 50236............ ............. A

Removal of kidney &

24.72

NA 11.52

1.80

NA 38.04

090 ureter. 50240............ ............. A

Partial removal of

21.87

NA 10.61

1.63

NA 34.11

090 kidney. 50280............ ............. A

Removal of kidney

15.58

NA 6.97

1.19

NA 23.74

090 lesion. 50290............ ............. A

Removal of kidney

14.65

NA 6.73

1.33

NA 22.71

090 lesion. 50300............ ............. X

Removal of donor

0.00 0.00 0.00

0.00

0.00 0.00

XXX kidney. 50320............ ............. A

Removal of donor

22.08

NA 10.07

2.13

NA 34.28

090 kidney. 50340............ ............. A

Removal of kidney..... 12.08

NA 7.00

1.38

NA 20.46

090 50360............ ............. A

Transplantation of

31.35

NA 15.95

3.56

NA 50.86

090 kidney. 50365............ ............. A

Transplantation of

36.60

NA 18.88

4.21

NA 59.69

090 kidney. 50370............ ............. A

Remove transplanted

13.64

NA 7.60

1.51

NA 22.75

090 kidney. 50380............ ............. A

Reimplantation of

20.64

NA 13.46

2.16

NA 36.26

090 kidney. 50390............ ............. A

Drainage of kidney

1.95

NA 0.64

0.11

NA 2.70

000 lesion. 50392............ ............. A

Insert kidney drain... 3.36

NA 1.11

0.18

NA 4.65

000 50393............ ............. A

Insert ureteral tube.. 4.14

NA 1.37

0.22

NA 5.73

000 50394............ ............. A

Injection for kidney x- 0.76 2.53 0.25

0.05

3.34 1.06

000 ray. 50395............ ............. A

Create passage to

3.36

NA 1.11

0.19

NA 4.66

000 kidney. 50396............ ............. A

Measure kidney

2.08

NA 0.86

0.12

NA 3.06

000 pressure. 50398............ ............. A

Change kidney tube.... 1.45 1.21 0.48

0.08

2.74 2.01

000 50400............ ............. A

Revision of kidney/

19.39

NA 7.81

1.45

NA 28.65

090 ureter. 50405............ ............. A

Revision of kidney/

23.79

NA 10.53

1.74

NA 36.06

090 ureter. 50500............ ............. A

Repair of kidney wound 19.46

NA 8.84

1.74

NA 30.04

090 50520............ ............. A

Close kidney-skin

17.13

NA 8.84

1.51

NA 27.48

090 fistula. 50525............ ............. A

Repair renal-abdomen

22.14

NA 10.28

1.81

NA 34.23

090 fistula. 50526............ ............. A

Repair renal-abdomen

23.88

NA 10.99

1.94

NA 36.81

090 fistula. 50540............ ............. A

Revision of horseshoe 19.82

NA 8.59

1.53

NA 29.94

090 kidney. 50541............ ............. A

Laparo ablate renal

15.91

NA 6.49

1.19

NA 23.59

090 cyst. 50542............ ............. A

Laparo ablate renal

19.89

NA 8.23

1.63

NA 29.75

090 mass. 50543............ ............. A

Laparo partial

25.35

NA 10.39

1.63

NA 37.37

090 nephrectomy. 50544............ ............. A

Laparoscopy,

22.27

NA 8.56

1.69

NA 32.52

090 pyeloplasty. 50545............ ............. A

Laparo radical

23.86

NA 9.22

1.83

NA 34.91

090 nephrectomy. 50546............ ............. A

Laparoscopic

20.36

NA 8.39

1.64

NA 30.39

090 nephrectomy. 50547............ ............. A

Laparo removal donor

25.35

NA 10.56

2.45

NA 38.36

090 kidney. 50548............ ............. A

Laparo remove w/

24.26

NA 9.20

1.79

NA 35.25

090 ureter. 50549............ ............. C

Laparoscope proc,

0.00 0.00 0.00

0.00

0.00 0.00

YYY renal. 50551............ ............. A

Kidney endoscopy...... 5.57 4.99 1.81

0.40 10.96 7.78

000 50553............ ............. A

Kidney endoscopy...... 5.96 18.71 1.96

0.42 25.09 8.34

000 50555............ ............. A

Kidney endoscopy &

6.49 19.36 2.13

0.46 26.31 9.08

000 biopsy. 50557............ ............. A

Kidney endoscopy &

6.58 20.15 2.14

0.47 27.20 9.19

000 treatment. 50559............ ............. A

Renal endoscopy/

6.74

NA 2.21

0.32

NA 9.27

000 radiotracer. 50561............ ............. A

Kidney endoscopy &

7.55 17.84 2.46

0.53 25.92 10.54

000 treatment. 50562............ ............. A

Renal scope w/tumor

10.86

NA 3.88

1.01

NA 15.75

090 resect. 50570............ ............. A

Kidney endoscopy...... 9.49

NA 3.09

0.67

NA 13.25

000 50572............ ............. A

Kidney endoscopy...... 10.29

NA 3.35

0.77

NA 14.41

000

[[Page 63313]]

50574............ ............. A

Kidney endoscopy &

10.96

NA 3.58

0.78

NA 15.32

000 biopsy. 50575............ ............. A

Kidney endoscopy...... 13.90

NA 4.52

1.01

NA 19.43

000 50576............ ............. A

Kidney endoscopy &

10.93

NA 3.54

0.79

NA 15.26

000 treatment. 50578............ ............. A

Renal endoscopy/

11.29

NA 3.67

0.80

NA 15.76

000 radiotracer. 50580............ ............. A

Kidney endoscopy &

11.79

NA 3.83

0.84

NA 16.46

000 treatment. 50590............ ............. A

Fragmenting of kidney

9.04 10.92 5.11

0.65 20.61 14.80

090 stone. 50600............ ............. A

Exploration of ureter. 15.75

NA 7.07

1.19

NA 24.01

090 50605............ ............. A

Insert ureteral

15.37

NA 7.09

1.35

NA 23.81

090 support. 50610............ ............. A

Removal of ureter

15.83

NA 7.32

1.29

NA 24.44

090 stone. 50620............ ............. A

Removal of ureter

15.07

NA 6.69

1.09

NA 22.85

090 stone. 50630............ ............. A

Removal of ureter

14.85

NA 6.63

1.08

NA 22.56

090 stone. 50650............ ............. A

Removal of ureter..... 17.31

NA 7.59

1.28

NA 26.18

090 50660............ ............. A

Removal of ureter..... 19.44

NA 8.33

1.43

NA 29.20

090 50684............ ............. A

Injection for ureter x- 0.76 15.43 0.25

0.05 16.24 1.06

000 ray. 50686............ ............. A

Measure ureter

1.50 4.60 0.65

0.11

6.21 2.26

000 pressure. 50688............ ............. A

Change of ureter tube. 1.16

NA 1.76

0.07

NA 2.99

010 50690............ ............. A

Injection for ureter x- 1.15 15.92 0.38

0.07 17.14 1.60

000 ray. 50700............ ............. A

Revision of ureter.... 15.12

NA 7.39

1.03

NA 23.54

090 50715............ ............. A

Release of ureter..... 18.79

NA 9.28

2.01

NA 30.08

090 50722............ ............. A

Release of ureter..... 16.26

NA 8.18

1.69

NA 26.13

090 50725............ ............. A

Release/revise ureter. 18.38

NA 8.41

1.73

NA 28.52

090 50727............ ............. A

Revise ureter......... 8.13

NA 5.29

0.61

NA 14.03

090 50728............ ............. A

Revise ureter......... 11.95

NA 6.82

1.05

NA 19.82

090 50740............ ............. A

Fusion of ureter &

18.32

NA 8.06

1.79

NA 28.17

090 kidney. 50750............ ............. A

Fusion of ureter &

19.40

NA 8.36

1.49

NA 29.25

090 kidney. 50760............ ............. A

Fusion of ureters..... 18.32

NA 8.05

1.50

NA 27.87

090 50770............ ............. A

Splicing of ureters... 19.40

NA 8.35

1.50

NA 29.25

090 50780............ ............. A

Reimplant ureter in

18.26

NA 7.96

1.44

NA 27.66

090 bladder. 50782............ ............. A

Reimplant ureter in

19.43

NA 9.73

1.35

NA 30.51

090 bladder. 50783............ ............. A

Reimplant ureter in

20.43

NA 9.48

1.62

NA 31.53

090 bladder. 50785............ ............. A

Reimplant ureter in

20.40

NA 8.68

1.56

NA 30.64

090 bladder. 50800............ ............. A

Implant ureter in

14.44

NA 7.08

1.10

NA 22.62

090 bowel. 50810............ ............. A

Fusion of ureter &

19.94

NA 9.70

2.13

NA 31.77

090 bowel. 50815............ ............. A

Urine shunt to

19.82

NA 9.07

1.57

NA 30.46

090 intestine. 50820............ ............. A

Construct bowel

21.77

NA 9.25

1.65

NA 32.67

090 bladder. 50825............ ............. A

Construct bowel

28.02

NA 11.81

2.17

NA 42.00

090 bladder. 50830............ ............. A

Revise urine flow..... 31.10

NA 12.81

2.64

NA 46.55

090 50840............ ............. A

Replace ureter by

19.89

NA 9.03

1.51

NA 30.43

090 bowel. 50845............ ............. A

Appendico-vesicostomy. 20.77

NA 8.99

1.51

NA 31.27

090 50860............ ............. A

Transplant ureter to

15.27

NA 6.98

1.21

NA 23.46

090 skin. 50900............ ............. A

Repair of ureter...... 13.54

NA 6.44

1.17

NA 21.15

090 50920............ ............. A

Closure ureter/skin

14.25

NA 6.87

1.01

NA 22.13

090 fistula. 50930............ ............. A

Closure ureter/bowel

18.61

NA 8.30

1.88

NA 28.79

090 fistula. 50940............ ............. A

Release of ureter..... 14.43

NA 6.72

1.25

NA 22.40

090 50945............ ............. A

Laparoscopy

16.90

NA 7.04

1.38

NA 25.32

090 ureterolithotomy. 50947............ ............. A

Laparo new ureter/

24.36

NA 9.76

2.39

NA 36.51

090 bladder. 50948............ ............. A

Laparo new ureter/

22.37

NA 8.72

2.19

NA 33.28

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... 5.81 5.41 1.89

0.42 11.64 8.12

000 50953............ ............. A

Endoscopy of ureter... 6.20 18.72 2.02

0.44 25.36 8.66

000 50955............ ............. A

Ureter endoscopy &

6.71 19.64 2.22

0.46 26.81 9.39

000 biopsy. 50957............ ............. A

Ureter endoscopy &

6.75 18.38 2.20

0.48 25.61 9.43

000 treatment. 50959............ ............. A

Ureter endoscopy &

4.37

NA 1.39

0.22

NA 5.98

000 tracer. 50961............ ............. A

Ureter endoscopy &

6.02 25.58 1.95

0.42 32.02 8.39

000 treatment. 50970............ ............. A

Ureter endoscopy...... 7.10

NA 2.32

0.52

NA 9.94

000 50972............ ............. A

Ureter endoscopy &

6.85

NA 2.28

0.47

NA 9.60

000 catheter. 50974............ ............. A

Ureter endoscopy &

9.12

NA 2.96

0.64

NA 12.72

000 biopsy. 50976............ ............. A

Ureter endoscopy &

8.99

NA 2.94

0.64

NA 12.57

000 treatment. 50978............ ............. A

Ureter endoscopy &

5.07

NA 1.69

0.36

NA 7.12

000 tracer. 50980............ ............. A

Ureter endoscopy &

6.81

NA 2.22

0.49

NA 9.52

000 treatment. 51000............ ............. A

Drainage of bladder... 0.78 2.01 0.24

0.06

2.85 1.08

000 51005............ ............. A

Drainage of bladder... 1.01 4.88 0.34

0.10

5.99 1.45

000 51010............ ............. A

Drainage of bladder... 3.51 5.80 1.93

0.28

9.59 5.72

010 51020............ ............. A

Incise & treat bladder 6.67

NA 4.04

0.50

NA 11.21

090 51030............ ............. A

Incise & treat bladder 6.73

NA 4.14

0.50

NA 11.37

090 51040............ ............. A

Incise & drain bladder 4.37

NA 2.92

0.32

NA 7.61

090 51045............ ............. A

Incise bladder/drain

6.73

NA 4.13

0.56

NA 11.42

090 ureter. 51050............ ............. A

Removal of bladder

6.88

NA 3.79

0.50

NA 11.17

090 stone. 51060............ ............. A

Removal of ureter

8.80

NA 4.68

0.65

NA 14.13

090 stone. 51065............ ............. A

Remove ureter calculus 8.80

NA 4.53

0.64

NA 13.97

090 51080............ ............. A

Drainage of bladder

5.93

NA 3.70

0.42

NA 10.05

090 abscess. 51500............ ............. A

Removal of bladder

10.08

NA 5.14

1.05

NA 16.27

090 cyst. 51520............ ............. A

Removal of bladder

9.24

NA 4.86

0.70

NA 14.80

090 lesion. 51525............ ............. A

Removal of bladder

13.89

NA 6.32

1.02

NA 21.23

090 lesion. 51530............ ............. A

Removal of bladder

12.31

NA 5.95

0.98

NA 19.24

090 lesion.

[[Page 63314]]

51535............ ............. A

Repair of ureter

12.50

NA 6.34

1.08

NA 19.92

090 lesion. 51550............ ............. A

Partial removal of

15.57

NA 6.94

1.26

NA 23.77

090 bladder. 51555............ ............. A

Partial removal of

21.11

NA 8.91

1.64

NA 31.66

090 bladder. 51565............ ............. A

Revise bladder &

21.50

NA 9.23

1.68

NA 32.41

090 ureter(s). 51570............ ............. A

Removal of bladder.... 24.10

NA 10.05

1.91

NA 36.06

090 51575............ ............. A

Removal of bladder &

30.28

NA 12.38

2.25

NA 44.91

090 nodes. 51580............ ............. A

Remove bladder/revise 30.90

NA 12.85

2.33

NA 46.08

090 tract. 51585............ ............. A

Removal of bladder &

35.03

NA 14.08

2.61

NA 51.72

090 nodes. 51590............ ............. A

Remove bladder/revise 32.47

NA 12.97

2.41

NA 47.85

090 tract. 51595............ ............. A

Remove bladder/revise 36.93

NA 14.51

2.67

NA 54.11

090 tract. 51596............ ............. A

Remove bladder/create 39.29

NA 15.64

2.86

NA 57.79

090 pouch. 51597............ ............. A

Removal of pelvic

38.13

NA 15.24

2.98

NA 56.35

090 structures. 51600............ ............. A

Injection for bladder

0.87 5.86 0.29

0.05

6.78 1.21

000 x-ray. 51605............ ............. A

Preparation for

0.64 10.87 0.35

0.05 11.56 1.04

000 bladder xray. 51610............ ............. A

Injection for bladder

1.04 1.75 0.62

0.06

2.85 1.72

000 x-ray. 51700............ ............. A

Irrigation of bladder. 0.87 1.67 0.29

0.06

2.60 1.22

000 51701............ ............. A

Insert bladder

0.50 1.66 0.19

0.04

2.20 0.73

000 catheter. 51702............ ............. A

Insert temp bladder

0.50 2.36 0.26

0.04

2.90 0.80

000 cath. 51703............ ............. A

Insert bladder cath,

1.46 3.08 0.58

0.11

4.65 2.15

000 complex. 51705............ ............. A

Change of bladder tube 1.01 2.36 0.63

0.07

3.44 1.71

010 51710............ ............. A

Change of bladder tube 1.48 3.46 0.78

0.11

5.05 2.37

010 51715............ ............. A

Endoscopic injection/

3.72 4.04 1.37

0.29

8.05 5.38

000 implant. 51720............ ............. A

Treatment of bladder

1.95 1.80 0.71

0.14

3.89 2.80

000 lesion. 51725............ ............. A

Simple cystometrogram. 1.50 5.83

NA

0.16

7.49

NA

000 51725............ 26........... A

Simple cystometrogram. 1.50 0.50 0.50

0.12

2.12 2.12

000 51725............ TC........... A

Simple cystometrogram. 0.00 5.33

NA

0.04

5.37

NA

000 51726............ ............. A

Complex cystometrogram 1.70 7.91

NA

0.18

9.79

NA

000 51726............ 26........... A

Complex cystometrogram 1.70 0.57 0.57

0.13

2.40 2.40

000 51726............ TC........... A

Complex cystometrogram 0.00 7.34

NA

0.05

7.39

NA

000 51736............ ............. A

Urine flow measurement 0.61 0.60

NA

0.06

1.27

NA

000 51736............ 26........... A

Urine flow measurement 0.61 0.20 0.20

0.05

0.86 0.86

000 51736............ TC........... A

Urine flow measurement 0.00 0.40

NA

0.01

0.41

NA

000 51741............ ............. A

Electro-uroflowmetry,

1.13 0.83

NA

0.10

2.06

NA

000 first. 51741............ 26........... A

Electro-uroflowmetry,

1.13 0.38 0.38

0.08

1.59 1.59

000 first. 51741............ TC........... A

Electro-uroflowmetry,

0.00 0.45

NA

0.02

0.47

NA

000 first. 51772............ ............. A

Urethra pressure

1.60 5.86

NA

0.19

7.65

NA

000 profile. 51772............ 26........... A

Urethra pressure

1.60 0.56 0.56

0.14

2.30 2.30

000 profile. 51772............ TC........... A

Urethra pressure

0.00 5.30

NA

0.05

5.35

NA

000 profile. 51784............ ............. A

Anal/urinary muscle

1.52 4.16

NA

0.16

5.84

NA

000 study. 51784............ 26........... A

Anal/urinary muscle

1.52 0.51 0.51

0.12

2.15 2.15

000 study. 51784............ TC........... A

Anal/urinary muscle

0.00 3.65

NA

0.04

3.69

NA

000 study. 51785............ ............. A

Anal/urinary muscle

1.52 4.68

NA

0.15

6.35

NA

000 study. 51785............ 26........... A

Anal/urinary muscle

1.52 0.51 0.51

0.11

2.14 2.14

000 study. 51785............ TC........... A

Anal/urinary muscle

0.00 4.17

NA

0.04

4.21

NA

000 study. 51792............ ............. A

Urinary reflex study.. 1.09 6.06

NA

0.24

7.39

NA

000 51792............ 26........... A

Urinary reflex study.. 1.09 0.42 0.42

0.11

1.62 1.62

000 51792............ TC........... A

Urinary reflex study.. 0.00 5.64

NA

0.13

5.77

NA

000 51795............ ............. A

Urine voiding pressure 1.52 7.69

NA

0.22

9.43

NA

000 study. 51795............ 26........... A

Urine voiding pressure 1.52 0.51 0.51

0.12

2.15 2.15

000 study. 51795............ TC........... A

Urine voiding pressure 0.00 7.18

NA

0.10

7.28

NA

000 study. 51797............ ............. A

Intraabdominal

1.59 6.02

NA

0.17

7.78

NA

000 pressure test. 51797............ 26........... A

Intraabdominal

1.59 0.54 0.54

0.12

2.25 2.25

000 pressure test. 51797............ TC........... A

Intraabdominal

0.00 5.48

NA

0.05

5.53

NA

000 pressure test. 51798............ ............. A

Us urine capacity

0.00 0.36

NA

0.08

0.44

NA

XXX measure. 51800............ ............. A

Revision of bladder/

17.32

NA 7.79

1.40

NA 26.51

090 urethra. 51820............ ............. A

Revision of urinary

17.79

NA 8.58

1.74

NA 28.11

090 tract. 51840............ ............. A

Attach bladder/urethra 10.65

NA 5.65

1.04

NA 17.34

090 51841............ ............. A

Attach bladder/urethra 12.96

NA 6.46

1.25

NA 20.67

090 51845............ ............. A

Repair bladder neck... 9.67

NA 4.93

0.74

NA 15.34

090 51860............ ............. A

Repair of bladder

11.95

NA 5.98

1.07

NA 19.00

090 wound. 51865............ ............. A

Repair of bladder

14.95

NA 6.91

1.21

NA 23.07

090 wound. 51880............ ............. A

Repair of bladder

7.62

NA 4.15

0.65

NA 12.42

090 opening. 51900............ ............. A

Repair bladder/vagina 12.90

NA 6.30

1.04

NA 20.24

090 lesion. 51920............ ............. A

Close bladder-uterus

11.74

NA 5.82

1.03

NA 18.59

090 fistula. 51925............ ............. A

Hysterectomy/bladder

15.49

NA 8.82

1.77

NA 26.08

090 repair. 51940............ ............. A

Correction of bladder 28.27

NA 12.51

2.36

NA 43.14

090 defect. 51960............ ............. A

Revision of bladder & 22.88

NA 9.98

1.69

NA 34.55

090 bowel. 51980............ ............. A

Construct bladder

11.30

NA 5.56

0.89

NA 17.75

090 opening. 51990............ ............. A

Laparo urethral

12.43

NA 6.26

1.22

NA 19.91

090 suspension. 51992............ ............. A

Laparo sling operation 13.93

NA 6.32

1.11

NA 21.36

090 52000............ ............. A

Cystoscopy............ 2.00 3.41 0.76

0.14

5.55 2.90

000 52001............ ............. A

Cystoscopy, removal of 5.42 5.22 1.89

0.38 11.02 7.69

000 clots. 52005............ ............. A

Cystoscopy & ureter

2.36 6.01 0.90

0.18

8.55 3.44

000 catheter. 52007............ ............. A

Cystoscopy and biopsy. 3.00

NA 1.17

0.22

NA 4.39

000 52010............ ............. A

Cystoscopy & duct

3.00

NA 1.15

0.22

NA 4.37

000 catheter.

[[Page 63315]]

52204............ ............. A

Cystoscopy............ 2.36 3.67 0.92

0.18

6.21 3.46

000 52214............ ............. A

Cystoscopy and

3.69

NA 1.35

0.26

NA 5.30

000 treatment. 52224............ ............. A

Cystoscopy and

3.12

NA 1.17

0.22

NA 4.51

000 treatment. 52234............ ............. A

Cystoscopy and

4.60

NA 1.65

0.32

NA 6.57

000 treatment. 52235............ ............. A

Cystoscopy and

5.42

NA 1.93

0.38

NA 7.73

000 treatment. 52240............ ............. A

Cystoscopy and

9.66

NA 3.33

0.70

NA 13.69

000 treatment. 52250............ ............. A

Cystoscopy and

4.47

NA 1.69

0.32

NA 6.48

000 radiotracer. 52260............ ............. A

Cystoscopy and

3.90

NA 1.45

0.28

NA 5.63

000 treatment. 52265............ ............. A

Cystoscopy and

2.92 3.79 1.13

0.22

6.93 4.27

000 treatment. 52270............ ............. A

Cystoscopy & revise

3.35

NA 1.26

0.24

NA 4.85

000 urethra. 52275............ ............. A

Cystoscopy & revise

4.67

NA 1.69

0.34

NA 6.70

000 urethra. 52276............ ............. A

Cystoscopy and

4.97

NA 1.81

0.36

NA 7.14

000 treatment. 52277............ ............. A

Cystoscopy and

6.13

NA 2.28

0.46

NA 8.87

000 treatment. 52281............ ............. A

Cystoscopy and

2.78 7.47 1.09

0.20 10.45 4.07

000 treatment. 52282............ ............. A

Cystoscopy, implant

6.36

NA 2.26

0.46

NA 9.08

000 stent. 52283............ ............. A

Cystoscopy and

3.72 4.06 1.41

0.26

8.04 5.39

000 treatment. 52285............ ............. A

Cystoscopy and

3.59 4.14 1.36

0.26

7.99 5.21

000 treatment. 52290............ ............. A

Cystoscopy and

4.56

NA 1.68

0.32

NA 6.56

000 treatment. 52300............ ............. A

Cystoscopy and

5.28

NA 1.93

0.38

NA 7.59

000 treatment. 52301............ ............. A

Cystoscopy and

5.48

NA 2.02

0.47

NA 7.97

000 treatment. 52305............ ............. A

Cystoscopy and

5.28

NA 1.88

0.37

NA 7.53

000 treatment. 52310............ ............. A

Cystoscopy and

2.79 3.56 1.04

0.20

6.55 4.03

000 treatment. 52315............ ............. A

Cystoscopy and

5.18

NA 1.86

0.37

NA 7.41

000 treatment. 52317............ ............. A

Remove bladder stone.. 6.68

NA 2.31

0.48

NA 9.47

000 52318............ ............. A

Remove bladder stone.. 9.14

NA 3.14

0.65

NA 12.93

000 52320............ ............. A

Cystoscopy and

4.67

NA 1.66

0.34

NA 6.67

000 treatment. 52325............ ............. A

Cystoscopy, stone

6.12

NA 2.13

0.44

NA 8.69

000 removal. 52327............ ............. A

Cystoscopy, inject

5.16

NA 1.85

0.38

NA 7.39

000 material. 52330............ ............. A

Cystoscopy and

5.01

NA 1.78

0.36

NA 7.15

000 treatment. 52332............ ............. A

Cystoscopy and

2.81

NA 1.07

0.20

NA 4.08

000 treatment. 52334............ ............. A

Create passage to

4.80

NA 1.78

0.34

NA 6.92

000 kidney. 52341............ ............. A

Cysto w/ureter

5.97

NA 2.24

0.44

NA 8.65

000 stricture tx. 52342............ ............. A

Cysto w/up stricture

6.46

NA 2.38

0.48

NA 9.32

000 tx. 52343............ ............. A

Cysto w/renal

7.16

NA 2.62

0.53

NA 10.31

000 stricture tx. 52344............ ............. A

Cysto/uretero, stone

7.66

NA 2.84

0.56

NA 11.06

000 remove. 52345............ ............. A

Cysto/uretero w/up

8.15

NA 3.00

0.60

NA 11.75

000 stricture. 52346............ ............. A

Cystouretero w/renal

9.18

NA 3.32

0.68

NA 13.18

000 strict. 52347............ ............. A

Cystoscopy, resect

5.25

NA 1.73

0.40

NA 7.38

000 ducts. 52351............ ............. A

Cystouretero & or

5.83

NA 2.17

0.43

NA 8.43

000 pyeloscope. 52352............ ............. A

Cystouretero w/stone

6.84

NA 2.54

0.50

NA 9.88

000 remove. 52353............ ............. A

Cystouretero w/

7.92

NA 2.90

0.59

NA 11.41

000 lithotripsy. 52354............ ............. A

Cystouretero w/biopsy. 7.30

NA 2.71

0.54

NA 10.55

000 52355............ ............. A

Cystouretero w/excise

8.77

NA 3.19

0.66

NA 12.62

000 tumor. 52400............ ............. A

Cystouretero w/congen

9.62

NA 3.83

0.72

NA 14.17

090 repr. 52450............ ............. A

Incision of prostate.. 7.60

NA 3.77

0.55

NA 11.92

090 52500............ ............. A

Revision of bladder

8.42

NA 4.02

0.60

NA 13.04

090 neck. 52510............ ............. A

Dilation prostatic

6.68

NA 3.20

0.48

NA 10.36

090 urethra. 52601............ ............. A

Prostatectomy (TURP).. 12.30

NA 5.22

0.89

NA 18.41

090 52606............ ............. A

Control postop

8.08

NA 3.63

0.59

NA 12.30

090 bleeding. 52612............ ............. A

Prostatectomy, first

7.93

NA 3.83

0.58

NA 12.34

090 stage. 52614............ ............. A

Prostatectomy, second

6.80

NA 3.43

0.49

NA 10.72

090 stage. 52620............ ............. A

Remove residual

6.57

NA 3.06

0.47

NA 10.10

090 prostate. 52630............ ............. A

Remove prostate

7.22

NA 3.25

0.52

NA 10.99

090 regrowth. 52640............ ............. A

Relieve bladder

6.58

NA 3.03

0.47

NA 10.08

090 contracture. 52647............ ............. A

Laser surgery of

10.30 77.33 4.63

0.73 88.36 15.66

090 prostate. 52648............ ............. A

Laser surgery of

11.15

NA 4.90

0.79

NA 16.84

090 prostate. 52700............ ............. A

Drainage of prostate

6.76

NA 3.25

0.49

NA 10.50

090 abscess. 53000............ ............. A

Incision of urethra... 2.27

NA 1.58

0.16

NA 4.01

010 53010............ ............. A

Incision of urethra... 3.62

NA 3.07

0.24

NA 6.93

090 53020............ ............. A

Incision of urethra... 1.76 3.12 0.68

0.13

5.01 2.57

000 53025............ ............. A

Incision of urethra... 1.12 3.88 0.52

0.08

5.08 1.72

000 53040............ ............. A

Drainage of urethra

6.36 11.42 6.38

0.49 18.27 13.23

090 abscess. 53060............ ............. A

Drainage of urethra

2.62

NA 1.48

0.28

NA 4.38

010 abscess. 53080............ ............. A

Drainage of urinary

6.25

NA 6.22

0.50

NA 12.97

090 leakage. 53085............ ............. A

Drainage of urinary

10.21

NA 7.71

0.80

NA 18.72

090 leakage. 53200............ ............. A

Biopsy of urethra..... 2.58 4.35 0.99

0.20

7.13 3.77

000 53210............ ............. A

Removal of urethra.... 12.50

NA 6.11

0.97

NA 19.58

090 53215............ ............. A

Removal of urethra.... 15.49

NA 6.85

1.11

NA 23.45

090 53220............ ............. A

Treatment of urethra

6.96

NA 3.92

0.53

NA 11.41

090 lesion. 53230............ ............. A

Removal of urethra

9.53

NA 4.89

0.72

NA 15.14

090 lesion. 53235............ ............. A

Removal of urethra

10.08

NA 5.09

0.72

NA 15.89

090 lesion. 53240............ ............. A

Surgery for urethra

6.41

NA 3.69

0.50

NA 10.60

090 pouch. 53250............ ............. A

Removal of urethra

5.86

NA 3.43

0.42

NA 9.71

090 gland. 53260............ ............. A

Treatment of urethra

2.96 3.32 1.83

0.28

6.56 5.07

010 lesion. 53265............ ............. A

Treatment of urethra

3.10

NA 1.86

0.24

NA 5.20

010 lesion.

[[Page 63316]]

53270............ ............. A

Removal of urethra

3.07

NA 1.91

0.25

NA 5.23

010 gland. 53275............ ............. A

Repair of urethra

4.50

NA 2.30

0.34

NA 7.14

010 defect. 53400............ ............. A

Revise urethra, stage 12.70

NA 6.17

1.02

NA 19.89

090 1. 53405............ ............. A

Revise urethra, stage 14.40

NA 6.53

1.09

NA 22.02

090 2. 53410............ ............. A

Reconstruction of

16.35

NA 7.29

1.19

NA 24.83

090 urethra. 53415............ ............. A

Reconstruction of

19.30

NA 7.58

1.39

NA 28.27

090 urethra. 53420............ ............. A

Reconstruct urethra,

14.00

NA 6.55

1.08

NA 21.63

090 stage 1. 53425............ ............. A

Reconstruct urethra,

15.89

NA 7.12

1.16

NA 24.17

090 stage 2. 53430............ ............. A

Reconstruction of

16.25

NA 7.23

1.21

NA 24.69

090 urethra. 53431............ ............. A

Reconstruct urethra/

19.78

NA 8.28

1.56

NA 29.62

090 bladder. 53440............ ............. A

Male sling procedure.. 13.54

NA 6.11

0.87

NA 20.52

090 53442............ ............. A

Remove/revise male

11.50

NA 5.58

0.66

NA 17.74

090 sling. 53444............ ............. A

Insert tandem cuff.... 13.32

NA 5.98

1.05

NA 20.35

090 53445............ ............. A

Insert uro/ves nck

13.98

NA 7.34

1.01

NA 22.33

090 sphincter. 53446............ ............. A

Remove uro sphincter.. 10.17

NA 5.34

0.80

NA 16.31

090 53447............ ............. A

Remove/replace ur

13.41

NA 6.56

0.95

NA 20.92

090 sphincter. 53448............ ............. A

Remov/replc ur

21.03

NA 9.23

1.67

NA 31.93

090 sphinctr comp. 53449............ ............. A

Repair uro sphincter.. 9.64

NA 4.91

0.68

NA 15.23

090 53450............ ............. A

Revision of urethra... 6.11

NA 3.45

0.44

NA 10.00

090 53460............ ............. A

Revision of urethra... 7.08

NA 3.87

0.52

NA 11.47

090 53500............ ............. A

Urethrlys, transvag w/ 12.14

NA 6.27

0.89

NA 19.30

090 scope. 53502............ ............. A

Repair of urethra

7.59

NA 4.19

0.60

NA 12.38

090 injury. 53505............ ............. A

Repair of urethra

7.59

NA 4.04

0.55

NA 12.18

090 injury. 53510............ ............. A

Repair of urethra

10.05

NA 5.35

0.72

NA 16.12

090 injury. 53515............ ............. A

Repair of urethra

13.23

NA 6.12

0.99

NA 20.34

090 injury. 53520............ ............. A

Repair of urethra

8.63

NA 4.65

0.64

NA 13.92

090 defect. 53600............ ............. A

Dilate urethra

1.20 1.19 0.45

0.08

2.47 1.73

000 stricture. 53601............ ............. A

Dilate urethra

0.97 1.32 0.39

0.07

2.36 1.43

000 stricture. 53605............ ............. A

Dilate urethra

1.27

NA 0.42

0.10

NA 1.79

000 stricture. 53620............ ............. A

Dilate urethra

1.61 2.06 0.62

0.12

3.79 2.35

000 stricture. 53621............ ............. A

Dilate urethra

1.34 2.14 0.51

0.10

3.58 1.95

000 stricture. 53660............ ............. A

Dilation of urethra... 0.71 1.36 0.33

0.05

2.12 1.09

000 53661............ ............. A

Dilation of urethra... 0.72 1.36 0.31

0.05

2.13 1.08

000 53665............ ............. A

Dilation of urethra... 0.76

NA 0.26

0.06

NA 1.08

000 53850............ ............. A

Prostatic microwave

9.40 99.30 4.37

0.67 109.37 14.44

090 thermotx. 53852............ ............. A

Prostatic rf thermotx. 9.82 93.70 4.75

0.70 104.22 15.27

090 53853............ ............. A

Prostatic water

5.21 58.09 3.23

0.32 63.62 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... 1.53

NA 1.35

0.12

NA 3.00

010 54001............ ............. A

Slitting of prepuce... 2.18 4.35 1.53

0.17

6.70 3.88

010 54015............ ............. A

Drain penis lesion.... 5.29

NA 2.61

0.40

NA 8.30

010 54050............ ............. A

Destruction, penis

1.23 1.71 1.06

0.08

3.02 2.37

010 lesion(s). 54055............ ............. A

Destruction, penis

1.21 1.62 0.82

0.08

2.91 2.11

010 lesion(s). 54056............ ............. A

Cryosurgery, penis

1.23 2.50 1.39

0.07

3.80 2.69

010 lesion(s). 54057............ ............. A

Laser surg, penis

1.23

NA 0.88

0.10

NA 2.21

010 lesion(s). 54060............ ............. A

Excision of penis

1.92 3.92 1.47

0.14

5.98 3.53

010 lesion(s). 54065............ ............. A

Destruction, penis

2.41

NA 1.74

0.16

NA 4.31

010 lesion(s). 54100............ ............. A

Biopsy of penis....... 1.89 2.90 0.83

0.12

4.91 2.84

000 54105............ ............. A

Biopsy of penis....... 3.48

NA 1.99

0.25

NA 5.72

010 54110............ ............. A

Treatment of penis

10.07

NA 5.71

0.72

NA 16.50

090 lesion. 54111............ ............. A

Treat penis lesion,

13.49

NA 6.77

0.95

NA 21.21

090 graft. 54112............ ............. A

Treat penis lesion,

15.77

NA 7.78

1.13

NA 24.68

090 graft. 54115............ ............. A

Treatment of penis

6.11 8.61 4.52

0.47 15.19 11.10

090 lesion. 54120............ ............. A

Partial removal of

9.91

NA 5.67

0.72

NA 16.30

090 penis. 54125............ ............. A

Removal of penis...... 13.45

NA 6.83

0.97

NA 21.25

090 54130............ ............. A

Remove penis & nodes.. 20.03

NA 9.20

1.43

NA 30.66

090 54135............ ............. A

Remove penis & nodes.. 26.21

NA 11.22

1.89

NA 39.32

090 54150............ ............. A

Circumcision.......... 1.80

NA 0.99

0.20

NA 2.99

010 54152............ ............. A

Circumcision.......... 2.30

NA 1.23

0.19

NA 3.72

010 54160............ ............. A

Circumcision.......... 2.47

NA 1.12

0.19

NA 3.78

010 54161............ ............. A

Circumcision.......... 3.25

NA 1.60

0.24

NA 5.09

010 54162............ ............. A

Lysis penil circumic

2.98

NA 2.03

0.24

NA 5.25

010 lesion. 54163............ ............. A

Repair of circumcision 2.98

NA 2.04

0.24

NA 5.26

010 54164............ ............. A

Frenulotomy of penis.. 2.49

NA 1.88

0.19

NA 4.56

010 54200............ ............. A

Treatment of penis

1.05 1.87 1.02

0.07

2.99 2.14

010 lesion. 54205............ ............. A

Treatment of penis

7.88

NA 4.89

0.56

NA 13.33

090 lesion. 54220............ ............. A

Treatment of penis

2.41 3.98 0.97

0.18

6.57 3.56

000 lesion. 54230............ ............. A

Prepare penis study... 1.33 1.13 0.64

0.10

2.56 2.07

000 54231............ ............. A

Dynamic cavernosometry 2.03 1.42 0.88

0.17

3.62 3.08

000 54235............ ............. A

Penile injection...... 1.18 0.99 0.60

0.08

2.25 1.86

000 54240............ ............. A

Penis study........... 1.30 1.04

NA

0.16

2.50

NA

000 54240............ 26........... A

Penis study........... 1.30 0.43 0.43

0.10

1.83 1.83

000 54240............ TC........... A

Penis study........... 0.00 0.61

NA

0.06

0.67

NA

000 54250............ ............. A

Penis study........... 2.21 0.93

NA

0.19

3.33

NA

000 54250............ 26........... A

Penis study........... 2.21 0.71 0.71

0.17

3.09 3.09

000

[[Page 63317]]

54250............ TC........... A

Penis study........... 0.00 0.22

NA

0.02

0.24

NA

000 54300............ ............. A

Revision of penis..... 10.35

NA 5.81

0.77

NA 16.93

090 54304............ ............. A

Revision of penis..... 12.42

NA 6.62

0.89

NA 19.93

090 54308............ ............. A

Reconstruction of

11.76

NA 6.24

0.84

NA 18.84

090 urethra. 54312............ ............. A

Reconstruction of

13.49

NA 7.28

0.97

NA 21.74

090 urethra. 54316............ ............. A

Reconstruction of

16.72

NA 8.28

1.20

NA 26.20

090 urethra. 54318............ ............. A

Reconstruction of

11.19

NA 6.06

1.38

NA 18.63

090 urethra. 54322............ ............. A

Reconstruction of

12.94

NA 6.71

0.92

NA 20.57

090 urethra. 54324............ ............. A

Reconstruction of

16.22

NA 8.31

1.23

NA 25.76

090 urethra. 54326............ ............. A

Reconstruction of

15.63

NA 8.10

1.11

NA 24.84

090 urethra. 54328............ ............. A

Revise penis/urethra.. 15.56

NA 7.53

1.10

NA 24.19

090 54332............ ............. A

Revise penis/urethra.. 16.98

NA 8.03

1.21

NA 26.22

090 54336............ ............. A

Revise penis/urethra.. 19.93

NA 10.83

2.28

NA 33.04

090 54340............ ............. A

Secondary urethral

8.86

NA 5.32

0.86

NA 15.04

090 surgery. 54344............ ............. A

Secondary urethral

15.85

NA 8.07

1.32

NA 25.24

090 surgery. 54348............ ............. A

Secondary urethral

17.05

NA 8.71

1.22

NA 26.98

090 surgery. 54352............ ............. A

Reconstruct urethra/

24.60

NA 11.62

1.94

NA 38.16

090 penis. 54360............ ............. A

Penis plastic surgery. 11.86

NA 6.25

0.86

NA 18.97

090 54380............ ............. A

Repair penis.......... 13.10

NA 6.91

1.39

NA 21.40

090 54385............ ............. A

Repair penis.......... 15.30

NA 8.57

0.85

NA 24.72

090 54390............ ............. A

Repair penis and

21.49

NA 9.71

1.53

NA 32.73

090 bladder. 54400............ ............. A

Insert semi-rigid

8.94

NA 4.52

0.64

NA 14.10

090 prosthesis. 54401............ ............. A

Insert self-contd

10.22

NA 5.92

0.73

NA 16.87

090 prosthesis. 54405............ ............. A

Insert multi-comp

13.35

NA 6.13

0.96

NA 20.44

090 penis pros. 54406............ ............. A

Remove muti-comp penis 12.03

NA 5.53

0.90

NA 18.46

090 pros. 54408............ ............. A

Repair multi-comp

12.68

NA 5.84

0.95

NA 19.47

090 penis pros. 54410............ ............. A

Remove/replace penis

15.41

NA 6.75

1.15

NA 23.31

090 prosth. 54411............ ............. A

Remov/replc penis

15.91

NA 7.17

0.96

NA 24.04

090 pros, comp. 54415............ ............. A

Remove self-contd

8.15

NA 4.29

0.65

NA 13.09

090 penis pros. 54416............ ............. A

Remv/repl penis

10.81

NA 5.49

0.66

NA 16.96

090 contain pros. 54417............ ............. A

Remv/replc penis pros, 14.11

NA 6.28

0.66

NA 21.05

090 compl. 54420............ ............. A

Revision of penis..... 11.35

NA 5.78

0.86

NA 17.99

090 54430............ ............. A

Revision of penis..... 10.09

NA 5.32

0.72

NA 16.13

090 54435............ ............. A

Revision of penis..... 6.09

NA 3.78

0.43

NA 10.30

090 54440............ ............. C

Repair of penis....... 0.00 0.00 0.00

0.00

0.00 0.00

090 54450............ ............. A

Preputial stretching.. 1.11 1.12 0.48

0.08

2.31 1.67

000 54500............ ............. A

Biopsy of testis...... 1.30 0.62 0.58

0.10

2.02 1.98

000 54505............ ............. A

Biopsy of testis...... 3.44

NA 1.96

0.25

NA 5.65

010 54512............ ............. A

Excise lesion testis.. 8.53

NA 4.21

0.67

NA 13.41

090 54520............ ............. A

Removal of testis..... 5.20

NA 2.89

0.40

NA 8.49

090 54522............ ............. A

Orchiectomy, partial.. 9.45

NA 4.97

0.74

NA 15.16

090 54530............ ............. A

Removal of testis..... 8.53

NA 4.38

0.64

NA 13.55

090 54535............ ............. A

Extensive testis

12.09

NA 5.74

0.99

NA 18.82

090 surgery. 54550............ ............. A

Exploration for testis 7.74

NA 3.94

0.59

NA 12.27

090 54560............ ............. A

Exploration for testis 11.07

NA 5.33

0.95

NA 17.35

090 54600............ ............. A

Reduce testis torsion. 6.97

NA 3.66

0.54

NA 11.17

090 54620............ ............. A

Suspension of testis.. 4.87

NA 2.50

0.37

NA 7.74

010 54640............ ............. A

Suspension of testis.. 6.86

NA 3.85

0.59

NA 11.30

090 54650............ ............. A

Orchiopexy (Fowler-

11.38

NA 5.60

0.97

NA 17.95

090 Stephens). 54660............ ............. A

Revision of testis.... 5.08

NA 3.11

0.42

NA 8.61

090 54670............ ............. A

Repair testis injury.. 6.37

NA 3.65

0.49

NA 10.51

090 54680............ ............. A

Relocation of

12.58

NA 6.36

1.13

NA 20.07

090 testis(es). 54690............ ............. A

Laparoscopy,

10.90

NA 5.12

1.19

NA 17.21

090 orchiectomy. 54692............ ............. A

Laparoscopy,

12.81

NA 5.52

1.04

NA 19.37

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... 3.41

NA 1.97

0.28

NA 5.66

010 54800............ ............. A

Biopsy of epididymis.. 2.32 0.95 0.91

0.17

3.44 3.40

000 54820............ ............. A

Exploration of

5.11

NA 3.05

0.40

NA 8.56

090 epididymis. 54830............ ............. A

Remove epididymis

5.35

NA 3.13

0.41

NA 8.89

090 lesion. 54840............ ............. A

Remove epididymis

5.17

NA 2.88

0.37

NA 8.42

090 lesion. 54860............ ............. A

Removal of epididymis. 6.28

NA 3.42

0.46

NA 10.16

090 54861............ ............. A

Removal of epididymis. 8.85

NA 4.44

0.62

NA 13.91

090 54900............ ............. A

Fusion of spermatic

13.12

NA 5.93

1.61

NA 20.66

090 ducts. 54901............ ............. A

Fusion of spermatic

17.84

NA 7.65

2.19

NA 27.68

090 ducts. 55000............ ............. A

Drainage of hydrocele. 1.42 2.13 0.65

0.12

3.67 2.19

000 55040............ ............. A

Removal of hydrocele.. 5.33

NA 3.00

0.42

NA 8.75

090 55041............ ............. A

Removal of hydroceles. 7.70

NA 4.09

0.60

NA 12.39

090 55060............ ............. A

Repair of hydrocele... 5.49

NA 3.17

0.44

NA 9.10

090 55100............ ............. A

Drainage of scrotum

2.12 3.81 1.61

0.18

6.11 3.91

010 abscess. 55110............ ............. A

Explore scrotum....... 5.67

NA 3.22

0.43

NA 9.32

090 55120............ ............. A

Removal of scrotum

5.06 5.81 3.03

0.40 11.27 8.49

090 lesion. 55150............ ............. A

Removal of scrotum.... 7.18

NA 4.01

0.56

NA 11.75

090 55175............ ............. A

Revision of scrotum... 5.21

NA 3.11

0.40

NA 8.72

090 55180............ ............. A

Revision of scrotum... 10.66

NA 5.53

0.86

NA 17.05

090 55200............ ............. A

Incision of sperm duct 4.22 5.58 2.45

0.30 10.10 6.97

090

[[Page 63318]]

55250............ ............. A

Removal of sperm

3.27 9.14 2.82

0.25 12.66 6.34

090 duct(s). 55300............ ............. A

Prepare, sperm duct x- 3.49

NA 1.33

0.24

NA 5.06

000 ray. 55400............ ............. A

Repair of sperm duct.. 8.44

NA 4.24

0.60

NA 13.28

090 55450............ ............. A

Ligation of sperm duct 4.10 7.26 1.91

0.29 11.65 6.30

010 55500............ ............. A

Removal of hydrocele.. 5.56

NA 3.19

0.52

NA 9.27

090 55520............ ............. A

Removal of sperm cord

6.00

NA 3.34

0.67

NA 10.01

090 lesion. 55530............ ............. A

Revise spermatic cord

5.63

NA 3.11

0.43

NA 9.17

090 veins. 55535............ ............. A

Revise spermatic cord

6.52

NA 3.50

0.50

NA 10.52

090 veins. 55540............ ............. A

Revise hernia & sperm

7.63

NA 3.90

0.89

NA 12.42

090 veins. 55550............ ............. A

Laparo ligate

6.53

NA 3.36

0.56

NA 10.45

090 spermatic vein. 55559............ ............. C

Laparo proc, spermatic 0.00 0.00 0.00

0.00

0.00 0.00

YYY cord. 55600............ ............. A

Incise sperm duct

6.34

NA 3.44

0.46

NA 10.24

090 pouch. 55605............ ............. A

Incise sperm duct

7.91

NA 4.42

0.65

NA 12.98

090 pouch. 55650............ ............. A

Remove sperm duct

11.73

NA 5.42

0.86

NA 18.01

090 pouch. 55680............ ............. A

Remove sperm pouch

5.16

NA 3.07

0.37

NA 8.60

090 lesion. 55700............ ............. A

Biopsy of prostate.... 1.56 4.37 0.72

0.12

6.05 2.40

000 55705............ ............. A

Biopsy of prostate.... 4.54

NA 2.34

0.31

NA 7.19

010 55720............ ............. A

Drainage of prostate

7.60

NA 4.00

0.53

NA 12.13

090 abscess. 55725............ ............. A

Drainage of prostate

8.63

NA 4.68

0.61

NA 13.92

090 abscess. 55801............ ............. A

Removal of prostate... 17.70

NA 7.47

1.29

NA 26.46

090 55810............ ............. A

Extensive prostate

22.45

NA 8.82

1.62

NA 32.89

090 surgery. 55812............ ............. A

Extensive prostate

27.35

NA 11.27

2.03

NA 40.65

090 surgery. 55815............ ............. A

Extensive prostate

30.29

NA 12.20

2.21

NA 44.70

090 surgery. 55821............ ............. A

Removal of prostate... 14.17

NA 6.39

1.02

NA 21.58

090 55831............ ............. A

Removal of prostate... 15.53

NA 6.85

1.13

NA 23.51

090 55840............ ............. A

Extensive prostate

22.56

NA 9.55

1.64

NA 33.75

090 surgery. 55842............ ............. A

Extensive prostate

24.24

NA 10.11

1.77

NA 36.12

090 surgery. 55845............ ............. A

Extensive prostate

28.39

NA 11.22

2.05

NA 41.66

090 surgery. 55859............ ............. A

Percut/needle insert, 12.45

NA 5.98

0.89

NA 19.32

090 pros. 55860............ ............. A

Surgical exposure,

14.37

NA 6.52

0.98

NA 21.87

090 prostate. 55862............ ............. A

Extensive prostate

18.29

NA 8.07

1.37

NA 27.73

090 surgery. 55865............ ............. A

Extensive prostate

22.74

NA 9.49

1.64

NA 33.87

090 surgery. 55866............ ............. A

Laparo radical

30.56

NA 11.95

1.64

NA 44.15

090 prostatectomy. 55870............ ............. A

Electroejaculation.... 2.57 1.58 1.10

0.17

4.32 3.84

000 55873............ ............. A

Cryoablate prostate... 19.36

NA 9.12

1.22

NA 29.70

090 55899............ ............. C

Genital surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 55970............ ............. N

Sex transformation, M

0.00 0.00 0.00

0.00

0.00 0.00

XXX to F. 55980............ ............. N

Sex transformation, F

0.00 0.00 0.00

0.00

0.00 0.00

XXX to M. 56405............ ............. A

I & D of vulva/

1.43 1.36 1.17

0.17

2.96 2.77

010 perineum. 56420............ ............. A

Drainage of gland

1.38 2.34 1.10

0.16

3.88 2.64

010 abscess. 56440............ ............. A

Surgery for vulva

2.82

NA 1.74

0.34

NA 4.90

010 lesion. 56441............ ............. A

Lysis of labial

1.96 1.86 1.45

0.20

4.02 3.61

010 lesion(s). 56501............ ............. A

Destroy, vulva

1.52 1.83 1.29

0.18

3.53 2.99

010 lesions, sim. 56515............ ............. A

Destroy vulva lesion/s 2.74 2.60 1.87

0.22

5.56 4.83

010 compl. 56605............ ............. A

Biopsy of vulva/

1.09 1.11 0.47

0.13

2.33 1.69

000 perineum. 56606............ ............. A

Biopsy of vulva/

0.55 0.51 0.22

0.07

1.13 0.84

ZZZ perineum. 56620............ ............. A

Partial removal of

7.43

NA 5.06

0.91

NA 13.40

090 vulva. 56625............ ............. A

Complete removal of

8.35

NA 5.66

1.01

NA 15.02

090 vulva. 56630............ ............. A

Extensive vulva

12.29

NA 7.32

1.47

NA 21.08

090 surgery. 56631............ ............. A

Extensive vulva

16.11

NA 9.38

1.95

NA 27.44

090 surgery. 56632............ ............. A

Extensive vulva

20.17

NA 10.07

2.43

NA 32.67

090 surgery. 56633............ ............. A

Extensive vulva

16.38

NA 9.16

1.99

NA 27.53

090 surgery. 56634............ ............. A

Extensive vulva

17.78

NA 10.04

2.13

NA 29.95

090 surgery. 56637............ ............. A

Extensive vulva

21.84

NA 11.70

2.61

NA 36.15

090 surgery. 56640............ ............. A

Extensive vulva

22.04

NA 11.12

2.71

NA 35.87

090 surgery. 56700............ ............. A

Partial removal of

2.51

NA 1.77

0.29

NA 4.57

010 hymen. 56720............ ............. A

Incision of hymen..... 0.68

NA 0.41

0.08

NA 1.17

000 56740............ ............. A

Remove vagina gland

4.54

NA 2.51

0.44

NA 7.49

010 lesion. 56800............ ............. A

Repair of vagina...... 3.87

NA 2.23

0.44

NA 6.54

010 56805............ ............. A

Repair clitoris....... 18.75

NA 9.55

2.18

NA 30.48

090 56810............ ............. A

Repair of perineum.... 4.11

NA 2.34

0.49

NA 6.94

010 56820............ ............. A

Exam of vulva w/scope. 1.49 1.39 0.64

0.12

3.00 2.25

000 56821............ ............. A

Exam/biopsy of vulva w/ 2.04 1.82 0.91

0.16

4.02 3.11

000 scope. 57000............ ............. A

Exploration of vagina. 2.95

NA 1.77

0.34

NA 5.06

010 57010............ ............. A

Drainage of pelvic

6.00

NA 3.93

0.68

NA 10.61

090 abscess. 57020............ ............. A

Drainage of pelvic

1.49 0.97 0.61

0.18

2.64 2.28

000 fluid. 57022............ ............. A

I & d vaginal

2.55

NA 1.54

0.29

NA 4.38

010 hematoma, pp. 57023............ ............. A

I & d vag hematoma,

4.72

NA 2.64

0.29

NA 7.65

010 non-ob. 57061............ ............. A

Destroy vag lesions,

1.24 1.70 1.16

0.16

3.10 2.56

010 simple. 57065............ ............. A

Destroy vag lesions,

2.60 2.36 1.75

0.31

5.27 4.66

010 complex. 57100............ ............. A

Biopsy of vagina...... 1.19 1.13 0.49

0.12

2.44 1.80

000 57105............ ............. A

Biopsy of vagina...... 1.68 1.99 1.37

0.20

3.87 3.25

010 57106............ ............. A

Remove vagina wall,

6.32

NA 4.37

0.70

NA 11.39

090 partial. 57107............ ............. A

Remove vagina tissue, 22.87

NA 10.76

2.60

NA 36.23

090 part. 57109............ ............. A

Vaginectomy partial w/ 26.85

NA 11.55

2.36

NA 40.76

090 nodes.

[[Page 63319]]

57110............ ............. A

Remove vagina wall,

14.21

NA 7.44

1.71

NA 23.36

090 complete. 57111............ ............. A

Remove vagina tissue, 26.85

NA 12.84

3.25

NA 42.94

090 compl. 57112............ ............. A

Vaginectomy w/nodes,

28.83

NA 12.38

2.62

NA 43.83

090 compl. 57120............ ............. A

Closure of vagina..... 7.37

NA 4.71

0.90

NA 12.98

090 57130............ ............. A

Remove vagina lesion.. 2.42 2.22 1.59

0.28

4.92 4.29

010 57135............ ............. A

Remove vagina lesion.. 2.65 2.31 1.69

0.31

5.27 4.65

010 57150............ ............. A

Treat vagina infection 0.55 1.12 0.22

0.07

1.74 0.84

000 57155............ ............. A

Insert uteri tandems/

6.23

NA 4.31

0.71

NA 11.25

090 ovoids. 57160............ ............. A

Insert pessary/other

0.88 1.11 0.40

0.11

2.10 1.39

000 device. 57170............ ............. A

Fitting of diaphragm/

0.90 1.52 0.34

0.11

2.53 1.35

000 cap. 57180............ ............. A

Treat vaginal bleeding 1.57 2.26 1.35

0.19

4.02 3.11

010 57200............ ............. A

Repair of vagina...... 3.92

NA 2.98

0.46

NA 7.36

090 57210............ ............. A

Repair vagina/perineum 5.14

NA 3.51

0.60

NA 9.25

090 57220............ ............. A

Revision of urethra... 4.29

NA 3.19

0.50

NA 7.98

090 57230............ ............. A

Repair of urethral

5.61

NA 3.47

0.60

NA 9.68

090 lesion. 57240............ ............. A

Repair bladder &

6.04

NA 3.90

0.64

NA 10.58

090 vagina. 57250............ ............. A

Repair rectum & vagina 5.50

NA 3.65

0.65

NA 9.80

090 57260............ ............. A

Repair of vagina...... 8.22

NA 4.93

0.99

NA 14.14

090 57265............ ............. A

Extensive repair of

11.28

NA 6.16

1.37

NA 18.81

090 vagina. 57268............ ............. A

Repair of bowel bulge. 6.72

NA 4.30

0.79

NA 11.81

090 57270............ ............. A

Repair of bowel pouch. 12.04

NA 6.39

1.40

NA 19.83

090 57280............ ............. A

Suspension of vagina.. 14.95

NA 7.51

1.73

NA 24.19

090 57282............ ............. A

Repair of vaginal

8.81

NA 5.41

1.03

NA 15.25

090 prolapse. 57284............ ............. A

Repair paravaginal

12.63

NA 7.29

1.40

NA 21.32

090 defect. 57287............ ............. A

Revise/remove sling

10.65

NA 5.60

0.89

NA 17.14

090 repair. 57288............ ............. A

Repair bladder defect. 12.95

NA 6.02

1.03

NA 20.00

090 57289............ ............. A

Repair bladder &

11.51

NA 6.16

1.14

NA 18.81

090 vagina. 57291............ ............. A

Construction of vagina 7.90

NA 5.04

0.93

NA 13.87

090 57292............ ............. A

Construct vagina with 13.02

NA 7.11

1.55

NA 21.68

090 graft. 57300............ ............. A

Repair rectum-vagina

7.57

NA 4.37

0.84

NA 12.78

090 fistula. 57305............ ............. A

Repair rectum-vagina

13.69

NA 6.37

1.59

NA 21.65

090 fistula. 57307............ ............. A

Fistula repair &

15.84

NA 7.14

1.91

NA 24.89

090 colostomy. 57308............ ............. A

Fistula repair,

9.88

NA 5.24

1.09

NA 16.21

090 transperine. 57310............ ............. A

Repair urethrovaginal

6.74

NA 3.95

0.54

NA 11.23

090 lesion. 57311............ ............. A

Repair urethrovaginal

7.93

NA 4.28

0.61

NA 12.82

090 lesion. 57320............ ............. A

Repair bladder-vagina

7.96

NA 4.51

0.72

NA 13.19

090 lesion. 57330............ ............. A

Repair bladder-vagina 12.28

NA 5.87

1.03

NA 19.18

090 lesion. 57335............ ............. A

Repair vagina......... 18.62

NA 9.31

1.99

NA 29.92

090 57400............ ............. A

Dilation of vagina.... 2.26

NA 1.15

0.26

NA 3.67

000 57410............ ............. A

Pelvic examination.... 1.74 2.05 0.90

0.17

3.96 2.81

000 57415............ ............. A

Remove vaginal foreign 2.16

NA 1.46

0.23

NA 3.85

010 body. 57420............ ............. A

Exam of vagina w/scope 1.59 1.43 0.68

0.12

3.14 2.39

000 57421............ ............. A

Exam/biopsy of vag w/

2.19 1.92 0.97

0.16

4.27 3.32

000 scope. 57425............ ............. A

Laparoscopy, surg,

15.66

NA 6.76

1.73

NA 24.15

090 colpopexy. 57452............ ............. A

Exam of cervix w/scope 1.49 1.45 0.64

0.12

3.06 2.25

000 57454............ ............. A

Bx/curett of cervix w/ 2.32 1.80 1.01

0.16

4.28 3.49

000 scope. 57455............ ............. A

Biopsy of cervix w/

1.98 1.80 0.88

0.16

3.94 3.02

000 scope. 57456............ ............. A

Endocerv curettage w/

1.84 1.72 0.83

0.16

3.72 2.83

000 scope. 57460............ ............. A

Bx of cervix w/scope,

2.81 6.18 1.23

0.34

9.33 4.38

000 leep. 57461............ ............. A

Conz of cervix w/

3.42 6.43 1.42

0.34 10.19 5.18

000 scope, leep. 57500............ ............. A

Biopsy of cervix...... 0.96 2.73 0.48

0.12

3.81 1.56

000 57505............ ............. A

Endocervical curettage 1.13 1.51 1.13

0.14

2.78 2.40

010 57510............ ............. A

Cauterization of

1.89 1.60 1.06

0.22

3.71 3.17

010 cervix. 57511............ ............. A

Cryocautery of cervix. 1.89 1.87 1.41

0.22

3.98 3.52

010 57513............ ............. A

Laser surgery of

1.89 1.92 1.44

0.23

4.04 3.56

010 cervix. 57520............ ............. A

Conization of cervix.. 4.02 5.00 2.84

0.49

9.51 7.35

090 57522............ ............. A

Conization of cervix.. 3.34 4.46 2.74

0.41

8.21 6.49

090 57530............ ............. A

Removal of cervix..... 4.76

NA 3.52

0.58

NA 8.86

090 57531............ ............. A

Removal of cervix,

27.84

NA 13.51

2.95

NA 44.30

090 radical. 57540............ ............. A

Removal of residual

12.15

NA 6.38

1.45

NA 19.98

090 cervix. 57545............ ............. A

Remove cervix/repair

12.96

NA 6.83

1.56

NA 21.35

090 pelvis. 57550............ ............. A

Removal of residual

5.50

NA 3.93

0.66

NA 10.09

090 cervix. 57555............ ............. A

Remove cervix/repair

8.90

NA 5.23

1.07

NA 15.20

090 vagina. 57556............ ............. A

Remove cervix, repair

8.32

NA 4.96

0.96

NA 14.24

090 bowel. 57700............ ............. A

Revision of cervix.... 3.53

NA 3.16

0.40

NA 7.09

090 57720............ ............. A

Revision of cervix.... 4.11

NA 3.21

0.49

NA 7.81

090 57800............ ............. A

Dilation of cervical

0.77 0.78 0.49

0.10

1.65 1.36

000 canal. 57820............ ............. A

D & c of residual

1.66 1.51 1.16

0.20

3.37 3.02

010 cervix. 58100............ ............. A

Biopsy of uterus

1.52 1.36 0.73

0.08

2.96 2.33

000 lining. 58120............ ............. A

Dilation and curettage 3.25 2.35 1.91

0.40

6.00 5.56

010 58140............ ............. A

Myomectomy abdom

14.52

NA 7.22

1.75

NA 23.49

090 method. 58145............ ............. A

Myomectomy vag method. 7.99

NA 4.91

0.96

NA 13.86

090 58146............ ............. A

Myomectomy abdom

18.89

NA 8.89

1.75

NA 29.53

090 complex. 58150............ ............. A

Total hysterectomy.... 15.15

NA 7.64

1.88

NA 24.67

090 58152............ ............. A

Total hysterectomy.... 20.48

NA 10.02

1.82

NA 32.32

090

[[Page 63320]]

58180............ ............. A

Partial hysterectomy.. 15.20

NA 7.61

1.85

NA 24.66

090 58200............ ............. A

Extensive hysterectomy 21.47

NA 10.29

2.58

NA 34.34

090 58210............ ............. A

Extensive hysterectomy 28.69

NA 13.63

3.49

NA 45.81

090 58240............ ............. A

Removal of pelvis

38.17

NA 18.22

4.51

NA 60.90

090 contents. 58260............ ............. A

Vaginal hysterectomy.. 12.91

NA 6.82

1.47

NA 21.20

090 58262............ ............. A

Vag hyst including t/o 14.69

NA 7.51

1.70

NA 23.90

090 58263............ ............. A

Vag hyst w/t/o & vag

15.97

NA 8.03

1.86

NA 25.86

090 repair. 58267............ ............. A

Vag hyst w/urinary

16.94

NA 8.52

1.81

NA 27.27

090 repair. 58270............ ............. A

Vag hyst w/enterocele 14.18

NA 7.19

1.64

NA 23.01

090 repair. 58275............ ............. A

Hysterectomy/revise

15.67

NA 7.91

1.81

NA 25.39

090 vagina. 58280............ ............. A

Hysterectomy/revise

16.91

NA 8.40

1.85

NA 27.16

090 vagina. 58285............ ............. A

Extensive hysterectomy 22.13

NA 10.33

2.25

NA 34.71

090 58290............ ............. A

Vag hyst complex...... 18.89

NA 9.01

1.47

NA 29.37

090 58291............ ............. A

Vag hyst incl t/o,

20.67

NA 10.01

1.70

NA 32.38

090 complex. 58292............ ............. A

Vag hyst t/o & repair, 21.95

NA 10.55

1.86

NA 34.36

090 compl. 58293............ ............. A

Vag hyst w/uro repair, 22.93

NA 11.04

1.81

NA 35.78

090 compl. 58294............ ............. A

Vag hyst w/enterocele, 20.16

NA 9.79

1.64

NA 31.59

090 compl. 58300............ ............. N

Insert intrauterine

+1.00 1.43 0.39

0.12

2.55 1.51

XXX device. 58301............ ............. A

Remove intrauterine

1.26 1.36 0.49

0.16

2.78 1.91

000 device. 58321............ ............. A

Artificial

0.91 1.18 0.38

0.12

2.21 1.41

000 insemination. 58322............ ............. A

Artificial

1.09 1.23 0.42

0.13

2.45 1.64

000 insemination. 58323............ ............. A

Sperm washing......... 0.23 0.24 0.10

0.02

0.49 0.35

000 58340............ ............. A

Catheter for

0.87 6.20 0.65

0.10

7.17 1.62

000 hysterography. 58345............ ............. A

Reopen fallopian tube. 4.63

NA 2.46

0.43

NA 7.52

010 58346............ ............. A

Insert heyman uteri

6.71

NA 4.02

0.77

NA 11.50

090 capsule. 58350............ ............. A

Reopen fallopian tube. 1.00 1.53 0.94

0.12

2.65 2.06

010 58353............ ............. A

Endometr ablate,

3.54 37.17 2.08

0.44 41.15 6.06

010 thermal. 58400............ ............. A

Suspension of uterus.. 6.32

NA 4.06

0.74

NA 11.12

090 58410............ ............. A

Suspension of uterus.. 12.66

NA 6.57

1.31

NA 20.54

090 58520............ ............. A

Repair of ruptured

11.85

NA 6.12

1.40

NA 19.37

090 uterus. 58540............ ............. A

Revision of uterus.... 14.56

NA 7.07

1.53

NA 23.16

090 58545............ ............. A

Laparoscopic

14.52

NA 7.31

1.74

NA 23.57

090 myomectomy. 58546............ ............. A

Laparo-myomectomy,

18.89

NA 9.12

1.74

NA 29.75

090 complex. 58550............ ............. A

Laparo-asst vag

14.11

NA 7.44

1.73

NA 23.28

090 hysterectomy. 58552............ ............. A

Laparo-vag hyst incl t/ 14.11

NA 7.42

1.73

NA 23.26

090 o. 58553............ ............. A

Laparo-vag hyst,

18.89

NA 9.08

1.47

NA 29.44

090 complex. 58554............ ............. A

Laparo-vag hyst w/t/o, 18.89

NA 9.38

1.47

NA 29.74

090 compl. 58555............ ............. A

Hysteroscopy, dx, sep

3.31 2.13 1.48

0.41

5.85 5.20

000 proc. 58558............ ............. A

Hysteroscopy, biopsy.. 4.72

NA 2.09

0.59

NA 7.40

000 58559............ ............. A

Hysteroscopy, lysis... 6.13

NA 2.65

0.74

NA 9.52

000 58560............ ............. A

Hysteroscopy, resect

6.96

NA 3.01

0.85

NA 10.82

000 septum. 58561............ ............. A

Hysteroscopy, remove

9.94

NA 4.23

1.22

NA 15.39

000 myoma. 58562............ ............. A

Hysteroscopy, remove

5.18

NA 2.23

0.62

NA 8.03

000 fb. 58563............ ............. A

Hysteroscopy, ablation 6.13

NA 2.67

0.74

NA 9.54

000 58578............ ............. C

Laparo proc, uterus... 0.00 0.00 0.00

0.00

0.00 0.00

YYY 58579............ ............. C

Hysteroscope procedure 0.00 0.00 0.00

0.00

0.00 0.00

YYY 58600............ ............. A

Division of fallopian

5.57

NA 3.41

0.47

NA 9.45

090 tube. 58605............ ............. A

Division of fallopian

4.97

NA 3.20

0.40

NA 8.57

090 tube. 58611............ ............. A

Ligate oviduct(s) add- 1.44

NA 0.58

0.08

NA 2.10

ZZZ on. 58615............ ............. A

Occlude fallopian

3.88

NA 2.77

0.48

NA 7.13

010 tube(s). 58660............ ............. A

Laparoscopy, lysis.... 11.23

NA 5.35

1.37

NA 17.95

090 58661............ ............. A

Laparoscopy, remove

10.99

NA 5.22

1.34

NA 17.55

010 adnexa. 58662............ ............. A

Laparoscopy, excise

11.72

NA 5.88

1.41

NA 19.01

090 lesions. 58670............ ............. A

Laparoscopy, tubal

5.57

NA 3.33

0.66

NA 9.56

090 cautery. 58671............ ............. A

Laparoscopy, tubal

5.57

NA 3.34

0.67

NA 9.58

090 block. 58672............ ............. A

Laparoscopy,

12.81

NA 6.30

1.46

NA 20.57

090 fimbrioplasty. 58673............ ............. A

Laparoscopy,

13.66

NA 6.71

1.68

NA 22.05

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

11.98

NA 6.09

0.77

NA 18.84

090 tube. 58720............ ............. A

Removal of ovary/

11.30

NA 5.91

1.37

NA 18.58

090 tube(s). 58740............ ............. A

Revise fallopian

13.92

NA 7.28

0.71

NA 21.91

090 tube(s). 58750............ ............. A

Repair oviduct........ 14.76

NA 7.50

1.82

NA 24.08

090 58752............ ............. A

Revise ovarian tube(s) 14.76

NA 7.16

1.81

NA 23.73

090 58760............ ............. A

Remove tubal

13.06

NA 6.84

1.61

NA 21.51

090 obstruction. 58770............ ............. A

Create new tubal

13.89

NA 7.06

1.70

NA 22.65

090 opening. 58800............ ............. A

Drainage of ovarian

4.12 4.55 3.04

0.43

9.10 7.59

090 cyst(s). 58805............ ............. A

Drainage of ovarian

5.85

NA 3.59

0.67

NA 10.11

090 cyst(s). 58820............ ............. A

Drain ovary abscess,

4.20

NA 3.38

0.35

NA 7.93

090 open. 58822............ ............. A

Drain ovary abscess,

10.07

NA 5.32

1.10

NA 16.49

090 percut. 58823............ ............. A

Drain pelvic abscess,

3.36

NA 1.14

0.22

NA 4.72

000 percut. 58825............ ............. A

Transposition,

10.92

NA 5.91

0.74

NA 17.57

090 ovary(s). 58900............ ............. A

Biopsy of ovary(s).... 5.96

NA 3.67

0.67

NA 10.30

090 58920............ ............. A

Partial removal of

11.30

NA 5.70

0.82

NA 17.82

090 ovary(s). 58925............ ............. A

Removal of ovarian

11.30

NA 5.79

1.37

NA 18.46

090 cyst(s). 58940............ ............. A

Removal of ovary(s)... 7.25

NA 4.20

0.87

NA 12.32

090

[[Page 63321]]

58943............ ............. A

Removal of ovary(s)... 18.32

NA 8.94

2.23

NA 29.49

090 58950............ ............. A

Resect ovarian

16.83

NA 8.77

1.86

NA 27.46

090 malignancy. 58951............ ............. A

Resect ovarian

22.25

NA 10.83

2.64

NA 35.72

090 malignancy. 58952............ ............. A

Resect ovarian

24.87

NA 12.21

3.08

NA 40.16

090 malignancy. 58953............ ............. A

Tah, rad dissect for

31.82

NA 14.92

3.96

NA 50.70

090 debulk. 58954............ ............. A

Tah rad debulk/lymph

34.80

NA 16.08

4.27

NA 55.15

090 remove. 58960............ ............. A

Exploration of abdomen 14.57

NA 7.68

1.76

NA 24.01

090 58970............ ............. A

Retrieval of oocyte... 3.51 2.35 1.53

0.43

6.29 5.47

000 58974............ ............. C

Transfer of embryo.... 0.00 0.00 0.00

0.00

0.00 0.00

000 58976............ ............. A

Transfer of embryo.... 3.81 2.67 1.85

0.47

6.95 6.13

000 58999............ ............. C

Genital surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 59000............ ............. A

Amniocentesis,

1.29 2.14 0.69

0.28

3.71 2.26

000 diagnostic. 59001............ ............. A

Amniocentesis,

2.98

NA 1.43

0.28

NA 4.69

000 therapeutic. 59012............ ............. A

Fetal cord

3.43

NA 1.58

0.74

NA 5.75

000 puncture,prenatal. 59015............ ............. A

Chorion biopsy........ 2.19 1.60 1.07

0.48

4.27 3.74

000 59020............ ............. A

Fetal contract stress

0.66 0.79

NA

0.24

1.69

NA

000 test. 59020............ 26........... A

Fetal contract stress

0.66 0.27 0.27

0.14

1.07 1.07

000 test. 59020............ TC........... A

Fetal contract stress

0.00 0.52

NA

0.10

0.62

NA

000 test. 59025............ ............. A

Fetal non-stress test. 0.53 0.44

NA

0.14

1.11

NA

000 59025............ 26........... A

Fetal non-stress test. 0.53 0.21 0.21

0.12

0.86 0.86

000 59025............ TC........... A

Fetal non-stress test. 0.00 0.23

NA

0.02

0.25

NA

000 59030............ ............. A

Fetal scalp blood

1.98

NA 1.05

0.43

NA 3.46

000 sample. 59050............ ............. A

Fetal monitor w/report 0.88

NA 0.36

0.19

NA 1.43

XXX 59051............ ............. A

Fetal monitor/

0.74

NA 0.30

0.17

NA 1.21

XXX interpret only. 59070............ ............. A

Transabdom amnioinfus

5.22 5.19 2.43

0.28 10.69 7.93

000 w/ us. 59072............ ............. A

Umbilical cord occlud

8.95

NA 3.17

0.67

NA 12.79

000 w/ us. 59074............ ............. A

Fetal fluid drainage w/ 5.22 4.66 2.43

0.28 10.16 7.93

000 us. 59076............ ............. A

Fetal shunt placement, 8.95

NA 3.17

0.67

NA 12.79

000 w/ us. 59100............ ............. A

Remove uterus lesion.. 12.28

NA 6.57

2.65

NA 21.50

090 59120............ ............. A

Treat ectopic

11.42

NA 6.36

2.47

NA 20.25

090 pregnancy. 59121............ ............. A

Treat ectopic

11.60

NA 6.43

2.51

NA 20.54

090 pregnancy. 59130............ ............. A

Treat ectopic

14.14

NA 5.08

3.04

NA 22.26

090 pregnancy. 59135............ ............. A

Treat ectopic

13.80

NA 7.34

2.98

NA 24.12

090 pregnancy. 59136............ ............. A

Treat ectopic

13.10

NA 6.72

2.83

NA 22.65

090 pregnancy. 59140............ ............. A

Treat ectopic

5.43 5.29 3.65

1.17 11.89 10.25

090 pregnancy. 59150............ ............. A

Treat ectopic

11.60

NA 6.13

1.47

NA 19.20

090 pregnancy. 59151............ ............. A

Treat ectopic

11.42

NA 6.17

1.69

NA 19.28

090 pregnancy. 59160............ ............. A

D & c after delivery.. 2.69 3.31 2.14

0.59

6.59 5.42

010 59200............ ............. A

Insert cervical

0.79 1.24 0.31

0.18

2.21 1.28

000 dilator. 59300............ ............. A

Episiotomy or vaginal

2.40 2.19 0.97

0.52

5.11 3.89

000 repair. 59320............ ............. A

Revision of cervix.... 2.47

NA 1.28

0.54

NA 4.29

000 59325............ ............. A

Revision of cervix.... 4.05

NA 1.94

0.87

NA 6.86

000 59350............ ............. A

Repair of uterus...... 4.92

NA 1.97

1.05

NA 7.94

000 59400............ ............. A

Obstetrical care...... 22.93

NA 15.73

4.96

NA 43.62

MMM 59409............ ............. A

Obstetrical care...... 13.42

NA 5.37

2.90

NA 21.69

MMM 59410............ ............. A

Obstetrical care...... 14.70

NA 6.40

3.18

NA 24.28

MMM 59412............ ............. A

Antepartum

1.70

NA 0.82

0.37

NA 2.89

MMM manipulation. 59414............ ............. A

Deliver placenta...... 1.60

NA 0.64

0.35

NA 2.59

MMM 59425............ ............. A

Antepartum care only.. 4.78 4.34 1.88

1.03 10.15 7.69

MMM 59426............ ............. A

Antepartum care only.. 8.23 7.78 3.25

1.79 17.80 13.27

MMM 59430............ ............. A

Care after delivery... 2.12 1.26 0.95

0.46

3.84 3.53

MMM 59510............ ............. A

Cesarean delivery..... 26.07

NA 17.69

5.63

NA 49.39

MMM 59514............ ............. A

Cesarean delivery only 15.88

NA 6.29

3.43

NA 25.60

MMM 59515............ ............. A

Cesarean delivery..... 17.27

NA 7.97

3.74

NA 28.98

MMM 59525............ ............. A

Remove uterus after

8.49

NA 3.34

1.83

NA 13.66

ZZZ cesarean. 59610............ ............. A

Vbac delivery......... 24.48

NA 16.29

5.29

NA 46.06

MMM 59612............ ............. A

Vbac delivery only.... 14.97

NA 6.13

3.24

NA 24.34

MMM 59614............ ............. A

Vbac care after

16.25

NA 7.04

3.51

NA 26.80

MMM delivery. 59618............ ............. A

Attempted vbac

27.62

NA 18.81

5.97

NA 52.40

MMM delivery. 59620............ ............. A

Attempted vbac

17.43

NA 6.85

3.78

NA 28.06

MMM delivery only. 59622............ ............. A

Attempted vbac after

18.82

NA 8.77

4.06

NA 31.65

MMM care. 59812............ ............. A

Treatment of

3.99

NA 2.60

0.70

NA 7.29

090 miscarriage. 59820............ ............. A

Care of miscarriage... 3.99

NA 3.59

0.86

NA 8.44

090 59821............ ............. A

Treatment of

4.44

NA 3.51

0.96

NA 8.91

090 miscarriage. 59830............ ............. A

Treat uterus infection 6.08

NA 4.08

1.32

NA 11.48

090 59840............ ............. R

Abortion.............. 2.99

NA 2.16

0.65

NA 5.80

010 59841............ ............. R

Abortion.............. 5.21 2.60 2.60

1.13

8.94 8.94

010 59850............ ............. R

Abortion.............. 5.88

NA 3.30

1.27

NA 10.45

090 59851............ ............. R

Abortion.............. 5.90

NA 3.79

1.27

NA 10.96

090 59852............ ............. R

Abortion.............. 8.19

NA 5.40

1.77

NA 15.36

090 59855............ ............. R

Abortion.............. 6.09

NA 3.62

1.32

NA 11.03

090 59856............ ............. R

Abortion.............. 7.44

NA 4.12

1.61

NA 13.17

090 59857............ ............. R

Abortion.............. 9.24

NA 4.63

1.99

NA 15.86

090 59866............ ............. R

Abortion (mpr)........ 3.98

NA 1.85

0.86

NA 6.69

000 59870............ ............. A

Evacuate mole of

5.98

NA 4.51

0.92

NA 11.41

090 uterus.

