|
Code
|
Short descriptor
|
Status
|
Original non-fac fee
|
New non-fac fee
|
Non-fac fee change
|
Original fac fee
|
New fac fee
|
Fac fee change
|
|
11954
|
Tx contour defects >10.0 cc
|
R
|
$158.93
|
$159.29
|
$0.36
|
$115.69
|
$116.05
|
$0.36
|
|
11976
|
Remove contraceptive capsule
|
R
|
$148.12
|
$148.84
|
$0.72
|
$95.86
|
$96.58
|
$0.72
|
|
12017
|
Rpr fe/e/en/l/m 20.1-30.0 cm
|
A
|
$156.41
|
$157.85
|
$1.44
|
$156.41
|
$157.85
|
$1.44
|
|
12018
|
Rpr f/e/e/n/l/m >30.0 cm
|
A
|
$177.31
|
$178.75
|
$1.44
|
$177.31
|
$178.75
|
$1.44
|
|
12046
|
Intmd rpr n-hf/genit20.1-30
|
A
|
$497.34
|
$498.78
|
$1.44
|
$323.27
|
$324.71
|
$1.44
|
|
12047
|
Intmd rpr n-hf/genit >30.0cm
|
A
|
$545.99
|
$548.15
|
$2.16
|
$360.03
|
$362.19
|
$2.16
|
|
12056
|
Intmd rpr face/mm 20.1-30.0
|
A
|
$575.90
|
$577.71
|
$1.80
|
$396.43
|
$398.23
|
$1.80
|
|
12057
|
Intmd rpr face/mm >30.0 cm
|
A
|
$610.14
|
$613.39
|
$3.24
|
$440.04
|
$443.28
|
$3.24
|
|
15832
|
Excise excessive skin thigh
|
A
|
$951.43
|
$952.87
|
$1.44
|
$951.43
|
$952.87
|
$1.44
|
|
15833
|
Excise excessive skin leg
|
A
|
$899.54
|
$902.78
|
$3.24
|
$899.54
|
$902.78
|
$3.24
|
|
15836
|
Excise excessive skin arm
|
A
|
$816.29
|
$817.37
|
$1.08
|
$816.29
|
$817.37
|
$1.08
|
|
15922
|
Removal of tail bone ulcer
|
A
|
$810.88
|
$811.96
|
$1.08
|
$810.88
|
$811.96
|
$1.08
|
|
15951
|
Remove thigh pressure sore
|
A
|
$911.43
|
$914.67
|
$3.24
|
$911.43
|
$914.67
|
$3.24
|
|
15952
|
Remove thigh pressure sore
|
A
|
$935.94
|
$938.10
|
$2.16
|
$935.94
|
$938.10
|
$2.16
|
|
19272
|
Extensive chest wall surgery
|
A
|
$1,813.85
|
$1,818.17
|
$4.32
|
$1,813.85
|
$1,818.17
|
$4.32
|
|
19306
|
Mast rad urban type
|
A
|
$1,249.84
|
$1,252.00
|
$2.16
|
$1,249.84
|
$1,252.00
|
$2.16
|
|
19324
|
Enlarge breast
|
A
|
$545.99
|
$549.96
|
$3.96
|
$545.99
|
$549.96
|
$3.96
|
|
19355
|
Correct inverted nipple(s)
|
A
|
$775.92
|
$777.00
|
$1.08
|
$640.05
|
$641.14
|
$1.08
|
|
20101
|
Explore wound chest
|
A
|
$467.07
|
$467.43
|
$0.36
|
$217.68
|
$218.04
|
$0.36
|
|
20697
|
Comp ext fixate strut change
|
A
|
$2,123.06
|
$2,123.42
|
$0.36
|
$2,123.06
|
$2,123.42
|
$0.36
|
|
20827
|
Replantation thumb complete
|
A
|
$1,887.37
|
$1,898.54
|
$11.17
|
$1,887.37
|
$1,898.54
|
$11.17
|
|
20932
|
Osteoart algrft w/surf & b1
|
A
|
$740.24
|
$741.68
|
$1.44
|
$740.24
|
$741.68
|
$1.44
|
|
20933
|
Hemicrt intrclry algrft prtl
|
A
|
$678.98
|
$680.06
|
$1.08
|
$678.98
|
$680.06
|
$1.08
|
|
20934
|
Intercalary algrft compl
|
A
|
$739.88
|
$741.32
|
$1.44
|
$739.88
|
$741.32
|
$1.44
|
|
20956
|
Iliac bone graft microvasc
|
A
|
$2,743.30
|
$2,762.40
|
$19.10
|
$2,743.30
|
$2,762.40
|
$19.10
|
|
20970
|
Bone/skin graft iliac crest
|
A
|
$2,968.90
|
$2,985.84
|
$16.94
|
$2,968.90
|
$2,985.84
|
$16.94
|
|
21010
|
Incision of jaw joint
|
A
|
$792.50
|
$796.10
|
$3.60
|
$792.50
|
$796.10
|
$3.60
|
|
21049
|
Excis uppr jaw cyst w/repair
|
A
|
$1,249.12
|
$1,250.92
|
$1.80
|
$1,249.12
|
$1,250.92
|
$1.80
|
|
21082
|
Prepare face/oral prosthesis
|
A
|
$1,633.65
|
$1,635.45
|
$1.80
|
$1,329.48
|
$1,331.28
|
$1.80
|
|
21084
|
Prepare face/oral prosthesis
|
A
|
$1,783.58
|
$1,785.38
|
$1.80
|
$1,428.59
|
$1,430.39
|
$1.80
|
|
21125
|
Augmentation lower jaw bone
|
A
|
$2,982.96
|
$2,986.20
|
$3.24
|
$769.07
|
$772.32
|
$3.24
|
|
21146
|
Lefort i-2 piece w/ graft
|
A
|
$1,732.76
|
$1,737.08
|
$4.32
|
$1,732.76
|
$1,737.08
|
$4.32
|
|
21172
|
Reconstruct orbit/forehead
|
A
|
$2,183.61
|
$2,192.98
|
$9.37
|
$2,183.61
|
$2,192.98
|
$9.37
|
|
21179
|
Reconstruct entire forehead
|
A
|
$1,571.30
|
$1,579.59
|
$8.29
|
$1,571.30
|
$1,579.59
|
$8.29
|
|
21182
|
Reconstruct cranial bone
|
A
|
$2,198.75
|
$2,207.76
|
$9.01
|
$2,198.75
|
$2,207.76
|
$9.01
|
|
21188
|
Reconstruction of midface
|
A
|
$1,732.04
|
$1,739.61
|
$7.57
|
$1,732.04
|
$1,739.61
|
$7.57
|
|
21193
|
Reconst lwr jaw w/o graft
|
A
|
$1,325.52
|
$1,329.48
|
$3.96
|
$1,325.52
|
$1,329.48
|
$3.96
|
|
21199
|
Reconstr lwr jaw w/advance
|
A
|
$1,115.41
|
$1,117.93
|
$2.52
|
$1,115.41
|
$1,117.93
|
$2.52
|
|
21206
|
Reconstruct upper jaw bone
|
A
|
$1,230.37
|
$1,232.18
|
$1.80
|
$1,230.37
|
$1,232.18
|
$1.80
|
|
21209
|
Reduction of facial bones
|
A
|
$928.01
|
$928.73
|
$0.72
|
$695.19
|
$695.92
|
$0.72
|
|
21242
|
Reconstruction of jaw joint
|
A
|
$1,078.29
|
$1,081.17
|
$2.88
|
$1,078.29
|
$1,081.17
|
$2.88
|
|
21245
|
Reconstruction of jaw
|
A
|
$1,256.68
|
$1,258.12
|
$1.44
|
$990.71
|
$992.16
|
$1.44
|
|
21247
|
Reconstruct lower jaw bone
|
A
|
$1,695.28
|
$1,705.73
|
$10.45
|
$1,695.28
|
$1,705.73
|
$10.45
|
|
21267
|
Revise eye sockets
|
A
|
$1,688.43
|
$1,695.64
|
$7.21
|
$1,688.43
|
$1,695.64
|
$7.21
|
|
21296
|
Revision of jaw muscle/bone
|
A
|
$419.50
|
$423.82
|
$4.32
|
$419.50
|
$423.82
|
$4.32
|
|
21339
|
Open nasoethmoid fx w/ fixj
|
A
|
$770.52
|
$772.68
|
$2.16
|
$770.52
|
$772.68
|
$2.16
|
|
21343
|
Open tx dprsd front sinus fx
|
A
|
$1,110.73
|
$1,111.81
|
$1.08
|
$1,110.73
|
$1,111.81
|
$1.08
|
|
21344
|
Open tx compl front sinus fx
|
A
|
$1,429.31
|
$1,431.11
|
$1.80
|
$1,429.31
|
$1,431.11
|
$1.80
|
|
21347
|
Opn tx nasomax fx multple
|
A
|
$1,046.22
|
$1,046.58
|
$0.36
|
$1,046.22
|
$1,046.58
|
$0.36
|
|
21360
|
Opn tx dprsd malar fracture
|
A
|
$526.17
|
$526.53
|
$0.36
|
$526.17
|
$526.53
|
$0.36
|
|
21366
|
Opn tx complx malar w/grft
|
A
|
$1,318.67
|
$1,324.44
|
$5.77
|
$1,318.67
|
$1,324.44
|
$5.77
|
|
21385
|
Opn tx orbit fx transantral
|
A
|
$780.25
|
$781.33
|
$1.08
|
$780.25
|
$781.33
|
$1.08
|
|
21386
|
Opn tx orbit fx periorbital
|
A
|
$720.06
|
$720.42
|
$0.36
|
$720.06
|
$720.42
|
$0.36
|
|
21387
|
Opn tx orbit fx combined
|
A
|
$813.76
|
$815.20
|
$1.44
|
$813.76
|
$815.20
|
$1.44
|
|
21432
|
Treat craniofacial fracture
|
A
|
$741.68
|
$744.21
|
$2.52
|
$741.68
|
$744.21
|
$2.52
|
|
21435
|
Treat craniofacial fracture
|
A
|
$1,453.46
|
$1,459.22
|
$5.77
|
$1,453.46
|
$1,459.22
|
$5.77
|
|
21450
|
Treat lower jaw fracture
|
A
|
$592.48
|
$592.84
|
$0.36
|
$485.45
|
$485.81
|
$0.36
|
|
21465
|
Treat lower jaw fracture
|
A
|
$932.33
|
$933.77
|
$1.44
|
$932.33
|
$933.77
|
$1.44
|
|
21485
|
Reset dislocated jaw
|
A
|
$857.37
|
$857.73
|
$0.36
|
$703.84
|
$704.20
|
$0.36
|
|
21502
|
Drain chest lesion
|
A
|
$523.29
|
$524.73
|
$1.44
|
$523.29
|
$524.73
|
$1.44
|
|
21510
|
Drainage of bone lesion
|
A
|
$459.14
|
$460.94
|
$1.80
|
$459.14
|
$460.94
|
$1.80
|
|
21610
|
Partial removal of rib
|
A
|
$1,250.56
|
$1,264.97
|
$14.42
|
$1,250.56
|
$1,264.97
|
$14.42
|
|
21685
|
Hyoid myotomy & suspension
|
A
|
$1,016.66
|
$1,017.02
|
$0.36
|
$1,016.66
|
$1,017.02
|
$0.36
|
|
21700
|
Revision of neck muscle
|
A
|
$369.04
|
$371.20
|
$2.16
|
$369.04
|
$371.20
|
$2.16
|
|
21705
|
Revision of neck muscle/rib
|
A
|
$554.64
|
$556.44
|
$1.80
|
$554.64
|
$556.44
|
$1.80
|
|
21720
|
Revision of neck muscle
|
A
|
$532.30
|
$547.79
|
$15.50
|
$532.30
|
$547.79
|
$15.50
|
|
21740
|
Reconstruction of sternum
|
A
|
$1,071.08
|
$1,075.41
|
$4.32
|
$1,071.08
|
$1,075.41
|
$4.32
|
|
21813
|
Treatment of rib fracture
|
A
|
$1,023.51
|
$1,033.24
|
$9.73
|
$1,023.51
|
$1,033.24
|
$9.73
|
|
22112
|
Remove part thorax vertebra
|
A
|
$1,155.05
|
$1,179.56
|
$24.51
|
$1,155.05
|
$1,179.56
|
$24.51
|
|
22114
|
Remove part lumbar vertebra
|
A
|
$1,169.11
|
$1,179.56
|
$10.45
|
$1,169.11
|
$1,179.56
|
$10.45
|
|
22222
|
Incis w/discectomy thoracic
|
A
|
$1,803.04
|
$1,841.60
|
$38.56
|
$1,803.04
|
$1,841.60
|
$38.56
|
|
22319
|
Treat odontoid fx w/graft
|
A
|
$1,901.78
|
$1,932.42
|
$30.63
|
$1,901.78
|
$1,932.42
|
$30.63
|
|
22548
|
Neck spine fusion
|
A
|
$2,052.43
|
$2,074.41
|
$21.98
|
$2,052.43
|
$2,074.41
|
$21.98
|
|
22586
|
Prescrl fuse w/ instr l5-s1
|
A
|
$2,124.14
|
$2,148.65
|
$24.51
|
$2,124.14
|
$2,148.65
|
$24.51
|
|
22812
|
Ant fusion 8/> vert seg
|
A
|
$2,280.55
|
$2,308.66
|
$28.11
|
$2,280.55
|
$2,308.66
|
$28.11
|
|
22818
|
Kyphectomy 1-2 segments
|
A
|
$2,252.08
|
$2,265.42
|
$13.33
|
$2,252.08
|
$2,265.42
|
$13.33
|
|
22819
|
Kyphectomy 3 or more
|
A
|
$2,576.80
|
$2,604.91
|
$28.11
|
$2,576.80
|
$2,604.91
|
$28.11
|
|
22847
|
Insert spine fixation device
|
A
|
$842.23
|
$847.64
|
$5.41
|
$842.23
|
$847.64
|
$5.41
|
|
22857
|
Lumbar artif diskectomy
|
R
|
$1,832.59
|
$1,853.13
|
$20.54
|
$1,832.59
|
$1,853.13
|
$20.54
|
|
22861
|
Revise cerv artific disc
|
A
|
$2,340.02
|
$2,465.80
|
$125.78
|
$2,340.02
|
$2,465.80
|
$125.78
|
|
22864
|
Remove cerv artif disc
|
A
|
$2,160.54
|
$2,196.22
|
$35.68
|
$2,160.54
|
$2,196.22
|
$35.68
|
|
22865
|
Remove lumb artif disc
|
R
|
$2,031.88
|
$2,061.44
|
$29.55
|
$2,031.88
|
$2,061.44
|
$29.55
|
|
23100
|
Biopsy of shoulder joint
|
A
|
$518.96
|
$520.04
|
$1.08
|
$518.96
|
$520.04
|
$1.08
|
|
23125
|
Removal of collar bone
|
A
|
$732.31
|
$737.00
|
$4.69
|
$732.31
|
$737.00
|
$4.69
|
|
23145
|
Removal of bone lesion
|
A
|
$712.85
|
$722.22
|
$9.37
|
$712.85
|
$722.22
|
$9.37
|
|
23146
|
Removal of bone lesion
|
A
|
$635.37
|
$645.10
|
$9.73
|
$635.37
|
$645.10
|
$9.73
|
|
23155
|
Removal of humerus lesion
|
A
|
$818.09
|
$826.02
|
$7.93
|
$818.09
|
$826.02
|
$7.93
|
|
23156
|
Removal of humerus lesion
|
A
|
$701.32
|
$704.92
|
$3.60
|
$701.32
|
$704.92
|
$3.60
|
|
23172
|
Remove shoulder blade lesion
|
A
|
$584.91
|
$588.52
|
$3.60
|
$584.91
|
$588.52
|
$3.60
|
|
23174
|
Remove humerus lesion
|
A
|
$786.73
|
$789.62
|
$2.88
|
$786.73
|
$789.62
|
$2.88
|
|
23190
|
Partial removal of scapula
|
A
|
$592.12
|
$594.65
|
$2.52
|
$592.12
|
$594.65
|
$2.52
|
|
23200
|
Resect clavicle tumor
|
A
|
$1,572.75
|
$1,576.71
|
$3.96
|
$1,572.75
|
$1,576.71
|
$3.96
|
|
23210
|
Resect scapula tumor
|
A
|
$1,847.36
|
$1,853.85
|
$6.49
|
$1,847.36
|
$1,853.85
|
$6.49
|
|
23330
|
Remove shoulder foreign body
|
A
|
$288.31
|
$289.39
|
$1.08
|
$171.55
|
$172.63
|
$1.08
|
|
23400
|
Fixation of shoulder blade
|
A
|
$992.16
|
$1,011.62
|
$19.46
|
$992.16
|
$1,011.62
|
$19.46
|
|
23450
|
Repair shoulder capsule