[[Page 63322]]

59871............ ............. A

Remove cerclage suture 2.12 1.79 1.15

0.46

4.37 3.73

000 59897............ ............. C

Fetal invas px w/ us.. 0.00 0.00 0.00

0.00

0.00 0.00

YYY 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

1.75 2.20 2.07

0.17

4.12 3.99

010 cyst. 60001............ ............. A

Aspirate/inject

0.96 1.52 0.35

0.07

2.55 1.38

000 thyriod cyst. 60100............ ............. A

Biopsy of thyroid..... 1.55 1.44 0.54

0.06

3.05 2.15

000 60200............ ............. A

Remove thyroid lesion. 9.50

NA 6.18

1.01

NA 16.69

090 60210............ ............. A

Partial thyroid

10.82

NA 5.83

1.21

NA 17.86

090 excision. 60212............ ............. A

Partial thyroid

15.94

NA 7.88

1.81

NA 25.63

090 excision. 60220............ ............. A

Partial removal of

11.83

NA 6.35

1.16

NA 19.34

090 thyroid. 60225............ ............. A

Partial removal of

14.11

NA 7.62

1.57

NA 23.30

090 thyroid. 60240............ ............. A

Removal of thyroid.... 15.97

NA 7.82

1.80

NA 25.59

090 60252............ ............. A

Removal of thyroid.... 20.45

NA 10.39

1.95

NA 32.79

090 60254............ ............. A

Extensive thyroid

26.84

NA 14.52

2.35

NA 43.71

090 surgery. 60260............ ............. A

Repeat thyroid surgery 17.37

NA 8.93

1.67

NA 27.97

090 60270............ ............. A

Removal of thyroid.... 20.15

NA 10.57

2.13

NA 32.85

090 60271............ ............. A

Removal of thyroid.... 16.73

NA 8.82

1.62

NA 27.17

090 60280............ ............. A

Remove thyroid duct

5.84

NA 4.88

0.54

NA 11.26

090 lesion. 60281............ ............. A

Remove thyroid duct

8.48

NA 6.05

0.80

NA 15.33

090 lesion. 60500............ ............. A

Explore parathyroid

16.14

NA 7.60

1.93

NA 25.67

090 glands. 60502............ ............. A

Re-explore

20.23

NA 9.58

2.40

NA 32.21

090 parathyroids. 60505............ ............. A

Explore parathyroid

21.37

NA 11.08

2.57

NA 35.02

090 glands. 60512............ ............. A

Autotransplant

4.42

NA 1.64

0.53

NA 6.59

ZZZ parathyroid. 60520............ ............. A

Removal of thymus

16.71

NA 8.28

2.21

NA 27.20

090 gland. 60521............ ............. A

Removal of thymus

18.76

NA 9.29

2.80

NA 30.85

090 gland. 60522............ ............. A

Removal of thymus

22.96

NA 11.00

3.39

NA 37.35

090 gland. 60540............ ............. A

Explore adrenal gland. 16.93

NA 7.72

1.70

NA 26.35

090 60545............ ............. A

Explore adrenal gland. 19.77

NA 8.68

2.10

NA 30.55

090 60600............ ............. A

Remove carotid body

17.83

NA 10.90

2.24

NA 30.97

090 lesion. 60605............ ............. A

Remove carotid body

20.12

NA 12.83

2.73

NA 35.68

090 lesion. 60650............ ............. A

Laparoscopy

19.89

NA 8.08

2.37

NA 30.34

090 adrenalectomy. 60659............ ............. C

Laparo proc, endocrine 0.00 0.00 0.00

0.00

0.00 0.00

YYY 60699............ ............. C

Endocrine surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 61000............ ............. A

Remove cranial cavity

1.57

NA 0.97

0.16

NA 2.70

000 fluid. 61001............ ............. A

Remove cranial cavity

1.48

NA 1.08

0.18

NA 2.74

000 fluid. 61020............ ............. A

Remove brain cavity

1.50

NA 1.38

0.31

NA 3.19

000 fluid. 61026............ ............. A

Injection into brain

1.68

NA 1.45

0.25

NA 3.38

000 canal. 61050............ ............. A

Remove brain canal

1.50

NA 1.28

0.16

NA 2.94

000 fluid. 61055............ ............. A

Injection into brain

2.09

NA 1.44

0.16

NA 3.69

000 canal. 61070............ ............. A

Brain canal shunt

0.88

NA 1.05

0.11

NA 2.04

000 procedure. 61105............ ............. A

Twist drill hole...... 5.11

NA 4.01

1.26

NA 10.38

090 61107............ ............. A

Drill skull for

4.97

NA 3.36

1.22

NA 9.55

000 implantation. 61108............ ............. A

Drill skull for

10.13

NA 7.25

2.45

NA 19.83

090 drainage. 61120............ ............. A

Burr hole for puncture 8.71

NA 6.09

2.17

NA 16.97

090 61140............ ............. A

Pierce skull for

15.81

NA 10.04

3.78

NA 29.63

090 biopsy. 61150............ ............. A

Pierce skull for

17.47

NA 10.54

4.22

NA 32.23

090 drainage. 61151............ ............. A

Pierce skull for

12.35

NA 7.95

2.94

NA 23.24

090 drainage. 61154............ ............. A

Pierce skull & remove 14.90

NA 9.64

3.66

NA 28.20

090 clot. 61156............ ............. A

Pierce skull for

16.23

NA 9.98

4.10

NA 30.31

090 drainage. 61210............ ............. A

Pierce skull, implant

5.81

NA 3.76

1.39

NA 10.96

000 device. 61215............ ............. A

Insert brain-fluid

4.86

NA 4.08

1.19

NA 10.13

090 device. 61250............ ............. A

Pierce skull & explore 10.36

NA 6.96

2.42

NA 19.74

090 61253............ ............. A

Pierce skull & explore 12.29

NA 7.84

2.71

NA 22.84

090 61304............ ............. A

Open skull for

21.83

NA 13.04

5.19

NA 40.06

090 exploration. 61305............ ............. A

Open skull for

26.46

NA 15.56

6.29

NA 48.31

090 exploration. 61312............ ............. A

Open skull for

24.43

NA 15.27

5.98

NA 45.68

090 drainage. 61313............ ............. A

Open skull for

24.79

NA 15.04

6.08

NA 45.91

090 drainage. 61314............ ............. A

Open skull for

24.09

NA 13.26

4.79

NA 42.14

090 drainage. 61315............ ............. A

Open skull for

27.52

NA 16.26

6.74

NA 50.52

090 drainage. 61316............ ............. A

Implt cran bone flap

1.38

NA 0.58

0.52

NA 2.48

ZZZ to abdo. 61320............ ............. A

Open skull for

25.47

NA 14.98

6.23

NA 46.68

090 drainage. 61321............ ............. A

Open skull for

28.34

NA 16.37

6.41

NA 51.12

090 drainage. 61322............ ............. A

Decompressive

29.33

NA 14.64

5.98

NA 49.95

090 craniotomy. 61323............ ............. A

Decompressive

30.82

NA 14.82

5.98

NA 51.62

090 lobectomy. 61330............ ............. A

Decompress eye socket. 23.19

NA 13.95

3.09

NA 40.23

090 61332............ ............. A

Explore/biopsy eye

27.12

NA 15.84

4.97

NA 47.93

090 socket. 61333............ ............. A

Explore orbit/remove

27.79

NA 15.83

2.68

NA 46.30

090 lesion. 61334............ ............. A

Explore orbit/remove

18.17

NA 10.82

3.62

NA 32.61

090 object. 61340............ ............. A

Subtemporal

18.55

NA 11.30

4.39

NA 34.24

090 decompression. 61343............ ............. A

Incise skull (press

29.60

NA 17.09

7.24

NA 53.93

090 relief). 61345............ ............. A

Relieve cranial

27.04

NA 15.66

6.27

NA 48.97

090 pressure. 61440............ ............. A

Incise skull for

26.48

NA 14.46

6.68

NA 47.62

090 surgery. 61450............ ............. A

Incise skull for

25.80

NA 14.53

6.12

NA 46.45

090 surgery. 61458............ ............. A

Incise skull for brain 27.13

NA 15.77

6.33

NA 49.23

090 wound.

[[Page 63323]]

61460............ ............. A

Incise skull for

28.23

NA 16.68

6.15

NA 51.06

090 surgery. 61470............ ............. A

Incise skull for

25.91

NA 14.08

5.57

NA 45.56

090 surgery. 61480............ ............. A

Incise skull for

26.34

NA 15.53

6.64

NA 48.51

090 surgery. 61490............ ............. A

Incise skull for

25.51

NA 14.57

6.44

NA 46.52

090 surgery. 61500............ ............. A

Removal of skull

17.82

NA 10.99

3.91

NA 32.72

090 lesion. 61501............ ............. A

Remove infected skull 14.76

NA 9.37

3.15

NA 27.28

090 bone. 61510............ ............. A

Removal of brain

28.29

NA 16.97

6.92

NA 52.18

090 lesion. 61512............ ............. A

Remove brain lining

34.89

NA 19.99

8.56

NA 63.44

090 lesion. 61514............ ............. A

Removal of brain

25.12

NA 14.68

6.14

NA 45.94

090 abscess. 61516............ ............. A

Removal of brain

24.47

NA 14.51

5.92

NA 44.90

090 lesion. 61517............ ............. A

Implt brain chemotx

1.37

NA 0.57

0.10

NA 2.04

ZZZ add-on. 61518............ ............. A

Removal of brain

37.11

NA 21.45

9.03

NA 67.59

090 lesion. 61519............ ............. A

Remove brain lining

41.15

NA 23.01

9.77

NA 73.93

090 lesion. 61520............ ............. A

Removal of brain

54.53

NA 30.81 12.11

NA 97.45

090 lesion. 61521............ ............. A

Removal of brain

44.23

NA 24.61 10.61

NA 79.45

090 lesion. 61522............ ............. A

Removal of brain

29.28

NA 16.70

6.35

NA 52.33

090 abscess. 61524............ ............. A

Removal of brain

27.70

NA 15.93

6.00

NA 49.63

090 lesion. 61526............ ............. A

Removal of brain

51.87

NA 29.95

8.05

NA 89.87

090 lesion. 61530............ ............. A

Removal of brain

43.61

NA 25.47

7.40

NA 76.48

090 lesion. 61531............ ............. A

Implant brain

14.55

NA 9.30

3.40

NA 27.25

090 electrodes. 61533............ ............. A

Implant brain

19.60

NA 11.75

4.55

NA 35.90

090 electrodes. 61534............ ............. A

Removal of brain

20.85

NA 12.31

4.97

NA 38.13

090 lesion. 61535............ ............. A

Remove brain

11.56

NA 7.56

2.74

NA 21.86

090 electrodes. 61536............ ............. A

Removal of brain

35.32

NA 20.11

8.01

NA 63.44

090 lesion. 61537............ ............. A

Removal of brain

24.86

NA 14.63

6.45

NA 45.94

090 tissue. 61538............ ............. A

Removal of brain

26.66

NA 15.58

6.45

NA 48.69

090 tissue. 61539............ ............. A

Removal of brain

31.90

NA 18.07

7.93

NA 57.90

090 tissue. 61540............ ............. A

Removal of brain

29.83

NA 17.69

7.93

NA 55.45

090 tissue. 61541............ ............. A

Incision of brain

28.69

NA 16.48

6.59

NA 51.76

090 tissue. 61542............ ............. A

Removal of brain

30.84

NA 18.12

7.78

NA 56.74

090 tissue. 61543............ ............. A

Removal of brain

29.05

NA 16.65

7.32

NA 53.02

090 tissue. 61544............ ............. A

Remove & treat brain

25.35

NA 14.08

5.89

NA 45.32

090 lesion. 61545............ ............. A

Excision of brain

43.55

NA 24.63 10.64

NA 78.82

090 tumor. 61546............ ............. A

Removal of pituitary

31.12

NA 17.79

7.26

NA 56.17

090 gland. 61548............ ............. A

Removal of pituitary

21.41

NA 13.00

4.35

NA 38.76

090 gland. 61550............ ............. A

Release of skull seams 14.57

NA 7.10

1.37

NA 23.04

090 61552............ ............. A

Release of skull seams 19.45

NA 9.31

1.05

NA 29.81

090 61556............ ............. A

Incise skull/sutures.. 22.13

NA 11.57

4.28

NA 37.98

090 61557............ ............. A

Incise skull/sutures.. 22.25

NA 13.85

5.61

NA 41.71

090 61558............ ............. A

Excision of skull/

25.43

NA 14.43

3.13

NA 42.99

090 sutures. 61559............ ............. A

Excision of skull/

32.60

NA 19.63

8.22

NA 60.45

090 sutures. 61563............ ............. A

Excision of skull

26.68

NA 15.51

5.35

NA 47.54

090 tumor. 61564............ ............. A

Excision of skull

33.64

NA 18.59

8.49

NA 60.72

090 tumor. 61566............ ............. A

Removal of brain

30.82

NA 17.62

6.45

NA 54.89

090 tissue. 61567............ ............. A

Incision of brain

35.30

NA 20.98

6.45

NA 62.73

090 tissue. 61570............ ............. A

Remove foreign body,

24.46

NA 14.15

5.51

NA 44.12

090 brain. 61571............ ............. A

Incise skull for brain 26.24

NA 15.39

6.27

NA 47.90

090 wound. 61575............ ............. A

Skull base/brainstem

34.16

NA 19.96

6.02

NA 60.14

090 surgery. 61576............ ............. A

Skull base/brainstem

52.13

NA 30.00

5.61

NA 87.74

090 surgery. 61580............ ............. A

Craniofacial approach, 30.18

NA 25.77

3.30

NA 59.25

090 skull. 61581............ ............. A

Craniofacial approach, 34.40

NA 23.50

4.04

NA 61.94

090 skull. 61582............ ............. A

Craniofacial approach, 31.48

NA 27.43

7.55

NA 66.46

090 skull. 61583............ ............. A

Craniofacial approach, 36.00

NA 25.34

8.32

NA 69.66

090 skull. 61584............ ............. A

Orbitocranial approach/ 34.45

NA 24.75

7.83

NA 67.03

090 skull. 61585............ ............. A

Orbitocranial approach/ 38.39

NA 26.79

7.42

NA 72.60

090 skull. 61586............ ............. A

Resect nasopharynx,

24.96

NA 22.67

4.22

NA 51.85

090 skull. 61590............ ............. A

Infratemporal approach/ 41.54

NA 29.15

5.13

NA 75.82

090 skull. 61591............ ............. A

Infratemporal approach/ 43.43

NA 30.09

6.30

NA 79.82

090 skull. 61592............ ............. A

Orbitocranial approach/ 39.41

NA 26.96

9.05

NA 75.42

090 skull. 61595............ ............. A

Transtemporal approach/ 29.40

NA 22.78

3.66

NA 55.84

090 skull. 61596............ ............. A

Transcochlear approach/ 35.43

NA 24.89

5.09

NA 65.41

090 skull. 61597............ ............. A

Transcondylar approach/ 37.74

NA 23.37

7.97

NA 69.08

090 skull. 61598............ ............. A

Transpetrosal approach/ 33.22

NA 23.66

5.51

NA 62.39

090 skull. 61600............ ............. A

Resect/excise cranial 25.70

NA 20.16

3.74

NA 49.60

090 lesion. 61601............ ............. A

Resect/excise cranial 27.73

NA 20.86

6.34

NA 54.93

090 lesion. 61605............ ............. A

Resect/excise cranial 29.16

NA 22.42

3.01

NA 54.59

090 lesion. 61606............ ............. A

Resect/excise cranial 38.61

NA 25.55

8.16

NA 72.32

090 lesion. 61607............ ............. A

Resect/excise cranial 36.06

NA 24.19

6.82

NA 67.07

090 lesion. 61608............ ............. A

Resect/excise cranial 41.86

NA 27.02

9.96

NA 78.84

090 lesion. 61609............ ............. A

Transect artery, sinus 9.83

NA 4.92

2.48

NA 17.23

ZZZ 61610............ ............. A

Transect artery, sinus 29.50

NA 13.33

4.22

NA 47.05

ZZZ 61611............ ............. A

Transect artery, sinus 7.38

NA 3.87

1.86

NA 13.11

ZZZ 61612............ ............. A

Transect artery, sinus 27.72

NA 13.50

4.26

NA 45.48

ZZZ 61613............ ............. A

Remove aneurysm, sinus 40.63

NA 26.68

9.97

NA 77.28

090 61615............ ............. A

Resect/excise lesion, 31.89

NA 23.11

5.56

NA 60.56

090 skull.

[[Page 63324]]

61616............ ............. A

Resect/excise lesion, 43.08

NA 29.13

8.41

NA 80.62

090 skull. 61618............ ............. A

Repair dura........... 16.89

NA 10.64

3.50

NA 31.03

090 61619............ ............. A

Repair dura........... 20.59

NA 12.46

4.10

NA 37.15

090 61623............ ............. A

Endovasc tempory

9.90

NA 4.28

0.60

NA 14.78

000 vessel occl. 61624............ ............. A

Transcath occlusion,

20.04

NA 7.00

1.38

NA 28.42

000 cns. 61626............ ............. A

Transcath occlusion,

16.53

NA 5.59

1.01

NA 23.13

000 non-cns. 61680............ ............. A

Intracranial vessel

30.53

NA 17.73

7.24

NA 55.50

090 surgery. 61682............ ............. A

Intracranial vessel

61.22

NA 32.72 15.21

NA 109.15

090 surgery. 61684............ ............. A

Intracranial vessel

39.58

NA 22.37

9.43

NA 71.38

090 surgery. 61686............ ............. A

Intracranial vessel

64.12

NA 35.28 15.82

NA 115.22

090 surgery. 61690............ ............. A

Intracranial vessel

29.14

NA 17.00

6.60

NA 52.74

090 surgery. 61692............ ............. A

Intracranial vessel

51.57

NA 27.93 12.19

NA 91.69

090 surgery. 61697............ ............. A

Brain aneurysm repr,

50.23

NA 28.47 12.36

NA 91.06

090 complx. 61698............ ............. A

Brain aneurysm repr,

48.13

NA 27.12 11.97

NA 87.22

090 complx. 61700............ ............. A

Brain aneurysm repr,

50.23

NA 28.25 12.20

NA 90.68

090 simple. 61702............ ............. A

Inner skull vessel

48.13

NA 26.44 11.69

NA 86.26

090 surgery. 61703............ ............. A

Clamp neck artery..... 17.37

NA 10.66

4.34

NA 32.37

090 61705............ ............. A

Revise circulation to 35.99

NA 19.57

7.99

NA 63.55

090 head. 61708............ ............. A

Revise circulation to 35.10

NA 15.35

2.61

NA 53.06

090 head. 61710............ ............. A

Revise circulation to 29.50

NA 13.80

2.90

NA 46.20

090 head. 61711............ ............. A

Fusion of skull

36.12

NA 20.14

8.86

NA 65.12

090 arteries. 61720............ ............. A

Incise skull/brain

16.67

NA 10.15

4.21

NA 31.03

090 surgery. 61735............ ............. A

Incise skull/brain

20.31

NA 12.37

4.99

NA 37.67

090 surgery. 61750............ ............. A

Incise skull/brain

18.10

NA 10.80

4.45

NA 33.35

090 biopsy. 61751............ ............. A

Brain biopsy w/ct/mr

17.52

NA 11.01

4.28

NA 32.81

090 guide. 61760............ ............. A

Implant brain

22.14

NA 8.91

5.50

NA 36.55

090 electrodes. 61770............ ............. A

Incise skull for

21.32

NA 12.45

4.90

NA 38.67

090 treatment. 61790............ ............. A

Treat trigeminal nerve 10.80

NA 6.05

2.18

NA 19.03

090 61791............ ............. A

Treat trigeminal tract 14.53

NA 9.07

3.63

NA 27.23

090 61793............ ............. A

Focus radiation beam.. 17.14

NA 10.29

4.21

NA 31.64

090 61795............ ............. A

Brain surgery using

4.02

NA 2.06

0.97

NA 7.05

ZZZ computer. 61850............ ............. A

Implant

12.32

NA 7.81

2.67

NA 22.80

090 neuroelectrodes. 61860............ ............. A

Implant

20.75

NA 12.27

4.84

NA 37.86

090 neuroelectrodes. 61862............ ............. D

Implant neurostimul,

0.00 0.00 0.00

0.00

0.00 0.00

090 subcort. 61863............ ............. A

Implant neuroelectrode 13.84

NA 9.34

4.76

NA 27.94

090 61864............ ............. A

Implant neuroelectrde, 4.47

NA 2.31

1.13

NA 7.91

ZZZ addl. 61867............ ............. A

Implant neuroelectrode 22.83

NA 13.98

4.76

NA 41.57

090 61868............ ............. A

Implant neuroelectrde, 7.87

NA 4.07

1.20

NA 13.14

ZZZ addl. 61870............ ............. A

Implant

14.85

NA 9.95

2.04

NA 26.84

090 neuroelectrodes. 61875............ ............. A

Implant

14.97

NA 8.72

2.90

NA 26.59

090 neuroelectrodes. 61880............ ............. A

Revise/remove

6.25

NA 4.67

1.57

NA 12.49

090 neuroelectrode. 61885............ ............. A

Implant neurostim one

5.82

NA 5.42

1.46

NA 12.70

090 array. 61886............ ............. A

Implant neurostim

7.95

NA 6.47

1.97

NA 16.39

090 arrays. 61888............ ............. A

Revise/remove

5.04

NA 3.94

1.25

NA 10.23

010 neuroreceiver. 62000............ ............. A

Treat skull fracture.. 12.46

NA 5.62

1.04

NA 19.12

090 62005............ ............. A

Treat skull fracture.. 16.08

NA 8.95

2.79

NA 27.82

090 62010............ ............. A

Treatment of head

19.70

NA 11.91

4.85

NA 36.46

090 injury. 62100............ ............. A

Repair brain fluid

21.90

NA 13.01

4.88

NA 39.79

090 leakage. 62115............ ............. A

Reduction of skull

21.54

NA 11.84

5.43

NA 38.81

090 defect. 62116............ ............. A

Reduction of skull

23.46

NA 13.58

5.81

NA 42.85

090 defect. 62117............ ............. A

Reduction of skull

26.45

NA 15.63

6.66

NA 48.74

090 defect. 62120............ ............. A

Repair skull cavity

23.22

NA 14.49

3.68

NA 41.39

090 lesion. 62121............ ............. A

Incise skull repair... 21.46

NA 12.89

2.96

NA 37.31

090 62140............ ............. A

Repair of skull defect 13.43

NA 8.47

3.12

NA 25.02

090 62141............ ............. A

Repair of skull defect 14.83

NA 9.21

3.42

NA 27.46

090 62142............ ............. A

Remove skull plate/

10.73

NA 7.12

2.52

NA 20.37

090 flap. 62143............ ............. A

Replace skull plate/

12.98

NA 8.19

3.06

NA 24.23

090 flap. 62145............ ............. A

Repair of skull &

18.71

NA 11.09

4.57

NA 34.37

090 brain. 62146............ ............. A

Repair of skull with

16.03

NA 9.80

3.52

NA 29.35

090 graft. 62147............ ............. A

Repair of skull with

19.23

NA 11.51

4.36

NA 35.10

090 graft. 62148............ ............. A

Retr bone flap to fix

1.99

NA 0.83

0.52

NA 3.34

ZZZ skull. 62160............ ............. A

Neuroendoscopy add-on. 2.98

NA 1.15

0.62

NA 4.75

ZZZ 62161............ ............. A

Dissect brain w/scope. 19.89

NA 9.66

4.43

NA 33.98

090 62162............ ............. A

Remove colloid cyst w/ 25.11

NA 11.82

6.92

NA 43.85

090 scope. 62163............ ............. A

Neuroendoscopy w/fb

15.41

NA 7.93

4.43

NA 27.77

090 removal. 62164............ ............. A

Remove brain tumor w/ 27.34

NA 13.03

6.92

NA 47.29

090 scope. 62165............ ............. A

Remove pituit tumor w/ 21.87

NA 10.61

4.35

NA 36.83

090 scope. 62180............ ............. A

Establish brain cavity 20.94

NA 12.49

5.18

NA 38.61

090 shunt. 62190............ ............. A

Establish brain cavity 11.01

NA 7.21

2.61

NA 20.83

090 shunt. 62192............ ............. A

Establish brain cavity 12.18

NA 7.76

2.95

NA 22.89

090 shunt. 62194............ ............. A

Replace/irrigate

5.00

NA 2.86

0.60

NA 8.46

010 catheter. 62200............ ............. A

Establish brain cavity 18.22

NA 11.03

4.43

NA 33.68

090 shunt. 62201............ ............. A

Brain cavity shunt w/ 14.78

NA 9.62

3.02

NA 27.42

090 scope. 62220............ ............. A

Establish brain cavity 12.93

NA 8.13

3.03

NA 24.09

090 shunt. 62223............ ............. A

Establish brain cavity 12.80

NA 8.39

3.09

NA 24.28

090 shunt.

[[Page 63325]]

62225............ ............. A

Replace/irrigate

5.38

NA 4.18

1.31

NA 10.87

090 catheter. 62230............ ............. A

Replace/revise brain

10.48

NA 6.61

2.52

NA 19.61

090 shunt. 62252............ ............. A

Csf shunt reprogram... 0.74 1.47

NA

0.21

2.42

NA

XXX 62252............ 26........... A

Csf shunt reprogram... 0.74 0.38 0.38

0.19

1.31 1.31

XXX 62252............ TC........... A

Csf shunt reprogram... 0.00 1.09

NA

0.02

1.11

NA

XXX 62256............ ............. A

Remove brain cavity

6.56

NA 4.79

1.61

NA 12.96

090 shunt. 62258............ ............. A

Replace brain cavity

14.46

NA 8.86

3.49

NA 26.81

090 shunt. 62263............ ............. A

Epidural lysis mult

6.11 12.19 2.44

0.50 18.80 9.05

010 sessions. 62264............ ............. A

Epidural lysis on

4.40 7.90 1.43

0.36 12.66 6.19

010 single day. 62268............ ............. A

Drain spinal cord cyst 4.71 10.72 2.20

0.35 15.78 7.26

000 62269............ ............. A

Needle biopsy, spinal

4.99 12.34 2.03

0.35 17.68 7.37

000 cord. 62270............ ............. A

Spinal fluid tap,

1.12 3.06 0.50

0.07

4.25 1.69

000 diagnostic. 62272............ ............. A

Drain cerebro spinal

1.34 3.68 0.64

0.16

5.18 2.14

000 fluid. 62273............ ............. A

Treat epidural spine

2.14 2.81 0.59

0.17

5.12 2.90

000 lesion. 62280............ ............. A

Treat spinal cord

2.62 6.70 0.89

0.20

9.52 3.71

010 lesion. 62281............ ............. A

Treat spinal cord

2.64 5.86 0.78

0.19

8.69 3.61

010 lesion. 62282............ ............. A

Treat spinal canal

2.32 8.27 0.80

0.17 10.76 3.29

010 lesion. 62284............ ............. A

Injection for

1.53 4.92 0.61

0.12

6.57 2.26

000 myelogram. 62287............ ............. A

Percutaneous

8.03

NA 5.60

0.79

NA 14.42

090 diskectomy. 62290............ ............. A

Inject for spine disk

2.98 6.87 1.30

0.24 10.09 4.52

000 x-ray. 62291............ ............. A

Inject for spine disk

2.89 5.75 1.15

0.20

8.84 4.24

000 x-ray. 62292............ ............. A

Injection into disk

7.82

NA 4.57

0.78

NA 13.17

090 lesion. 62294............ ............. A

Injection into spinal 11.76

NA 5.70

1.02

NA 18.48

090 artery. 62310............ ............. A

Inject spine c/t...... 1.90 4.93 0.52

0.13

6.96 2.55

000 62311............ ............. A

Inject spine l/s (cd). 1.53 5.01 0.46

0.11

6.65 2.10

000 62318............ ............. A

Inject spine w/cath, c/ 2.03 5.63 0.53

0.14

7.80 2.70

000 t. 62319............ ............. A

Inject spine w/cath l/ 1.86 4.92 0.49

0.13

6.91 2.48

000 s (cd). 62350............ ............. A

Implant spinal canal

6.83

NA 4.09

0.77

NA 11.69

090 cath. 62351............ ............. A

Implant spinal canal

9.94

NA 7.19

2.15

NA 19.28

090 cath. 62355............ ............. A

Remove spinal canal

5.42

NA 3.28

0.56

NA 9.26

090 catheter. 62360............ ............. A

Insert spine infusion

2.61

NA 2.80

0.25

NA 5.66

090 device. 62361............ ............. A

Implant spine infusion 5.39

NA 4.00

0.60

NA 9.99

090 pump. 62362............ ............. A

Implant spine infusion 7.00

NA 4.49

1.03

NA 12.52

090 pump. 62365............ ............. A

Remove spine infusion

5.39

NA 3.68

0.70

NA 9.77

090 device. 62367............ ............. C

Analyze spine infusion 0.00 0.00 0.00

0.00

0.00 0.00

XXX pump. 62367............ 26........... A

Analyze spine infusion 0.48 0.13 0.13

0.04

0.65 0.65

XXX pump. 62367............ TC........... C

Analyze spine infusion 0.00 0.00 0.00

0.00

0.00 0.00

XXX pump. 62368............ ............. C

Analyze spine infusion 0.00 0.00 0.00

0.00

0.00 0.00

XXX pump. 62368............ 26........... A

Analyze spine infusion 0.75 0.19 0.19

0.06

1.00 1.00

XXX pump. 62368............ TC........... C

Analyze spine infusion 0.00 0.00 0.00

0.00

0.00 0.00

XXX pump. 63001............ ............. A

Removal of spinal

15.73

NA 9.65

3.63

NA 29.01

090 lamina. 63003............ ............. A

Removal of spinal

15.86

NA 9.98

3.57

NA 29.41

090 lamina. 63005............ ............. A

Removal of spinal

14.83

NA 10.05

3.14

NA 28.02

090 lamina. 63011............ ............. A

Removal of spinal

14.44

NA 8.38

1.71

NA 24.53

090 lamina. 63012............ ............. A

Removal of spinal

15.31

NA 10.21

3.25

NA 28.77

090 lamina. 63015............ ............. A

Removal of spinal

19.24

NA 12.05

4.60

NA 35.89

090 lamina. 63016............ ............. A

Removal of spinal

19.09

NA 11.94

4.34

NA 35.37

090 lamina. 63017............ ............. A

Removal of spinal

15.85

NA 10.49

3.49

NA 29.83

090 lamina. 63020............ ............. A

Neck spine disk

14.73

NA 9.79

3.46

NA 27.98

090 surgery. 63030............ ............. A

Low back disk surgery. 11.93

NA 8.49

2.65

NA 23.07

090 63035............ ............. A

Spinal disk surgery

3.13

NA 1.61

0.68

NA 5.42

ZZZ add-on. 63040............ ............. A

Laminotomy, single

18.70

NA 11.64

4.03

NA 34.37

090 cervical. 63042............ ............. A

Laminotomy, single

17.37

NA 11.44

3.73

NA 32.54

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

16.41

NA 10.49

3.82

NA 30.72

090 lamina. 63046............ ............. A

Removal of spinal

15.71

NA 10.29

3.46

NA 29.46

090 lamina. 63047............ ............. A

Removal of spinal

14.53

NA 9.96

3.13

NA 27.62

090 lamina. 63048............ ............. A

Remove spinal lamina

3.24

NA 1.69

0.70

NA 5.63

ZZZ add-on. 63055............ ............. A

Decompress spinal cord 21.86

NA 13.31

4.90

NA 40.07

090 63056............ ............. A

Decompress spinal cord 20.24

NA 12.69

4.00

NA 36.93

090 63057............ ............. A

Decompress spine cord

5.23

NA 2.67

0.97

NA 8.87

ZZZ add-on. 63064............ ............. A

Decompress spinal cord 24.47

NA 14.62

5.66

NA 44.75

090 63066............ ............. A

Decompress spine cord

3.24

NA 1.69

0.76

NA 5.69

ZZZ add-on. 63075............ ............. A

Neck spine disk

19.30

NA 12.24

4.47

NA 36.01

090 surgery. 63076............ ............. A

Neck spine disk

4.03

NA 2.08

0.93

NA 7.04

ZZZ surgery. 63077............ ............. A

Spine disk surgery,

21.32

NA 12.86

4.12

NA 38.30

090 thorax. 63078............ ............. A

Spine disk surgery,

3.26

NA 1.66

0.60

NA 5.52

ZZZ thorax. 63081............ ............. A

Removal of vertebral

23.59

NA 14.50

5.35

NA 43.44

090 body. 63082............ ............. A

Remove vertebral body

4.35

NA 2.25

0.98

NA 7.58

ZZZ add-on. 63085............ ............. A

Removal of vertebral

26.77

NA 15.58

5.63

NA 47.98

090 body. 63086............ ............. A

Remove vertebral body

3.17

NA 1.61

0.66

NA 5.44

ZZZ add-on. 63087............ ............. A

Removal of vertebral

35.37

NA 19.63

7.04

NA 62.04

090 body. 63088............ ............. A

Remove vertebral body

4.31

NA 2.20

0.92

NA 7.43

ZZZ add-on. 63090............ ............. A

Removal of vertebral

28.00

NA 16.14

5.12

NA 49.26

090 body.

[[Page 63326]]

63091............ ............. A

Remove vertebral body

3.01

NA 1.47

0.54

NA 5.02

ZZZ add-on. 63101............ ............. A

Removal of vertebral

31.82

NA 19.57

5.66

NA 57.05

090 body. 63102............ ............. A

Removal of vertebral

31.82

NA 19.57

5.66

NA 57.05

090 body. 63103............ ............. A

Remove vertebral body

3.88

NA 2.03

0.76

NA 6.67

ZZZ add-on. 63170............ ............. A

Incise spinal cord

19.72

NA 12.22

4.66

NA 36.60

090 tract(s). 63172............ ............. A

Drainage of spinal

17.56

NA 10.99

4.15

NA 32.70

090 cyst. 63173............ ............. A

Drainage of spinal

21.86

NA 13.19

4.96

NA 40.01

090 cyst. 63180............ ............. A

Revise spinal cord

18.17

NA 11.35

4.59

NA 34.11

090 ligaments. 63182............ ............. A

Revise spinal cord

20.38

NA 11.31

4.17

NA 35.86

090 ligaments. 63185............ ............. A

Incise spinal column/ 14.95

NA 8.38

2.49

NA 25.82

090 nerves. 63190............ ............. A

Incise spinal column/ 17.35

NA 10.45

3.45

NA 31.25

090 nerves. 63191............ ............. A

Incise spinal column/ 17.44

NA 10.84

4.20

NA 32.48

090 nerves. 63194............ ............. A

Incise spinal column & 19.08

NA 12.05

4.81

NA 35.94

090 cord. 63195............ ............. A

Incise spinal column & 18.73

NA 11.36

4.12

NA 34.21

090 cord. 63196............ ............. A

Incise spinal column & 22.17

NA 13.74

5.59

NA 41.50

090 cord. 63197............ ............. A

Incise spinal column & 20.99

NA 12.55

5.30

NA 38.84

090 cord. 63198............ ............. A

Incise spinal column & 25.24

NA 8.77

6.36

NA 40.37

090 cord. 63199............ ............. A

Incise spinal column & 26.74

NA 15.42

6.74

NA 48.90

090 cord. 63200............ ............. A

Release of spinal cord 19.07

NA 11.62

4.33

NA 35.02

090 63250............ ............. A

Revise spinal cord

40.53

NA 20.27

9.17

NA 69.97

090 vessels. 63251............ ............. A

Revise spinal cord

40.97

NA 22.95

9.56

NA 73.48

090 vessels. 63252............ ............. A

Revise spinal cord

40.96

NA 22.59

9.29

NA 72.84

090 vessels. 63265............ ............. A

Excise intraspinal

21.44

NA 12.97

5.14

NA 39.55

090 lesion. 63266............ ............. A

Excise intraspinal

22.17

NA 13.39

5.36

NA 40.92

090 lesion. 63267............ ............. A

Excise intraspinal

17.85

NA 11.23

4.20

NA 33.28

090 lesion. 63268............ ............. A

Excise intraspinal

18.41

NA 10.56

3.81

NA 32.78

090 lesion. 63270............ ............. A

Excise intraspinal

26.65

NA 15.71

6.48

NA 48.84

090 lesion. 63271............ ............. A

Excise intraspinal

26.77

NA 15.82

6.66

NA 49.25

090 lesion. 63272............ ............. A

Excise intraspinal

25.18

NA 14.91

6.08

NA 46.17

090 lesion. 63273............ ............. A

Excise intraspinal

24.15

NA 14.56

6.09

NA 44.80

090 lesion. 63275............ ............. A

Biopsy/excise spinal

23.55

NA 13.99

5.61

NA 43.15

090 tumor. 63276............ ............. A

Biopsy/excise spinal

23.32

NA 13.88

5.55

NA 42.75

090 tumor. 63277............ ............. A

Biopsy/excise spinal

20.71

NA 12.69

4.83

NA 38.23

090 tumor. 63278............ ............. A

Biopsy/excise spinal

20.44

NA 12.55

4.82

NA 37.81

090 tumor. 63280............ ............. A

Biopsy/excise spinal

28.19

NA 16.57

6.95

NA 51.71

090 tumor. 63281............ ............. A

Biopsy/excise spinal

27.89

NA 16.42

6.80

NA 51.11

090 tumor. 63282............ ............. A

Biopsy/excise spinal

26.24

NA 15.57

6.39

NA 48.20

090 tumor. 63283............ ............. A

Biopsy/excise spinal

24.86

NA 14.89

6.14

NA 45.89

090 tumor. 63285............ ............. A

Biopsy/excise spinal

35.79

NA 20.26

8.76

NA 64.81

090 tumor. 63286............ ............. A

Biopsy/excise spinal

35.43

NA 20.21

8.47

NA 64.11

090 tumor. 63287............ ............. A

Biopsy/excise spinal

36.49

NA 20.77

8.97

NA 66.23

090 tumor. 63290............ ............. A

Biopsy/excise spinal

37.17

NA 20.91

9.17

NA 67.25

090 tumor. 63300............ ............. A

Removal of vertebral

24.29

NA 14.51

5.73

NA 44.53

090 body. 63301............ ............. A

Removal of vertebral

27.44

NA 15.71

6.03

NA 49.18

090 body. 63302............ ............. A

Removal of vertebral

27.65

NA 16.03

6.29

NA 49.97

090 body. 63303............ ............. A

Removal of vertebral

30.33

NA 17.11

6.24

NA 53.68

090 body. 63304............ ............. A

Removal of vertebral

30.16

NA 17.54

5.66

NA 53.36

090 body. 63305............ ............. A

Removal of vertebral

31.85

NA 18.18

6.46

NA 56.49

090 body. 63306............ ............. A

Removal of vertebral

32.04

NA 18.00

2.86

NA 52.90

090 body. 63307............ ............. A

Removal of vertebral

31.45

NA 17.00

5.07

NA 53.52

090 body. 63308............ ............. A

Remove vertebral body

5.22

NA 2.64

1.21

NA 9.07

ZZZ add-on. 63600............ ............. A

Remove spinal cord

13.94

NA 5.54

1.46

NA 20.94

090 lesion. 63610............ ............. A

Stimulation of spinal

8.68 56.38 2.33

0.52 65.58 11.53

000 cord. 63615............ ............. A

Remove lesion of

16.19

NA 9.35

3.42

NA 28.96

090 spinal cord. 63650............ ............. A

Implant

6.70

NA 3.30

0.58

NA 10.58

090 neuroelectrodes. 63655............ ............. A

Implant

10.23

NA 7.00

2.22

NA 19.45

090 neuroelectrodes. 63660............ ............. A

Revise/remove

6.12

NA 3.71

0.78

NA 10.61

090 neuroelectrode. 63685............ ............. A

Implant neuroreceiver. 7.00

NA 4.25

1.15

NA 12.40

090 63688............ ............. A

Revise/remove

5.36

NA 3.64

0.84

NA 9.84

090 neuroreceiver. 63700............ ............. A

Repair of spinal

16.44

NA 10.40

3.22

NA 30.06

090 herniation. 63702............ ............. A

Repair of spinal

18.37

NA 10.94

1.63

NA 30.94

090 herniation. 63704............ ............. A

Repair of spinal

21.06

NA 13.05

4.60

NA 38.71

090 herniation. 63706............ ............. A

Repair of spinal

23.97

NA 13.83

5.67

NA 43.47

090 herniation. 63707............ ............. A

Repair spinal fluid

11.20

NA 7.78

2.35

NA 21.33

090 leakage. 63709............ ............. A

Repair spinal fluid

14.24

NA 9.48

2.98

NA 26.70

090 leakage. 63710............ ............. A

Graft repair of spine 13.99

NA 9.16

3.13

NA 26.28

090 defect. 63740............ ............. A

Install spinal shunt.. 11.30

NA 7.48

2.58

NA 21.36

090 63741............ ............. A

Install spinal shunt.. 8.20

NA 4.86

1.26

NA 14.32

090 63744............ ............. A

Revision of spinal

8.05

NA 5.36

1.81

NA 15.22

090 shunt. 63746............ ............. A

Removal of spinal

6.39

NA 3.88

1.38

NA 11.65

090 shunt. 64400............ ............. A

N block inj,

1.10 2.04 0.37

0.07

3.21 1.54

000 trigeminal. 64402............ ............. A

N block inj, facial... 1.24 1.77 0.54

0.08

3.09 1.86

000 64405............ ............. A

N block inj, occipital 1.31 1.55 0.40

0.10

2.96 1.81

000 64408............ ............. A

N block inj, vagus.... 1.40 1.60 0.66

0.11

3.11 2.17

000 64410............ ............. A

N block inj, phrenic.. 1.42 2.64 0.41

0.10

4.16 1.93

000

[[Page 63327]]

64412............ ............. A

N block inj, spinal

1.17 2.78 0.37

0.10

4.05 1.64

000 accessor. 64413............ ............. A

N block inj, cervical

1.39 1.93 0.45

0.11

3.43 1.95

000 plexus. 64415............ ............. A

N block inj, brachial

1.47 2.91 0.40

0.10

4.48 1.97

000 plexus. 64416............ ............. A

N block cont infuse, b 3.48

NA 0.72

0.10

NA 4.30

010 plex. 64417............ ............. A

N block inj, axillary. 1.43 3.16 0.44

0.11

4.70 1.98

000 64418............ ............. A

N block inj,

1.31 2.72 0.38

0.08

4.11 1.77

000 suprascapular. 64420............ ............. A

N block inj,

1.17 3.58 0.36

0.08

4.83 1.61

000 intercost, sng. 64421............ ............. A

N block inj,

1.67 5.45 0.47

0.12

7.24 2.26

000 intercost, mlt. 64425............ ............. A

N block inj ilio-ing/

1.74 1.74 0.49

0.13

3.61 2.36

000 hypogi. 64430............ ............. A

N block inj, pudendal. 1.45 2.63 0.51

0.13

4.21 2.09

000 64435............ ............. A

N block inj,

1.44 2.64 0.64

0.18

4.26 2.26

000 paracervical. 64445............ ............. A

N block inj, sciatic,

1.47 2.75 0.39

0.10

4.32 1.96

000 sng. 64446............ ............. A

N blk inj, sciatic,

3.23

NA 1.20

0.10

NA 4.53

010 cont inf. 64447............ ............. A

N block inj fem,

1.49

NA 0.52

0.10

NA 2.11

000 single. 64448............ ............. A

N block inj fem, cont

2.98

NA 1.03

0.10

NA 4.11

010 inf. 64449............ ............. A

N block inj, lumbar

2.98

NA 0.98

0.10

NA 4.06

010 plexus. 64450............ ............. A

N block, other

1.26 1.29 0.42

0.10

2.65 1.78

000 peripheral. 64470............ ............. A

Inj paravertebral c/t. 1.84 4.92 0.58

0.14

6.90 2.56

000 64472............ ............. A

Inj paravertebral c/t

1.28 1.96 0.32

0.11

3.35 1.71

ZZZ add-on. 64475............ ............. A

Inj paravertebral l/s. 1.40 4.61 0.49

0.11

6.12 2.00

000 64476............ ............. A

Inj paravertebral l/s

0.97 1.84 0.25

0.07

2.88 1.29

ZZZ add-on. 64479............ ............. A

Inj foramen epidural c/ 2.19 7.14 0.73

0.17

9.50 3.09

000 t. 64480............ ............. A

Inj foramen epidural

1.53 2.43 0.48

0.11

4.07 2.12

ZZZ add-on. 64483............ ............. A

Inj foramen epidural l/ 1.89 7.64 0.66

0.14

9.67 2.69

000 s. 64484............ ............. A

Inj foramen epidural

1.32 2.84 0.38

0.10

4.26 1.80

ZZZ add-on. 64505............ ............. A

N block, spenopalatine 1.35 1.24 0.49

0.10

2.69 1.94

000 gangl. 64508............ ............. A

N block, carotid sinus 1.11 3.01 0.52

0.07

4.19 1.70

000 s/p. 64510............ ............. A

N block, stellate

1.21 3.27 0.39

0.08

4.56 1.68

000 ganglion. 64517............ ............. A

N block inj, hypogas

2.19 2.76 0.89

0.13

5.08 3.21

000 plxs. 64520............ ............. A

N block, lumbar/

1.34 4.63 0.43

0.10

6.07 1.87

000 thoracic. 64530............ ............. A

N block inj, celiac

1.57 4.01 0.49

0.11

5.69 2.17

000 pelus. 64550............ ............. A

Apply neurostimulator. 0.18 0.30 0.05

0.01

0.49 0.24

000 64553............ ............. A

Implant

2.30 2.77 1.88

0.20

5.27 4.38

010 neuroelectrodes. 64555............ ............. A

Implant

2.26 3.16 1.23

0.13

5.55 3.62

010 neuroelectrodes. 64560............ ............. A

Implant

2.35 2.69 1.34

0.20

5.24 3.89

010 neuroelectrodes. 64561............ ............. A

Implant

6.70

NA 3.20

0.13

NA 10.03

010 neuroelectrodes. 64565............ ............. A

Implant

1.75 3.39 1.28

0.10

5.24 3.13

010 neuroelectrodes. 64573............ ............. A

Implant

7.46

NA 5.30

1.77

NA 14.53

090 neuroelectrodes. 64575............ ............. A

Implant

4.33

NA 2.75

0.44

NA 7.52

090 neuroelectrodes. 64577............ ............. A

Implant

4.59

NA 3.31

0.60

NA 8.50

090 neuroelectrodes. 64580............ ............. A

Implant

4.10

NA 3.60

0.25

NA 7.95

090 neuroelectrodes. 64581............ ............. A

Implant

13.42

NA 5.47

0.44

NA 19.33

090 neuroelectrodes. 64585............ ............. A

Revise/remove

2.05 11.70 1.75

0.35 14.10 4.15

010 neuroelectrode. 64590............ ............. A

Implant neuroreceiver. 2.39 7.41 1.93

0.48 10.28 4.80

010 64595............ ............. A

Revise/remove

1.72 10.90 1.53

0.26 12.88 3.51

010 neuroreceiver. 64600............ ............. A

Injection treatment of 3.43 8.56 1.60

0.34 12.33 5.37

010 nerve. 64605............ ............. A

Injection treatment of 5.58 8.74 2.09

0.64 14.96 8.31

010 nerve. 64610............ ............. A

Injection treatment of 7.12 8.00 3.63

1.34 16.46 12.09

010 nerve. 64612............ ............. A

Destroy nerve, face

1.95 2.66 1.08

0.11

4.72 3.14

010 muscle. 64613............ ............. A

Destroy nerve, spine

1.95 3.01 1.00

0.12

5.08 3.07

010 muscle. 64614............ ............. A

Destroy nerve, extrem

2.19 3.28 1.13

0.11

5.58 3.43

010 musc. 64620............ ............. A

Injection treatment of 2.82 4.67 1.21

0.20

7.69 4.23

010 nerve. 64622............ ............. A

Destr paravertebrl

2.98 7.74 1.26

0.20 10.92 4.44

010 nerve l/s. 64623............ ............. A

Destr paravertebral n

0.98 2.46 0.23

0.07

3.51 1.28

ZZZ add-on. 64626............ ............. A

Destr paravertebrl

3.26 6.79 1.90

0.26 10.31 5.42

010 nerve c/t. 64627............ ............. A

Destr paravertebral n

1.15 2.65 0.27

0.10

3.90 1.52

ZZZ add-on. 64630............ ............. A

Injection treatment of 2.98 2.78 1.31

0.19

5.95 4.48

010 nerve. 64640............ ............. A

Injection treatment of 2.74 4.32 1.71

0.13

7.19 4.58

010 nerve. 64680............ ............. A

Injection treatment of 2.61 6.08 1.31

0.18

8.87 4.10

010 nerve. 64681............ ............. A

Injection treatment of 3.53 8.81 2.13

0.18 12.52 5.84

010 nerve. 64702............ ............. A

Revise finger/toe

4.21

NA 3.86

0.61

NA 8.68

090 nerve. 64704............ ............. A

Revise hand/foot nerve 4.54

NA 3.31

0.71

NA 8.56

090 64708............ ............. A

Revise arm/leg nerve.. 6.09

NA 4.87

0.98

NA 11.94

090 64712............ ............. A

Revision of sciatic

7.71

NA 5.09

0.65

NA 13.45

090 nerve. 64713............ ............. A

Revision of arm

10.94

NA 5.98

1.21

NA 18.13

090 nerve(s). 64714............ ............. A

Revise low back

10.27

NA 4.35

0.77

NA 15.39

090 nerve(s). 64716............ ............. A

Revision of cranial

6.27

NA 5.32

0.71

NA 12.30

090 nerve. 64718............ ............. A

Revise ulnar nerve at

5.96

NA 5.94

1.04

NA 12.94

090 elbow. 64719............ ............. A

Revise ulnar nerve at

4.82

NA 4.51

0.76

NA 10.09

090 wrist. 64721............ ............. A

Carpal tunnel surgery. 4.27 5.01 5.01

0.71

9.99 9.99

090 64722............ ............. A

Relieve pressure on

4.67

NA 3.13

0.38

NA 8.18

090 nerve(s). 64726............ ............. A

Release foot/toe nerve 4.16

NA 2.80

0.68

NA 7.64

090 64727............ ............. A

Internal nerve

3.08

NA 1.52

0.48

NA 5.08

ZZZ revision. 64732............ ............. A

Incision of brow nerve 4.38

NA 3.58

0.92

NA 8.88

090 64734............ ............. A

Incision of cheek

4.89

NA 4.12

0.99

NA 10.00

090 nerve.

[[Page 63328]]

64736............ ............. A

Incision of chin nerve 4.57

NA 4.09

0.85

NA 9.51

090 64738............ ............. A

Incision of jaw nerve. 5.70

NA 4.67

1.01

NA 11.38

090 64740............ ............. A

Incision of tongue

5.56

NA 4.45

0.52

NA 10.53

090 nerve. 64742............ ............. A

Incision of facial

6.18

NA 4.79

0.83

NA 11.80

090 nerve. 64744............ ............. A

Incise nerve, back of

5.21

NA 3.85

1.17

NA 10.23

090 head. 64746............ ............. A

Incise diaphragm nerve 5.90

NA 4.40

0.90

NA 11.20

090 64752............ ............. A

Incision of vagus

7.02

NA 4.27

0.99

NA 12.28

090 nerve. 64755............ ............. A

Incision of stomach

13.44

NA 5.75

1.39

NA 20.58

090 nerves. 64760............ ............. A

Incision of vagus

6.92

NA 3.57

0.61

NA 11.10

090 nerve. 64761............ ............. A

Incision of pelvis

6.37

NA 3.62

0.31

NA 10.30

090 nerve. 64763............ ............. A

Incise hip/thigh nerve 6.89

NA 5.30

0.92

NA 13.11

090 64766............ ............. A

Incise hip/thigh nerve 8.62

NA 5.34

1.19

NA 15.15

090 64771............ ............. A

Sever cranial nerve... 7.31

NA 5.65

1.58

NA 14.54

090 64772............ ............. A

Incision of spinal

7.17

NA 4.99

1.44

NA 13.60

090 nerve. 64774............ ............. A

Remove skin nerve

5.14

NA 3.85

0.72

NA 9.71

090 lesion. 64776............ ............. A

Remove digit nerve

5.09

NA 3.72

0.76

NA 9.57

090 lesion. 64778............ ............. A

Digit nerve surgery

3.09

NA 1.52

0.46

NA 5.07

ZZZ add-on. 64782............ ............. A

Remove limb nerve

6.19

NA 3.79

0.95

NA 10.93

090 lesion. 64783............ ............. A

Limb nerve surgery add- 3.70

NA 1.87

0.58

NA 6.15

ZZZ on. 64784............ ............. A

Remove nerve lesion... 9.76

NA 6.64

1.40

NA 17.80

090 64786............ ............. A

Remove sciatic nerve

15.37

NA 9.94

2.66

NA 27.97

090 lesion. 64787............ ............. A

Implant nerve end..... 4.28

NA 2.15

0.67

NA 7.10

ZZZ 64788............ ............. A

Remove skin nerve

4.58

NA 3.51

0.65

NA 8.74

090 lesion. 64790............ ............. A

Removal of nerve

11.25

NA 7.28

2.01

NA 20.54

090 lesion. 64792............ ............. A

Removal of nerve

14.83

NA 8.93

2.25

NA 26.01

090 lesion. 64795............ ............. A

Biopsy of nerve....... 2.99

NA 1.61

0.48

NA 5.08

000 64802............ ............. A

Remove sympathetic

9.10

NA 5.18

1.04

NA 15.32

090 nerves. 64804............ ............. A

Remove sympathetic

14.56

NA 7.14

2.15

NA 23.85

090 nerves. 64809............ ............. A

Remove sympathetic

13.59

NA 5.82

1.15

NA 20.56

090 nerves. 64818............ ............. A

Remove sympathetic

10.24

NA 5.28

1.29

NA 16.81

090 nerves. 64820............ ............. A

Remove sympathetic

10.31

NA 7.20

1.40

NA 18.91

090 nerves. 64821............ ............. A

Remove sympathetic

8.70

NA 7.42

1.19

NA 17.31

090 nerves. 64822............ ............. A

Remove sympathetic

8.70

NA 7.35

1.19

NA 17.24

090 nerves. 64823............ ............. A

Remove sympathetic

10.31

NA 8.27

1.40

NA 19.98

090 nerves. 64831............ ............. A

Repair of digit nerve. 9.39

NA 7.12

1.37

NA 17.88

090 64832............ ............. A

Repair nerve add-on... 5.63

NA 2.98

0.82

NA 9.43

ZZZ 64834............ ............. A

Repair of hand or foot 10.13

NA 7.14

1.47

NA 18.74

090 nerve. 64835............ ............. A

Repair of hand or foot 10.88

NA 7.75

1.63

NA 20.26

090 nerve. 64836............ ............. A

Repair of hand or foot 10.88

NA 7.72

1.58

NA 20.18

090 nerve. 64837............ ............. A

Repair nerve add-on... 6.22

NA 3.27

0.96

NA 10.45

ZZZ 64840............ ............. A

Repair of leg nerve... 12.95

NA 8.38

1.03

NA 22.36

090 64856............ ............. A

Repair/transpose nerve 13.72

NA 9.27

2.05

NA 25.04

090 64857............ ............. A

Repair arm/leg nerve.. 14.41

NA 9.72

2.11

NA 26.24

090 64858............ ............. A

Repair sciatic nerve.. 16.40

NA 10.86

3.33

NA 30.59

090 64859............ ............. A

Nerve surgery......... 4.24

NA 2.22

0.60

NA 7.06

ZZZ 64861............ ............. A

Repair of arm nerves.. 19.13

NA 11.93

2.94

NA 34.00

090 64862............ ............. A

Repair of low back

19.33

NA 12.10

2.96

NA 34.39

090 nerves. 64864............ ............. A

Repair of facial nerve 12.48

NA 8.19

1.35

NA 22.02

090 64865............ ............. A

Repair of facial nerve 15.15

NA 9.97

1.64

NA 26.76

090 64866............ ............. A

Fusion of facial/other 15.65

NA 9.82

1.27

NA 26.74

090 nerve. 64868............ ............. A

Fusion of facial/other 13.96

NA 8.97

1.68

NA 24.61

090 nerve. 64870............ ............. A

Fusion of facial/other 15.90

NA 8.84

1.29

NA 26.03

090 nerve. 64872............ ............. A

Subsequent repair of

1.98

NA 1.09

0.29

NA 3.36

ZZZ nerve. 64874............ ............. A

Repair & revise nerve

2.96

NA 1.55

0.41

NA 4.92

ZZZ add-on. 64876............ ............. A

Repair nerve/shorten

3.36

NA 1.30

0.47

NA 5.13

ZZZ bone. 64885............ ............. A

Nerve graft, head or

17.43

NA 11.04

1.81

NA 30.28

090 neck. 64886............ ............. A

Nerve graft, head or

20.63

NA 12.89

2.07

NA 35.59

090 neck. 64890............ ............. A

Nerve graft, hand or

15.06

NA 10.09

2.09

NA 27.24

090 foot. 64891............ ............. A

Nerve graft, hand or

16.05

NA 7.74

1.65

NA 25.44

090 foot. 64892............ ............. A

Nerve graft, arm or

14.57

NA 8.97

1.98

NA 25.52

090 leg. 64893............ ............. A

Nerve graft, arm or

15.51

NA 9.99

2.12

NA 27.62

090 leg. 64895............ ............. A

Nerve graft, hand or

19.14

NA 9.76

2.45

NA 31.35

090 foot. 64896............ ............. A

Nerve graft, hand or

20.37

NA 11.15

2.22

NA 33.74

090 foot. 64897............ ............. A

Nerve graft, arm or

18.14

NA 10.82

3.16

NA 32.12

090 leg. 64898............ ............. A

Nerve graft, arm or

19.39

NA 11.95

3.25

NA 34.59

090 leg. 64901............ ............. A

Nerve graft add-on.... 10.16

NA 5.34

1.19

NA 16.69

ZZZ 64902............ ............. A

Nerve graft add-on.... 11.76

NA 6.05

1.32

NA 19.13

ZZZ 64905............ ............. A

Nerve pedicle transfer 13.94

NA 8.65

1.82

NA 24.41

090 64907............ ............. A

Nerve pedicle transfer 18.72

NA 12.62

2.15

NA 33.49

090 64999............ ............. C

Nervous system surgery 0.00 0.00 0.00

0.00

0.00 0.00

YYY 65091............ ............. A

Revise eye............ 6.42

NA 9.83

0.31

NA 16.56

090 65093............ ............. A

Revise eye with

6.83

NA 10.19

0.34

NA 17.36

090 implant. 65101............ ............. A

Removal of eye........ 6.99

NA 10.77

0.34

NA 18.10

090 65103............ ............. A

Remove eye/insert

7.53

NA 10.98

0.36

NA 18.87

090 implant. 65105............ ............. A

Remove eye/attach

8.44

NA 11.64

0.41

NA 20.49

090 implant.