|
A
|
$978.82
|
$987.47
|
$8.65
|
$978.82
|
$987.47
|
$8.65
|
|
23460
|
Repair shoulder capsule
|
A
|
$1,126.58
|
$1,135.23
|
$8.65
|
$1,126.58
|
$1,135.23
|
$8.65
|
|
23465
|
Repair shoulder capsule
|
A
|
$1,159.02
|
$1,164.78
|
$5.77
|
$1,159.02
|
$1,164.78
|
$5.77
|
|
23490
|
Reinforce clavicle
|
A
|
$889.08
|
$896.65
|
$7.57
|
$889.08
|
$896.65
|
$7.57
|
|
23491
|
Reinforce shoulder bones
|
A
|
$1,054.50
|
$1,056.67
|
$2.16
|
$1,054.50
|
$1,056.67
|
$2.16
|
|
23530
|
Treat clavicle dislocation
|
A
|
$590.32
|
$595.37
|
$5.05
|
$590.32
|
$595.37
|
$5.05
|
|
23532
|
Treat clavicle dislocation
|
A
|
$641.14
|
$648.70
|
$7.57
|
$641.14
|
$648.70
|
$7.57
|
|
23545
|
Treat clavicle dislocation
|
A
|
$356.43
|
$357.15
|
$0.72
|
$321.11
|
$321.83
|
$0.72
|
|
23575
|
Treat shoulder blade fx
|
A
|
$415.89
|
$417.69
|
$1.80
|
$387.78
|
$389.58
|
$1.80
|
|
23800
|
Fusion of shoulder joint
|
A
|
$1,063.15
|
$1,067.84
|
$4.69
|
$1,063.15
|
$1,067.84
|
$4.69
|
|
23802
|
Fusion of shoulder joint
|
A
|
$1,326.24
|
$1,335.61
|
$9.37
|
$1,326.24
|
$1,335.61
|
$9.37
|
|
23900
|
Amputation of arm & girdle
|
A
|
$1,440.48
|
$1,445.17
|
$4.69
|
$1,440.48
|
$1,445.17
|
$4.69
|
|
23920
|
Amputation at shoulder joint
|
A
|
$1,170.19
|
$1,172.35
|
$2.16
|
$1,170.19
|
$1,172.35
|
$2.16
|
|
24100
|
Biopsy elbow joint lining
|
A
|
$431.39
|
$433.55
|
$2.16
|
$431.39
|
$433.55
|
$2.16
|
|
24115
|
Remove/graft bone lesion
|
A
|
$757.90
|
$766.91
|
$9.01
|
$757.90
|
$766.91
|
$9.01
|
|
24116
|
Remove/graft bone lesion
|
A
|
$893.77
|
$896.65
|
$2.88
|
$893.77
|
$896.65
|
$2.88
|
|
24126
|
Remove/graft bone lesion
|
A
|
$667.44
|
$674.29
|
$6.85
|
$667.44
|
$674.29
|
$6.85
|
|
24134
|
Removal of arm bone lesion
|
A
|
$774.48
|
$777.00
|
$2.52
|
$774.48
|
$777.00
|
$2.52
|
|
24138
|
Remove elbow bone lesion
|
A
|
$701.68
|
$703.48
|
$1.80
|
$701.68
|
$703.48
|
$1.80
|
|
24150
|
Resect distal humerus tumor
|
A
|
$1,615.63
|
$1,618.52
|
$2.88
|
$1,615.63
|
$1,618.52
|
$2.88
|
|
24152
|
Resect radius tumor
|
A
|
$1,382.10
|
$1,405.52
|
$23.43
|
$1,382.10
|
$1,405.52
|
$23.43
|
|
24155
|
Removal of elbow joint
|
A
|
$881.88
|
$887.28
|
$5.41
|
$881.88
|
$887.28
|
$5.41
|
|
24320
|
Repair of arm tendon
|
A
|
$803.67
|
$811.96
|
$8.29
|
$803.67
|
$811.96
|
$8.29
|
|
24330
|
Revision of arm muscles
|
A
|
$743.49
|
$746.37
|
$2.88
|
$743.49
|
$746.37
|
$2.88
|
|
24331
|
Revision of arm muscles
|
A
|
$801.51
|
$817.73
|
$16.22
|
$801.51
|
$817.73
|
$16.22
|
|
24346
|
Reconstruct elbow med ligmnt
|
A
|
$1,138.84
|
$1,143.16
|
$4.32
|
$1,138.84
|
$1,143.16
|
$4.32
|
|
24360
|
Reconstruct elbow joint
|
A
|
$934.85
|
$937.02
|
$2.16
|
$934.85
|
$937.02
|
$2.16
|
|
24361
|
Reconstruct elbow joint
|
A
|
$1,046.22
|
$1,048.02
|
$1.80
|
$1,046.22
|
$1,048.02
|
$1.80
|
|
24365
|
Reconstruct head of radius
|
A
|
$662.76
|
$664.56
|
$1.80
|
$662.76
|
$664.56
|
$1.80
|
|
24495
|
Decompression of forearm
|
A
|
$766.55
|
$767.99
|
$1.44
|
$766.55
|
$767.99
|
$1.44
|
|
24565
|
Treat humerus fracture
|
A
|
$552.48
|
$554.28
|
$1.80
|
$506.35
|
$508.15
|
$1.80
|
|
24577
|
Treat humerus fracture
|
A
|
$569.42
|
$570.50
|
$1.08
|
$520.76
|
$521.85
|
$1.08
|
|
24587
|
Treat elbow fracture
|
A
|
$1,129.83
|
$1,133.07
|
$3.24
|
$1,129.83
|
$1,133.07
|
$3.24
|
|
24800
|
Fusion of elbow joint
|
A
|
$857.37
|
$863.50
|
$6.13
|
$857.37
|
$863.50
|
$6.13
|
|
24930
|
Amputation follow-up surgery
|
A
|
$801.87
|
$804.75
|
$2.88
|
$801.87
|
$804.75
|
$2.88
|
|
25100
|
Biopsy of wrist joint
|
A
|
$358.59
|
$358.95
|
$0.36
|
$358.59
|
$358.95
|
$0.36
|
|
25125
|
Remove/graft forearm lesion
|
A
|
$610.50
|
$615.91
|
$5.41
|
$610.50
|
$615.91
|
$5.41
|
|
25126
|
Remove/graft forearm lesion
|
A
|
$616.63
|
$619.87
|
$3.24
|
$616.63
|
$619.87
|
$3.24
|
|
25135
|
Remove & graft wrist lesion
|
A
|
$576.27
|
$579.51
|
$3.24
|
$576.27
|
$579.51
|
$3.24
|
|
25136
|
Remove & graft wrist lesion
|
A
|
$506.71
|
$512.12
|
$5.41
|
$506.71
|
$512.12
|
$5.41
|
|
25145
|
Remove forearm bone lesion
|
A
|
$534.82
|
$536.98
|
$2.16
|
$534.82
|
$536.98
|
$2.16
|
|
25170
|
Resect radius/ulnar tumor
|
A
|
$1,534.18
|
$1,538.87
|
$4.69
|
$1,534.18
|
$1,538.87
|
$4.69
|
|
25250
|
Removal of wrist prosthesis
|
A
|
$548.15
|
$550.32
|
$2.16
|
$548.15
|
$550.32
|
$2.16
|
|
25251
|
Removal of wrist prosthesis
|
A
|
$745.29
|
$747.81
|
$2.52
|
$745.29
|
$747.81
|
$2.52
|
|
25263
|
Repair forearm tendon/muscle
|
A
|
$649.42
|
$652.31
|
$2.88
|
$649.42
|
$652.31
|
$2.88
|
|
25315
|
Revise palsy hand tendon(s)
|
A
|
$797.55
|
$800.79
|
$3.24
|
$797.55
|
$800.79
|
$3.24
|
|
25355
|
Revision of radius
|
A
|
$785.65
|
$795.74
|
$10.09
|
$785.65
|
$795.74
|
$10.09
|
|
25365
|
Revise radius & ulna
|
A
|
$946.03
|
$952.51
|
$6.49
|
$946.03
|
$952.51
|
$6.49
|
|
25391
|
Lengthen radius or ulna
|
A
|
$1,035.04
|
$1,037.21
|
$2.16
|
$1,035.04
|
$1,037.21
|
$2.16
|
|
25392
|
Shorten radius & ulna
|
A
|
$1,026.75
|
$1,054.86
|
$28.11
|
$1,026.75
|
$1,054.86
|
$28.11
|
|
25393
|
Lengthen radius & ulna
|
A
|
$1,163.34
|
$1,177.04
|
$13.69
|
$1,163.34
|
$1,177.04
|
$13.69
|
|
25394
|
Repair carpal bone shorten
|
A
|
$810.52
|
$815.20
|
$4.69
|
$810.52
|
$815.20
|
$4.69
|
|
25415
|
Repair radius & ulna
|
A
|
$1,002.25
|
$1,007.29
|
$5.05
|
$1,002.25
|
$1,007.29
|
$5.05
|
|
25420
|
Repair/graft radius & ulna
|
A
|
$1,210.19
|
$1,215.96
|
$5.77
|
$1,210.19
|
$1,215.96
|
$5.77
|
|
25425
|
Repair/graft radius or ulna
|
A
|
$997.20
|
$1,002.25
|
$5.05
|
$997.20
|
$1,002.25
|
$5.05
|
|
25431
|
Repair nonunion carpal bone
|
A
|
$816.29
|
$819.53
|
$3.24
|
$816.29
|
$819.53
|
$3.24
|
|
25441
|
Reconstruct wrist joint
|
A
|
$971.97
|
$975.22
|
$3.24
|
$971.97
|
$975.22
|
$3.24
|
|
25443
|
Reconstruct wrist joint
|
A
|
$803.31
|
$813.04
|
$9.73
|
$803.31
|
$813.04
|
$9.73
|
|
25444
|
Reconstruct wrist joint
|
A
|
$855.93
|
$859.53
|
$3.60
|
$855.93
|
$859.53
|
$3.60
|
|
25490
|
Reinforce radius
|
A
|
$746.01
|
$746.73
|
$0.72
|
$746.01
|
$746.73
|
$0.72
|
|
25520
|
Treat fracture of radius
|
A
|
$586.72
|
$591.04
|
$4.32
|
$554.64
|
$558.97
|
$4.32
|
|
25526
|
Treat fracture of radius
|
A
|
$989.99
|
$993.24
|
$3.24
|
$989.99
|
$993.24
|
$3.24
|
|
25624
|
Treat wrist bone fracture
|
A
|
$496.62
|
$498.06
|
$1.44
|
$451.57
|
$453.01
|
$1.44
|
|
25635
|
Treat wrist bone fracture
|
A
|
$472.83
|
$473.91
|
$1.08
|
$430.31
|
$431.39
|
$1.08
|
|
25645
|
Treat wrist bone fracture
|
A
|
$588.52
|
$591.40
|
$2.88
|
$588.52
|
$591.40
|
$2.88
|
|
25680
|
Treat wrist fracture
|
A
|
$538.06
|
$541.31
|
$3.24
|
$538.06
|
$541.31
|
$3.24
|
|
25685
|
Treat wrist fracture
|
A
|
$762.95
|
$764.75
|
$1.80
|
$762.95
|
$764.75
|
$1.80
|
|
25690
|
Treat wrist dislocation
|
A
|
$499.86
|
$500.94
|
$1.08
|
$499.86
|
$500.94
|
$1.08
|
|
25695
|
Treat wrist dislocation
|
A
|
$655.91
|
$658.07
|
$2.16
|
$655.91
|
$658.07
|
$2.16
|
|
25805
|
Fusion/graft of wrist joint
|
A
|
$876.83
|
$879.35
|
$2.52
|
$876.83
|
$879.35
|
$2.52
|
|
25905
|
Amputation of forearm
|
A
|
$724.03
|
$728.35
|
$4.32
|
$724.03
|
$728.35
|
$4.32
|
|
25907
|
Amputation follow-up surgery
|
A
|
$630.68
|
$636.45
|
$5.77
|
$630.68
|
$636.45
|
$5.77
|
|
25909
|
Amputation follow-up surgery
|
A
|
$708.53
|
$711.41
|
$2.88
|
$708.53
|
$711.41
|
$2.88
|
|
25924
|
Amputation follow-up surgery
|
A
|
$700.60
|
$710.33
|
$9.73
|
$700.60
|
$710.33
|
$9.73
|
|
25927
|
Amputation of hand
|
A
|
$834.67
|
$837.19
|
$2.52
|
$834.67
|
$837.19
|
$2.52
|
|
26105
|
Biopsy finger joint lining
|
A
|
$348.86
|
$349.94
|
$1.08
|
$348.86
|
$349.94
|
$1.08
|
|
26185
|
Remove finger bone
|
A
|
$570.14
|
$571.22
|
$1.08
|
$570.14
|
$571.22
|
$1.08
|
|
26260
|
Resect prox finger tumor
|
A
|
$831.06
|
$833.22
|
$2.16
|
$831.06
|
$833.22
|
$2.16
|
|
26262
|
Resect distal finger tumor
|
A
|
$654.11
|
$656.63
|
$2.52
|
$654.11
|
$656.63
|
$2.52
|
|
26352
|
Repair/graft hand tendon
|
A
|
$829.26
|
$831.06
|
$1.80
|
$829.26
|
$831.06
|
$1.80
|
|
26357
|
Repair finger/hand tendon
|
A
|
$919.00
|
$921.88
|
$2.88
|
$919.00
|
$921.88
|
$2.88
|
|
26358
|
Repair/graft hand tendon
|
A
|
$1,016.66
|
$1,020.63
|
$3.96
|
$1,016.66
|
$1,020.63
|
$3.96
|
|
26372
|
Repair/graft hand tendon
|
A
|
$897.73
|
$900.98
|
$3.24
|
$897.73
|
$900.98
|
$3.24
|
|
26373
|
Repair finger/hand tendon
|
A
|
$861.69
|
$864.22
|
$2.52
|
$861.69
|
$864.22
|
$2.52
|
|
26390
|
Revise hand/finger tendon
|
A
|
$852.32
|
$853.77
|
$1.44
|
$852.32
|
$853.77
|
$1.44
|
|
26392
|
Repair/graft hand tendon
|
A
|
$990.71
|
$992.52
|
$1.80
|
$990.71
|
$992.52
|
$1.80
|
|
26428
|
Repair/graft finger tendon
|
A
|
$767.99
|
$770.16
|
$2.16
|
$767.99
|
$770.16
|
$2.16
|
|
26434
|
Repair/graft finger tendon
|
A
|
$657.35
|
$659.16
|
$1.80
|
$657.35
|
$659.16
|
$1.80
|
|
26474
|
Fusion of finger tendons
|
A
|
$611.22
|
$612.30
|
$1.08
|
$611.22
|
$612.30
|
$1.08
|
|
26479
|
Shortening of hand tendon
|
A
|
$635.01
|
$637.53
|
$2.52
|
$635.01
|
$637.53
|
$2.52
|
|
26489
|
Transplant/graft palm tendon
|
A
|
$949.99
|
$953.95
|
$3.96
|
$949.99
|
$953.95
|
$3.96
|
|
26490
|
Revise thumb tendon
|
A
|
$810.88
|
$812.32
|
$1.44
|
$810.88
|
$812.32
|
$1.44
|
|
26492
|
Tendon transfer with graft
|
A
|
$901.34
|
$902.78
|
$1.44
|
$901.34
|
$902.78
|
$1.44
|
|
26494
|
Hand tendon/muscle transfer
|
A
|
$811.96
|
$815.93
|
$3.96
|
$811.96
|
$815.93
|
$3.96
|
|
26497
|
Finger tendon transfer
|
A
|
$882.60
|
$883.68
|
$1.08
|
$882.60
|
$883.68
|
$1.08
|
|
26498
|
Finger tendon transfer
|
A
|
$1,170.19
|
$1,171.63
|
$1.44
|
$1,170.19
|
$1,171.63
|
$1.44
|
|
26499
|
Revision of finger
|
A
|
$844.76
|
$847.28
|
$2.52
|
$844.76
|
$847.28
|
$2.52
|
|
26502
|
Hand tendon reconstruction
|
A
|
$722.22
|
$723.67
|
$1.44
|
$722.22
|
$723.67
|
$1.44
|
|
26517
|
Fusion of knuckle joints
|
A
|
$837.19
|
$841.87
|
$4.69
|
$837.19
|
$841.87
|
$4.69
|
|
26518
|
Fusion of knuckle joints
|
A
|
$850.52
|
$853.05
|
$2.52
|
$850.52
|
$853.05
|
$2.52
|
|
26545
|
Reconstruct finger joint