[[Page 63329]]

65110............ ............. A

Removal of eye........ 13.87

NA 14.77

0.82

NA 29.46

090 65112............ ............. A

Remove eye/revise

16.29

NA 17.06

1.15

NA 34.50

090 socket. 65114............ ............. A

Remove eye/revise

17.43

NA 17.28

1.13

NA 35.84

090 socket. 65125............ ............. A

Revise ocular implant. 3.10 9.32 3.00

0.18 12.60 6.28

090 65130............ ............. A

Insert ocular implant. 7.11

NA 10.36

0.34

NA 17.81

090 65135............ ............. A

Insert ocular implant. 7.29

NA 10.53

0.35

NA 18.17

090 65140............ ............. A

Attach ocular implant. 7.97

NA 10.99

0.37

NA 19.33

090 65150............ ............. A

Revise ocular implant. 6.22

NA 9.38

0.30

NA 15.90

090 65155............ ............. A

Reinsert ocular

8.61

NA 11.72

0.48

NA 20.81

090 implant. 65175............ ............. A

Removal of ocular

6.24

NA 9.75

0.31

NA 16.30

090 implant. 65205............ ............. A

Remove foreign body

0.71 0.61 0.19

0.04

1.36 0.94

000 from eye. 65210............ ............. A

Remove foreign body

0.84 0.74 0.30

0.04

1.62 1.18

000 from eye. 65220............ ............. A

Remove foreign body

0.71 0.61 0.18

0.06

1.38 0.95

000 from eye. 65222............ ............. A

Remove foreign body

0.92 0.76 0.27

0.05

1.73 1.24

000 from eye. 65235............ ............. A

Remove foreign body

7.53

NA 7.34

0.36

NA 15.23

090 from eye. 65260............ ............. A

Remove foreign body

10.90

NA 11.54

0.52

NA 22.96

090 from eye. 65265............ ............. A

Remove foreign body

12.52

NA 12.78

0.60

NA 25.90

090 from eye. 65270............ ............. A

Repair of eye wound... 1.89 3.86 2.27

0.10

5.85 4.26

010 65272............ ............. A

Repair of eye wound... 3.80 5.85 5.27

0.19

9.84 9.26

090 65273............ ............. A

Repair of eye wound... 4.34

NA 5.70

0.20

NA 10.24

090 65275............ ............. A

Repair of eye wound... 5.31 5.74 5.74

0.32 11.37 11.37

090 65280............ ............. A

Repair of eye wound... 7.62

NA 8.26

0.36

NA 16.24

090 65285............ ............. A

Repair of eye wound... 12.83

NA 12.51

0.61

NA 25.95

090 65286............ ............. A

Repair of eye wound... 5.48 8.51 7.60

0.25 14.24 13.33

090 65290............ ............. A

Repair of eye socket

5.38

NA 6.55

0.31

NA 12.24

090 wound. 65400............ ............. A

Removal of eye lesion. 6.03 8.72 7.55

0.29 15.04 13.87

090 65410............ ............. A

Biopsy of cornea...... 1.46 1.73 0.65

0.07

3.26 2.18

000 65420............ ............. A

Removal of eye lesion. 4.15 7.60 6.80

0.20 11.95 11.15

090 65426............ ............. A

Removal of eye lesion. 5.22 7.56 6.61

0.24 13.02 12.07

090 65430............ ............. A

Corneal smear......... 1.46 5.00 0.66

0.07

6.53 2.19

000 65435............ ............. A

Curette/treat cornea.. 0.91 1.34 0.40

0.05

2.30 1.36

000 65436............ ............. A

Curette/treat cornea.. 4.17 5.91 5.28

0.20 10.28 9.65

090 65450............ ............. A

Treatment of corneal

3.25 7.27 6.39

0.16 10.68 9.80

090 lesion. 65600............ ............. A

Revision of cornea.... 3.38 5.70 3.15

0.17

9.25 6.70

090 65710............ ............. A

Corneal transplant.... 12.28

NA 12.46

0.59

NA 25.33

090 65730............ ............. A

Corneal transplant.... 14.17

NA 11.98

0.67

NA 26.82

090 65750............ ............. A

Corneal transplant.... 14.91

NA 13.49

0.71

NA 29.11

090 65755............ ............. A

Corneal transplant.... 14.81

NA 13.41

0.70

NA 28.92

090 65760............ ............. N

Revision of cornea.... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 65765............ ............. N

Revision of cornea.... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 65767............ ............. N

Corneal tissue

0.00 0.00 0.00

0.00

0.00 0.00

XXX transplant. 65770............ ............. A

Revise cornea with

17.46

NA 14.47

0.83

NA 32.76

090 implant. 65771............ ............. N

Radial keratotomy..... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 65772............ ............. A

Correction of

4.27 7.23 6.53

0.20 11.70 11.00

090 astigmatism. 65775............ ............. A

Correction of

5.76

NA 7.43

0.26

NA 13.45

090 astigmatism. 65780............ ............. A

Ocular reconst,

10.19

NA 10.04

0.35

NA 20.58

090 transplant. 65781............ ............. A

Ocular reconst,

17.57

NA 13.45

0.35

NA 31.37

090 transplant. 65782............ ............. A

Ocular reconst,

14.91

NA 11.79

0.35

NA 27.05

090 transplant. 65800............ ............. A

Drainage of eye....... 1.90 2.29 1.19

0.10

4.29 3.19

000 65805............ ............. A

Drainage of eye....... 1.90 2.29 1.19

0.10

4.29 3.19

000 65810............ ............. A

Drainage of eye....... 4.84

NA 8.13

0.23

NA 13.20

090 65815............ ............. A

Drainage of eye....... 5.02 8.46 7.56

0.24 13.72 12.82

090 65820............ ............. A

Relieve inner eye

8.08

NA 10.75

0.38

NA 19.21

090 pressure. 65850............ ............. A

Incision of eye....... 10.46

NA 9.49

0.49

NA 20.44

090 65855............ ............. A

Laser surgery of eye.. 3.83 5.26 4.09

0.20

9.29 8.12

010 65860............ ............. A

Incise inner eye

3.53 3.94 3.28

0.17

7.64 6.98

090 adhesions. 65865............ ............. A

Incise inner eye

5.57

NA 6.56

0.26

NA 12.39

090 adhesions. 65870............ ............. A

Incise inner eye

6.23

NA 7.21

0.29

NA 13.73

090 adhesions. 65875............ ............. A

Incise inner eye

6.50

NA 7.52

0.30

NA 14.32

090 adhesions. 65880............ ............. A

Incise inner eye

7.05

NA 7.76

0.34

NA 15.15

090 adhesions. 65900............ ............. A

Remove eye lesion..... 10.87

NA 11.60

0.55

NA 23.02

090 65920............ ............. A

Remove implant of eye. 8.35

NA 8.80

0.40

NA 17.55

090 65930............ ............. A

Remove blood clot from 7.40

NA 7.82

0.35

NA 15.57

090 eye. 66020............ ............. A

Injection treatment of 1.58 2.40 1.60

0.08

4.06 3.26

010 eye. 66030............ ............. A

Injection treatment of 1.24 2.23 1.44

0.06

3.53 2.74

010 eye. 66130............ ............. A

Remove eye lesion..... 7.65 7.56 6.99

0.37 15.58 15.01

090 66150............ ............. A

Glaucoma surgery...... 8.25

NA 9.94

0.40

NA 18.59

090 66155............ ............. A

Glaucoma surgery...... 8.24

NA 9.91

0.38

NA 18.53

090 66160............ ............. A

Glaucoma surgery...... 10.11

NA 10.77

0.49

NA 21.37

090 66165............ ............. A

Glaucoma surgery...... 7.96

NA 9.79

0.37

NA 18.12

090 66170............ ............. A

Glaucoma surgery...... 12.09

NA 12.56

0.58

NA 25.23

090 66172............ ............. A

Incision of eye....... 14.95

NA 15.26

0.71

NA 30.92

090 66180............ ............. A

Implant eye shunt..... 14.47

NA 11.67

0.68

NA 26.82

090 66185............ ............. A

Revise eye shunt...... 8.09

NA 8.28

0.38

NA 16.75

090 66220............ ............. A

Repair eye lesion..... 7.73

NA 8.83

0.38

NA 16.94

090

[[Page 63330]]

66225............ ............. A

Repair/graft eye

10.99

NA 9.42

0.53

NA 20.94

090 lesion. 66250............ ............. A

Follow-up surgery of

5.95 7.74 6.57

0.28 13.97 12.80

090 eye. 66500............ ............. A

Incision of iris...... 3.69

NA 5.15

0.18

NA 9.02

090 66505............ ............. A

Incision of iris...... 4.06

NA 5.44

0.20

NA 9.70

090 66600............ ............. A

Remove iris and lesion 8.63

NA 8.99

0.41

NA 18.03

090 66605............ ............. A

Removal of iris....... 12.72

NA 11.37

0.73

NA 24.82

090 66625............ ............. A

Removal of iris....... 5.10 7.09 6.35

0.24 12.43 11.69

090 66630............ ............. A

Removal of iris....... 6.12

NA 7.50

0.29

NA 13.91

090 66635............ ............. A

Removal of iris....... 6.21

NA 6.71

0.29

NA 13.21

090 66680............ ............. A

Repair iris & ciliary

5.41

NA 6.10

0.25

NA 11.76

090 body. 66682............ ............. A

Repair iris & ciliary

6.17

NA 7.50

0.29

NA 13.96

090 body. 66700............ ............. A

Destruction, ciliary

4.75 5.40 4.09

0.23 10.38 9.07

090 body. 66710............ ............. A

Destruction, ciliary

4.75 5.27 3.88

0.22 10.24 8.85

090 body. 66720............ ............. A

Destruction, ciliary

4.75 5.76 4.64

0.23 10.74 9.62

090 body. 66740............ ............. A

Destruction, ciliary

4.75 5.43 4.26

0.22 10.40 9.23

090 body. 66761............ ............. A

Revision of iris...... 4.05 5.61 4.28

0.19

9.85 8.52

090 66762............ ............. A

Revision of iris...... 4.55 5.69 4.27

0.22 10.46 9.04

090 66770............ ............. A

Removal of inner eye

5.15 6.11 4.77

0.24 11.50 10.16

090 lesion. 66820............ ............. A

Incision, secondary

3.87

NA 7.18

0.19

NA 11.24

090 cataract. 66821............ ............. A

After cataract laser

2.34 4.01 3.92

0.12

6.47 6.38

090 surgery. 66825............ ............. A

Reposition intraocular 8.18

NA 10.18

0.38

NA 18.74

090 lens. 66830............ ............. A

Removal of lens lesion 8.15

NA 7.15

0.38

NA 15.68

090 66840............ ............. A

Removal of lens

7.86

NA 7.07

0.37

NA 15.30

090 material. 66850............ ............. A

Removal of lens

9.06

NA 7.83

0.43

NA 17.32

090 material. 66852............ ............. A

Removal of lens

9.91

NA 8.29

0.47

NA 18.67

090 material. 66920............ ............. A

Extraction of lens.... 8.81

NA 7.51

0.42

NA 16.74

090 66930............ ............. A

Extraction of lens.... 10.12

NA 8.64

0.49

NA 19.25

090 66940............ ............. A

Extraction of lens.... 8.88

NA 8.10

0.42

NA 17.40

090 66982............ ............. A

Cataract surgery,

13.42

NA 10.02

0.67

NA 24.11

090 complex. 66983............ ............. A

Cataract surg w/iol, 1 8.94

NA 6.27

0.44

NA 15.65

090 stage. 66984............ ............. A

Cataract surg w/iol, 1 10.17

NA 7.70

0.49

NA 18.36

090 stage. 66985............ ............. A

Insert lens prosthesis 8.34

NA 7.54

0.40

NA 16.28

090 66986............ ............. A

Exchange lens

12.21

NA 9.31

0.59

NA 22.11

090 prosthesis. 66990............ ............. A

Ophthalmic endoscope

1.50

NA 0.69

0.07

NA 2.26

ZZZ add-on. 66999............ ............. C

Eye surgery procedure. 0.00 0.00 0.00

0.00

0.00 0.00

YYY 67005............ ............. A

Partial removal of eye 5.67

NA 4.43

0.26

NA 10.36

090 fluid. 67010............ ............. A

Partial removal of eye 6.83

NA 4.98

0.32

NA 12.13

090 fluid. 67015............ ............. A

Release of eye fluid.. 6.88

NA 7.81

0.32

NA 15.01

090 67025............ ............. A

Replace eye fluid..... 6.80 14.38 7.58

0.32 21.50 14.70

090 67027............ ............. A

Implant eye drug

10.79 12.91 8.89

0.55 24.25 20.23

090 system. 67028............ ............. A

Injection eye drug.... 2.51 6.57 1.15

0.13

9.21 3.79

000 67030............ ............. A

Incise inner eye

4.81

NA 6.88

0.23

NA 11.92

090 strands. 67031............ ............. A

Laser surgery, eye

3.65 4.78 4.13

0.18

8.61 7.96

090 strands. 67036............ ............. A

Removal of inner eye

11.82

NA 9.45

0.56

NA 21.83

090 fluid. 67038............ ............. A

Strip retinal membrane 21.12

NA 16.00

1.01

NA 38.13

090 67039............ ............. A

Laser treatment of

14.44

NA 12.67

0.68

NA 27.79

090 retina. 67040............ ............. A

Laser treatment of

17.13

NA 14.17

0.82

NA 32.12

090 retina. 67101............ ............. A

Repair detached retina 7.49 9.95 8.20

0.35 17.79 16.04

090 67105............ ............. A

Repair detached retina 7.37 8.08 6.30

0.35 15.80 14.02

090 67107............ ............. A

Repair detached retina 14.76

NA 12.95

0.70

NA 28.41

090 67108............ ............. A

Repair detached retina 20.70

NA 17.21

0.98

NA 38.89

090 67110............ ............. A

Repair detached retina 8.76 15.54 9.33

0.42 24.72 18.51

090 67112............ ............. A

Rerepair detached

16.76

NA 14.76

0.79

NA 32.31

090 retina. 67115............ ............. A

Release encircling

4.96

NA 7.16

0.23

NA 12.35

090 material. 67120............ ............. A

Remove eye implant

5.95 12.43 7.01

0.28 18.66 13.24

090 material. 67121............ ............. A

Remove eye implant

10.61

NA 11.28

0.50

NA 22.39

090 material. 67141............ ............. A

Treatment of retina... 5.17 7.32 6.56

0.24 12.73 11.97

090 67145............ ............. A

Treatment of retina... 5.34 5.81 4.99

0.25 11.40 10.58

090 67208............ ............. A

Treatment of retinal

6.66 6.01 5.44

0.31 12.98 12.41

090 lesion. 67210............ ............. A

Treatment of retinal

8.77 6.31 5.85

0.42 15.50 15.04

090 lesion. 67218............ ............. A

Treatment of retinal

18.42

NA 14.28

0.64

NA 33.34

090 lesion. 67220............ ............. A

Treatment of choroid

13.06 9.93 8.93

0.61 23.60 22.60

090 lesion. 67221............ ............. R

Ocular photodynamic

3.99 4.74 1.83

0.19

8.92 6.01

000 ther. 67225............ ............. A

Eye photodynamic ther

0.47 0.26 0.22

0.01

0.74 0.70

ZZZ add-on. 67227............ ............. A

Treatment of retinal

6.54 6.45 5.44

0.31 13.30 12.29

090 lesion. 67228............ ............. A

Treatment of retinal

12.67 10.94 8.50

0.60 24.21 21.77

090 lesion. 67250............ ............. A

Reinforce eye wall.... 8.61

NA 10.48

0.43

NA 19.52

090 67255............ ............. A

Reinforce/graft eye

8.85

NA 11.07

0.42

NA 20.34

090 wall. 67299............ ............. C

Eye surgery procedure. 0.00 0.00 0.00

0.00

0.00 0.00

YYY 67311............ ............. A

Revise eye muscle..... 6.61

NA 6.49

0.32

NA 13.42

090 67312............ ............. A

Revise two eye muscles 8.49

NA 7.63

0.42

NA 16.54

090 67314............ ............. A

Revise eye muscle..... 7.48

NA 7.34

0.36

NA 15.18

090 67316............ ............. A

Revise two eye muscles 9.60

NA 8.31

0.48

NA 18.39

090 67318............ ............. A

Revise eye muscle(s).. 7.81

NA 7.72

0.37

NA 15.90

090 67320............ ............. A

Revise eye muscle(s)

4.31

NA 1.98

0.20

NA 6.49

ZZZ add-on.

[[Page 63331]]

67331............ ............. A

Eye surgery follow-up

4.04

NA 1.93

0.20

NA 6.17

ZZZ add-on. 67332............ ............. A

Rerevise eye muscles

4.46

NA 2.05

0.22

NA 6.73

ZZZ add-on. 67334............ ............. A

Revise eye muscle w/

3.96

NA 1.82

0.19

NA 5.97

ZZZ suture. 67335............ ............. A

Eye suture during

2.48

NA 1.14

0.12

NA 3.74

ZZZ surgery. 67340............ ............. A

Revise eye muscle add- 4.90

NA 2.25

0.23

NA 7.38

ZZZ on. 67343............ ............. A

Release eye tissue.... 7.31

NA 7.41

0.36

NA 15.08

090 67345............ ............. A

Destroy nerve of eye

2.94 4.42 1.39

0.16

7.52 4.49

010 muscle. 67350............ ............. A

Biopsy eye muscle..... 2.85

NA 1.89

0.16

NA 4.90

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

9.70

NA 12.64

0.52

NA 22.86

090 socket. 67405............ ............. A

Explore/drain eye

7.88

NA 11.21

0.43

NA 19.52

090 socket. 67412............ ............. A

Explore/treat eye

9.45

NA 13.10

0.49

NA 23.04

090 socket. 67413............ ............. A

Explore/treat eye

9.94

NA 12.26

0.52

NA 22.72

090 socket. 67414............ ............. A

Explr/decompress eye

11.07

NA 14.17

0.58

NA 25.82

090 socket. 67415............ ............. A

Aspiration, orbital

1.75

NA 0.77

0.11

NA 2.63

000 contents. 67420............ ............. A

Explore/treat eye

19.95

NA 18.96

1.01

NA 39.92

090 socket. 67430............ ............. A

Explore/treat eye

13.31

NA 16.04

1.16

NA 30.51

090 socket. 67440............ ............. A

Explore/drain eye

13.02

NA 15.64

0.70

NA 29.36

090 socket. 67445............ ............. A

Explr/decompress eye

14.34

NA 15.84

0.76

NA 30.94

090 socket. 67450............ ............. A

Explore/biopsy eye

13.43

NA 15.99

0.67

NA 30.09

090 socket. 67500............ ............. A

Inject/treat eye

0.79 0.83 0.19

0.05

1.67 1.03

000 socket. 67505............ ............. A

Inject/treat eye

0.82 0.92 0.21

0.05

1.79 1.08

000 socket. 67515............ ............. A

Inject/treat eye

0.61 0.83 0.28

0.02

1.46 0.91

000 socket. 67550............ ............. A

Insert eye socket

10.13

NA 12.40

0.60

NA 23.13

090 implant. 67560............ ............. A

Revise eye socket

10.54

NA 12.43

0.56

NA 23.53

090 implant. 67570............ ............. A

Decompress optic nerve 13.50

NA 15.38

0.83

NA 29.71

090 67599............ ............. C

Orbit surgery

0.00 0.00 0.00

0.00

0.00 0.00

YYY procedure. 67700............ ............. A

Drainage of eyelid

1.34 4.88 0.64

0.07

6.29 2.05

010 abscess. 67710............ ............. A

Incision of eyelid.... 1.01 5.04 0.54

0.05

6.10 1.60

010 67715............ ............. A

Incision of eyelid

1.21 4.62 0.63

0.06

5.89 1.90

010 fold. 67800............ ............. A

Remove eyelid lesion.. 1.37 2.52 0.69

0.07

3.96 2.13

010 67801............ ............. A

Remove eyelid lesions. 1.87 5.40 0.93

0.10

7.37 2.90

010 67805............ ............. A

Remove eyelid lesions. 2.21 5.55 1.08

0.11

7.87 3.40

010 67808............ ............. A

Remove eyelid

3.78

NA 5.29

0.20

NA 9.27

090 lesion(s). 67810............ ............. A

Biopsy of eyelid...... 1.47 3.69 0.68

0.07

5.23 2.22

000 67820............ ............. A

Revise eyelashes...... 0.88 1.12 0.38

0.05

2.05 1.31

000 67825............ ............. A

Revise eyelashes...... 1.37 1.60 1.08

0.07

3.04 2.52

010 67830............ ............. A

Revise eyelashes...... 1.69 7.55 1.97

0.08

9.32 3.74

010 67835............ ............. A

Revise eyelashes...... 5.53

NA 5.05

0.26

NA 10.84

090 67840............ ............. A

Remove eyelid lesion.. 2.03 5.38 1.00

0.10

7.51 3.13

010 67850............ ............. A

Treat eyelid lesion... 1.68 6.12 1.92

0.08

7.88 3.68

010 67875............ ............. A

Closure of eyelid by

1.34 7.11 0.63

0.07

8.52 2.04

000 suture. 67880............ ............. A

Revision of eyelid.... 3.78 9.75 4.35

0.19 13.72 8.32

090 67882............ ............. A

Revision of eyelid.... 5.04 11.13 5.56

0.25 16.42 10.85

090 67900............ ............. A

Repair brow defect.... 6.11 10.63 6.38

0.36 17.10 12.85

090 67901............ ............. A

Repair eyelid defect.. 6.93

NA 6.47

0.38

NA 13.78

090 67902............ ............. A

Repair eyelid defect.. 6.99

NA 6.54

0.41

NA 13.94

090 67903............ ............. A

Repair eyelid defect.. 6.33 11.39 6.76

0.47 18.19 13.56

090 67904............ ............. A

Repair eyelid defect.. 6.22 12.61 7.24

0.31 19.14 13.77

090 67906............ ............. A

Repair eyelid defect.. 6.75 9.20 6.07

0.50 16.45 13.32

090 67908............ ............. A

Repair eyelid defect.. 5.10 8.93 5.74

0.24 14.27 11.08

090 67909............ ............. A

Revise eyelid defect.. 5.37 9.47 6.14

0.30 15.14 11.81

090 67911............ ............. A

Revise eyelid defect.. 5.24

NA 6.10

0.28

NA 11.62

090 67912............ ............. A

Correction eyelid w/

5.65 20.59 5.33

0.28 26.52 11.26

090 implant. 67914............ ............. A

Repair eyelid defect.. 3.66 9.40 3.99

0.19 13.25 7.84

090 67915............ ............. A

Repair eyelid defect.. 3.16 7.99 2.61

0.16 11.31 5.93

090 67916............ ............. A

Repair eyelid defect.. 5.28 11.90 5.75

0.26 17.44 11.29

090 67917............ ............. A

Repair eyelid defect.. 5.99 9.81 6.21

0.30 16.10 12.50

090 67921............ ............. A

Repair eyelid defect.. 3.38 9.20 3.79

0.17 12.75 7.34

090 67922............ ............. A

Repair eyelid defect.. 3.04 7.94 3.52

0.16 11.14 6.72

090 67923............ ............. A

Repair eyelid defect.. 5.85 11.47 5.96

0.29 17.61 12.10

090 67924............ ............. A

Repair eyelid defect.. 5.76 9.20 5.72

0.28 15.24 11.76

090 67930............ ............. A

Repair eyelid wound... 3.59 8.48 2.98

0.20 12.27 6.77

010 67935............ ............. A

Repair eyelid wound... 6.18 11.48 6.01

0.35 18.01 12.54

090 67938............ ............. A

Remove eyelid foreign

1.32 5.87 0.57

0.07

7.26 1.96

010 body. 67950............ ............. A

Revision of eyelid.... 5.79 8.34 6.64

0.36 14.49 12.79

090 67961............ ............. A

Revision of eyelid.... 5.66 10.27 5.76

0.31 16.24 11.73

090 67966............ ............. A

Revision of eyelid.... 6.53 8.42 5.73

0.40 15.35 12.66

090 67971............ ............. A

Reconstruction of

9.73

NA 7.34

0.50

NA 17.57

090 eyelid. 67973............ ............. A

Reconstruction of

12.80

NA 9.33

0.71

NA 22.84

090 eyelid. 67974............ ............. A

Reconstruction of

12.77

NA 9.24

0.65

NA 22.66

090 eyelid. 67975............ ............. A

Reconstruction of

9.08

NA 7.02

0.46

NA 16.56

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

1.36 5.75 0.68

0.07

7.18 2.11

010 lining. 68040............ ............. A

Treatment of eyelid

0.85 4.86 0.39

0.04

5.75 1.28

000 lesions.

[[Page 63332]]

68100............ ............. A

Biopsy of eyelid

1.34 5.07 0.62

0.07

6.48 2.03

000 lining. 68110............ ............. A

Remove eyelid lining

1.76 6.12 1.42

0.08

7.96 3.26

010 lesion. 68115............ ............. A

Remove eyelid lining

2.35 5.62 1.14

0.12

8.09 3.61

010 lesion. 68130............ ............. A

Remove eyelid lining

4.90 8.20 4.33

0.23 13.33 9.46

090 lesion. 68135............ ............. A

Remove eyelid lining

1.83 5.38 0.91

0.08

7.29 2.82

010 lesion. 68200............ ............. A

Treat eyelid by

0.49 0.73 0.23

0.02

1.24 0.74

000 injection. 68320............ ............. A

Revise/graft eyelid

5.34 6.63 5.47

0.25 12.22 11.06

090 lining. 68325............ ............. A

Revise/graft eyelid

7.32

NA 6.46

0.36

NA 14.14

090 lining. 68326............ ............. A

Revise/graft eyelid

7.11

NA 6.34

0.36

NA 13.81

090 lining. 68328............ ............. A

Revise/graft eyelid

8.13

NA 7.08

0.48

NA 15.69

090 lining. 68330............ ............. A

Revise eyelid lining.. 4.80 7.32 6.11

0.23 12.35 11.14

090 68335............ ............. A

Revise/graft eyelid

7.15

NA 6.87

0.35

NA 14.37

090 lining. 68340............ ............. A

Separate eyelid

4.15 10.91 4.79

0.20 15.26 9.14

090 adhesions. 68360............ ............. A

Revise eyelid lining.. 4.35 6.68 5.64

0.20 11.23 10.19

090 68362............ ............. A

Revise eyelid lining.. 7.30

NA 7.80

0.35

NA 15.45

090 68371............ ............. A

Harvest eye tissue,

4.87

NA 4.66

0.20

NA 9.73

010 alograft. 68399............ ............. C

Eyelid lining surgery. 0.00 0.00 0.00

0.00

0.00 0.00

YYY 68400............ ............. A

Incise/drain tear

1.68 7.69 2.06

0.08

9.45 3.82

010 gland. 68420............ ............. A

Incise/drain tear sac. 2.29 8.01 2.35

0.12 10.42 4.76

010 68440............ ............. A

Incise tear duct

0.93 4.99 0.50

0.05

5.97 1.48

010 opening. 68500............ ............. A

Removal of tear gland. 10.96

NA 10.27

0.72

NA 21.95

090 68505............ ............. A

Partial removal, tear 10.88

NA 11.28

0.68

NA 22.84

090 gland. 68510............ ............. A

Biopsy of tear gland.. 4.58 8.50 2.11

0.23 13.31 6.92

000 68520............ ............. A

Removal of tear sac... 7.47

NA 7.85

0.40

NA 15.72

090 68525............ ............. A

Biopsy of tear sac.... 4.40

NA 2.04

0.22

NA 6.66

000 68530............ ............. A

Clearance of tear duct 3.64 9.55 2.88

0.19 13.38 6.71

010 68540............ ............. A

Remove tear gland

10.54

NA 9.88

0.55

NA 20.97

090 lesion. 68550............ ............. A

Remove tear gland

13.18

NA 11.87

0.79

NA 25.84

090 lesion. 68700............ ............. A

Repair tear ducts..... 6.56

NA 7.36

0.32

NA 14.24

090 68705............ ............. A

Revise tear duct

2.05 5.51 1.01

0.10

7.66 3.16

010 opening. 68720............ ............. A

Create tear sac drain. 8.91

NA 8.35

0.46

NA 17.72

090 68745............ ............. A

Create tear duct drain 8.58

NA 8.32

0.46

NA 17.36

090 68750............ ............. A

Create tear duct drain 8.61

NA 8.77

0.44

NA 17.82

090 68760............ ............. A

Close tear duct

1.72 4.04 1.25

0.08

5.84 3.05

010 opening. 68761............ ............. A

Close tear duct

1.35 3.46 0.99

0.07

4.88 2.41

010 opening. 68770............ ............. A

Close tear system

6.98 12.89 6.85

0.34 20.21 14.17

090 fistula. 68801............ ............. A

Dilate tear duct

0.93 0.94 0.61

0.05

1.92 1.59

010 opening. 68810............ ............. A

Probe nasolacrimal

1.89 2.34 0.93

0.10

4.33 2.92

010 duct. 68811............ ............. A

Probe nasolacrimal

2.34

NA 2.37

0.12

NA 4.83

010 duct. 68815............ ............. A

Probe nasolacrimal

3.18 8.25 2.71

0.17 11.60 6.06

010 duct. 68840............ ............. A

Explore/irrigate tear

1.24 1.66 0.97

0.06

2.96 2.27

010 ducts. 68850............ ............. A

Injection for tear sac 0.80 16.48 0.30

0.04 17.32 1.14

000 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

1.44 3.01 1.43

0.12

4.57 2.99

010 lesion. 69005............ ............. A

Drain external ear

2.10 3.00 1.87

0.19

5.29 4.16

010 lesion. 69020............ ............. A

Drain outer ear canal

1.47 3.97 2.07

0.13

5.57 3.67

010 lesion. 69090............ ............. N

Pierce earlobes....... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 69100............ ............. A

Biopsy of external ear 0.81 1.76 0.40

0.05

2.62 1.26

000 69105............ ............. A

Biopsy of external ear 0.85 2.33 0.77

0.07

3.25 1.69

000 canal. 69110............ ............. A

Remove external ear,

3.42 4.11 3.06

0.29

7.82 6.77

090 partial. 69120............ ............. A

Removal of external

4.03

NA 4.01

0.37

NA 8.41

090 ear. 69140............ ............. A

Remove ear canal

7.92

NA 6.76

0.67

NA 15.35

090 lesion(s). 69145............ ............. A

Remove ear canal

2.61 3.61 2.62

0.22

6.44 5.45

090 lesion(s). 69150............ ............. A

Extensive ear canal

13.35

NA 10.00

1.28

NA 24.63

090 surgery. 69155............ ............. A

Extensive ear/neck

20.68

NA 14.62

1.81

NA 37.11

090 surgery. 69200............ ............. A

Clear outer ear canal. 0.77 2.36 0.60

0.06

3.19 1.43

000 69205............ ............. A

Clear outer ear canal. 1.19

NA 1.37

0.11

NA 2.67

010 69210............ ............. A

Remove impacted ear

0.61 0.64 0.24

0.05

1.30 0.90

000 wax. 69220............ ............. A

Clean out mastoid

0.83 2.34 0.74

0.07

3.24 1.64

000 cavity. 69222............ ............. A

Clean out mastoid

1.39 3.82 2.05

0.12

5.33 3.56

010 cavity. 69300............ ............. R

Revise external ear... 6.32

NA 4.28

0.52

NA 11.12

YYY 69310............ ............. A

Rebuild outer ear

10.73

NA 8.46

0.92

NA 20.11

090 canal. 69320............ ............. A

Rebuild outer ear

16.86

NA 12.23

1.40

NA 30.49

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 2.36 0.68

0.07

3.26 1.58

000 canal. 69401............ ............. A

Inflate middle ear

0.63 1.31 0.65

0.05

1.99 1.33

000 canal. 69405............ ............. A

Catheterize middle ear 2.62 3.52 2.31

0.22

6.36 5.15

010 canal. 69410............ ............. A

Inset middle ear

0.33 2.06 0.50

0.02

2.41 0.85

000 (baffle). 69420............ ............. A

Incision of eardrum... 1.32 3.11 1.60

0.12

4.55 3.04

010 69421............ ............. A

Incision of eardrum... 1.72

NA 2.11

0.16

NA 3.99

010 69424............ ............. A

Remove ventilating

0.85 2.16 0.69

0.07

3.08 1.61

000 tube. 69433............ ............. A

Create eardrum opening 1.51 3.13 1.68

0.13

4.77 3.32

010 69436............ ............. A

Create eardrum opening 1.95

NA 2.24

0.17

NA 4.36

010 69440............ ............. A

Exploration of middle

7.53

NA 6.34

0.64

NA 14.51

090 ear. 69450............ ............. A

Eardrum revision...... 5.54

NA 5.07

0.47

NA 11.08

090

[[Page 63333]]

69501............ ............. A

Mastoidectomy......... 9.02

NA 7.13

0.78

NA 16.93

090 69502............ ............. A

Mastoidectomy......... 12.31

NA 9.36

1.03

NA 22.70

090 69505............ ............. A

Remove mastoid

12.92

NA 9.62

1.10

NA 23.64

090 structures. 69511............ ............. A

Extensive mastoid

13.44

NA 9.95

1.15

NA 24.54

090 surgery. 69530............ ............. A

Extensive mastoid

19.08

NA 13.14

1.58

NA 33.80

090 surgery. 69535............ ............. A

Remove part of

35.93

NA 22.59

3.10

NA 61.62

090 temporal bone. 69540............ ............. A

Remove ear lesion..... 1.19 3.72 1.95

0.11

5.02 3.25

010 69550............ ............. A

Remove ear lesion..... 10.93

NA 8.39

0.96

NA 20.28

090 69552............ ............. A

Remove ear lesion..... 19.35

NA 13.06

1.63

NA 34.04

090 69554............ ............. A

Remove ear lesion..... 32.97

NA 21.10

2.78

NA 56.85

090 69601............ ............. A

Mastoid surgery

13.16

NA 10.11

1.10

NA 24.37

090 revision. 69602............ ............. A

Mastoid surgery

13.50

NA 10.05

1.13

NA 24.68

090 revision. 69603............ ............. A

Mastoid surgery

13.94

NA 10.28

1.20

NA 25.42

090 revision. 69604............ ............. A

Mastoid surgery

13.94

NA 10.26

1.17

NA 25.37

090 revision. 69605............ ............. A

Mastoid surgery

18.38

NA 12.94

1.55

NA 32.87

090 revision. 69610............ ............. A

Repair of eardrum..... 4.40 5.45 3.30

0.37 10.22 8.07

010 69620............ ............. A

Repair of eardrum..... 5.86 6.19 4.55

0.48 12.53 10.89

090 69631............ ............. A

Repair eardrum

9.80

NA 7.94

0.83

NA 18.57

090 structures. 69632............ ............. A

Rebuild eardrum

12.68

NA 9.83

1.07

NA 23.58

090 structures. 69633............ ............. A

Rebuild eardrum

12.03

NA 9.49

1.01

NA 22.53

090 structures. 69635............ ............. A

Repair eardrum

13.25

NA 9.50

1.04

NA 23.79

090 structures. 69636............ ............. A

Rebuild eardrum

15.13

NA 11.26

1.28

NA 27.67

090 structures. 69637............ ............. A

Rebuild eardrum

15.02

NA 11.20

1.27

NA 27.49

090 structures. 69641............ ............. A

Revise middle ear &

12.64

NA 9.58

1.07

NA 23.29

090 mastoid. 69642............ ............. A

Revise middle ear &

16.74

NA 12.24

1.41

NA 30.39

090 mastoid. 69643............ ............. A

Revise middle ear &

15.23

NA 11.27

1.29

NA 27.79

090 mastoid. 69644............ ............. A

Revise middle ear &

16.87

NA 12.19

1.43

NA 30.49

090 mastoid. 69645............ ............. A

Revise middle ear &

16.29

NA 11.83

1.39

NA 29.51

090 mastoid. 69646............ ............. A

Revise middle ear &

17.89

NA 12.76

1.51

NA 32.16

090 mastoid. 69650............ ............. A

Release middle ear

9.60

NA 7.48

0.82

NA 17.90

090 bone. 69660............ ............. A

Revise middle ear bone 11.83

NA 8.70

1.01

NA 21.54

090 69661............ ............. A

Revise middle ear bone 15.65

NA 11.19

1.32

NA 28.16

090 69662............ ............. A

Revise middle ear bone 15.35

NA 10.91

1.29

NA 27.55

090 69666............ ............. A

Repair middle ear

9.69

NA 7.55

0.82

NA 18.06

090 structures. 69667............ ............. A

Repair middle ear

9.70

NA 7.54

0.86

NA 18.10

090 structures. 69670............ ............. A

Remove mastoid air

11.44

NA 8.73

0.93

NA 21.10

090 cells. 69676............ ............. A

Remove middle ear

9.47

NA 7.68

0.83

NA 17.98

090 nerve. 69700............ ............. A

Close mastoid fistula. 8.18

NA 5.93

0.66

NA 14.77

090 69710............ ............. N

Implant/replace

0.00 0.00 0.00

0.00

0.00 0.00

XXX hearing aid. 69711............ ............. A

Remove/repair hearing 10.38

NA 8.15

0.74

NA 19.27

090 aid. 69714............ ............. A

Implant temple bone w/ 13.92

NA 10.00

1.21

NA 25.13

090 stimul. 69715............ ............. A

Temple bne implnt w/

18.15

NA 12.50

1.58

NA 32.23

090 stimulat. 69717............ ............. A

Temple bone implant

14.89

NA 9.67

1.29

NA 25.85

090 revision. 69718............ ............. A

Revise temple bone

18.39

NA 12.41

1.61

NA 32.41

090 implant. 69720............ ............. A

Release facial nerve.. 14.30

NA 10.86

1.23

NA 26.39

090 69725............ ............. A

Release facial nerve.. 25.24

NA 17.01

2.13

NA 44.38

090 69740............ ............. A

Repair facial nerve... 15.87

NA 10.46

1.35

NA 27.68

090 69745............ ............. A

Repair facial nerve... 16.59

NA 11.46

1.20

NA 29.25

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...... 8.51

NA 6.88

0.72

NA 16.11

090 69802............ ............. A

Incise inner ear...... 13.03

NA 9.69

1.09

NA 23.81

090 69805............ ............. A

Explore inner ear..... 13.74

NA 10.14

1.16

NA 25.04

090 69806............ ............. A

Explore inner ear..... 12.28

NA 9.26

1.03

NA 22.57

090 69820............ ............. A

Establish inner ear

10.28

NA 7.91

0.79

NA 18.98

090 window. 69840............ ............. A

Revise inner ear

10.20

NA 6.98

0.77

NA 17.95

090 window. 69905............ ............. A

Remove inner ear...... 11.04

NA 8.38

0.92

NA 20.34

090 69910............ ............. A

Remove inner ear &

13.55

NA 9.81

1.13

NA 24.49

090 mastoid. 69915............ ............. A

Incise inner ear nerve 21.11

NA 14.30

1.85

NA 37.26

090 69930............ ............. A

Implant cochlear

16.71

NA 11.95

1.43

NA 30.09

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 nerve 25.49

NA 16.21

3.48

NA 45.18

090 69955............ ............. A

Release facial nerve.. 26.89

NA 17.76

2.27

NA 46.92

090 69960............ ............. A

Release inner ear

26.89

NA 17.24

2.91

NA 47.04

090 canal. 69970............ ............. A

Remove inner ear

29.87

NA 18.53

2.80

NA 51.20

090 lesion. 69979............ ............. C

Temporal bone surgery. 0.00 0.00 0.00

0.00

0.00 0.00

YYY 69990............ ............. R

Microsurgery add-on... 3.45

NA 1.82

0.67

NA 5.94

ZZZ 70010............ ............. A

Contrast x-ray of

1.18 4.70

NA

0.29

6.17

NA

XXX brain. 70010............ 26........... A

Contrast x-ray of

1.18 0.40 0.40

0.07

1.65 1.65

XXX brain. 70010............ TC........... A

Contrast x-ray of

0.00 4.30

NA

0.22

4.52

NA

XXX brain. 70015............ ............. A

Contrast x-ray of

1.18 1.74

NA

0.14

3.06

NA

XXX brain. 70015............ 26........... A

Contrast x-ray of

1.18 0.40 0.40

0.06

1.64 1.64

XXX brain. 70015............ TC........... A

Contrast x-ray of

0.00 1.34

NA

0.08

1.42

NA

XXX brain. 70030............ ............. A

X-ray eye for foreign

0.17 0.48

NA

0.03

0.68

NA

XXX body. 70030............ 26........... A

X-ray eye for foreign

0.17 0.06 0.06

0.01

0.24 0.24

XXX body. 70030............ TC........... A

X-ray eye for foreign

0.00 0.42

NA

0.02

0.44

NA

XXX body.

[[Page 63334]]

70100............ ............. A

X-ray exam of jaw..... 0.18 0.58

NA

0.03

0.79

NA

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

NA

0.02

0.54

NA

XXX 70110............ ............. A

X-ray exam of jaw..... 0.25 0.70

NA

0.05

1.00

NA

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

NA

0.04

0.66

NA

XXX 70120............ ............. A

X-ray exam of mastoids 0.18 0.68

NA

0.05

0.91

NA

XXX 70120............ 26........... A

X-ray exam of mastoids 0.18 0.06 0.06

0.01

0.25 0.25

XXX 70120............ TC........... A

X-ray exam of mastoids 0.00 0.62

NA

0.04

0.66

NA

XXX 70130............ ............. A

X-ray exam of mastoids 0.34 0.88

NA

0.06

1.28

NA

XXX 70130............ 26........... A

X-ray exam of mastoids 0.34 0.11 0.11

0.01

0.46 0.46

XXX 70130............ TC........... A

X-ray exam of mastoids 0.00 0.77

NA

0.05

0.82

NA

XXX 70134............ ............. A

X-ray exam of middle

0.34 0.83

NA

0.06

1.23

NA

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 0.72

NA

0.05

0.77

NA

XXX ear. 70140............ ............. A

X-ray exam of facial

0.19 0.68

NA

0.05

0.92

NA

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

NA

0.04

0.66

NA

XXX bones. 70150............ ............. A

X-ray exam of facial

0.26 0.86

NA

0.06

1.18

NA

XXX bones. 70150............ 26........... A

X-ray exam of facial

0.26 0.09 0.09

0.01

0.36 0.36

XXX bones. 70150............ TC........... A

X-ray exam of facial

0.00 0.77

NA

0.05

0.82

NA

XXX bones. 70160............ ............. A

X-ray exam of nasal

0.17 0.58

NA

0.03

0.78

NA

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

NA

0.02

0.54

NA

XXX bones. 70170............ ............. A

X-ray exam of tear

0.30 1.04

NA

0.07

1.41

NA

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 0.94

NA

0.06

1.00

NA

XXX duct. 70190............ ............. A

X-ray exam of eye

0.21 0.69

NA

0.05

0.95

NA

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

NA

0.04

0.66

NA

XXX sockets. 70200............ ............. A

X-ray exam of eye

0.28 0.86

NA

0.06

1.20

NA

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 0.77

NA

0.05

0.82

NA

XXX sockets. 70210............ ............. A

X-ray exam of sinuses. 0.17 0.68

NA

0.05

0.90

NA

XXX 70210............ 26........... A

X-ray exam of sinuses. 0.17 0.06 0.06

0.01

0.24 0.24

XXX 70210............ TC........... A

X-ray exam of sinuses. 0.00 0.62

NA

0.04

0.66

NA

XXX 70220............ ............. A

X-ray exam of sinuses. 0.25 0.85

NA

0.06

1.16

NA

XXX 70220............ 26........... A

X-ray exam of sinuses. 0.25 0.08 0.08

0.01

0.34 0.34

XXX 70220............ TC........... A

X-ray exam of sinuses. 0.00 0.77

NA

0.05

0.82

NA

XXX 70240............ ............. A

X-ray exam, pituitary

0.19 0.48

NA

0.03

0.70

NA

XXX saddle. 70240............ 26........... A

X-ray exam, pituitary

0.19 0.06 0.06

0.01

0.26 0.26

XXX saddle. 70240............ TC........... A

X-ray exam, pituitary

0.00 0.42

NA

0.02

0.44

NA

XXX saddle. 70250............ ............. A

X-ray exam of skull... 0.24 0.70

NA

0.05

0.99

NA

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

NA

0.04

0.66

NA

XXX 70260............ ............. A

X-ray exam of skull... 0.34 0.99

NA

0.07

1.40

NA

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 0.88

NA

0.06

0.94

NA

XXX 70300............ ............. A

X-ray exam of teeth... 0.10 0.31

NA

0.03

0.44

NA

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

NA

0.02

0.28

NA

XXX 70310............ ............. A

X-ray exam of teeth... 0.16 0.50

NA

0.03

0.69

NA

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

NA

0.02

0.44

NA

XXX 70320............ ............. A

Full mouth x-ray of

0.22 0.85

NA

0.06

1.13

NA

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 0.77

NA

0.05

0.82

NA

XXX teeth. 70328............ ............. A

X-ray exam of jaw

0.18 0.55

NA

0.03

0.76

NA

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

NA

0.02

0.51

NA

XXX joint. 70330............ ............. A

X-ray exam of jaw

0.24 0.91

NA

0.06

1.21

NA

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 0.83

NA

0.05

0.88

NA

XXX joints. 70332............ ............. A

X-ray exam of jaw

0.54 2.28

NA

0.14

2.96

NA

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 2.08

NA

0.12

2.20

NA

XXX joint. 70336............ ............. A

Magnetic image, jaw

1.47 11.61

NA

0.67 13.75

NA

XXX joint. 70336............ 26........... A

Magnetic image, jaw

1.47 0.50 0.50

0.08

2.05 2.05

XXX joint. 70336............ TC........... A

Magnetic image, jaw

0.00 11.11

NA

0.59 11.70

NA

XXX joint. 70350............ ............. A

X-ray head for

0.17 0.45

NA

0.03

0.65

NA

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

NA

0.02

0.40

NA

XXX orthodontia. 70355............ ............. A

Panoramic x-ray of

0.20 0.65

NA

0.05

0.90

NA

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

NA

0.04

0.61

NA

XXX jaws.

[[Page 63335]]

70360............ ............. A

X-ray exam of neck.... 0.17 0.48

NA

0.03

0.68

NA

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

NA

0.02

0.44

NA

XXX 70370............ ............. A

Throat x-ray &

0.32 1.40

NA

0.08

1.80

NA

XXX fluoroscopy. 70370............ 26........... A

Throat x-ray &

0.32 0.11 0.11

0.01

0.44 0.44

XXX fluoroscopy. 70370............ TC........... A

Throat x-ray &

0.00 1.29

NA

0.07

1.36

NA

XXX fluoroscopy. 70371............ ............. A

Speech evaluation,

0.84 2.36

NA

0.17

3.37

NA

XXX complex. 70371............ 26........... A

Speech evaluation,

0.84 0.28 0.28

0.05

1.17 1.17

XXX complex. 70371............ TC........... A

Speech evaluation,

0.00 2.08

NA

0.12

2.20

NA

XXX complex. 70373............ ............. A

Contrast x-ray of

0.44 1.92

NA

0.13

2.49

NA

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 1.77

NA

0.11

1.88

NA

XXX larynx. 70380............ ............. A

X-ray exam of salivary 0.17 0.72

NA

0.05

0.94

NA

XXX gland. 70380............ 26........... A

X-ray exam of salivary 0.17 0.06 0.06

0.01

0.24 0.24

XXX gland. 70380............ TC........... A

X-ray exam of salivary 0.00 0.66

NA

0.04

0.70

NA

XXX gland. 70390............ ............. A

X-ray exam of salivary 0.38 1.90

NA

0.13

2.41

NA

XXX duct. 70390............ 26........... A

X-ray exam of salivary 0.38 0.13 0.13

0.02

0.53 0.53

XXX duct. 70390............ TC........... A

X-ray exam of salivary 0.00 1.77

NA

0.11

1.88

NA

XXX duct. 70450............ ............. A

Ct head/brain w/o dye. 0.85 4.95

NA

0.30

6.10

NA

XXX 70450............ 26........... A

Ct head/brain w/o dye. 0.85 0.28 0.28

0.05

1.18 1.18

XXX 70450............ TC........... A

Ct head/brain w/o dye. 0.00 4.67

NA

0.25

4.92

NA

XXX 70460............ ............. A

Ct head/brain w/dye... 1.12 5.99

NA

0.36

7.47

NA

XXX 70460............ 26........... A

Ct head/brain w/dye... 1.12 0.38 0.38

0.06

1.56 1.56

XXX 70460............ TC........... A

Ct head/brain w/dye... 0.00 5.61

NA

0.30

5.91

NA

XXX 70470............ ............. A

Ct head/brain w/o & w/ 1.26 7.43

NA

0.44

9.13

NA

XXX dye. 70470............ 26........... A

Ct head/brain w/o & w/ 1.26 0.42 0.42

0.07

1.75 1.75

XXX dye. 70470............ TC........... A

Ct head/brain w/o & w/ 0.00 7.01

NA

0.37

7.38

NA

XXX dye. 70480............ ............. A

Ct orbit/ear/fossa w/o 1.27 5.10

NA

0.32

6.69

NA

XXX dye. 70480............ 26........... A

Ct orbit/ear/fossa w/o 1.27 0.43 0.43

0.07

1.77 1.77

XXX dye. 70480............ TC........... A

Ct orbit/ear/fossa w/o 0.00 4.67

NA

0.25

4.92

NA

XXX dye. 70481............ ............. A

Ct orbit/ear/fossa w/

1.37 6.07

NA

0.37

7.81

NA

XXX dye. 70481............ 26........... A

Ct orbit/ear/fossa w/

1.37 0.46 0.46

0.07

1.90 1.90

XXX dye. 70481............ TC........... A

Ct orbit/ear/fossa w/

0.00 5.61

NA

0.30

5.91

NA

XXX dye. 70482............ ............. A

Ct orbit/ear/fossa w/

1.44 7.50

NA

0.44

9.38

NA

XXX o&w dye. 70482............ 26........... A

Ct orbit/ear/fossa w/

1.44 0.49 0.49

0.07

2.00 2.00

XXX o&w dye. 70482............ TC........... A

Ct orbit/ear/fossa w/

0.00 7.01

NA

0.37

7.38

NA

XXX o&w dye. 70486............ ............. A

Ct maxillofacial w/o

1.13 5.05

NA

0.31

6.49

NA

XXX dye. 70486............ 26........... A

Ct maxillofacial w/o

1.13 0.38 0.38

0.06

1.57 1.57

XXX dye. 70486............ TC........... A

Ct maxillofacial w/o

0.00 4.67

NA

0.25

4.92

NA

XXX dye. 70487............ ............. A

Ct maxillofacial w/dye 1.29 6.05

NA

0.37

7.71

NA

XXX 70487............ 26........... A

Ct maxillofacial w/dye 1.29 0.44 0.44

0.07

1.80 1.80

XXX 70487............ TC........... A

Ct maxillofacial w/dye 0.00 5.61

NA

0.30

5.91

NA

XXX 70488............ ............. A

Ct maxillofacial w/o & 1.41 7.48

NA

0.44

9.33

NA

XXX w dye. 70488............ 26........... A

Ct maxillofacial w/o & 1.41 0.47 0.47

0.07

1.95 1.95

XXX w dye. 70488............ TC........... A

Ct maxillofacial w/o & 0.00 7.01

NA

0.37

7.38

NA

XXX w dye. 70490............ ............. A

Ct soft tissue neck w/ 1.27 5.10

NA

0.32

6.69

NA

XXX o dye. 70490............ 26........... A

Ct soft tissue neck w/ 1.27 0.43 0.43

0.07

1.77 1.77

XXX o dye. 70490............ TC........... A

Ct soft tissue neck w/ 0.00 4.67

NA

0.25

4.92

NA

XXX o dye. 70491............ ............. A

Ct soft tissue neck w/ 1.37 6.07

NA

0.37

7.81

NA

XXX dye. 70491............ 26........... A

Ct soft tissue neck w/ 1.37 0.46 0.46

0.07

1.90 1.90

XXX dye. 70491............ TC........... A

Ct soft tissue neck w/ 0.00 5.61

NA

0.30

5.91

NA

XXX dye. 70492............ ............. A

Ct sft tsue nck w/o &

1.44 7.49

NA

0.44

9.37

NA

XXX w/dye. 70492............ 26........... A

Ct sft tsue nck w/o &

1.44 0.48 0.48

0.07

1.99 1.99

XXX w/dye. 70492............ TC........... A

Ct sft tsue nck w/o &

0.00 7.01

NA

0.37

7.38

NA

XXX w/dye. 70496............ ............. A

Ct angiography, head.. 1.74 11.10

NA

0.68 13.52

NA

XXX 70496............ 26........... A

Ct angiography, head.. 1.74 0.58 0.58

0.10

2.42 2.42

XXX 70496............ TC........... A

Ct angiography, head.. 0.00 10.52

NA

0.58 11.10

NA

XXX 70498............ ............. A

Ct angiography, neck.. 1.74 11.11

NA

0.68 13.53

NA

XXX 70498............ 26........... A

Ct angiography, neck.. 1.74 0.59 0.59

0.10

2.43 2.43

XXX 70498............ TC........... A

Ct angiography, neck.. 0.00 10.52

NA

0.58 11.10

NA

XXX 70540............ ............. A

Mri orbit/face/neck w/ 1.34 11.56

NA

0.43 13.33

NA

XXX o dye. 70540............ 26........... A

Mri orbit/face/neck w/ 1.34 0.45 0.45

0.05

1.84 1.84

XXX o dye. 70540............ TC........... A

Mri orbit/face/neck w/ 0.00 11.11

NA

0.38 11.49

NA

XXX o dye. 70542............ ............. A

Mri orbit/face/neck w/ 1.61 13.88

NA

0.53 16.02

NA

XXX dye. 70542............ 26........... A

Mri orbit/face/neck w/ 1.61 0.55 0.55

0.06

2.22 2.22

XXX dye. 70542............ TC........... A

Mri orbit/face/neck w/ 0.00 13.33

NA

0.47 13.80

NA

XXX dye. 70543............ ............. A

Mri orbt/fac/nck w/o & 2.14 25.39

NA

0.92 28.45

NA

XXX w dye. 70543............ 26........... A

Mri orbt/fac/nck w/o & 2.14 0.71 0.71

0.08

2.93 2.93

XXX w dye. 70543............ TC........... A

Mri orbt/fac/nck w/o & 0.00 24.68

NA

0.84 25.52

NA

XXX w dye. 70544............ ............. A

Mr angiography head w/ 1.19 11.51

NA

0.65 13.35

NA

XXX o dye. 70544............ 26........... A

Mr angiography head w/ 1.19 0.40 0.40

0.06

1.65 1.65

XXX o dye. 70544............ TC........... A

Mr angiography head w/ 0.00 11.11

NA

0.59 11.70

NA

XXX o dye. 70545............ ............. A

Mr angiography head w/ 1.19 11.51

NA

0.65 13.35

NA

XXX dye. 70545............ 26........... A

Mr angiography head w/ 1.19 0.40 0.40

0.06

1.65 1.65

XXX dye. 70545............ TC........... A

Mr angiography head w/ 0.00 11.11

NA

0.59 11.70

NA

XXX dye.

[[Page 63336]]

70546............ ............. A

Mr angiograph head w/

1.79 22.83

NA

0.69 25.31

NA

XXX o&w dye. 70546............ 26........... A

Mr angiograph head w/

1.79 0.61 0.61

0.10

2.50 2.50

XXX o&w dye. 70546............ TC........... A

Mr angiograph head w/

0.00 22.22

NA

0.59 22.81

NA

XXX o&w dye. 70547............ ............. A

Mr angiography neck w/ 1.19 11.51

NA

0.65 13.35

NA

XXX o dye. 70547............ 26........... A

Mr angiography neck w/ 1.19 0.40 0.40

0.06

1.65 1.65

XXX o dye. 70547............ TC........... A

Mr angiography neck w/ 0.00 11.11

NA

0.59 11.70

NA

XXX o dye. 70548............ ............. A

Mr angiography neck w/ 1.19 11.51

NA

0.65 13.35

NA

XXX dye. 70548............ 26........... A

Mr angiography neck w/ 1.19 0.40 0.40

0.06

1.65 1.65

XXX dye. 70548............ TC........... A

Mr angiography neck w/ 0.00 11.11

NA

0.59 11.70

NA

XXX dye. 70549............ ............. A

Mr angiograph neck w/

1.79 22.83

NA

0.69 25.31

NA

XXX o&w dye. 70549............ 26........... A

Mr angiograph neck w/

1.79 0.61 0.61

0.10

2.50 2.50

XXX o&w dye. 70549............ TC........... A

Mr angiograph neck w/

0.00 22.22

NA

0.59 22.81

NA

XXX o&w dye. 70551............ ............. A

Mri brain w/o dye..... 1.47 11.61

NA

0.67 13.75

NA

XXX 70551............ 26........... A

Mri brain w/o dye..... 1.47 0.50 0.50

0.08

2.05 2.05

XXX 70551............ TC........... A

Mri brain w/o dye..... 0.00 11.11

NA

0.59 11.70

NA

XXX 70552............ ............. A

Mri brain w/ dye...... 1.77 13.94

NA

0.80 16.51

NA

XXX 70552............ 26........... A

Mri brain w/ dye...... 1.77 0.61 0.61

0.10

2.48 2.48

XXX 70552............ TC........... A

Mri brain w/ dye...... 0.00 13.33

NA

0.70 14.03

NA

XXX 70553............ ............. A

Mri brain w/o & w/ dye 2.35 25.46

NA

1.43 29.24

NA

XXX 70553............ 26........... A

Mri brain w/o & w/ dye 2.35 0.78 0.78

0.12

3.25 3.25

XXX 70553............ TC........... A

Mri brain w/o & w/ dye 0.00 24.68

NA

1.31 25.99

NA

XXX 70557............ ............. C

Mri brain w/o dye..... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 70557............ 26........... A

Mri brain w/o dye..... 2.88 0.99 0.99

0.08

3.95 3.95

XXX 70557............ TC........... C

Mri brain w/o dye..... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 70558............ ............. C

Mri brain w/ dye...... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 70558............ 26........... A

Mri brain w/ dye...... 3.18 1.09 1.09

0.10

4.37 4.37

XXX 70558............ TC........... C

Mri brain w/ dye...... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 70559............ ............. C

Mri brain w/o & w/ dye 0.00 0.00 0.00

0.00

0.00 0.00

XXX 70559............ 26........... A

Mri brain w/o & w/ dye 3.18 1.09 1.09

0.12

4.39 4.39

XXX 70559............ TC........... C

Mri brain w/o & w/ dye 0.00 0.00 0.00

0.00

0.00 0.00

XXX 71010............ ............. A

Chest x-ray........... 0.18 0.53

NA

0.03

0.74

NA

XXX 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

NA

0.02

0.49

NA

XXX 71015............ ............. A

Chest x-ray........... 0.21 0.59

NA

0.03

0.83

NA

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

NA

0.02

0.54

NA

XXX 71020............ ............. A

Chest x-ray........... 0.22 0.69

NA

0.05

0.96

NA

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

NA

0.04

0.66

NA

XXX 71021............ ............. A

Chest x-ray........... 0.27 0.81

NA

0.06

1.14

NA

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 0.72

NA

0.05

0.77

NA

XXX 71022............ ............. A

Chest x-ray........... 0.31 0.82

NA

0.07

1.20

NA

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 0.72

NA

0.05

0.77

NA

XXX 71023............ ............. A

Chest x-ray and

0.38 0.90

NA

0.07

1.35

NA

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 0.77

NA

0.05

0.82

NA

XXX fluoroscopy. 71030............ ............. A

Chest x-ray........... 0.31 0.87

NA

0.06

1.24

NA

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 0.77

NA

0.05

0.82

NA

XXX 71034............ ............. A

Chest x-ray and

0.46 1.59

NA

0.10

2.15

NA

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 1.43

NA

0.08

1.51

NA

XXX fluoroscopy. 71035............ ............. A

Chest x-ray........... 0.18 0.58

NA

0.03

0.79

NA

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

NA

0.02

0.54

NA

XXX 71040............ ............. A

Contrast x-ray of

0.58 1.64

NA

0.12

2.34

NA

XXX bronchi. 71040............ 26........... A

Contrast x-ray of

0.58 0.19 0.19

0.04

0.81 0.81

XXX bronchi. 71040............ TC........... A

Contrast x-ray of

0.00 1.45

NA

0.08

1.53

NA

XXX bronchi. 71060............ ............. A

Contrast x-ray of

0.74 2.43

NA

0.17

3.34

NA

XXX bronchi. 71060............ 26........... A

Contrast x-ray of

0.74 0.25 0.25

0.04

1.03 1.03

XXX bronchi. 71060............ TC........... A

Contrast x-ray of

0.00 2.18

NA

0.13

2.31

NA

XXX bronchi. 71090............ ............. A

X-ray & pacemaker

0.54 1.88

NA

0.13

2.55

NA

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 1.67

NA

0.11

1.78

NA

XXX insertion. 71100............ ............. A

X-ray exam of ribs.... 0.22 0.64

NA

0.05

0.91

NA

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

NA

0.04

0.61

NA

XXX 71101............ ............. A

X-ray exam of ribs/

0.27 0.75

NA

0.05

1.07

NA

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 0.66

NA

0.04

0.70

NA

XXX chest. 71110............ ............. A

X-ray exam of ribs.... 0.27 0.86

NA

0.06

1.19

NA

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 0.77

NA

0.05

0.82

NA

XXX

[[Page 63337]]

71111............ ............. A

X-ray exam of ribs/

0.32 0.99

NA

0.07

1.38

NA

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 0.88

NA

0.06

0.94

NA

XXX chest. 71120............ ............. A

X-ray exam of

0.20 0.71

NA

0.05

0.96

NA

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 0.64

NA

0.04

0.68

NA

XXX breastbone. 71130............ ............. A

X-ray exam of

0.22 0.77

NA

0.05

1.04

NA

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 0.70

NA

0.04

0.74

NA

XXX breastbone. 71250............ ............. A

Ct thorax w/o dye..... 1.15 6.24

NA

0.37

7.76

NA

XXX 71250............ 26........... A

Ct thorax w/o dye..... 1.15 0.39 0.39

0.06

1.60 1.60

XXX 71250............ TC........... A

Ct thorax w/o dye..... 0.00 5.85

NA

0.31

6.16

NA

XXX 71260............ ............. A

Ct thorax w/dye....... 1.23 7.42

NA

0.43

9.08

NA

XXX 71260............ 26........... A

Ct thorax w/dye....... 1.23 0.41 0.41

0.06

1.70 1.70

XXX 71260............ TC........... A

Ct thorax w/dye....... 0.00 7.01

NA

0.37

7.38

NA

XXX 71270............ ............. A

Ct thorax w/o & w/ dye 1.37 9.23

NA

0.53 11.13

NA

XXX 71270............ 26........... A

Ct thorax w/o & w/ dye 1.37 0.46 0.46

0.07

1.90 1.90

XXX 71270............ TC........... A

Ct thorax w/o & w/ dye 0.00 8.77

NA

0.46

9.23

NA

XXX 71275............ ............. A

Ct angiography, chest. 1.91 12.92

NA

0.45 15.28

NA

XXX 71275............ 26........... A

Ct angiography, chest. 1.91 0.64 0.64

0.07

2.62 2.62

XXX 71275............ TC........... A

Ct angiography, chest. 0.00 12.28

NA

0.38 12.66

NA

XXX 71550............ ............. A

Mri chest w/o dye..... 1.45 11.60

NA

0.49 13.54

NA

XXX 71550............ 26........... A

Mri chest w/o dye..... 1.45 0.49 0.49

0.05

1.99 1.99

XXX 71550............ TC........... A

Mri chest w/o dye..... 0.00 11.11

NA

0.44 11.55

NA

XXX 71551............ ............. A

Mri chest w/dye....... 1.72 13.91

NA

0.59 16.22

NA

XXX 71551............ 26........... A

Mri chest w/dye....... 1.72 0.58 0.58

0.07

2.37 2.37

XXX 71551............ TC........... A

Mri chest w/dye....... 0.00 13.33

NA

0.52 13.85

NA

XXX 71552............ ............. A

Mri chest w/o & w/dye. 2.25 25.43

NA

0.77 28.45

NA

XXX 71552............ 26........... A

Mri chest w/o & w/dye. 2.25 0.75 0.75

0.10

3.10 3.10

XXX 71552............ TC........... A

Mri chest w/o & w/dye. 0.00 24.68

NA

0.67 25.35

NA

XXX 71555............ ............. R

Mri angio chest w or w/ 1.80 11.72

NA

0.69 14.21

NA

XXX o dye. 71555............ 26........... R

Mri angio chest w or w/ 1.80 0.61 0.61

0.10

2.51 2.51

XXX o dye. 71555............ TC........... R

Mri angio chest w or w/ 0.00 11.11

NA

0.59 11.70

NA

XXX o dye. 72010............ ............. A

X-ray exam of spine... 0.45 1.16

NA

0.10

1.71

NA

XXX 72010............ 26........... A

X-ray exam of spine... 0.45 0.15 0.15

0.04

0.64 0.64

XXX 72010............ TC........... A

X-ray exam of spine... 0.00 1.01

NA

0.06

1.07

NA

XXX 72020............ ............. A

X-ray exam of spine... 0.15 0.47

NA

0.03

0.65

NA

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

NA

0.02

0.44

NA

XXX 72040............ ............. A

X-ray exam of neck

0.22 0.67

NA

0.05

0.94

NA

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

NA

0.04

0.64

NA

XXX spine. 72050............ ............. A

X-ray exam of neck

0.31 0.98

NA

0.08

1.37

NA

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 0.88

NA

0.06

0.94

NA

XXX spine. 72052............ ............. A

X-ray exam of neck

0.36 1.24

NA

0.08

1.68

NA

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 1.12

NA

0.06

1.18

NA

XXX spine. 72069............ ............. A

X-ray exam of trunk

0.22 0.57

NA

0.04

0.83

NA

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

NA

0.02

0.51

NA

XXX spine. 72070............ ............. A

X-ray exam of thoracic 0.22 0.71

NA

0.05

0.98

NA

XXX spine. 72070............ 26........... A

X-ray exam of thoracic 0.22 0.07 0.07

0.01

0.30 0.30

XXX spine. 72070............ TC........... A

X-ray exam of thoracic 0.00 0.64

NA

0.04

0.68

NA

XXX spine. 72072............ ............. A

X-ray exam of thoracic 0.22 0.79

NA

0.06

1.07

NA

XXX spine. 72072............ 26........... A

X-ray exam of thoracic 0.22 0.07 0.07

0.01

0.30 0.30

XXX spine. 72072............ TC........... A

X-ray exam of thoracic 0.00 0.72

NA

0.05

0.77

NA

XXX spine. 72074............ ............. A

X-ray exam of thoracic 0.22 0.97

NA

0.07

1.26

NA

XXX spine. 72074............ 26........... A

X-ray exam of thoracic 0.22 0.07 0.07

0.01

0.30 0.30

XXX spine. 72074............ TC........... A

X-ray exam of thoracic 0.00 0.90

NA

0.06

0.96

NA

XXX spine. 72080............ ............. A

X-ray exam of trunk

0.22 0.73

NA

0.06

1.01

NA

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 0.66

NA

0.04

0.70

NA

XXX spine. 72090............ ............. A

X-ray exam of trunk

0.28 0.76

NA

0.06

1.10

NA

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 0.66

NA

0.04

0.70

NA

XXX spine. 72100............ ............. A

X-ray exam of lower

0.22 0.73

NA

0.06

1.01

NA

XXX spine. 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 0.66

NA

0.04

0.70

NA

XXX spine. 72110............ ............. A

X-ray exam of lower

0.31 1.00

NA

0.08

1.39

NA

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 0.90

NA

0.06

0.96

NA

XXX spine. 72114............ ............. A

X-ray exam of lower

0.36 1.30

NA

0.10

1.76

NA

XXX spine. 72114............ 26........... A

X-ray exam of lower

0.36 0.12 0.12

0.04

0.52 0.52

XXX spine. 72114............ TC........... A

X-ray exam of lower

0.00 1.18

NA

0.06

1.24

NA

XXX spine.