|
A
|
$717.18
|
$720.42
|
$3.24
|
$717.18
|
$720.42
|
$3.24
|
|
26560
|
Repair of web finger
|
A
|
$595.01
|
$600.05
|
$5.05
|
$595.01
|
$600.05
|
$5.05
|
|
26561
|
Repair of web finger
|
A
|
$963.33
|
$966.21
|
$2.88
|
$963.33
|
$966.21
|
$2.88
|
|
26568
|
Lengthen metacarpal/finger
|
A
|
$913.95
|
$916.83
|
$2.88
|
$913.95
|
$916.83
|
$2.88
|
|
26596
|
Excision constricting tissue
|
A
|
$774.84
|
$781.69
|
$6.85
|
$774.84
|
$781.69
|
$6.85
|
|
26607
|
Treat metacarpal fracture
|
A
|
$484.73
|
$485.81
|
$1.08
|
$484.73
|
$485.81
|
$1.08
|
|
26645
|
Treat thumb fracture
|
A
|
$443.28
|
$444.36
|
$1.08
|
$405.80
|
$406.88
|
$1.08
|
|
26686
|
Treat hand dislocation
|
A
|
$644.38
|
$647.26
|
$2.88
|
$644.38
|
$647.26
|
$2.88
|
|
26820
|
Thumb fusion with graft
|
A
|
$798.99
|
$802.95
|
$3.96
|
$798.99
|
$802.95
|
$3.96
|
|
26843
|
Fusion of hand joint
|
A
|
$750.69
|
$752.86
|
$2.16
|
$750.69
|
$752.86
|
$2.16
|
|
26844
|
Fusion/graft of hand joint
|
A
|
$833.94
|
$835.75
|
$1.80
|
$833.94
|
$835.75
|
$1.80
|
|
26863
|
Fuse/graft added joint
|
A
|
$238.58
|
$239.30
|
$0.72
|
$238.58
|
$239.30
|
$0.72
|
|
27003
|
Incision of hip tendon
|
A
|
$615.55
|
$619.51
|
$3.96
|
$615.55
|
$619.51
|
$3.96
|
|
27035
|
Denervation of hip joint
|
A
|
$1,182.80
|
$1,182.44
|
-$0.36
|
$1,182.80
|
$1,182.44
|
-$0.36
|
|
27052
|
Biopsy of hip joint
|
A
|
$597.89
|
$600.77
|
$2.88
|
$597.89
|
$600.77
|
$2.88
|
|
27057
|
Buttock fasciotomy w/dbrdmt
|
A
|
$1,050.18
|
$1,055.59
|
$5.41
|
$1,050.18
|
$1,055.59
|
$5.41
|
|
27075
|
Resect hip tumor
|
A
|
$2,182.53
|
$2,188.65
|
$6.13
|
$2,182.53
|
$2,188.65
|
$6.13
|
|
27076
|
Resect hip tum incl acetabul
|
A
|
$2,641.67
|
$2,649.96
|
$8.29
|
$2,641.67
|
$2,649.96
|
$8.29
|
|
27078
|
Rsect hip tum incl femur
|
A
|
$2,151.89
|
$2,158.02
|
$6.13
|
$2,151.89
|
$2,158.02
|
$6.13
|
|
27086
|
Remove hip foreign body
|
A
|
$310.30
|
$311.02
|
$0.72
|
$173.35
|
$174.07
|
$0.72
|
|
27097
|
Revision of hip tendon
|
A
|
$707.45
|
$708.89
|
$1.44
|
$707.45
|
$708.89
|
$1.44
|
|
27105
|
Transfer of spinal muscle
|
A
|
$897.73
|
$901.70
|
$3.96
|
$897.73
|
$901.70
|
$3.96
|
|
27110
|
Transfer of iliopsoas muscle
|
A
|
$1,002.25
|
$1,009.09
|
$6.85
|
$1,002.25
|
$1,009.09
|
$6.85
|
|
27120
|
Reconstruction of hip socket
|
A
|
$1,345.34
|
$1,354.35
|
$9.01
|
$1,345.34
|
$1,354.35
|
$9.01
|
|
27147
|
Revision of hip bone
|
A
|
$1,512.92
|
$1,531.30
|
$18.38
|
$1,512.92
|
$1,531.30
|
$18.38
|
|
27156
|
Revision of hip bones
|
A
|
$1,763.75
|
$1,786.46
|
$22.70
|
$1,763.75
|
$1,786.46
|
$22.70
|
|
27158
|
Revision of pelvis
|
A
|
$1,434.00
|
$1,460.66
|
$26.67
|
$1,434.00
|
$1,460.66
|
$26.67
|
|
27176
|
Treat slipped epiphysis
|
A
|
$951.43
|
$956.48
|
$5.05
|
$951.43
|
$956.48
|
$5.05
|
|
27177
|
Treat slipped epiphysis
|
A
|
$1,121.90
|
$1,160.82
|
$38.92
|
$1,121.90
|
$1,160.82
|
$38.92
|
|
27179
|
Revise head/neck of femur
|
A
|
$1,004.41
|
$1,017.38
|
$12.97
|
$1,004.41
|
$1,017.38
|
$12.97
|
|
27181
|
Treat slipped epiphysis
|
A
|
$1,137.39
|
$1,169.11
|
$31.71
|
$1,137.39
|
$1,169.11
|
$31.71
|
|
27202
|
Treat tail bone fracture
|
A
|
$545.63
|
$551.76
|
$6.13
|
$545.63
|
$551.76
|
$6.13
|
|
27256
|
Treat hip dislocation
|
A
|
$313.54
|
$314.62
|
$1.08
|
$243.26
|
$244.35
|
$1.08
|
|
27257
|
Treat hip dislocation
|
A
|
$376.97
|
$377.69
|
$0.72
|
$376.97
|
$377.69
|
$0.72
|
|
27258
|
Treat hip dislocation
|
A
|
$1,153.61
|
$1,157.22
|
$3.60
|
$1,153.61
|
$1,157.22
|
$3.60
|
|
27268
|
Cltx thigh fx w/mnpj
|
A
|
$557.89
|
$560.41
|
$2.52
|
$557.89
|
$560.41
|
$2.52
|
|
27284
|
Fusion of hip joint
|
A
|
$1,654.92
|
$1,685.55
|
$30.63
|
$1,654.92
|
$1,685.55
|
$30.63
|
|
27290
|
Amputation of leg at hip
|
A
|
$1,690.59
|
$1,694.20
|
$3.60
|
$1,690.59
|
$1,694.20
|
$3.60
|
|
27325
|
Neurectomy hamstring
|
A
|
$576.63
|
$580.59
|
$3.96
|
$576.63
|
$580.59
|
$3.96
|
|
27326
|
Neurectomy popliteal
|
A
|
$531.94
|
$535.54
|
$3.60
|
$531.94
|
$535.54
|
$3.60
|
|
27330
|
Biopsy knee joint lining
|
A
|
$431.39
|
$431.75
|
$0.36
|
$431.39
|
$431.75
|
$0.36
|
|
27332
|
Removal of knee cartilage
|
A
|
$665.28
|
$668.53
|
$3.24
|
$665.28
|
$668.53
|
$3.24
|
|
27356
|
Remove femur lesion/graft
|
A
|
$765.47
|
$769.07
|
$3.60
|
$765.47
|
$769.07
|
$3.60
|
|
27358
|
Remove femur lesion/fixation
|
A
|
$289.75
|
$290.84
|
$1.08
|
$289.75
|
$290.84
|
$1.08
|
|
27390
|
Incision of thigh tendon
|
A
|
$463.46
|
$465.63
|
$2.16
|
$463.46
|
$465.63
|
$2.16
|
|
27392
|
Incision of thigh tendons
|
A
|
$735.92
|
$740.24
|
$4.32
|
$735.92
|
$740.24
|
$4.32
|
|
27395
|
Lengthening of thigh tendons
|
A
|
$910.35
|
$914.31
|
$3.96
|
$910.35
|
$914.31
|
$3.96
|
|
27396
|
Transplant of thigh tendon
|
A
|
$635.73
|
$640.05
|
$4.32
|
$635.73
|
$640.05
|
$4.32
|
|
27397
|
Transplants of thigh tendons
|
A
|
$948.91
|
$952.51
|
$3.60
|
$948.91
|
$952.51
|
$3.60
|
|
27400
|
Revise thigh muscles/tendons
|
A
|
$714.66
|
$721.50
|
$6.85
|
$714.66
|
$721.50
|
$6.85
|
|
27407
|
Repair of knee ligament
|
A
|
$814.12
|
$825.30
|
$11.17
|
$814.12
|
$825.30
|
$11.17
|
|
27409
|
Repair of knee ligaments
|
A
|
$997.92
|
$1,005.49
|
$7.57
|
$997.92
|
$1,005.49
|
$7.57
|
|
27412
|
Autochondrocyte implant knee
|
A
|
$1,698.52
|
$1,722.67
|
$24.15
|
$1,698.52
|
$1,722.67
|
$24.15
|
|
27416
|
Osteochondral knee autograft
|
A
|
$1,009.09
|
$1,020.99
|
$11.89
|
$1,009.09
|
$1,020.99
|
$11.89
|
|
27424
|
Revision/removal of kneecap
|
A
|
$775.20
|
$777.72
|
$2.52
|
$775.20
|
$777.72
|
$2.52
|
|
27428
|
Reconstruction knee
|
A
|
$1,156.49
|
$1,160.82
|
$4.32
|
$1,156.49
|
$1,160.82
|
$4.32
|
|
27429
|
Reconstruction knee
|
A
|
$1,299.93
|
$1,304.98
|
$5.05
|
$1,299.93
|
$1,304.98
|
$5.05
|
|
27440
|
Revision of knee joint
|
A
|
$826.02
|
$829.62
|
$3.60
|
$826.02
|
$829.62
|
$3.60
|
|
27441
|
Revision of knee joint
|
A
|
$855.57
|
$857.73
|
$2.16
|
$855.57
|
$857.73
|
$2.16
|
|
27454
|
Realignment of thigh bone
|
A
|
$1,346.78
|
$1,352.55
|
$5.77
|
$1,346.78
|
$1,352.55
|
$5.77
|
|
27455
|
Realignment of knee
|
A
|
$972.70
|
$984.23
|
$11.53
|
$972.70
|
$984.23
|
$11.53
|
|
27457
|
Realignment of knee
|
A
|
$997.92
|
$1,002.25
|
$4.32
|
$997.92
|
$1,002.25
|
$4.32
|
|
27465
|
Shortening of thigh bone
|
A
|
$1,303.17
|
$1,304.62
|
$1.44
|
$1,303.17
|
$1,304.62
|
$1.44
|
|
27466
|
Lengthening of thigh bone
|
A
|
$1,226.77
|
$1,233.62
|
$6.85
|
$1,226.77
|
$1,233.62
|
$6.85
|
|
27497
|
Decompression of thigh/knee
|
A
|
$602.57
|
$604.38
|
$1.80
|
$602.57
|
$604.38
|
$1.80
|
|
27498
|
Decompression of thigh/knee
|
A
|
$678.98
|
$680.42
|
$1.44
|
$678.98
|
$680.42
|
$1.44
|
|
27499
|
Decompression of thigh/knee
|
A
|
$724.39
|
$727.63
|
$3.24
|
$724.39
|
$727.63
|
$3.24
|
|
27516
|
Treat thigh fx growth plate
|
A
|
$527.61
|
$528.69
|
$1.08
|
$495.18
|
$496.26
|
$1.08
|
|
27517
|
Treat thigh fx growth plate
|
A
|
$706.37
|
$713.21
|
$6.85
|
$706.37
|
$713.21
|
$6.85
|
|
27519
|
Treat thigh fx growth plate
|
A
|
$927.29
|
$929.81
|
$2.52
|
$927.29
|
$929.81
|
$2.52
|
|
27556
|
Treat knee dislocation
|
A
|
$910.71
|
$914.31
|
$3.60
|
$910.71
|
$914.31
|
$3.60
|
|
27557
|
Treat knee dislocation
|
A
|
$1,084.42
|
$1,092.71
|
$8.29
|
$1,084.42
|
$1,092.71
|
$8.29
|
|
27558
|
Treat knee dislocation
|
A
|
$1,235.42
|
$1,245.51
|
$10.09
|
$1,235.42
|
$1,245.51
|
$10.09
|
|
27562
|
Treat kneecap dislocation
|
A
|
$500.58
|
$503.11
|
$2.52
|
$500.58
|
$503.11
|
$2.52
|
|
27566
|
Treat kneecap dislocation
|
A
|
$925.48
|
$930.17
|
$4.69
|
$925.48
|
$930.17
|
$4.69
|
|
27591
|
Amputate leg at thigh
|
A
|
$1,002.25
|
$1,006.21
|
$3.96
|
$1,002.25
|
$1,006.21
|
$3.96
|
|
27645
|
Resect tibia tumor
|
A
|
$1,850.25
|
$1,853.85
|
$3.60
|
$1,850.25
|
$1,853.85
|
$3.60
|
|
27646
|
Resect fibula tumor
|
A
|
$1,598.69
|
$1,607.34
|
$8.65
|
$1,598.69
|
$1,607.34
|
$8.65
|
|
27656
|
Repair leg fascia defect
|
A
|
$656.63
|
$657.35
|
$0.72
|
$410.85
|
$411.57
|
$0.72
|
|
27712
|
Realignment of lower leg
|
A
|
$1,139.92
|
$1,150.01
|
$10.09
|
$1,139.92
|
$1,150.01
|
$10.09
|
|
27715
|
Revision of lower leg
|
A
|
$1,112.89
|
$1,115.41
|
$2.52
|
$1,112.89
|
$1,115.41
|
$2.52
|
|
27722
|
Repair/graft of tibia
|
A
|
$923.32
|
$928.01
|
$4.69
|
$923.32
|
$928.01
|
$4.69
|
|
27725
|
Repair of lower leg
|
A
|
$1,264.61
|
$1,268.22
|
$3.60
|
$1,264.61
|
$1,268.22
|
$3.60
|
|
27727
|
Repair of lower leg
|
A
|
$1,048.38
|
$1,079.73
|
$31.35
|
$1,048.38
|
$1,079.73
|
$31.35
|
|
27768
|
Cltx post ankle fx w/mnpj
|
A
|
$456.62
|
$457.70
|
$1.08
|
$456.62
|
$457.70
|
$1.08
|
|
27830
|
Treat lower leg dislocation
|
A
|
$394.27
|
$397.87
|
$3.60
|
$365.08
|
$368.68
|
$3.60
|
|
27832
|
Treat lower leg dislocation
|
A
|
$782.41
|
$786.73
|
$4.32
|
$782.41
|
$786.73
|
$4.32
|
|
27893
|
Decompression of leg
|
A
|
$632.49
|
$633.57
|
$1.08
|
$632.49
|
$633.57
|
$1.08
|
|
28102
|
Remove/graft foot lesion
|
A
|
$628.16
|
$631.04
|
$2.88
|
$628.16
|
$631.04
|
$2.88
|
|
28261
|
Revision of foot tendon
|
A
|
$1,070.00
|
$1,071.80
|
$1.80
|
$842.59
|
$844.40
|
$1.80
|
|
28264
|
Release of midfoot joint
|
A
|
$1,048.74
|
$1,050.90
|
$2.16
|
$797.55
|
$799.71
|
$2.16
|
|
28302
|
Incision of ankle bone
|
A
|
$741.32
|
$744.21
|
$2.88
|
$741.32
|
$744.21
|
$2.88
|
|
28420
|
Treat/graft heel fracture
|
A
|
$1,322.63
|
$1,328.04
|
$5.41
|
$1,322.63
|
$1,328.04
|
$5.41
|
|
28435
|
Treatment of ankle fracture
|
A
|
$375.89
|
$376.25
|
$0.36
|
$334.44
|
$334.80
|
$0.36
|
|
28446
|
Osteochondral talus autogrft
|
A
|
$1,268.22
|
$1,275.06
|
$6.85
|
$1,268.22
|
$1,275.06
|
$6.85
|
|
28545
|
Treat foot dislocation
|
A
|
$309.22
|
$309.94
|
$0.72
|
$272.46
|
$273.18
|
$0.72
|
|
28546
|
Treat foot dislocation
|
A
|
$600.77
|
$602.21
|
$1.44
|
$352.46
|
$353.90
|
$1.44
|
|
28575
|
Treat foot dislocation
|
A
|
$381.29
|
$381.65
|
$0.36
|
$343.45
|
$343.81
|
$0.36
|
|
28576
|
Treat foot dislocation
|
A
|
$405.80
|
$406.52
|
$0.72
|
$405.80
|
$406.52
|
$0.72
|
|
28605
|
Treat foot dislocation
|
A
|
$342.37
|
$343.09
|
$0.72
|
$305.97
|
$306.69
|
$0.72
|
|
29055
|
Application of shoulder cast
|
A
|
$226.33
|
$227.41
|
$1.08
|
$142.35
|
$143.44
|
$1.08
|
|
29058
|
Application of shoulder cast
|
A
|
$126.50
|
$127.58
|
$1.08
|
$96.95
|
$98.03
|
$1.08
|
|
29358
|
Apply long leg cast brace
|
A
|
$163.62
|
$164.70
|
$1.08
|
$106.68
|
$107.76
|
$1.08
|
|
29740
|
Wedging of cast
|
A
|
$101.63
|
$101.99
|
$0.36
|
$72.80
|
$73.16
|
$0.36
|
|
29835
|
Elbow arthroscopy/surgery
|
A
|
$521.85
|
$527.97
|
$6.13
|
$521.85
|
$527.97
|
$6.13
|
|
29843
|
Wrist arthroscopy/surgery
|
A
|
$500.94
|
$502.75
|
$1.80
|
$500.94
|
$502.75
|
$1.80
|
|
29847
|
Wrist arthroscopy/surgery
|
A
|
$555.36
|
$564.73
|
$9.37
|
$555.36
|
$564.73
|
$9.37
|
|
29850
|
Knee arthroscopy/surgery
|
A
|
$646.18
|
$648.34
|
$2.16
|
$646.18
|
$648.34
|
$2.16
|
|
29851
|
Knee arthroscopy/surgery
|
A
|
$965.13
|
$970.17
|
$5.05
|
$965.13
|
$970.17
|
$5.05
|
|
29856
|
Tibial arthroscopy/surgery
|
A
|
$1,029.64
|
$1,037.57
|
$7.93
|
$1,029.64
|
$1,037.57
|
$7.93
|
|
29860
|
Hip arthroscopy dx
|
A
|
$686.18
|
$693.39
|
$7.21
|
$686.18
|
$693.39
|
$7.21
|
|
29867
|
Allgrft implnt knee w/scope
|
A
|
$1,324.08
|
$1,332.01
|
$7.93
|
$1,324.08
|
$1,332.01
|
$7.93
|
|
29885
|
Knee arthroscopy/surgery
|
A
|
$771.96
|
$784.57
|
$12.61
|
$771.96
|
$784.57
|
$12.61
|
|
29887
|
Knee arthroscopy/surgery
|
A
|
$775.20
|
$781.33
|
$6.13
|
$775.20
|
$781.33
|
$6.13
|
|
29889
|
Knee arthroscopy/surgery
|
A
|
$1,270.74
|
$1,274.34
|
$3.60
|
$1,270.74
|
$1,274.34
|
$3.60
|
|
29901
|
Mcp joint arthroscopy surg
|
A
|
$551.40
|
$555.00
|
$3.60
|
$551.40
|
$555.00
|
$3.60
|
|
29904
|
Subtalar arthro w/fb rmvl
|
A
|
$655.19
|
$663.48
|
$8.29
|
$655.19
|
$663.48
|
$8.29
|
|
29907
|
Subtalar arthro w/fusion
|
A
|
$908.55
|
$912.15
|
$3.60
|
$908.55
|
$912.15
|
$3.60
|
|
30160
|
Removal of nose
|
A
|
$800.07
|
$801.15
|
$1.08
|
$800.07
|
$801.15
|
$1.08
|
|
30410
|
Reconstruction of nose
|
R
|
$1,289.48
|
$1,290.56
|
$1.08
|
$1,289.48
|
$1,290.56
|
$1.08
|
|
30430
|
Revision of nose
|
R
|
$981.71
|
$982.07
|
$0.36
|
$981.71
|
$982.07
|
$0.36
|
|
30450
|
Revision of nose
|
R
|
$1,618.52
|
$1,618.88
|
$0.36
|
$1,618.52
|
$1,618.88
|
$0.36
|
|
30600
|
Repair mouth/nose fistula
|
A
|
$583.83
|
$584.91
|
$1.08
|
$449.77
|
$450.85
|
$1.08
|
|
31075
|
Exploration of frontal sinus
|
A
|
$809.44
|
$809.80
|
$0.36
|
$809.44
|
$809.80
|
$0.36
|
|
31080
|
Removal of frontal sinus
|
A
|
$1,064.96
|
$1,067.48
|
$2.52
|
$1,064.96
|
$1,067.48
|
$2.52
|
|
31081
|
Removal of frontal sinus
|
A
|
$1,147.12
|
$1,150.01
|
$2.88
|
$1,147.12
|
$1,150.01
|
$2.88
|
|
31084
|
Removal of frontal sinus
|
A
|
$1,184.61
|
$1,192.89
|
$8.29
|
$1,184.61
|
$1,192.89
|
$8.29
|
|
31085
|
Removal of frontal sinus
|
A
|
$1,229.65
|
$1,231.82
|
$2.16
|
$1,229.65
|
$1,231.82
|
$2.16
|
|
31087
|
Removal of frontal sinus
|
A
|
$1,113.25
|
$1,115.41
|
$2.16
|
$1,113.25
|
$1,115.41
|
$2.16
|
|
31230
|
Removal of upper jaw
|
A
|
$2,102.88
|
$2,104.32
|
$1.44
|
$2,102.88
|
$2,104.32
|
$1.44
|
|
31300
|
Removal of larynx lesion
|
A
|
$1,319.75
|
$1,320.47
|
$0.72
|
$1,319.75
|
$1,320.47
|
$0.72
|
|
31367
|
Partial removal of larynx
|
A
|
$2,278.75
|
$2,279.83
|
$1.08
|
$2,278.75
|
$2,279.83
|
$1.08
|
|
31375
|
Partial removal of larynx
|
A
|
$2,030.44
|
$2,032.97
|
$2.52
|
$2,030.44
|
$2,032.97
|
$2.52
|
|
31390
|
Removal of larynx & pharynx
|
A
|
$2,951.60
|
$2,953.40
|
$1.80
|
$2,951.60
|
$2,953.40
|
$1.80
|
|
31395
|
Reconstruct larynx & pharynx
|
A
|
$3,114.50
|
$3,118.82
|
$4.32
|
$3,114.50
|
$3,118.82
|
$4.32
|
|
31400
|
Revision of larynx
|
A
|
$1,013.42
|
$1,014.50
|
$1.08
|
$1,013.42
|
$1,014.50
|
$1.08
|
|
31587
|
Laryngoplasty cricoid split
|
A
|
$1,196.14
|
$1,197.94
|
$1.80
|
$1,196.14
|
$1,197.94
|
$1.80
|
|
31760
|
Repair of windpipe
|
A
|
$1,426.43
|
$1,430.03
|
$3.60
|
$1,426.43
|
$1,430.03
|
$3.60
|
|
31770
|
Repair/graft of bronchus
|
A
|
$1,379.94
|
$1,388.23
|
$8.29
|
$1,379.94
|
$1,388.23
|
$8.29
|
|
31781
|
Reconstruct windpipe
|
A
|
$1,437.60
|
$1,445.89
|
$8.29
|
$1,437.60
|
$1,445.89
|
$8.29
|
|
31785
|
Remove windpipe lesion
|
A
|
$1,113.97
|
$1,114.69
|
$0.72
|
$1,113.97
|
$1,114.69
|
$0.72
|
|
31800
|
Repair of windpipe injury
|
A
|
$743.13
|
$744.21
|
$1.08
|
$743.13
|
$744.21
|
$1.08
|
|
31805
|
Repair of windpipe injury
|
A
|
$844.04
|
$849.08
|
$5.05
|
$844.04
|
$849.08
|
$5.05
|
|
32035
|
Thoracostomy w/rib resection
|
A
|
$749.97
|
$753.94
|
$3.96
|
$749.97
|
$753.94
|
$3.96
|
|
32140
|
Removal of lung lesion(s)
|
A
|
$1,029.28
|
$1,033.24
|
$3.96
|
$1,029.28
|
$1,033.24
|
$3.96
|
|
32151
|
Remove lung foreign body
|
A
|
$1,039.37
|
$1,048.02
|
$8.65
|
$1,039.37
|
$1,048.02
|
$8.65
|
|
32200
|
Drain open lung lesion
|
A
|
$1,179.92
|
$1,184.61
|
$4.69
|
$1,179.92
|
$1,184.61
|
$4.69
|
|
32445
|
Removal of lung extrapleural
|
A
|
$3,688.60
|
$3,696.53
|
$7.93
|
$3,688.60
|
$3,696.53
|
$7.93
|
|
32488
|
Completion pneumonectomy
|
A
|
$2,490.66
|
$2,500.75
|
$10.09
|
$2,490.66
|
$2,500.75
|
$10.09
|
|
32491
|
Lung volume reduction
|
R
|
$1,531.30
|
$1,536.71
|
$5.41
|
$1,531.30
|
$1,536.71
|
$5.41
|
|
32503
|
Resect apical lung tumor
|
A
|
$1,871.15
|
$1,875.84
|
$4.69
|
$1,871.15
|
$1,875.84
|
$4.69
|
|
32504
|
Resect apical lung tum/chest
|
A
|
$2,134.96
|
$2,138.56
|
$3.60
|
$2,134.96
|
$2,138.56
|
$3.60
|
|
32604
|
Thoracoscopy wbx sac
|
A
|
$500.94
|
$502.75
|
$1.80
|
$500.94
|
$502.75
|
$1.80
|
|
32658
|
Thoracoscopy w/sac fb remove
|
A
|
$740.24
|
$743.49
|
$3.24
|
$740.24
|
$743.49
|
$3.24
|
|
32661
|
Thoracoscopy w/pericard exc
|
A
|
$825.66
|
$831.06
|
$5.41
|
$825.66
|
$831.06
|
$5.41
|
|
32664
|
Thoracoscopy w/ th nrv exc
|
A
|
$881.16
|
$883.68
|
$2.52
|
$881.16
|
$883.68
|
$2.52
|
|
32665
|
Thoracoscop w/esoph musc exc
|
A
|
$1,271.82
|
$1,285.88
|
$14.06
|
$1,271.82
|
$1,285.88
|
$14.06
|
|
32671
|
Thoracoscopy pneumonectomy
|
A
|
$1,841.60
|
$1,856.01
|
$14.42
|
$1,841.60
|
$1,856.01
|
$14.42
|
|
32810
|
Close chest after drainage
|
A
|
$933.77
|
$938.46
|
$4.69
|
$933.77
|
$938.46
|
$4.69
|
|
32820
|
Reconstruct injured chest
|
A
|
$1,383.18
|
$1,386.06
|
$2.88
|
$1,383.18
|
$1,386.06
|
$2.88
|
|
32852
|
Lung transplant with bypass
|
A
|
$3,735.81
|
$3,741.94
|
$6.13
|
$3,735.81
|
$3,741.94
|
$6.13
|
|
32905
|
Revise & repair chest wall
|
A
|
$1,379.22
|
$1,393.63
|
$14.42
|
$1,379.22
|
$1,393.63
|
$14.42
|
|
32906
|
Revise & repair chest wall
|
A
|
$1,715.10
|
$1,722.31
|
$7.21
|
$1,715.10
|
$1,722.31
|
$7.21
|
|
32940
|
Revision of lung
|
A
|
$1,276.50
|
$1,287.32
|
$10.81
|
$1,276.50
|
$1,287.32
|
$10.81
|
|
33050
|
Resect heart sac lesion
|
A
|
$1,044.41
|
$1,048.74
|
$4.32
|
$1,044.41
|
$1,048.74
|
$4.32
|
|
33130
|
Removal of heart lesion
|
A
|
$1,429.67
|
$1,435.08
|
$5.41
|
$1,429.67
|
$1,435.08
|
$5.41
|
|
33140
|
Heart revascularize (tmr)
|
A
|
$1,627.89
|
$1,640.14
|
$12.25
|
$1,627.89
|
$1,640.14
|
$12.25
|
|
33236
|
Remove electrode/thoracotomy
|
A
|
$807.64
|
$816.29
|
$8.65
|
$807.64
|
$816.29
|
$8.65
|
|
33237
|
Remove electrode/thoracotomy
|
A
|
$871.79
|
$877.55
|
$5.77
|
$871.79
|
$877.55
|
$5.77
|
|
33250
|
Ablate heart dysrhythm focus
|
A
|
$1,506.07
|
$1,529.86
|
$23.79
|
$1,506.07
|
$1,529.86
|
$23.79
|
|
33251
|
Ablate heart dysrhythm focus
|
A
|
$1,691.31
|
$1,701.41
|
$10.09
|
$1,691.31
|
$1,701.41
|
$10.09
|
|
33254
|
Ablate atria lmtd
|
A
|
$1,410.57
|
$1,419.94
|
$9.37
|
$1,410.57
|
$1,419.94
|
$9.37
|
|
33255
|
Ablate atria w/o bypass ext
|
A
|
$1,705.37
|
$1,710.06
|
$4.69
|
$1,705.37
|
$1,710.06
|
$4.69
|
|
33261
|
Ablate heart dysrhythm focus
|
A
|
$1,685.19
|
$1,693.84
|
$8.65
|
$1,685.19
|
$1,693.84
|
$8.65
|
|
33310
|
Exploratory heart surgery
|
A
|
$1,222.09
|
$1,226.77
|
$4.69
|
$1,222.09
|
$1,226.77
|
$4.69
|
|
33321
|
Repair major vessel
|
A
|
$1,224.25
|
$1,246.95
|
$22.70
|
$1,224.25
|
$1,246.95
|
$22.70
|
|
33330
|
Insert major vessel graft
|
A
|
$1,489.86
|
$1,496.34
|
$6.49
|
$1,489.86
|
$1,496.34
|
$6.49
|
|
33412
|
Replacement of aortic valve
|
A
|
$3,282.44
|
$3,322.44
|
$40.00
|
$3,282.44
|
$3,322.44
|
$40.00
|
|
33413
|
Replacement of aortic valve
|
A
|
$3,342.99
|
$3,399.57
|
$56.58
|
$3,342.99
|
$3,399.57
|
$56.58
|
|
33422
|
Revision of mitral valve
|
A
|
$1,729.88
|
$1,748.98
|
$19.10
|
$1,729.88
|
$1,748.98
|
$19.10
|
|
33440
|
Rplcmt a-valve tlcj autol pv
|
A
|
$3,535.44
|
$3,580.12
|
$44.69
|
$3,535.44
|
$3,580.12
|
$44.69
|
|
33460
|
Revision of tricuspid valve
|
A
|
$2,503.64
|
$2,531.39
|
$27.75
|
$2,503.64
|
$2,531.39
|
$27.75
|
|
33468
|
Revision of tricuspid valve
|
A
|
$2,518.77
|
$2,568.87
|
$50.09
|
$2,518.77
|
$2,568.87
|
$50.09
|
|
33476
|
Revision of heart chamber
|
A
|
$1,557.25
|
$1,591.13
|
$33.88
|
$1,557.25
|
$1,591.13
|
$33.88
|
|
33478
|
Revision of heart chamber
|
A
|
$1,634.73
|
$1,644.10
|
$9.37
|
$1,634.73
|
$1,644.10
|
$9.37
|
|
33496
|
Repair prosth valve clot
|
A
|
$1,739.25
|
$1,750.42
|
$11.17
|
$1,739.25
|
$1,750.42
|
$11.17
|
|
33500
|
Repair heart vessel fistula
|
A
|
$1,624.28
|
$1,640.14
|
$15.86
|
$1,624.28
|
$1,640.14
|
$15.86
|
|
33501
|
Repair heart vessel fistula
|
A
|
$1,164.06
|
$1,171.63
|
$7.57
|
$1,164.06
|
$1,171.63
|
$7.57
|
|
33502
|
Coronary artery correction
|
A
|
$1,321.19
|
$1,333.45
|
$12.25
|
$1,321.19
|
$1,333.45
|
$12.25
|
|
33504
|
Coronary artery graft
|
A
|
$1,511.48
|
$1,532.02
|
$20.54
|
$1,511.48
|
$1,532.02
|
$20.54
|
|
33505
|
Repair artery w/tunnel
|
A
|
$2,106.85
|
$2,162.35
|
$55.50
|
$2,106.85
|
$2,162.35
|
$55.50
|
|
33506
|
Repair artery translocation
|
A
|
$2,083.06
|
$2,151.89
|
$68.83
|
$2,083.06
|
$2,151.89
|
$68.83
|
|
33507
|
Repair art intramural
|
A
|
$1,791.50
|
$1,804.12
|
$12.61
|
$1,791.50
|
$1,804.12
|
$12.61
|
|
33516
|
Cabg vein six or more
|
A
|
$2,815.73
|
$2,846.73
|
$30.99
|
$2,815.73
|
$2,846.73
|
$30.99
|
|
33545
|
Repair of heart damage
|
A
|
$3,219.73
|
$3,233.79
|
$14.06
|
$3,219.73
|
$3,233.79
|
$14.06
|
|
33600
|