[[Page 63338]]

72120............ ............. A

X-ray exam of lower

0.22 0.95

NA

0.08

1.25

NA

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 0.88

NA

0.06

0.94

NA

XXX spine. 72125............ ............. A

Ct neck spine w/o dye. 1.15 6.24

NA

0.37

7.76

NA

XXX 72125............ 26........... A

Ct neck spine w/o dye. 1.15 0.39 0.39

0.06

1.60 1.60

XXX 72125............ TC........... A

Ct neck spine w/o dye. 0.00 5.85

NA

0.31

6.16

NA

XXX 72126............ ............. A

Ct neck spine w/dye... 1.21 7.42

NA

0.43

9.06

NA

XXX 72126............ 26........... A

Ct neck spine w/dye... 1.21 0.41 0.41

0.06

1.68 1.68

XXX 72126............ TC........... A

Ct neck spine w/dye... 0.00 7.01

NA

0.37

7.38

NA

XXX 72127............ ............. A

Ct neck spine w/o & w/ 1.26 9.20

NA

0.53 10.99

NA

XXX dye. 72127............ 26........... A

Ct neck spine w/o & w/ 1.26 0.43 0.43

0.07

1.76 1.76

XXX dye. 72127............ TC........... A

Ct neck spine w/o & w/ 0.00 8.77

NA

0.46

9.23

NA

XXX dye. 72128............ ............. A

Ct chest spine w/o dye 1.15 6.24

NA

0.37

7.76

NA

XXX 72128............ 26........... A

Ct chest spine w/o dye 1.15 0.39 0.39

0.06

1.60 1.60

XXX 72128............ TC........... A

Ct chest spine w/o dye 0.00 5.85

NA

0.31

6.16

NA

XXX 72129............ ............. A

Ct chest spine w/dye.. 1.21 7.42

NA

0.43

9.06

NA

XXX 72129............ 26........... A

Ct chest spine w/dye.. 1.21 0.41 0.41

0.06

1.68 1.68

XXX 72129............ TC........... A

Ct chest spine w/dye.. 0.00 7.01

NA

0.37

7.38

NA

XXX 72130............ ............. A

Ct chest spine w/o & w/ 1.26 9.19

NA

0.53 10.98

NA

XXX dye. 72130............ 26........... A

Ct chest spine w/o & w/ 1.26 0.42 0.42

0.07

1.75 1.75

XXX dye. 72130............ TC........... A

Ct chest spine w/o & w/ 0.00 8.77

NA

0.46

9.23

NA

XXX dye. 72131............ ............. A

Ct lumbar spine w/o

1.15 6.24

NA

0.37

7.76

NA

XXX dye. 72131............ 26........... A

Ct lumbar spine w/o

1.15 0.39 0.39

0.06

1.60 1.60

XXX dye. 72131............ TC........... A

Ct lumbar spine w/o

0.00 5.85

NA

0.31

6.16

NA

XXX dye. 72132............ ............. A

Ct lumbar spine w/dye. 1.21 7.42

NA

0.44

9.07

NA

XXX 72132............ 26........... A

Ct lumbar spine w/dye. 1.21 0.41 0.41

0.07

1.69 1.69

XXX 72132............ TC........... A

Ct lumbar spine w/dye. 0.00 7.01

NA

0.37

7.38

NA

XXX 72133............ ............. A

Ct lumbar spine w/o &

1.26 9.20

NA

0.53 10.99

NA

XXX w/dye. 72133............ 26........... A

Ct lumbar spine w/o &

1.26 0.43 0.43

0.07

1.76 1.76

XXX w/dye. 72133............ TC........... A

Ct lumbar spine w/o &

0.00 8.77

NA

0.46

9.23

NA

XXX w/dye. 72141............ ............. A

Mri neck spine w/o dye 1.59 11.65

NA

0.67 13.91

NA

XXX 72141............ 26........... A

Mri neck spine w/o dye 1.59 0.54 0.54

0.08

2.21 2.21

XXX 72141............ TC........... A

Mri neck spine w/o dye 0.00 11.11

NA

0.59 11.70

NA

XXX 72142............ ............. A

Mri neck spine w/dye.. 1.91 13.98

NA

0.81 16.70

NA

XXX 72142............ 26........... A

Mri neck spine w/dye.. 1.91 0.65 0.65

0.11

2.67 2.67

XXX 72142............ TC........... A

Mri neck spine w/dye.. 0.00 13.33

NA

0.70 14.03

NA

XXX 72146............ ............. A

Mri chest spine w/o

1.59 12.87

NA

0.72 15.18

NA

XXX dye. 72146............ 26........... A

Mri chest spine w/o

1.59 0.54 0.54

0.08

2.21 2.21

XXX dye. 72146............ TC........... A

Mri chest spine w/o

0.00 12.33

NA

0.64 12.97

NA

XXX dye. 72147............ ............. A

Mri chest spine w/dye. 1.91 13.97

NA

0.81 16.69

NA

XXX 72147............ 26........... A

Mri chest spine w/dye. 1.91 0.64 0.64

0.11

2.66 2.66

XXX 72147............ TC........... A

Mri chest spine w/dye. 0.00 13.33

NA

0.70 14.03

NA

XXX 72148............ ............. A

Mri lumbar spine w/o

1.47 12.83

NA

0.72 15.02

NA

XXX dye. 72148............ 26........... A

Mri lumbar spine w/o

1.47 0.50 0.50

0.08

2.05 2.05

XXX dye. 72148............ TC........... A

Mri lumbar spine w/o

0.00 12.33

NA

0.64 12.97

NA

XXX dye. 72149............ ............. A

Mri lumbar spine w/dye 1.77 13.94

NA

0.81 16.52

NA

XXX 72149............ 26........... A

Mri lumbar spine w/dye 1.77 0.61 0.61

0.11

2.49 2.49

XXX 72149............ TC........... A

Mri lumbar spine w/dye 0.00 13.33

NA

0.70 14.03

NA

XXX 72156............ ............. A

Mri neck spine w/o & w/ 2.56 25.53

NA

1.44 29.53

NA

XXX dye. 72156............ 26........... A

Mri neck spine w/o & w/ 2.56 0.85 0.85

0.13

3.54 3.54

XXX dye. 72156............ TC........... A

Mri neck spine w/o & w/ 0.00 24.68

NA

1.31 25.99

NA

XXX dye. 72157............ ............. A

Mri chest spine w/o &

2.56 25.53

NA

1.44 29.53

NA

XXX w/dye. 72157............ 26........... A

Mri chest spine w/o &

2.56 0.85 0.85

0.13

3.54 3.54

XXX w/dye. 72157............ TC........... A

Mri chest spine w/o &

0.00 24.68

NA

1.31 25.99

NA

XXX w/dye. 72158............ ............. A

Mri lumbar spine w/o & 2.35 25.46

NA

1.44 29.25

NA

XXX w/dye. 72158............ 26........... A

Mri lumbar spine w/o & 2.35 0.78 0.78

0.13

3.26 3.26

XXX w/dye. 72158............ TC........... A

Mri lumbar spine w/o & 0.00 24.68

NA

1.31 25.99

NA

XXX w/dye. 72159............ ............. N

Mr angio spine w/o&w/ +1.79 12.98 12.98

0.74 15.51 15.51

XXX dye. 72159............ 26........... N

Mr angio spine w/o&w/ +1.79 0.69 0.69

0.10

2.58 2.58

XXX dye. 72159............ TC........... N

Mr angio spine w/o&w/ +0.00 12.29 12.29

0.64 12.93 12.93

XXX dye. 72170............ ............. A

X-ray exam of pelvis.. 0.17 0.58

NA

0.03

0.78

NA

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

NA

0.02

0.54

NA

XXX 72190............ ............. A

X-ray exam of pelvis.. 0.21 0.73

NA

0.05

0.99

NA

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 0.66

NA

0.04

0.70

NA

XXX 72191............ ............. A

Ct angiograph pelv w/

1.80 12.54

NA

0.45 14.79

NA

XXX o&w/dye. 72191............ 26........... A

Ct angiograph pelv w/

1.80 0.61 0.61

0.07

2.48 2.48

XXX o&w/dye. 72191............ TC........... A

Ct angiograph pelv w/

0.00 11.93

NA

0.38 12.31

NA

XXX o&w/dye. 72192............ ............. A

Ct pelvis w/o dye..... 1.08 6.21

NA

0.37

7.66

NA

XXX 72192............ 26........... A

Ct pelvis w/o dye..... 1.08 0.36 0.36

0.06

1.50 1.50

XXX 72192............ TC........... A

Ct pelvis w/o dye..... 0.00 5.85

NA

0.31

6.16

NA

XXX 72193............ ............. A

Ct pelvis w/dye....... 1.15 7.18

NA

0.42

8.75

NA

XXX 72193............ 26........... A

Ct pelvis w/dye....... 1.15 0.39 0.39

0.06

1.60 1.60

XXX 72193............ TC........... A

Ct pelvis w/dye....... 0.00 6.79

NA

0.36

7.15

NA

XXX

[[Page 63339]]

72194............ ............. A

Ct pelvis w/o & w/dye. 1.21 8.82

NA

0.49 10.52

NA

XXX 72194............ 26........... A

Ct pelvis w/o & w/dye. 1.21 0.41 0.41

0.06

1.68 1.68

XXX 72194............ TC........... A

Ct pelvis w/o & w/dye. 0.00 8.41

NA

0.43

8.84

NA

XXX 72195............ ............. A

Mri pelvis w/o dye.... 1.45 11.60

NA

0.50 13.55

NA

XXX 72195............ 26........... A

Mri pelvis w/o dye.... 1.45 0.49 0.49

0.06

2.00 2.00

XXX 72195............ TC........... A

Mri pelvis w/o dye.... 0.00 11.11

NA

0.44 11.55

NA

XXX 72196............ ............. A

Mri pelvis w/dye...... 1.72 13.91

NA

0.58 16.21

NA

XXX 72196............ 26........... A

Mri pelvis w/dye...... 1.72 0.58 0.58

0.06

2.36 2.36

XXX 72196............ TC........... A

Mri pelvis w/dye...... 0.00 13.33

NA

0.52 13.85

NA

XXX 72197............ ............. A

Mri pelvis w/o & w/dye 2.25 25.43

NA

1.01 28.69

NA

XXX 72197............ 26........... A

Mri pelvis w/o & w/dye 2.25 0.75 0.75

0.10

3.10 3.10

XXX 72197............ TC........... A

Mri pelvis w/o & w/dye 0.00 24.68

NA

0.91 25.59

NA

XXX 72198............ ............. A

Mr angio pelvis w/o &

1.79 11.80

NA

0.69 14.28

NA

XXX w/dye. 72198............ 26........... A

Mr angio pelvis w/o &

1.79 0.69 0.69

0.10

2.58 2.58

XXX w/dye. 72198............ TC........... A

Mr angio pelvis w/o &

0.00 11.11

NA

0.59 11.70

NA

XXX w/dye. 72200............ ............. A

X-ray exam sacroiliac

0.17 0.58

NA

0.03

0.78

NA

XXX joints. 72200............ 26........... A

X-ray exam sacroiliac

0.17 0.06 0.06

0.01

0.24 0.24

XXX joints. 72200............ TC........... A

X-ray exam sacroiliac

0.00 0.52

NA

0.02

0.54

NA

XXX joints. 72202............ ............. A

X-ray exam sacroiliac

0.19 0.68

NA

0.05

0.92

NA

XXX joints. 72202............ 26........... A

X-ray exam sacroiliac

0.19 0.06 0.06

0.01

0.26 0.26

XXX joints. 72202............ TC........... A

X-ray exam sacroiliac

0.00 0.62

NA

0.04

0.66

NA

XXX joints. 72220............ ............. A

X-ray exam of tailbone 0.17 0.63

NA

0.05

0.85

NA

XXX 72220............ 26........... A

X-ray exam of tailbone 0.17 0.06 0.06

0.01

0.24 0.24

XXX 72220............ TC........... A

X-ray exam of tailbone 0.00 0.57

NA

0.04

0.61

NA

XXX 72240............ ............. A

Contrast x-ray of neck 0.90 4.99

NA

0.30

6.19

NA

XXX spine. 72240............ 26........... A

Contrast x-ray of neck 0.90 0.29 0.29

0.05

1.24 1.24

XXX spine. 72240............ TC........... A

Contrast x-ray of neck 0.00 4.70

NA

0.25

4.95

NA

XXX spine. 72255............ ............. A

Contrast x-ray, thorax 0.90 4.58

NA

0.27

5.75

NA

XXX spine. 72255............ 26........... A

Contrast x-ray, thorax 0.90 0.28 0.28

0.05

1.23 1.23

XXX spine. 72255............ TC........... A

Contrast x-ray, thorax 0.00 4.30

NA

0.22

4.52

NA

XXX spine. 72265............ ............. A

Contrast x-ray, lower

0.83 4.30

NA

0.27

5.40

NA

XXX spine. 72265............ 26........... A

Contrast x-ray, lower

0.83 0.26 0.26

0.05

1.14 1.14

XXX spine. 72265............ TC........... A

Contrast x-ray, lower

0.00 4.04

NA

0.22

4.26

NA

XXX spine. 72270............ ............. A

Contrast x-ray, spine. 1.32 6.48

NA

0.40

8.20

NA

XXX 72270............ 26........... A

Contrast x-ray, spine. 1.32 0.43 0.43

0.08

1.83 1.83

XXX 72270............ TC........... A

Contrast x-ray, spine. 0.00 6.05

NA

0.32

6.37

NA

XXX 72275............ ............. A

Epidurography......... 0.76 2.28

NA

0.26

3.30

NA

XXX 72275............ 26........... A

Epidurography......... 0.76 0.20 0.20

0.04

1.00 1.00

XXX 72275............ TC........... A

Epidurography......... 0.00 2.08

NA

0.22

2.30

NA

XXX 72285............ ............. A

X-ray c/t spine disk.. 1.15 8.68

NA

0.50 10.33

NA

XXX 72285............ 26........... A

X-ray c/t spine disk.. 1.15 0.36 0.36

0.07

1.58 1.58

XXX 72285............ TC........... A

X-ray c/t spine disk.. 0.00 8.32

NA

0.43

8.75

NA

XXX 72295............ ............. A

X-ray of lower spine

0.83 8.06

NA

0.45

9.34

NA

XXX disk. 72295............ 26........... A

X-ray of lower spine

0.83 0.27 0.27

0.05

1.15 1.15

XXX disk. 72295............ TC........... A

X-ray of lower spine

0.00 7.79

NA

0.40

8.19

NA

XXX disk. 73000............ ............. A

X-ray exam of collar

0.16 0.57

NA

0.03

0.76

NA

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

NA

0.02

0.54

NA

XXX bone. 73010............ ............. A

X-ray exam of shoulder 0.17 0.58

NA

0.03

0.78

NA

XXX blade. 73010............ 26........... A

X-ray exam of shoulder 0.17 0.06 0.06

0.01

0.24 0.24

XXX blade. 73010............ TC........... A

X-ray exam of shoulder 0.00 0.52

NA

0.02

0.54

NA

XXX blade. 73020............ ............. A

X-ray exam of shoulder 0.15 0.52

NA

0.03

0.70

NA

XXX 73020............ 26........... A

X-ray exam of shoulder 0.15 0.05 0.05

0.01

0.21 0.21

XXX 73020............ TC........... A

X-ray exam of shoulder 0.00 0.47

NA

0.02

0.49

NA

XXX 73030............ ............. A

X-ray exam of shoulder 0.18 0.63

NA

0.05

0.86

NA

XXX 73030............ 26........... A

X-ray exam of shoulder 0.18 0.06 0.06

0.01

0.25 0.25

XXX 73030............ TC........... A

X-ray exam of shoulder 0.00 0.57

NA

0.04

0.61

NA

XXX 73040............ ............. A

Contrast x-ray of

0.54 2.26

NA

0.16

2.96

NA

XXX shoulder. 73040............ 26........... A

Contrast x-ray of

0.54 0.18 0.18

0.04

0.76 0.76

XXX shoulder. 73040............ TC........... A

Contrast x-ray of

0.00 2.08

NA

0.12

2.20

NA

XXX shoulder. 73050............ ............. A

X-ray exam of

0.20 0.73

NA

0.06

0.99

NA

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 0.66

NA

0.04

0.70

NA

XXX shoulders. 73060............ ............. A

X-ray exam of humerus. 0.17 0.63

NA

0.05

0.85

NA

XXX 73060............ 26........... A

X-ray exam of humerus. 0.17 0.06 0.06

0.01

0.24 0.24

XXX 73060............ TC........... A

X-ray exam of humerus. 0.00 0.57

NA

0.04

0.61

NA

XXX 73070............ ............. A

X-ray exam of elbow... 0.15 0.57

NA

0.03

0.75

NA

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

NA

0.02

0.54

NA

XXX 73080............ ............. A

X-ray exam of elbow... 0.17 0.63

NA

0.05

0.85

NA

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

NA

0.04

0.61

NA

XXX 73085............ ............. A

Contrast x-ray of

0.54 2.27

NA

0.16

2.97

NA

XXX elbow. 73085............ 26........... A

Contrast x-ray of

0.54 0.19 0.19

0.04

0.77 0.77

XXX elbow. 73085............ TC........... A

Contrast x-ray of

0.00 2.08

NA

0.12

2.20

NA

XXX elbow.

[[Page 63340]]

73090............ ............. A

X-ray exam of forearm. 0.16 0.57

NA

0.03

0.76

NA

XXX 73090............ 26........... A

X-ray exam of forearm. 0.16 0.05 0.05

0.01

0.22 0.22

XXX 73090............ TC........... A

X-ray exam of forearm. 0.00 0.52

NA

0.02

0.54

NA

XXX 73092............ ............. A

X-ray exam of arm,

0.16 0.54

NA

0.03

0.73

NA

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

NA

0.02

0.51

NA

XXX infant. 73100............ ............. A

X-ray exam of wrist... 0.16 0.55

NA

0.04

0.75

NA

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

NA

0.02

0.51

NA

XXX 73110............ ............. A

X-ray exam of wrist... 0.17 0.59

NA

0.03

0.79

NA

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

NA

0.02

0.55

NA

XXX 73115............ ............. A

Contrast x-ray of

0.54 1.75

NA

0.14

2.43

NA

XXX wrist. 73115............ 26........... A

Contrast x-ray of

0.54 0.19 0.19

0.04

0.77 0.77

XXX wrist. 73115............ TC........... A

Contrast x-ray of

0.00 1.56

NA

0.10

1.66

NA

XXX wrist. 73120............ ............. A

X-ray exam of hand.... 0.16 0.54

NA

0.03

0.73

NA

XXX 73120............ 26........... A

X-ray exam of hand.... 0.16 0.05 0.05

0.01

0.22 0.22

XXX 73120............ TC........... A

X-ray exam of hand.... 0.00 0.49

NA

0.02

0.51

NA

XXX 73130............ ............. A

X-ray exam of hand.... 0.17 0.59

NA

0.03

0.79

NA

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

NA

0.02

0.55

NA

XXX 73140............ ............. A

X-ray exam of

0.13 0.46

NA

0.03

0.62

NA

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

NA

0.02

0.44

NA

XXX finger(s). 73200............ ............. A

Ct upper extremity w/o 1.08 5.28

NA

0.31

6.67

NA

XXX dye. 73200............ 26........... A

Ct upper extremity w/o 1.08 0.36 0.36

0.06

1.50 1.50

XXX dye. 73200............ TC........... A

Ct upper extremity w/o 0.00 4.92

NA

0.25

5.17

NA

XXX dye. 73201............ ............. A

Ct upper extremity w/

1.15 6.24

NA

0.37

7.76

NA

XXX dye. 73201............ 26........... A

Ct upper extremity w/

1.15 0.39 0.39

0.06

1.60 1.60

XXX dye. 73201............ TC........... A

Ct upper extremity w/

0.00 5.85

NA

0.31

6.16

NA

XXX dye. 73202............ ............. A

Ct uppr extremity w/

1.21 7.77

NA

0.45

9.43

NA

XXX o&w/dye. 73202............ 26........... A

Ct uppr extremity w/

1.21 0.41 0.41

0.07

1.69 1.69

XXX o&w/dye. 73202............ TC........... A

Ct uppr extremity w/

0.00 7.36

NA

0.38

7.74

NA

XXX o&w/dye. 73206............ ............. A

Ct angio upr extrm w/

1.80 11.47

NA

0.45 13.72

NA

XXX o&w/dye. 73206............ 26........... A

Ct angio upr extrm w/

1.80 0.60 0.60

0.07

2.47 2.47

XXX o&w/dye. 73206............ TC........... A

Ct angio upr extrm w/

0.00 10.87

NA

0.38 11.25

NA

XXX o&w/dye. 73218............ ............. A

Mri upper extremity w/ 1.34 11.56

NA

0.43 13.33

NA

XXX o dye. 73218............ 26........... A

Mri upper extremity w/ 1.34 0.45 0.45

0.05

1.84 1.84

XXX o dye. 73218............ TC........... A

Mri upper extremity w/ 0.00 11.11

NA

0.38 11.49

NA

XXX o dye. 73219............ ............. A

Mri upper extremity w/ 1.61 13.88

NA

0.53 16.02

NA

XXX dye. 73219............ 26........... A

Mri upper extremity w/ 1.61 0.55 0.55

0.06

2.22 2.22

XXX dye. 73219............ TC........... A

Mri upper extremity w/ 0.00 13.33

NA

0.47 13.80

NA

XXX dye. 73220............ ............. A

Mri uppr extremity w/

2.14 25.39

NA

0.94 28.47

NA

XXX o&w/dye. 73220............ 26........... A

Mri uppr extremity w/

2.14 0.71 0.71

0.10

2.95 2.95

XXX o&w/dye. 73220............ TC........... A

Mri uppr extremity w/

0.00 24.68

NA

0.84 25.52

NA

XXX o&w/dye. 73221............ ............. A

Mri joint upr extrem w/ 1.34 11.56

NA

0.43 13.33

NA

XXX o dye. 73221............ 26........... A

Mri joint upr extrem w/ 1.34 0.45 0.45

0.05

1.84 1.84

XXX o dye. 73221............ TC........... A

Mri joint upr extrem w/ 0.00 11.11

NA

0.38 11.49

NA

XXX o dye. 73222............ ............. A

Mri joint upr extrem w/ 1.61 13.87

NA

0.53 16.01

NA

XXX dye. 73222............ 26........... A

Mri joint upr extrem w/ 1.61 0.54 0.54

0.06

2.21 2.21

XXX dye. 73222............ TC........... A

Mri joint upr extrem w/ 0.00 13.33

NA

0.47 13.80

NA

XXX dye. 73223............ ............. A

Mri joint upr extr w/

2.14 25.39

NA

0.92 28.45

NA

XXX o&w/dye. 73223............ 26........... A

Mri joint upr extr w/

2.14 0.71 0.71

0.08

2.93 2.93

XXX o&w/dye. 73223............ TC........... A

Mri joint upr extr w/

0.00 24.68

NA

0.84 25.52

NA

XXX o&w/dye. 73225............ ............. N

Mr angio upr extr w/

+1.72 11.74 11.74

0.69 14.15 14.15

XXX o&w/dye. 73225............ 26........... N

Mr angio upr extr w/

+1.72 0.67 0.67

0.10

2.49 2.49

XXX o&w/dye. 73225............ TC........... N

Mr angio upr extr w/

+0.00 11.07 11.07

0.59 11.66 11.66

XXX o&w/dye. 73500............ ............. A

X-ray exam of hip..... 0.17 0.53

NA

0.03

0.73

NA

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

NA

0.02

0.49

NA

XXX 73510............ ............. A

X-ray exam of hip..... 0.21 0.64

NA

0.06

0.91

NA

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

NA

0.04

0.61

NA

XXX 73520............ ............. A

X-ray exam of hips.... 0.26 0.75

NA

0.06

1.07

NA

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 0.66

NA

0.04

0.70

NA

XXX 73525............ ............. A

Contrast x-ray of hip. 0.54 2.26

NA

0.16

2.96

NA

XXX 73525............ 26........... A

Contrast x-ray of hip. 0.54 0.18 0.18

0.04

0.76 0.76

XXX 73525............ TC........... A

Contrast x-ray of hip. 0.00 2.08

NA

0.12

2.20

NA

XXX 73530............ ............. A

X-ray exam of hip..... 0.29 0.62

NA

0.03

0.94

NA

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

NA

0.02

0.54

NA

XXX 73540............ ............. A

X-ray exam of pelvis & 0.20 0.64

NA

0.06

0.90

NA

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

NA

0.04

0.61

NA

XXX hips.

[[Page 63341]]

73542............ ............. A

X-ray exam, sacroiliac 0.59 2.24

NA

0.16

2.99

NA

XXX joint. 73542............ 26........... A

X-ray exam, sacroiliac 0.59 0.16 0.16

0.04

0.79 0.79

XXX joint. 73542............ TC........... A

X-ray exam, sacroiliac 0.00 2.08

NA

0.12

2.20

NA

XXX joint. 73550............ ............. A

X-ray exam of thigh... 0.17 0.63

NA

0.05

0.85

NA

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

NA

0.04

0.61

NA

XXX 73560............ ............. A

X-ray exam of knee, 1

0.17 0.58

NA

0.04

0.79

NA

XXX or 2. 73560............ 26........... A

X-ray exam of knee, 1

0.17 0.06 0.06

0.02

0.25 0.25

XXX or 2. 73560............ TC........... A

X-ray exam of knee, 1

0.00 0.52

NA

0.02

0.54

NA

XXX or 2. 73562............ ............. A

X-ray exam of knee, 3. 0.18 0.63

NA

0.06

0.87

NA

XXX 73562............ 26........... A

X-ray exam of knee, 3. 0.18 0.06 0.06

0.02

0.26 0.26

XXX 73562............ TC........... A

X-ray exam of knee, 3. 0.00 0.57

NA

0.04

0.61

NA

XXX 73564............ ............. A

X-ray exam, knee, 4 or 0.22 0.70

NA

0.06

0.98

NA

XXX more. 73564............ 26........... A

X-ray exam, knee, 4 or 0.22 0.08 0.08

0.02

0.32 0.32

XXX more. 73564............ TC........... A

X-ray exam, knee, 4 or 0.00 0.62

NA

0.04

0.66

NA

XXX more. 73565............ ............. A

X-ray exam of knees... 0.17 0.55

NA

0.04

0.76

NA

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

NA

0.02

0.51

NA

XXX 73580............ ............. A

Contrast x-ray of knee 0.54 2.78

NA

0.18

3.50

NA

XXX joint. 73580............ 26........... A

Contrast x-ray of knee 0.54 0.18 0.18

0.04

0.76 0.76

XXX joint. 73580............ TC........... A

Contrast x-ray of knee 0.00 2.60

NA

0.14

2.74

NA

XXX joint. 73590............ ............. A

X-ray exam of lower

0.17 0.58

NA

0.03

0.78

NA

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

NA

0.02

0.54

NA

XXX leg. 73592............ ............. A

X-ray exam of leg,

0.16 0.55

NA

0.03

0.74

NA

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

NA

0.02

0.51

NA

XXX infant. 73600............ ............. A

X-ray exam of ankle... 0.16 0.54

NA

0.03

0.73

NA

XXX 73600............ 26........... A

X-ray exam of ankle... 0.16 0.05 0.05

0.01

0.22 0.22

XXX 73600............ TC........... A

X-ray exam of ankle... 0.00 0.49

NA

0.02

0.51

NA

XXX 73610............ ............. A

X-ray exam of ankle... 0.17 0.59

NA

0.03

0.79

NA

XXX 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

NA

0.02

0.55

NA

XXX 73615............ ............. A

Contrast x-ray of

0.54 2.27

NA

0.16

2.97

NA

XXX ankle. 73615............ 26........... A

Contrast x-ray of

0.54 0.19 0.19

0.04

0.77 0.77

XXX ankle. 73615............ TC........... A

Contrast x-ray of

0.00 2.08

NA

0.12

2.20

NA

XXX ankle. 73620............ ............. A

X-ray exam of foot.... 0.16 0.54

NA

0.03

0.73

NA

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

NA

0.02

0.51

NA

XXX 73630............ ............. A

X-ray exam of foot.... 0.17 0.59

NA

0.03

0.79

NA

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

NA

0.02

0.55

NA

XXX 73650............ ............. A

X-ray exam of heel.... 0.16 0.52

NA

0.03

0.71

NA

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

NA

0.02

0.49

NA

XXX 73660............ ............. A

X-ray exam of toe(s).. 0.13 0.46

NA

0.03

0.62

NA

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

NA

0.02

0.44

NA

XXX 73700............ ............. A

Ct lower extremity w/o 1.08 5.28

NA

0.31

6.67

NA

XXX dye. 73700............ 26........... A

Ct lower extremity w/o 1.08 0.36 0.36

0.06

1.50 1.50

XXX dye. 73700............ TC........... A

Ct lower extremity w/o 0.00 4.92

NA

0.25

5.17

NA

XXX dye. 73701............ ............. A

Ct lower extremity w/

1.15 6.24

NA

0.37

7.76

NA

XXX dye. 73701............ 26........... A

Ct lower extremity w/

1.15 0.39 0.39

0.06

1.60 1.60

XXX dye. 73701............ TC........... A

Ct lower extremity w/

0.00 5.85

NA

0.31

6.16

NA

XXX dye. 73702............ ............. A

Ct lwr extremity w/o&w/ 1.21 7.77

NA

0.44

9.42

NA

XXX dye. 73702............ 26........... A

Ct lwr extremity w/o&w/ 1.21 0.41 0.41

0.06

1.68 1.68

XXX dye. 73702............ TC........... A

Ct lwr extremity w/o&w/ 0.00 7.36

NA

0.38

7.74

NA

XXX dye. 73706............ ............. A

Ct angio lwr extr w/

1.89 11.51

NA

0.45 13.85

NA

XXX o&w/dye. 73706............ 26........... A

Ct angio lwr extr w/

1.89 0.64 0.64

0.07

2.60 2.60

XXX o&w/dye. 73706............ TC........... A

Ct angio lwr extr w/

0.00 10.87

NA

0.38 11.25

NA

XXX o&w/dye. 73718............ ............. A

Mri lower extremity w/ 1.34 11.56

NA

0.43 13.33

NA

XXX o dye. 73718............ 26........... A

Mri lower extremity w/ 1.34 0.45 0.45

0.05

1.84 1.84

XXX o dye. 73718............ TC........... A

Mri lower extremity w/ 0.00 11.11

NA

0.38 11.49

NA

XXX o dye. 73719............ ............. A

Mri lower extremity w/ 1.61 13.87

NA

0.53 16.01

NA

XXX dye. 73719............ 26........... A

Mri lower extremity w/ 1.61 0.54 0.54

0.06

2.21 2.21

XXX dye. 73719............ TC........... A

Mri lower extremity w/ 0.00 13.33

NA

0.47 13.80

NA

XXX dye. 73720............ ............. A

Mri lwr extremity w/

2.14 25.39

NA

0.94 28.47

NA

XXX o&w/dye. 73720............ 26........... A

Mri lwr extremity w/

2.14 0.71 0.71

0.10

2.95 2.95

XXX o&w/dye. 73720............ TC........... A

Mri lwr extremity w/

0.00 24.68

NA

0.84 25.52

NA

XXX o&w/dye. 73721............ ............. A

Mri jnt of lwr extre w/ 1.34 11.56

NA

0.43 13.33

NA

XXX o dye. 73721............ 26........... A

Mri jnt of lwr extre w/ 1.34 0.45 0.45

0.05

1.84 1.84

XXX o dye. 73721............ TC........... A

Mri jnt of lwr extre w/ 0.00 11.11

NA

0.38 11.49

NA

XXX o dye. 73722............ ............. A

Mri joint of lwr extr

1.61 13.88

NA

0.54 16.03

NA

XXX w/dye. 73722............ 26........... A

Mri joint of lwr extr

1.61 0.55 0.55

0.07

2.23 2.23

XXX w/dye. 73722............ TC........... A

Mri joint of lwr extr

0.00 13.33

NA

0.47 13.80

NA

XXX w/dye.

[[Page 63342]]

73723............ ............. A

Mri joint lwr extr w/

2.14 25.39

NA

0.92 28.45

NA

XXX o&w/dye. 73723............ 26........... A

Mri joint lwr extr w/

2.14 0.71 0.71

0.08

2.93 2.93

XXX o&w/dye. 73723............ TC........... A

Mri joint lwr extr w/

0.00 24.68

NA

0.84 25.52

NA

XXX o&w/dye. 73725............ ............. R

Mr ang lwr ext w or w/ 1.81 11.72

NA

0.69 14.22

NA

XXX o dye. 73725............ 26........... R

Mr ang lwr ext w or w/ 1.81 0.61 0.61

0.10

2.52 2.52

XXX o dye. 73725............ TC........... R

Mr ang lwr ext w or w/ 0.00 11.11

NA

0.59 11.70

NA

XXX o dye. 74000............ ............. A

X-ray exam of abdomen. 0.18 0.58

NA

0.03

0.79

NA

XXX 74000............ 26........... A

X-ray exam of abdomen. 0.18 0.06 0.06

0.01

0.25 0.25

XXX 74000............ TC........... A

X-ray exam of abdomen. 0.00 0.52

NA

0.02

0.54

NA

XXX 74010............ ............. A

X-ray exam of abdomen. 0.23 0.65

NA

0.05

0.93

NA

XXX 74010............ 26........... A

X-ray exam of abdomen. 0.23 0.08 0.08

0.01

0.32 0.32

XXX 74010............ TC........... A

X-ray exam of abdomen. 0.00 0.57

NA

0.04

0.61

NA

XXX 74020............ ............. A

X-ray exam of abdomen. 0.27 0.71

NA

0.05

1.03

NA

XXX 74020............ 26........... A

X-ray exam of abdomen. 0.27 0.09 0.09

0.01

0.37 0.37

XXX 74020............ TC........... A

X-ray exam of abdomen. 0.00 0.62

NA

0.04

0.66

NA

XXX 74022............ ............. A

X-ray exam series,

0.32 0.83

NA

0.06

1.21

NA

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 0.72

NA

0.05

0.77

NA

XXX abdomen. 74150............ ............. A

Ct abdomen w/o dye.... 1.18 6.01

NA

0.36

7.55

NA

XXX 74150............ 26........... A

Ct abdomen w/o dye.... 1.18 0.40 0.40

0.06

1.64 1.64

XXX 74150............ TC........... A

Ct abdomen w/o dye.... 0.00 5.61

NA

0.30

5.91

NA

XXX 74160............ ............. A

Ct abdomen w/dye...... 1.26 7.21

NA

0.43

8.90

NA

XXX 74160............ 26........... A

Ct abdomen w/dye...... 1.26 0.42 0.42

0.07

1.75 1.75

XXX 74160............ TC........... A

Ct abdomen w/dye...... 0.00 6.79

NA

0.36

7.15

NA

XXX 74170............ ............. A

Ct abdomen w/o &w /dye 1.39 8.88

NA

0.50 10.77

NA

XXX 74170............ 26........... A

Ct abdomen w/o &w /dye 1.39 0.47 0.47

0.07

1.93 1.93

XXX 74170............ TC........... A

Ct abdomen w/o &w /dye 0.00 8.41

NA

0.43

8.84

NA

XXX 74175............ ............. A

Ct angio abdom w/o & w/ 1.89 12.57

NA

0.45 14.91

NA

XXX dye. 74175............ 26........... A

Ct angio abdom w/o & w/ 1.89 0.64 0.64

0.07

2.60 2.60

XXX dye. 74175............ TC........... A

Ct angio abdom w/o & w/ 0.00 11.93

NA

0.38 12.31

NA

XXX dye. 74181............ ............. A

Mri abdomen w/o dye... 1.45 11.60

NA

0.51 13.56

NA

XXX 74181............ 26........... A

Mri abdomen w/o dye... 1.45 0.49 0.49

0.07

2.01 2.01

XXX 74181............ TC........... A

Mri abdomen w/o dye... 0.00 11.11

NA

0.44 11.55

NA

XXX 74182............ ............. A

Mri abdomen w/dye..... 1.72 13.91

NA

0.59 16.22

NA

XXX 74182............ 26........... A

Mri abdomen w/dye..... 1.72 0.58 0.58

0.07

2.37 2.37

XXX 74182............ TC........... A

Mri abdomen w/dye..... 0.00 13.33

NA

0.52 13.85

NA

XXX 74183............ ............. A

Mri abdomen w/o & w/

2.25 25.43

NA

1.01 28.69

NA

XXX dye. 74183............ 26........... A

Mri abdomen w/o & w/

2.25 0.75 0.75

0.10

3.10 3.10

XXX dye. 74183............ TC........... A

Mri abdomen w/o & w/

0.00 24.68

NA

0.91 25.59

NA

XXX dye. 74185............ ............. R

Mri angio, abdom w orw/ 1.79 11.71

NA

0.69 14.19

NA

XXX o dye. 74185............ 26........... R

Mri angio, abdom w orw/ 1.79 0.60 0.60

0.10

2.49 2.49

XXX o dye. 74185............ TC........... R

Mri angio, abdom w orw/ 0.00 11.11

NA

0.59 11.70

NA

XXX o dye. 74190............ ............. A

X-ray exam of

0.48 1.45

NA

0.09

2.02

NA

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 1.29

NA

0.07

1.36

NA

XXX peritoneum. 74210............ ............. A

Contrst x-ray exam of

0.36 1.30

NA

0.08

1.74

NA

XXX throat. 74210............ 26........... A

Contrst x-ray exam of

0.36 0.12 0.12

0.02

0.50 0.50

XXX throat. 74210............ TC........... A

Contrst x-ray exam of

0.00 1.18

NA

0.06

1.24

NA

XXX throat. 74220............ ............. A

Contrast x-ray,

0.46 1.33

NA

0.08

1.87

NA

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 1.18

NA

0.06

1.24

NA

XXX esophagus. 74230............ ............. A

Cine/vid x-ray, throat/ 0.53 1.47

NA

0.09

2.09

NA

XXX esoph. 74230............ 26........... A

Cine/vid x-ray, throat/ 0.53 0.18 0.18

0.02

0.73 0.73

XXX esoph. 74230............ TC........... A

Cine/vid x-ray, throat/ 0.00 1.29

NA

0.07

1.36

NA

XXX esoph. 74235............ ............. A

Remove esophagus

1.18 3.00

NA

0.20

4.38

NA

XXX obstruction. 74235............ 26........... A

Remove esophagus

1.18 0.40 0.40

0.06

1.64 1.64

XXX obstruction. 74235............ TC........... A

Remove esophagus

0.00 2.60

NA

0.14

2.74

NA

XXX obstruction. 74240............ ............. A

X-ray exam, upper gi

0.69 1.68

NA

0.12

2.49

NA

XXX tract. 74240............ 26........... A

X-ray exam, upper gi

0.69 0.23 0.23

0.04

0.96 0.96

XXX tract. 74240............ TC........... A

X-ray exam, upper gi

0.00 1.45

NA

0.08

1.53

NA

XXX tract. 74241............ ............. A

X-ray exam, upper gi

0.69 1.71

NA

0.12

2.52

NA

XXX tract. 74241............ 26........... A

X-ray exam, upper gi

0.69 0.23 0.23

0.04

0.96 0.96

XXX tract. 74241............ TC........... A

X-ray exam, upper gi

0.00 1.48

NA

0.08

1.56

NA

XXX tract. 74245............ ............. A

X-ray exam, upper gi

0.90 2.66

NA

0.18

3.74

NA

XXX tract. 74245............ 26........... A

X-ray exam, upper gi

0.90 0.30 0.30

0.05

1.25 1.25

XXX tract. 74245............ TC........... A

X-ray exam, upper gi

0.00 2.36

NA

0.13

2.49

NA

XXX tract. 74246............ ............. A

Contrst x-ray uppr gi

0.69 1.86

NA

0.14

2.69

NA

XXX tract. 74246............ 26........... A

Contrst x-ray uppr gi

0.69 0.23 0.23

0.04

0.96 0.96

XXX tract. 74246............ TC........... A

Contrst x-ray uppr gi

0.00 1.63

NA

0.10

1.73

NA

XXX tract. 74247............ ............. A

Contrst x-ray uppr gi

0.69 1.90

NA

0.15

2.74

NA

XXX tract. 74247............ 26........... A

Contrst x-ray uppr gi

0.69 0.23 0.23

0.04

0.96 0.96

XXX tract. 74247............ TC........... A

Contrst x-ray uppr gi

0.00 1.67

NA

0.11

1.78

NA

XXX tract. 74249............ ............. A

Contrst x-ray uppr gi

0.90 2.85

NA

0.19

3.94

NA

XXX tract. 74249............ 26........... A

Contrst x-ray uppr gi

0.90 0.30 0.30

0.05

1.25 1.25

XXX tract. 74249............ TC........... A

Contrst x-ray uppr gi

0.00 2.55

NA

0.14

2.69

NA

XXX tract.

[[Page 63343]]

74250............ ............. A

X-ray exam of small

0.47 1.45

NA

0.09

2.01

NA

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 1.29

NA

0.07

1.36

NA

XXX bowel. 74251............ ............. A

X-ray exam of small

0.69 1.52

NA

0.11

2.32

NA

XXX bowel. 74251............ 26........... A

X-ray exam of small

0.69 0.23 0.23

0.04

0.96 0.96

XXX bowel. 74251............ TC........... A

X-ray exam of small

0.00 1.29

NA

0.07

1.36

NA

XXX bowel. 74260............ ............. A

X-ray exam of small

0.50 1.65

NA

0.10

2.25

NA

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 1.48

NA

0.08

1.56

NA

XXX bowel. 74270............ ............. A

Contrast x-ray exam of 0.69 1.92

NA

0.15

2.76

NA

XXX colon. 74270............ 26........... A

Contrast x-ray exam of 0.69 0.23 0.23

0.04

0.96 0.96

XXX colon. 74270............ TC........... A

Contrast x-ray exam of 0.00 1.69

NA

0.11

1.80

NA

XXX colon. 74280............ ............. A

Contrast x-ray exam of 0.98 2.54

NA

0.18

3.70

NA

XXX colon. 74280............ 26........... A

Contrast x-ray exam of 0.98 0.33 0.33

0.05

1.36 1.36

XXX colon. 74280............ TC........... A

Contrast x-ray exam of 0.00 2.21

NA

0.13

2.34

NA

XXX colon. 74283............ ............. A

Contrast x-ray exam of 2.01 3.20

NA

0.25

5.46

NA

XXX colon. 74283............ 26........... A

Contrast x-ray exam of 2.01 0.66 0.66

0.11

2.78 2.78

XXX colon. 74283............ TC........... A

Contrast x-ray exam of 0.00 2.54

NA

0.14

2.68

NA

XXX colon. 74290............ ............. A

Contrast x-ray,

0.32 0.83

NA

0.06

1.21

NA

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 0.72

NA

0.05

0.77

NA

XXX gallbladder. 74291............ ............. A

Contrast x-rays,

0.20 0.49

NA

0.03

0.72

NA

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

NA

0.02

0.44

NA

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 add- 0.00 0.00 0.00

0.00

0.00 0.00

ZZZ on. 74301............ 26........... A

X-rays at surgery add- 0.21 0.07 0.07

0.01

0.29 0.29

ZZZ on. 74301............ TC........... C

X-rays at surgery add- 0.00 0.00 0.00

0.00

0.00 0.00

ZZZ on. 74305............ ............. A

X-ray bile ducts/

0.42 0.91

NA

0.07

1.40

NA

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 0.77

NA

0.05

0.82

NA

XXX pancreas. 74320............ ............. A

Contrast x-ray of bile 0.54 3.31

NA

0.19

4.04

NA

XXX ducts. 74320............ 26........... A

Contrast x-ray of bile 0.54 0.18 0.18

0.02

0.74 0.74

XXX ducts. 74320............ TC........... A

Contrast x-ray of bile 0.00 3.13

NA

0.17

3.30

NA

XXX ducts. 74327............ ............. A

X-ray bile stone

0.70 1.98

NA

0.15

2.83

NA

XXX removal. 74327............ 26........... A

X-ray bile stone

0.70 0.23 0.23

0.04

0.97 0.97

XXX removal. 74327............ TC........... A

X-ray bile stone

0.00 1.75

NA

0.11

1.86

NA

XXX removal. 74328............ ............. A

X-ray bile duct

0.70 3.36

NA

0.21

4.27

NA

XXX endoscopy. 74328............ 26........... A

X-ray bile duct

0.70 0.23 0.23

0.04

0.97 0.97

XXX endoscopy. 74328............ TC........... A

X-ray bile duct

0.00 3.13

NA

0.17

3.30

NA

XXX endoscopy. 74329............ ............. A

X-ray for pancreas

0.70 3.36

NA

0.21

4.27

NA

XXX endoscopy. 74329............ 26........... A

X-ray for pancreas

0.70 0.23 0.23

0.04

0.97 0.97

XXX endoscopy. 74329............ TC........... A

X-ray for pancreas

0.00 3.13

NA

0.17

3.30

NA

XXX endoscopy. 74330............ ............. A

X-ray bile/panc

0.89 3.43

NA

0.22

4.54

NA

XXX endoscopy. 74330............ 26........... A

X-ray bile/panc

0.89 0.30 0.30

0.05

1.24 1.24

XXX endoscopy. 74330............ TC........... A

X-ray bile/panc

0.00 3.13

NA

0.17

3.30

NA

XXX endoscopy. 74340............ ............. A

X-ray guide for GI

0.54 2.78

NA

0.16

3.48

NA

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 2.60

NA

0.14

2.74

NA

XXX tube. 74350............ ............. A

X-ray guide, stomach

0.76 3.38

NA

0.21

4.35

NA

XXX tube. 74350............ 26........... A

X-ray guide, stomach

0.76 0.25 0.25

0.04

1.05 1.05

XXX tube. 74350............ TC........... A

X-ray guide, stomach

0.00 3.13

NA

0.17

3.30

NA

XXX tube. 74355............ ............. A

X-ray guide,

0.76 2.85

NA

0.18

3.79

NA

XXX intestinal tube. 74355............ 26........... A

X-ray guide,

0.76 0.25 0.25

0.04

1.05 1.05

XXX intestinal tube. 74355............ TC........... A

X-ray guide,

0.00 2.60

NA

0.14

2.74

NA

XXX intestinal tube. 74360............ ............. A

X-ray guide, GI

0.54 3.32

NA

0.19

4.05

NA

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 3.13

NA

0.17

3.30

NA

XXX dilation. 74363............ ............. A

X-ray, bile duct

0.87 6.34

NA

0.37

7.58

NA

XXX dilation. 74363............ 26........... A

X-ray, bile duct

0.87 0.29 0.29

0.05

1.21 1.21

XXX dilation. 74363............ TC........... A

X-ray, bile duct

0.00 6.05

NA

0.32

6.37

NA

XXX dilation. 74400............ ............. A

Contrst x-ray, urinary 0.49 1.83

NA

0.13

2.45

NA

XXX tract. 74400............ 26........... A

Contrst x-ray, urinary 0.49 0.16 0.16

0.02

0.67 0.67

XXX tract. 74400............ TC........... A

Contrst x-ray, urinary 0.00 1.67

NA

0.11

1.78

NA

XXX tract. 74410............ ............. A

Contrst x-ray, urinary 0.49 2.09

NA

0.13

2.71

NA

XXX tract. 74410............ 26........... A

Contrst x-ray, urinary 0.49 0.16 0.16

0.02

0.67 0.67

XXX tract. 74410............ TC........... A

Contrst x-ray, urinary 0.00 1.93

NA

0.11

2.04

NA

XXX tract. 74415............ ............. A

Contrst x-ray, urinary 0.49 2.26

NA

0.14

2.89

NA

XXX tract. 74415............ 26........... A

Contrst x-ray, urinary 0.49 0.16 0.16

0.02

0.67 0.67

XXX tract. 74415............ TC........... A

Contrst x-ray, urinary 0.00 2.10

NA

0.12

2.22

NA

XXX tract. 74420............ ............. A

Contrst x-ray, urinary 0.36 2.72

NA

0.16

3.24

NA

XXX tract. 74420............ 26........... A

Contrst x-ray, urinary 0.36 0.12 0.12

0.02

0.50 0.50

XXX tract. 74420............ TC........... A

Contrst x-ray, urinary 0.00 2.60

NA

0.14

2.74

NA

XXX tract.

[[Continued on page 63345]]

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

[[pp. 63345-63395]] Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004

[[Continued from page 63344]]

[[Page 63344]]

74425............ ............. A

Contrst x-ray, urinary 0.36 1.41

NA

0.09

1.86

NA

XXX tract. 74425............ 26........... A

Contrst x-ray, urinary 0.36 0.12 0.12

0.02

0.50 0.50

XXX tract. 74425............ TC........... A

Contrst x-ray, urinary 0.00 1.29

NA

0.07

1.36

NA

XXX tract. 74430............ ............. A

Contrast x-ray,

0.32 1.15

NA

0.08

1.55

NA

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 1.04

NA

0.06

1.10

NA

XXX bladder. 74440............ ............. A

X-ray, male genital

0.38 1.24

NA

0.08

1.70

NA

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 1.12

NA

0.06

1.18

NA

XXX tract. 74445............ ............. A

X-ray exam of penis... 1.13 1.50

NA

0.12

2.75

NA

XXX 74445............ 26........... A

X-ray exam of penis... 1.13 0.38 0.38

0.06

1.57 1.57

XXX 74445............ TC........... A

X-ray exam of penis... 0.00 1.12

NA

0.06

1.18

NA

XXX 74450............ ............. A

X-ray, urethra/bladder 0.33 1.56

NA

0.10

1.99

NA

XXX 74450............ 26........... A

X-ray, urethra/bladder 0.33 0.11 0.11

0.02

0.46 0.46

XXX 74450............ TC........... A

X-ray, urethra/bladder 0.00 1.45

NA

0.08

1.53

NA

XXX 74455............ ............. A

X-ray, urethra/bladder 0.33 1.67

NA

0.12

2.12

NA

XXX 74455............ 26........... A

X-ray, urethra/bladder 0.33 0.11 0.11

0.02

0.46 0.46

XXX 74455............ TC........... A

X-ray, urethra/bladder 0.00 1.56

NA

0.10

1.66

NA

XXX 74470............ ............. A

X-ray exam of kidney

0.54 1.42

NA

0.09

2.05

NA

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 1.24

NA

0.07

1.31

NA

XXX lesion. 74475............ ............. A

X-ray control, cath

0.54 4.22

NA

0.24

5.00

NA

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 4.04

NA

0.22

4.26

NA

XXX insert. 74480............ ............. A

X-ray control, cath

0.54 4.22

NA

0.24

5.00

NA

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 4.04

NA

0.22

4.26

NA

XXX insert. 74485............ ............. A

X-ray guide, GU

0.54 3.31

NA

0.21

4.06

NA

XXX dilation. 74485............ 26........... A

X-ray guide, GU

0.54 0.18 0.18

0.04

0.76 0.76

XXX dilation. 74485............ TC........... A

X-ray guide, GU

0.00 3.13

NA

0.17

3.30

NA

XXX dilation. 74710............ ............. A

X-ray measurement of

0.34 1.15

NA

0.08

1.57

NA

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 1.04

NA

0.06

1.10

NA

XXX pelvis. 74740............ ............. A

X-ray, female genital

0.38 1.42

NA

0.09

1.89

NA

XXX tract. 74740............ 26........... A

X-ray, female genital

0.38 0.13 0.13

0.02

0.53 0.53

XXX tract. 74740............ TC........... A

X-ray, female genital

0.00 1.29

NA

0.07

1.36

NA

XXX tract. 74742............ ............. A

X-ray, fallopian tube. 0.61 3.34

NA

0.19

4.14

NA

XXX 74742............ 26........... A

X-ray, fallopian tube. 0.61 0.21 0.21

0.02

0.84 0.84

XXX 74742............ TC........... A

X-ray, fallopian tube. 0.00 3.13

NA

0.17

3.30

NA

XXX 74775............ ............. A

X-ray exam of perineum 0.62 1.66

NA

0.12

2.40

NA

XXX 74775............ 26........... A

X-ray exam of perineum 0.62 0.21 0.21

0.04

0.87 0.87

XXX 74775............ TC........... A

X-ray exam of perineum 0.00 1.45

NA

0.08

1.53

NA

XXX 75552............ ............. A

Heart mri for morph w/ 1.59 11.65

NA

0.67 13.91

NA

XXX o dye. 75552............ 26........... A

Heart mri for morph w/ 1.59 0.54 0.54

0.08

2.21 2.21

XXX o dye. 75552............ TC........... A

Heart mri for morph w/ 0.00 11.11

NA

0.59 11.70

NA

XXX o dye. 75553............ ............. A

Heart mri for morph w/ 1.99 11.77

NA

0.70 14.46

NA

XXX dye. 75553............ 26........... A

Heart mri for morph w/ 1.99 0.66 0.66

0.11

2.76 2.76

XXX dye. 75553............ TC........... A

Heart mri for morph w/ 0.00 11.11

NA

0.59 11.70

NA

XXX dye. 75554............ ............. A

Cardiac MRI/function.. 1.82 11.76

NA

0.67 14.25

NA

XXX 75554............ 26........... A

Cardiac MRI/function.. 1.82 0.65 0.65

0.08

2.55 2.55

XXX 75554............ TC........... A

Cardiac MRI/function.. 0.00 11.11

NA

0.59 11.70

NA

XXX 75555............ ............. A

Cardiac MRI/limited

1.73 11.75

NA

0.67 14.15

NA

XXX study. 75555............ 26........... A

Cardiac MRI/limited

1.73 0.64 0.64

0.08

2.45 2.45

XXX study. 75555............ TC........... A

Cardiac MRI/limited

0.00 11.11

NA

0.59 11.70

NA

XXX study. 75556............ ............. N

Cardiac MRI/flow

0.00 0.00 0.00

0.00

0.00 0.00

XXX mapping. 75600............ ............. A

Contrast x-ray exam of 0.49 12.68

NA

0.67 13.84

NA

XXX aorta. 75600............ 26........... A

Contrast x-ray exam of 0.49 0.19 0.19

0.02

0.70 0.70

XXX aorta. 75600............ TC........... A

Contrast x-ray exam of 0.00 12.49

NA

0.65 13.14

NA

XXX aorta. 75605............ ............. A

Contrast x-ray exam of 1.13 12.90

NA

0.71 14.74

NA

XXX aorta. 75605............ 26........... A

Contrast x-ray exam of 1.13 0.41 0.41

0.06

1.60 1.60

XXX aorta. 75605............ TC........... A

Contrast x-ray exam of 0.00 12.49

NA

0.65 13.14

NA

XXX aorta. 75625............ ............. A

Contrast x-ray exam of 1.13 12.88

NA

0.71 14.72

NA

XXX aorta. 75625............ 26........... A

Contrast x-ray exam of 1.13 0.39 0.39

0.06

1.58 1.58

XXX aorta. 75625............ TC........... A

Contrast x-ray exam of 0.00 12.49

NA

0.65 13.14

NA

XXX aorta. 75630............ ............. A

X-ray aorta, leg

1.78 13.65

NA

0.78 16.21

NA

XXX arteries. 75630............ 26........... A

X-ray aorta, leg

1.78 0.63 0.63

0.10

2.51 2.51

XXX arteries. 75630............ TC........... A

X-ray aorta, leg

0.00 13.02

NA

0.68 13.70

NA

XXX arteries. 75635............ ............. A

Ct angio abdominal

2.39 16.58

NA

0.49 19.46

NA

XXX arteries. 75635............ 26........... A

Ct angio abdominal

2.39 0.80 0.80

0.11

3.30 3.30

XXX arteries. 75635............ TC........... A

Ct angio abdominal

0.00 15.78

NA

0.38 16.16

NA

XXX arteries. 75650............ ............. A

Artery x-rays, head &

1.48 12.99

NA

0.73 15.20

NA

XXX neck. 75650............ 26........... A

Artery x-rays, head &

1.48 0.50 0.50

0.08

2.06 2.06

XXX neck. 75650............ TC........... A

Artery x-rays, head &

0.00 12.49

NA

0.65 13.14

NA

XXX neck. 75658............ ............. A

Artery x-rays, arm.... 1.30 12.97

NA

0.72 14.99

NA

XXX 75658............ 26........... A

Artery x-rays, arm.... 1.30 0.48 0.48

0.07

1.85 1.85

XXX

[[Page 63345]]

75658............ TC........... A

Artery x-rays, arm.... 0.00 12.49

NA

0.65 13.14

NA

XXX 75660............ ............. A

Artery x-rays, head &

1.30 12.94

NA

0.72 14.96

NA

XXX neck. 75660............ 26........... A

Artery x-rays, head &

1.30 0.45 0.45

0.07

1.82 1.82

XXX neck. 75660............ TC........... A

Artery x-rays, head &

0.00 12.49

NA

0.65 13.14

NA

XXX neck. 75662............ ............. A

Artery x-rays, head &

1.65 13.09

NA

0.75 15.49

NA

XXX neck. 75662............ 26........... A

Artery x-rays, head &

1.65 0.60 0.60

0.10

2.35 2.35

XXX neck. 75662............ TC........... A

Artery x-rays, head &

0.00 12.49

NA

0.65 13.14

NA

XXX neck. 75665............ ............. A

Artery x-rays, head &

1.30 12.94

NA

0.73 14.97

NA

XXX neck. 75665............ 26........... A

Artery x-rays, head &

1.30 0.45 0.45

0.08

1.83 1.83

XXX neck. 75665............ TC........... A

Artery x-rays, head &

0.00 12.49

NA

0.65 13.14

NA

XXX neck. 75671............ ............. A

Artery x-rays, head &

1.65 13.05

NA

0.75 15.45

NA

XXX neck. 75671............ 26........... A

Artery x-rays, head &

1.65 0.56 0.56

0.10

2.31 2.31

XXX neck. 75671............ TC........... A

Artery x-rays, head &

0.00 12.49

NA

0.65 13.14

NA

XXX neck. 75676............ ............. A

Artery x-rays, neck... 1.30 12.94

NA

0.73 14.97

NA

XXX 75676............ 26........... A

Artery x-rays, neck... 1.30 0.45 0.45

0.08

1.83 1.83

XXX 75676............ TC........... A

Artery x-rays, neck... 0.00 12.49

NA

0.65 13.14

NA

XXX 75680............ ............. A

Artery x-rays, neck... 1.65 13.05

NA

0.75 15.45

NA

XXX 75680............ 26........... A

Artery x-rays, neck... 1.65 0.56 0.56

0.10

2.31 2.31

XXX 75680............ TC........... A

Artery x-rays, neck... 0.00 12.49

NA

0.65 13.14

NA

XXX 75685............ ............. A

Artery x-rays, spine.. 1.30 12.93

NA

0.72 14.95

NA

XXX 75685............ 26........... A

Artery x-rays, spine.. 1.30 0.44 0.44

0.07

1.81 1.81

XXX 75685............ TC........... A

Artery x-rays, spine.. 0.00 12.49

NA

0.65 13.14

NA

XXX 75705............ ............. A

Artery x-rays, spine.. 2.17 13.23

NA

0.78 16.18

NA

XXX 75705............ 26........... A

Artery x-rays, spine.. 2.17 0.74 0.74

0.13

3.04 3.04

XXX 75705............ TC........... A

Artery x-rays, spine.. 0.00 12.49

NA

0.65 13.14

NA

XXX 75710............ ............. A

Artery x-rays, arm/leg 1.13 12.88

NA

0.72 14.73

NA

XXX 75710............ 26........... A

Artery x-rays, arm/leg 1.13 0.39 0.39

0.07

1.59 1.59

XXX 75710............ TC........... A

Artery x-rays, arm/leg 0.00 12.49

NA

0.65 13.14

NA

XXX 75716............ ............. A

Artery x-rays, arms/

1.30 12.93

NA

0.72 14.95

NA

XXX legs. 75716............ 26........... A

Artery x-rays, arms/

1.30 0.44 0.44

0.07

1.81 1.81

XXX legs. 75716............ TC........... A

Artery x-rays, arms/

0.00 12.49

NA

0.65 13.14

NA

XXX legs. 75722............ ............. A

Artery x-rays, kidney. 1.13 12.90

NA

0.71 14.74

NA

XXX 75722............ 26........... A

Artery x-rays, kidney. 1.13 0.41 0.41

0.06

1.60 1.60

XXX 75722............ TC........... A

Artery x-rays, kidney. 0.00 12.49

NA

0.65 13.14

NA

XXX 75724............ ............. A

Artery x-rays, kidneys 1.48 13.06

NA

0.71 15.25

NA

XXX 75724............ 26........... A

Artery x-rays, kidneys 1.48 0.57 0.57

0.06

2.11 2.11

XXX 75724............ TC........... A

Artery x-rays, kidneys 0.00 12.49

NA

0.65 13.14

NA

XXX 75726............ ............. A

Artery x-rays, abdomen 1.13 12.87

NA

0.71 14.71

NA

XXX 75726............ 26........... A

Artery x-rays, abdomen 1.13 0.38 0.38

0.06

1.57 1.57

XXX 75726............ TC........... A

Artery x-rays, abdomen 0.00 12.49

NA

0.65 13.14

NA

XXX 75731............ ............. A

Artery x-rays, adrenal 1.13 12.87

NA

0.71 14.71

NA

XXX gland. 75731............ 26........... A

Artery x-rays, adrenal 1.13 0.38 0.38

0.06

1.57 1.57

XXX gland. 75731............ TC........... A

Artery x-rays, adrenal 0.00 12.49

NA

0.65 13.14

NA

XXX gland. 75733............ ............. A

Artery x-rays,

1.30 12.93

NA

0.72 14.95

NA

XXX adrenals. 75733............ 26........... A

Artery x-rays,

1.30 0.44 0.44

0.07

1.81 1.81

XXX adrenals. 75733............ TC........... A

Artery x-rays,

0.00 12.49

NA

0.65 13.14

NA

XXX adrenals. 75736............ ............. A

Artery x-rays, pelvis. 1.13 12.87

NA

0.71 14.71

NA

XXX 75736............ 26........... A

Artery x-rays, pelvis. 1.13 0.38 0.38

0.06

1.57 1.57

XXX 75736............ TC........... A

Artery x-rays, pelvis. 0.00 12.49

NA

0.65 13.14

NA

XXX 75741............ ............. A

Artery x-rays, lung... 1.30 12.93

NA

0.72 14.95

NA

XXX 75741............ 26........... A

Artery x-rays, lung... 1.30 0.44 0.44

0.07

1.81 1.81

XXX 75741............ TC........... A

Artery x-rays, lung... 0.00 12.49

NA

0.65 13.14

NA

XXX 75743............ ............. A

Artery x-rays, lungs.. 1.65 13.04

NA

0.73 15.42

NA

XXX 75743............ 26........... A

Artery x-rays, lungs.. 1.65 0.55 0.55

0.08

2.28 2.28

XXX 75743............ TC........... A

Artery x-rays, lungs.. 0.00 12.49

NA

0.65 13.14

NA

XXX 75746............ ............. A

Artery x-rays, lung... 1.13 12.87

NA

0.71 14.71

NA

XXX 75746............ 26........... A

Artery x-rays, lung... 1.13 0.38 0.38

0.06

1.57 1.57

XXX 75746............ TC........... A

Artery x-rays, lung... 0.00 12.49

NA

0.65 13.14

NA

XXX 75756............ ............. A

Artery x-rays, chest.. 1.13 12.95

NA

0.70 14.78

NA

XXX 75756............ 26........... A

Artery x-rays, chest.. 1.13 0.46 0.46

0.05

1.64 1.64

XXX 75756............ TC........... A

Artery x-rays, chest.. 0.00 12.49

NA

0.65 13.14

NA

XXX 75774............ ............. A

Artery x-ray, each

0.36 12.62

NA

0.67 13.65

NA

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 12.49

NA

0.65 13.14

NA

ZZZ vessel. 75790............ ............. A

Visualize A-V shunt... 1.83 1.95

NA

0.19

3.97

NA

XXX 75790............ 26........... A

Visualize A-V shunt... 1.83 0.61 0.61

0.11

2.55 2.55

XXX 75790............ TC........... A

Visualize A-V shunt... 0.00 1.34

NA

0.08

1.42

NA

XXX 75801............ ............. A

Lymph vessel x-ray,

0.81 5.64

NA

0.35

6.80

NA

XXX arm/leg. 75801............ 26........... A

Lymph vessel x-ray,

0.81 0.27 0.27

0.06

1.14 1.14

XXX arm/leg. 75801............ TC........... A

Lymph vessel x-ray,

0.00 5.37

NA

0.29

5.66

NA

XXX arm/leg. 75803............ ............. A

Lymph vessel x-

1.16 5.76

NA

0.35

7.27

NA

XXX ray,arms/legs. 75803............ 26........... A

Lymph vessel x-

1.16 0.39 0.39

0.06

1.61 1.61

XXX ray,arms/legs. 75803............ TC........... A

Lymph vessel x-

0.00 5.37

NA

0.29

5.66

NA

XXX ray,arms/legs. 75805............ ............. A

Lymph vessel x-ray,

0.81 6.32

NA

0.37

7.50

NA

XXX trunk. 75805............ 26........... A

Lymph vessel x-ray,

0.81 0.27 0.27

0.05

1.13 1.13

XXX trunk.

[[Page 63346]]

75805............ TC........... A

Lymph vessel x-ray,

0.00 6.05

NA

0.32

6.37

NA

XXX trunk. 75807............ ............. A

Lymph vessel x-ray,

1.16 6.44

NA

0.38

7.98

NA

XXX trunk. 75807............ 26........... A

Lymph vessel x-ray,

1.16 0.39 0.39

0.06

1.61 1.61

XXX trunk. 75807............ TC........... A

Lymph vessel x-ray,

0.00 6.05

NA

0.32

6.37

NA

XXX trunk. 75809............ ............. A

Nonvascular shunt, x-

0.47 0.93

NA

0.07

1.47

NA

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 0.77

NA

0.05

0.82

NA

XXX ray. 75810............ ............. A

Vein x-ray, spleen/

1.13 12.87

NA

0.72 14.72

NA

XXX liver. 75810............ 26........... A

Vein x-ray, spleen/

1.13 0.38 0.38

0.07

1.58 1.58

XXX liver. 75810............ TC........... A

Vein x-ray, spleen/

0.00 12.49

NA

0.65 13.14

NA

XXX liver. 75820............ ............. A

Vein x-ray, arm/leg... 0.70 1.17

NA

0.10

1.97

NA

XXX 75820............ 26........... A

Vein x-ray, arm/leg... 0.70 0.23 0.23

0.04

0.97 0.97

XXX 75820............ TC........... A

Vein x-ray, arm/leg... 0.00 0.94

NA

0.06

1.00

NA

XXX 75822............ ............. A

Vein x-ray, arms/legs. 1.05 1.82

NA

0.14

3.01

NA

XXX 75822............ 26........... A

Vein x-ray, arms/legs. 1.05 0.35 0.35

0.06

1.46 1.46

XXX 75822............ TC........... A

Vein x-ray, arms/legs. 0.00 1.47

NA

0.08

1.55

NA

XXX 75825............ ............. A

Vein x-ray, trunk..... 1.13 12.87

NA

0.72 14.72

NA

XXX 75825............ 26........... A

Vein x-ray, trunk..... 1.13 0.38 0.38

0.07

1.58 1.58

XXX 75825............ TC........... A

Vein x-ray, trunk..... 0.00 12.49

NA

0.65 13.14

NA

XXX 75827............ ............. A

Vein x-ray, chest..... 1.13 12.87

NA

0.71 14.71

NA

XXX 75827............ 26........... A

Vein x-ray, chest..... 1.13 0.38 0.38

0.06

1.57 1.57

XXX 75827............ TC........... A

Vein x-ray, chest..... 0.00 12.49

NA

0.65 13.14

NA

XXX 75831............ ............. A

Vein x-ray, kidney.... 1.13 12.87

NA

0.71 14.71

NA

XXX 75831............ 26........... A

Vein x-ray, kidney.... 1.13 0.38 0.38

0.06

1.57 1.57

XXX 75831............ TC........... A

Vein x-ray, kidney.... 0.00 12.49

NA

0.65 13.14

NA

XXX 75833............ ............. A

Vein x-ray, kidneys... 1.48 12.99

NA

0.73 15.20

NA

XXX 75833............ 26........... A

Vein x-ray, kidneys... 1.48 0.50 0.50

0.08

2.06 2.06

XXX 75833............ TC........... A

Vein x-ray, kidneys... 0.00 12.49

NA

0.65 13.14

NA

XXX 75840............ ............. A

Vein x-ray, adrenal

1.13 12.88

NA

0.73 14.74

NA

XXX gland. 75840............ 26........... A

Vein x-ray, adrenal

1.13 0.39 0.39

0.08

1.60 1.60

XXX gland. 75840............ TC........... A

Vein x-ray, adrenal

0.00 12.49

NA

0.65 13.14

NA

XXX gland. 75842............ ............. A

Vein x-ray, adrenal

1.48 12.98

NA

0.73 15.19

NA

XXX glands. 75842............ 26........... A

Vein x-ray, adrenal

1.48 0.49 0.49

0.08

2.05 2.05

XXX glands. 75842............ TC........... A

Vein x-ray, adrenal

0.00 12.49

NA

0.65 13.14

NA

XXX glands. 75860............ ............. A

Vein x-ray, neck...... 1.13 12.89

NA

0.72 14.74

NA

XXX 75860............ 26........... A

Vein x-ray, neck...... 1.13 0.40 0.40

0.07

1.60 1.60

XXX 75860............ TC........... A

Vein x-ray, neck...... 0.00 12.49

NA

0.65 13.14

NA

XXX 75870............ ............. A

Vein x-ray, skull..... 1.13 12.89

NA

0.72 14.74

NA

XXX 75870............ 26........... A

Vein x-ray, skull..... 1.13 0.40 0.40

0.07

1.60 1.60

XXX 75870............ TC........... A

Vein x-ray, skull..... 0.00 12.49

NA

0.65 13.14

NA

XXX 75872............ ............. A

Vein x-ray, skull..... 1.13 12.87

NA

0.71 14.71

NA

XXX 75872............ 26........... A

Vein x-ray, skull..... 1.13 0.38 0.38

0.06

1.57 1.57

XXX 75872............ TC........... A

Vein x-ray, skull..... 0.00 12.49

NA

0.65 13.14

NA

XXX 75880............ ............. A

Vein x-ray, eye socket 0.70 1.18

NA

0.10

1.98

NA

XXX 75880............ 26........... A

Vein x-ray, eye socket 0.70 0.24 0.24

0.04

0.98 0.98

XXX 75880............ TC........... A

Vein x-ray, eye socket 0.00 0.94

NA

0.06

1.00

NA

XXX 75885............ ............. A

Vein x-ray, liver..... 1.43 12.97

NA

0.72 15.12

NA

XXX 75885............ 26........... A

Vein x-ray, liver..... 1.43 0.48 0.48

0.07

1.98 1.98

XXX 75885............ TC........... A

Vein x-ray, liver..... 0.00 12.49

NA

0.65 13.14

NA

XXX 75887............ ............. A

Vein x-ray, liver..... 1.43 12.97

NA

0.72 15.12

NA

XXX 75887............ 26........... A

Vein x-ray, liver..... 1.43 0.48 0.48

0.07

1.98 1.98

XXX 75887............ TC........... A

Vein x-ray, liver..... 0.00 12.49

NA

0.65 13.14

NA

XXX 75889............ ............. A

Vein x-ray, liver..... 1.13 12.87

NA

0.71 14.71

NA

XXX 75889............ 26........... A

Vein x-ray, liver..... 1.13 0.38 0.38

0.06

1.57 1.57

XXX 75889............ TC........... A

Vein x-ray, liver..... 0.00 12.49

NA

0.65 13.14

NA

XXX 75891............ ............. A

Vein x-ray, liver..... 1.13 12.87

NA

0.71 14.71

NA

XXX 75891............ 26........... A

Vein x-ray, liver..... 1.13 0.38 0.38

0.06

1.57 1.57

XXX 75891............ TC........... A

Vein x-ray, liver..... 0.00 12.49

NA

0.65 13.14

NA

XXX 75893............ ............. A

Venous sampling by

0.54 12.67

NA

0.67 13.88

NA

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 12.49

NA

0.65 13.14

NA

XXX catheter. 75894............ ............. A

X-rays, transcath

1.30 24.36

NA

1.34 27.00

NA

XXX therapy. 75894............ 26........... A

X-rays, transcath

1.30 0.44 0.44

0.08

1.82 1.82

XXX therapy. 75894............ TC........... A

X-rays, transcath

0.00 23.92

NA

1.26 25.18

NA

XXX therapy. 75896............ ............. A

X-rays, transcath

1.30 21.27

NA

1.16 23.73

NA

XXX therapy. 75896............ 26........... A

X-rays, transcath

1.30 0.46 0.46

0.07

1.83 1.83

XXX therapy. 75896............ TC........... A

X-rays, transcath

0.00 20.81

NA

1.09 21.90

NA

XXX therapy. 75898............ ............. A

Follow-up angiography. 1.64 1.60

NA

0.14

3.38

NA

XXX 75898............ 26........... A

Follow-up angiography. 1.64 0.56 0.56

0.08

2.28 2.28

XXX 75898............ TC........... A

Follow-up angiography. 0.00 1.04

NA

0.06

1.10

NA

XXX 75900............ ............. A

Arterial catheter

0.49 20.95

NA

1.12 22.56

NA

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 20.79

NA

1.10 21.89

NA

XXX exchange. 75901............ ............. A

Remove cva device

0.49 1.45

NA

0.85

2.79

NA

XXX obstruct. 75901............ 26........... A

Remove cva device

0.49 0.16 0.16

0.02

0.67 0.67

XXX obstruct.