Closure of valve
|
A
|
$1,777.81
|
$1,797.27
|
$19.46
|
$1,777.81
|
$1,797.27
|
$19.46
|
|
33602
|
Closure of valve
|
A
|
$1,724.83
|
$1,744.29
|
$19.46
|
$1,724.83
|
$1,744.29
|
$19.46
|
|
33617
|
Repair single ventricle
|
A
|
$2,206.31
|
$2,265.78
|
$59.46
|
$2,206.31
|
$2,265.78
|
$59.46
|
|
33620
|
Apply r&l pulm art bands
|
A
|
$1,719.43
|
$1,727.71
|
$8.29
|
$1,719.43
|
$1,727.71
|
$8.29
|
|
33645
|
Revision of heart veins
|
A
|
$1,797.99
|
$1,812.05
|
$14.06
|
$1,797.99
|
$1,812.05
|
$14.06
|
|
33647
|
Repair heart septum defects
|
A
|
$1,879.44
|
$1,903.95
|
$24.51
|
$1,879.44
|
$1,903.95
|
$24.51
|
|
33660
|
Repair of heart defects
|
A
|
$1,822.86
|
$1,839.80
|
$16.94
|
$1,822.86
|
$1,839.80
|
$16.94
|
|
33675
|
Close mult vsd
|
A
|
$2,030.44
|
$2,065.76
|
$35.32
|
$2,030.44
|
$2,065.76
|
$35.32
|
|
33702
|
Repair of heart defects
|
A
|
$1,593.29
|
$1,617.07
|
$23.79
|
$1,593.29
|
$1,617.07
|
$23.79
|
|
33720
|
Repair of heart defect
|
A
|
$1,609.87
|
$1,618.16
|
$8.29
|
$1,609.87
|
$1,618.16
|
$8.29
|
|
33724
|
Repair venous anomaly
|
A
|
$1,593.29
|
$1,610.23
|
$16.94
|
$1,593.29
|
$1,610.23
|
$16.94
|
|
33730
|
Repair heart-vein defect(s)
|
A
|
$2,045.22
|
$2,099.64
|
$54.42
|
$2,045.22
|
$2,099.64
|
$54.42
|
|
33732
|
Repair heart-vein defect
|
A
|
$1,637.26
|
$1,723.39
|
$86.13
|
$1,637.26
|
$1,723.39
|
$86.13
|
|
33736
|
Revision of heart chamber
|
A
|
$1,427.87
|
$1,469.31
|
$41.44
|
$1,427.87
|
$1,469.31
|
$41.44
|
|
33776
|
Repair great vessels defect
|
A
|
$1,980.71
|
$2,050.62
|
$69.92
|
$1,980.71
|
$2,050.62
|
$69.92
|
|
33780
|
Repair great vessels defect
|
A
|
$2,395.16
|
$2,483.81
|
$88.66
|
$2,395.16
|
$2,483.81
|
$88.66
|
|
33800
|
Aortic suspension
|
A
|
$1,020.63
|
$1,032.16
|
$11.53
|
$1,020.63
|
$1,032.16
|
$11.53
|
|
33813
|
Repair septal defect
|
A
|
$1,232.54
|
$1,295.97
|
$63.43
|
$1,232.54
|
$1,295.97
|
$63.43
|
|
33820
|
Revise major vessel
|
A
|
$1,001.17
|
$1,012.34
|
$11.17
|
$1,001.17
|
$1,012.34
|
$11.17
|
|
33845
|
Remove aorta constriction
|
A
|
$1,366.24
|
$1,393.99
|
$27.75
|
$1,366.24
|
$1,393.99
|
$27.75
|
|
33852
|
Repair septal defect
|
A
|
$1,390.39
|
$1,462.47
|
$72.08
|
$1,390.39
|
$1,462.47
|
$72.08
|
|
33853
|
Repair septal defect
|
A
|
$1,868.99
|
$1,918.00
|
$49.01
|
$1,868.99
|
$1,918.00
|
$49.01
|
|
33884
|
Endovasc prosth taa add-on
|
A
|
$411.21
|
$411.93
|
$0.72
|
$411.21
|
$411.93
|
$0.72
|
|
33891
|
Car-car bp grft/endovas taa
|
A
|
$998.64
|
$1,005.49
|
$6.85
|
$998.64
|
$1,005.49
|
$6.85
|
|
33915
|
Remove lung artery emboli
|
A
|
$1,432.55
|
$1,447.69
|
$15.14
|
$1,432.55
|
$1,447.69
|
$15.14
|
|
33917
|
Repair pulmonary artery
|
A
|
$1,516.89
|
$1,523.73
|
$6.85
|
$1,516.89
|
$1,523.73
|
$6.85
|
|
33922
|
Transect pulmonary artery
|
A
|
$1,438.32
|
$1,452.02
|
$13.69
|
$1,438.32
|
$1,452.02
|
$13.69
|
|
33924
|
Remove pulmonary shunt
|
A
|
$295.52
|
$299.48
|
$3.96
|
$295.52
|
$299.48
|
$3.96
|
|
33958
|
Ecmo/ecls repos perph cnula
|
A
|
$193.53
|
$193.89
|
$0.36
|
$193.53
|
$193.89
|
$0.36
|
|
33962
|
Ecmo/ecls repos perph cnula
|
A
|
$245.07
|
$246.51
|
$1.44
|
$245.07
|
$246.51
|
$1.44
|
|
33964
|
Ecmo/ecls repos perph cnula
|
A
|
$514.28
|
$520.40
|
$6.13
|
$514.28
|
$520.40
|
$6.13
|
|
33974
|
Remove intra-aortic balloon
|
A
|
$929.81
|
$932.33
|
$2.52
|
$929.81
|
$932.33
|
$2.52
|
|
33976
|
Implant ventricular device
|
A
|
$1,667.53
|
$1,672.57
|
$5.05
|
$1,667.53
|
$1,672.57
|
$5.05
|
|
33982
|
Replace vad intra w/o bp
|
A
|
$2,055.31
|
$2,059.99
|
$4.69
|
$2,055.31
|
$2,059.99
|
$4.69
|
|
33987
|
Artery expos/graft artery
|
A
|
$218.76
|
$219.48
|
$0.72
|
$218.76
|
$219.48
|
$0.72
|
|
33988
|
Insertion of left heart vent
|
A
|
$811.96
|
$819.53
|
$7.57
|
$811.96
|
$819.53
|
$7.57
|
|
33989
|
Removal of left heart vent
|
A
|
$508.51
|
$520.40
|
$11.89
|
$508.51
|
$520.40
|
$11.89
|
|
34051
|
Removal of artery clot
|
A
|
$1,032.52
|
$1,039.01
|
$6.49
|
$1,032.52
|
$1,039.01
|
$6.49
|
|
34451
|
Removal of vein clot
|
A
|
$1,480.85
|
$1,493.82
|
$12.97
|
$1,480.85
|
$1,493.82
|
$12.97
|
|
34501
|
Repair valve femoral vein
|
A
|
$920.80
|
$926.93
|
$6.13
|
$920.80
|
$926.93
|
$6.13
|
|
34520
|
Cross-over vein graft
|
A
|
$1,019.91
|
$1,028.20
|
$8.29
|
$1,019.91
|
$1,028.20
|
$8.29
|
|
34530
|
Leg vein fusion
|
A
|
$935.94
|
$975.22
|
$39.28
|
$935.94
|
$975.22
|
$39.28
|
|
34702
|
Evasc rpr a-ao ndgft rpt
|
A
|
$1,929.53
|
$1,937.10
|
$7.57
|
$1,929.53
|
$1,937.10
|
$7.57
|
|
34716
|
Opn ax/subcla art expos cndt
|
A
|
$391.75
|
$398.23
|
$6.49
|
$391.75
|
$398.23
|
$6.49
|
|
34830
|
Open aortic tube prosth repr
|
A
|
$1,830.79
|
$1,834.75
|
$3.96
|
$1,830.79
|
$1,834.75
|
$3.96
|
|
34832
|
Open aortofemor prosth repr
|
A
|
$1,944.67
|
$1,973.14
|
$28.47
|
$1,944.67
|
$1,973.14
|
$28.47
|
|
35002
|
Repair artery rupture neck
|
A
|
$1,173.43
|
$1,181.36
|
$7.93
|
$1,173.43
|
$1,181.36
|
$7.93
|
|
35021
|
Repair defect of artery
|
A
|
$1,312.18
|
$1,320.47
|
$8.29
|
$1,312.18
|
$1,320.47
|
$8.29
|
|
35022
|
Repair artery rupture chest
|
A
|
$1,465.71
|
$1,512.92
|
$47.21
|
$1,465.71
|
$1,512.92
|
$47.21
|
|
35111
|
Repair defect of artery
|
A
|
$1,373.45
|
$1,382.46
|
$9.01
|
$1,373.45
|
$1,382.46
|
$9.01
|
|
35132
|
Repair artery rupture groin
|
A
|
$1,694.20
|
$1,701.05
|
$6.85
|
$1,694.20
|
$1,701.05
|
$6.85
|
|
35152
|
Repair ruptd popliteal art
|
A
|
$1,439.40
|
$1,453.46
|
$14.06
|
$1,439.40
|
$1,453.46
|
$14.06
|
|
35184
|
Repair blood vessel lesion
|
A
|
$1,000.45
|
$1,002.97
|
$2.52
|
$1,000.45
|
$1,002.97
|
$2.52
|
|
35188
|
Repair blood vessel lesion
|
A
|
$1,336.33
|
$1,359.03
|
$22.70
|
$1,336.33
|
$1,359.03
|
$22.70
|
|
35189
|
Repair blood vessel lesion
|
A
|
$1,557.61
|
$1,570.58
|
$12.97
|
$1,557.61
|
$1,570.58
|
$12.97
|
|
35241
|
Repair blood vessel lesion
|
A
|
$1,502.47
|
$1,506.43
|
$3.96
|
$1,502.47
|
$1,506.43
|
$3.96
|
|
35246
|
Repair blood vessel lesion
|
A
|
$1,631.13
|
$1,644.10
|
$12.97
|
$1,631.13
|
$1,644.10
|
$12.97
|
|
35261
|
Repair blood vessel lesion
|
A
|
$1,017.02
|
$1,019.19
|
$2.16
|
$1,017.02
|
$1,019.19
|
$2.16
|
|
35276
|
Repair blood vessel lesion
|
A
|
$1,524.81
|
$1,529.14
|
$4.32
|
$1,524.81
|
$1,529.14
|
$4.32
|
|
35306
|
Rechanneling of artery
|
A
|
$463.10
|
$464.90
|
$1.80
|
$463.10
|
$464.90
|
$1.80
|
|
35311
|
Rechanneling of artery
|
A
|
$1,625.00
|
$1,638.34
|
$13.33
|
$1,625.00
|
$1,638.34
|
$13.33
|
|
35361
|
Rechanneling of artery
|
A
|
$1,578.51
|
$1,583.92
|
$5.41
|
$1,578.51
|
$1,583.92
|
$5.41
|
|
35363
|
Rechanneling of artery
|
A
|
$1,687.71
|
$1,689.87
|
$2.16
|
$1,687.71
|
$1,689.87
|
$2.16
|
|
35506
|
Art byp grft subclav-carotid
|
A
|
$1,320.47
|
$1,325.88
|
$5.41
|
$1,320.47
|
$1,325.88
|
$5.41
|
|
35508
|
Art byp grft carotid-vertbrl
|
A
|
$1,360.84
|
$1,381.74
|
$20.90
|
$1,360.84
|
$1,381.74
|
$20.90
|
|
35509
|
Art byp grft contral carotid
|
A
|
$1,464.63
|
$1,471.48
|
$6.85
|
$1,464.63
|
$1,471.48
|
$6.85
|
|
35510
|
Art byp grft carotid-brchial
|
A
|
$1,273.26
|
$1,280.11
|
$6.85
|
$1,273.26
|
$1,280.11
|
$6.85
|
|
35511
|
Art byp grft subclav-subclav
|
A
|
$1,142.44
|
$1,165.86
|
$23.43
|
$1,142.44
|
$1,165.86
|
$23.43
|
|
35515
|
Art byp grft subclav-vertbrl
|
A
|
$1,307.14
|
$1,381.74
|
$74.60
|
$1,307.14
|
$1,381.74
|
$74.60
|
|
35518
|
Art byp grft axillary-axilry
|
A
|
$1,179.56
|
$1,188.21
|
$8.65
|
$1,179.56
|
$1,188.21
|
$8.65
|
|
35521
|
Art byp grft axill-femoral
|
A
|
$1,272.90
|
$1,276.14
|
$3.24
|
$1,272.90
|
$1,276.14
|
$3.24
|
|
35531
|
Art byp grft aorcel/aormesen
|
A
|
$2,023.60
|
$2,030.44
|
$6.85
|
$2,023.60
|
$2,030.44
|
$6.85
|
|
35533
|
Art byp grft axill/fem/fem
|
A
|
$1,561.93
|
$1,567.34
|
$5.41
|
$1,561.93
|
$1,567.34
|
$5.41
|
|
35537
|
Art byp grft aortoiliac
|
A
|
$2,154.06
|
$2,171.36
|
$17.30
|
$2,154.06
|
$2,171.36
|
$17.30
|
|
35538
|
Art byp grft aortobi-iliac
|
A
|
$2,416.42
|
$2,433.00
|
$16.58
|
$2,416.42
|
$2,433.00
|
$16.58
|
|
35539
|
Art byp grft aortofemoral
|
A
|
$2,267.22
|
$2,284.52
|
$17.30
|
$2,267.22
|
$2,284.52
|
$17.30
|
|
35560
|
Art byp grft aortorenal
|
A
|
$1,750.42
|
$1,774.93
|
$24.51
|
$1,750.42
|
$1,774.93
|
$24.51
|
|
35612
|
Art byp subclav-subclavian
|
A
|
$1,079.37
|
$1,085.50
|
$6.13
|
$1,079.37
|
$1,085.50
|
$6.13
|
|
35616
|
Art byp subclav-axillary
|
A
|
$1,140.64
|
$1,147.12
|
$6.49
|
$1,140.64
|
$1,147.12
|
$6.49
|
|
35623
|
Art byp axillary-pop-tibial
|
A
|
$1,363.36
|
$1,366.60
|
$3.24
|
$1,363.36
|
$1,366.60
|
$3.24
|
|
35632
|
Art byp ilio-celiac
|
A
|
$1,863.94
|
$1,881.60
|
$17.66
|
$1,863.94
|
$1,881.60
|
$17.66
|
|
35634
|
Art byp iliorenal
|
A
|
$1,832.95
|
$1,841.24
|
$8.29
|
$1,832.95
|
$1,841.24
|
$8.29
|
|
35637
|
Art byp aortoiliac
|
A
|
$1,721.23
|
$1,727.35
|
$6.13
|
$1,721.23
|
$1,727.35
|
$6.13
|
|
35663
|
Art byp ilioiliac
|
A
|
$1,263.53
|
$1,266.41
|
$2.88
|
$1,263.53
|
$1,266.41
|
$2.88
|
|
35686
|
Bypass graft/av fist patency
|
A
|
$167.22
|
$167.94
|
$0.72
|
$167.22
|
$167.94
|
$0.72
|
|
35693
|
Art trnsposj subclavian
|
A
|
$850.52
|
$866.74
|
$16.22
|
$850.52
|
$866.74
|
$16.22
|
|
35694
|
Art trnsposj subclav carotid
|
A
|
$1,024.95
|
$1,027.11
|
$2.16
|
$1,024.95
|
$1,027.11
|
$2.16
|
|
35695
|
Art trnsposj carotid subclav
|
A
|
$1,055.59
|
$1,065.68
|
$10.09
|
$1,055.59
|
$1,065.68
|
$10.09
|
|
35870
|
Repair vessel graft defect
|
A
|
$1,289.84
|
$1,295.61
|
$5.77
|
$1,289.84
|
$1,295.61
|
$5.77
|
|
35884
|
Revise graft w/vein
|
A
|
$1,288.04
|
$1,290.92
|
$2.88
|
$1,288.04
|
$1,290.92
|
$2.88
|
|
35901
|
Excision graft neck
|
A
|
$488.33
|
$489.05
|
$0.72
|
$488.33
|
$489.05
|
$0.72
|
|
35905
|
Excision graft thorax
|
A
|
$1,740.33
|
$1,748.98
|
$8.65
|
$1,740.33
|
$1,748.98
|
$8.65
|
|
36557
|
Insert tunneled cv cath
|
A
|
$1,047.30
|
$1,048.38
|
$1.08
|
$330.84
|
$331.92
|
$1.08
|
|
36583
|
Replace tunneled cv cath
|
A
|
$1,293.80
|
$1,294.16
|
$0.36
|
$340.21
|
$340.57
|
$0.36
|
|
36823
|
Insertion of cannula(s)
|
A
|
$1,455.98
|
$1,459.58
|
$3.60
|