[[Page 63347]]

75901............ TC........... A

Remove cva device

0.00 1.29

NA

0.83

2.12

NA

XXX obstruct. 75902............ ............. A

Remove cva lumen

0.39 1.42

NA

0.85

2.66

NA

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 1.29

NA

0.83

2.12

NA

XXX obstruct. 75940............ ............. A

X-ray placement, vein

0.54 12.67

NA

0.69 13.90

NA

XXX filter. 75940............ 26........... A

X-ray placement, vein

0.54 0.18 0.18

0.04

0.76 0.76

XXX filter. 75940............ TC........... A

X-ray placement, vein

0.00 12.49

NA

0.65 13.14

NA

XXX filter. 75945............ ............. A

Intravascular us...... 0.40 4.66

NA

0.28

5.34

NA

XXX 75945............ 26........... A

Intravascular us...... 0.40 0.14 0.14

0.04

0.58 0.58

XXX 75945............ TC........... A

Intravascular us...... 0.00 4.52

NA

0.24

4.76

NA

XXX 75946............ ............. A

Intravascular us add-

0.40 2.41

NA

0.17

2.98

NA

ZZZ on. 75946............ 26........... A

Intravascular us add-

0.40 0.14 0.14

0.04

0.58 0.58

ZZZ on. 75946............ TC........... A

Intravascular us add-

0.00 2.27

NA

0.13

2.40

NA

ZZZ on. 75952............ ............. C

Endovasc repair abdom

0.00 0.00 0.00

0.00

0.00 0.00

XXX aorta. 75952............ 26........... A

Endovasc repair abdom

4.47 1.51 1.51

0.82

6.80 6.80

XXX aorta. 75952............ TC........... C

Endovasc repair abdom

0.00 0.00 0.00

0.00

0.00 0.00

XXX aorta. 75953............ ............. C

Abdom aneurysm endovas 0.00 0.00 0.00

0.00

0.00 0.00

XXX rpr. 75953............ 26........... A

Abdom aneurysm endovas 1.35 0.46 0.46

0.82

2.63 2.63

XXX rpr. 75953............ TC........... C

Abdom aneurysm endovas 0.00 0.00 0.00

0.00

0.00 0.00

XXX rpr. 75954............ ............. C

Iliac aneurysm endovas 0.00 0.00 0.00

0.00

0.00 0.00

XXX rpr. 75954............ 26........... A

Iliac aneurysm endovas 1.35 0.48 0.48

0.82

2.65 2.65

XXX rpr. 75954............ TC........... C

Iliac aneurysm endovas 0.00 0.00 0.00

0.00

0.00 0.00

XXX rpr. 75960............ ............. A

Transcatheter intro,

0.82 15.07

NA

0.82 16.71

NA

XXX stent. 75960............ 26........... A

Transcatheter intro,

0.82 0.29 0.29

0.05

1.16 1.16

XXX stent. 75960............ TC........... A

Transcatheter intro,

0.00 14.78

NA

0.77 15.55

NA

XXX stent. 75961............ ............. A

Retrieval, broken

4.23 11.82

NA

0.77 16.82

NA

XXX catheter. 75961............ 26........... A

Retrieval, broken

4.23 1.41 1.41

0.22

5.86 5.86

XXX catheter. 75961............ TC........... A

Retrieval, broken

0.00 10.41

NA

0.55 10.96

NA

XXX catheter. 75962............ ............. A

Repair arterial

0.54 15.80

NA

0.87 17.21

NA

XXX blockage. 75962............ 26........... A

Repair arterial

0.54 0.19 0.19

0.04

0.77 0.77

XXX blockage. 75962............ TC........... A

Repair arterial

0.00 15.61

NA

0.83 16.44

NA

XXX blockage. 75964............ ............. A

Repair artery

0.36 8.45

NA

0.45

9.26

NA

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 8.33

NA

0.43

8.76

NA

ZZZ blockage, each. 75966............ ............. A

Repair arterial

1.30 16.08

NA

0.90 18.28

NA

XXX blockage. 75966............ 26........... A

Repair arterial

1.30 0.47 0.47

0.07

1.84 1.84

XXX blockage. 75966............ TC........... A

Repair arterial

0.00 15.61

NA

0.83 16.44

NA

XXX blockage. 75968............ ............. A

Repair artery

0.36 8.46

NA

0.44

9.26

NA

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 8.33

NA

0.43

8.76

NA

ZZZ blockage, each. 75970............ ............. A

Vascular biopsy....... 0.83 11.73

NA

0.65 13.21

NA

XXX 75970............ 26........... A

Vascular biopsy....... 0.83 0.29 0.29

0.05

1.17 1.17

XXX 75970............ TC........... A

Vascular biopsy....... 0.00 11.44

NA

0.60 12.04

NA

XXX 75978............ ............. A

Repair venous blockage 0.54 15.79

NA

0.85 17.18

NA

XXX 75978............ 26........... A

Repair venous blockage 0.54 0.18 0.18

0.02

0.74 0.74

XXX 75978............ TC........... A

Repair venous blockage 0.00 15.61

NA

0.83 16.44

NA

XXX 75980............ ............. A

Contrast xray exam

1.43 5.85

NA

0.36

7.64

NA

XXX bile duct. 75980............ 26........... A

Contrast xray exam

1.43 0.48 0.48

0.07

1.98 1.98

XXX bile duct. 75980............ TC........... A

Contrast xray exam

0.00 5.37

NA

0.29

5.66

NA

XXX bile duct. 75982............ ............. A

Contrast xray exam

1.43 6.53

NA

0.39

8.35

NA

XXX bile duct. 75982............ 26........... A

Contrast xray exam

1.43 0.48 0.48

0.07

1.98 1.98

XXX bile duct. 75982............ TC........... A

Contrast xray exam

0.00 6.05

NA

0.32

6.37

NA

XXX bile duct. 75984............ ............. A

Xray control catheter

0.72 2.17

NA

0.15

3.04

NA

XXX change. 75984............ 26........... A

Xray control catheter

0.72 0.24 0.24

0.04

1.00 1.00

XXX change. 75984............ TC........... A

Xray control catheter

0.00 1.93

NA

0.11

2.04

NA

XXX change. 75989............ ............. A

Abscess drainage under 1.18 3.53

NA

0.23

4.94

NA

XXX x-ray. 75989............ 26........... A

Abscess drainage under 1.18 0.40 0.40

0.06

1.64 1.64

XXX x-ray. 75989............ TC........... A

Abscess drainage under 0.00 3.13

NA

0.17

3.30

NA

XXX x-ray. 75992............ ............. A

Atherectomy, x-ray

0.54 15.80

NA

0.85 17.19

NA

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 15.61

NA

0.83 16.44

NA

XXX exam. 75993............ ............. A

Atherectomy, x-ray

0.36 8.47

NA

0.44

9.27

NA

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 8.33

NA

0.43

8.76

NA

ZZZ exam. 75994............ ............. A

Atherectomy, x-ray

1.30 16.08

NA

0.90 18.28

NA

XXX exam. 75994............ 26........... A

Atherectomy, x-ray

1.30 0.47 0.47

0.07

1.84 1.84

XXX exam. 75994............ TC........... A

Atherectomy, x-ray

0.00 15.61

NA

0.83 16.44

NA

XXX exam. 75995............ ............. A

Atherectomy, x-ray

1.30 16.09

NA

0.90 18.29

NA

XXX exam. 75995............ 26........... A

Atherectomy, x-ray

1.30 0.48 0.48

0.07

1.85 1.85

XXX exam. 75995............ TC........... A

Atherectomy, x-ray

0.00 15.61

NA

0.83 16.44

NA

XXX exam. 75996............ ............. A

Atherectomy, x-ray

0.36 8.45

NA

0.44

9.25

NA

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 8.33

NA

0.43

8.76

NA

ZZZ exam. 75998............ ............. A

Fluoroguide for vein

0.38 1.42

NA

0.15

1.95

NA

ZZZ device. 75998............ 26........... A

Fluoroguide for vein

0.38 0.13 0.13

0.05

0.56 0.56

ZZZ device.

[[Page 63348]]

75998............ TC........... A

Fluoroguide for vein

0.00 1.29

NA

0.10

1.39

NA

ZZZ device. 76000............ ............. A

Fluoroscope

0.17 1.34

NA

0.08

1.59

NA

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 1.29

NA

0.07

1.36

NA

XXX examination. 76001............ ............. A

Fluoroscope exam,

0.67 2.82

NA

0.18

3.67

NA

XXX extensive. 76001............ 26........... A

Fluoroscope exam,

0.67 0.22 0.22

0.04

0.93 0.93

XXX extensive. 76001............ TC........... A

Fluoroscope exam,

0.00 2.60

NA

0.14

2.74

NA

XXX extensive. 76003............ ............. A

Needle localization by 0.54 1.46

NA

0.11

2.11

NA

XXX x-ray. 76003............ 26........... A

Needle localization by 0.54 0.17 0.17

0.04

0.75 0.75

XXX x-ray. 76003............ TC........... A

Needle localization by 0.00 1.29

NA

0.07

1.36

NA

XXX x-ray. 76005............ ............. A

Fluoroguide for spine

0.60 1.45

NA

0.11

2.16

NA

XXX inject. 76005............ 26........... A

Fluoroguide for spine

0.60 0.16 0.16

0.04

0.80 0.80

XXX inject. 76005............ TC........... A

Fluoroguide for spine

0.00 1.29

NA

0.07

1.36

NA

XXX inject. 76006............ ............. A

X-ray stress view..... 0.41 0.19 0.19

0.05

0.65 0.65

XXX 76010............ ............. A

X-ray, nose to rectum. 0.18 0.58

NA

0.03

0.79

NA

XXX 76010............ 26........... A

X-ray, nose to rectum. 0.18 0.06 0.06

0.01

0.25 0.25

XXX 76010............ TC........... A

X-ray, nose to rectum. 0.00 0.52

NA

0.02

0.54

NA

XXX 76012............ ............. C

Percut vertebroplasty

0.00 0.00 0.00

0.00

0.00 0.00

XXX fluor. 76012............ 26........... A

Percut vertebroplasty

1.30 0.48 0.48

0.28

2.06 2.06

XXX fluor. 76012............ TC........... C

Percut vertebroplasty

0.00 0.00 0.00

0.00

0.00 0.00

XXX fluor. 76013............ ............. C

Percut vertebroplasty, 0.00 0.00 0.00

0.00

0.00 0.00

XXX ct. 76013............ 26........... A

Percut vertebroplasty, 1.37 0.49 0.49

0.58

2.44 2.44

XXX ct. 76013............ TC........... C

Percut vertebroplasty, 0.00 0.00 0.00

0.00

0.00 0.00

XXX ct. 76020............ ............. A

X-rays for bone age... 0.19 0.58

NA

0.03

0.80

NA

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

NA

0.02

0.54

NA

XXX 76040............ ............. A

X-rays, bone

0.27 0.86

NA

0.09

1.22

NA

XXX evaluation. 76040............ 26........... A

X-rays, bone

0.27 0.09 0.09

0.04

0.40 0.40

XXX evaluation. 76040............ TC........... A

X-rays, bone

0.00 0.77

NA

0.05

0.82

NA

XXX evaluation. 76061............ ............. A

X-rays, bone survey... 0.45 1.14

NA

0.08

1.67

NA

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 0.99

NA

0.06

1.05

NA

XXX 76062............ ............. A

X-rays, bone survey... 0.54 1.61

NA

0.10

2.25

NA

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 1.43

NA

0.08

1.51

NA

XXX 76065............ ............. A

X-rays, bone

0.70 0.96

NA

0.06

1.72

NA

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 0.72

NA

0.05

0.77

NA

XXX evaluation. 76066............ ............. A

Joint survey, single

0.31 1.21

NA

0.08

1.60

NA

XXX view. 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 1.10

NA

0.06

1.16

NA

XXX view. 76070............ ............. A

Ct bone density, axial 0.25 3.01

NA

0.17

3.43

NA

XXX 76070............ 26........... A

Ct bone density, axial 0.25 0.08 0.08

0.01

0.34 0.34

XXX 76070............ TC........... A

Ct bone density, axial 0.00 2.93

NA

0.16

3.09

NA

XXX 76071............ ............. A

Ct bone density,

0.22 3.00

NA

0.06

3.28

NA

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 2.93

NA

0.05

2.98

NA

XXX peripheral. 76075............ ............. A

Dexa, axial skeleton

0.30 3.17

NA

0.18

3.65

NA

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 3.07

NA

0.17

3.24

NA

XXX study. 76076............ ............. A

Dexa, peripheral study 0.22 0.82

NA

0.06

1.10

NA

XXX 76076............ 26........... A

Dexa, peripheral study 0.22 0.08 0.08

0.01

0.31 0.31

XXX 76076............ TC........... A

Dexa, peripheral study 0.00 0.74

NA

0.05

0.79

NA

XXX 76078............ ............. A

Radiographic

0.20 0.81

NA

0.06

1.07

NA

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 0.74

NA

0.05

0.79

NA

XXX absorptiometry. 76080............ ............. A

X-ray exam of fistula. 0.54 1.22

NA

0.08

1.84

NA

XXX 76080............ 26........... A

X-ray exam of fistula. 0.54 0.18 0.18

0.02

0.74 0.74

XXX 76080............ TC........... A

X-ray exam of fistula. 0.00 1.04

NA

0.06

1.10

NA

XXX 76082............ ............. A

Computer mammogram add- 0.06 0.44

NA

0.02

0.52

NA

ZZZ on. 76082............ 26........... A

Computer mammogram add- 0.06 0.02 0.02

0.01

0.09 0.09

ZZZ on. 76082............ TC........... A

Computer mammogram add- 0.00 0.42

NA

0.01

0.43

NA

ZZZ on. 76083............ ............. A

Computer mammogram add- 0.06 0.44

NA

0.02

0.52

NA

ZZZ on. 76083............ 26........... A

Computer mammogram add- 0.06 0.02 0.02

0.01

0.09 0.09

ZZZ on. 76083............ TC........... A

Computer mammogram add- 0.00 0.42

NA

0.01

0.43

NA

ZZZ on. 76085............ ............. F

Computer mammogram add- +0.00 0.00 0.00

0.00

0.00 0.00

ZZZ on. 76085............ 26........... F

Computer mammogram add- +0.00 0.00 0.00

0.00

0.00 0.00

ZZZ on. 76085............ TC........... F

Computer mammogram add- +0.00 0.00 0.00

0.00

0.00 0.00

ZZZ on. 76086............ ............. A

X-ray of mammary duct. 0.36 2.72

NA

0.16

3.24

NA

XXX 76086............ 26........... A

X-ray of mammary duct. 0.36 0.12 0.12

0.02

0.50 0.50

XXX 76086............ TC........... A

X-ray of mammary duct. 0.00 2.60

NA

0.14

2.74

NA

XXX 76088............ ............. A

X-ray of mammary ducts 0.45 3.78

NA

0.21

4.44

NA

XXX 76088............ 26........... A

X-ray of mammary ducts 0.45 0.15 0.15

0.02

0.62 0.62

XXX 76088............ TC........... A

X-ray of mammary ducts 0.00 3.63

NA

0.19

3.82

NA

XXX 76090............ ............. A

Mammogram, one breast. 0.70 1.27

NA

0.10

2.07

NA

XXX

[[Page 63349]]

76090............ 26........... A

Mammogram, one breast. 0.70 0.23 0.23

0.04

0.97 0.97

XXX 76090............ TC........... A

Mammogram, one breast. 0.00 1.04

NA

0.06

1.10

NA

XXX 76091............ ............. A

Mammogram, both

0.87 1.58

NA

0.11

2.56

NA

XXX breasts. 76091............ 26........... A

Mammogram, both

0.87 0.29 0.29

0.04

1.20 1.20

XXX breasts. 76091............ TC........... A

Mammogram, both

0.00 1.29

NA

0.07

1.36

NA

XXX breasts. 76092............ ............. A

Mammogram, screening.. 0.70 1.45

NA

0.11

2.26

NA

XXX 76092............ 26........... A

Mammogram, screening.. 0.70 0.23 0.23

0.04

0.97 0.97

XXX 76092............ TC........... A

Mammogram, screening.. 0.00 1.22

NA

0.07

1.29

NA

XXX 76093............ ............. A

Magnetic image, breast 1.62 18.02

NA

0.99 20.63

NA

XXX 76093............ 26........... A

Magnetic image, breast 1.62 0.55 0.55

0.08

2.25 2.25

XXX 76093............ TC........... A

Magnetic image, breast 0.00 17.47

NA

0.91 18.38

NA

XXX 76094............ ............. A

Magnetic image, both

1.62 24.25

NA

1.31 27.18

NA

XXX breasts. 76094............ 26........... A

Magnetic image, both

1.62 0.54 0.54

0.08

2.24 2.24

XXX breasts. 76094............ TC........... A

Magnetic image, both

0.00 23.71

NA

1.23 24.94

NA

XXX breasts. 76095............ ............. A

Stereotactic breast

1.58 7.63

NA

0.48

9.69

NA

XXX biopsy. 76095............ 26........... A

Stereotactic breast

1.58 0.53 0.53

0.11

2.22 2.22

XXX biopsy. 76095............ TC........... A

Stereotactic breast

0.00 7.10

NA

0.37

7.47

NA

XXX biopsy. 76096............ ............. A

X-ray of needle wire,

0.56 1.48

NA

0.11

2.15

NA

XXX breast. 76096............ 26........... A

X-ray of needle wire,

0.56 0.19 0.19

0.04

0.79 0.79

XXX breast. 76096............ TC........... A

X-ray of needle wire,

0.00 1.29

NA

0.07

1.36

NA

XXX breast. 76098............ ............. A

X-ray exam, breast

0.16 0.47

NA

0.03

0.66

NA

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

NA

0.02

0.44

NA

XXX specimen. 76100............ ............. A

X-ray exam of body

0.58 1.43

NA

0.11

2.12

NA

XXX section. 76100............ 26........... A

X-ray exam of body

0.58 0.19 0.19

0.04

0.81 0.81

XXX section. 76100............ TC........... A

X-ray exam of body

0.00 1.24

NA

0.07

1.31

NA

XXX section. 76101............ ............. A

Complex body section x- 0.58 1.60

NA

0.12

2.30

NA

XXX ray. 76101............ 26........... A

Complex body section x- 0.58 0.19 0.19

0.04

0.81 0.81

XXX ray. 76101............ TC........... A

Complex body section x- 0.00 1.41

NA

0.08

1.49

NA

XXX ray. 76102............ ............. A

Complex body section x- 0.58 1.92

NA

0.15

2.65

NA

XXX rays. 76102............ 26........... A

Complex body section x- 0.58 0.20 0.20

0.04

0.82 0.82

XXX rays. 76102............ TC........... A

Complex body section x- 0.00 1.72

NA

0.11

1.83

NA

XXX rays. 76120............ ............. A

Cine/video x-rays..... 0.38 1.17

NA

0.08

1.63

NA

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 1.04

NA

0.06

1.10

NA

XXX 76125............ ............. A

Cine/video x-rays add- 0.27 0.86

NA

0.06

1.19

NA

ZZZ on. 76125............ 26........... A

Cine/video x-rays add- 0.27 0.09 0.09

0.01

0.37 0.37

ZZZ on. 76125............ TC........... A

Cine/video x-rays add- 0.00 0.77

NA

0.05

0.82

NA

ZZZ 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

NA

0.02

0.44

NA

XXX process. 76350............ ............. C

Special x-ray contrast 0.00 0.00 0.00

0.00

0.00 0.00

XXX study. 76355............ ............. A

Ct scan for

1.20 8.60

NA

0.49 10.29

NA

XXX localization. 76355............ 26........... A

Ct scan for

1.20 0.41 0.41

0.07

1.68 1.68

XXX localization. 76355............ TC........... A

Ct scan for

0.00 8.19

NA

0.42

8.61

NA

XXX localization. 76360............ ............. A

Ct scan for needle

1.15 8.58

NA

0.48 10.21

NA

XXX biopsy. 76360............ 26........... A

Ct scan for needle

1.15 0.39 0.39

0.06

1.60 1.60

XXX biopsy. 76360............ TC........... A

Ct scan for needle

0.00 8.19

NA

0.42

8.61

NA

XXX biopsy. 76362............ ............. A

Ct guide for tissue

3.98 9.51

NA

1.67 15.16

NA

XXX ablation. 76362............ 26........... A

Ct guide for tissue

3.98 1.32 1.32

0.22

5.52 5.52

XXX ablation. 76362............ TC........... A

Ct guide for tissue

0.00 8.19

NA

1.45

9.64

NA

XXX ablation. 76370............ ............. A

Ct scan for therapy

0.85 3.21

NA

0.21

4.27

NA

XXX guide. 76370............ 26........... A

Ct scan for therapy

0.85 0.28 0.28

0.05

1.18 1.18

XXX guide. 76370............ TC........... A

Ct scan for therapy

0.00 2.93

NA

0.16

3.09

NA

XXX guide. 76375............ ............. A

3d/holograph reconstr

0.16 3.56

NA

0.19

3.91

NA

XXX add-on. 76375............ 26........... A

3d/holograph reconstr

0.16 0.05 0.05

0.01

0.22 0.22

XXX add-on. 76375............ TC........... A

3d/holograph reconstr

0.00 3.51

NA

0.18

3.69

NA

XXX add-on. 76380............ ............. A

CAT scan follow-up

0.97 3.80

NA

0.23

5.00

NA

XXX study. 76380............ 26........... A

CAT scan follow-up

0.97 0.33 0.33

0.05

1.35 1.35

XXX study. 76380............ TC........... A

CAT scan follow-up

0.00 3.47

NA

0.18

3.65

NA

XXX study. 76390............ ............. N

Mr spectroscopy....... +1.39 11.55 11.55

0.66 13.60 13.60

XXX 76390............ 26........... N

Mr spectroscopy....... +1.39 0.48 0.48

0.07

1.94 1.94

XXX 76390............ TC........... N

Mr spectroscopy....... +0.00 11.07 11.07

0.59 11.66 11.66

XXX 76393............ ............. A

Mr guidance for needle 1.49 11.62

NA

0.63 13.74

NA

XXX place. 76393............ 26........... A

Mr guidance for needle 1.49 0.51 0.51

0.08

2.08 2.08

XXX place. 76393............ TC........... A

Mr guidance for needle 0.00 11.11

NA

0.55 11.66

NA

XXX place. 76394............ ............. A

Mri for tissue

4.23 12.52

NA

1.78 18.53

NA

XXX ablation. 76394............ 26........... A

Mri for tissue

4.23 1.41 1.41

0.23

5.87 5.87

XXX ablation. 76394............ TC........... A

Mri for tissue

0.00 11.11

NA

1.55 12.66

NA

XXX ablation. 76400............ ............. A

Magnetic image, bone

1.59 11.64

NA

0.67 13.90

NA

XXX marrow. 76400............ 26........... A

Magnetic image, bone

1.59 0.53 0.53

0.08

2.20 2.20

XXX marrow. 76400............ TC........... A

Magnetic image, bone

0.00 11.11

NA

0.59 11.70

NA

XXX marrow. 76490............ ............. D

Us for tissue ablation 0.00 0.00 0.00

0.00

0.00 0.00

XXX 76490............ 26........... D

Us for tissue ablation 0.00 0.00 0.00

0.00

0.00 0.00

XXX 76490............ TC........... D

Us for tissue ablation 0.00 0.00 0.00

0.00

0.00 0.00

XXX 76496............ ............. C

Fluoroscopic procedure 0.00 0.00 0.00

0.00

0.00 0.00

XXX

[[Page 63350]]

76496............ 26........... C

Fluoroscopic procedure 0.00 0.00 0.00

0.00

0.00 0.00

XXX 76496............ TC........... C

Fluoroscopic procedure 0.00 0.00 0.00

0.00

0.00 0.00

XXX 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 procedure 0.00 0.00 0.00

0.00

0.00 0.00

XXX 76499............ 26........... C

Radiographic procedure 0.00 0.00 0.00

0.00

0.00 0.00

XXX 76499............ TC........... C

Radiographic procedure 0.00 0.00 0.00

0.00

0.00 0.00

XXX 76506............ ............. A

Echo exam of head..... 0.63 1.66

NA

0.12

2.41

NA

XXX 76506............ 26........... A

Echo exam of head..... 0.63 0.25 0.25

0.04

0.92 0.92

XXX 76506............ TC........... A

Echo exam of head..... 0.00 1.41

NA

0.08

1.49

NA

XXX 76511............ ............. A

Echo exam of eye...... 0.93 1.10

NA

0.09

2.12

NA

XXX 76511............ 26........... A

Echo exam of eye...... 0.93 0.41 0.41

0.02

1.36 1.36

XXX 76511............ TC........... A

Echo exam of eye...... 0.00 0.69

NA

0.07

0.76

NA

XXX 76512............ ............. A

Echo exam of eye...... 0.66 1.03

NA

0.11

1.80

NA

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 0.73

NA

0.10

0.83

NA

XXX 76513............ ............. A

Echo exam of eye,

0.66 1.11

NA

0.11

1.88

NA

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 0.81

NA

0.10

0.91

NA

XXX water bath. 76514............ ............. A

Echo exam of eye,

0.17 0.14

NA

0.02

0.33

NA

XXX thickness. 76514............ 26........... A

Echo exam of eye,

0.17 0.08 0.08

0.01

0.26 0.26

XXX thickness. 76514............ TC........... A

Echo exam of eye,

0.00 0.06

NA

0.01

0.07

NA

XXX thickness. 76516............ ............. A

Echo exam of eye...... 0.54 0.74

NA

0.08

1.36

NA

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

NA

0.07

0.56

NA

XXX 76519............ ............. A

Echo exam of eye...... 0.54 0.83

NA

0.08

1.45

NA

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

NA

0.07

0.65

NA

XXX 76529............ ............. A

Echo exam of eye...... 0.57 0.78

NA

0.09

1.44

NA

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

NA

0.08

0.61

NA

XXX 76536............ ............. A

Us exam of head and

0.56 1.60

NA

0.10

2.26

NA

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 1.41

NA

0.08

1.49

NA

XXX neck. 76604............ ............. A

Us exam, chest, b-scan 0.55 1.47

NA

0.09

2.11

NA

XXX 76604............ 26........... A

Us exam, chest, b-scan 0.55 0.18 0.18

0.02

0.75 0.75

XXX 76604............ TC........... A

Us exam, chest, b-scan 0.00 1.29

NA

0.07

1.36

NA

XXX 76645............ ............. A

Us exam, breast(s).... 0.54 1.22

NA

0.10

1.86

NA

XXX 76645............ 26........... A

Us exam, breast(s).... 0.54 0.18 0.18

0.04

0.76 0.76

XXX 76645............ TC........... A

Us exam, breast(s).... 0.00 1.04

NA

0.06

1.10

NA

XXX 76700............ ............. A

Us exam, abdom,

0.81 2.22

NA

0.16

3.19

NA

XXX complete. 76700............ 26........... A

Us exam, abdom,

0.81 0.27 0.27

0.05

1.13 1.13

XXX complete. 76700............ TC........... A

Us exam, abdom,

0.00 1.95

NA

0.11

2.06

NA

XXX complete. 76705............ ............. A

Echo exam of abdomen.. 0.59 1.61

NA

0.12

2.32

NA

XXX 76705............ 26........... A

Echo exam of abdomen.. 0.59 0.20 0.20

0.04

0.83 0.83

XXX 76705............ TC........... A

Echo exam of abdomen.. 0.00 1.41

NA

0.08

1.49

NA

XXX 76770............ ............. A

Us exam abdo back

0.74 2.20

NA

0.15

3.09

NA

XXX wall, comp. 76770............ 26........... A

Us exam abdo back

0.74 0.25 0.25

0.04

1.03 1.03

XXX wall, comp. 76770............ TC........... A

Us exam abdo back

0.00 1.95

NA

0.11

2.06

NA

XXX wall, comp. 76775............ ............. A

Us exam abdo back

0.58 1.60

NA

0.12

2.30

NA

XXX wall, lim. 76775............ 26........... A

Us exam abdo back

0.58 0.19 0.19

0.04

0.81 0.81

XXX wall, lim. 76775............ TC........... A

Us exam abdo back

0.00 1.41

NA

0.08

1.49

NA

XXX wall, lim. 76778............ ............. A

Us exam kidney

0.74 2.20

NA

0.15

3.09

NA

XXX transplant. 76778............ 26........... A

Us exam kidney

0.74 0.25 0.25

0.04

1.03 1.03

XXX transplant. 76778............ TC........... A

Us exam kidney

0.00 1.95

NA

0.11

2.06

NA

XXX transplant. 76800............ ............. A

Us exam, spinal canal. 1.12 1.76

NA

0.13

3.01

NA

XXX 76800............ 26........... A

Us exam, spinal canal. 1.12 0.35 0.35

0.05

1.52 1.52

XXX 76800............ TC........... A

Us exam, spinal canal. 0.00 1.41

NA

0.08

1.49

NA

XXX 76801............ ............. A

Ob us /= 14 0.98 2.43

NA

0.17

3.58

NA

XXX wks, sngl fetus. 76805............ 26........... A

Ob us /= 14 0.98 0.35 0.35

0.05

1.38 1.38

XXX wks, sngl fetus. 76805............ TC........... A

Ob us /= 14 0.00 2.08

NA

0.12

2.20

NA

XXX wks, sngl fetus. 76810............ ............. A

Ob us /= 14 0.97 1.39

NA

0.30

2.66

NA

ZZZ wks, addl fetus. 76810............ 26........... A

Ob us /= 14 0.97 0.35 0.35

0.08

1.40 1.40

ZZZ wks, addl fetus. 76810............ TC........... A

Ob us /= 14 0.00 1.04

NA

0.22

1.26

NA

ZZZ wks, addl fetus. 76811............ ............. A

Ob us, detailed, sngl

1.89 4.16

NA

0.61

6.66

NA

XXX fetus.

[[Page 63351]]

76811............ 26........... A

Ob us, detailed, sngl

1.89 0.66 0.66

0.18

2.73 2.73

XXX fetus. 76811............ TC........... A

Ob us, detailed, sngl

0.00 3.50

NA

0.43

3.93

NA

XXX fetus. 76812............ ............. A

Ob us, detailed, addl

1.77 1.68

NA

0.55

4.00

NA

ZZZ fetus. 76812............ 26........... A

Ob us, detailed, addl

1.77 0.64 0.64

0.14

2.55 2.55

ZZZ fetus. 76812............ TC........... A

Ob us, detailed, addl

0.00 1.04

NA

0.41

1.45

NA

ZZZ fetus. 76815............ ............. A

Ob us, limited,

0.65 1.64

NA

0.10

2.39

NA

XXX fetus(s). 76815............ 26........... A

Ob us, limited,

0.65 0.23 0.23

0.02

0.90 0.90

XXX fetus(s). 76815............ TC........... A

Ob us, limited,

0.00 1.41

NA

0.08

1.49

NA

XXX fetus(s). 76816............ ............. A

Ob us, follow-up, per

0.85 1.42

NA

0.08

2.35

NA

XXX fetus. 76816............ 26........... A

Ob us, follow-up, per

0.85 0.32 0.32

0.02

1.19 1.19

XXX fetus. 76816............ TC........... A

Ob us, follow-up, per

0.00 1.10

NA

0.06

1.16

NA

XXX fetus. 76817............ ............. A

Transvaginal us,

0.75 1.79

NA

0.08

2.62

NA

XXX obstetric. 76817............ 26........... A

Transvaginal us,

0.75 0.28 0.28

0.02

1.05 1.05

XXX obstetric. 76817............ TC........... A

Transvaginal us,

0.00 1.51

NA

0.06

1.57

NA

XXX obstetric. 76818............ ............. A

Fetal biophys profile

1.04 2.00

NA

0.15

3.19

NA

XXX w/nst. 76818............ 26........... A

Fetal biophys profile

1.04 0.40 0.40

0.05

1.49 1.49

XXX w/nst. 76818............ TC........... A

Fetal biophys profile

0.00 1.60

NA

0.10

1.70

NA

XXX w/nst. 76819............ ............. A

Fetal biophys profil w/ 0.77 1.89

NA

0.12

2.78

NA

XXX o nst. 76819............ 26........... A

Fetal biophys profil w/ 0.77 0.29 0.29

0.02

1.08 1.08

XXX o nst. 76819............ TC........... A

Fetal biophys profil w/ 0.00 1.60

NA

0.10

1.70

NA

XXX o nst. 76825............ ............. A

Echo exam of fetal

1.66 2.57

NA

0.18

4.41

NA

XXX heart. 76825............ 26........... A

Echo exam of fetal

1.66 0.62 0.62

0.07

2.35 2.35

XXX heart. 76825............ TC........... A

Echo exam of fetal

0.00 1.95

NA

0.11

2.06

NA

XXX heart. 76826............ ............. A

Echo exam of fetal

0.83 1.00

NA

0.09

1.92

NA

XXX heart. 76826............ 26........... A

Echo exam of fetal

0.83 0.30 0.30

0.04

1.17 1.17

XXX heart. 76826............ TC........... A

Echo exam of fetal

0.00 0.70

NA

0.05

0.75

NA

XXX heart. 76827............ ............. A

Echo exam of fetal

0.58 1.93

NA

0.14

2.65

NA

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 1.71

NA

0.12

1.83

NA

XXX heart. 76828............ ............. A

Echo exam of fetal

0.56 1.32

NA

0.10

1.98

NA

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 1.10

NA

0.08

1.18

NA

XXX heart. 76830............ ............. A

Transvaginal us, non-

0.69 1.74

NA

0.14

2.57

NA

XXX ob. 76830............ 26........... A

Transvaginal us, non-

0.69 0.23 0.23

0.04

0.96 0.96

XXX ob. 76830............ TC........... A

Transvaginal us, non-

0.00 1.51

NA

0.10

1.61

NA

XXX ob. 76831............ ............. A

Echo exam, uterus..... 0.72 1.77

NA

0.12

2.61

NA

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 1.51

NA

0.10

1.61

NA

XXX 76856............ ............. A

Us exam, pelvic,

0.69 1.74

NA

0.14

2.57

NA

XXX complete. 76856............ 26........... A

Us exam, pelvic,

0.69 0.23 0.23

0.04

0.96 0.96

XXX complete. 76856............ TC........... A

Us exam, pelvic,

0.00 1.51

NA

0.10

1.61

NA

XXX complete. 76857............ ............. A

Us exam, pelvic,

0.38 1.71

NA

0.08

2.17

NA

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 1.58

NA

0.06

1.64

NA

XXX limited. 76870............ ............. A

Us exam, scrotum...... 0.64 1.72

NA

0.14

2.50

NA

XXX 76870............ 26........... A

Us exam, scrotum...... 0.64 0.21 0.21

0.04

0.89 0.89

XXX 76870............ TC........... A

Us exam, scrotum...... 0.00 1.51

NA

0.10

1.61

NA

XXX 76872............ ............. A

Us, transrectal....... 0.69 2.10

NA

0.15

2.94

NA

XXX 76872............ 26........... A

Us, transrectal....... 0.69 0.23 0.23

0.05

0.97 0.97

XXX 76872............ TC........... A

Us, transrectal....... 0.00 1.87

NA

0.10

1.97

NA

XXX 76873............ ............. A

Echograp trans r, pros 1.54 2.59

NA

0.26

4.39

NA

XXX study. 76873............ 26........... A

Echograp trans r, pros 1.54 0.51 0.51

0.10

2.15 2.15

XXX study. 76873............ TC........... A

Echograp trans r, pros 0.00 2.08

NA

0.16

2.24

NA

XXX study. 76880............ ............. A

Us exam, extremity.... 0.59 1.61

NA

0.12

2.32

NA

XXX 76880............ 26........... A

Us exam, extremity.... 0.59 0.20 0.20

0.04

0.83 0.83

XXX 76880............ TC........... A

Us exam, extremity.... 0.00 1.41

NA

0.08

1.49

NA

XXX 76885............ ............. A

Us exam infant hips,

0.74 1.76

NA

0.14

2.64

NA

XXX dynamic. 76885............ 26........... A

Us exam infant hips,

0.74 0.25 0.25

0.04

1.03 1.03

XXX dynamic. 76885............ TC........... A

Us exam infant hips,

0.00 1.51

NA

0.10

1.61

NA

XXX dynamic. 76886............ ............. A

Us exam infant hips,

0.62 1.62

NA

0.12

2.36

NA

XXX static. 76886............ 26........... A

Us exam infant hips,

0.62 0.21 0.21

0.04

0.87 0.87

XXX static. 76886............ TC........... A

Us exam infant hips,

0.00 1.41

NA

0.08

1.49

NA

XXX static. 76930............ ............. A

Echo guide,

0.67 1.77

NA

0.12

2.56

NA

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 1.51

NA

0.10

1.61

NA

XXX cardiocentesis. 76932............ ............. A

Echo guide for heart

0.67 1.77

NA

0.12

2.56

NA

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 1.51

NA

0.10

1.61

NA

XXX biopsy. 76936............ ............. A

Echo guide for artery

1.98 6.90

NA

0.47

9.35

NA

XXX repair. 76936............ 26........... A

Echo guide for artery

1.98 0.66 0.66

0.13

2.77 2.77

XXX repair. 76936............ TC........... A

Echo guide for artery

0.00 6.24

NA

0.34

6.58

NA

XXX repair. 76937............ ............. A

Us guide, vascular

0.30 0.48

NA

0.15

0.93

NA

ZZZ access. 76937............ 26........... A

Us guide, vascular

0.30 0.10 0.10

0.05

0.45 0.45

ZZZ access. 76937............ TC........... A

Us guide, vascular

0.00 0.38

NA

0.10

0.48

NA

ZZZ access. 76940............ ............. A

Us guide, tissue

1.99 2.16

NA

0.42

4.57

NA

XXX ablation.

[[Page 63352]]

76940............ 26........... A

Us guide, tissue

1.99 0.65 0.65

0.13

2.77 2.77

XXX ablation. 76940............ TC........... A

Us guide, tissue

0.00 1.51

NA

0.29

1.80

NA

XXX ablation. 76941............ ............. A

Echo guide for

1.33 2.00

NA

0.15

3.48

NA

XXX transfusion. 76941............ 26........... A

Echo guide for

1.33 0.48 0.48

0.07

1.88 1.88

XXX transfusion. 76941............ TC........... A

Echo guide for

0.00 1.52

NA

0.08

1.60

NA

XXX transfusion. 76942............ ............. A

Echo guide for biopsy. 0.67 2.77

NA

0.15

3.59

NA

XXX 76942............ 26........... A

Echo guide for biopsy. 0.67 0.22 0.22

0.05

0.94 0.94

XXX 76942............ TC........... A

Echo guide for biopsy. 0.00 2.55

NA

0.10

2.65

NA

XXX 76945............ ............. A

Echo guide, villus

0.67 1.75

NA

0.12

2.54

NA

XXX sampling. 76945............ 26........... A

Echo guide, villus

0.67 0.23 0.23

0.04

0.94 0.94

XXX sampling. 76945............ TC........... A

Echo guide, villus

0.00 1.52

NA

0.08

1.60

NA

XXX sampling. 76946............ ............. A

Echo guide for

0.38 1.65

NA

0.11

2.14

NA

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 1.51

NA

0.10

1.61

NA

XXX amniocentesis. 76948............ ............. A

Echo guide, ova

0.38 1.64

NA

0.12

2.14

NA

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 1.51

NA

0.10

1.61

NA

XXX aspiration. 76950............ ............. A

Echo guidance

0.58 1.48

NA

0.11

2.17

NA

XXX radiotherapy. 76950............ 26........... A

Echo guidance

0.58 0.19 0.19

0.04

0.81 0.81

XXX radiotherapy. 76950............ TC........... A

Echo guidance

0.00 1.29

NA

0.07

1.36

NA

XXX radiotherapy. 76965............ ............. A

Echo guidance

1.33 5.96

NA

0.37

7.66

NA

XXX radiotherapy. 76965............ 26........... A

Echo guidance

1.33 0.44 0.44

0.08

1.85 1.85

XXX radiotherapy. 76965............ TC........... A

Echo guidance

0.00 5.52

NA

0.29

5.81

NA

XXX radiotherapy. 76970............ ............. A

Ultrasound exam follow- 0.40 1.17

NA

0.08

1.65

NA

XXX up. 76970............ 26........... A

Ultrasound exam follow- 0.40 0.13 0.13

0.02

0.55 0.55

XXX up. 76970............ TC........... A

Ultrasound exam follow- 0.00 1.04

NA

0.06

1.10

NA

XXX up. 76975............ ............. A

GI endoscopic

0.81 1.79

NA

0.14

2.74

NA

XXX ultrasound. 76975............ 26........... A

GI endoscopic

0.81 0.28 0.28

0.04

1.13 1.13

XXX ultrasound. 76975............ TC........... A

GI endoscopic

0.00 1.51

NA

0.10

1.61

NA

XXX ultrasound. 76977............ ............. A

Us bone density

0.05 0.83

NA

0.06

0.94

NA

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 0.81

NA

0.05

0.86

NA

XXX measure. 76986............ ............. A

Ultrasound guide

1.19 3.01

NA

0.22

4.42

NA

XXX intraoper. 76986............ 26........... A

Ultrasound guide

1.19 0.41 0.41

0.08

1.68 1.68

XXX intraoper. 76986............ TC........... A

Ultrasound guide

0.00 2.60

NA

0.14

2.74

NA

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

1.38 0.52 0.52

0.07

1.97 1.97

XXX planning. 77262............ ............. A

Radiation therapy

2.10 0.76 0.76

0.11

2.97 2.97

XXX planning. 77263............ ............. A

Radiation therapy

3.12 1.12 1.12

0.16

4.40 4.40

XXX planning. 77280............ ............. A

Set radiation therapy

0.70 3.67

NA

0.22

4.59

NA

XXX field. 77280............ 26........... A

Set radiation therapy

0.70 0.23 0.23

0.04

0.97 0.97

XXX field. 77280............ TC........... A

Set radiation therapy

0.00 3.44

NA

0.18

3.62

NA

XXX field. 77285............ ............. A

Set radiation therapy

1.04 5.86

NA

0.35

7.25

NA

XXX field. 77285............ 26........... A

Set radiation therapy

1.04 0.34 0.34

0.05

1.43 1.43

XXX field. 77285............ TC........... A

Set radiation therapy

0.00 5.52

NA

0.30

5.82

NA

XXX field. 77290............ ............. A

Set radiation therapy

1.55 6.95

NA

0.42

8.92

NA

XXX field. 77290............ 26........... A

Set radiation therapy

1.55 0.50 0.50

0.07

2.12 2.12

XXX field. 77290............ TC........... A

Set radiation therapy

0.00 6.45

NA

0.35

6.80

NA

XXX field. 77295............ ............. A

Set radiation therapy

4.54 29.16

NA

1.69 35.39

NA

XXX field. 77295............ 26........... A

Set radiation therapy

4.54 1.46 1.46

0.22

6.22 6.22

XXX field. 77295............ TC........... A

Set radiation therapy

0.00 27.70

NA

1.47 29.17

NA

XXX 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 dose 0.62 1.53

NA

0.11

2.26

NA

XXX plan. 77300............ 26........... A

Radiation therapy dose 0.62 0.20 0.20

0.04

0.86 0.86

XXX plan. 77300............ TC........... A

Radiation therapy dose 0.00 1.33

NA

0.07

1.40

NA

XXX plan. 77301............ ............. A

Radiotherapy dose

7.95 30.26

NA

1.69 39.90

NA

XXX plan, imrt. 77301............ 26........... A

Radiotherapy dose

7.95 2.56 2.56

0.22 10.73 10.73

XXX plan, imrt. 77301............ TC........... A

Radiotherapy dose

0.00 27.70

NA

1.47 29.17

NA

XXX plan, imrt. 77305............ ............. A

Teletx isodose plan

0.70 2.07

NA

0.15

2.92

NA

XXX simple. 77305............ 26........... A

Teletx isodose plan

0.70 0.23 0.23

0.04

0.97 0.97

XXX simple. 77305............ TC........... A

Teletx isodose plan

0.00 1.84

NA

0.11

1.95

NA

XXX simple. 77310............ ............. A

Teletx isodose plan

1.04 2.65

NA

0.18

3.87

NA

XXX intermed. 77310............ 26........... A

Teletx isodose plan

1.04 0.34 0.34

0.05

1.43 1.43

XXX intermed. 77310............ TC........... A

Teletx isodose plan

0.00 2.31

NA

0.13

2.44

NA

XXX intermed. 77315............ ............. A

Teletx isodose plan

1.55 3.14

NA

0.21

4.90

NA

XXX complex. 77315............ 26........... A

Teletx isodose plan

1.55 0.50 0.50

0.07

2.12 2.12

XXX complex. 77315............ TC........... A

Teletx isodose plan

0.00 2.64

NA

0.14

2.78

NA

XXX complex. 77321............ ............. A

Special teletx port

0.94 4.32

NA

0.25

5.51

NA

XXX plan. 77321............ 26........... A

Special teletx port

0.94 0.31 0.31

0.05

1.30 1.30

XXX plan. 77321............ TC........... A

Special teletx port

0.00 4.01

NA

0.20

4.21

NA

XXX plan. 77326............ ............. A

Brachytx isodose calc

0.92 2.64

NA

0.18

3.74

NA

XXX simp.

[[Page 63353]]

77326............ 26........... A

Brachytx isodose calc

0.92 0.30 0.30

0.05

1.27 1.27

XXX simp. 77326............ TC........... A

Brachytx isodose calc

0.00 2.34

NA

0.13

2.47

NA

XXX simp. 77327............ ............. A

Brachytx isodose calc

1.38 3.89

NA

0.25

5.52

NA

XXX interm. 77327............ 26........... A

Brachytx isodose calc

1.38 0.45 0.45

0.07

1.90 1.90

XXX interm. 77327............ TC........... A

Brachytx isodose calc

0.00 3.44

NA

0.18

3.62

NA

XXX interm. 77328............ ............. A

Brachytx isodose plan

2.08 5.58

NA

0.36

8.02

NA

XXX compl. 77328............ 26........... A

Brachytx isodose plan

2.08 0.66 0.66

0.11

2.85 2.85

XXX compl. 77328............ TC........... A

Brachytx isodose plan

0.00 4.92

NA

0.25

5.17

NA

XXX compl. 77331............ ............. A

Special radiation

0.87 0.78

NA

0.07

1.72

NA

XXX dosimetry. 77331............ 26........... A

Special radiation

0.87 0.28 0.28

0.05

1.20 1.20

XXX dosimetry. 77331............ TC........... A

Special radiation

0.00 0.50

NA

0.02

0.52

NA

XXX dosimetry. 77332............ ............. A

Radiation treatment

0.54 1.50

NA

0.09

2.13

NA

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 1.33

NA

0.07

1.40

NA

XXX aid(s). 77333............ ............. A

Radiation treatment

0.84 2.15

NA

0.16

3.15

NA

XXX aid(s). 77333............ 26........... A

Radiation treatment

0.84 0.27 0.27

0.05

1.16 1.16

XXX aid(s). 77333............ TC........... A

Radiation treatment

0.00 1.88

NA

0.11

1.99

NA

XXX aid(s). 77334............ ............. A

Radiation treatment

1.23 3.62

NA

0.23

5.08

NA

XXX aid(s). 77334............ 26........... A

Radiation treatment

1.23 0.40 0.40

0.06

1.69 1.69

XXX aid(s). 77334............ TC........... A

Radiation treatment

0.00 3.22

NA

0.17

3.39

NA

XXX aid(s). 77336............ ............. A

Radiation physics

0.00 2.96

NA

0.16

3.12

NA

XXX consult. 77370............ ............. A

Radiation physics

0.00 3.46

NA

0.18

3.64

NA

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 1.76

NA

0.11

1.87

NA

XXX delivery. 77402............ ............. A

Radiation treatment

0.00 1.76

NA

0.11

1.87

NA

XXX delivery. 77403............ ............. A

Radiation treatment

0.00 1.76

NA

0.11

1.87

NA

XXX delivery. 77404............ ............. A

Radiation treatment

0.00 1.76

NA

0.11

1.87

NA

XXX delivery. 77406............ ............. A

Radiation treatment

0.00 1.76

NA

0.11

1.87

NA

XXX delivery. 77407............ ............. A

Radiation treatment

0.00 2.07

NA

0.12

2.19

NA

XXX delivery. 77408............ ............. A

Radiation treatment

0.00 2.07

NA

0.12

2.19

NA

XXX delivery. 77409............ ............. A

Radiation treatment

0.00 2.07

NA

0.12

2.19

NA

XXX delivery. 77411............ ............. A

Radiation treatment

0.00 2.07

NA

0.12

2.19

NA

XXX delivery. 77412............ ............. A

Radiation treatment

0.00 2.31

NA

0.13

2.44

NA

XXX delivery. 77413............ ............. A

Radiation treatment

0.00 2.31

NA

0.13

2.44

NA

XXX delivery. 77414............ ............. A

Radiation treatment

0.00 2.31

NA

0.13

2.44

NA

XXX delivery. 77416............ ............. A

Radiation treatment

0.00 2.31

NA

0.13

2.44

NA

XXX delivery. 77417............ ............. A

Radiology port film(s) 0.00 0.59

NA

0.04

0.63

NA

XXX 77418............ ............. A

Radiation tx delivery, 0.00 17.83

NA

0.13 17.96

NA

XXX imrt. 77427............ ............. A

Radiation tx

3.29 1.06 1.06

0.17

4.52 4.52

XXX management, x5. 77431............ ............. A

Radiation therapy

1.80 0.68 0.68

0.08

2.56 2.56

XXX management. 77432............ ............. A

Stereotactic radiation 7.88 2.93 2.93

0.40 11.21 11.21

XXX trmt. 77470............ ............. A

Special radiation

2.08 11.71

NA

0.70 14.49

NA

XXX treatment. 77470............ 26........... A

Special radiation

2.08 0.66 0.66

0.11

2.85 2.85

XXX treatment. 77470............ TC........... A

Special radiation

0.00 11.05

NA

0.59 11.64

NA

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 w/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX o comp. 77522............ ............. C

Proton trmt, simple w/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX 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 treatment 1.55 3.52

NA

0.26

5.33

NA

XXX 77600............ 26........... R

Hyperthermia treatment 1.55 0.50 0.50

0.10

2.15 2.15

XXX 77600............ TC........... R

Hyperthermia treatment 0.00 3.02

NA

0.16

3.18

NA

XXX 77605............ ............. R

Hyperthermia treatment 2.08 4.69

NA

0.38

7.15

NA

XXX 77605............ 26........... R

Hyperthermia treatment 2.08 0.66 0.66

0.16

2.90 2.90

XXX 77605............ TC........... R

Hyperthermia treatment 0.00 4.03

NA

0.22

4.25

NA

XXX 77610............ ............. R

Hyperthermia treatment 1.55 3.53

NA

0.24

5.32

NA

XXX 77610............ 26........... R

Hyperthermia treatment 1.55 0.51 0.51

0.08

2.14 2.14

XXX 77610............ TC........... R

Hyperthermia treatment 0.00 3.02

NA

0.16

3.18

NA

XXX 77615............ ............. R

Hyperthermia treatment 2.08 4.69

NA

0.33

7.10

NA

XXX 77615............ 26........... R

Hyperthermia treatment 2.08 0.66 0.66

0.11

2.85 2.85

XXX 77615............ TC........... R

Hyperthermia treatment 0.00 4.03

NA

0.22

4.25

NA

XXX 77620............ ............. R

Hyperthermia treatment 1.55 3.54

NA

0.23

5.32

NA

XXX 77620............ 26........... R

Hyperthermia treatment 1.55 0.52 0.52

0.07

2.14 2.14

XXX 77620............ TC........... R

Hyperthermia treatment 0.00 3.02

NA

0.16

3.18

NA

XXX 77750............ ............. A

Infuse radioactive

4.88 2.91

NA

0.27

8.06

NA

090 materials. 77750............ 26........... A

Infuse radioactive

4.88 1.59 1.59

0.20

6.67 6.67

090 materials. 77750............ TC........... A

Infuse radioactive

0.00 1.32

NA

0.07

1.39

NA

090 materials. 77761............ ............. A

Apply intrcav radiat

3.79 3.58

NA

0.33

7.70

NA

090 simple. 77761............ 26........... A

Apply intrcav radiat

3.79 1.10 1.10

0.19

5.08 5.08

090 simple. 77761............ TC........... A

Apply intrcav radiat

0.00 2.48

NA

0.14

2.62

NA

090 simple. 77762............ ............. A

Apply intrcav radiat

5.69 5.42

NA

0.45 11.56

NA

090 interm.

[[Page 63354]]

77762............ 26........... A

Apply intrcav radiat

5.69 1.85 1.85

0.26

7.80 7.80

090 interm. 77762............ TC........... A

Apply intrcav radiat

0.00 3.57

NA

0.19

3.76

NA

090 interm. 77763............ ............. A

Apply intrcav radiat

8.52 7.20

NA

0.64 16.36

NA

090 compl. 77763............ 26........... A

Apply intrcav radiat

8.52 2.75 2.75

0.41 11.68 11.68

090 compl. 77763............ TC........... A

Apply intrcav radiat

0.00 4.45

NA

0.23

4.68

NA

090 compl. 77776............ ............. A

Apply interstit radiat 4.63 3.12

NA

0.42

8.17

NA

090 simpl. 77776............ 26........... A

Apply interstit radiat 4.63 0.97 0.97

0.29

5.89 5.89

090 simpl. 77776............ TC........... A

Apply interstit radiat 0.00 2.15

NA

0.13

2.28

NA

090 simpl. 77777............ ............. A

Apply interstit radiat 7.44 6.57

NA

0.60 14.61

NA

090 inter. 77777............ 26........... A

Apply interstit radiat 7.44 2.37 2.37

0.38 10.19 10.19

090 inter. 77777............ TC........... A

Apply interstit radiat 0.00 4.20

NA

0.22

4.42

NA

090 inter. 77778............ ............. A

Apply interstit radiat 11.13 8.66

NA

0.82 20.61

NA

090 compl. 77778............ 26........... A

Apply interstit radiat 11.13 3.57 3.57

0.56 15.26 15.26

090 compl. 77778............ TC........... A

Apply interstit radiat 0.00 5.09

NA

0.26

5.35

NA

090 compl. 77781............ ............. A

High intensity

1.65 20.67

NA

1.13 23.45

NA

090 brachytherapy. 77781............ 26........... A

High intensity

1.65 0.54 0.54

0.08

2.27 2.27

090 brachytherapy. 77781............ TC........... A

High intensity

0.00 20.13

NA

1.05 21.18

NA

090 brachytherapy. 77782............ ............. A

High intensity

2.48 20.93

NA

1.17 24.58

NA

090 brachytherapy. 77782............ 26........... A

High intensity

2.48 0.80 0.80

0.12

3.40 3.40

090 brachytherapy. 77782............ TC........... A

High intensity

0.00 20.13

NA

1.05 21.18

NA

090 brachytherapy. 77783............ ............. A

High intensity

3.71 21.32

NA

1.23 26.26

NA

090 brachytherapy. 77783............ 26........... A

High intensity

3.71 1.19 1.19

0.18

5.08 5.08

090 brachytherapy. 77783............ TC........... A

High intensity

0.00 20.13

NA

1.05 21.18

NA

090 brachytherapy. 77784............ ............. A

High intensity

5.58 21.93

NA

1.31 28.82

NA

090 brachytherapy. 77784............ 26........... A

High intensity

5.58 1.80 1.80

0.26

7.64 7.64

090 brachytherapy. 77784............ TC........... A

High intensity

0.00 20.13

NA

1.05 21.18

NA

090 brachytherapy. 77789............ ............. A

Apply surface

1.11 0.82

NA

0.06

1.99

NA

000 radiation. 77789............ 26........... A

Apply surface

1.11 0.37 0.37

0.04

1.52 1.52

000 radiation. 77789............ TC........... A

Apply surface

0.00 0.45

NA

0.02

0.47

NA

000 radiation. 77790............ ............. A

Radiation handling.... 1.04 0.84

NA

0.07

1.95

NA

XXX 77790............ 26........... A

Radiation handling.... 1.04 0.34 0.34

0.05

1.43 1.43

XXX 77790............ TC........... A

Radiation handling.... 0.00 0.50

NA

0.02

0.52

NA

XXX 77799............ ............. C

Radium/radioisotope

0.00 0.00 0.00

0.00

0.00 0.00

XXX therapy. 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 uptake 0.19 1.03

NA

0.07

1.29

NA

XXX 78000............ 26........... A

Thyroid, single uptake 0.19 0.07 0.07

0.01

0.27 0.27

XXX 78000............ TC........... A

Thyroid, single uptake 0.00 0.96

NA

0.06

1.02

NA

XXX 78001............ ............. A

Thyroid, multiple

0.26 1.38

NA

0.08

1.72

NA

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 1.29

NA

0.07

1.36

NA

XXX uptakes. 78003............ ............. A

Thyroid suppress/

0.33 1.07

NA

0.07

1.47

NA

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 0.96

NA

0.06

1.02

NA

XXX stimul. 78006............ ............. A

Thyroid imaging with

0.49 2.53

NA

0.15

3.17

NA

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 2.36

NA

0.13

2.49

NA

XXX uptake. 78007............ ............. A

Thyroid image, mult

0.50 2.72

NA

0.16

3.38

NA

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 2.55

NA

0.14

2.69

NA

XXX uptakes. 78010............ ............. A

Thyroid imaging....... 0.39 1.94

NA

0.13

2.46

NA

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 1.81

NA

0.11

1.92

NA

XXX 78011............ ............. A

Thyroid imaging with

0.45 2.55

NA

0.15

3.15

NA

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 2.39

NA

0.13

2.52

NA

XXX flow. 78015............ ............. A

Thyroid met imaging... 0.67 2.78

NA

0.18

3.63

NA

XXX 78015............ 26........... A

Thyroid met imaging... 0.67 0.23 0.23

0.04

0.94 0.94

XXX 78015............ TC........... A

Thyroid met imaging... 0.00 2.55

NA

0.14

2.69

NA

XXX 78016............ ............. A

Thyroid met imaging/

0.82 3.74

NA

0.22

4.78

NA

XXX studies. 78016............ 26........... A

Thyroid met imaging/

0.82 0.29 0.29

0.04

1.15 1.15

XXX studies. 78016............ TC........... A

Thyroid met imaging/

0.00 3.45

NA

0.18

3.63

NA

XXX studies. 78018............ ............. A

Thyroid met imaging,

0.86 5.68

NA

0.33

6.87

NA

XXX body. 78018............ 26........... A

Thyroid met imaging,

0.86 0.30 0.30

0.04

1.20 1.20

XXX body. 78018............ TC........... A

Thyroid met imaging,

0.00 5.38

NA

0.29

5.67

NA

XXX body. 78020............ ............. A

Thyroid met uptake.... 0.60 1.50

NA

0.16

2.26

NA

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 1.29

NA

0.14

1.43

NA

ZZZ 78070............ ............. A

Parathyroid nuclear

0.82 2.09

NA

0.15

3.06

NA

XXX imaging. 78070............ 26........... A

Parathyroid nuclear

0.82 0.28 0.28

0.04

1.14 1.14

XXX imaging. 78070............ TC........... A

Parathyroid nuclear

0.00 1.81

NA

0.11

1.92

NA

XXX imaging. 78075............ ............. A

Adrenal nuclear

0.74 5.65

NA

0.33

6.72

NA

XXX imaging. 78075............ 26........... A

Adrenal nuclear

0.74 0.27 0.27

0.04

1.05 1.05

XXX imaging. 78075............ TC........... A

Adrenal nuclear

0.00 5.38

NA

0.29

5.67

NA

XXX imaging. 78099............ ............. C

Endocrine nuclear

0.00 0.00 0.00

0.00

0.00 0.00

XXX procedure.

[[Page 63355]]

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 2.22

NA

0.14

2.91

NA

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 2.02

NA

0.12

2.14

NA

XXX ltd. 78103............ ............. A

Bone marrow imaging,

0.75 3.41

NA

0.21

4.37

NA

XXX mult. 78103............ 26........... A

Bone marrow imaging,

0.75 0.26 0.26

0.04

1.05 1.05

XXX mult. 78103............ TC........... A

Bone marrow imaging,

0.00 3.15

NA

0.17

3.32

NA

XXX mult. 78104............ ............. A

Bone marrow imaging,

0.80 4.32

NA

0.26

5.38

NA

XXX body. 78104............ 26........... A

Bone marrow imaging,

0.80 0.28 0.28

0.04

1.12 1.12

XXX body. 78104............ TC........... A

Bone marrow imaging,

0.00 4.04

NA

0.22

4.26

NA

XXX body. 78110............ ............. A

Plasma volume, single. 0.19 1.01

NA

0.07

1.27

NA

XXX 78110............ 26........... A

Plasma volume, single. 0.19 0.07 0.07

0.01

0.27 0.27

XXX 78110............ TC........... A

Plasma volume, single. 0.00 0.94

NA

0.06

1.00

NA

XXX 78111............ ............. A

Plasma volume,

0.22 2.63

NA

0.15

3.00

NA

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 2.55

NA

0.14

2.69

NA

XXX multiple. 78120............ ............. A

Red cell mass, single. 0.23 1.80

NA

0.12

2.15

NA

XXX 78120............ 26........... A

Red cell mass, single. 0.23 0.08 0.08

0.01

0.32 0.32

XXX 78120............ TC........... A

Red cell mass, single. 0.00 1.72

NA

0.11

1.83

NA

XXX 78121............ ............. A

Red cell mass,

0.32 3.00

NA

0.15

3.47

NA

XXX multiple. 78121............ 26........... A

Red cell mass,

0.32 0.11 0.11

0.01

0.44 0.44

XXX multiple. 78121............ TC........... A

Red cell mass,

0.00 2.89

NA

0.14

3.03

NA

XXX multiple. 78122............ ............. A

Blood volume.......... 0.45 4.72

NA

0.26

5.43

NA

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 4.56

NA

0.24

4.80

NA

XXX 78130............ ............. A

Red cell survival

0.61 3.04

NA

0.18

3.83

NA

XXX study. 78130............ 26........... A

Red cell survival

0.61 0.21 0.21

0.04

0.86 0.86

XXX study. 78130............ TC........... A

Red cell survival

0.00 2.83

NA

0.14

2.97

NA

XXX study. 78135............ ............. A

Red cell survival

0.64 5.05

NA

0.29

5.98

NA

XXX kinetics. 78135............ 26........... A

Red cell survival

0.64 0.22 0.22

0.04

0.90 0.90

XXX kinetics. 78135............ TC........... A

Red cell survival

0.00 4.83

NA

0.25

5.08

NA

XXX kinetics. 78140............ ............. A

Red cell sequestration 0.61 4.10

NA

0.24

4.95

NA

XXX 78140............ 26........... A

Red cell sequestration 0.61 0.20 0.20

0.04

0.85 0.85

XXX 78140............ TC........... A

Red cell sequestration 0.00 3.90

NA

0.20

4.10

NA

XXX 78160............ ............. A

Plasma iron turnover.. 0.33 3.75

NA

0.23

4.31

NA

XXX 78160............ 26........... A

Plasma iron turnover.. 0.33 0.12 0.12

0.04

0.49 0.49

XXX 78160............ TC........... A

Plasma iron turnover.. 0.00 3.63

NA

0.19

3.82

NA

XXX 78162............ ............. A

Radioiron absorption

0.45 3.37

NA

0.18

4.00

NA

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 3.18

NA

0.17

3.35

NA

XXX exam. 78170............ ............. A

Red cell iron

0.41 5.40

NA

0.33

6.14

NA

XXX utilization. 78170............ 26........... A

Red cell iron

0.41 0.14 0.14

0.05

0.60 0.60

XXX utilization. 78170............ TC........... A

Red cell iron

0.00 5.26

NA

0.28

5.54

NA

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 2.48

NA

0.15

3.03

NA

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 2.34

NA

0.13

2.47

NA

XXX 78190............ ............. A

Platelet survival,

1.08 6.06

NA

0.37

7.51

NA

XXX kinetics. 78190............ 26........... A

Platelet survival,

1.08 0.39 0.39

0.07

1.54 1.54

XXX kinetics. 78190............ TC........... A

Platelet survival,

0.00 5.67

NA

0.30

5.97

NA

XXX kinetics. 78191............ ............. A

Platelet survival..... 0.61 7.48

NA

0.41

8.50

NA

XXX 78191............ 26........... A

Platelet survival..... 0.61 0.21 0.21

0.04

0.86 0.86

XXX 78191............ TC........... A

Platelet survival..... 0.00 7.27

NA

0.37

7.64

NA

XXX 78195............ ............. A

Lymph system imaging.. 1.19 4.46

NA

0.28

5.93

NA

XXX 78195............ 26........... A

Lymph system imaging.. 1.19 0.42 0.42

0.06

1.67 1.67

XXX 78195............ TC........... A

Lymph system imaging.. 0.00 4.04

NA

0.22

4.26

NA

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 2.49

NA

0.15

3.08

NA

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 2.34

NA

0.13

2.47

NA

XXX 78202............ ............. A

Liver imaging with

0.51 3.04

NA

0.16

3.71

NA

XXX flow. 78202............ 26........... A

Liver imaging with

0.51 0.18 0.18

0.02

0.71 0.71

XXX flow. 78202............ TC........... A

Liver imaging with

0.00 2.86

NA

0.14

3.00

NA

XXX flow. 78205............ ............. A

Liver imaging (3D).... 0.71 6.10

NA

0.35

7.16

NA

XXX 78205............ 26........... A

Liver imaging (3D).... 0.71 0.25 0.25

0.04

1.00 1.00

XXX 78205............ TC........... A

Liver imaging (3D).... 0.00 5.85

NA

0.31

6.16

NA

XXX 78206............ ............. A

Liver image (3d) with

0.95 6.19

NA

0.16

7.30

NA

XXX flow. 78206............ 26........... A

Liver image (3d) with

0.95 0.34 0.34

0.05

1.34 1.34

XXX flow. 78206............ TC........... A

Liver image (3d) with

0.00 5.85

NA

0.11

5.96

NA

XXX flow. 78215............ ............. A

Liver and spleen

0.49 3.09

NA

0.16

3.74

NA

XXX imaging.

[[Page 63356]]

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 2.92

NA

0.14

3.06

NA

XXX imaging. 78216............ ............. A

Liver & spleen image/

0.57 3.65

NA

0.20

4.42

NA

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 3.45

NA

0.18

3.63

NA

XXX flow. 78220............ ............. A

Liver function study.. 0.49 3.86

NA

0.21

4.56

NA

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 3.69

NA

0.19

3.88

NA

XXX 78223............ ............. A

Hepatobiliary imaging. 0.84 3.91

NA

0.24

4.99

NA

XXX 78223............ 26........... A

Hepatobiliary imaging. 0.84 0.28 0.28

0.05

1.17 1.17

XXX 78223............ TC........... A

Hepatobiliary imaging. 0.00 3.63

NA

0.19

3.82

NA

XXX 78230............ ............. A

Salivary gland imaging 0.45 2.30

NA

0.15

2.90

NA

XXX 78230............ 26........... A

Salivary gland imaging 0.45 0.15 0.15

0.02

0.62 0.62

XXX 78230............ TC........... A

Salivary gland imaging 0.00 2.15

NA

0.13

2.28

NA

XXX 78231............ ............. A

Serial salivary

0.52 3.34

NA

0.19

4.05

NA

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 3.15

NA

0.17

3.32

NA

XXX imaging. 78232............ ............. A

Salivary gland

0.47 3.68

NA

0.19

4.34

NA

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 3.51

NA

0.18

3.69

NA

XXX function exam. 78258............ ............. A

Esophageal motility

0.74 3.11

NA

0.18

4.03

NA

XXX study. 78258............ 26........... A

Esophageal motility

0.74 0.25 0.25

0.04

1.03 1.03

XXX study. 78258............ TC........... A

Esophageal motility

0.00 2.86

NA

0.14

3.00

NA

XXX study. 78261............ ............. A

Gastric mucosa imaging 0.69 4.32

NA

0.26

5.27

NA

XXX 78261............ 26........... A

Gastric mucosa imaging 0.69 0.25 0.25

0.04

0.98 0.98

XXX 78261............ TC........... A

Gastric mucosa imaging 0.00 4.07

NA

0.22

4.29

NA

XXX 78262............ ............. A

Gastroesophageal

0.68 4.46

NA

0.26

5.40

NA

XXX reflux exam. 78262............ 26........... A

Gastroesophageal

0.68 0.24 0.24

0.04

0.96 0.96

XXX reflux exam. 78262............ TC........... A

Gastroesophageal

0.00 4.22

NA

0.22

4.44

NA

XXX reflux exam. 78264............ ............. A

Gastric emptying study 0.78 4.37

NA

0.26

5.41

NA

XXX 78264............ 26........... A

Gastric emptying study 0.78 0.27 0.27

0.04

1.09 1.09

XXX 78264............ TC........... A

Gastric emptying study 0.00 4.10

NA

0.22

4.32

NA

XXX 78267............ ............. X

Breath tst attain/anal 0.00 0.00 0.00

0.00

0.00 0.00

XXX c-14. 78268............ ............. X

Breath test analysis,

0.00 0.00 0.00

0.00

0.00 0.00

XXX c-14. 78270............ ............. A

Vit B-12 absorption

0.20 1.61

NA

0.11

1.92

NA

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 1.54

NA

0.10

1.64

NA

XXX exam. 78271............ ............. A

Vit b-12 absrp exam,

0.20 1.70

NA

0.11

2.01

NA

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 1.63

NA

0.10

1.73

NA

XXX int fac. 78272............ ............. A

Vit B-12 absorp,

0.27 2.40

NA

0.14

2.81

NA

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 2.30

NA

0.13

2.43

NA

XXX combined. 78278............ ............. A

Acute GI blood loss

0.98 5.17

NA

0.30

6.45

NA

XXX imaging. 78278............ 26........... A

Acute GI blood loss

0.98 0.34 0.34

0.05

1.37 1.37

XXX imaging. 78278............ TC........... A

Acute GI blood loss

0.00 4.83

NA

0.25

5.08

NA

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 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 3.25

NA

0.20

4.13

NA

XXX 78290............ 26........... A

Meckel's divert exam.. 0.68 0.23 0.23

0.04

0.95 0.95

XXX 78290............ TC........... A

Meckel's divert exam.. 0.00 3.02

NA

0.16

3.18

NA

XXX 78291............ ............. A

Leveen/shunt patency

0.87 3.35

NA

0.21

4.43

NA

XXX exam. 78291............ 26........... A

Leveen/shunt patency

0.87 0.31 0.31

0.05

1.23 1.23

XXX exam. 78291............ TC........... A

Leveen/shunt patency

0.00 3.04

NA

0.16

3.20

NA

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, limited

0.62 2.67

NA

0.18

3.47

NA

XXX area. 78300............ 26........... A

Bone imaging, limited

0.62 0.21 0.21

0.04

0.87 0.87

XXX area. 78300............ TC........... A

Bone imaging, limited

0.00 2.46

NA

0.14

2.60

NA

XXX area. 78305............ ............. A

Bone imaging, multiple 0.83 3.91

NA

0.23

4.97

NA

XXX areas. 78305............ 26........... A

Bone imaging, multiple 0.83 0.28 0.28

0.04

1.15 1.15

XXX areas. 78305............ TC........... A

Bone imaging, multiple 0.00 3.63

NA

0.19

3.82

NA

XXX areas. 78306............ ............. A

Bone imaging, whole

0.86 4.53

NA

0.27

5.66

NA

XXX body. 78306............ 26........... A

Bone imaging, whole

0.86 0.29 0.29

0.05

1.20 1.20

XXX body. 78306............ TC........... A

Bone imaging, whole

0.00 4.24

NA

0.22

4.46

NA

XXX body. 78315............ ............. A

Bone imaging, 3 phase. 1.01 5.08

NA

0.30

6.39

NA

XXX 78315............ 26........... A

Bone imaging, 3 phase. 1.01 0.35 0.35

0.05

1.41 1.41

XXX 78315............ TC........... A

Bone imaging, 3 phase. 0.00 4.73

NA

0.25

4.98

NA

XXX 78320............ ............. A

Bone imaging (3D)..... 1.03 6.22

NA

0.36

7.61

NA

XXX 78320............ 26........... A

Bone imaging (3D)..... 1.03 0.37 0.37

0.05

1.45 1.45

XXX 78320............ TC........... A

Bone imaging (3D)..... 0.00 5.85

NA

0.31

6.16

NA

XXX 78350............ ............. A

Bone mineral, single

0.22 0.81

NA

0.06

1.09

NA

XXX photon. 78350............ 26........... A

Bone mineral, single

0.22 0.07 0.07

0.01

0.30 0.30

XXX photon.