$1,455.98
|
$1,459.58
|
$3.60
|
|
37605
|
Ligation of neck artery
|
A
|
$764.75
|
$767.99
|
$3.24
|
$764.75
|
$767.99
|
$3.24
|
|
37606
|
Ligation of neck artery
|
A
|
$736.64
|
$755.38
|
$18.74
|
$736.64
|
$755.38
|
$18.74
|
|
37615
|
Ligation of neck artery
|
A
|
$546.35
|
$548.15
|
$1.80
|
$546.35
|
$548.15
|
$1.80
|
|
37619
|
Ligation of inf vena cava
|
A
|
$1,803.76
|
$1,807.36
|
$3.60
|
$1,803.76
|
$1,807.36
|
$3.60
|
|
37660
|
Revision of major vein
|
A
|
$1,372.01
|
$1,375.97
|
$3.96
|
$1,372.01
|
$1,375.97
|
$3.96
|
|
38101
|
Removal of spleen partial
|
A
|
$1,208.75
|
$1,218.48
|
$9.73
|
$1,208.75
|
$1,218.48
|
$9.73
|
|
38300
|
Drainage lymph node lesion
|
A
|
$331.20
|
$331.56
|
$0.36
|
$210.83
|
$211.19
|
$0.36
|
|
38380
|
Thoracic duct procedure
|
A
|
$587.44
|
$588.16
|
$0.72
|
$587.44
|
$588.16
|
$0.72
|
|
38382
|
Thoracic duct procedure
|
A
|
$699.88
|
$704.56
|
$4.69
|
$699.88
|
$704.56
|
$4.69
|
|
38555
|
Removal neck/armpit lesion
|
A
|
$1,051.98
|
$1,055.22
|
$3.24
|
$1,051.98
|
$1,055.22
|
$3.24
|
|
39200
|
Resect mediastinal cyst
|
A
|
$903.86
|
$911.43
|
$7.57
|
$903.86
|
$911.43
|
$7.57
|
|
40527
|
Reconstruct lip with flap
|
A
|
$638.25
|
$638.61
|
$0.36
|
$638.25
|
$638.61
|
$0.36
|
|
40804
|
Removal foreign body mouth
|
A
|
$197.13
|
$197.49
|
$0.36
|
$121.09
|
$121.45
|
$0.36
|
|
41140
|
Removal of tongue
|
A
|
$2,270.82
|
$2,272.63
|
$1.80
|
$2,270.82
|
$2,272.63
|
$1.80
|
|
41251
|
Repair tongue laceration
|
A
|
$315.70
|
$316.78
|
$1.08
|
$191.01
|
$192.09
|
$1.08
|
|
41512
|
Tongue suspension
|
A
|
$682.94
|
$684.38
|
$1.44
|
$682.94
|
$684.38
|
$1.44
|
|
41805
|
Removal foreign body gum
|
A
|
$298.04
|
$298.40
|
$0.36
|
$195.69
|
$196.05
|
$0.36
|
|
41806
|
Removal foreign body jawbone
|
A
|
$407.60
|
$409.76
|
$2.16
|
$285.07
|
$287.23
|
$2.16
|
|
42000
|
Drainage mouth roof lesion
|
A
|
$160.01
|
$160.37
|
$0.36
|
$107.04
|
$107.40
|
$0.36
|
|
42180
|
Repair palate
|
A
|
$254.80
|
$255.16
|
$0.36
|
$189.93
|
$190.29
|
$0.36
|
|
42182
|
Repair palate
|
A
|
$333.00
|
$333.72
|
$0.72
|
$264.17
|
$264.89
|
$0.72
|
|
42200
|
Reconstruct cleft palate
|
A
|
$982.43
|
$984.23
|
$1.80
|
$982.43
|
$984.23
|
$1.80
|
|
42226
|
Lengthening of palate
|
A
|
$912.51
|
$917.56
|
$5.05
|
$912.51
|
$917.56
|
$5.05
|
|
42235
|
Repair palate
|
A
|
$750.33
|
$753.22
|
$2.88
|
$750.33
|
$753.22
|
$2.88
|
|
42408
|
Excision of salivary cyst
|
A
|
$531.58
|
$531.94
|
$0.36
|
$369.04
|
$369.40
|
$0.36
|
|
42836
|
Removal of adenoids
|
A
|
$248.31
|
$248.67
|
$0.36
|
$248.31
|
$248.67
|
$0.36
|
|
42845
|
Extensive surgery of throat
|
A
|
$2,318.03
|
$2,319.12
|
$1.08
|
$2,318.03
|
$2,319.12
|
$1.08
|
|
42892
|
Revision of pharyngeal walls
|
A
|
$1,952.24
|
$1,953.68
|
$1.44
|
$1,952.24
|
$1,953.68
|
$1.44
|
|
42970
|
Control nose/throat bleeding
|
A
|
$424.90
|
$425.26
|
$0.36
|
$424.90
|
$425.26
|
$0.36
|
|
43100
|
Excision of esophagus lesion
|
A
|
$647.62
|
$648.70
|
$1.08
|
$647.62
|
$648.70
|
$1.08
|
|
43101
|
Excision of esophagus lesion
|
A
|
$1,046.94
|
$1,050.18
|
$3.24
|
$1,046.94
|
$1,050.18
|
$3.24
|
|
43121
|
Partial removal of esophagus
|
A
|
$2,966.02
|
$2,991.25
|
$25.23
|
$2,966.02
|
$2,991.25
|
$25.23
|
|
43123
|
Partial removal of esophagus
|
A
|
$4,685.44
|
$4,739.86
|
$54.42
|
$4,685.44
|
$4,739.86
|
$54.42
|
|
43124
|
Removal of esophagus
|
A
|
$3,981.24
|
$3,994.21
|
$12.97
|
$3,981.24
|
$3,994.21
|
$12.97
|
|
43135
|
Removal of esophagus pouch
|
A
|
$1,533.46
|
$1,541.03
|
$7.57
|
$1,533.46
|
$1,541.03
|
$7.57
|
|
43284
|
Laps esophgl sphnctr agmntj
|
A
|
$673.21
|
$677.54
|
$4.32
|
$673.21
|
$677.54
|
$4.32
|
|
43285
|
Rmvl esophgl sphnctr dev
|
A
|
$684.74
|
$689.07
|
$4.32
|
$684.74
|
$689.07
|
$4.32
|
|
43300
|
Repair of esophagus
|
A
|
$636.09
|
$636.81
|
$0.72
|
$636.09
|
$636.81
|
$0.72
|
|
43305
|
Repair esophagus and fistula
|
A
|
$1,128.02
|
$1,129.47
|
$1.44
|
$1,128.02
|
$1,129.47
|
$1.44
|
|
43310
|
Repair of esophagus
|
A
|
$1,546.80
|
$1,550.40
|
$3.60
|
$1,546.80
|
$1,550.40
|
$3.60
|
|
43312
|
Repair esophagus and fistula
|
A
|
$1,662.84
|
$1,668.97
|
$6.13
|
$1,662.84
|
$1,668.97
|
$6.13
|
|
43314
|
Tracheo-esophagoplasty cong
|
A
|
$2,971.78
|
$3,080.26
|
$108.48
|
$2,971.78
|
$3,080.26
|
$108.48
|
|
43320
|
Fuse esophagus & stomach
|
A
|
$1,458.14
|
$1,462.11
|
$3.96
|
$1,458.14
|
$1,462.11
|
$3.96
|
|
43325
|
Revise esophagus & stomach
|
A
|
$1,418.50
|
$1,421.02
|
$2.52
|
$1,418.50
|
$1,421.02
|
$2.52
|
|
43328
|
Esoph fundoplasty thor
|
A
|
$1,174.87
|
$1,178.12
|
$3.24
|
$1,174.87
|
$1,178.12
|
$3.24
|
|
43330
|
Esophagomyotomy abdominal
|
A
|
$1,394.71
|
$1,397.60
|
$2.88
|
$1,394.71
|
$1,397.60
|
$2.88
|
|
43331
|
Esophagomyotomy thoracic
|
A
|
$1,395.79
|
$1,399.76
|
$3.96
|
$1,395.79
|
$1,399.76
|
$3.96
|
|
43335
|
Transthor diaphrag hern rpr
|
A
|
$1,396.15
|
$1,400.12
|
$3.96
|
$1,396.15
|
$1,400.12
|
$3.96
|
|
43337
|
Thorabd diaphr hern repair
|
A
|
$1,606.98
|
$1,618.88
|
$11.89
|
$1,606.98
|
$1,618.88
|
$11.89
|
|
43340
|
Fuse esophagus & intestine
|
A
|
$1,436.88
|
$1,443.37
|
$6.49
|
$1,436.88
|
$1,443.37
|
$6.49
|
|
43351
|
Surgical opening esophagus
|
A
|
$1,357.95
|
$1,373.45
|
$15.50
|
$1,357.95
|
$1,373.45
|
$15.50
|
|
43360
|
Gastrointestinal repair
|
A
|
$2,350.83
|
$2,356.60
|
$5.77
|
$2,350.83
|
$2,356.60
|
$5.77
|
|
43401
|
Esophagus surgery for veins
|
A
|
$1,591.49
|
$1,644.82
|
$53.34
|
$1,591.49
|
$1,644.82
|
$53.34
|
|
43405
|
Ligate/staple esophagus
|
A
|
$1,513.28
|
$1,519.77
|
$6.49
|
$1,513.28
|
$1,519.77
|
$6.49
|
|
43410
|
Repair esophagus wound
|
A
|
$1,060.99
|
$1,062.43
|
$1.44
|
$1,060.99
|
$1,062.43
|
$1.44
|
|
43425
|
Repair esophagus opening
|
A
|
$1,500.67
|
$1,507.52
|
$6.85
|
$1,500.67
|
$1,507.52
|
$6.85
|
|
43502
|
Surgical repair of stomach
|
A
|
$1,585.72
|
$1,597.97
|
$12.25
|
$1,585.72
|
$1,597.97
|
$12.25
|
|
43622
|
Removal of stomach
|
A
|
$2,414.62
|
$2,423.63
|
$9.01
|
$2,414.62
|
$2,423.63
|
$9.01
|
|
43634
|
Removal of stomach partial
|
A
|
$2,215.68
|
$2,228.30
|
$12.61
|
$2,215.68
|
$2,228.30
|
$12.61
|
|
43641
|
Vagotomy & pylorus repair
|
A
|
$1,248.39
|
$1,258.85
|
$10.45
|
$1,248.39
|
$1,258.85
|
$10.45
|
|
43651
|
Laparoscopy vagus nerve
|
A
|
$680.42
|
$684.02
|
$3.60
|
$680.42
|
$684.02
|
$3.60
|
|
43754
|
Dx gastr intub w/asp spec
|
A
|
$166.50
|
$166.86
|
$0.36
|
$37.48
|
$37.84
|
$0.36
|
|
43773
|
Lap replace gastr adj device
|
A
|
$1,327.32
|
$1,337.77
|
$10.45
|
$1,327.32
|
$1,337.77
|
$10.45
|
|
43810
|
Fusion of stomach and bowel
|
A
|
$1,059.91
|
$1,065.32
|
$5.41
|
$1,059.91
|
$1,065.32
|
$5.41
|
|
43825
|
Fusion of stomach and bowel
|
A
|
$1,365.16
|
$1,370.57
|
$5.41
|
$1,365.16
|
$1,370.57
|
$5.41
|
|
43843
|
Gastroplasty w/o v-band
|
A
|
$1,319.03
|
$1,341.74
|
$22.70
|
$1,319.03
|
$1,341.74
|
$22.70
|
|
43847
|
Gastric bypass incl small i
|
A
|
$1,877.64
|
$1,889.17
|
$11.53
|
$1,877.64
|
$1,889.17
|
$11.53
|
|
43850
|
Revise stomach-bowel fusion
|
A
|
$1,693.48
|
$1,707.17
|
$13.69
|
$1,693.48
|
$1,707.17
|
$13.69
|
|
43855
|
Revise stomach-bowel fusion
|
A
|
$1,681.94
|
$1,770.24
|
$88.30
|
$1,681.94
|
$1,770.24
|
$88.30
|
|
43865
|
Revise stomach-bowel fusion
|
A
|
$1,781.05
|
$1,791.14
|
$10.09
|
$1,781.05
|
$1,791.14
|
$10.09
|
|
43886
|
Revise gastric port open
|
A
|
$377.69
|
$379.13
|
$1.44
|
$377.69
|
$379.13
|
$1.44
|
|
43887
|
Remove gastric port open
|
A
|
$340.21
|
$341.65
|
$1.44
|
$340.21
|
$341.65
|
$1.44
|
|
43888
|
Change gastric port open
|
A
|
$480.04
|
$482.20
|
$2.16
|
$480.04
|
$482.20
|
$2.16
|
|
44126
|
Enterectomy w/o taper cong
|
A
|
$2,570.67
|
$2,586.53
|
$15.86
|
$2,570.67
|
$2,586.53
|
$15.86
|
|
44151
|
Removal of colon/ileostomy
|
A
|
$2,258.21
|
$2,260.73
|
$2.52
|
$2,258.21
|
$2,260.73
|
$2.52
|
|
44156
|
Removal of colon/ileostomy
|
A
|
$2,397.68
|
$2,421.11
|
$23.43
|
$2,397.68
|
$2,421.11
|
$23.43
|
|
44157
|
Colectomy w/ileoanal anast
|
A
|
$2,292.09
|
$2,295.33
|
$3.24
|
$2,292.09
|
$2,295.33
|
$3.24
|
|
44322
|
Colostomy with biopsies
|
A
|
$1,044.05
|
$1,047.30
|
$3.24
|
$1,044.05
|
$1,047.30
|
$3.24
|
|
44701
|
Intraop colon lavage add-on
|
A
|
$178.03
|
$178.39
|
$0.36
|
$178.03
|
$178.39
|
$0.36
|
|
45113
|
Partial proctectomy
|
A
|
$1,970.98
|
$1,972.78
|
$1.80
|
$1,970.98
|
$1,972.78
|
$1.80
|
|
45114
|
Partial removal of rectum
|
A
|
$1,896.02
|
$1,903.22
|
$7.21
|
$1,896.02
|
$1,903.22
|
$7.21
|
|
45120
|
Removal of rectum
|
A
|
$1,659.24
|
$1,667.53
|
$8.29
|
$1,659.24
|
$1,667.53
|
$8.29
|
|
45121
|
Removal of rectum and colon
|
A
|
$1,800.87
|
$1,822.50
|
$21.62
|
$1,800.87
|
$1,822.50
|
$21.62
|
|
45150
|
Excision of rectal stricture
|
A
|
$433.19
|
$433.55
|
$0.36
|
$433.19
|
$433.55
|
$0.36
|
|
45563
|
Exploration/repair of rectum
|
A
|
$1,720.15
|
$1,728.80
|
$8.65
|
$1,720.15
|
$1,728.80
|
$8.65
|
|
45800
|
Repair rect/bladder fistula
|
A
|
$1,315.07
|
$1,322.63
|
$7.57
|
$1,315.07
|
$1,322.63
|
$7.57
|
|
45820
|
Repair rectourethral fistula
|
A
|
$1,322.63
|
$1,325.88
|
$3.24
|
$1,322.63
|
$1,325.88
|
$3.24
|
|
46612
|
Anoscopy remove lesions
|
A
|
$302.01
|
$302.37
|
$0.36
|
$98.75
|
$99.11
|
$0.36
|
|
46707
|
Repair anorectal fist w/plug
|
A
|
$511.39
|
$511.76
|
$0.36
|
$511.39
|
$511.76
|
$0.36
|
|
46744
|
Repair of cloacal anomaly
|
A
|
$3,648.96
|
$3,694.37
|
$45.41
|
$3,648.96
|
$3,694.37
|
$45.41
|
|
46760
|
Repair of anal sphincter
|
A
|
$1,138.84
|
$1,142.44
|
$3.60
|
$1,138.84
|
$1,142.44
|
$3.60
|
|
47142
|
Partial removal donor liver
|
A
|
$4,920.78
|
$4,934.83
|
$14.06
|
$4,920.78
|
$4,934.83
|
$14.06
|
|
47360
|
Repair liver wound
|
A
|
$1,963.41
|
$1,966.29
|
$2.88
|
$1,963.41
|
$1,966.29
|
$2.88
|
|
47371
|
Laparo ablate liver cryosurg
|
A
|
$1,278.31
|
$1,315.43
|
$37.12
|
$1,278.31
|
$1,315.43
|
$37.12
|
|
47381
|
Open ablate liver tumor cryo
|
A
|
$1,530.58
|
$1,550.40
|
$19.82
|
$1,530.58
|
$1,550.40
|
$19.82
|
|
47460
|
Incise bile duct sphincter
|
A
|
$1,323.00
|
$1,328.40
|
$5.41
|
$1,323.00
|
$1,328.40
|
$5.41
|
|
47620
|
Removal of gallbladder
|
A
|
$1,426.43
|
$1,443.01
|
$16.58
|
$1,426.43
|
$1,443.01
|
$16.58
|
|
47701
|
Bile duct revision
|
A
|
$1,786.10
|
$1,818.17
|
$32.07
|
$1,786.10
|
$1,818.17
|
$32.07
|
|
47712
|
Excision of bile duct tumor
|
A
|
$2,085.94
|
$2,093.87
|
$7.93
|
$2,085.94
|
$2,093.87
|
$7.93
|
|
47715
|
Excision of bile duct cyst
|
A
|
$1,386.06
|
$1,392.55
|
$6.49
|
$1,386.06
|
$1,392.55
|
$6.49
|
|
47720
|
Fuse gallbladder & bowel
|
A
|
$1,204.79
|
$1,208.39
|
$3.60
|
$1,204.79
|
$1,208.39
|
$3.60
|
|
47740
|
Fuse gallbladder & bowel
|
A
|
$1,360.84
|
$1,374.53
|
$13.69
|
$1,360.84
|
$1,374.53
|
$13.69
|
|
47741
|
Fuse gallbladder & bowel
|
A
|
$1,541.39
|
$1,545.72
|
$4.32
|
$1,541.39
|
$1,545.72
|
$4.32
|
|
47765
|
Fuse liver ducts & bowel
|
A
|
$3,170.36
|
$3,186.58
|
$16.22
|
$3,170.36
|
$3,186.58
|
$16.22
|
|
48000
|
Drainage of abdomen
|
A
|
$1,970.98
|
$1,973.86
|
$2.88
|
$1,970.98
|
$1,973.86
|
$2.88
|
|
48001
|
Placement of drain pancreas
|
A
|
$2,402.73
|
$2,420.03
|
$17.30
|
$2,402.73
|
$2,420.03
|
$17.30
|
|
48145
|
Partial removal of pancreas
|
A
|
$1,706.09
|
$1,711.14
|
$5.05
|
$1,706.09
|
$1,711.14
|
$5.05
|
|
48146
|
Pancreatectomy
|
A
|
$1,964.49
|
$1,970.26
|
$5.77
|
$1,964.49
|
$1,970.26
|
$5.77
|
|
48148
|
Removal of pancreatic duct
|
A
|
$1,303.89
|
$1,307.86
|
$3.96
|
$1,303.89
|
$1,307.86
|
$3.96
|
|
48152
|
Pancreatectomy
|
A
|
$3,022.96
|
$3,028.01
|
$5.05
|
$3,022.96
|
$3,028.01
|
$5.05
|
|
48400
|
Injection intraop add-on
|
A
|
$110.64
|
$112.44
|
$1.80
|
$110.64
|
$112.44
|
$1.80
|
|
48510
|
Drain pancreatic pseudocyst
|
A
|
$1,145.68
|
$1,148.21
|
$2.52
|
$1,145.68
|
$1,148.21
|
$2.52
|
|
48540
|
Fuse pancreas cyst and bowel
|
A
|
$1,364.44
|
$1,372.01
|
$7.57
|
$1,364.44
|
$1,372.01
|
$7.57
|
|
48545
|
Pancreatorrhaphy
|
A
|
$1,402.28
|
$1,408.77
|
$6.49
|
$1,402.28
|
$1,408.77
|
$6.49
|
|
48547
|
Duodenal exclusion
|
A
|
$1,870.43
|
$1,878.36
|
$7.93
|
$1,870.43
|
$1,878.36
|
$7.93
|
|
49327
|
Lap ins device for rt
|
A
|
$135.87
|
$136.59
|
$0.72
|
$135.87
|
$136.59
|
$0.72
|
|
49429
|
Removal of shunt
|
A
|
$478.96
|
$479.68
|
$0.72
|
$478.96
|
$479.68
|
$0.72
|
|
49500
|
Rpr ing hernia init reduce
|
A
|
$421.66
|
$429.23
|
$7.57
|
$421.66
|
$429.23
|
$7.57
|
|
49580
|
Rpr umbil hern reduc < 5 yr
|
A
|
$337.69
|
$347.06
|
$9.37
|
$337.69
|
$347.06
|
$9.37
|
|
49582
|
Rpr umbil hern block < 5 yr
|
A
|
$481.84
|
$503.47
|
$21.62
|
$481.84
|
$503.47
|
$21.62
|
|
49600
|
Repair umbilical lesion
|
A
|
$757.90
|
$765.47
|
$7.57
|
$757.90
|
$765.47
|
$7.57
|
|
49605
|
Repair umbilical lesion
|
A
|
$5,136.29
|
$5,191.79
|
$55.50
|
$5,136.29
|
$5,191.79
|
$55.50
|
|
50075
|
Removal of kidney stone
|
A
|
$1,518.33
|
$1,520.49
|
$2.16
|
$1,518.33
|
$1,520.49
|
$2.16
|
|
50100
|
Revise kidney blood vessels
|
A
|
$1,096.31
|
$1,128.02
|
$31.71
|
$1,096.31
|
$1,128.02
|
$31.71
|
|
50130
|
Removal of kidney stone
|
A
|
$1,076.49
|
$1,077.57
|
$1.08
|
$1,076.49
|
$1,077.57
|
$1.08
|
|
50250
|
Cryoablate renal mass open
|
A
|
$1,267.86
|
$1,268.22
|
$0.36
|
$1,267.86
|
$1,268.22
|
$0.36
|
|
50320
|
Remove kidney living donor
|
A
|
$1,565.90
|
$1,568.78
|
$2.88
|
$1,565.90
|
$1,568.78
|
$2.88
|
|
50380
|
Reimplantation of kidney
|
A
|
$2,084.86
|
$2,094.23
|
$9.37
|
$2,084.86
|
$2,094.23
|
$9.37
|
|
50405
|
Revision of kidney/ureter
|
A
|
$1,454.90
|
$1,456.70
|
$1.80
|
$1,454.90
|
$1,456.70
|
$1.80
|
|
50540
|
Revision of horseshoe kidney
|
A
|
$1,192.89
|
$1,197.22
|
$4.32
|
$1,192.89
|
$1,197.22
|
$4.32
|
|
50610
|
Removal of ureter stone
|
A
|
$982.79
|
$985.67
|
$2.88
|
$982.79
|
$985.67
|
$2.88
|
|
50620
|
Removal of ureter stone
|
A
|
$940.62
|
$942.78
|
$2.16
|
$940.62
|
$942.78
|
$2.16
|
|
50660
|
Removal of ureter
|
A
|
$1,191.09
|
$1,192.89
|
$1.80
|
$1,191.09
|
$1,192.89
|
$1.80
|
|
50700
|
Revision of ureter
|
A
|
$964.77
|
$965.13
|
$0.36
|
$964.77
|
$965.13
|
$0.36
|
|
50722
|
Release of ureter
|
A
|
$1,048.38
|
$1,049.10
|
$0.72
|
$1,048.38
|
$1,049.10
|
$0.72
|
|
50770
|
Splicing of ureters
|
A
|
$1,201.90
|
$1,203.35
|
$1.44
|
$1,201.90
|
$1,203.35
|
$1.44
|
|
50782
|
Reimplant ureter in bladder
|
A
|
$1,119.73
|
$1,121.54
|
$1.80
|
$1,119.73
|
$1,121.54
|
$1.80
|
|
50815
|
Urine shunt to intestine
|
A
|
$1,274.70
|
$1,275.42
|
$0.72
|
$1,274.70
|
$1,275.42
|
$0.72
|
|
50830
|
Revise urine flow
|
A
|
$1,879.44
|
$1,880.16
|
$0.72
|
$1,879.44
|
$1,880.16
|
$0.72
|
|
50840
|
Replace ureter by bowel
|
A
|
$1,281.55
|
$1,282.27
|
$0.72
|
$1,281.55
|
$1,282.27
|
$0.72
|
|
50845
|
Appendico-vesicostomy
|
A
|
$1,303.17
|
$1,303.89
|
$0.72
|
$1,303.17
|
$1,303.89
|
$0.72
|
|
50860
|
Transplant ureter to skin
|
A
|
$984.95
|
$986.03
|
$1.08
|
$984.95
|
$986.03
|
$1.08
|
|
50900
|
Repair of ureter
|
A
|
$877.55
|
$878.27
|
$0.72
|
$877.55
|
$878.27
|
$0.72
|
|
50920
|
Closure ureter/skin fistula
|
A
|
$914.67
|
$919.00
|
$4.32
|
$914.67
|
$919.00
|
$4.32
|
|
50940
|
Release of ureter
|
A
|
$923.68
|
$925.12
|
$1.44
|
$923.68
|
$925.12
|
$1.44
|
|
50945
|
Laparoscopy ureterolithotomy
|
A
|
$1,012.70
|
$1,014.86
|
$2.16
|
$1,012.70
|
$1,014.86
|
$2.16
|
|
50948
|
Laparo new ureter/bladder
|
A
|
$1,328.40
|
$1,329.84
|
$1.44
|
$1,328.40
|
$1,329.84
|
$1.44
|
|
50970
|
Ureter endoscopy
|
A
|
$386.34
|
$387.06
|
$0.72
|
$386.34
|
$387.06
|
$0.72
|
|
51080
|
Drainage of bladder abscess
|
A
|
$425.62
|
$425.98
|
$0.36
|
$425.62
|
$425.98
|
$0.36
|
|
51500
|
Removal of bladder cyst
|
A
|
$663.12
|
$663.84
|
$0.72
|
$663.12
|
$663.84
|
$0.72
|
|
51530
|
Removal of bladder lesion
|
A
|
$801.87
|
$802.95
|
$1.08
|
$801.87
|
$802.95
|
$1.08
|
|
51535
|
Repair of ureter lesion
|
A
|
$812.32
|
$812.68
|
$0.36
|
$812.32
|
$812.68
|
$0.36
|
|
51580
|
Remove bladder/revise tract
|
A
|
$1,973.86
|
$1,978.19
|
$4.32
|
$1,973.86
|
$1,978.19
|
$4.32
|
|
51585
|
Removal of bladder & nodes
|
A
|
$2,200.19
|
$2,202.71
|
$2.52
|
$2,200.19
|
$2,202.71
|
$2.52
|
|
51841
|
Attach bladder/urethra
|
A
|
$809.80
|
$810.52
|
$0.72
|
$809.80
|
$810.52
|
$0.72
|
|
51900
|
Repair bladder/vagina lesion
|
A
|
$858.45
|
$859.17
|
$0.72
|
$858.45
|
$859.17
|
$0.72
|
|
51960
|
Revision of bladder & bowel
|
A
|
$1,443.37
|
$1,444.45
|
$1.08
|
$1,443.37
|
$1,444.45
|
$1.08
|
|
52010
|
Cystoscopy & duct catheter
|
A
|
$395.71
|
$396.07
|
$0.36
|
$172.27
|
$172.63
|
$0.36
|
|
53060
|
Drainage of urethra abscess
|
A
|
$188.84
|
$189.21
|
$0.36
|
$169.02
|
$169.38
|
$0.36
|
|
53210
|
Removal of urethra
|
A
|
$802.23
|
$802.59
|
$0.36
|
$802.23
|
$802.59
|
$0.36
|
|
53235
|
Removal of urethra lesion
|
A
|
$659.16
|
$660.24
|
$1.08
|
$659.16
|
$660.24
|
$1.08
|
|
53431
|
Reconstruct urethra/bladder
|
A
|
$1,202.99
|
$1,204.07
|
$1.08
|
$1,202.99
|
$1,204.07
|
$1.08
|
|
53442
|
Remove/revise male sling
|
A
|
$815.93
|
$816.29
|
$0.36
|
$815.93
|
$816.29
|
$0.36
|
|
53444
|
Insert tandem cuff
|
A
|
$826.38
|
$827.10
|
$0.72
|
$826.38
|
$827.10
|
$0.72
|
|
53448
|
Remov/replc ur sphinctr comp
|
A
|
$1,332.73
|
$1,334.89
|
$2.16
|
$1,332.73
|
$1,334.89
|
$2.16
|
|
53510
|
Repair of urethra injury
|
A
|
$658.07
|
$658.43
|
$0.36
|
$658.07
|
$658.43
|
$0.36
|
|
54110
|
Treatment of penis lesion
|
A
|
$650.51
|
$651.23
|
$0.72
|
$650.51
|
$651.23
|
$0.72
|
|
54111
|
Treat penis lesion graft
|
A
|
$832.86
|
$834.67
|
$1.80
|
$832.86
|
$834.67
|
$1.80
|
|
54304
|
Revision of penis
|
A
|
$780.97
|
$781.69
|
$0.72
|
$780.97
|
$781.69
|
$0.72
|
|
54417
|
Remv/replc penis pros compl
|
A
|
$935.94
|
$937.38
|
$1.44
|
$935.94
|
$937.38
|
$1.44
|
|
54437
|
Repair corporeal tear
|
A
|
$702.04
|
$702.40
|
$0.36
|
$702.04
|
$702.40
|
$0.36
|
|
54500
|
Biopsy of testis
|
A
|
$77.48
|
$77.84
|
$0.36
|
$77.48
|
$77.84
|
$0.36
|
|
54522
|
Orchiectomy partial
|
A
|
$614.47
|
$614.83
|
$0.36
|
$614.47
|
$614.83
|
$0.36
|
|
54535
|
Extensive testis surgery
|
A
|
$774.48
|
$775.92
|
$1.44
|
$774.48
|
$775.92
|
$1.44
|
|
54680
|
Relocation of testis(es)
|
A
|
$820.97
|
$821.33
|
$0.36
|
$820.97
|
$821.33
|
$0.36
|
|
54690
|
Laparoscopy orchiectomy
|
A
|
$684.38
|
$685.46
|
$1.08
|
$684.38
|
$685.46
|
$1.08
|
|
55400
|
Repair of sperm duct
|
A
|
$518.60
|
$520.04
|
$1.44
|
$518.60
|
$520.04
|
$1.44
|
|
55535
|
Revise spermatic cord veins
|
A
|
$448.33
|
$448.69
|
$0.36
|
$448.33
|
$448.69
|
$0.36
|
|
55550
|
Laparo ligate spermatic vein
|
A
|
$446.52
|
$446.88
|
$0.36
|
$446.52
|
$446.88
|
$0.36
|
|
55650
|
Remove sperm duct pouch
|
A
|
$746.73
|
$747.45
|
$0.72
|
$746.73
|
$747.45
|
$0.72
|
|
55680
|
Remove sperm pouch lesion
|
A
|
$357.51
|
$360.75
|
$3.24
|
$357.51
|
$360.75
|
$3.24
|
|
55720
|
Drainage of prostate abscess
|
A
|
$470.67
|
$471.03
|
$0.36
|
$470.67
|
$471.03
|
$0.36
|
|
55801
|
Removal of prostate
|
A
|
$1,140.28
|
$1,141.36
|
$1.08
|
$1,140.28
|
$1,141.36
|
$1.08
|
|
55815
|
Extensive prostate surgery
|
A
|
$1,833.31
|
$1,839.44
|
$6.13
|
$1,833.31
|
$1,839.44
|
$6.13
|
|
55865
|
Extensive prostate surgery
|
A
|
$1,383.18
|
$1,392.91
|
$9.73
|
$1,383.18
|
$1,392.91
|
$9.73
|
|
56634
|
Extensive vulva surgery
|
A
|
$1,365.52
|
$1,375.61
|
$10.09
|
$1,365.52
|
$1,375.61
|
$10.09
|
|
56640
|
Extensive vulva surgery
|
A
|
$1,571.30
|
$1,615.27
|
$43.97
|
$1,571.30
|
$1,615.27
|
$43.97
|
|
57000
|
Exploration of vagina
|
A
|
$196.05
|
$196.41
|
$0.36
|
$196.05
|
$196.41
|
$0.36
|
|
57010
|
Drainage of pelvic abscess
|
A
|
$447.97
|
$448.33
|
$0.36
|
$447.97
|
$448.33
|
$0.36
|
|
57109
|
Vaginectomy partial w/nodes
|
A
|
$1,834.03
|
$1,843.40
|
$9.37
|
$1,834.03
|
$1,843.40
|
$9.37
|
|
57111
|
Remove vagina tissue compl
|
A
|
$1,837.27
|
$1,843.40
|
$6.13
|
$1,837.27
|
$1,843.40
|
$6.13
|
|
57291
|
Construction of vagina
|
A
|
$543.83
|
$544.91
|
$1.08
|
$543.83
|
$544.91
|
$1.08
|
|
57292
|
Construct vagina with graft
|
A
|
$832.86
|
$834.31
|
$1.44
|
$832.86
|
$834.31
|
$1.44
|
|
57307
|
Fistula repair & colostomy
|
A
|
$1,073.60
|
$1,079.37
|
$5.77
|
$1,073.60
|
$1,079.37