[[Page 63357]]

78350............ TC........... A

Bone mineral, single

0.00 0.74

NA

0.05

0.79

NA

XXX photon. 78351............ ............. N

Bone mineral, dual

+0.30 1.73 0.12

0.01

2.04 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 imaging. 0.78 2.53

NA

0.17

3.48

NA

XXX 78428............ 26........... A

Cardiac shunt imaging. 0.78 0.30 0.30

0.04

1.12 1.12

XXX 78428............ TC........... A

Cardiac shunt imaging. 0.00 2.23

NA

0.13

2.36

NA

XXX 78445............ ............. A

Vascular flow imaging. 0.49 2.01

NA

0.13

2.63

NA

XXX 78445............ 26........... A

Vascular flow imaging. 0.49 0.17 0.17

0.02

0.68 0.68

XXX 78445............ TC........... A

Vascular flow imaging. 0.00 1.84

NA

0.11

1.95

NA

XXX 78455............ ............. A

Venous thrombosis

0.73 4.20

NA

0.24

5.17

NA

XXX study. 78455............ 26........... A

Venous thrombosis

0.73 0.25 0.25

0.04

1.02 1.02

XXX study. 78455............ TC........... A

Venous thrombosis

0.00 3.95

NA

0.20

4.15

NA

XXX study. 78456............ ............. A

Acute venous thrombus

0.99 4.30

NA

0.34

5.63

NA

XXX image. 78456............ 26........... A

Acute venous thrombus

0.99 0.35 0.35

0.05

1.39 1.39

XXX image. 78456............ TC........... A

Acute venous thrombus

0.00 3.95

NA

0.29

4.24

NA

XXX image. 78457............ ............. A

Venous thrombosis

0.77 2.91

NA

0.18

3.86

NA

XXX imaging. 78457............ 26........... A

Venous thrombosis

0.77 0.27 0.27

0.04

1.08 1.08

XXX imaging. 78457............ TC........... A

Venous thrombosis

0.00 2.64

NA

0.14

2.78

NA

XXX imaging. 78458............ ............. A

Ven thrombosis images, 0.89 4.32

NA

0.24

5.45

NA

XXX bilat. 78458............ 26........... A

Ven thrombosis images, 0.89 0.33 0.33

0.04

1.26 1.26

XXX bilat. 78458............ TC........... A

Ven thrombosis images, 0.00 3.99

NA

0.20

4.19

NA

XXX 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

1.49 0.59 0.59

0.05

2.13 2.13

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 2.64

NA

0.17

3.67

NA

XXX single. 78460............ 26........... A

Heart muscle blood,

0.86 0.30 0.30

0.04

1.20 1.20

XXX single. 78460............ TC........... A

Heart muscle blood,

0.00 2.34

NA

0.13

2.47

NA

XXX single. 78461............ ............. A

Heart muscle blood,

1.22 5.11

NA

0.31

6.64

NA

XXX multiple. 78461............ 26........... A

Heart muscle blood,

1.22 0.44 0.44

0.06

1.72 1.72

XXX multiple. 78461............ TC........... A

Heart muscle blood,

0.00 4.67

NA

0.25

4.92

NA

XXX multiple. 78464............ ............. A

Heart image (3d),

1.08 7.40

NA

0.42

8.90

NA

XXX single. 78464............ 26........... A

Heart image (3d),

1.08 0.39 0.39

0.05

1.52 1.52

XXX single. 78464............ TC........... A

Heart image (3d),

0.00 7.01

NA

0.37

7.38

NA

XXX single. 78465............ ............. A

Heart image (3d),

1.45 12.23

NA

0.67 14.35

NA

XXX multiple. 78465............ 26........... A

Heart image (3d),

1.45 0.53 0.53

0.06

2.04 2.04

XXX multiple. 78465............ TC........... A

Heart image (3d),

0.00 11.70

NA

0.61 12.31

NA

XXX multiple. 78466............ ............. A

Heart infarct image... 0.69 2.85

NA

0.18

3.72

NA

XXX 78466............ 26........... A

Heart infarct image... 0.69 0.25 0.25

0.04

0.98 0.98

XXX 78466............ TC........... A

Heart infarct image... 0.00 2.60

NA

0.14

2.74

NA

XXX 78468............ ............. A

Heart infarct image

0.80 3.91

NA

0.23

4.94

NA

XXX (ef). 78468............ 26........... A

Heart infarct image

0.80 0.28 0.28

0.04

1.12 1.12

XXX (ef). 78468............ TC........... A

Heart infarct image

0.00 3.63

NA

0.19

3.82

NA

XXX (ef). 78469............ ............. A

Heart infarct image

0.91 5.50

NA

0.32

6.73

NA

XXX (3D). 78469............ 26........... A

Heart infarct image

0.91 0.32 0.32

0.04

1.27 1.27

XXX (3D). 78469............ TC........... A

Heart infarct image

0.00 5.18

NA

0.28

5.46

NA

XXX (3D). 78472............ ............. A

Gated heart, planar,

0.97 5.82

NA

0.35

7.14

NA

XXX single. 78472............ 26........... A

Gated heart, planar,

0.97 0.35 0.35

0.05

1.37 1.37

XXX single. 78472............ TC........... A

Gated heart, planar,

0.00 5.47

NA

0.30

5.77

NA

XXX single. 78473............ ............. A

Gated heart, multiple. 1.46 8.71

NA

0.48 10.65

NA

XXX 78473............ 26........... A

Gated heart, multiple. 1.46 0.52 0.52

0.06

2.04 2.04

XXX 78473............ TC........... A

Gated heart, multiple. 0.00 8.19

NA

0.42

8.61

NA

XXX 78478............ ............. A

Heart wall motion add- 0.62 1.78

NA

0.12

2.52

NA

XXX on. 78478............ 26........... A

Heart wall motion add- 0.62 0.23 0.23

0.02

0.87 0.87

XXX on. 78478............ TC........... A

Heart wall motion add- 0.00 1.55

NA

0.10

1.65

NA

XXX on. 78480............ ............. A

Heart function add-on. 0.62 1.78

NA

0.12

2.52

NA

XXX 78480............ 26........... A

Heart function add-on. 0.62 0.23 0.23

0.02

0.87 0.87

XXX 78480............ TC........... A

Heart function add-on. 0.00 1.55

NA

0.10

1.65

NA

XXX 78481............ ............. A

Heart first pass,

0.97 5.55

NA

0.32

6.84

NA

XXX single. 78481............ 26........... A

Heart first pass,

0.97 0.37 0.37

0.04

1.38 1.38

XXX single. 78481............ TC........... A

Heart first pass,

0.00 5.18

NA

0.28

5.46

NA

XXX single. 78483............ ............. A

Heart first pass,

1.46 8.35

NA

0.47 10.28

NA

XXX multiple. 78483............ 26........... A

Heart first pass,

1.46 0.55 0.55

0.06

2.07 2.07

XXX multiple. 78483............ TC........... A

Heart first pass,

0.00 7.80

NA

0.41

8.21

NA

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),

+1.49 0.60 0.60

0.06

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),

+1.86 0.74 0.74

0.07

2.67 2.67

XXX multiple. 78492............ TC........... I

Heart image (pet),

0.00 0.00 0.00

0.00

0.00 0.00

XXX multiple. 78494............ ............. A

Heart image, spect.... 1.18 7.43

NA

0.35

8.96

NA

XXX

[[Page 63358]]

78494............ 26........... A

Heart image, spect.... 1.18 0.42 0.42

0.05

1.65 1.65

XXX 78494............ TC........... A

Heart image, spect.... 0.00 7.01

NA

0.30

7.31

NA

XXX 78496............ ............. A

Heart first pass add-

0.50 7.20

NA

0.32

8.02

NA

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 7.01

NA

0.30

7.31

NA

ZZZ on. 78499............ ............. C

Cardiovascular nuclear 0.00 0.00 0.00

0.00

0.00 0.00

XXX exam. 78499............ 26........... C

Cardiovascular nuclear 0.00 0.00 0.00

0.00

0.00 0.00

XXX exam. 78499............ TC........... C

Cardiovascular nuclear 0.00 0.00 0.00

0.00

0.00 0.00

XXX exam. 78580............ ............. A

Lung perfusion imaging 0.74 3.65

NA

0.22

4.61

NA

XXX 78580............ 26........... A

Lung perfusion imaging 0.74 0.25 0.25

0.04

1.03 1.03

XXX 78580............ TC........... A

Lung perfusion imaging 0.00 3.40

NA

0.18

3.58

NA

XXX 78584............ ............. A

Lung V/Q image single

0.98 3.51

NA

0.22

4.71

NA

XXX breath. 78584............ 26........... A

Lung V/Q image single

0.98 0.33 0.33

0.05

1.36 1.36

XXX breath. 78584............ TC........... A

Lung V/Q image single

0.00 3.18

NA

0.17

3.35

NA

XXX breath. 78585............ ............. A

Lung V/Q imaging...... 1.08 5.96

NA

0.36

7.40

NA

XXX 78585............ 26........... A

Lung V/Q imaging...... 1.08 0.37 0.37

0.06

1.51 1.51

XXX 78585............ TC........... A

Lung V/Q imaging...... 0.00 5.59

NA

0.30

5.89

NA

XXX 78586............ ............. A

Aerosol lung image,

0.40 2.70

NA

0.16

3.26

NA

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 2.57

NA

0.14

2.71

NA

XXX single. 78587............ ............. A

Aerosol lung image,

0.49 2.95

NA

0.16

3.60

NA

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 2.78

NA

0.14

2.92

NA

XXX multiple. 78588............ ............. A

Perfusion lung image.. 1.08 3.55

NA

0.24

4.87

NA

XXX 78588............ 26........... A

Perfusion lung image.. 1.08 0.37 0.37

0.06

1.51 1.51

XXX 78588............ TC........... A

Perfusion lung image.. 0.00 3.18

NA

0.18

3.36

NA

XXX 78591............ ............. A

Vent image, 1 breath,

0.40 2.97

NA

0.16

3.53

NA

XXX 1 proj. 78591............ 26........... A

Vent image, 1 breath,

0.40 0.14 0.14

0.02

0.56 0.56

XXX 1 proj. 78591............ TC........... A

Vent image, 1 breath,

0.00 2.83

NA

0.14

2.97

NA

XXX 1 proj. 78593............ ............. A

Vent image, 1 proj,

0.49 3.59

NA

0.20

4.28

NA

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 3.42

NA

0.18

3.60

NA

XXX gas. 78594............ ............. A

Vent image, mult proj, 0.53 5.12

NA

0.27

5.92

NA

XXX gas. 78594............ 26........... A

Vent image, mult proj, 0.53 0.18 0.18

0.02

0.73 0.73

XXX gas. 78594............ TC........... A

Vent image, mult proj, 0.00 4.94

NA

0.25

5.19

NA

XXX gas. 78596............ ............. A

Lung differential

1.26 7.44

NA

0.43

9.13

NA

XXX function. 78596............ 26........... A

Lung differential

1.26 0.43 0.43

0.06

1.75 1.75

XXX function. 78596............ TC........... A

Lung differential

0.00 7.01

NA

0.37

7.38

NA

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 3.01

NA

0.16

3.61

NA

XXX static. 78600............ 26........... A

Brain imaging, ltd

0.44 0.15 0.15

0.02

0.61 0.61

XXX static. 78600............ TC........... A

Brain imaging, ltd

0.00 2.86

NA

0.14

3.00

NA

XXX static. 78601............ ............. A

Brain imaging, ltd w/

0.51 3.55

NA

0.20

4.26

NA

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 3.37

NA

0.18

3.55

NA

XXX flow. 78605............ ............. A

Brain imaging,

0.53 3.56

NA

0.20

4.29

NA

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 3.37

NA

0.18

3.55

NA

XXX complete. 78606............ ............. A

Brain imaging, compl w/ 0.64 4.05

NA

0.24

4.93

NA

XXX flow. 78606............ 26........... A

Brain imaging, compl w/ 0.64 0.22 0.22

0.04

0.90 0.90

XXX flow. 78606............ TC........... A

Brain imaging, compl w/ 0.00 3.83

NA

0.20

4.03

NA

XXX flow. 78607............ ............. A

Brain imaging (3D).... 1.22 6.94

NA

0.41

8.57

NA

XXX 78607............ 26........... A

Brain imaging (3D).... 1.22 0.44 0.44

0.06

1.72 1.72

XXX 78607............ TC........... A

Brain imaging (3D).... 0.00 6.50

NA

0.35

6.85

NA

XXX 78608............ ............. N

Brain imaging (PET)... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 78609............ ............. N

Brain imaging (PET)... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 78610............ ............. A

Brain flow imaging

0.30 1.67

NA

0.11

2.08

NA

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 1.56

NA

0.10

1.66

NA

XXX only. 78615............ ............. A

Cerebral vascular flow 0.42 3.97

NA

0.22

4.61

NA

XXX image. 78615............ 26........... A

Cerebral vascular flow 0.42 0.16 0.16

0.02

0.60 0.60

XXX image. 78615............ TC........... A

Cerebral vascular flow 0.00 3.81

NA

0.20

4.01

NA

XXX image. 78630............ ............. A

Cerebrospinal fluid

0.68 5.22

NA

0.30

6.20

NA

XXX scan. 78630............ 26........... A

Cerebrospinal fluid

0.68 0.23 0.23

0.04

0.95 0.95

XXX scan. 78630............ TC........... A

Cerebrospinal fluid

0.00 4.99

NA

0.26

5.25

NA

XXX scan. 78635............ ............. A

CSF ventriculography.. 0.61 2.76

NA

0.16

3.53

NA

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 2.52

NA

0.14

2.66

NA

XXX 78645............ ............. A

CSF shunt evaluation.. 0.57 3.60

NA

0.20

4.37

NA

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 3.40

NA

0.18

3.58

NA

XXX 78647............ ............. A

Cerebrospinal fluid

0.89 6.17

NA

0.35

7.41

NA

XXX scan. 78647............ 26........... A

Cerebrospinal fluid

0.89 0.32 0.32

0.04

1.25 1.25

XXX scan.

[[Page 63359]]

78647............ TC........... A

Cerebrospinal fluid

0.00 5.85

NA

0.31

6.16

NA

XXX scan. 78650............ ............. A

CSF leakage imaging... 0.61 4.81

NA

0.26

5.68

NA

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 4.60

NA

0.24

4.84

NA

XXX 78660............ ............. A

Nuclear exam of tear

0.53 2.28

NA

0.14

2.95

NA

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 2.10

NA

0.12

2.22

NA

XXX flow. 78699............ ............. C

Nervous system nuclear 0.00 0.00 0.00

0.00

0.00 0.00

XXX exam. 78699............ 26........... C

Nervous system nuclear 0.00 0.00 0.00

0.00

0.00 0.00

XXX exam. 78699............ TC........... C

Nervous system nuclear 0.00 0.00 0.00

0.00

0.00 0.00

XXX exam. 78700............ ............. A

Kidney imaging, static 0.45 3.17

NA

0.18

3.80

NA

XXX 78700............ 26........... A

Kidney imaging, static 0.45 0.15 0.15

0.02

0.62 0.62

XXX 78700............ TC........... A

Kidney imaging, static 0.00 3.02

NA

0.16

3.18

NA

XXX 78701............ ............. A

Kidney imaging with

0.49 3.70

NA

0.20

4.39

NA

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 3.53

NA

0.18

3.71

NA

XXX flow. 78704............ ............. A

Imaging renogram...... 0.74 4.17

NA

0.24

5.15

NA

XXX 78704............ 26........... A

Imaging renogram...... 0.74 0.25 0.25

0.04

1.03 1.03

XXX 78704............ TC........... A

Imaging renogram...... 0.00 3.92

NA

0.20

4.12

NA

XXX 78707............ ............. A

Kidney flow/function

0.95 4.76

NA

0.28

5.99

NA

XXX image. 78707............ 26........... A

Kidney flow/function

0.95 0.33 0.33

0.05

1.33 1.33

XXX image. 78707............ TC........... A

Kidney flow/function

0.00 4.43

NA

0.23

4.66

NA

XXX image. 78708............ ............. A

Kidney flow/function

1.20 4.85

NA

0.29

6.34

NA

XXX image. 78708............ 26........... A

Kidney flow/function

1.20 0.42 0.42

0.06

1.68 1.68

XXX image. 78708............ TC........... A

Kidney flow/function

0.00 4.43

NA

0.23

4.66

NA

XXX image. 78709............ ............. A

Kidney flow/function

1.40 4.91

NA

0.30

6.61

NA

XXX image. 78709............ 26........... A

Kidney flow/function

1.40 0.48 0.48

0.07

1.95 1.95

XXX image. 78709............ TC........... A

Kidney flow/function

0.00 4.43

NA

0.23

4.66

NA

XXX image. 78710............ ............. A

Kidney imaging (3D)... 0.66 6.08

NA

0.35

7.09

NA

XXX 78710............ 26........... A

Kidney imaging (3D)... 0.66 0.23 0.23

0.04

0.93 0.93

XXX 78710............ TC........... A

Kidney imaging (3D)... 0.00 5.85

NA

0.31

6.16

NA

XXX 78715............ ............. A

Renal vascular flow

0.30 1.67

NA

0.11

2.08

NA

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 1.56

NA

0.10

1.66

NA

XXX exam. 78725............ ............. A

Kidney function study. 0.38 1.90

NA

0.12

2.40

NA

XXX 78725............ 26........... A

Kidney function study. 0.38 0.13 0.13

0.01

0.52 0.52

XXX 78725............ TC........... A

Kidney function study. 0.00 1.77

NA

0.11

1.88

NA

XXX 78730............ ............. A

Urinary bladder

0.36 1.58

NA

0.10

2.04

NA

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 1.45

NA

0.08

1.53

NA

XXX retention. 78740............ ............. A

Ureteral reflux study. 0.57 2.29

NA

0.14

3.00

NA

XXX 78740............ 26........... A

Ureteral reflux study. 0.57 0.19 0.19

0.02

0.78 0.78

XXX 78740............ TC........... A

Ureteral reflux study. 0.00 2.10

NA

0.12

2.22

NA

XXX 78760............ ............. A

Testicular imaging.... 0.66 2.88

NA

0.18

3.72

NA

XXX 78760............ 26........... A

Testicular imaging.... 0.66 0.22 0.22

0.04

0.92 0.92

XXX 78760............ TC........... A

Testicular imaging.... 0.00 2.66

NA

0.14

2.80

NA

XXX 78761............ ............. A

Testicular imaging/

0.71 3.42

NA

0.21

4.34

NA

XXX flow. 78761............ 26........... A

Testicular imaging/

0.71 0.24 0.24

0.04

0.99 0.99

XXX flow. 78761............ TC........... A

Testicular imaging/

0.00 3.18

NA

0.17

3.35

NA

XXX flow. 78799............ ............. C

Genitourinary nuclear

0.00 0.00 0.00

0.00

0.00 0.00

XXX exam. 78799............ 26........... C

Genitourinary nuclear

0.00 0.00 0.00

0.00

0.00 0.00

XXX exam. 78799............ TC........... C

Genitourinary nuclear

0.00 0.00 0.00

0.00

0.00 0.00

XXX exam. 78800............ ............. A

Tumor imaging, limited 0.66 3.59

NA

0.22

4.47

NA

XXX area. 78800............ 26........... A

Tumor imaging, limited 0.66 0.22 0.22

0.04

0.92 0.92

XXX area. 78800............ TC........... A

Tumor imaging, limited 0.00 3.37

NA

0.18

3.55

NA

XXX area. 78801............ ............. A

Tumor imaging, mult

0.79 4.46

NA

0.26

5.51

NA

XXX areas. 78801............ 26........... A

Tumor imaging, mult

0.79 0.27 0.27

0.04

1.10 1.10

XXX areas. 78801............ TC........... A

Tumor imaging, mult

0.00 4.19

NA

0.22

4.41

NA

XXX areas. 78802............ ............. A

Tumor imaging, whole

0.86 5.79

NA

0.34

6.99

NA

XXX body. 78802............ 26........... A

Tumor imaging, whole

0.86 0.30 0.30

0.04

1.20 1.20

XXX body. 78802............ TC........... A

Tumor imaging, whole

0.00 5.49

NA

0.30

5.79

NA

XXX body. 78803............ ............. A

Tumor imaging (3D).... 1.08 6.89

NA

0.40

8.37

NA

XXX 78803............ 26........... A

Tumor imaging (3D).... 1.08 0.39 0.39

0.05

1.52 1.52

XXX 78803............ TC........... A

Tumor imaging (3D).... 0.00 6.50

NA

0.35

6.85

NA

XXX 78804............ ............. A

Tumor imaging, whole

1.06 4.62

NA

0.34

6.02

NA

XXX body. 78804............ 26........... A

Tumor imaging, whole

1.06 0.38 0.38

0.04

1.48 1.48

XXX body. 78804............ TC........... A

Tumor imaging, whole

0.00 4.24

NA

0.30

4.54

NA

XXX body. 78805............ ............. A

Abscess imaging, ltd

0.73 3.62

NA

0.22

4.57

NA

XXX area. 78805............ 26........... A

Abscess imaging, ltd

0.73 0.25 0.25

0.04

1.02 1.02

XXX area. 78805............ TC........... A

Abscess imaging, ltd

0.00 3.37

NA

0.18

3.55

NA

XXX area. 78806............ ............. A

Abscess imaging, whole 0.86 6.67

NA

0.39

7.92

NA

XXX body. 78806............ 26........... A

Abscess imaging, whole 0.86 0.30 0.30

0.04

1.20 1.20

XXX body. 78806............ TC........... A

Abscess imaging, whole 0.00 6.37

NA

0.35

6.72

NA

XXX body. 78807............ ............. A

Nuclear localization/

1.08 6.90

NA

0.40

8.38

NA

XXX abscess. 78807............ 26........... A

Nuclear localization/

1.08 0.40 0.40

0.05

1.53 1.53

XXX abscess.

[[Page 63360]]

78807............ TC........... A

Nuclear localization/

0.00 6.50

NA

0.35

6.85

NA

XXX abscess. 78810............ ............. N

Tumor imaging (PET)... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 78810............ 26........... N

Tumor imaging (PET)... +1.92 0.74 0.74

0.11

2.77 2.77

XXX 78810............ TC........... N

Tumor imaging (PET)... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 78890............ ............. B

Nuclear medicine data +0.05 1.31

NA

0.07

1.43

NA

XXX proc. 78890............ 26........... B

Nuclear medicine data +0.05 0.02 0.02

0.01

0.08 0.08

XXX proc. 78890............ TC........... B

Nuclear medicine data +0.00 1.29

NA

0.06

1.35

NA

XXX proc. 78891............ ............. B

Nuclear med data proc. +0.10 2.64

NA

0.14

2.88

NA

XXX 78891............ 26........... B

Nuclear med data proc. +0.10 0.04 0.04

0.01

0.15 0.15

XXX 78891............ TC........... B

Nuclear med data proc. +0.00 2.60

NA

0.13

2.73

NA

XXX 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. 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

1.79 3.22

NA

0.22

5.23

NA

XXX therapy. 79000............ 26........... A

Init hyperthyroid

1.79 0.62 0.62

0.08

2.49 2.49

XXX therapy. 79000............ TC........... A

Init hyperthyroid

0.00 2.60

NA

0.14

2.74

NA

XXX therapy. 79001............ ............. A

Repeat hyperthyroid

1.04 1.65

NA

0.12

2.81

NA

XXX therapy. 79001............ 26........... A

Repeat hyperthyroid

1.04 0.36 0.36

0.05

1.45 1.45

XXX therapy. 79001............ TC........... A

Repeat hyperthyroid

0.00 1.29

NA

0.07

1.36

NA

XXX therapy. 79020............ ............. A

Thyroid ablation...... 1.80 3.21

NA

0.22

5.23

NA

XXX 79020............ 26........... A

Thyroid ablation...... 1.80 0.61 0.61

0.08

2.49 2.49

XXX 79020............ TC........... A

Thyroid ablation...... 0.00 2.60

NA

0.14

2.74

NA

XXX 79030............ ............. A

Thyroid ablation,

2.09 3.31

NA

0.24

5.64

NA

XXX carcinoma. 79030............ 26........... A

Thyroid ablation,

2.09 0.71 0.71

0.10

2.90 2.90

XXX carcinoma. 79030............ TC........... A

Thyroid ablation,

0.00 2.60

NA

0.14

2.74

NA

XXX carcinoma. 79035............ ............. A

Thyroid metastatic

2.51 3.48

NA

0.25

6.24

NA

XXX therapy. 79035............ 26........... A

Thyroid metastatic

2.51 0.88 0.88

0.11

3.50 3.50

XXX therapy. 79035............ TC........... A

Thyroid metastatic

0.00 2.60

NA

0.14

2.74

NA

XXX therapy. 79100............ ............. A

Hematopoetic nuclear

1.31 3.07

NA

0.20

4.58

NA

XXX therapy. 79100............ 26........... A

Hematopoetic nuclear

1.31 0.47 0.47

0.06

1.84 1.84

XXX therapy. 79100............ TC........... A

Hematopoetic nuclear

0.00 2.60

NA

0.14

2.74

NA

XXX therapy. 79200............ ............. A

Intracavitary nuclear

1.98 3.29

NA

0.22

5.49

NA

XXX trmt. 79200............ 26........... A

Intracavitary nuclear

1.98 0.69 0.69

0.08

2.75 2.75

XXX trmt. 79200............ TC........... A

Intracavitary nuclear

0.00 2.60

NA

0.14

2.74

NA

XXX trmt. 79300............ ............. C

Interstitial nuclear

0.00 0.00 0.00

0.00

0.00 0.00

XXX therapy. 79300............ 26........... A

Interstitial nuclear

1.59 0.57 0.57

0.08

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

1.95 3.27

NA

0.24

5.46

NA

XXX therapy. 79400............ 26........... A

Nonhemato nuclear

1.95 0.67 0.67

0.10

2.72 2.72

XXX therapy. 79400............ TC........... A

Nonhemato nuclear

0.00 2.60

NA

0.14

2.74

NA

XXX therapy. 79403............ ............. A

Hematopoetic nuclear

2.24 5.15

NA

0.24

7.63

NA

XXX therapy. 79403............ 26........... A

Hematopoetic nuclear

2.24 0.91 0.91

0.10

3.25 3.25

XXX therapy. 79403............ TC........... A

Hematopoetic nuclear

0.00 4.24

NA

0.14

4.38

NA

XXX therapy. 79420............ ............. C

Intravascular nuclear

0.00 0.00 0.00

0.00

0.00 0.00

XXX ther. 79420............ 26........... A

Intravascular nuclear

1.50 0.50 0.50

0.07

2.07 2.07

XXX ther. 79420............ TC........... C

Intravascular nuclear

0.00 0.00 0.00

0.00

0.00 0.00

XXX ther. 79440............ ............. A

Nuclear joint therapy. 1.98 3.33

NA

0.24

5.55

NA

XXX 79440............ 26........... A

Nuclear joint therapy. 1.98 0.73 0.73

0.10

2.81 2.81

XXX 79440............ TC........... A

Nuclear joint therapy. 0.00 2.60

NA

0.14

2.74

NA

XXX 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. 80500............ ............. A

Lab pathology

0.37 0.21 0.16

0.01

0.59 0.54

XXX consultation. 80502............ ............. A

Lab pathology

1.32 0.64 0.59

0.06

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

Electrophoreisis of

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 blot

0.37 0.17 0.17

0.01

0.55 0.55

XXX test. 85060............ ............. A

Blood smear

0.45 0.19 0.19

0.02

0.66 0.66

XXX interpretation. 85097............ ............. A

Bone marrow

0.93 1.64 0.41

0.04

2.61 1.38

XXX interpretation. 85390............ 26........... A

Fibrinolysins screen.. 0.37 0.12 0.12

0.01

0.50 0.50

XXX 85396............ ............. A

Clotting assay, whole

0.37

NA 0.17

0.04

NA 0.58

XXX blood. 85576............ 26........... A

Blood platelet

0.37 0.16 0.16

0.01

0.54 0.54

XXX aggregation. 86077............ ............. A

Physician blood bank

0.93 0.47 0.41

0.04

1.44 1.38

XXX service. 86078............ ............. A

Physician blood bank

0.93 0.50 0.41

0.04

1.47 1.38

XXX service. 86079............ ............. A

Physician blood bank

0.93 0.50 0.42

0.04

1.47 1.39

XXX service. 86255............ 26........... A

Fluorescent antibody,

0.37 0.17 0.16

0.01

0.55 0.54

XXX screen. 86256............ 26........... A

Fluorescent antibody,

0.37 0.16 0.16

0.01

0.54 0.54

XXX titer. 86320............ 26........... A

Serum

0.37 0.16 0.16

0.01

0.54 0.54

XXX immunoelectrophoresis. 86325............ 26........... A

Other

0.37 0.16 0.16

0.01

0.54 0.54

XXX immunoelectrophoresis. 86327............ 26........... A

Immunoelectrophoresis

0.42 0.19 0.19

0.01

0.62 0.62

XXX assay. 86334............ 26........... A

Immunofixation

0.37 0.16 0.16

0.01

0.54 0.54

XXX procedure.

[[Page 63361]]

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

NA

0.02

0.31

NA

XXX skin test. 86510............ ............. A

Histoplasmosis skin

0.00 0.32

NA

0.02

0.34

NA

XXX test. 86580............ ............. A

TB intradermal test... 0.00 0.25

NA

0.02

0.27

NA

XXX 86585............ ............. A

TB tine test.......... 0.00 0.20

NA

0.01

0.21

NA

XXX 86586............ ............. C

Skin test, unlisted... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 87164............ 26........... A

Dark field examination 0.37 0.12 0.12

0.01

0.50 0.50

XXX 87207............ 26........... A

Smear, special stain.. 0.37 0.17 0.16

0.01

0.55 0.54

XXX 88104............ ............. A

Cytopathology, fluids. 0.56 0.76

NA

0.04

1.36

NA

XXX 88104............ 26........... A

Cytopathology, fluids. 0.56 0.25 0.25

0.02

0.83 0.83

XXX 88104............ TC........... A

Cytopathology, fluids. 0.00 0.51

NA

0.02

0.53

NA

XXX 88106............ ............. A

Cytopathology, fluids. 0.56 0.62

NA

0.04

1.22

NA

XXX 88106............ 26........... A

Cytopathology, fluids. 0.56 0.25 0.25

0.02

0.83 0.83

XXX 88106............ TC........... A

Cytopathology, fluids. 0.00 0.37

NA

0.02

0.39

NA

XXX 88107............ ............. A

Cytopathology, fluids. 0.76 0.98

NA

0.06

1.80

NA

XXX 88107............ 26........... A

Cytopathology, fluids. 0.76 0.34 0.34

0.04

1.14 1.14

XXX 88107............ TC........... A

Cytopathology, fluids. 0.00 0.64

NA

0.02

0.66

NA

XXX 88108............ ............. A

Cytopath, concentrate

0.56 0.82

NA

0.04

1.42

NA

XXX tech. 88108............ 26........... A

Cytopath, concentrate

0.56 0.25 0.25

0.02

0.83 0.83

XXX tech. 88108............ TC........... A

Cytopath, concentrate

0.00 0.57

NA

0.02

0.59

NA

XXX tech. 88112............ ............. A

Cytopath, cell enhance 1.17 2.02

NA

0.08

3.27

NA

XXX tech. 88112............ 26........... A

Cytopath, cell enhance 1.17 0.53 0.53

0.06

1.76 1.76

XXX tech. 88112............ TC........... A

Cytopath, cell enhance 0.00 1.49

NA

0.02

1.51

NA

XXX tech. 88125............ ............. A

Forensic cytopathology 0.26 0.27

NA

0.02

0.55

NA

XXX 88125............ 26........... A

Forensic cytopathology 0.26 0.12 0.12

0.01

0.39 0.39

XXX 88125............ TC........... A

Forensic cytopathology 0.00 0.15

NA

0.01

0.16

NA

XXX 88141............ ............. A

Cytopath, c/v,

0.42 0.18 0.18

0.01

0.61 0.61

XXX interpret. 88160............ ............. A

Cytopath smear, other

0.50 0.93

NA

0.04

1.47

NA

XXX source. 88160............ 26........... A

Cytopath smear, other

0.50 0.22 0.22

0.02

0.74 0.74

XXX source. 88160............ TC........... A

Cytopath smear, other

0.00 0.71

NA

0.02

0.73

NA

XXX source. 88161............ ............. A

Cytopath smear, other

0.50 0.88

NA

0.04

1.42

NA

XXX source. 88161............ 26........... A

Cytopath smear, other

0.50 0.22 0.22

0.02

0.74 0.74

XXX source. 88161............ TC........... A

Cytopath smear, other

0.00 0.66

NA

0.02

0.68

NA

XXX source. 88162............ ............. A

Cytopath smear, other

0.76 0.68

NA

0.06

1.50

NA

XXX source. 88162............ 26........... A

Cytopath smear, other

0.76 0.34 0.34

0.04

1.14 1.14

XXX source. 88162............ TC........... A

Cytopath smear, other

0.00 0.34

NA

0.02

0.36

NA

XXX source. 88172............ ............. A

Cytopathology eval of

0.60 0.67

NA

0.04

1.31

NA

XXX fna. 88172............ 26........... A

Cytopathology eval of

0.60 0.27 0.27

0.02

0.89 0.89

XXX fna. 88172............ TC........... A

Cytopathology eval of

0.00 0.40

NA

0.02

0.42

NA

XXX fna. 88173............ ............. A

Cytopath eval, fna,

1.38 1.78

NA

0.08

3.24

NA

XXX report. 88173............ 26........... A

Cytopath eval, fna,

1.38 0.62 0.62

0.06

2.06 2.06

XXX report. 88173............ TC........... A

Cytopath eval, fna,

0.00 1.16

NA

0.02

1.18

NA

XXX report. 88180............ ............. A

Cell marker study..... 0.36 1.45

NA

0.03

1.84

NA

XXX 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 1.29

NA

0.02

1.31

NA

XXX 88182............ ............. A

Cell marker study..... 0.77 1.61

NA

0.08

2.46

NA

XXX 88182............ 26........... A

Cell marker study..... 0.77 0.34 0.34

0.04

1.15 1.15

XXX 88182............ TC........... A

Cell marker study..... 0.00 1.27

NA

0.04

1.31

NA

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 report. 0.52 0.28 0.28

0.02

0.82 0.82

XXX 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

NA

0.02

0.38

NA

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 0.24

NA

0.01

0.25

NA

XXX 88302............ ............. A

Tissue exam by

0.13 0.70

NA

0.03

0.86

NA

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 0.64

NA

0.02

0.66

NA

XXX pathologist. 88304............ ............. A

Tissue exam by

0.22 0.88

NA

0.03

1.13

NA

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 0.78

NA

0.02

0.80

NA

XXX pathologist. 88305............ ............. A

Tissue exam by

0.75 1.75

NA

0.06

2.56

NA

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 1.41

NA

0.04

1.45

NA

XXX pathologist. 88307............ ............. A

Tissue exam by

1.58 2.67

NA

0.13

4.38

NA

XXX pathologist. 88307............ 26........... A

Tissue exam by

1.58 0.70 0.70

0.07

2.35 2.35

XXX pathologist. 88307............ TC........... A

Tissue exam by

0.00 1.97

NA

0.06

2.03

NA

XXX pathologist. 88309............ ............. A

Tissue exam by

2.27 3.27

NA

0.16

5.70

NA

XXX pathologist. 88309............ 26........... A

Tissue exam by

2.27 1.00 1.00

0.10

3.37 3.37

XXX pathologist. 88309............ TC........... A

Tissue exam by

0.00 2.27

NA

0.06

2.33

NA

XXX pathologist. 88311............ ............. A

Decalcify tissue...... 0.24 0.20

NA

0.02

0.46

NA

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

NA

0.01

0.10

NA

XXX 88312............ ............. A

Special stains........ 0.54 1.36

NA

0.03

1.93

NA

XXX

[[Page 63362]]

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 1.12

NA

0.01

1.13

NA

XXX 88313............ ............. A

Special stains........ 0.24 1.10

NA

0.02

1.36

NA

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 0.99

NA

0.01

1.00

NA

XXX 88314............ ............. A

Histochemical stain... 0.45 0.89

NA

0.04

1.38

NA

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 0.69

NA

0.02

0.71

NA

XXX 88318............ ............. A

Chemical

0.42 0.81

NA

0.02

1.25

NA

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 0.62

NA

0.01

0.63

NA

XXX histochemistry. 88319............ ............. A

Enzyme histochemistry. 0.53 1.90

NA

0.04

2.47

NA

XXX 88319............ 26........... A

Enzyme histochemistry. 0.53 0.23 0.23

0.02

0.78 0.78

XXX 88319............ TC........... A

Enzyme histochemistry. 0.00 1.67

NA

0.02

1.69

NA

XXX 88321............ ............. A

Microslide

1.29 0.81 0.57

0.05

2.15 1.91

XXX consultation. 88323............ ............. A

Microslide

1.34 1.45

NA

0.08

2.87

NA

XXX consultation. 88323............ 26........... A

Microslide

1.34 0.60 0.60

0.06

2.00 2.00

XXX consultation. 88323............ TC........... A

Microslide

0.00 0.85

NA

0.02

0.87

NA

XXX consultation. 88325............ ............. A

Comprehensive review

2.21 2.98 0.97

0.10

5.29 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 intraop,

1.18 1.00

NA

0.09

2.27

NA

XXX 1 bloc. 88331............ 26........... A

Path consult intraop,

1.18 0.53 0.53

0.05

1.76 1.76

XXX 1 bloc. 88331............ TC........... A

Path consult intraop,

0.00 0.47

NA

0.04

0.51

NA

XXX 1 bloc. 88332............ ............. A

Path consult intraop,

0.59 0.50

NA

0.04

1.13

NA

XXX addl. 88332............ 26........... A

Path consult intraop,

0.59 0.26 0.26

0.02

0.87 0.87

XXX addl. 88332............ TC........... A

Path consult intraop,

0.00 0.24

NA

0.02

0.26

NA

XXX addl. 88342............ ............. A

Immunohistochemistry.. 0.85 1.36

NA

0.06

2.27

NA

XXX 88342............ 26........... A

Immunohistochemistry.. 0.85 0.38 0.38

0.04

1.27 1.27

XXX 88342............ TC........... A

Immunohistochemistry.. 0.00 0.98

NA

0.02

1.00

NA

XXX 88346............ ............. A

Immunofluorescent

0.86 1.46

NA

0.06

2.38

NA

XXX study. 88346............ 26........... A

Immunofluorescent

0.86 0.38 0.38

0.04

1.28 1.28

XXX study. 88346............ TC........... A

Immunofluorescent

0.00 1.08

NA

0.02

1.10

NA

XXX study. 88347............ ............. A

Immunofluorescent

0.86 1.78

NA

0.06

2.70

NA

XXX study. 88347............ 26........... A

Immunofluorescent

0.86 0.36 0.36

0.04

1.26 1.26

XXX study. 88347............ TC........... A

Immunofluorescent

0.00 1.42

NA

0.02

1.44

NA

XXX study. 88348............ ............. A

Electron microscopy... 1.50 8.57

NA

0.13 10.20

NA

XXX 88348............ 26........... A

Electron microscopy... 1.50 0.65 0.65

0.06

2.21 2.21

XXX 88348............ TC........... A

Electron microscopy... 0.00 7.92

NA

0.07

7.99

NA

XXX 88349............ ............. A

Scanning electron

0.76 10.00

NA

0.10 10.86

NA

XXX microscopy. 88349............ 26........... A

Scanning electron

0.76 0.34 0.34

0.04

1.14 1.14

XXX microscopy. 88349............ TC........... A

Scanning electron

0.00 9.66

NA

0.06

9.72

NA

XXX microscopy. 88355............ ............. A

Analysis, skeletal

1.84 2.63

NA

0.14

4.61

NA

XXX muscle. 88355............ 26........... A

Analysis, skeletal

1.84 0.81 0.81

0.08

2.73 2.73

XXX muscle. 88355............ TC........... A

Analysis, skeletal

0.00 1.82

NA

0.06

1.88

NA

XXX muscle. 88356............ ............. A

Analysis, nerve....... 3.00 2.91

NA

0.19

6.10

NA

XXX 88356............ 26........... A

Analysis, nerve....... 3.00 1.29 1.29

0.12

4.41 4.41

XXX 88356............ TC........... A

Analysis, nerve....... 0.00 1.62

NA

0.07

1.69

NA

XXX 88358............ ............. A

Analysis, tumor....... 2.80 1.39

NA

0.19

4.38

NA

XXX 88358............ 26........... A

Analysis, tumor....... 2.80 1.24 1.24

0.12

4.16 4.16

XXX 88358............ TC........... A

Analysis, tumor....... 0.00 0.15

NA

0.07

0.22

NA

XXX 88361............ ............. A

Immunohistochemistry,

0.93 2.62

NA

0.19

3.74

NA

XXX tumor. 88361............ 26........... A

Immunohistochemistry,

0.93 0.42 0.42

0.12

1.47 1.47

XXX tumor. 88361............ TC........... A

Immunohistochemistry,

0.00 2.20

NA

0.07

2.27

NA

XXX tumor. 88362............ ............. A

Nerve teasing

2.16 4.44

NA

0.14

6.74

NA

XXX preparations. 88362............ 26........... A

Nerve teasing

2.16 0.93 0.93

0.08

3.17 3.17

XXX preparations. 88362............ TC........... A

Nerve teasing

0.00 3.51

NA

0.06

3.57

NA

XXX preparations. 88365............ ............. A

Tissue hybridization.. 0.92 2.23

NA

0.06

3.21

NA

XXX 88365............ 26........... A

Tissue hybridization.. 0.92 0.41 0.41

0.04

1.37 1.37

XXX 88365............ TC........... A

Tissue hybridization.. 0.00 1.82

NA

0.02

1.84

NA

XXX 88371............ 26........... A

Protein, western blot

0.37 0.13 0.13

0.01

0.51 0.51

XXX 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 0.16

0.01

0.55 0.54

XXX crystals. 89100............ ............. A

Sample intestinal

0.60 1.62 0.22

0.02

2.24 0.84

XXX contents. 89105............ ............. A

Sample intestinal

0.50 2.26 0.17

0.02

2.78 0.69

XXX contents. 89130............ ............. A

Sample stomach

0.45 1.76 0.13

0.02

2.23 0.60

XXX contents. 89132............ ............. A

Sample stomach

0.19 1.51 0.06

0.01

1.71 0.26

XXX contents. 89135............ ............. A

Sample stomach

0.79 1.61 0.25

0.04

2.44 1.08

XXX contents. 89136............ ............. A

Sample stomach

0.21 1.66 0.09

0.01

1.88 0.31

XXX contents. 89140............ ............. A

Sample stomach

0.93 2.09 0.28

0.04

3.06 1.25

XXX contents.

[[Page 63363]]

89141............ ............. A

Sample stomach

0.85 2.75 0.34

0.04

3.64 1.23

XXX contents. 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 90296............ ............. E

Diphtheria antitoxin.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90371............ ............. E

Hep b ig, im.......... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90375............ ............. E

Rabies ig, im/sc...... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90376............ ............. E

Rabies ig, heat

0.00 0.00 0.00

0.00

0.00 0.00

XXX treated. 90378............ ............. X

Rsv ig, im, 50mg...... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90379............ ............. I

Rsv ig, iv............ 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90384............ ............. I

Rh ig, full-dose, im.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90385............ ............. E

Rh ig, minidose, 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 90393............ ............. E

Vaccina ig, im........ 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90396............ ............. E

Varicella-zoster ig,

0.00 0.00 0.00

0.00

0.00 0.00

XXX im. 90399............ ............. I

Immune globulin....... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90471............ ............. A

Immunization admin.... 0.00 0.20

NA

0.01

0.21

NA

XXX 90472............ ............. A

Immunization admin,

0.00 0.14

NA

0.01

0.15

NA

ZZZ each add. 90473............ ............. N

Immune admin oral/

0.00 0.00 0.00

0.00

0.00 0.00

XXX nasal. 90474............ ............. N

Immune admin oral/

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ nasal addl. 90476............ ............. E

Adenovirus vaccine,

0.00 0.00 0.00

0.00

0.00 0.00

XXX type 4. 90477............ ............. E

Adenovirus vaccine,

0.00 0.00 0.00

0.00

0.00 0.00

XXX type 7. 90581............ ............. E

Anthrax vaccine, sc... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90585............ ............. E

Bcg vaccine, percut... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90586............ ............. E

Bcg vaccine,

0.00 0.00 0.00

0.00

0.00 0.00

XXX intravesical. 90632............ ............. E

Hep a vaccine, adult

0.00 0.00 0.00

0.00

0.00 0.00

XXX im. 90633............ ............. E

Hep a vacc, ped/adol,

0.00 0.00 0.00

0.00

0.00 0.00

XXX 2 dose. 90634............ ............. E

Hep a vacc, ped/adol,

0.00 0.00 0.00

0.00

0.00 0.00

XXX 3 dose. 90636............ ............. E

Hep a/hep b vacc,

0.00 0.00 0.00

0.00

0.00 0.00

XXX adult im. 90645............ ............. E

Hib vaccine, hboc, im. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90646............ ............. E

Hib vaccine, prp-d, im 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90647............ ............. E

Hib vaccine, prp-omp,

0.00 0.00 0.00

0.00

0.00 0.00

XXX im. 90648............ ............. E

Hib vaccine, prp-t, im 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90655............ ............. X

Flu vaccine, 6-35 mo,

0.00 0.00 0.00

0.00

0.00 0.00

XXX im. 90657............ ............. X

Flu vaccine, 6-35 mo,

0.00 0.00 0.00

0.00

0.00 0.00

XXX im. 90658............ ............. X

Flu vaccine, 3 yrs, im 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90659............ ............. D

Flu vaccine, whole, im 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90660............ ............. X

Flu vaccine, nasal.... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90665............ ............. E

Lyme disease vaccine,

0.00 0.00 0.00

0.00

0.00 0.00

XXX im. 90669............ ............. N

Pneumococcal vacc, ped 0.00 0.00 0.00

0.00

0.00 0.00

XXX 7 im. 90716............ ............. E

Chicken pox vaccine,

0.00 0.00 0.00

0.00

0.00 0.00

XXX sc. 90717............ ............. E

Yellow fever vaccine,

0.00 0.00 0.00

0.00

0.00 0.00

XXX sc. 90718............ ............. E

Td vaccine 0.00 0.00 0.00

0.00

0.00 0.00

XXX 7, im. 90719............ ............. E

Diphtheria vaccine, im 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90720............ ............. E

Dtp/hib vaccine, im... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90721............ ............. E

Dtap/hib vaccine, im.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90723............ ............. I

Dtap-hep b-ipv

0.00 0.00 0.00

0.00

0.00 0.00

XXX vaccine, im. 90725............ ............. E

Cholera vaccine,

0.00 0.00 0.00

0.00

0.00 0.00

XXX injectable. 90727............ ............. E

Plague vaccine, im.... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90732............ ............. X

Pneumococcal vaccine.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90733............ ............. E

Meningococcal vaccine, 0.00 0.00 0.00

0.00

0.00 0.00

XXX sc.

[[Page 63364]]

90734............ ............. E

Meningococcal vaccine, 0.00 0.00 0.00

0.00

0.00 0.00

XXX im. 90735............ ............. E

Encephalitis vaccine,

0.00 0.00 0.00

0.00

0.00 0.00

XXX sc. 90740............ ............. X

Hepb vacc, ill pat 3

0.00 0.00 0.00

0.00

0.00 0.00

XXX dose im. 90743............ ............. X

Hep b vacc, adol, 2

0.00 0.00 0.00

0.00

0.00 0.00

XXX dose, im. 90744............ ............. X

Hepb vacc ped/adol 3

0.00 0.00 0.00

0.00

0.00 0.00

XXX dose im. 90746............ ............. X

Hep b vaccine, adult,

0.00 0.00 0.00

0.00

0.00 0.00

XXX im. 90747............ ............. X

Hepb vacc, ill pat 4

0.00 0.00 0.00

0.00

0.00 0.00

XXX dose im. 90748............ ............. I

Hep b/hib vaccine, im. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90749............ ............. E

Vaccine toxoid........ 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90780............ ............. A

IV infusion therapy, 1 0.00 1.10

NA

0.07

1.17

NA

XXX hour. 90781............ ............. A

IV infusion,

0.00 0.56

NA

0.04

0.60

NA

ZZZ additional hour. 90782............ ............. T

Injection, sc/im...... 0.00 0.11

NA

0.01

0.12

NA

XXX 90783............ ............. T

Injection, ia......... 0.00 0.41

NA

0.02

0.43

NA

XXX 90784............ ............. T

Injection, iv......... 0.00 0.47

NA

0.04

0.51

NA

XXX 90788............ ............. T

Injection of

0.00 0.12

NA

0.01

0.13

NA

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...... 2.78 1.19 0.94

0.07

4.04 3.79

XXX 90802............ ............. A

Intac psy dx interview 2.99 1.22 0.99

0.08

4.29 4.06

XXX 90804............ ............. A

Psytx, office, 20-30

1.20 0.50 0.39

0.04

1.74 1.63

XXX min. 90805............ ............. A

Psytx, off, 20-30 min

1.36 0.51 0.43

0.04

1.91 1.83

XXX w/e&m. 90806............ ............. A

Psytx, off, 45-50 min. 1.85 0.71 0.62

0.05

2.61 2.52

XXX 90807............ ............. A

Psytx, off, 45-50 min

2.01 0.70 0.64

0.06

2.77 2.71

XXX w/e&m. 90808............ ............. A

Psytx, office, 75-80

2.77 1.04 0.91

0.08

3.89 3.76

XXX min. 90809............ ............. A

Psytx, off, 75-80, w/

2.93 1.01 0.93

0.08

4.02 3.94

XXX e&m. 90810............ ............. A

Intac psytx, off, 20-

1.31 0.52 0.43

0.04

1.87 1.78

XXX 30 min. 90811............ ............. A

Intac psytx, 20-30, w/ 1.47 0.58 0.47

0.04

2.09 1.98

XXX e&m. 90812............ ............. A

Intac psytx, off, 45-

1.96 0.79 0.65

0.06

2.81 2.67

XXX 50 min. 90813............ ............. A

Intac psytx, 45-50 min 2.12 0.77 0.67

0.06

2.95 2.85

XXX w/e&m. 90814............ ............. A

Intac psytx, off, 75-

2.88 1.11 0.99

0.08

4.07 3.95

XXX 80 min. 90815............ ............. A

Intac psytx, 75-80 w/

3.04 1.06 0.96

0.08

4.18 4.08

XXX e&m. 90816............ ............. A

Psytx, hosp, 20-30 min 1.24

NA 0.47

0.04

NA 1.75

XXX 90817............ ............. A

Psytx, hosp, 20-30 min 1.40

NA 0.47

0.04

NA 1.91

XXX w/e&m. 90818............ ............. A

Psytx, hosp, 45-50 min 1.88

NA 0.69

0.05

NA 2.62

XXX 90819............ ............. A

Psytx, hosp, 45-50 min 2.04

NA 0.66

0.06

NA 2.76

XXX w/e&m. 90821............ ............. A

Psytx, hosp, 75-80 min 2.81

NA 1.02

0.07

NA 3.90

XXX 90822............ ............. A

Psytx, hosp, 75-80 min 2.97

NA 0.96

0.08

NA 4.01

XXX w/e&m. 90823............ ............. A

Intac psytx, hosp, 20- 1.35

NA 0.49

0.04

NA 1.88

XXX 30 min. 90824............ ............. A

Intac psytx, hsp 20-30 1.51

NA 0.50

0.04

NA 2.05

XXX w/e&m. 90826............ ............. A

Intac psytx, hosp, 45- 2.00

NA 0.73

0.05

NA 2.78

XXX 50 min. 90827............ ............. A

Intac psytx, hsp 45-50 2.15

NA 0.69

0.06

NA 2.90

XXX w/e&m. 90828............ ............. A

Intac psytx, hosp, 75- 2.92

NA 1.08

0.08

NA 4.08

XXX 80 min. 90829............ ............. A

Intac psytx, hsp 75-80 3.08

NA 0.99

0.08

NA 4.15

XXX w/e&m. 90845............ ............. A

Psychoanalysis........ 1.78 0.59 0.57

0.05

2.42 2.40

XXX 90846............ ............. R

Family psytx w/o

1.82 0.66 0.65

0.05

2.53 2.52

XXX patient. 90847............ ............. R

Family psytx w/patient 2.20 0.82 0.77

0.06

3.08 3.03

XXX 90849............ ............. R

Multiple family group

0.59 0.28 0.24

0.01

0.88 0.84

XXX psytx. 90853............ ............. A

Group psychotherapy... 0.59 0.25 0.23

0.01

0.85 0.83

XXX 90857............ ............. A

Intac group psytx..... 0.63 0.30 0.26

0.02

0.95 0.91

XXX 90862............ ............. A

Medication management. 0.94 0.41 0.33

0.02

1.37 1.29

XXX 90865............ ............. A

Narcosynthesis........ 2.82 1.62 0.90

0.08

4.52 3.80

XXX 90870............ ............. A

Electroconvulsive

1.87 0.80 0.80

0.05

2.72 2.72

000 therapy. 90871............ ............. N

Electroconvulsive

+2.70 1.07 1.07

0.07

3.84 3.84

000 therapy. 90875............ ............. N

Psychophysiological

+1.19 0.90 0.47

0.04

2.13 1.70

XXX therapy. 90876............ ............. N

Psychophysiological

+1.89 1.17 0.73

0.05

3.11 2.67

XXX therapy. 90880............ ............. A

Hypnotherapy.......... 2.18 1.05 0.69

0.06

3.29 2.93

XXX 90882............ ............. N

Environmental

0.00 0.00 0.00

0.00

0.00 0.00

XXX manipulation. 90885............ ............. B

Psy evaluation of

+0.96 0.38 0.38

0.02

1.36 1.36

XXX records. 90887............ ............. B

Consultation with

+1.47 0.83 0.57

0.04

2.34 2.08

XXX family. 90889............ ............. B

Preparation of report. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 90899............ ............. C

Psychiatric service/

0.00 0.00 0.00

0.00

0.00 0.00

XXX therapy. 90901............ ............. A

Biofeedback train, any 0.41 0.67 0.14

0.02

1.10 0.57

000 meth. 90911............ ............. A

Biofeedback peri/uro/

0.88 1.64 0.32

0.05

2.57 1.25

000 rectal. 90918............ ............. I

ESRD related services, +11.12 7.50 7.50

0.36 18.98 18.98

XXX month. 90919............ ............. I

ESRD related services, +8.49 4.15 4.15

0.29 12.93 12.93

XXX month. 90920............ ............. I

ESRD related services, +7.23 3.89 3.89

0.23 11.35 11.35

XXX month. 90921............ ............. I

ESRD related services, +4.44 2.52 2.52

0.14

7.10 7.10

XXX month. 90922............ ............. A

ESRD related services, 0.37 0.22 0.22

0.01

0.60 0.60

XXX day. 90923............ ............. A

Esrd related services, 0.28 0.13 0.13

0.01

0.42 0.42

XXX day. 90924............ ............. A

Esrd related services, 0.24 0.12 0.12

0.01

0.37 0.37

XXX day. 90925............ ............. A

Esrd related services, 0.15 0.08 0.08

0.01

0.24 0.24

XXX day. 90935............ ............. A

Hemodialysis, one

1.21

NA 0.68

0.04

NA 1.93

000 evaluation. 90937............ ............. A

Hemodialysis, repeated 2.10

NA 0.99

0.07

NA 3.16

000 eval. 90939............ ............. X

Hemodialysis study,

0.00 0.00 0.00

0.00

0.00 0.00

XXX transcut. 90940............ ............. X

Hemodialysis access

0.00 0.00 0.00

0.00

0.00 0.00

XXX study. 90945............ ............. A

Dialysis, one

1.27

NA 0.70

0.05

NA 2.02

000 evaluation.

[[Page 63365]]

90947............ ............. A

Dialysis, repeated

2.15

NA 1.01

0.07

NA 3.23

000 eval. 90989............ ............. X

Dialysis training,

0.00 0.00 0.00

0.00

0.00 0.00

XXX complete. 90993............ ............. X

Dialysis training,

0.00 0.00 0.00

0.00

0.00 0.00

XXX incompl. 90997............ ............. A

Hemoperfusion......... 1.83

NA 1.43

0.06

NA 3.32

000 90999............ ............. C

Dialysis procedure.... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 91000............ ............. A

Esophageal intubation. 0.73 0.33

NA

0.05

1.11

NA

000 91000............ 26........... A

Esophageal intubation. 0.73 0.25 0.25

0.04

1.02 1.02

000 91000............ TC........... A

Esophageal intubation. 0.00 0.08

NA

0.01

0.09

NA

000 91010............ ............. A

Esophagus motility

1.24 2.76

NA

0.12

4.12

NA

000 study. 91010............ 26........... A

Esophagus motility

1.24 0.45 0.45

0.06

1.75 1.75

000 study. 91010............ TC........... A

Esophagus motility

0.00 2.31

NA

0.06

2.37

NA

000 study. 91011............ ............. A

Esophagus motility

1.49 3.25

NA

0.12

4.86

NA

000 study. 91011............ 26........... A

Esophagus motility

1.49 0.54 0.54

0.06

2.09 2.09

000 study. 91011............ TC........... A

Esophagus motility

0.00 2.71

NA

0.06

2.77

NA

000 study. 91012............ ............. A

Esophagus motility

1.45 3.40

NA

0.14

4.99

NA

000 study. 91012............ 26........... A

Esophagus motility

1.45 0.52 0.52

0.07

2.04 2.04

000 study. 91012............ TC........... A

Esophagus motility

0.00 2.88

NA

0.07

2.95

NA

000 study. 91020............ ............. A

Gastric motility...... 1.43 2.99

NA

0.13

4.55

NA

000 91020............ 26........... A

Gastric motility...... 1.43 0.50 0.50

0.07

2.00 2.00

000 91020............ TC........... A

Gastric motility...... 0.00 2.49

NA

0.06

2.55

NA

000 91030............ ............. A

Acid perfusion of

0.90 2.43

NA

0.06

3.39

NA

000 esophagus. 91030............ 26........... A

Acid perfusion of

0.90 0.33 0.33

0.04

1.27 1.27

000 esophagus. 91030............ TC........... A

Acid perfusion of

0.00 2.10

NA

0.02

2.12

NA

000 esophagus. 91032............ ............. A

Esophagus, acid reflux 1.20 4.20

NA

0.12

5.52

NA

000 test. 91032............ 26........... A

Esophagus, acid reflux 1.20 0.43 0.43

0.06

1.69 1.69

000 test. 91032............ TC........... A

Esophagus, acid reflux 0.00 3.77

NA

0.06

3.83

NA

000 test. 91033............ ............. A

Prolonged acid reflux

1.29 4.23

NA

0.17

5.69

NA

000 test. 91033............ 26........... A

Prolonged acid reflux

1.29 0.46 0.46

0.06

1.81 1.81

000 test. 91033............ TC........... A

Prolonged acid reflux

0.00 3.77

NA

0.11

3.88

NA

000 test. 91052............ ............. A

Gastric analysis test. 0.79 2.22

NA

0.06

3.07

NA

000 91052............ 26........... A

Gastric analysis test. 0.79 0.28 0.28

0.04

1.11 1.11

000 91052............ TC........... A

Gastric analysis test. 0.00 1.94

NA

0.02

1.96

NA

000 91055............ ............. A

Gastric intubation for 0.93 2.39

NA

0.07

3.39

NA

000 smear. 91055............ 26........... A

Gastric intubation for 0.93 0.27 0.27

0.05

1.25 1.25

000 smear. 91055............ TC........... A

Gastric intubation for 0.00 2.12

NA

0.02

2.14

NA

000 smear. 91060............ ............. A

Gastric saline load

0.45 0.30

NA

0.04

0.79

NA

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

NA

0.02

0.18

NA

000 test. 91065............ ............. A

Breath hydrogen test.. 0.20 2.00

NA

0.03

2.23

NA

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 1.93

NA

0.02

1.95

NA

000 91100............ ............. A

Pass intestine

1.07

NA 0.29

0.07

NA 1.43

000 bleeding tube. 91105............ ............. A

Gastric intubation

0.37

NA 0.09

0.02

NA 0.48

000 treatment. 91110............ ............. A

Gi tract capsule

3.63 21.39

NA

0.09 25.11

NA

XXX endoscopy. 91110............ 26........... A

Gi tract capsule

3.63 1.31 1.31

0.02

4.96 4.96

XXX endoscopy. 91110............ TC........... A

Gi tract capsule

0.00 20.08

NA

0.07 20.15

NA

XXX endoscopy. 91122............ ............. A

Anal pressure record.. 1.76 6.14

NA

0.20

8.10

NA

000 91122............ 26........... A

Anal pressure record.. 1.76 0.62 0.62

0.12

2.50 2.50

000 91122............ TC........... A

Anal pressure record.. 0.00 5.52

NA

0.08

5.60

NA

000 91123............ ............. B

Irrigate fecal

0.00 0.00 0.00

0.00

0.00 0.00

XXX impaction. 91132............ ............. C

Electrogastrography... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 91132............ 26........... A

Electrogastrography... 0.52 0.19 0.19

0.04

0.75 0.75

XXX 91132............ TC........... C

Electrogastrography... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 91133............ ............. C

Electrogastrography w/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX test. 91133............ 26........... A

Electrogastrography w/ 0.66 0.24 0.24

0.04

0.94 0.94

XXX test. 91133............ TC........... C

Electrogastrography w/ 0.00 0.00 0.00

0.00

0.00 0.00

XXX 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 patient. 0.87 0.97 0.35

0.02

1.86 1.24

XXX 92004............ ............. A

Eye exam, new patient. 1.66 1.70 0.68

0.04

3.40 2.38

XXX 92012............ ............. A

Eye exam established

0.67 1.03 0.29

0.01

1.71 0.97

XXX pat. 92014............ ............. A

Eye exam & treatment.. 1.09 1.40 0.48

0.02

2.51 1.59

XXX 92015............ ............. N

Refraction............ +0.38 1.50 0.15

0.01

1.89 0.54

XXX 92018............ ............. A

New eye exam &

2.49

NA 1.09

0.04

NA 3.62

XXX treatment. 92019............ ............. A

Eye exam & treatment.. 1.30

NA 0.57

0.04

NA 1.91

XXX 92020............ ............. A

Special eye evaluation 0.37 0.34 0.16

0.01

0.72 0.54

XXX 92060............ ............. A

Special eye evaluation 0.69 0.73

NA

0.02

1.44

NA

XXX 92060............ 26........... A

Special eye evaluation 0.69 0.29 0.29

0.01

0.99 0.99

XXX 92060............ TC........... A

Special eye evaluation 0.00 0.44

NA

0.01

0.45

NA

XXX 92065............ ............. A

Orthoptic/pleoptic

0.37 0.55

NA

0.02

0.94

NA

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

NA

0.01

0.41

NA

XXX training. 92070............ ............. A

Fitting of contact

0.70 1.08 0.32

0.01

1.79 1.03

XXX lens. 92081............ ............. A

Visual field

0.36 0.87

NA

0.02

1.25

NA

XXX examination(s).

[[Page 63366]]

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 0.71

NA

0.01

0.72

NA

XXX examination(s). 92082............ ............. A

Visual field

0.44 1.15

NA

0.02

1.61

NA

XXX examination(s). 92082............ 26........... A

Visual field

0.44 0.19 0.19

0.01

0.64 0.64

XXX examination(s). 92082............ TC........... A

Visual field

0.00 0.96

NA

0.01

0.97

NA

XXX examination(s). 92083............ ............. A

Visual field

0.50 1.34

NA

0.02

1.86

NA

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 1.12

NA

0.01

1.13

NA

XXX examination(s). 92100............ ............. A

Serial tonometry

0.91 1.27 0.37

0.02

2.20 1.30

XXX exam(s). 92120............ ............. A

Tonography & eye

0.81 1.05 0.32

0.02

1.88 1.15

XXX evaluation. 92130............ ............. A

Water provocation

0.81 1.25 0.38

0.02

2.08 1.21

XXX tonography. 92135............ ............. A

Opthalmic dx imaging.. 0.35 0.80

NA

0.02

1.17

NA

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

NA

0.01

0.65

NA

XXX 92136............ ............. A

Ophthalmic biometry... 0.54 1.77

NA

0.08

2.39

NA

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 1.52

NA

0.07

1.59

NA

XXX 92140............ ............. A

Glaucoma provocative

0.50 0.94 0.22

0.01

1.45 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 1.69 0.20

0.02

2.31 0.82

XXX 92235............ ............. A

Eye exam with photos.. 0.81 2.95

NA

0.08

3.84

NA

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 2.58

NA

0.06

2.64

NA

XXX 92240............ ............. A

Icg angiography....... 1.09 7.12

NA

0.08

8.29

NA

XXX 92240............ 26........... A

Icg angiography....... 1.09 0.51 0.51

0.02

1.62 1.62

XXX 92240............ TC........... A

Icg angiography....... 0.00 6.61

NA

0.06

6.67

NA

XXX 92250............ ............. A

Eye exam with photos.. 0.44 1.75

NA

0.02

2.21

NA

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

NA

0.01

1.56

NA

XXX 92260............ ............. A

Ophthalmoscopy/

0.20 0.29 0.09

0.01

0.50 0.30

XXX dynamometry. 92265............ ............. A

Eye muscle evaluation. 0.81 1.90

NA

0.04

2.75

NA

XXX 92265............ 26........... A

Eye muscle evaluation. 0.81 0.29 0.29

0.02

1.12 1.12

XXX 92265............ TC........... A

Eye muscle evaluation. 0.00 1.61

NA

0.02

1.63

NA

XXX 92270............ ............. A

Electro-oculography... 0.81 1.57

NA

0.06

2.44

NA

XXX 92270............ 26........... A

Electro-oculography... 0.81 0.34 0.34

0.04

1.19 1.19

XXX 92270............ TC........... A

Electro-oculography... 0.00 1.23

NA

0.02

1.25

NA

XXX 92275............ ............. A

Electroretinography... 1.00 1.97

NA

0.04

3.01

NA

XXX 92275............ 26........... A

Electroretinography... 1.00 0.44 0.44

0.02

1.46 1.46

XXX 92275............ TC........... A

Electroretinography... 0.00 1.53

NA

0.02

1.55

NA

XXX 92283............ ............. A

Color vision

0.17 0.84

NA

0.02

1.03

NA

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 0.77

NA

0.01

0.78

NA

XXX examination. 92284............ ............. A

Dark adaptation eye

0.24 2.33

NA

0.02

2.59

NA

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 2.24

NA

0.01

2.25

NA

XXX exam. 92285............ ............. A

Eye photography....... 0.20 1.07

NA

0.02

1.29

NA

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 0.98

NA

0.01

0.99

NA

XXX 92286............ ............. A

Internal eye

0.66 3.40

NA

0.03

4.09

NA

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

NA

0.02

3.12

NA

XXX photography. 92287............ ............. A

Internal eye

0.81 2.73 0.31

0.02

3.56 1.14

XXX photography. 92310............ ............. N

Contact lens fitting.. +1.16 1.12 0.46

0.04

2.32 1.66

XXX 92311............ ............. A

Contact lens fitting.. 1.07 1.20 0.35

0.04

2.31 1.46

XXX 92312............ ............. A

Contact lens fitting.. 1.25 1.17 0.50

0.04

2.46 1.79

XXX 92313............ ............. A

Contact lens fitting.. 0.91 1.17 0.29

0.02

2.10 1.22

XXX 92314............ ............. N

Prescription of

+0.69 0.94 0.27

0.01

1.64 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 1.00 0.30

0.01

1.69 0.99

XXX contact lens. 92317............ ............. A

Prescription of

0.45 1.06 0.14

0.01

1.52 0.60

XXX contact lens. 92325............ ............. A

Modification of

0.00 0.40

NA

0.01

0.41

NA

XXX contact lens. 92326............ ............. A

Replacement of contact 0.00 1.62

NA

0.06

1.68

NA

XXX lens. 92330............ ............. A

Fitting of artificial

1.07 1.08 0.33

0.05

2.20 1.45

XXX eye. 92335............ ............. A

Fitting of artificial

0.45 1.01 0.17

0.01

1.47 0.63

XXX eye. 92340............ ............. N

Fitting of spectacles. +0.37 0.70 0.14

0.01

1.08 0.52

XXX 92341............ ............. N

Fitting of spectacles. +0.47 0.74 0.18

0.01

1.22 0.66

XXX 92342............ ............. N

Fitting of spectacles. +0.53 0.76 0.21

0.01

1.30 0.75

XXX 92352............ ............. B

Special spectacles

+0.37 0.73 0.14

0.01

1.11 0.52

XXX fitting. 92353............ ............. B

Special spectacles

+0.50 0.78 0.19

0.02

1.30 0.71

XXX fitting. 92354............ ............. B

Special spectacles

+0.00 8.78

NA

0.10

8.88

NA

XXX fitting. 92355............ ............. B

Special spectacles

+0.00 4.30

NA

0.01

4.31

NA

XXX fitting. 92358............ ............. B

Eye prosthesis service +0.00 0.96

NA

0.05

1.01

NA

XXX 92370............ ............. N

Repair & adjust

+0.32 0.56 0.13

0.02

0.90 0.47

XXX spectacles. 92371............ ............. B

Repair & adjust

+0.00 0.62

NA

0.02

0.64

NA

XXX spectacles.

[[Page 63367]]

92390............ ............. N

Supply of spectacles.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 92391............ ............. N

Supply of contact

0.00 0.00 0.00

0.00

0.00 0.00

XXX lenses. 92392............ ............. I

Supply of low vision

+0.00 3.81 3.81

0.02

3.83 3.83

XXX aids. 92393............ ............. I

Supply of artificial

+0.00 11.83 11.83

0.56 12.39 12.39

XXX eye. 92395............ ............. I

Supply of spectacles.. +0.00 1.29 1.29

0.10

1.39 1.39

XXX 92396............ ............. I

Supply of contact

+0.00 2.17 2.17

0.07

2.24 2.24

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

1.50

NA 1.15

0.07

NA 2.72

000 examination. 92504............ ............. A

Ear microscopy

0.18 0.51 0.09

0.01

0.70 0.28

XXX examination. 92506............ ............. A

Speech/hearing

0.86 2.65 0.41

0.05

3.56 1.32

XXX evaluation. 92507............ ............. A

Speech/hearing therapy 0.52 1.15 0.24

0.02

1.69 0.78

XXX 92508............ ............. A

Speech/hearing therapy 0.26 0.53 0.12

0.01

0.80 0.39

XXX 92510............ ............. I

Rehab for ear implant. +1.49 2.09 0.82

0.07

3.65 2.38

XXX 92511............ ............. A

Nasopharyngoscopy..... 0.84 3.18 0.80

0.04

4.06 1.68

000 92512............ ............. A

Nasal function studies 0.55 1.09 0.18

0.02

1.66 0.75

XXX 92516............ ............. A

Facial nerve function

0.43 0.90 0.22

0.02

1.35 0.67

XXX test. 92520............ ............. A

Laryngeal function

0.76 0.51 0.39

0.04

1.31 1.19

XXX studies. 92526............ ............. A

Oral function therapy. 0.55 1.68 0.20

0.02

2.25 0.77

XXX 92531............ ............. B

Spontaneous nystagmus

0.00 0.00 0.00

0.00

0.00 0.00

XXX study. 92532............ ............. B

Positional nystagmus

0.00 0.00 0.00

0.00

0.00 0.00

XXX test. 92533............ ............. B

Caloric vestibular

0.00 0.00 0.00

0.00

0.00 0.00

XXX test. 92534............ ............. B

Optokinetic nystagmus

0.00 0.00 0.00

0.00

0.00 0.00

XXX test. 92541............ ............. A

Spontaneous nystagmus

0.40 0.97

NA

0.04

1.41

NA

XXX test. 92541............ 26........... A

Spontaneous nystagmus

0.40 0.19 0.19

0.02

0.61 0.61

XXX test. 92541............ TC........... A

Spontaneous nystagmus

0.00 0.78

NA

0.02

0.80

NA

XXX test. 92542............ ............. A

Positional nystagmus

0.33 1.07

NA

0.03

1.43

NA

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 0.91

NA

0.02

0.93

NA

XXX test. 92543............ ............. A

Caloric vestibular

0.10 0.55

NA

0.02

0.67

NA

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 0.50

NA

0.01

0.51

NA

XXX test. 92544............ ............. A

Optokinetic nystagmus

0.26 0.85

NA

0.03

1.14

NA

XXX test. 92544............ 26........... A

Optokinetic nystagmus

0.26 0.13 0.13

0.01

0.40 0.40

XXX test. 92544............ TC........... A

Optokinetic nystagmus

0.00 0.72

NA

0.02

0.74

NA

XXX test. 92545............ ............. A

Oscillating tracking

0.23 0.80

NA

0.03

1.06

NA

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 0.69

NA

0.02

0.71

NA

XXX test. 92546............ ............. A

Sinusoidal rotational

0.29 1.82

NA

0.03

2.14

NA

XXX test. 92546............ 26........... A

Sinusoidal rotational

0.29 0.13 0.13

0.01

0.43 0.43

XXX test. 92546............ TC........... A

Sinusoidal rotational

0.00 1.69

NA

0.02

1.71

NA

XXX test. 92547............ ............. A

Supplemental

0.00 1.17

NA

0.06

1.23

NA

ZZZ electrical test. 92548............ ............. A

Posturography......... 0.50 3.23

NA

0.15

3.88

NA

XXX 92548............ 26........... A

Posturography......... 0.50 0.26 0.26

0.02

0.78 0.78

XXX 92548............ TC........... A

Posturography......... 0.00 2.97

NA

0.13

3.10

NA

XXX 92551............ ............. N

Pure tone hearing

0.00 0.00 0.00

0.00

0.00 0.00

XXX test, air. 92552............ ............. A

Pure tone audiometry,

0.00 0.44

NA

0.04

0.48

NA

XXX air. 92553............ ............. A

Audiometry, air & bone 0.00 0.65

NA

0.06

0.71

NA

XXX 92555............ ............. A

Speech threshold

0.00 0.38

NA

0.04

0.42

NA

XXX audiometry. 92556............ ............. A

Speech audiometry,

0.00 0.57

NA

0.06

0.63

NA

XXX complete. 92557............ ............. A

Comprehensive hearing

0.00 1.18

NA

0.12

1.30

NA

XXX test. 92559............ ............. N

Group audiometric

0.00 0.00 0.00

0.00

0.00 0.00

XXX testing. 92560............ ............. N

Bekesy audiometry,

0.00 0.00 0.00

0.00

0.00 0.00

XXX screen. 92561............ ............. A

Bekesy audiometry,

0.00 0.70

NA

0.06

0.76

NA

XXX diagnosis. 92562............ ............. A

Loudness balance test. 0.00 0.41

NA

0.04

0.45

NA

XXX 92563............ ............. A

Tone decay hearing

0.00 0.38

NA

0.04

0.42

NA

XXX test. 92564............ ............. A

Sisi hearing test..... 0.00 0.47

NA

0.05

0.52

NA

XXX 92565............ ............. A

Stenger test, pure

0.00 0.40

NA

0.04

0.44

NA

XXX tone. 92567............ ............. A

Tympanometry.......... 0.00 0.52

NA

0.06

0.58

NA

XXX 92568............ ............. A

Acoustic reflex

0.00 0.38

NA

0.04

0.42

NA

XXX testing. 92569............ ............. A

Acoustic reflex decay

0.00 0.41

NA

0.04

0.45

NA

XXX test. 92571............ ............. A

Filtered speech

0.00 0.39

NA

0.04

0.43

NA

XXX hearing test. 92572............ ............. A

Staggered spondaic

0.00 0.09

NA

0.01

0.10

NA

XXX word test. 92573............ ............. A

Lombard test.......... 0.00 0.35

NA

0.04

0.39

NA

XXX 92575............ ............. A

Sensorineural acuity

0.00 0.30

NA

0.02

0.32

NA

XXX test. 92576............ ............. A

Synthetic sentence

0.00 0.44

NA

0.05

0.49

NA

XXX test. 92577............ ............. A

Stenger test, speech.. 0.00 0.70

NA

0.07

0.77

NA

XXX 92579............ ............. A

Visual audiometry

0.00 0.71

NA

0.06

0.77

NA

XXX (vra). 92582............ ............. A

Conditioning play

0.00 0.71

NA

0.06

0.77

NA

XXX audiometry. 92583............ ............. A

Select picture

0.00 0.88

NA

0.08

0.96

NA

XXX audiometry. 92584............ ............. A

Electrocochleography.. 0.00 2.45

NA

0.20

2.65

NA

XXX 92585............ ............. A

Auditor evoke potent,

0.50 2.06

NA

0.16

2.72

NA

XXX compre. 92585............ 26........... A

Auditor evoke potent,

0.50 0.22 0.22

0.02

0.74 0.74

XXX compre. 92585............ TC........... A

Auditor evoke potent,

0.00 1.84

NA

0.14

1.98

NA

XXX compre.

[[Page 63368]]

92586............ ............. A

Auditor evoke potent,

0.00 1.84

NA

0.14

1.98

NA

XXX limit. 92587............ ............. A

Evoked auditory test.. 0.13 1.36

NA

0.12

1.61

NA

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 1.29

NA

0.11

1.40

NA

XXX 92588............ ............. A

Evoked auditory test.. 0.36 1.63

NA

0.14

2.13

NA

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 1.46

NA

0.13

1.59

NA

XXX 92589............ ............. A

Auditory function

0.00 0.53

NA

0.06

0.59

NA

XXX test(s). 92590............ ............. N

Hearing aid exam, one

0.00 0.00 0.00

0.00

0.00 0.00

XXX ear. 92591............ ............. N

Hearing aid exam, both 0.00 0.00 0.00

0.00

0.00 0.00

XXX ears. 92592............ ............. N

Hearing aid check, one 0.00 0.00 0.00

0.00

0.00 0.00

XXX ear. 92593............ ............. N

Hearing aid check,

0.00 0.00 0.00

0.00

0.00 0.00

XXX both ears. 92594............ ............. N

Electro hearng aid

0.00 0.00 0.00

0.00

0.00 0.00

XXX test, one. 92595............ ............. N

Electro hearng aid

0.00 0.00 0.00

0.00

0.00 0.00

XXX tst, both. 92596............ ............. A

Ear protector

0.00 0.59

NA

0.06

0.65

NA

XXX evaluation. 92597............ ............. A

Oral speech device

0.86 1.71 0.46

0.05

2.62 1.37

XXX eval. 92601............ ............. A

Cochlear implt f/up

0.00 3.46

NA

0.07

3.53

NA

XXX exam . 92604............ ............. A

Reprogram cochlear

0.00 1.49

NA

0.07

1.56

NA

XXX implt 7 . 92605............ ............. B

Eval for nonspeech

0.00 0.00 0.00

0.00

0.00 0.00

XXX device rx. 92606............ ............. B

Non-speech device

0.00 0.00 0.00

0.00

0.00 0.00

XXX service. 92607............ ............. A

Ex for speech device

0.00 3.25

NA

0.05

3.30

NA

XXX rx, 1hr. 92608............ ............. A

Ex for speech device

0.00 0.67

NA

0.05

0.72

NA

XXX rx addl. 92609............ ............. A

Use of speech device

0.00 1.62

NA

0.04

1.66

NA

XXX service. 92610............ ............. A

Evaluate swallowing

0.00 3.40

NA

0.08

3.48

NA

XXX function. 92611............ ............. A

Motion fluoroscopy/

0.00 3.40

NA

0.08

3.48

NA

XXX swallow. 92612............ ............. A

Endoscopy swallow tst

1.26 2.74 0.67

0.08

4.08 2.01

XXX (fees). 92613............ ............. B

Endoscopy swallow tst

0.00 0.00 0.00

0.00

0.00 0.00

XXX (fees). 92614............ ............. A

Laryngoscopic sensory

1.26 2.43 0.63

0.08

3.77 1.97

XXX test. 92615............ ............. B

Eval laryngoscopy

0.00 0.00 0.00

0.00

0.00 0.00

XXX sense tst. 92616............ ............. A

Fees w/laryngeal sense 1.87 3.31 0.97

0.08

5.26 2.92

XXX test. 92617............ ............. B

Interprt fees/

0.00 0.00 0.00

0.00

0.00 0.00

XXX laryngeal test. 92700............ ............. C

Ent procedure/service. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 92950............ ............. A

Heart/lung

3.78

NA 0.99

0.25

NA 5.02

000 resuscitation cpr. 92953............ ............. A

Temporary external

0.23

NA 0.23

0.01

NA 0.47

000 pacing. 92960............ ............. A

Cardioversion

2.24 6.76 1.19

0.10

9.10 3.53

000 electric, ext. 92961............ ............. A

Cardioversion,

4.57

NA 2.10

0.20

NA 6.87

000 electric, int. 92970............ ............. A

Cardioassist, internal 3.50

NA 1.07

0.20

NA 4.77

000 92971............ ............. A

Cardioassist, external 1.76

NA 0.86

0.07

NA 2.69

000 92973............ ............. A

Percut coronary

3.26

NA 1.31

0.14

NA 4.71

ZZZ thrombectomy. 92974............ ............. A

Cath place, cardio

2.98

NA 1.20

0.17

NA 4.35

ZZZ brachytx. 92975............ ............. A

Dissolve clot, heart

7.21

NA 2.85

0.26

NA 10.32

000 vessel. 92977............ ............. A

Dissolve clot, heart

0.00 7.99

NA

0.46

8.45

NA

XXX vessel. 92978............ ............. A

Intravasc us, heart

1.79 5.23

NA

0.31

7.33

NA

ZZZ add-on. 92978............ 26........... A

Intravasc us, heart

1.79 0.71 0.71

0.07

2.57 2.57

ZZZ add-on. 92978............ TC........... A

Intravasc us, heart

0.00 4.52

NA

0.24

4.76

NA

ZZZ add-on. 92979............ ............. A

Intravasc us, heart

1.43 2.84

NA

0.18

4.45

NA

ZZZ add-on. 92979............ 26........... A

Intravasc us, heart

1.43 0.57 0.57

0.05

2.05 2.05

ZZZ add-on. 92979............ TC........... A

Intravasc us, heart

0.00 2.27

NA

0.13

2.40

NA

ZZZ add-on. 92980............ ............. A

Insert intracoronary

14.76

NA 6.13

0.85

NA 21.74

000 stent. 92981............ ............. A

Insert intracoronary

4.15

NA 1.66

0.24

NA 6.05

ZZZ stent. 92982............ ............. A

Coronary artery

10.92

NA 4.59

0.62

NA 16.13

000 dilation. 92984............ ............. A

Coronary artery

2.95

NA 1.18

0.17

NA 4.30

ZZZ dilation. 92986............ ............. A

Revision of aortic

21.68

NA 11.78

1.37

NA 34.83

090 valve. 92987............ ............. A

Revision of mitral

22.57

NA 12.17

1.41

NA 36.15

090 valve. 92990............ ............. A

Revision of pulmonary 17.24

NA 9.76

1.08

NA 28.08

090 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.. 12.02

NA 5.04

0.70

NA 17.76

000 92996............ ............. A

Coronary atherectomy

3.24

NA 1.29

0.19

NA 4.72

ZZZ add-on. 92997............ ............. A

Pul art balloon repr, 11.93

NA 4.89

0.76

NA 17.58

000 percut. 92998............ ............. A

Pul art balloon repr,

5.97

NA 2.23

0.37

NA 8.57

ZZZ percut. 93000............ ............. A

Electrocardiogram,

0.17 0.51

NA

0.03

0.71

NA

XXX complete. 93005............ ............. A

Electrocardiogram,

0.00 0.45

NA

0.02

0.47

NA

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 5.96

NA

0.18

6.14

NA

XXX 93014............ ............. A

Report on transmitted

0.52 0.19 0.19

0.02

0.73 0.73

XXX ecg. 93015............ ............. A

Cardiovascular stress

0.75 1.96

NA

0.13

2.84

NA

XXX test. 93016............ ............. A

Cardiovascular stress

0.45 0.17 0.17

0.01

0.63 0.63

XXX test. 93017............ ............. A

Cardiovascular stress

0.00 1.67

NA

0.11

1.78

NA

XXX test. 93018............ ............. A

Cardiovascular stress

0.30 0.12 0.12

0.01

0.43 0.43

XXX test. 93024............ ............. A

Cardiac drug stress

1.16 1.57

NA

0.13

2.86

NA

XXX test. 93024............ 26........... A

Cardiac drug stress

1.16 0.46 0.46

0.05

1.67 1.67

XXX test. 93024............ TC........... A

Cardiac drug stress

0.00 1.11

NA

0.08

1.19

NA

XXX test.

[[Page 63369]]

93025............ ............. A

Microvolt t-wave

0.75 8.30

NA

0.13

9.18

NA

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 8.00

NA

0.11

8.11

NA

XXX assess. 93040............ ............. A

Rhythm ECG with report 0.16 0.19

NA

0.02

0.37

NA

XXX 93041............ ............. A

Rhythm ECG, tracing... 0.00 0.14

NA

0.01

0.15

NA

XXX 93042............ ............. A

Rhythm ECG, report.... 0.16 0.05 0.05

0.01

0.22 0.22

XXX 93224............ ............. A

ECG monitor/report, 24 0.52 3.59

NA

0.24

4.35

NA

XXX hrs. 93225............ ............. A

ECG monitor/record, 24 0.00 1.23

NA

0.08

1.31

NA

XXX hrs. 93226............ ............. A

ECG monitor/report, 24 0.00 2.16

NA

0.14

2.30

NA

XXX hrs. 93227............ ............. A

ECG monitor/review, 24 0.52 0.20 0.20

0.02

0.74 0.74

XXX hrs. 93230............ ............. A

ECG monitor/report, 24 0.52 3.86

NA

0.26

4.64

NA

XXX hrs. 93231............ ............. A

Ecg monitor/record, 24 0.00 1.51

NA

0.11

1.62

NA

XXX hrs. 93232............ ............. A

ECG monitor/report, 24 0.00 2.15

NA

0.13

2.28

NA

XXX hrs. 93233............ ............. A

ECG monitor/review, 24 0.52 0.20 0.20

0.02

0.74 0.74

XXX hrs. 93235............ ............. A

ECG monitor/report, 24 0.45 2.77

NA

0.15

3.37

NA

XXX hrs. 93236............ ............. A

ECG monitor/report, 24 0.00 2.60

NA

0.14

2.74

NA

XXX hrs. 93237............ ............. A

ECG monitor/review, 24 0.45 0.17 0.17

0.01

0.63 0.63

XXX hrs. 93268............ ............. A

ECG record/review..... 0.52 7.38

NA

0.28

8.18

NA

XXX 93270............ ............. A

ECG recording......... 0.00 1.23

NA

0.08

1.31

NA

XXX 93271............ ............. A

Ecg/monitoring and

0.00 5.96

NA

0.18

6.14

NA

XXX analysis. 93272............ ............. A

Ecg/review, interpret

0.52 0.19 0.19

0.02

0.73 0.73

XXX only. 93278............ ............. A

ECG/signal-averaged... 0.25 1.24

NA

0.12

1.61

NA

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 1.14

NA

0.11

1.25

NA

XXX 93303............ ............. A

Echo transthoracic.... 1.29 4.31

NA

0.28

5.88

NA

XXX 93303............ 26........... A

Echo transthoracic.... 1.29 0.49 0.49

0.05

1.83 1.83

XXX 93303............ TC........... A

Echo transthoracic.... 0.00 3.82

NA

0.23

4.05

NA

XXX 93304............ ............. A

Echo transthoracic.... 0.75 2.22

NA

0.15

3.12

NA

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 1.93

NA

0.13

2.06

NA

XXX 93307............ ............. A

Echo exam of heart.... 0.91 4.18

NA

0.27

5.36

NA

XXX 93307............ 26........... A

Echo exam of heart.... 0.91 0.36 0.36

0.04

1.31 1.31

XXX 93307............ TC........... A

Echo exam of heart.... 0.00 3.82

NA

0.23

4.05

NA

XXX 93308............ ............. A

Echo exam of heart.... 0.53 2.14

NA

0.15

2.82

NA

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 1.93

NA

0.13

2.06

NA

XXX 93312............ ............. A

Echo transesophageal.. 2.19 4.54

NA

0.39

7.12

NA

XXX 93312............ 26........... A

Echo transesophageal.. 2.19 0.79 0.79

0.10

3.08 3.08

XXX 93312............ TC........... A

Echo transesophageal.. 0.00 3.75

NA

0.29

4.04

NA

XXX 93313............ ............. A

Echo transesophageal.. 0.94

NA 0.21

0.06

NA 1.21

XXX 93314............ ............. A

Echo transesophageal.. 1.24 4.23

NA

0.34

5.81

NA

XXX 93314............ 26........... A

Echo transesophageal.. 1.24 0.48 0.48

0.05

1.77 1.77

XXX 93314............ TC........... A

Echo transesophageal.. 0.00 3.75

NA

0.29

4.04

NA

XXX 93315............ ............. C

Echo transesophageal.. 0.00 0.00

NA

0.00

0.00

NA

XXX 93315............ 26........... A

Echo transesophageal.. 2.76 1.02 1.02

0.12

3.90 3.90

XXX 93315............ TC........... C

Echo transesophageal.. 0.00 0.00

NA

0.00

0.00

NA

XXX 93316............ ............. A

Echo transesophageal.. 0.94

NA 0.24

0.06

NA 1.24

XXX 93317............ ............. C

Echo transesophageal.. 0.00 0.00

NA

0.00

0.00

NA

XXX 93317............ 26........... A

Echo transesophageal.. 1.82 0.67 0.67

0.07

2.56 2.56

XXX 93317............ TC........... C

Echo transesophageal.. 0.00 0.00

NA

0.00

0.00

NA

XXX 93318............ ............. C

Echo transesophageal

0.00 0.00 0.00

0.00

0.00 0.00

XXX intraop. 93318............ 26........... A

Echo transesophageal

2.19 0.49 0.49

0.07

2.75 2.75

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 1.85

NA

0.13

2.36

NA

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 1.70

NA

0.12

1.82

NA

ZZZ heart. 93321............ ............. A

Doppler echo exam,

0.15 1.16

NA

0.09

1.40

NA

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 1.10

NA

0.08

1.18

NA

ZZZ heart. 93325............ ............. A

Doppler color flow add- 0.07 2.91

NA

0.21

3.19

NA

ZZZ on. 93325............ 26........... A

Doppler color flow add- 0.07 0.03 0.03

0.01

0.11 0.11

ZZZ on. 93325............ TC........... A

Doppler color flow add- 0.00 2.88

NA

0.20

3.08

NA

ZZZ on. 93350............ ............. A

Echo transthoracic.... 1.47 2.33

NA

0.15

3.95

NA

XXX 93350............ 26........... A

Echo transthoracic.... 1.47 0.58 0.58

0.02

2.07 2.07

XXX 93350............ TC........... A

Echo transthoracic.... 0.00 1.75

NA

0.13

1.88

NA

XXX 93501............ ............. A

Right heart

3.00 17.93

NA

1.23 22.16

NA

000 catheterization. 93501............ 26........... A

Right heart

3.00 1.17 1.17

0.19

4.36 4.36

000 catheterization. 93501............ TC........... A

Right heart

0.00 16.76

NA

1.04 17.80

NA

000 catheterization. 93503............ ............. A

Insert/place heart

2.89

NA 0.68

0.19

NA 3.76

000 catheter. 93505............ ............. A

Biopsy of heart lining 4.36 3.67

NA

0.44

8.47

NA

000 93505............ 26........... A

Biopsy of heart lining 4.36 1.71 1.71

0.28

6.35 6.35

000 93505............ TC........... A

Biopsy of heart lining 0.00 1.96

NA

0.16

2.12

NA

000 93508............ ............. A

Cath placement,

4.08 14.60

NA

0.90 19.58

NA

000 angiography. 93508............ 26........... A

Cath placement,

4.08 2.11 2.11

0.25

6.44 6.44

000 angiography. 93508............ TC........... A

Cath placement,

0.00 12.49

NA

0.65 13.14

NA

000 angiography.

[[Page 63370]]

93510............ ............. A

Left heart

4.31 38.84

NA

2.55 45.70

NA

000 catheterization. 93510............ 26........... A

Left heart

4.31 2.20 2.20

0.26

6.77 6.77

000 catheterization. 93510............ TC........... A

Left heart

0.00 36.64

NA

2.29 38.93

NA

000 catheterization. 93511............ ............. A

Left heart

5.00 38.15

NA

2.53 45.68

NA

000 catheterization. 93511............ 26........... A

Left heart

5.00 2.48 2.48

0.31

7.79 7.79

000 catheterization. 93511............ TC........... A

Left heart

0.00 35.67

NA

2.22 37.89

NA

000 catheterization. 93514............ ............. A

Left heart

7.01 38.85

NA

2.66 48.52

NA

000 catheterization. 93514............ 26........... A

Left heart

7.01 3.18 3.18

0.44 10.63 10.63

000 catheterization. 93514............ TC........... A

Left heart

0.00 35.67

NA

2.22 37.89

NA

000 catheterization. 93524............ ............. A

Left heart

6.91 49.83

NA

3.34 60.08

NA

000 catheterization. 93524............ 26........... A

Left heart

6.91 3.22 3.22

0.43 10.56 10.56

000 catheterization. 93524............ TC........... A

Left heart

0.00 46.61

NA

2.91 49.52

NA

000 catheterization. 93526............ ............. A

Rt & Lt heart

5.96 50.74

NA

3.37 60.07

NA

000 catheters. 93526............ 26........... A

Rt & Lt heart

5.96 2.86 2.86

0.37

9.19 9.19

000 catheters. 93526............ TC........... A

Rt & Lt heart

0.00 47.88

NA

3.00 50.88

NA

000 catheters. 93527............ ............. A

Rt & Lt heart

7.24 49.97

NA

3.37 60.58

NA

000 catheters. 93527............ 26........... A

Rt & Lt heart

7.24 3.36 3.36

0.46 11.06 11.06

000 catheters. 93527............ TC........... A

Rt & Lt heart

0.00 46.61

NA

2.91 49.52

NA

000 catheters. 93528............ ............. A

Rt & Lt heart

8.95 50.70

NA

3.47 63.12

NA

000 catheters. 93528............ 26........... A

Rt & Lt heart

8.95 4.09 4.09

0.56 13.60 13.60

000 catheters. 93528............ TC........... A

Rt & Lt heart

0.00 46.61

NA

2.91 49.52

NA

000 catheters. 93529............ ............. A

Rt, lt heart

4.77 48.92

NA

3.21 56.90

NA

000 catheterization. 93529............ 26........... A

Rt, lt heart

4.77 2.31 2.31

0.30

7.38 7.38

000 catheterization. 93529............ TC........... A

Rt, lt heart

0.00 46.61

NA

2.91 49.52

NA

000 catheterization. 93530............ ............. A

Rt heart cath,

4.21 18.73

NA

1.33 24.27

NA

000 congenital. 93530............ 26........... A

Rt heart cath,

4.21 1.97 1.97

0.29

6.47 6.47

000 congenital. 93530............ TC........... A

Rt heart cath,

0.00 16.76

NA

1.04 17.80

NA

000 congenital. 93531............ ............. A

R & l heart cath,

8.30 51.52

NA

3.55 63.37

NA

000 congenital. 93531............ 26........... A

R & l heart cath,

8.30 3.64 3.64

0.55 12.49 12.49

000 congenital. 93531............ TC........... A

R & l heart cath,

0.00 47.88

NA

3.00 50.88

NA

000 congenital. 93532............ ............. A

R & l heart cath,

9.94 50.93

NA

3.53 64.40

NA

000 congenital. 93532............ 26........... A

R & l heart cath,

9.94 4.32 4.32

0.62 14.88 14.88

000 congenital. 93532............ TC........... A

R & l heart cath,

0.00 46.61

NA

2.91 49.52

NA

000 congenital. 93533............ ............. A

R & l heart cath,

6.66 49.46

NA

3.43 59.55

NA

000 congenital. 93533............ 26........... A

R & l heart cath,

6.66 2.85 2.85

0.52 10.03 10.03

000 congenital. 93533............ TC........... A

R & l heart cath,

0.00 46.61

NA

2.91 49.52

NA

000 congenital. 93539............ ............. A

Injection, cardiac

0.40

NA 0.16

0.01

NA 0.57

000 cath. 93540............ ............. A

Injection, cardiac

0.43

NA 0.17

0.01

NA 0.61

000 cath. 93541............ ............. A

Injection for lung

0.29

NA 0.11

0.01

NA 0.41

000 angiogram. 93542............ ............. A

Injection for heart x- 0.29

NA 0.11

0.01

NA 0.41

000 rays. 93543............ ............. A

Injection for heart x- 0.29

NA 0.12

0.01

NA 0.42

000 rays. 93544............ ............. A

Injection for

0.25

NA 0.10

0.01

NA 0.36

000 aortography. 93545............ ............. A

Inject for coronary x- 0.40

NA 0.16

0.01

NA 0.57

000 rays. 93555............ ............. A

Imaging, cardiac cath. 0.81 6.54

NA

0.38

7.73

NA

XXX 93555............ 26........... A

Imaging, cardiac cath. 0.81 0.32 0.32

0.04

1.17 1.17

XXX 93555............ TC........... A

Imaging, cardiac cath. 0.00 6.22

NA

0.34

6.56

NA

XXX 93556............ ............. A

Imaging, cardiac cath. 0.83 10.13

NA

0.54 11.50

NA

XXX 93556............ 26........... A

Imaging, cardiac cath. 0.83 0.33 0.33

0.04

1.20 1.20

XXX 93556............ TC........... A

Imaging, cardiac cath. 0.00 9.80

NA

0.50 10.30

NA

XXX 93561............ ............. A

Cardiac output

0.50 0.68

NA

0.08

1.26

NA

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

NA

0.06

0.58

NA

000 measurement. 93562............ ............. A

Cardiac output

0.16 0.37

NA

0.05

0.58

NA

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

NA

0.04

0.36

NA

000 measurement. 93571............ ............. A

Heart flow reserve

1.79 5.20

NA

0.37

7.36

NA

ZZZ measure. 93571............ 26........... A

Heart flow reserve

1.79 0.68 0.68

0.13

2.60 2.60

ZZZ measure. 93571............ TC........... A

Heart flow reserve

0.00 4.52

NA

0.24

4.76

NA

ZZZ measure. 93572............ ............. A

Heart flow reserve

1.43 2.77

NA

0.33

4.53

NA

ZZZ measure. 93572............ 26........... A

Heart flow reserve

1.43 0.50 0.50

0.20

2.13 2.13

ZZZ measure. 93572............ TC........... A

Heart flow reserve

0.00 2.27

NA

0.13

2.40

NA

ZZZ measure. 93580............ ............. A

Transcath closure of

17.90

NA 7.27

1.37

NA 26.54

000 asd. 93581............ ............. A

Transcath closure of

24.29

NA 9.74

1.37

NA 35.40

000 vsd. 93600............ ............. A

Bundle of His

2.11 2.77

NA

0.26

5.14

NA

000 recording. 93600............ 26........... A

Bundle of His

2.11 0.84 0.84

0.13

3.08 3.08

000 recording. 93600............ TC........... A

Bundle of His

0.00 1.93

NA

0.13

2.06

NA

000 recording. 93602............ ............. A

Intra-atrial recording 2.11 1.93

NA

0.21

4.25

NA

000 93602............ 26........... A

Intra-atrial recording 2.11 0.83 0.83

0.14

3.08 3.08

000 93602............ TC........... A

Intra-atrial recording 0.00 1.10

NA

0.07

1.17

NA

000 93603............ ............. A

Right ventricular

2.11 2.49

NA

0.24

4.84

NA

000 recording. 93603............ 26........... A

Right ventricular

2.11 0.82 0.82

0.13

3.06 3.06

000 recording. 93603............ TC........... A

Right ventricular

0.00 1.67

NA

0.11

1.78

NA

000 recording. 93609............ ............. A

Map tachycardia, add-

4.97 4.66

NA

0.79 10.42

NA

ZZZ on. 93609............ 26........... A

Map tachycardia, add-

4.97 1.97 1.97

0.62

7.56 7.56

ZZZ on. 93609............ TC........... A

Map tachycardia, add-

0.00 2.69

NA

0.17

2.86

NA

ZZZ on.

[[Page 63371]]

93610............ ............. A

Intra-atrial pacing... 3.00 2.51

NA

0.30

5.81

NA

000 93610............ 26........... A

Intra-atrial pacing... 3.00 1.17 1.17

0.20

4.37 4.37

000 93610............ TC........... A

Intra-atrial pacing... 0.00 1.34

NA

0.10

1.44

NA

000 93612............ ............. A

Intraventricular

3.00 2.77

NA

0.31

6.08

NA

000 pacing. 93612............ 26........... A

Intraventricular

3.00 1.17 1.17

0.20

4.37 4.37

000 pacing. 93612............ TC........... A

Intraventricular

0.00 1.60

NA

0.11

1.71

NA

000 pacing. 93613............ ............. A

Electrophys map 3d,

6.96

NA 2.80

0.62

NA 10.38

ZZZ add-on. 93615............ ............. A

Esophageal recording.. 0.98 0.59

NA

0.06

1.63

NA

000 93615............ 26........... A

Esophageal recording.. 0.98 0.27 0.27

0.04

1.29 1.29

000 93615............ TC........... A

Esophageal recording.. 0.00 0.32

NA

0.02

0.34

NA

000 93616............ ............. A

Esophageal recording.. 1.48 0.76

NA

0.09

2.33

NA

000 93616............ 26........... A

Esophageal recording.. 1.48 0.44 0.44

0.07

1.99 1.99

000 93616............ TC........... A

Esophageal recording.. 0.00 0.32

NA

0.02

0.34

NA

000 93618............ ............. A

Heart rhythm pacing... 4.24 5.62

NA

0.50 10.36

NA

000 93618............ 26........... A

Heart rhythm pacing... 4.24 1.69 1.69

0.26

6.19 6.19

000 93618............ TC........... A

Heart rhythm pacing... 0.00 3.93

NA

0.24

4.17

NA

000 93619............ ............. A

Electrophysiology

7.28 10.86

NA

0.93 19.07

NA

000 evaluation. 93619............ 26........... A

Electrophysiology

7.28 3.22 3.22

0.46 10.96 10.96

000 evaluation. 93619............ TC........... A

Electrophysiology

0.00 7.64

NA

0.47

8.11

NA

000 evaluation. 93620............ ............. C

Electrophysiology

0.00 0.00

NA

0.00

0.00

NA

000 evaluation. 93620............ 26........... A

Electrophysiology

11.52 4.91 4.91

0.72 17.15 17.15

000 evaluation. 93620............ TC........... C

Electrophysiology

0.00 0.00

NA

0.00

0.00

NA

000 evaluation. 93621............ ............. C

Electrophysiology

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ evaluation. 93621............ 26........... A

Electrophysiology

2.09 0.83 0.83

0.18

3.10 3.10

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

3.08 1.22 1.22

0.80

5.10 5.10

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

2.83 1.12 1.12

0.18

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

4.78 4.19

NA

0.43

9.40

NA

000 study. 93624............ 26........... A

Electrophysiologic

4.78 2.23 2.23

0.30

7.31 7.31

000 study. 93624............ TC........... A

Electrophysiologic

0.00 1.96

NA

0.13

2.09

NA

000 study. 93631............ ............. A

Heart pacing, mapping. 7.56 8.87

NA

1.40 17.83

NA

000 93631............ 26........... A

Heart pacing, mapping. 7.56 2.78 2.78

0.79 11.13 11.13

000 93631............ TC........... A

Heart pacing, mapping. 0.00 6.09

NA

0.61

6.70

NA

000 93640............ ............. A

Evaluation heart

3.50 8.49

NA

0.64 12.63

NA

000 device. 93640............ 26........... A

Evaluation heart

3.50 1.38 1.38

0.22

5.10 5.10

000 device. 93640............ TC........... A

Evaluation heart

0.00 7.11

NA

0.42

7.53

NA

000 device. 93641............ ............. A

Electrophysiology

5.90 9.45

NA

0.79 16.14

NA

000 evaluation. 93641............ 26........... A

Electrophysiology

5.90 2.34 2.34

0.37

8.61 8.61

000 evaluation. 93641............ TC........... A

Electrophysiology

0.00 7.11

NA

0.42

7.53

NA

000 evaluation. 93642............ ............. A

Electrophysiology

4.86 9.36

NA

0.61 14.83

NA

000 evaluation. 93642............ 26........... A

Electrophysiology

4.86 2.25 2.25

0.19

7.30 7.30

000 evaluation. 93642............ TC........... A

Electrophysiology

0.00 7.11

NA

0.42

7.53

NA

000 evaluation. 93650............ ............. A

Ablate heart dysrhythm 10.45

NA 4.50

0.66

NA 15.61

000 focus. 93651............ ............. A

Ablate heart dysrhythm 16.16

NA 6.41

1.02

NA 23.59

000 focus. 93652............ ............. A

Ablate heart dysrhythm 17.58

NA 6.98

1.10

NA 25.66

000 focus. 93660............ ............. A

Tilt table evaluation. 1.88 2.42

NA

0.09

4.39

NA

000 93660............ 26........... A

Tilt table evaluation. 1.88 0.75 0.75

0.07

2.70 2.70

000 93660............ TC........... A

Tilt table evaluation. 0.00 1.67

NA

0.02

1.69

NA

000 93662............ ............. C

Intracardiac ecg (ice) 0.00 0.00 0.00

0.00

0.00 0.00

ZZZ 93662............ 26........... A

Intracardiac ecg (ice) 2.78 1.12 1.12

0.49

4.39 4.39

ZZZ 93662............ TC........... C

Intracardiac ecg (ice) 0.00 0.00

NA

0.00

0.00

NA

ZZZ 93668............ ............. N

Peripheral vascular

0.00 0.00 0.00

0.00

0.00 0.00

XXX rehab. 93701............ ............. A

Bioimpedance, thoracic 0.17 1.03

NA

0.02

1.22

NA

XXX 93701............ 26........... A

Bioimpedance, thoracic 0.17 0.07 0.07

0.01

0.25 0.25

XXX 93701............ TC........... A

Bioimpedance, thoracic 0.00 0.96

NA

0.01

0.97

NA

XXX 93720............ ............. A

Total body

0.17 0.75

NA

0.07

0.99

NA

XXX plethysmography. 93721............ ............. A

Plethysmography

0.00 0.70

NA

0.06

0.76

NA

XXX tracing. 93722............ ............. A

Plethysmography report 0.17 0.05 0.05

0.01

0.23 0.23

XXX 93724............ ............. A

Analyze pacemaker

4.86 5.86

NA

0.46 11.18

NA

000 system. 93724............ 26........... A

Analyze pacemaker

4.86 1.93 1.93

0.22

7.01 7.01

000 system. 93724............ TC........... A

Analyze pacemaker

0.00 3.93

NA

0.24

4.17

NA

000 system. 93727............ ............. A

Analyze ilr system.... 0.52 0.20 0.20

0.06

0.78 0.78

XXX 93731............ ............. A

Analyze pacemaker

0.45 0.67

NA

0.06

1.18

NA

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

NA

0.04

0.53

NA

XXX system. 93732............ ............. A

Analyze pacemaker

0.91 0.87

NA

0.08

1.86

NA

XXX system. 93732............ 26........... A

Analyze pacemaker

0.91 0.36 0.36

0.04

1.31 1.31

XXX system. 93732............ TC........... A

Analyze pacemaker

0.00 0.51

NA

0.04

0.55

NA

XXX system. 93733............ ............. A

Telephone analy,

0.17 0.78

NA

0.07

1.02

NA

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 0.71

NA

0.06

0.77

NA

XXX pacemaker.

[[Page 63372]]

93734............ ............. A

Analyze pacemaker

0.38 0.50

NA

0.03

0.91

NA

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

NA

0.02

0.37

NA

XXX system. 93735............ ............. A

Analyze pacemaker

0.74 0.73

NA

0.08

1.55

NA

XXX system. 93735............ 26........... A

Analyze pacemaker

0.74 0.29 0.29

0.04

1.07 1.07

XXX system. 93735............ TC........... A

Analyze pacemaker

0.00 0.44

NA

0.04

0.48

NA

XXX system. 93736............ ............. A

Telephonic analy,

0.15 0.69

NA

0.07

0.91

NA

XXX pacemaker. 93736............ 26........... A

Telephonic analy,

0.15 0.06 0.06

0.01

0.22 0.22

XXX pacemaker. 93736............ TC........... A

Telephonic analy,

0.00 0.63

NA

0.06

0.69

NA

XXX pacemaker. 93740............ ............. B

Temperature gradient

+0.16 0.19

NA

0.02

0.37

NA

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

NA

0.01

0.16

NA

XXX studies. 93741............ ............. A

Analyze ht pace device 0.80 0.98

NA

0.06

1.84

NA

XXX sngl. 93741............ 26........... A

Analyze ht pace device 0.80 0.32 0.32

0.02

1.14 1.14

XXX sngl. 93741............ TC........... A

Analyze ht pace device 0.00 0.66

NA

0.04

0.70

NA

XXX sngl. 93742............ ............. A

Analyze ht pace device 0.90 1.02

NA

0.06

1.98

NA

XXX sngl. 93742............ 26........... A

Analyze ht pace device 0.90 0.36 0.36

0.02

1.28 1.28

XXX sngl. 93742............ TC........... A

Analyze ht pace device 0.00 0.66

NA

0.04

0.70

NA

XXX sngl. 93743............ ............. A

Analyze ht pace device 1.02 1.13

NA

0.08

2.23

NA

XXX dual. 93743............ 26........... A

Analyze ht pace device 1.02 0.41 0.41

0.04

1.47 1.47

XXX dual. 93743............ TC........... A

Analyze ht pace device 0.00 0.72

NA

0.04

0.76

NA

XXX dual. 93744............ ............. A

Analyze ht pace device 1.17 1.13

NA

0.08

2.38

NA

XXX dual. 93744............ 26........... A

Analyze ht pace device 1.17 0.47 0.47

0.04

1.68 1.68

XXX dual. 93744............ TC........... A

Analyze ht pace device 0.00 0.66

NA

0.04

0.70

NA

XXX dual. 93760............ ............. N

Cephalic thermogram... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 93762............ ............. N

Peripheral thermogram. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 93770............ ............. B

Measure venous

+0.16 0.08

NA

0.02

0.26

NA

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

NA

0.01

0.04

NA

XXX pressure. 93784............ ............. A

Ambulatory BP

0.17 0.97 0.97

0.02

1.16 1.16

XXX monitoring. 93786............ ............. A

Ambulatory BP

0.00 0.90

NA

0.01

0.91

NA

XXX recording. 93788............ ............. A

Ambulatory BP analysis 0.00 0.51

NA

0.01

0.52

NA

XXX 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/monitor. 0.28 0.51 0.11

0.01

0.80 0.40

000 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

NA

0.12

2.01

NA

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

NA

0.11

1.70

NA

XXX 93880............ ............. A

Extracranial study.... 0.60 4.20

NA

0.40

5.20

NA

XXX 93880............ 26........... A

Extracranial study.... 0.60 0.21 0.21

0.05

0.86 0.86

XXX 93880............ TC........... A

Extracranial study.... 0.00 3.99

NA

0.35

4.34

NA

XXX 93882............ ............. A

Extracranial study.... 0.40 3.02

NA

0.27

3.69

NA

XXX 93882............ 26........... A

Extracranial study.... 0.40 0.14 0.14

0.05

0.59 0.59

XXX 93882............ TC........... A

Extracranial study.... 0.00 2.88

NA

0.22

3.10

NA

XXX 93886............ ............. A

Intracranial study.... 0.93 4.51

NA

0.44

5.88

NA

XXX 93886............ 26........... A

Intracranial study.... 0.93 0.38 0.38

0.06

1.37 1.37

XXX 93886............ TC........... A

Intracranial study.... 0.00 4.13

NA

0.38

4.51

NA

XXX 93888............ ............. A

Intracranial study.... 0.62 3.06

NA

0.31

3.99

NA

XXX 93888............ 26........... A

Intracranial study.... 0.62 0.23 0.23

0.05

0.90 0.90

XXX 93888............ TC........... A

Intracranial study.... 0.00 2.83

NA

0.26

3.09

NA

XXX 93922............ ............. A

Extremity study....... 0.25 1.94

NA

0.15

2.34

NA

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

NA

0.13

1.98

NA

XXX 93923............ ............. A

Extremity study....... 0.45 3.03

NA

0.27

3.75

NA

XXX 93923............ 26........... A

Extremity study....... 0.45 0.16 0.16

0.05

0.66 0.66

XXX 93923............ TC........... A

Extremity study....... 0.00 2.87

NA

0.22

3.09

NA

XXX 93924............ ............. A

Extremity study....... 0.50 3.78

NA

0.31

4.59

NA

XXX 93924............ 26........... A

Extremity study....... 0.50 0.17 0.17

0.06

0.73 0.73

XXX 93924............ TC........... A

Extremity study....... 0.00 3.61

NA

0.25

3.86

NA

XXX 93925............ ............. A

Lower extremity study. 0.58 4.90

NA

0.40

5.88

NA

XXX 93925............ 26........... A

Lower extremity study. 0.58 0.20 0.20

0.05

0.83 0.83

XXX 93925............ TC........... A

Lower extremity study. 0.00 4.70

NA

0.35

5.05

NA

XXX 93926............ ............. A

Lower extremity study. 0.39 3.49

NA

0.27

4.15

NA

XXX 93926............ 26........... A

Lower extremity study. 0.39 0.13 0.13

0.04

0.56 0.56

XXX 93926............ TC........... A

Lower extremity study. 0.00 3.36

NA

0.23

3.59

NA

XXX 93930............ ............. A

Upper extremity study. 0.46 3.89

NA

0.41

4.76

NA

XXX 93930............ 26........... A

Upper extremity study. 0.46 0.16 0.16

0.04

0.66 0.66

XXX 93930............ TC........... A

Upper extremity study. 0.00 3.73

NA

0.37

4.10

NA

XXX 93931............ ............. A

Upper extremity study. 0.31 2.84

NA

0.26

3.41

NA

XXX 93931............ 26........... A

Upper extremity study. 0.31 0.11 0.11

0.02

0.44 0.44

XXX 93931............ TC........... A

Upper extremity study. 0.00 2.73

NA

0.24

2.97

NA

XXX 93965............ ............. A

Extremity study....... 0.35 1.87

NA

0.14

2.36

NA

XXX

[[Page 63373]]

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 1.75

NA

0.12

1.87

NA

XXX 93970............ ............. A

Extremity study....... 0.68 3.98

NA

0.46

5.12

NA

XXX 93970............ 26........... A

Extremity study....... 0.68 0.23 0.23

0.06

0.97 0.97

XXX 93970............ TC........... A

Extremity study....... 0.00 3.75

NA

0.40

4.15

NA

XXX 93971............ ............. A

Extremity study....... 0.45 2.87

NA

0.30

3.62

NA

XXX 93971............ 26........... A

Extremity study....... 0.45 0.15 0.15

0.04

0.64 0.64

XXX 93971............ TC........... A

Extremity study....... 0.00 2.72

NA

0.26

2.98

NA

XXX 93975............ ............. A

Vascular study........ 1.79 5.86

NA

0.56

8.21

NA

XXX 93975............ 26........... A

Vascular study........ 1.79 0.61 0.61

0.13

2.53 2.53

XXX 93975............ TC........... A

Vascular study........ 0.00 5.25

NA

0.43

5.68

NA

XXX 93976............ ............. A

Vascular study........ 1.20 3.48

NA

0.37

5.05

NA

XXX 93976............ 26........... A

Vascular study........ 1.20 0.41 0.41

0.07

1.68 1.68

XXX 93976............ TC........... A

Vascular study........ 0.00 3.07

NA

0.30

3.37

NA

XXX 93978............ ............. A

Vascular study........ 0.65 3.60

NA

0.43

4.68

NA

XXX 93978............ 26........... A

Vascular study........ 0.65 0.22 0.22

0.06

0.93 0.93

XXX 93978............ TC........... A

Vascular study........ 0.00 3.38

NA

0.37

3.75

NA

XXX 93979............ ............. A

Vascular study........ 0.44 2.67

NA

0.29

3.40

NA

XXX 93979............ 26........... A

Vascular study........ 0.44 0.16 0.16

0.05

0.65 0.65

XXX 93979............ TC........... A

Vascular study........ 0.00 2.51

NA

0.24

2.75

NA

XXX 93980............ ............. A

Penile vascular study. 1.24 4.84

NA

0.42

6.50

NA

XXX 93980............ 26........... A

Penile vascular study. 1.24 0.42 0.42

0.08

1.74 1.74

XXX 93980............ TC........... A

Penile vascular study. 0.00 4.42

NA

0.34

4.76

NA

XXX 93981............ ............. A

Penile vascular study. 0.44 4.66

NA

0.33

5.43

NA

XXX 93981............ 26........... A

Penile vascular study. 0.44 0.15 0.15

0.02

0.61 0.61

XXX 93981............ TC........... A

Penile vascular study. 0.00 4.51

NA

0.31

4.82

NA

XXX 93990............ ............. A

Doppler flow testing.. 0.25 3.41

NA

0.25

3.91

NA

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 3.32

NA

0.23

3.55

NA

XXX 94010............ ............. A

Breathing capacity

0.17 0.69

NA

0.03

0.89

NA

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

NA

0.02

0.66

NA

XXX test. 94014............ ............. A

Patient recorded

0.52 0.78

NA

0.03

1.33

NA

XXX spirometry. 94015............ ............. A

Patient recorded

0.00 0.61

NA

0.01

0.62

NA

XXX spirometry. 94016............ ............. A

Review patient

0.52 0.17 0.17

0.02

0.71 0.71

XXX spirometry. 94060............ ............. A

Evaluation of wheezing 0.31 1.14

NA

0.07

1.52

NA

XXX 94060............ 26........... A

Evaluation of wheezing 0.31 0.10 0.10

0.01

0.42 0.42

XXX 94060............ TC........... A

Evaluation of wheezing 0.00 1.04

NA

0.06

1.10

NA

XXX 94070............ ............. A

Evaluation of wheezing 0.60 3.05

NA

0.12

3.77

NA

XXX 94070............ 26........... A

Evaluation of wheezing 0.60 0.19 0.19

0.02

0.81 0.81

XXX 94070............ TC........... A

Evaluation of wheezing 0.00 2.86

NA

0.10

2.96

NA

XXX 94150............ ............. B

Vital capacity test... +0.07 0.49

NA

0.02

0.58

NA

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

NA

0.01

0.47

NA

XXX 94200............ ............. A

Lung function test

0.11 0.45

NA

0.03

0.59

NA

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 0.42

NA

0.02

0.44

NA

XXX (MBC/MVV). 94240............ ............. A

Residual lung capacity 0.26 0.67

NA

0.06

0.99

NA

XXX 94240............ 26........... A

Residual lung capacity 0.26 0.08 0.08

0.01

0.35 0.35

XXX 94240............ TC........... A

Residual lung capacity 0.00 0.59

NA

0.05

0.64

NA

XXX 94250............ ............. A

Expired gas collection 0.11 0.67

NA

0.02

0.80

NA

XXX 94250............ 26........... A

Expired gas collection 0.11 0.03 0.03

0.01

0.15 0.15

XXX 94250............ TC........... A

Expired gas collection 0.00 0.64

NA

0.01

0.65

NA

XXX 94260............ ............. A

Thoracic gas volume... 0.13 0.59

NA

0.05

0.77

NA

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 0.55

NA

0.04

0.59

NA

XXX 94350............ ............. A

Lung nitrogen washout

0.26 0.76

NA

0.05

1.07

NA

XXX curve. 94350............ 26........... A

Lung nitrogen washout

0.26 0.08 0.08

0.01

0.35 0.35

XXX curve. 94350............ TC........... A

Lung nitrogen washout

0.00 0.68

NA

0.04

0.72

NA

XXX curve. 94360............ ............. A

Measure airflow

0.26 0.71

NA

0.07

1.04

NA

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 0.63

NA

0.06

0.69

NA

XXX resistance. 94370............ ............. A

Breath airway closing

0.26 0.73

NA

0.03

1.02

NA

XXX volume. 94370............ 26........... A

Breath airway closing

0.26 0.08 0.08

0.01

0.35 0.35

XXX volume. 94370............ TC........... A

Breath airway closing

0.00 0.65

NA

0.02

0.67

NA

XXX volume. 94375............ ............. A

Respiratory flow

0.31 0.63

NA

0.03

0.97

NA

XXX volume loop. 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 0.53

NA

0.02

0.55

NA

XXX volume loop. 94400............ ............. A

CO2 breathing response 0.40 0.85

NA

0.07

1.32

NA

XXX curve. 94400............ 26........... A

CO2 breathing response 0.40 0.13 0.13

0.01

0.54 0.54

XXX curve. 94400............ TC........... A

CO2 breathing response 0.00 0.72

NA

0.06

0.78

NA

XXX curve. 94450............ ............. A

Hypoxia response curve 0.40 0.69

NA

0.04

1.13

NA

XXX 94450............ 26........... A

Hypoxia response curve 0.40 0.12 0.12

0.02

0.54 0.54

XXX 94450............ TC........... A

Hypoxia response curve 0.00 0.57

NA

0.02

0.59

NA

XXX 94620............ ............. A

Pulmonary stress test/ 0.64 2.45

NA

0.12

3.21

NA

XXX simple.

[[Page 63374]]

94620............ 26........... A

Pulmonary stress test/ 0.64 0.20 0.20

0.02

0.86 0.86

XXX simple. 94620............ TC........... A

Pulmonary stress test/ 0.00 2.25

NA

0.10

2.35

NA

XXX simple. 94621............ ............. A

Pulm stress test/

1.41 2.10

NA

0.16

3.67

NA

XXX complex. 94621............ 26........... A

Pulm stress test/

1.41 0.44 0.44

0.06

1.91 1.91

XXX complex. 94621............ TC........... A

Pulm stress test/

0.00 1.66

NA

0.10

1.76

NA

XXX complex. 94640............ ............. A

Airway inhalation

0.00 0.32

NA

0.02

0.34

NA

XXX treatment. 94642............ ............. C

Aerosol inhalation

0.00 0.00 0.00

0.00

0.00 0.00

XXX treatment. 94656............ ............. A

Initial ventilator

1.21 1.21 0.32

0.07

2.49 1.60

XXX mgmt. 94657............ ............. A

Continued ventilator

0.83 1.02 0.25

0.04

1.89 1.12

XXX mgmt. 94660............ ............. A

Pos airway pressure,

0.76 0.67 0.24

0.04

1.47 1.04

XXX CPAP. 94662............ ............. A

Neg press ventilation, 0.76

NA 0.24

0.02

NA 1.02

XXX cnp. 94664............ ............. A

Evaluate pt use of

0.00 0.33

NA

0.04

0.37

NA

XXX inhaler. 94667............ ............. A

Chest wall

0.00 0.57

NA

0.05

0.62

NA

XXX manipulation. 94668............ ............. A

Chest wall

0.00 0.48

NA

0.02

0.50

NA

XXX manipulation. 94680............ ............. A

Exhaled air analysis,

0.26 1.93

NA

0.07

2.26

NA

XXX o2. 94680............ 26........... A

Exhaled air analysis,

0.26 0.08 0.08

0.01

0.35 0.35

XXX o2. 94680............ TC........... A

Exhaled air analysis,

0.00 1.85

NA

0.06

1.91

NA

XXX o2. 94681............ ............. A

Exhaled air analysis,

0.20 2.66

NA

0.13

2.99

NA

XXX o2/co2. 94681............ 26........... A

Exhaled air analysis,

0.20 0.07 0.07

0.01

0.28 0.28

XXX o2/co2. 94681............ TC........... A

Exhaled air analysis,

0.00 2.59

NA

0.12

2.71

NA

XXX o2/co2. 94690............ ............. A

Exhaled air analysis.. 0.07 2.01

NA

0.05

2.13

NA

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 1.99

NA

0.04

2.03

NA

XXX 94720............ ............. A

Monoxide diffusing

0.26 1.01

NA

0.07

1.34

NA

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 0.93

NA

0.06

0.99

NA

XXX capacity. 94725............ ............. A

Membrane diffusion

0.26 3.00

NA

0.13

3.39

NA

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 2.92

NA

0.12

3.04

NA

XXX capacity. 94750............ ............. A

Pulmonary compliance

0.23 1.38

NA

0.05

1.66

NA

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 1.31

NA

0.04

1.35

NA

XXX study. 94760............ ............. T

Measure blood oxygen

0.00 0.04

NA

0.02

0.06

NA

XXX level. 94761............ ............. T

Measure blood oxygen

0.00 0.07

NA

0.06

0.13

NA

XXX level. 94762............ ............. A

Measure blood oxygen

0.00 0.41

NA

0.10

0.51

NA

XXX level. 94770............ ............. A

Exhaled carbon dioxide 0.15 1.70

NA

0.08

1.93

NA

XXX test. 94770............ 26........... A

Exhaled carbon dioxide 0.15 0.04 0.04

0.01

0.20 0.20

XXX test. 94770............ TC........... A

Exhaled carbon dioxide 0.00 1.66

NA

0.07

1.73

NA

XXX 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

NA

0.01

0.11

NA

XXX tests. 95010............ ............. A

Percut allergy titrate 0.15 0.33 0.06

0.01

0.49 0.22

XXX 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, drug/ 0.00 0.14

NA

0.01

0.15

NA

XXX bug. 95027............ ............. A

Id allergy titrate-

0.00 0.14

NA

0.01

0.15

NA

XXX airborne. 95028............ ............. A

Id allergy test-

0.00 0.23

NA

0.01

0.24

NA

XXX delayed type. 95044............ ............. A

Allergy patch tests... 0.00 0.20

NA

0.01

0.21

NA

XXX 95052............ ............. A

Photo patch test...... 0.00 0.25

NA

0.01

0.26

NA

XXX 95056............ ............. A

Photosensitivity tests 0.00 0.17

NA

0.01

0.18

NA

XXX 95060............ ............. A

Eye allergy tests..... 0.00 0.35

NA

0.02

0.37

NA

XXX 95065............ ............. A

Nose allergy test..... 0.00 0.20

NA

0.01

0.21

NA

XXX 95070............ ............. A

Bronchial allergy

0.00 2.26

NA

0.02

2.28

NA

XXX tests. 95071............ ............. A

Bronchial allergy

0.00 2.90

NA

0.02

2.92

NA

XXX tests. 95075............ ............. A

Ingestion challenge

0.94 0.83 0.39

0.04

1.81 1.37

XXX test. 95078............ ............. A

Provocative testing... 0.00 0.25

NA

0.02

0.27

NA

XXX 95115............ ............. A

Immunotherapy, one

0.00 0.39

NA

0.02

0.41

NA

000 injection. 95117............ ............. A

Immunotherapy

0.00 0.50

NA

0.02

0.52

NA

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, insect

0.00 0.00 0.00

0.00

0.00 0.00

XXX venom. 95131............ ............. I

Immunotherapy, insect

0.00 0.00 0.00

0.00

0.00 0.00

XXX venoms. 95132............ ............. I

Immunotherapy, insect

0.00 0.00 0.00

0.00

0.00 0.00

XXX venoms. 95133............ ............. I

Immunotherapy, insect

0.00 0.00 0.00

0.00

0.00 0.00

XXX venoms. 95134............ ............. I

Immunotherapy, insect

0.00 0.00 0.00

0.00

0.00 0.00

XXX venoms. 95144............ ............. A

Antigen therapy

0.06 0.15 0.02

0.01

0.22 0.09

000 services. 95145............ ............. A

Antigen therapy

0.06 0.33 0.02

0.01

0.40 0.09

000 services. 95146............ ............. A

Antigen therapy

0.06 0.46 0.03

0.01

0.53 0.10

000 services. 95147............ ............. A

Antigen therapy

0.06 0.43 0.02

0.01

0.50 0.09

000 services. 95148............ ............. A

Antigen therapy

0.06 0.60 0.03

0.01

0.67 0.10

000 services. 95149............ ............. A

Antigen therapy

0.06 0.82 0.03

0.01

0.89 0.10

000 services. 95165............ ............. A

Antigen therapy

0.06 0.20 0.02

0.01

0.27 0.09

000 services.

[[Page 63375]]

95170............ ............. A

Antigen therapy

0.06 0.14 0.02

0.01

0.21 0.09

000 services. 95180............ ............. A

Rapid desensitization. 2.00 1.54 0.83

0.05

3.59 2.88

000 95199............ ............. C

Allergy immunology

0.00 0.00 0.00

0.00

0.00 0.00

000 services. 95250............ ............. A

Glucose monitoring,

0.00 3.89

NA

0.01

3.90

NA

XXX cont. 95805............ ............. A

Multiple sleep latency 1.87 16.50

NA

0.41 18.78

NA

XXX test. 95805............ 26........... A

Multiple sleep latency 1.87 0.66 0.66

0.07

2.60 2.60

XXX test. 95805............ TC........... A

Multiple sleep latency 0.00 15.84

NA

0.34 16.18

NA

XXX test. 95806............ ............. A

Sleep study,

1.65 3.88

NA

0.38

5.91

NA

XXX unattended. 95806............ 26........... A

Sleep study,

1.65 0.55 0.55

0.07

2.27 2.27

XXX unattended. 95806............ TC........... A

Sleep study,

0.00 3.33

NA

0.31

3.64

NA

XXX unattended. 95807............ ............. A

Sleep study, attended. 1.65 11.91

NA

0.48 14.04

NA

XXX 95807............ 26........... A

Sleep study, attended. 1.65 0.54 0.54

0.06

2.25 2.25

XXX 95807............ TC........... A

Sleep study, attended. 0.00 11.37

NA

0.42 11.79

NA

XXX 95808............ ............. A

Polysomnography, 1-3.. 2.63 13.20

NA

0.53 16.36

NA

XXX 95808............ 26........... A

Polysomnography, 1-3.. 2.63 0.93 0.93

0.11

3.67 3.67

XXX 95808............ TC........... A

Polysomnography, 1-3.. 0.00 12.27

NA

0.42 12.69

NA

XXX 95810............ ............. A

Polysomnography, 4 or

3.51 17.30

NA

0.56 21.37

NA

XXX more. 95810............ 26........... A

Polysomnography, 4 or

3.51 1.20 1.20

0.14

4.85 4.85

XXX more. 95810............ TC........... A

Polysomnography, 4 or

0.00 16.10

NA

0.42 16.52

NA

XXX more. 95811............ ............. A

Polysomnography w/cpap 3.78 18.74

NA

0.59 23.11

NA

XXX 95811............ 26........... A

Polysomnography w/cpap 3.78 1.29 1.29

0.16

5.23 5.23

XXX 95811............ TC........... A

Polysomnography w/cpap 0.00 17.45

NA

0.43 17.88

NA

XXX 95812............ ............. A

Eeg, 41-60 minutes.... 1.07 3.98

NA

0.16

5.21

NA

XXX 95812............ 26........... A

Eeg, 41-60 minutes.... 1.07 0.46 0.46

0.05

1.58 1.58

XXX 95812............ TC........... A

Eeg, 41-60 minutes.... 0.00 3.52

NA

0.11

3.63

NA

XXX 95813............ ............. A

Eeg, over 1 hour...... 1.72 5.00

NA

0.18

6.90

NA

XXX 95813............ 26........... A

Eeg, over 1 hour...... 1.72 0.70 0.70

0.07

2.49 2.49

XXX 95813............ TC........... A

Eeg, over 1 hour...... 0.00 4.30

NA

0.11

4.41

NA

XXX 95816............ ............. A

Eeg, awake and drowsy. 1.07 3.20

NA

0.15

4.42

NA

XXX 95816............ 26........... A

Eeg, awake and drowsy. 1.07 0.47 0.47

0.05

1.59 1.59

XXX 95816............ TC........... A

Eeg, awake and drowsy. 0.00 2.73

NA

0.10

2.83

NA

XXX 95819............ ............. A

Eeg, awake and asleep. 1.07 3.74

NA

0.15

4.96

NA

XXX 95819............ 26........... A

Eeg, awake and asleep. 1.07 0.47 0.47

0.05

1.59 1.59

XXX 95819............ TC........... A

Eeg, awake and asleep. 0.00 3.27

NA

0.10

3.37

NA

XXX 95822............ ............. A

Eeg, coma or sleep

1.07 4.43

NA

0.18

5.68

NA

XXX only. 95822............ 26........... A

Eeg, coma or sleep

1.07 0.47 0.47

0.05

1.59 1.59

XXX only. 95822............ TC........... A

Eeg, coma or sleep

0.00 3.96

NA

0.13

4.09

NA

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

0.06

1.12 1.12

XXX only. 95824............ TC........... C

Eeg, cerebral death

0.00 0.00

NA

0.00

0.00

NA

XXX only. 95827............ ............. A

Eeg, all night

1.07 2.68

NA

0.18

3.93

NA

XXX recording. 95827............ 26........... A

Eeg, all night

1.07 0.41 0.41

0.04

1.52 1.52

XXX recording. 95827............ TC........... A

Eeg, all night

0.00 2.27

NA

0.14

2.41

NA

XXX recording. 95829............ ............. A

Surgery

6.17 32.01

NA

0.39 38.57

NA

XXX electrocorticogram. 95829............ 26........... A

Surgery

6.17 2.35 2.35

0.37

8.89 8.89

XXX electrocorticogram. 95829............ TC........... A

Surgery

0.00 29.66

NA

0.02 29.68

NA

XXX electrocorticogram. 95830............ ............. A

Insert electrodes for

1.69 3.42 0.73

0.08

5.19 2.50

XXX EEG. 95831............ ............. A

Limb muscle testing,

0.28 0.35 0.13

0.01

0.64 0.42

XXX manual. 95832............ ............. A

Hand muscle testing,

0.29 0.26 0.12

0.01

0.56 0.42

XXX manual. 95833............ ............. A

Body muscle testing,

0.47 0.46 0.23

0.01

0.94 0.71

XXX manual. 95834............ ............. A

Body muscle testing,

0.60 0.51 0.28

0.02

1.13 0.90

XXX manual. 95851............ ............. A

Range of motion

0.16 0.37 0.08

0.01

0.54 0.25

XXX measurements. 95852............ ............. A

Range of motion

0.11 0.26 0.05

0.01

0.38 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 &

1.55 1.07

NA

0.09

2.71

NA

XXX myogram. 95858............ 26........... A

Tensilon test &

1.55 0.67 0.67

0.05

2.27 2.27

XXX myogram. 95858............ TC........... A

Tensilon test &

0.00 0.40

NA

0.04

0.44

NA

XXX myogram. 95860............ ............. A

Muscle test, one limb. 0.95 1.47

NA

0.06

2.48

NA

XXX 95860............ 26........... A

Muscle test, one limb. 0.95 0.43 0.43

0.04

1.42 1.42

XXX 95860............ TC........... A

Muscle test, one limb. 0.00 1.04

NA

0.02

1.06

NA

XXX 95861............ ............. A

Muscle test, 2 limbs.. 1.53 1.40

NA

0.12

3.05

NA

XXX 95861............ 26........... A

Muscle test, 2 limbs.. 1.53 0.68 0.68

0.06

2.27 2.27

XXX 95861............ TC........... A

Muscle test, 2 limbs.. 0.00 0.72

NA

0.06

0.78

NA

XXX 95863............ ............. A

Muscle test, 3 limbs.. 1.86 1.74

NA

0.13

3.73

NA

XXX 95863............ 26........... A

Muscle test, 3 limbs.. 1.86 0.81 0.81

0.07

2.74 2.74

XXX 95863............ TC........... A

Muscle test, 3 limbs.. 0.00 0.93

NA

0.06

0.99

NA

XXX 95864............ ............. A

Muscle test, 4 limbs.. 1.98 2.65

NA

0.19

4.82

NA

XXX 95864............ 26........... A

Muscle test, 4 limbs.. 1.98 0.88 0.88

0.07

2.93 2.93

XXX 95864............ TC........... A

Muscle test, 4 limbs.. 0.00 1.77

NA

0.12

1.89

NA

XXX 95867............ ............. A

Muscle test cran nerv

0.79 0.93

NA

0.08

1.80

NA

XXX unilat. 95867............ 26........... A

Muscle test cran nerv

0.79 0.35 0.35

0.04

1.18 1.18

XXX unilat. 95867............ TC........... A

Muscle test cran nerv

0.00 0.58

NA

0.04

0.62

NA

XXX unilat. 95868............ ............. A

Muscle test cran nerve 1.17 1.21

NA

0.10

2.48

NA

XXX bilat. 95868............ 26........... A

Muscle test cran nerve 1.17 0.52 0.52

0.05

1.74 1.74

XXX bilat. 95868............ TC........... A

Muscle test cran nerve 0.00 0.69

NA

0.05

0.74

NA

XXX bilat.

[[Page 63376]]

95869............ ............. A

Muscle test, thor

0.37 0.38

NA

0.03

0.78

NA

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

NA

0.02

0.23

NA

XXX paraspinal. 95870............ ............. A

Muscle test,

0.37 0.37

NA

0.03

0.77

NA

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

NA

0.02

0.23

NA

XXX nonparaspinal. 95872............ ............. A

Muscle test, one fiber 1.49 1.24

NA

0.10

2.83

NA

XXX 95872............ 26........... A

Muscle test, one fiber 1.49 0.64 0.64

0.05

2.18 2.18

XXX 95872............ TC........... A

Muscle test, one fiber 0.00 0.60

NA

0.05

0.65

NA

XXX 95875............ ............. A

Limb exercise test.... 1.09 1.49

NA

0.11

2.69

NA

XXX 95875............ 26........... A

Limb exercise test.... 1.09 0.48 0.48

0.05

1.62 1.62

XXX 95875............ TC........... A

Limb exercise test.... 0.00 1.01

NA

0.06

1.07

NA

XXX 95900............ ............. A

Motor nerve conduction 0.42 1.30

NA

0.03

1.75

NA

XXX test. 95900............ 26........... A

Motor nerve conduction 0.42 0.19 0.19

0.01

0.62 0.62

XXX test. 95900............ TC........... A

Motor nerve conduction 0.00 1.11

NA

0.02

1.13

NA

XXX test. 95903............ ............. A

Motor nerve conduction 0.60 1.22

NA

0.04

1.86

NA

XXX test. 95903............ 26........... A

Motor nerve conduction 0.60 0.26 0.26

0.02

0.88 0.88

XXX test. 95903............ TC........... A

Motor nerve conduction 0.00 0.96

NA

0.02

0.98

NA

XXX test. 95904............ ............. A

Sense nerve conduction 0.34 1.12

NA

0.03

1.49

NA

XXX test. 95904............ 26........... A

Sense nerve conduction 0.34 0.15 0.15

0.01

0.50 0.50

XXX test. 95904............ TC........... A

Sense nerve conduction 0.00 0.97

NA

0.02

0.99

NA

XXX test. 95920............ ............. A

Intraop nerve test add- 2.10 2.23

NA

0.24

4.57

NA

ZZZ on. 95920............ 26........... A

Intraop nerve test add- 2.10 0.94 0.94

0.17

3.21 3.21

ZZZ on. 95920............ TC........... A

Intraop nerve test add- 0.00 1.29

NA

0.07

1.36

NA

ZZZ on. 95921............ ............. A

Autonomic nerv

0.89 0.71

NA

0.06

1.66

NA

XXX function test. 95921............ 26........... A

Autonomic nerv

0.89 0.33 0.33

0.04

1.26 1.26

XXX function test. 95921............ TC........... A

Autonomic nerv

0.00 0.38

NA

0.02

0.40

NA

XXX function test. 95922............ ............. A

Autonomic nerv

0.95 0.79

NA

0.06

1.80

NA

XXX function test. 95922............ 26........... A

Autonomic nerv

0.95 0.41 0.41

0.04

1.40 1.40

XXX function test. 95922............ TC........... A

Autonomic nerv

0.00 0.38

NA

0.02

0.40

NA

XXX function test. 95923............ ............. A

Autonomic nerv

0.89 2.13

NA

0.06

3.08

NA

XXX function test. 95923............ 26........... A

Autonomic nerv

0.89 0.38 0.38

0.04

1.31 1.31

XXX function test. 95923............ TC........... A

Autonomic nerv

0.00 1.75

NA

0.02

1.77

NA

XXX function test. 95925............ ............. A

Somatosensory testing. 0.54 1.13

NA

0.08

1.75

NA

XXX 95925............ 26........... A

Somatosensory testing. 0.54 0.23 0.23

0.02

0.79 0.79

XXX 95925............ TC........... A

Somatosensory testing. 0.00 0.90

NA

0.06

0.96

NA

XXX 95926............ ............. A

Somatosensory testing. 0.54 1.14

NA

0.08

1.76

NA

XXX 95926............ 26........... A

Somatosensory testing. 0.54 0.24 0.24

0.02

0.80 0.80

XXX 95926............ TC........... A

Somatosensory testing. 0.00 0.90

NA

0.06

0.96

NA

XXX 95927............ ............. A

Somatosensory testing. 0.54 1.15

NA

0.10

1.79

NA

XXX 95927............ 26........... A

Somatosensory testing. 0.54 0.25 0.25

0.04

0.83 0.83

XXX 95927............ TC........... A

Somatosensory testing. 0.00 0.90

NA

0.06

0.96

NA

XXX 95930............ ............. A

Visual evoked

0.35 1.45

NA

0.02

1.82

NA

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 1.30

NA

0.01

1.31

NA

XXX potential test. 95933............ ............. A

Blink reflex test..... 0.59 1.02

NA

0.08

1.69

NA

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 0.77

NA

0.06

0.83

NA

XXX 95934............ ............. A

H-reflex test......... 0.51 0.44

NA

0.04

0.99

NA

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

NA

0.02

0.23

NA

XXX 95936............ ............. A

H-reflex test......... 0.55 0.45

NA

0.04

1.04

NA

XXX 95936............ 26........... A

H-reflex test......... 0.55 0.24 0.24

0.02

0.81 0.81

XXX 95936............ TC........... A

H-reflex test......... 0.00 0.21

NA

0.02

0.23

NA

XXX 95937............ ............. A

Neuromuscular junction 0.65 0.61

NA

0.04

1.30

NA

XXX test. 95937............ 26........... A

Neuromuscular junction 0.65 0.27 0.27

0.02

0.94 0.94

XXX test. 95937............ TC........... A

Neuromuscular junction 0.00 0.34

NA

0.02

0.36

NA

XXX test. 95950............ ............. A

Ambulatory eeg

1.50 4.53

NA

0.53

6.56

NA

XXX monitoring. 95950............ 26........... A

Ambulatory eeg

1.50 0.64 0.64

0.10

2.24 2.24

XXX monitoring. 95950............ TC........... A

Ambulatory eeg

0.00 3.89

NA

0.43

4.32

NA

XXX monitoring. 95951............ ............. C

EEG monitoring/

0.00 0.00

NA

0.00

0.00

NA

XXX videorecord. 95951............ 26........... A

EEG monitoring/

5.97 2.59 2.59

0.24

8.80 8.80

XXX videorecord. 95951............ TC........... C

EEG monitoring/

0.00 0.00

NA

0.00

0.00

NA

XXX videorecord. 95953............ ............. A

EEG monitoring/

3.06 7.59

NA

0.55 11.20

NA

XXX computer. 95953............ 26........... A

EEG monitoring/

3.06 1.31 1.31

0.12

4.49 4.49

XXX computer. 95953............ TC........... A

EEG monitoring/

0.00 6.28

NA

0.43

6.71

NA

XXX computer. 95954............ ............. A

EEG monitoring/giving

2.44 4.33

NA

0.18

6.95

NA

XXX drugs. 95954............ 26........... A

EEG monitoring/giving

2.44 1.05 1.05

0.12

3.61 3.61

XXX drugs. 95954............ TC........... A

EEG monitoring/giving

0.00 3.28

NA

0.06

3.34

NA

XXX drugs. 95955............ ............. A

EEG during surgery.... 1.00 2.31

NA

0.23

3.54

NA

XXX 95955............ 26........... A

EEG during surgery.... 1.00 0.37 0.37

0.06

1.43 1.43

XXX 95955............ TC........... A

EEG during surgery.... 0.00 1.94

NA

0.17

2.11

NA

XXX 95956............ ............. A

Eeg monitoring, cable/ 3.06 14.32

NA

0.56 17.94

NA

XXX radio. 95956............ 26........... A

Eeg monitoring, cable/ 3.06 1.32 1.32

0.13

4.51 4.51

XXX radio. 95956............ TC........... A

Eeg monitoring, cable/ 0.00 13.00

NA

0.43 13.43

NA

XXX radio.

[[Page 63377]]

95957............ ............. A

EEG digital analysis.. 1.97 2.55

NA

0.20

4.72

NA

XXX 95957............ 26........... A

EEG digital analysis.. 1.97 0.86 0.86

0.08

2.91 2.91

XXX 95957............ TC........... A

EEG digital analysis.. 0.00 1.69

NA

0.12

1.81

NA

XXX 95958............ ............. A

EEG monitoring/

4.23 3.50

NA

0.35

8.08

NA

XXX function test. 95958............ 26........... A

EEG monitoring/

4.23 1.77 1.77

0.22

6.22 6.22

XXX function test. 95958............ TC........... A

EEG monitoring/

0.00 1.73

NA

0.13

1.86

NA

XXX function test. 95961............ ............. A

Electrode stimulation, 2.95 2.63

NA

0.29

5.87

NA

XXX brain. 95961............ 26........... A

Electrode stimulation, 2.95 1.34 1.34

0.22

4.51 4.51

XXX brain. 95961............ TC........... A

Electrode stimulation, 0.00 1.29

NA

0.07

1.36

NA

XXX brain. 95962............ ............. A

Electrode stim, brain

3.19 2.70

NA

0.27

6.16

NA

ZZZ add-on. 95962............ 26........... A

Electrode stim, brain

3.19 1.41 1.41

0.20

4.80 4.80

ZZZ add-on. 95962............ TC........... A

Electrode stim, brain

0.00 1.29

NA

0.07

1.36

NA

ZZZ add-on. 95965............ ............. C

Meg, spontaneous...... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 95965............ 26........... A

Meg, spontaneous...... 7.95 3.46 3.46

0.37 11.78 11.78

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... 3.98 1.74 1.74

0.18

5.90 5.90

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 addl 0.00 0.00 0.00

0.00

0.00 0.00

ZZZ 95967............ 26........... A

Meg, evoked, each addl 3.48 1.35 1.35

0.16

4.99 4.99

ZZZ 95967............ TC........... C

Meg, evoked, each addl 0.00 0.00 0.00

0.00

0.00 0.00

ZZZ 95970............ ............. A

Analyze neurostim, no

0.45 0.17 0.15

0.04

0.66 0.64

XXX prog. 95971............ ............. A

Analyze neurostim,

0.78 0.28 0.23

0.07

1.13 1.08

XXX simple. 95972............ ............. A

Analyze neurostim,

1.49 0.60 0.50

0.20

2.29 2.19

XXX complex. 95973............ ............. A

Analyze neurostim,

0.91 0.40 0.35

0.08

1.39 1.34

ZZZ complex. 95974............ ............. A

Cranial neurostim,

2.98 1.31 1.31

0.18

4.47 4.47

XXX complex. 95975............ ............. A

Cranial neurostim,

1.69 0.73 0.73

0.08

2.50 2.50

ZZZ complex. 95990............ ............. A

Spin/brain pump refil

0.00 1.49

NA

0.06

1.55

NA

XXX & main. 95991............ ............. A

Spin/brain pump refil

0.77 1.49 0.19

0.06

2.32 1.02

XXX & main. 95999............ ............. C

Neurological procedure 0.00 0.00 0.00

0.00

0.00 0.00

XXX 96000............ ............. A

Motion analysis, video/ 1.79

NA 0.57

0.02

NA 2.38

XXX 3d. 96001............ ............. A

Motion test w/ft press 2.14

NA 0.67

0.02

NA 2.83

XXX meas. 96002............ ............. A

Dynamic surface emg... 0.41

NA 0.15

0.02

NA 0.58

XXX 96003............ ............. A

Dynamic fine wire emg. 0.37

NA 0.14

0.04

NA 0.55

XXX 96004............ ............. A

Phys review of motion

2.13 0.96 0.96

0.10

3.19 3.19

XXX tests. 96100............ ............. A

Psychological testing. 0.00 1.75

NA

0.18

1.93

NA

XXX 96105............ ............. A

Assessment of aphasia. 0.00 1.75

NA

0.18

1.93

NA

XXX 96110............ ............. A

Developmental test,

0.00 0.18

NA

0.18

0.36

NA

XXX lim. 96111............ ............. A

Developmental test,

2.59 1.07

NA

0.18

3.84

NA

XXX extend. 96115............ ............. A

Neurobehavior status

0.00 1.75

NA

0.18

1.93

NA

XXX exam. 96117............ ............. A

Neuropsych test

0.00 1.75

NA

0.18

1.93

NA

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/behave, 0.46 0.18 0.16

0.02

0.66 0.64

XXX indiv. 96153............ ............. A

Intervene hlth/behave, 0.10 0.04 0.04

0.01

0.15 0.15

XXX group. 96154............ ............. A

Interv hlth/behav, fam 0.45 0.17 0.16

0.02

0.64 0.63

XXX w/pt. 96155............ ............. N

Interv hlth/behav fam +0.44 0.18 0.17

0.02

0.64 0.63

XXX no pt. 96400............ ............. A

Chemotherapy, sc/im... 0.00 0.88

NA

0.01

0.89

NA

XXX 96405............ ............. A

Intralesional chemo

0.52 1.94 0.23

0.02

2.48 0.77

000 admin. 96406............ ............. A

Intralesional chemo

0.80 2.58 0.30

0.02

3.40 1.12

000 admin. 96408............ ............. A

Chemotherapy, push

0.00 0.96

NA

0.06

1.02

NA

XXX technique. 96410............ ............. A

Chemotherapy,infusion

0.00 1.54

NA

0.08

1.62

NA

XXX method. 96412............ ............. A

Chemo, infuse method

0.00 1.14

NA

0.07

1.21

NA

ZZZ add-on. 96414............ ............. A

Chemo, infuse method

0.00 1.32

NA

0.08

1.40

NA

XXX add-on. 96420............ ............. A

Chemotherapy, push

0.00 1.24

NA

0.08

1.32

NA

XXX technique. 96422............ ............. A

Chemotherapy,infusion

0.00 1.22

NA

0.08

1.30

NA

XXX method. 96423............ ............. A

Chemo, infuse method

0.00 0.48

NA

0.02

0.50

NA

ZZZ add-on. 96425............ ............. A

Chemotherapy,infusion

0.00 1.42

NA

0.08

1.50

NA

XXX method. 96440............ ............. A

Chemotherapy,

2.36 7.40 1.04

0.14

9.90 3.54

000 intracavitary. 96445............ ............. A

Chemotherapy,

2.19 7.38 1.03

0.08

9.65 3.30

000 intracavitary. 96450............ ............. A

Chemotherapy, into CNS 1.88 6.26 0.91

0.07

8.21 2.86

000 96520............ ............. A

Port pump refill &

0.00 0.88

NA

0.06

0.94

NA

XXX main. 96530............ ............. A

Syst pump refill &

0.00 1.05

NA

0.06

1.11

NA

XXX main. 96542............ ............. A

Chemotherapy injection 1.41 3.80 0.55

0.06

5.27 2.02

XXX 96545............ ............. B

Provide chemotherapy

0.00 0.00 0.00

0.00

0.00 0.00

XXX agent. 96549............ ............. C

Chemotherapy,

0.00 0.00 0.00

0.00

0.00 0.00

XXX unspecified. 96567............ ............. A

Photodynamic tx, skin. 0.00 0.99

NA

0.04

1.03

NA

XXX 96570............ ............. A

Photodynamic tx, 30

1.09

NA 0.37

0.05

NA 1.51

ZZZ min. 96571............ ............. A

Photodynamic tx, addl

0.55

NA 0.20

0.02

NA 0.77

ZZZ 15 min. 96900............ ............. A

Ultraviolet light

0.00 0.49

NA

0.02

0.51

NA

XXX therapy. 96902............ ............. B

Trichogram............ +0.41 0.25 0.16

0.01

0.67 0.58

XXX 96910............ ............. A

Photochemotherapy with 0.00 1.08

NA

0.04

1.12

NA

XXX UV-B. 96912............ ............. A

Photochemotherapy with 0.00 1.36

NA

0.05

1.41

NA

XXX UV-A. 96913............ ............. A

Photochemotherapy, UV- 0.00 1.80

NA

0.10

1.90

NA

XXX 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......... 1.19 0.74 0.46

0.06

1.99 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......... 1.19 0.87 0.41

0.06

2.12 1.66

XXX 97004............ ............. A

Ot re-evaluation...... 0.60 0.62 0.20

0.02

1.24 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 reeval. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 97010............ ............. B

Hot or cold packs

+0.06 0.05

NA

0.01

0.12

NA

XXX therapy. 97012............ ............. A

Mechanical traction

0.25 0.14

NA

0.01

0.40

NA

XXX therapy. 97014............ ............. I

Electric stimulation

+0.18 0.19 0.19

0.01

0.38 0.38

XXX therapy. 97016............ ............. A

Vasopneumatic device

0.18 0.19

NA

0.01

0.38

NA

XXX therapy. 97018............ ............. A

Paraffin bath therapy. 0.06 0.11

NA

0.01

0.18

NA

XXX 97020............ ............. A

Microwave therapy..... 0.06 0.06

NA

0.01

0.13

NA

XXX 97022............ ............. A

Whirlpool therapy..... 0.17 0.22

NA

0.01

0.40

NA

XXX 97024............ ............. A

Diathermy treatment... 0.06 0.09

NA

0.01

0.16

NA

XXX 97026............ ............. A

Infrared therapy...... 0.06 0.06

NA

0.01

0.13

NA

XXX 97028............ ............. A

Ultraviolet therapy... 0.08 0.07

NA

0.01

0.16

NA

XXX 97032............ ............. A

Electrical stimulation 0.25 0.16

NA

0.01

0.42

NA

XXX 97033............ ............. A

Electric current

0.26 0.28

NA

0.02

0.56

NA

XXX therapy. 97034............ ............. A

Contrast bath therapy. 0.21 0.16

NA

0.01

0.38

NA

XXX 97035............ ............. A

Ultrasound therapy.... 0.21 0.11

NA

0.01

0.33

NA

XXX 97036............ ............. A

Hydrotherapy.......... 0.28 0.33

NA

0.01

0.62

NA

XXX 97039............ ............. A

Physical therapy

0.20 0.10

NA

0.01

0.31

NA

XXX treatment. 97110............ ............. A

Therapeutic exercises. 0.45 0.28

NA

0.04

0.77

NA

XXX 97112............ ............. A

Neuromuscular

0.45 0.31

NA

0.02

0.78

NA

XXX reeducation. 97113............ ............. A

Aquatic therapy/

0.44 0.41

NA

0.04

0.89

NA

XXX exercises. 97116............ ............. A

Gait training therapy. 0.40 0.24

NA

0.02

0.66

NA

XXX 97124............ ............. A

Massage therapy....... 0.35 0.23

NA

0.01

0.59

NA

XXX 97139............ ............. A

Physical medicine

0.21 0.21

NA

0.01

0.43

NA

XXX procedure. 97140............ ............. A

Manual therapy........ 0.43 0.26

NA

0.02

0.71

NA

XXX 97150............ ............. A

Group therapeutic

0.27 0.18

NA

0.02

0.47

NA

XXX procedures. 97504............ ............. A

Orthotic training..... 0.45 0.33

NA

0.04

0.82

NA

XXX 97520............ ............. A

Prosthetic training... 0.45 0.28

NA

0.02

0.75

NA

XXX 97530............ ............. A

Therapeutic activities 0.44 0.32

NA

0.02

0.78

NA

XXX 97532............ ............. A

Cognitive skills

0.44 0.21

NA

0.01

0.66

NA

XXX development. 97533............ ............. A

Sensory integration... 0.44 0.24

NA

0.01

0.69

NA

XXX 97535............ ............. A

Self care mngment

0.45 0.34

NA

0.02

0.81

NA

XXX training. 97537............ ............. A

Community/work

0.45 0.27

NA

0.01

0.73

NA

XXX reintegration. 97542............ ............. A

Wheelchair mngment

0.45 0.28

NA

0.01

0.74

NA

XXX training. 97545............ ............. R

Work hardening........ 0.00 0.00 0.00

0.00

0.00 0.00

XXX 97546............ ............. R

Work hardening add-on. 0.00 0.00 0.00

0.00

0.00 0.00

ZZZ 97601............ ............. A

Wound(s) care,

0.50 0.50

NA

0.05

1.05

NA

XXX selective. 97602............ ............. B

Wound(s) care non-

0.00 0.00 0.00

0.00

0.00 0.00

XXX selective. 97703............ ............. A

Prosthetic checkout... 0.25 0.42

NA

0.02

0.69

NA

XXX 97750............ ............. A

Physical performance

0.45 0.30

NA

0.02

0.77

NA

XXX test. 97755............ ............. A

Assistive technology

0.62 0.29

NA

0.02

0.93

NA

XXX assess. 97780............ ............. N

Acupuncture w/o stimul 0.00 0.00 0.00

0.00

0.00 0.00

XXX 97781............ ............. N

Acupuncture w/stimul.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 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

NA

0.01

0.48

NA

XXX indiv, in. 97803............ ............. A

Med nutrition, indiv,

0.00 0.47

NA

0.01

0.48

NA

XXX subseq. 97804............ ............. A

Medical nutrition,

0.00 0.18

NA

0.01

0.19

NA

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

0.04

1.43 1.21

000 manipulation. 98928............ ............. A

Osteopathic

1.02 0.61 0.35

0.04

1.67 1.41

000 manipulation. 98929............ ............. A

Osteopathic

1.18 0.69 0.37

0.05

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

0.04

1.28 1.15

000 manipulation. 98943............ ............. N

Chiropractic

+0.40 0.24 0.16

0.01

0.65 0.57

XXX manipulation. 99000............ ............. B

Specimen handling..... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 99001............ ............. B

Specimen handling..... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 99002............ ............. B

Device handling....... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 99024............ ............. B

Postop follow-up visit 0.00 0.00 0.00

0.00

0.00 0.00

XXX 99025............ ............. F

Initial surgical

0.00 0.00 0.00

0.00

0.00 0.00

XXX evaluation. 99026............ ............. N

In-hospital on call

0.00 0.00 0.00

0.00

0.00 0.00

XXX service. 99027............ ............. N

Out-of-hosp on call

0.00 0.00 0.00

0.00

0.00 0.00

XXX service. 99050............ ............. B

Medical services after 0.00 0.00 0.00

0.00

0.00 0.00

XXX hrs. 99052............ ............. B

Medical services at

0.00 0.00 0.00

0.00

0.00 0.00

XXX night. 99054............ ............. B

Medical servcs,

0.00 0.00 0.00

0.00

0.00 0.00

XXX unusual hrs. 99056............ ............. B

Non-office medical

0.00 0.00 0.00

0.00

0.00 0.00

XXX services. 99058............ ............. B

Office emergency care. 0.00 0.00 0.00

0.00

0.00 0.00

XXX

[[Page 63379]]

99070............ ............. B

Special supplies...... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 99071............ ............. B

Patient education

0.00 0.00 0.00

0.00

0.00 0.00

XXX materials. 99075............ ............. N

Medical testimony..... 0.00 0.00 0.00

0.00

0.00 0.00

XXX 99078............ ............. B

Group health education 0.00 0.00 0.00

0.00

0.00 0.00

XXX 99080............ ............. B

Special reports or

0.00 0.00 0.00

0.00

0.00 0.00

XXX forms. 99082............ ............. C

Unusual physician

0.00 0.00 0.00

0.00

0.00 0.00

XXX travel. 99090............ ............. B

Computer data analysis 0.00 0.00 0.00

0.00

0.00 0.00

XXX 99091............ ............. B

Collect/review data

0.00 0.00 0.00

0.00

0.00 0.00

XXX from pt. 99100............ ............. B

Special anesthesia

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ service. 99116............ ............. B

Anesthesia with

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ hypothermia. 99135............ ............. B

Special anesthesia

0.00 0.00 0.00

0.00

0.00 0.00

ZZZ procedure. 99140............ ............. B

Emergency anesthesia.. 0.00 0.00 0.00

0.00

0.00 0.00

ZZZ 99141............ ............. B

Sedation, iv/im or

+0.80 1.95 0.39

0.05

2.80 1.24

XXX inhalant. 99142............ ............. B

Sedation, oral/rectal/ +0.60 1.00 0.31

0.04

1.64 0.95

XXX nasal. 99170............ ............. A

Anogenital exam, child 1.74 1.72 0.53

0.08

3.54 2.35

000 99172............ ............. N

Ocular function screen 0.00 0.00 0.00

0.00

0.00 0.00

XXX 99173............ ............. N

Visual acuity screen.. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 99175............ ............. A

Induction of vomiting. 0.00 1.38

NA

0.10

1.48

NA

XXX 99183............ ............. A

Hyperbaric oxygen

2.33 4.86 0.73

0.14

7.33 3.20

XXX therapy. 99185............ ............. A

Regional hypothermia.. 0.00 0.64

NA

0.04

0.68

NA

XXX 99186............ ............. A

Total body hypothermia 0.00 1.77

NA

0.44

2.21

NA

XXX 99190............ ............. X

Special pump services. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 99191............ ............. X

Special pump services. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 99192............ ............. X

Special pump services. 0.00 0.00 0.00

0.00

0.00 0.00

XXX 99195............ ............. A

Phlebotomy............ 0.00 0.44

NA

0.02

0.46

NA

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

0.87 0.79 0.32

0.06

1.72 1.25

XXX visit, new. 99203............ ............. A

Office/outpatient

1.33 1.15 0.49

0.10

2.58 1.92

XXX visit, new. 99204............ ............. A

Office/outpatient

1.99 1.54 0.71

0.12

3.65 2.82

XXX visit, new. 99205............ ............. A

Office/outpatient

2.65 1.82 0.93

0.14

4.61 3.72

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 0.71 0.23

0.04

1.42 0.94

XXX visit, est. 99214............ ............. A

Office/outpatient

1.09 1.06 0.39

0.05

2.20 1.53

XXX visit, est. 99215............ ............. A

Office/outpatient

1.76 1.36 0.63

0.08

3.20 2.47

XXX visit, est. 99217............ ............. A

Observation care

1.27

NA 0.54

0.06

NA 1.87

XXX discharge. 99218............ ............. A

Observation care...... 1.27

NA 0.44

0.06

NA 1.77

XXX 99219............ ............. A

Observation care...... 2.13

NA 0.71

0.10

NA 2.94

XXX 99220............ ............. A

Observation care...... 2.97

NA 1.02

0.13

NA 4.12

XXX 99221............ ............. A

Initial hospital care. 1.27

NA 0.45

0.06

NA 1.78

XXX 99222............ ............. A

Initial hospital care. 2.13

NA 0.73

0.10

NA 2.96

XXX 99223............ ............. A

Initial hospital care. 2.97

NA 1.03

0.12

NA 4.12

XXX 99231............ ............. A

Subsequent hospital

0.64

NA 0.23

0.02

NA 0.89

XXX care. 99232............ ............. A

Subsequent hospital

1.05

NA 0.37

0.04

NA 1.46

XXX care. 99233............ ............. A

Subsequent hospital

1.50

NA 0.53

0.06

NA 2.09

XXX care. 99234............ ............. A

Observ/hosp same date. 2.55

NA 0.99

0.13

NA 3.67

XXX 99235............ ............. A

Observ/hosp same date. 3.40

NA 1.29

0.16

NA 4.85

XXX 99236............ ............. A

Observ/hosp same date. 4.25

NA 1.58

0.20

NA 6.03

XXX 99238............ ............. A

Hospital discharge day 1.27

NA 0.55

0.05

NA 1.87

XXX 99239............ ............. A

Hospital discharge day 1.74

NA 0.74

0.06

NA 2.54

XXX 99241............ ............. A

Office consultation... 0.64 0.65 0.22

0.05

1.34 0.91

XXX 99242............ ............. A

Office consultation... 1.28 1.06 0.47

0.11

2.45 1.86

XXX 99243............ ............. A

Office consultation... 1.71 1.41 0.63

0.12

3.24 2.46

XXX 99244............ ............. A

Office consultation... 2.57 1.85 0.91

0.16

4.58 3.64

XXX 99245............ ............. A

Office consultation... 3.41 2.29 1.22

0.19

5.89 4.82

XXX 99251............ ............. A

Initial inpatient

0.66

NA 0.25

0.05

NA 0.96

XXX consult. 99252............ ............. A

Initial inpatient

1.31

NA 0.51

0.10

NA 1.92

XXX consult. 99253............ ............. A

Initial inpatient

1.81

NA 0.68

0.11

NA 2.60

XXX consult. 99254............ ............. A

Initial inpatient

2.62

NA 0.98

0.13

NA 3.73

XXX consult. 99255............ ............. A

Initial inpatient

3.63

NA 1.34

0.18

NA 5.15

XXX consult. 99261............ ............. A

Follow-up inpatient

0.42

NA 0.15

0.02

NA 0.59

XXX consult. 99262............ ............. A

Follow-up inpatient

0.85

NA 0.31

0.04

NA 1.20

XXX consult. 99263............ ............. A

Follow-up inpatient

1.26

NA 0.46

0.05

NA 1.77

XXX consult. 99271............ ............. A

Confirmatory

0.45 0.56 0.16

0.04

1.05 0.65

XXX consultation. 99272............ ............. A

Confirmatory

0.84 0.83 0.31

0.07

1.74 1.22

XXX consultation. 99273............ ............. A

Confirmatory

1.18 1.11 0.45

0.08

2.37 1.71

XXX consultation. 99274............ ............. A

Confirmatory

1.72 1.37 0.64

0.11

3.20 2.47

XXX consultation. 99275............ ............. A

Confirmatory

2.30 1.64 0.82

0.12

4.06 3.24

XXX consultation. 99281............ ............. A

Emergency dept visit.. 0.33

NA 0.09

0.02

NA 0.44

XXX 99282............ ............. A

Emergency dept visit.. 0.55

NA 0.15

0.04

NA 0.74

XXX 99283............ ............. A

Emergency dept visit.. 1.23

NA 0.31

0.10

NA 1.64

XXX 99284............ ............. A

Emergency dept visit.. 1.94

NA 0.48

0.14

NA 2.56

XXX 99285............ ............. A

Emergency dept visit.. 3.04

NA 0.72

0.23

NA 3.99

XXX 99288............ ............. B

Direct advanced life

0.00 0.00 0.00

0.00

0.00 0.00

XXX support.

[[Page 63380]]

99289............ ............. A

Ped crit care

4.77

NA 1.68

0.17

NA 6.62

XXX transport. 99290............ ............. A

Ped crit care

2.39

NA 0.83

0.08

NA 3.30

ZZZ transport addl. 99291............ ............. A

Critical care, first

3.98 2.37 1.29

0.17

6.52 5.44

XXX hour. 99292............ ............. A

Critical care, addl 30 1.99 0.81 0.64

0.08

2.88 2.71

ZZZ min. 99293............ ............. A

Ped critical care,

15.91

NA 5.00

0.84

NA 21.75

XXX initial. 99294............ ............. A

Ped critical care,

7.95

NA 2.50

0.28

NA 10.73

XXX subseq. 99295............ ............. A

Neonate crit care,

18.38

NA 5.43

0.84

NA 24.65

XXX initial. 99296............ ............. A

Neonate critical care

7.95

NA 2.57

0.28

NA 10.80

XXX subseq. 99298............ ............. A

Ic for lbw infant 4.0 cm.

[[Page 63387]]

11420............ ............. A

Exc h-f-nk-sp b9+marg

0.97 1.80 0.94

0.10

2.87 2.01

010 0.5 4 cm. 11440............ ............. A

Exc face-mm b9+marg

1.05 2.31 1.35

0.10

3.46 2.50

010 0.5 4 cm. 11600............ ............. A

Exc tr-ext mlg+marg

1.30 2.70 0.99

0.11

4.11 2.40

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

Exc h-f-nk-sp mlg+marg 1.18 2.66 0.97

0.11

3.95 2.26

010 0.5 4 cm. 11640............ ............. A

Exc face-mm malig+marg 1.34 2.73 1.13

0.12

4.19 2.59

010 0.5 4 cm. 20982............ ............. A

Ablate, bone tumor(s)

7.24 106.25 3.02

0.68 114.17 10.94

000 perq. 21030............ ............. A

Excise max/zygoma b9

3.87 6.57 4.05

0.72 11.16 8.64

090 tumor. 21040............ ............. A

Excise mandible lesion 3.87 6.61 3.88

0.23 10.71 7.98

090 21685............ ............. A

Hyoid myotomy &

12.93

NA 10.21

1.51

NA 24.65

090 suspension. 21742............ ............. C

Repair stern/nuss w/o

0.00 0.00 0.00

0.00

0.00 0.00

090 scope. 21743............ ............. C

Repair sternum/nuss w/ 0.00 0.00 0.00

0.00

0.00 0.00

090 scope. 22532............ ............. A

Lat thorax spine

23.86

NA 14.92

4.53

NA 43.31

090 fusion. 22533............ ............. A

Lat lumbar spine

22.99

NA 13.60

3.81

NA 40.40

090 fusion. 22534............ ............. A

Lat thor/lumb, addl

5.97

NA 3.08

1.17

NA 10.22

ZZZ seg. 31622............ ............. A

Dx bronchoscope/wash.. 2.76 4.20 0.89

0.17

7.13 3.82

000 31623............ ............. A

Dx bronchoscope/brush. 2.86 5.09 0.90

0.17

8.12 3.93

000 31624............ ............. A

Dx bronchoscope/lavage 2.86 4.32 0.90

0.16

7.34 3.92

000 31625............ ............. A

Bronchoscopy w/

3.35 5.41 1.27

0.19

8.95 4.81

000 biopsy(s). 31628............ ............. A

Bronchoscopy/lung bx,

3.79 5.62 1.36

0.17

9.58 5.32

000 each. 31629............ ............. A

Bronchoscopy/needle

3.35

NA 1.24

0.16

NA 4.75

000 bx, each. 31630............ ............. A

Bronchoscopy dilate/fx 3.80

NA 1.98

0.36

NA 6.14

000 repr. 31631............ ............. A

Bronchoscopy, dilate w/ 4.35

NA 2.01

0.37

NA 6.73

000 stent. 31632............ ............. A

Bronchoscopy/lung bx,

1.02 0.76 0.32

0.17

1.95 1.51

ZZZ addl. 31633............ ............. A

Bronchoscopy/needle bx 1.31 0.92 0.41

0.17

2.40 1.89

ZZZ addl. 31635............ ............. A

Bronchoscopy w/fb

3.66

NA 1.68

0.25

NA 5.59

000 removal. 31640............ ............. A

Bronchoscopy w/tumor

4.91

NA 2.33

0.44

NA 7.68

000 excise. 33310............ ............. A

Exploratory heart

18.40

NA 9.27

2.71

NA 30.38

090 surgery. 33315............ ............. A

Exploratory heart

22.24

NA 10.53

3.48

NA 36.25

090 surgery. 34805............ ............. A

Endovasc abdo repair w/ 21.76

NA 9.51

1.98

NA 33.25

090 pros. 35510............ ............. A

Artery bypass graft... 22.87

NA 10.22

2.09

NA 35.18

090 35512............ ............. A

Artery bypass graft... 22.37

NA 10.05

2.09

NA 34.51

090 35522............ ............. A

Artery bypass graft... 21.64

NA 9.79

2.09

NA 33.52

090 35525............ ............. A

Artery bypass graft... 20.51

NA 9.41

2.09

NA 32.01

090 35697............ ............. A

Reimplant artery each. 2.98

NA 1.03

0.41

NA 4.42

ZZZ 36511............ ............. A

Apheresis wbc......... 1.73

NA 0.69

0.07

NA 2.49

000 36512............ ............. A

Apheresis rbc......... 1.73

NA 0.69

0.07

NA 2.49

000 36513............ ............. A

Apheresis platelets... 1.73

NA 0.69

0.07

NA 2.49

000 36514............ ............. A

Apheresis plasma...... 1.73

NA 0.69

0.07

NA 2.49

000 36515............ ............. A

Apheresis, adsorp/

1.73

NA 0.73

0.07

NA 2.53

000 reinfuse. 36516............ ............. A

Apheresis, selective.. 1.73

NA 0.73

0.07

NA 2.53

000 36555............ ............. A

Insert non-tunnel cv

2.66 6.06 0.82

0.20

8.92 3.68

000 cath. 36556............ ............. A

Insert non-tunnel cv

2.49 5.06 0.75

0.10

7.65 3.34

000 cath. 36557............ ............. A

Insert tunneled cv

5.07 13.64 2.59

0.59 19.30 8.25

010 cath. 36558............ ............. A

Insert tunneled cv

4.77 13.54 2.48

0.59 18.90 7.84

010 cath. 36560............ ............. A

Insert tunneled cv

6.21 29.38 2.98

0.59 36.18 9.78

010 cath. 36561............ ............. A

Insert tunneled cv

5.97 29.29 2.89

0.59 35.85 9.45

010 cath. 36563............ ............. A

Insert tunneled cv

6.16 26.75 2.99

0.67 33.58 9.82

010 cath. 36565............ ............. A

Insert tunneled cv

5.97 22.30 2.89

0.59 28.86 9.45

010 cath. 36566............ ............. A

Insert tunneled cv

6.46 23.11 3.06

0.59 30.16 10.11

010 cath. 36568............ ............. A

Insert tunneled cv

1.91 8.29 0.60

0.20 10.40 2.71

000 cath.

[[Page 63388]]

36569............ ............. A

Insert tunneled cv

1.81 6.77 0.58

0.16

8.74 2.55

000 cath. 36570............ ............. A

Insert tunneled cv

5.29 40.53 2.66

0.59 46.41 8.54

010 cath. 36571............ ............. A

Insert tunneled cv

5.27 35.86 2.65

0.59 41.72 8.51

010 cath. 36575............ ............. A

Repair tunneled cv

0.67 3.35 0.26

0.59

4.61 1.52

000 cath. 36576............ ............. A

Repair tunneled cv

3.17 7.73 1.77

0.59 11.49 5.53

010 cath. 36578............ ............. A

Replace tunneled cv

3.48 10.57 2.21

0.59 14.64 6.28

010 cath. 36580............ ............. A

Replace tunneled cv

1.30 5.88 0.42

0.16

7.34 1.88

000 cath. 36581............ ............. A

Replace tunneled cv

3.42 13.30 1.85

0.59 17.31 5.86

010 cath. 36582............ ............. A

Replace tunneled cv

5.17 26.69 2.78

0.59 32.45 8.54

010 cath. 36583............ ............. A

Replace tunneled cv

5.22 13.17 2.80

0.59 18.98 8.61

010 cath. 36584............ ............. A

Replace tunneled cv

1.19 6.33 0.56

0.16

7.68 1.91

000 cath. 36585............ ............. A

Replace tunneled cv

4.77 35.52 2.65

0.59 40.88 8.01

010 cath. 36589............ ............. A

Removal tunneled cv

2.26 2.13 1.42

0.25

4.64 3.93

010 cath. 36590............ ............. A

Removal tunneled cv

3.28 6.34 1.64

0.41 10.03 5.33

010 cath. 36595............ ............. A

Mech remov tunneled cv 3.58 18.94 1.47

0.28 22.80 5.33

000 cath. 36596............ ............. A

Mech remov tunneled cv 0.75 4.43 0.50

0.05

5.23 1.30

000 cath. 36597............ ............. A

Reposition venous

1.20 3.18 0.44

0.07

4.45 1.71

000 catheter. 36838............ ............. A

Dist revas ligation,

20.51

NA 9.41

2.97

NA 32.89

090 hemo. 37765............ ............. A

Phleb veins--extrem--

7.31

NA 4.56

0.48

NA 12.35

090 to 20. 37766............ ............. A

Phleb veins--extrem

9.25

NA 5.28

0.48

NA 15.01

090 20+. 37785............ ............. A

Ligate/divide/excise

3.82 5.16 2.66

0.49

9.47 6.97

090 vein. 38207............ ............. I

Cryopreserve stem

0.00 0.00 0.00

0.00

0.00 0.00

XXX cells. 38208............ ............. I

Thaw preserved stem

0.00 0.00 0.00

0.00

0.00 0.00

XXX cells. 38209............ ............. I

Wash harvest stem

0.00 0.00 0.00

0.00

0.00 0.00

XXX cells. 38210............ ............. I

T-cell depletion of

0.00 0.00 0.00

0.00

0.00 0.00

XXX harvest. 38211............ ............. I

Tumor cell deplete of

0.00 0.00 0.00

0.00

0.00 0.00

XXX harvst. 38212............ ............. I

Rbc depletion of

0.00 0.00 0.00

0.00

0.00 0.00

XXX harvest. 38213............ ............. I

Platelet deplete of

0.00 0.00 0.00

0.00

0.00 0.00

XXX harvest. 38214............ ............. I

Volume deplete of

0.00 0.00 0.00

0.00

0.00 0.00

XXX harvest. 38215............ ............. I

Harvest stem cell

0.00 0.00 0.00

0.00

0.00 0.00

XXX concentrte. 43235............ ............. A

Uppr gi endoscopy,

2.38 5.12 1.08

0.16

7.66 3.62

000 diagnosis. 43237............ ............. A

Endoscopic us exam,

3.97

NA 1.63

0.26

NA 5.86

000 esoph. 43238............ ............. A

Uppr gi endoscopy w/us 5.00

NA 1.99

0.26

NA 7.25

000 fn bx. 43242............ ............. A

Uppr gi endoscopy w/us 7.27

NA 2.82

0.35

NA 10.44

000 fn bx. 43259............ ............. A

Endoscopic ultrasound

5.17

NA 2.06

0.26

NA 7.49

000 exam. 43752............ ............. A

Nasal/orogastric w/

0.68 0.26 0.26

0.02

0.96 0.96

000 stent. 47133............ ............. X

Removal of donor liver 0.00 0.00 0.00

0.00

0.00 0.00

XXX 47140............ ............. A

Partial removal, donor 54.69

NA 22.98

4.77

NA 82.44

090 liver. 47141............ ............. A

Partial removal, donor 67.12

NA 27.70

4.77

NA 99.59

090 liver. 47142............ ............. A

Partial removal, donor 74.57

NA 30.29

4.77

NA 109.63

090 liver. 53500............ ............. A

Urethrlys, transvag w/ 12.14

NA 6.27

0.89

NA 19.30

090 scope. 57425............ ............. A

Laparoscopy, surg,

15.66

NA 6.76

1.73

NA 24.15

090 colpopexy. 58545............ ............. A

Laparoscopic

14.52

NA 7.31

1.74

NA 23.57

090 myomectomy. 58546............ ............. A

Laparo-myomectomy,

18.89

NA 9.12

1.74

NA 29.75

090 complex. 58550............ ............. A

Laparo-asst vag

14.11

NA 7.44

1.73

NA 23.28

090 hysterectomy. 58552............ ............. A

Laparo-vag hyst incl t/ 14.11

NA 7.42

1.73

NA 23.26

090 o. 58553............ ............. A

Laparo-vag hyst,

18.89

NA 9.08

1.47

NA 29.44

090 complex. 58554............ ............. A

Laparo-vag hyst w/t/o, 18.89

NA 9.38

1.47

NA 29.74

090 compl. 59070............ ............. A

Transabdom amnioinfus

5.22 5.19 2.43

0.28 10.69 7.93

000 w/ us. 59072............ ............. A

Umbilical cord occlud

8.95

NA 3.17

0.67

NA 12.79

000 w/ us. 59074............ ............. A

Fetal fluid drainage w/ 5.22 4.66 2.43

0.28 10.16 7.93

000 us. 59076............ ............. A

Fetal shunt placement, 8.95

NA 3.17

0.67

NA 12.79

000 w/ us. 59897............ ............. C

Fetal invas px w/ us.. 0.00 0.00 0.00

0.00

0.00 0.00

YYY 61537............ ............. A

Removal of brain

24.86

NA 14.63

6.45

NA 45.94

090 tissue. 61538............ ............. A

Removal of brain

26.66

NA 15.58

6.45

NA 48.69

090 tissue. 61539............ ............. A

Removal of brain

31.90

NA 18.07

7.93

NA 57.90

090 tissue. 61540............ ............. A

Removal of brain

29.83

NA 17.69

7.93

NA 55.45

090 tissue. 61543............ ............. A

Removal of brain

29.05

NA 16.65

7.32

NA 53.02

090 tissue. 61566............ ............. A

Removal of brain

30.82

NA 17.62

6.45

NA 54.89

090 tissue. 61567............ ............. A

Incision of brain

35.30

NA 20.98

6.45

NA 62.73

090 tissue. 61863............ ............. A

Implant neuroelectrode 13.84

NA 9.34

4.76

NA 27.94

090 61864............ ............. A

Implant neuroelectrde, 4.47

NA 2.31

1.13

NA 7.91

ZZZ addl. 61867............ ............. A

Implant neuroelectrode 22.83

NA 13.98

4.76

NA 41.57

090 61868............ ............. A

Implant neuroelectrde, 7.87

NA 4.07

1.20

NA 13.14

ZZZ addl. 63101............ ............. A

Removal of vertebral

31.82

NA 19.57

5.66

NA 57.05

090 body. 63102............ ............. A

Removal of vertebral

31.82

NA 19.57

5.66

NA 57.05

090 body. 63103............ ............. A

Remove vertebral body

3.88

NA 2.03

0.76

NA 6.67

ZZZ add-on. 64449............ ............. A

N block inj, lumbar

2.98

NA 0.98

0.10

NA 4.06

010 plexus. 64517............ ............. A

N block inj, hypogas

2.19 2.76 0.89

0.13

5.08 3.21

000 plxs. 64680............ ............. A

Injection treatment of 2.61 6.08 1.31

0.18

8.87 4.10

010 nerve. 64681............ ............. A

Injection treatment of 3.53 8.81 2.13

0.18 12.52 5.84

010 nerve. 65780............ ............. A

Ocular reconst,

10.19

NA 10.04

0.35

NA 20.58

090 transplant. 65781............ ............. A

Ocular reconst,

17.57

NA 13.45

0.35

NA 31.37

090 transplant. 65782............ ............. A

Ocular reconst,

14.91

NA 11.79

0.35

NA 27.05

090 transplant. 67912............ ............. A

Correction eyelid w/

5.65 20.59 5.33

0.28 26.52 11.26

090 implant.

[[Page 63389]]

68371............ ............. A

Harvest eye tissue,

4.87

NA 4.66

0.20

NA 9.73

010 alograft. 70557............ 26........... A

Mri brain w/o dye..... 2.88 0.99 0.99

0.08

3.95 3.95

XXX 70558............ 26........... A

Mri brain w/ dye...... 3.18 1.09 1.09

0.10

4.37 4.37

XXX 70559............ 26........... A

Mri brain w/o & w/ dye 3.18 1.09 1.09

0.12

4.39 4.39

XXX 75901............ 26........... A

Remove cva device

0.49 0.16 0.16

0.02

0.67 0.67

XXX obstruct. 75902............ 26........... A

Remove cva lumen

0.39 0.13 0.13

0.02

0.54 0.54

XXX obstruct. 75998............ 26........... A

Fluoroguide for vein

0.38 0.13 0.13

0.05

0.56 0.56

ZZZ device. 76082............ 26........... A

Computer mammogram add- 0.06 0.02 0.02

0.01

0.09 0.09

ZZZ on. 76083............ 26........... A

Computer mammogram add- 0.06 0.02 0.02

0.01

0.09 0.09

ZZZ on. 76514............ 26........... A

Echo exam of eye,

0.17 0.08 0.08

0.01

0.26 0.26

XXX thickness. 76937............ 26........... A

Us guide, vascular

0.30 0.10 0.10

0.05

0.45 0.45

ZZZ access. 78800............ 26........... A

Tumor imaging, limited 0.66 0.22 0.22

0.04

0.92 0.92

XXX area. 78801............ 26........... A

Tumor imaging, mult

0.79 0.27 0.27

0.04

1.10 1.10

XXX areas. 78802............ 26........... A

Tumor imaging, whole

0.86 0.30 0.30

0.04

1.20 1.20

XXX body. 78803............ 26........... A

Tumor imaging (3D).... 1.08 0.39 0.39

0.05

1.52 1.52

XXX 78804............ 26........... A

Tumor imaging, whole

1.06 0.38 0.38

0.04

1.48 1.48

XXX body. 79100............ 26........... A

Hematopoetic nuclear

1.31 0.47 0.47

0.06

1.84 1.84

XXX therapy. 79400............ 26........... A

Nonhemato nuclear

1.95 0.67 0.67

0.10

2.72 2.72

XXX therapy. 79403............ 26........... A

Hematopoetic nuclear

2.24 0.91 0.91

0.10

3.25 3.25

XXX therapy. 85396............ ............. A

Clotting assay, whole

0.37

NA 0.17

0.04

NA 0.58

XXX blood. 88112............ 26........... A

Cytopath, cell enhance 1.17 0.53 0.53

0.06

1.76 1.76

XXX tech. 88342............ 26........... A

Immunohistochemistry.. 0.85 0.38 0.38

0.04

1.27 1.27

XXX 88358............ 26........... A

Analysis, tumor....... 2.80 1.24 1.24

0.12

4.16 4.16

XXX 88361............ 26........... A

Immunohistochemistry,

0.93 0.42 0.42

0.12

1.47 1.47

XXX tumor. 91110............ 26........... A

Gi tract capsule

3.63 1.31 1.31

0.02

4.96 4.96

XXX endoscopy. 93784............ ............. A

Ambulatory BP

0.17 0.97 0.97

0.02

1.16 1.16

XXX monitoring. 93786............ ............. A

Ambulatory BP

0.00 0.90

NA

0.01

0.91

NA

XXX recording. 93788............ ............. A

Ambulatory BP analysis 0.00 0.51

NA

0.01

0.52

NA

XXX 93790............ ............. A

Review/report BP

0.17 0.06 0.06

0.01

0.24 0.24

XXX recording. 95990............ ............. A

Spin/brain pump refil

0.00 1.49

NA

0.06

1.55

NA

XXX & main. 95991............ ............. A

Spin/brain pump refil

0.77 1.49 0.19

0.06

2.32 1.02

XXX & main. 96110............ ............. A

Developmental test,

0.00 0.18

NA

0.18

0.36

NA

XXX lim. 96111............ ............. A

Developmental test,

2.59 1.07

NA

0.18

3.84

NA

XXX extend. 97537............ ............. A

Community/work

0.45 0.27

NA

0.01

0.73

NA

XXX reintegration. 97755............ ............. A

Assistive technology

0.62 0.29

NA

0.02

0.93

NA

XXX assess. G0308............ ............. A

ESRD related svc

12.69 8.58 8.58

0.42 21.69 21.69

XXX 4+mo 92604................................. Reprogram cochlear implt 7 92607................................. Ex for speech device rx, 1hr 92608................................. Ex for speech device rx addl 92609................................. Use of speech device service 92610................................. Evaluate swallowing function 92611................................. Motion fluoroscopy/swallow 92612................................. Endoscopy swallow tst (fees) 92614................................. Laryngoscopic sensory test 92616................................. Fees w/laryngeal sense test 93797................................. Cardiac rehab 93798................................. Cardiac rehab/monitor 94667................................. Chest wall manipulation 94668................................. Chest wall manipulation 94762................................. Measure blood oxygen level 95831................................. Limb muscle testing, manual 95832................................. Hand muscle testing, manual 95833................................. Body muscle testing, manual 95834................................. Body muscle testing, manual 95851................................. Range of motion measurements 95852................................. Range of motion measurements 96000................................. Motion analysis, video/3d 96001................................. Motion test w/ft press meas 96002................................. Dynamic surface emg 96003................................. Dynamic fine wire emg 96105................................. Assessment of aphasia 96110................................. Developmental test, lim 96111................................. Developmental test, extend 96115................................. Neurobehavior status exam 0029T................................. Magnetic tx for incontinence INCLUDE HCPCS level 2 codes for the following physical therapy/ occupational therapy/speech-language pathology services: . G0279................................. Excorp shock tx, elbow epi G0280................................. Excorp shock tx other than G0281................................. Elec stim unattend for press G0283................................. Elec stim other than wound

RADIOLOGY AND CERTAIN OTHER IMAGING SERVICES

INCLUDE the following codes in the CPT 70000 series: ................... 70100................................. X-ray exam of jaw 70110................................. X-ray exam of jaw 70120................................. X-ray exam of mastoids 70130................................. X-ray exam of mastoids 70134................................. X-ray exam of middle ear 70140................................. X-ray exam of facial bones 70150................................. X-ray exam of facial bones 70160................................. X-ray exam of nasal bones 70190................................. X-ray exam of eye sockets 70200................................. X-ray exam of eye sockets 70210................................. X-ray exam of sinuses 70220................................. X-ray exam of sinuses 70240................................. X-ray exam, pituitary saddle 70250................................. X-ray exam of skull 70260................................. X-ray exam of skull 70300................................. X-ray exam of teeth 70310................................. X-ray exam of teeth 70320................................. Full mouth x-ray of teeth 70328................................. X-ray exam of jaw joint 70330................................. X-ray exam of jaw joints 70336................................. Magnetic image, jaw joint 70350................................. X-ray head for orthodontia 70355................................. Panoramic x-ray of jaws 70360................................. X-ray exam of neck 70370................................. Throat x-ray & fluoroscopy 70371................................. Speech evaluation, complex 70380................................. X-ray exam of salivary gland 70450................................. Ct head/brain w/o dye 70460................................. Ct head/brain w/dye 70470................................. Ct head/brain w/o & w/ dye 70480................................. Ct orbit/ear/fossa w/o dye 70481................................. Ct orbit/ear/fossa w/dye 70482................................. Ct orbit/ear/fossa w/o&w dye 70486................................. Ct maxillofacial w/o dye 70487................................. Ct maxillofacial w/dye 70488................................. Ct maxillofacial w/o & w dye 70490................................. Ct soft tissue neck w/o dye 70491................................. Ct soft tissue neck w/dye 70492................................. Ct sft tsue nck w/o & w/dye 70496................................. Ct angiography, head 70498................................. Ct angiography, neck 70540................................. Mri orbit/face/neck w/o dye 70542................................. Mri orbit/face/neck w/dye 70543................................. Mri orbt/fac/nck w/o & w dye 70544................................. Mr angiography head w/o dye 70545................................. Mr angiography head w/dye 70546................................. Mr angiograph head w/o&w dye 70547................................. Mr angiography neck w/o dye 70548................................. Mr angiography neck w/dye 70549................................. Mr angiograph neck w/o&w dye 70551................................. Mri brain w/o dye 70552................................. Mri brain w/ dye 70553................................. Mri brain w/o & w/ dye 71010................................. Chest x-ray 71015................................. Chest x-ray 71020................................. Chest x-ray 71021................................. Chest x-ray 71022................................. Chest x-ray 71023................................. Chest x-ray and fluoroscopy 71030................................. Chest x-ray 71034................................. Chest x-ray and fluoroscopy 71035................................. Chest x-ray 71100................................. X-ray exam of ribs 71101................................. X-ray exam of ribs/chest 71110................................. X-ray exam of ribs 71111................................. X-ray exam of ribs/ chest 71120................................. X-ray exam of breastbone 71130................................. X-ray exam of breastbone 71250................................. Ct thorax w/o dye 71260................................. Ct thorax w/dye 71270................................. Ct thorax w/o & w/ dye 71275................................. Ct angiography, chest 71550................................. Mri chest w/o dye 71551................................. Mri chest w/dye 71552................................. Mri chest w/o & w/dye 71555................................. Mri angio chest w or w/o dye 72010................................. X-ray exam of spine 72020................................. X-ray exam of spine 72040................................. X-ray exam of neck spine 72050................................. X-ray exam of neck spine 72052................................. X-ray exam of neck spine 72069................................. X-ray exam of trunk spine

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72070................................. X-ray exam of thoracic spine 72072................................. X-ray exam of thoracic spine 72074................................. X-ray exam of thoracic spine 72080................................. X-ray exam of trunk spine 72090................................. X-ray exam of trunk spine 72100................................. X-ray exam of lower spine 72110................................. X-ray exam of lower spine 72114................................. X-ray exam of lower spine 72120................................. X-ray exam of lower spine 72125................................. Ct neck spine w/o dye 72126................................. Ct neck spine w/dye 72127................................. Ct neck spine w/o & w/dye 72128................................. Ct chest spine w/o dye 72129................................. Ct chest spine w/dye 72130................................. Ct chest spine w/o & w/dye 72131................................. Ct lumbar spine w/o dye 72132................................. Ct lumbar spine w/dye 72133................................. Ct lumbar spine w/o & w/dye 72141................................. Mri neck spine w/o dye 72142................................. Mri neck spine w/dye 72146................................. Mri chest spine w/o dye 72147................................. Mri chest spine w/dye 72148................................. Mri lumbar spine w/o dye 72149................................. Mri lumbar spine w/dye 72156................................. Mri neck spine w/o & w/dye 72157................................. Mri chest spine w/o & w/dye 72158................................. Mri lumbar spine w/o & w/dye 72170................................. X-ray exam of pelvis 72190................................. X-ray exam of pelvis 72191................................. Ct angiograph pelv w/o&w/dye 72192................................. Ct pelvis w/o dye 72193................................. Ct pelvis w/dye 72194................................. Ct pelvis w/o & w/dye 72195................................. Mri pelvis w/o dye 72196................................. Mri pelvis w/dye 72197................................. Mri pelvis w/o & w dye 72198................................. Mr angio pelvis w/o & w/dye 72200................................. X-ray exam sacroiliac joints 72202................................. X-ray exam sacroiliac joints 72220................................. X-ray exam of tailbone 73000................................. X-ray exam of collar bone 73010................................. X-ray exam of shoulder blade 73020................................. X-ray exam of shoulder 73030................................. X-ray exam of shoulder 73050................................. X-ray exam of shoulders 73060................................. X-ray exam of humerus 73070................................. X-ray exam of elbow 73080................................. X-ray exam of elbow 73090................................. X-ray exam of forearm 73092................................. X-ray exam of arm, infant 73100................................. X-ray exam of wrist 73110................................. X-ray exam of wrist 73120................................. X-ray exam of hand 73130................................. X-ray exam of hand 73140................................. X-ray exam of finger(s) 73200................................. Ct upper extremity w/o dye 73201................................. Ct upper extremity w/dye 73202................................. Ct uppr extremity w/o&w/dye 73206................................. Ct angio upr extrm w/o&w/dye 73218................................. Mri upper extremity w/o dye 73219................................. Mri upper extremity w/dye 73220................................. Mri uppr extremity w/o&w/dye 73221................................. Mri joint upr extrem w/o dye 73222................................. Mri joint upr extrem w/dye 73223................................. Mri joint upr extr w/o&w/dye 73500................................. X-ray exam of hip 73510................................. X-ray exam of hip 73520................................. X-ray exam of hips 73540................................. X-ray exam of pelvis & hips 73550................................. X-ray exam of thigh 73560................................. X-ray exam of knee, 1 or 2 73562................................. X-ray exam of knee, 3 73564................................. X-ray exam, knee, 4 or more 73565................................. X-ray exam of knees 73590................................. X-ray exam of lower leg 73592................................. X-ray exam of leg, infant 73600................................. X-ray exam of ankle 73610................................. X-ray exam of ankle 73620................................. X-ray exam of foot 73630................................. X-ray exam of foot 73650................................. X-ray exam of heel 73660................................. X-ray exam of toe(s) 73700................................. Ct lower extremity w/o dye 73701................................. Ct lower extremity w/dye 73702................................. Ct lwr extremity w/o&w/dye 73706................................. Ct angio lwr extr w/o&w/dye 73718................................. Mri lower extremity w/o dye 73719................................. Mri lower extremity w/dye 73720................................. Mri lwr extremity w/o&w/dye 73721................................. Mri jnt of lwr extre w/o dye 73722................................. Mri joint of lwr extr w/dye 73723................................. Mri joint lwr extr w/o&w/dye 73725................................. Mr ang lwr ext w or w/o dye 74000................................. X-ray exam of abdomen 74010................................. X-ray exam of abdomen 74020................................. X-ray exam of abdomen 74022................................. X-ray exam series, abdomen 74150................................. Ct abdomen w/o dye 74160................................. Ct abdomen w/dye 74170................................. Ct abdomen w/o &w /dye 74175................................. Ct angio abdom w/o & w/dye 74181................................. Mri abdomen w/o dye 74182................................. Mri abdomen w/dye 74183................................. Mri abdomen w/o & w/dye 74185................................. Mri angio, abdom w orw/o dye 74210................................. Contrst x-ray exam of throat 74220................................. Contrast x-ray, esophagus 74230................................. Cine/vid x-ray, throat/esoph 74240................................. X-ray exam, upper gi tract 74241................................. X-ray exam, upper gi tract 74245................................. X-ray exam, upper gi tract 74246................................. Contrst x-ray uppr gi tract 74247................................. Contrst x-ray uppr gi tract 74249................................. Contrst x-ray uppr gi tract 74250................................. X-ray exam of small bowel 74290................................. Contrast x-ray, gallbladder 74291................................. Contrast x-rays, gallbladder 74710................................. X-ray measurement of pelvis 75552................................. Heart mri for morph w/o dye 75553................................. Heart mri for morph w/dye 75554................................. Cardiac MRI/function 75555................................. Cardiac MRI/limited study 75635................................. Ct angio abdominal arteries 76000................................. Fluoroscope examination 76006................................. X-ray stress view 76010................................. X-ray, nose to rectum 76020................................. X-rays for bone age 76040................................. X-rays, bone evaluation 76061................................. X-rays, bone survey 76062................................. X-rays, bone survey 76065................................. X-rays, bone evaluation 76066................................. Joint survey, single view 76070................................. Ct bone density, axial 76071................................. Ct bone density, peripheral 76082................................. Computer mammogram add-on 76083................................. Computer mammogram add-on 76090................................. Mammogram, one breast 76091................................. Mammogram, both breasts 76092................................. Mammogram, screening 76093................................. Magnetic image, breast 76094................................. Magnetic image, both breasts 76100................................. X-ray exam of body section 76101................................. Complex body section x-ray 76102................................. Complex body section x-rays 76120................................. Cine/video x-rays 76125................................. Cine/video x-rays add-on 76150................................. X-ray exam, dry process 76370................................. Ct scan for therapy guide 76375................................. 3d/holograph reconstr add-on 76380................................. CAT scan follow-up study 76400................................. Magnetic image, bone marrow 76499................................. Radiographic procedure 76506................................. Echo exam of head 76511................................. Echo exam of eye 76512................................. Echo exam of eye 76513................................. Echo exam of eye, water bath 76514................................. Echo exam of eye, thickness 76516................................. Echo exam of eye 76519................................. Echo exam of eye 76536................................. Us exam of head and neck 76604................................. Us exam, chest, b-scan 76645................................. Us exam, breast(s) 76700................................. Us exam, abdom, complete 76705................................. Echo exam of abdomen 76770................................. Us exam abdo back wall, comp 76775................................. Us exam abdo back wall, lim 76778................................. Us exam kidney transplant 76800................................. Us exam, spinal canal 76801................................. Ob us /= 14 wks, sngl fetus 76810................................. Ob us /= 14 wks, addl fetus 76811................................. Ob us, detailed, sngl fetus 76812................................. Ob us, detailed, addl fetus 76815................................. Ob us, limited, fetus(s) 76816................................. Ob us, follow-up, per fetus 76818................................. Fetal biophys profile w/nst 76819................................. Fetal biophys profil w/o nst 76825................................. Echo exam of fetal heart 76826................................. Echo exam of fetal heart 76827................................. Echo exam of fetal heart 76828................................. Echo exam of fetal heart 76856................................. Us exam, pelvic, complete 76857................................. Us exam, pelvic, limited 76870................................. Us exam, scrotum 76880................................. Us exam, extremity 76885................................. Us exam infant hips, dynamic 76886................................. Us exam infant hips, static 76970................................. Ultrasound exam follow-up 76977................................. Us bone density measure 76999................................. Echo examination procedure INCLUDE the following CPT codes for echocardiography and vascular ultrasound: . 93303................................. Echo transthoracic 93304................................. Echo transthoracic 93307................................. Echo exam of heart 93308................................. Echo exam of heart 93320................................. Doppler echo exam, heart [if used in conjunction with 93303- 93308] 93321................................. Doppler echo exam, heart [if used in conjunction with 93303- 93308] 93325................................. Doppler color flow add-on [if used in conjunction with 93303- 93308] 93875................................. Extracranial study 93880................................. Extracranial study 93882................................. Extracranial study 93886................................. Intracranial study 93888................................. Intracranial study 93922................................. Extremity study 93923................................. Extremity study 93924................................. Extremity study 93925................................. Lower extremity study 93926................................. Lower extremity study 93930................................. Upper extremity study 93931................................. Upper extremity study 93965................................. Extremity study 93970................................. Extremity study 93971................................. Extremity study 93975................................. Vascular study 93976................................. Vascular study 93978................................. Vascular study 93979................................. Vascular study

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93980................................. Penile vascular study 93981................................. Penile vascular study 93990................................. Doppler flow testing INCLUDE the following CPT and HCPCS level 2 codes: ..................... 51798................................. Us urine capacity measure 91110................................. Gi tract capsule endoscopy 0028T................................. Dexa body composition study 0042T................................. Ct perfusion w/contrast, cbf G0202................................. Screeningmammographydigital G0204................................. Diagnosticmammographydigital G0206................................. Diagnosticmammographydigital G0288................................. Recon, CTA for surg plan R0070................................. Transport portable x-ray R0075................................. Transport port x-ray multipl

RADIATION THERAPY SERVICES AND SUPPLIES

INCLUDE the following codes in the CPT 70000 series: ................... 77261................................. Radiation therapy planning 77262................................. Radiation therapy planning 77263................................. Radiation therapy planning 77280................................. Set radiation therapy field 77285................................. Set radiation therapy field 77290................................. Set radiation therapy field 77295................................. Set radiation therapy field 77299................................. Radiation therapy planning 77300................................. Radiation therapy dose plan 77301................................. Radiotherapy dose plan, imrt 77305................................. Teletx isodose plan simple 77310................................. Teletx isodose plan intermed 77315................................. Teletx isodose plan complex 77321................................. Special teletx port plan 77326................................. Brachytx isodose calc simp 77327................................. Brachytx isodose calc interm 77328................................. Brachytx isodose plan compl 77331................................. Special radiation dosimetry 77332................................. Radiation treatment aid(s) 77333................................. Radiation treatment aid(s) 77334................................. Radiation treatment aid(s) 77336................................. Radiation physics consult 77370................................. Radiation physics consult 77399................................. External radiation dosimetry 77401................................. Radiation treatment delivery 77402................................. Radiation treatment delivery 77403................................. Radiation treatment delivery 77404................................. Radiation treatment delivery 77406................................. Radiation treatment delivery 77407................................. Radiation treatment delivery 77408................................. Radiation treatment delivery 77409................................. Radiation treatment delivery 77411................................. Radiation treatment delivery 77412................................. Radiation treatment delivery 77413................................. Radiation treatment delivery 77414................................. Radiation treatment delivery 77416................................. Radiation treatment delivery 77417................................. Radiology port film(s) 77418................................. Radiation tx delivery, imrt 77427................................. Radiation tx management, x5 77431................................. Radiation therapy management 77432................................. Stereotactic radiation trmt 77470................................. Special radiation treatment 77499................................. Radiation therapy management 77520................................. Proton trmt, simple w/o comp 77522................................. Proton trmt, simple w/comp 77523................................. Proton trmt, intermediate 77525................................. Proton treatment, complex 77600................................. Hyperthermia treatment 77605................................. Hyperthermia treatment 77610................................. Hyperthermia treatment 77615................................. Hyperthermia treatment 77620................................. Hyperthermia treatment 77750................................. Infuse radioactive materials 77761................................. Apply intrcav radiat simple 77762................................. Apply intrcav radiat interm 77763................................. Apply intrcav radiat compl 77776................................. Apply interstit radiat simpl 77777................................. Apply interstit radiat inter 77778................................. Apply interstit radiat compl 77781................................. High intensity brachytherapy 77782................................. High intensity brachytherapy 77783................................. High intensity brachytherapy 77784................................. High intensity brachytherapy 77789................................. Apply surface radiation 77790................................. Radiation handling 77799................................. Radium/radioisotope therapy INCLUDE the following CPT and HCPCS level 2 codes classified elsewhere: 31643................................. Diag bronchoscope/catheter 50559................................. Renal endoscopy/radiotracer 55859................................. Percut/needle insert, pros 61770................................. Incise skull for treatment 61793................................. Focus radiation beam 92974................................. Cath place, cardio brachytx G0173................................. Stereo radiosurgery,complete G0242................................. Multisource photon ster plan G0243................................. Multisour photon stero treat G0251................................. Linear acc based stero radio G0256................................. Prostate brachy w palladium G0261................................. Prostate brachytherapy w/rad G0338................................. Linear accelerator stero pln G0339................................. Robot lin-radsurg com, first G0340................................. Robt lin-radsurg fractx 2-5

DRUGS USED BY PATIENTS UNDERGOING DIALYSIS

The physician self-referral prohibition does not apply to the following dialysis-related outpatient prescription drugs furnished in or by an ESRD facility if the conditions in Sec. 411.355(g) are satisfied: . J0636................................. Inj calcitriol per 0.1 mcg J0895................................. Deferoxamine mesylate inj J1270................................. Injection, doxercalciferol J1750................................. Iron dextran J1756................................. Iron sucrose injection J2501................................. Paricalcitol J2916................................. Na ferric gluconate complex J2997................................. Alteplase recombinant Q4054................................. Darbepoetin alfa, esrd use Q4055................................. Epoetin alfa, esrd use

PREVENTIVE SCREENING TESTS, IMMUNIZATIONS AND VACCINES

The physician self-referral prohibition does not apply to the following tests if they are performed for screening purposes and satisfy the conditions in Sec. 411.355(h): . 76083................................. Computer mammogram add-on 76092................................. Mammogram, screening 76977................................. Us bone density measure G0103................................. Psa, total screening G0107................................. CA screen; fecal blood test G0123................................. Screen cerv/vag thin layer G0124................................. Screen c/v thin layer by MD G0141................................. Scr c/v cyto,autosys and md G0143................................. Scr c/v cyto,thinlayer,rescr G0144................................. Scr c/v cyto,thinlayer,rescr G0145................................. Scr c/v cyto,thinlayer,rescr G0147................................. Scr c/v cyto, automated sys G0148................................. Scr c/v cyto, autosys, rescr G0202................................. Screeningmammographydigital P3000................................. Screen pap by tech w md supv P3001................................. Screening pap smear by phys The physician self-referral prohibition does not apply to the following immunization and vaccine codes if they satisfy the conditions in Sec. 411.355(h): . 90655................................. Flu vaccine, 6-35 mo, im 90657................................. Flu vaccine, 6-35 mo, im 90658................................. Flu vaccine, 3 yrs, im 90732................................. Pneumococcal vaccine 90740................................. Hepb vacc, ill pat dose im 90743................................. Hep b vacc, adol, 2 dose im 90744................................. Hepb vacc ped/adol 3 dose im 90746................................. Hepb vaccine, adult, im 90747................................. Hepb vacc, ill pat 4 dose im

\1\ CPT codes and descriptions only are copyright 2003 American Medical Association. All rights are reserved and applicable FARS/DFARS clauses apply.

[FR Doc. 03-27639 Filed 10-30-03; 3:43 pm]

BILLING CODE 4120-01-P

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