|
$5.77
|
|
57308
|
Fistula repair transperine
|
A
|
$684.02
|
$685.82
|
$1.80
|
$684.02
|
$685.82
|
$1.80
|
|
57310
|
Repair urethrovaginal lesion
|
A
|
$489.05
|
$489.77
|
$0.72
|
$489.05
|
$489.77
|
$0.72
|
|
57311
|
Repair urethrovaginal lesion
|
A
|
$556.08
|
$556.80
|
$0.72
|
$556.08
|
$556.80
|
$0.72
|
|
57330
|
Repair bladder-vagina lesion
|
A
|
$779.17
|
$780.61
|
$1.44
|
$779.17
|
$780.61
|
$1.44
|
|
57540
|
Removal of residual cervix
|
A
|
$792.14
|
$796.10
|
$3.96
|
$792.14
|
$796.10
|
$3.96
|
|
57550
|
Removal of residual cervix
|
A
|
$420.58
|
$421.30
|
$0.72
|
$420.58
|
$421.30
|
$0.72
|
|
57556
|
Remove cervix repair bowel
|
A
|
$583.47
|
$584.19
|
$0.72
|
$583.47
|
$584.19
|
$0.72
|
|
58146
|
Myomectomy abdom complex
|
A
|
$1,173.07
|
$1,173.79
|
$0.72
|
$1,173.07
|
$1,173.79
|
$0.72
|
|
58280
|
Hysterectomy/revise vagina
|
A
|
$1,071.44
|
$1,071.80
|
$0.36
|
$1,071.44
|
$1,071.80
|
$0.36
|
|
58292
|
Vag hyst t/o & repair compl
|
A
|
$1,333.81
|
$1,335.97
|
$2.16
|
$1,333.81
|
$1,335.97
|
$2.16
|
|
58543
|
Lsh uterus above 250 g
|
A
|
$846.92
|
$848.36
|
$1.44
|
$846.92
|
$848.36
|
$1.44
|
|
58546
|
Laparo-myomectomy complex
|
A
|
$1,139.56
|
$1,140.64
|
$1.08
|
$1,139.56
|
$1,140.64
|
$1.08
|
|
58553
|
Laparo-vag hyst complex
|
A
|
$1,146.04
|
$1,146.76
|
$0.72
|
$1,146.04
|
$1,146.76
|
$0.72
|
|
58560
|
Hysteroscopy resect septum
|
A
|
$322.19
|
$322.55
|
$0.36
|
$322.19
|
$322.55
|
$0.36
|
|
58673
|
Laparoscopy salpingostomy
|
A
|
$808.72
|
$810.88
|
$2.16
|
$808.72
|
$810.88
|
$2.16
|
|
58800
|
Drainage of ovarian cyst(s)
|
A
|
$336.61
|
$336.97
|
$0.36
|
$307.77
|
$308.13
|
$0.36
|
|
58822
|
Drain ovary abscess percut
|
A
|
$713.93
|
$715.38
|
$1.44
|
$713.93
|
$715.38
|
$1.44
|
|
58825
|
Transposition ovary(s)
|
A
|
$708.89
|
$710.33
|
$1.44
|
$708.89
|
$710.33
|
$1.44
|
|
58900
|
Biopsy of ovary(s)
|
A
|
$426.34
|
$427.42
|
$1.08
|
$426.34
|
$427.42
|
$1.08
|
|
59614
|
Vbac care after delivery
|
A
|
$1,177.04
|
$1,179.92
|
$2.88
|
$1,177.04
|
$1,179.92
|
$2.88
|
|
59620
|
Attempted vbac delivery only
|
A
|
$975.22
|
$982.43
|
$7.21
|
$975.22
|
$982.43
|
$7.21
|
|
59871
|
Remove cerclage suture
|
A
|
$137.67
|
$138.03
|
$0.36
|
$137.67
|
$138.03
|
$0.36
|
|
60000
|
Drain thyroid/tongue cyst
|
A
|
$175.51
|
$175.87
|
$0.36
|
$156.77
|
$157.13
|
$0.36
|
|
61000
|
Remove cranial cavity fluid
|
A
|
$114.96
|
$120.01
|
$5.05
|
$114.96
|
$120.01
|
$5.05
|
|
61120
|
Burr hole for puncture
|
A
|
$784.21
|
$788.90
|
$4.69
|
$784.21
|
$788.90
|
$4.69
|
|
61250
|
Pierce skull & explore
|
A
|
$910.35
|
$915.75
|
$5.41
|
$910.35
|
$915.75
|
$5.41
|
|
61253
|
Pierce skull & explore
|
A
|
$1,040.81
|
$1,051.62
|
$10.81
|
$1,040.81
|
$1,051.62
|
$10.81
|
|
61305
|
Open skull for exploration
|
A
|
$2,114.05
|
$2,131.35
|
$17.30
|
$2,114.05
|
$2,131.35
|
$17.30
|
|
61321
|
Open skull for drainage
|
A
|
$2,223.61
|
$2,259.65
|
$36.04
|
$2,223.61
|
$2,259.65
|
$36.04
|
|
61330
|
Decompress eye socket
|
A
|
$1,883.04
|
$1,902.86
|
$19.82
|
$1,883.04
|
$1,902.86
|
$19.82
|
|
61340
|
Subtemporal decompression
|
A
|
$1,492.74
|
$1,529.50
|
$36.76
|
$1,492.74
|
$1,529.50
|
$36.76
|
|
61345
|
Relieve cranial pressure
|
A
|
$2,150.09
|
$2,166.31
|
$16.22
|
$2,150.09
|
$2,166.31
|
$16.22
|
|
61450
|
Incise skull for surgery
|
A
|
$2,018.19
|
$2,040.17
|
$21.98
|
$2,018.19
|
$2,040.17
|
$21.98
|
|
61460
|
Incise skull for surgery
|
A
|
$2,224.33
|
$2,234.78
|
$10.45
|
$2,224.33
|
$2,234.78
|
$10.45
|
|
61521
|
Removal of brain lesion
|
A
|
$3,377.58
|
$3,396.69
|
$19.10
|
$3,377.58
|
$3,396.69
|
$19.10
|
|
61522
|
Removal of brain abscess
|
A
|
$2,268.66
|
$2,323.08
|
$54.42
|
$2,268.66
|
$2,323.08
|
$54.42
|
|
61524
|
Removal of brain lesion
|
A
|
$2,193.70
|
$2,210.64
|
$16.94
|
$2,193.70
|
$2,210.64
|
$16.94
|
|
61531
|
Implant brain electrodes
|
A
|
$1,271.10
|
$1,292.72
|
$21.62
|
$1,271.10
|
$1,292.72
|
$21.62
|
|
61534
|
Removal of brain lesion
|
A
|
$1,709.69
|
$1,745.37
|
$35.68
|
$1,709.69
|
$1,745.37
|
$35.68
|
|
61535
|
Remove brain electrodes
|
A
|
$1,050.54
|
$1,057.03
|
$6.49
|
$1,050.54
|
$1,057.03
|
$6.49
|
|
61536
|
Removal of brain lesion
|
A
|
$2,711.22
|
$2,743.66
|
$32.44
|
$2,711.22
|
$2,743.66
|
$32.44
|
|
61538
|
Removal of brain tissue
|
A
|
$2,821.50
|
$2,841.32
|
$19.82
|
$2,821.50
|
$2,841.32
|
$19.82
|
|
61540
|
Removal of brain tissue
|
A
|
$2,272.99
|
$2,316.59
|
$43.61
|
$2,272.99
|
$2,316.59
|
$43.61
|
|
61541
|
Incision of brain tissue
|
A
|
$2,260.01
|
$2,282.00
|
$21.98
|
$2,260.01
|
$2,282.00
|
$21.98
|
|
61543
|
Removal of brain tissue
|
A
|
$2,224.33
|
$2,307.58
|
$83.25
|
$2,224.33
|
$2,307.58
|
$83.25
|
|
61545
|
Excision of brain tumor
|
A
|
$3,352.36
|
$3,396.32
|
$43.97
|
$3,352.36
|
$3,396.32
|
$43.97
|
|
61546
|
Removal of pituitary gland
|
A
|
$2,430.84
|
$2,451.74
|
$20.90
|
$2,430.84
|
$2,451.74
|
$20.90
|
|
61550
|
Release of skull seams
|
A
|
$1,157.94
|
$1,254.16
|
$96.22
|
$1,157.94
|
$1,254.16
|
$96.22
|
|
61559
|
Excision of skull/sutures
|
A
|
$2,397.32
|
$2,541.12
|
$143.80
|
$2,397.32
|
$2,541.12
|
$143.80
|
|
61563
|
Excision of skull tumor
|
A
|
$2,073.33
|
$2,102.52
|
$29.19
|
$2,073.33
|
$2,102.52
|
$29.19
|
|
61566
|
Removal of brain tissue
|
A
|
$2,337.86
|
$2,385.43
|
$47.57
|
$2,337.86
|
$2,385.43
|
$47.57
|
|
61567
|
Incision of brain tissue
|
A
|
$2,628.69
|
$2,721.67
|
$92.98
|
$2,628.69
|
$2,721.67
|
$92.98
|
|
61570
|
Remove foreign body brain
|
A
|
$1,964.85
|
$1,981.79
|
$16.94
|
$1,964.85
|
$1,981.79
|
$16.94
|
|
61571
|
Incise skull for brain wound
|
A
|
$2,066.12
|
$2,111.17
|
$45.05
|
$2,066.12
|
$2,111.17
|
$45.05
|
|
61575
|
Skull base/brainstem surgery
|
A
|
$2,653.20
|
$2,664.73
|
$11.53
|
$2,653.20
|
$2,664.73
|
$11.53
|
|
61576
|
Skull base/brainstem surgery
|
A
|
$4,366.14
|
$4,476.78
|
$110.64
|
$4,366.14
|
$4,476.78
|
$110.64
|
|
61582
|
Craniofacial approach skull
|
A
|
$3,192.70
|
$3,211.08
|
$18.38
|
$3,192.70
|
$3,211.08
|
$18.38
|
|
61586
|
Resect nasopharynx skull
|
A
|
$2,542.56
|
$2,574.63
|
$32.07
|
$2,542.56
|
$2,574.63
|
$32.07
|
|
61598
|
Transpetrosal approach/skull
|
A
|
$2,987.64
|
$3,009.99
|
$22.34
|
$2,987.64
|
$3,009.99
|
$22.34
|
|
61615
|
Resect/excise lesion skull
|
A
|
$2,952.32
|
$2,967.46
|
$15.14
|
$2,952.32
|
$2,967.46
|
$15.14
|
|
61684
|
Intracranial vessel surgery
|
A
|
$2,996.65
|
$3,029.09
|
$32.44
|
$2,996.65
|
$3,029.09
|
$32.44
|
|
61686
|
Intracranial vessel surgery
|
A
|
$4,916.81
|
$4,939.16
|
$22.34
|
$4,916.81
|
$4,939.16
|
$22.34
|
|
61690
|
Intracranial vessel surgery
|
A
|
$2,294.61
|
$2,319.12
|
$24.51
|
$2,294.61
|
$2,319.12
|
$24.51
|
|
61698
|
Brain aneurysm repr complx
|
A
|
$5,045.83
|
$5,083.32
|
$37.48
|
$5,045.83
|
$5,083.32
|
$37.48
|
|
61702
|
Inner skull vessel surgery
|
A
|
$4,263.07
|
$4,330.82
|
$67.75
|
$4,263.07
|
$4,330.82
|
$67.75
|
|
61703
|
Clamp neck artery
|
A
|
$1,406.25
|
$1,439.04
|
$32.80
|
$1,406.25
|
$1,439.04
|
$32.80
|
|
61705
|
Revise circulation to head
|
A
|
$2,652.48
|
$2,769.97
|
$117.49
|
$2,652.48
|
$2,769.97
|
$117.49
|
|
61850
|
Implant neuroelectrodes
|
A
|
$1,015.58
|
$1,040.09
|
$24.51
|
$1,015.58
|
$1,040.09
|
$24.51
|
|
61860
|
Implant neuroelectrodes
|
A
|
$1,649.87
|
$1,659.24
|
$9.37
|
$1,649.87
|
$1,659.24
|
$9.37
|
|
62005
|
Treat skull fracture
|
A
|
$1,320.83
|
$1,346.06
|
$25.23
|
$1,320.83
|
$1,346.06
|
$25.23
|
|
62010
|
Treatment of head injury
|
A
|
$1,612.03
|
$1,624.28
|
$12.25
|
$1,612.03
|
$1,624.28
|
$12.25
|
|
62162
|
Remove colloid cyst w/scope
|
A
|
$1,994.76
|
$2,004.49
|
$9.73
|
$1,994.76
|
$2,004.49
|
$9.73
|
|
62163
|
Zneuroendoscopy w/fb removal
|
A
|
$1,240.47
|
$1,296.33
|
$55.86
|
$1,240.47
|
$1,296.33
|
$55.86
|
|
62164
|
Remove brain tumor w/scope
|
A
|
$2,200.91
|
$2,216.40
|
$15.50
|
$2,200.91
|
$2,216.40
|
$15.50
|
|
62194
|
Replace/irrigate catheter
|
A
|
$510.67
|
$513.92
|
$3.24
|
$510.67
|
$513.92
|
$3.24
|
|
62200
|
Establish brain cavity shunt
|
A
|
$1,452.02
|
$1,458.14
|
$6.13
|
$1,452.02
|
$1,458.14
|
$6.13
|
|
62361
|
Implant spine infusion pump
|
A
|
$449.05
|
$450.49
|
$1.44
|
$449.05
|
$450.49
|
$1.44
|
|
63066
|
Decompress spine cord add-on
|
A
|
$217.32
|
$219.48
|
$2.16
|
$217.32
|
$219.48
|
$2.16
|
|
63078
|
Spine disk surgery thorax
|
A
|
$218.40
|
$220.92
|
$2.52
|
$218.40
|
$220.92
|
$2.52
|
|
63170
|
Incise spinal cord tract(s)
|
A
|
$1,673.30
|
$1,687.35
|
$14.06
|
$1,673.30
|
$1,687.35
|
$14.06
|
|
63173
|
Drainage of spinal cyst
|
A
|
$1,805.92
|
$1,829.71
|
$23.79
|
$1,805.92
|
$1,829.71
|
$23.79
|
|
63180
|
Revise spinal cord ligaments
|
A
|
$1,501.03
|
$1,574.19
|
$73.16
|
$1,501.03
|
$1,574.19
|
$73.16
|
|
63182
|
Revise spinal cord ligaments
|
A
|
$1,586.80
|
$1,728.80
|
$141.99
|
$1,586.80
|
$1,728.80
|
$141.99
|
|
63190
|
Incise spine nrv >2 segmnts
|
A
|
$1,297.05
|
$1,301.01
|
$3.96
|
$1,297.05
|
$1,301.01
|
$3.96
|
|
63197
|
Incise spine&cord 2 trx thrc
|
A
|
$1,663.56
|
$1,813.85
|
$150.28
|
$1,663.56
|
$1,813.85
|
$150.28
|
|
63250
|
Revise spinal cord vsls crvl
|
A
|
$3,086.03
|
$3,165.67
|
$79.65
|
$3,086.03
|
$3,165.67
|
$79.65
|
|
63251
|
Revise spinal cord vsls thrc
|
A
|
$3,222.98
|
$3,235.59
|
$12.61
|
$3,222.98
|
$3,235.59
|
$12.61
|
|
63252
|
Revise spine cord vsl thrlmb
|
A
|
$3,204.60
|
$3,234.87
|
$30.27
|
$3,204.60
|
$3,234.87
|
$30.27
|
|
63270
|
Excise intrspinl lesion crvl
|
A
|
$2,177.84
|
$2,203.79
|
$25.95
|
$2,177.84
|
$2,203.79
|
$25.95
|
|
63273
|
Excise intrspinl lesion scrl
|
A
|
$1,963.05
|
$1,978.91
|
$15.86
|
$1,963.05
|
$1,978.91
|
$15.86
|
|
63278
|
Bx/exc xdrl spine lesn scrl
|
A
|
$1,668.25
|
$1,684.47
|
$16.22
|
$1,668.25
|
$1,684.47
|
$16.22
|
|
63283
|
Bx/exc idrl spine lesn scrl
|
A
|
$1,994.40
|
$2,014.95
|
$20.54
|
$1,994.40
|
$2,014.95
|
$20.54
|
|
63285
|
Bx/exc idrl imed lesn cervl
|
A
|
$2,768.52
|
$2,782.94
|
$14.42
|
$2,768.52
|
$2,782.94
|
$14.42
|
|
63287
|
Bx/exc idrl imed lesn thrlmb
|
A
|
$2,887.81
|
$2,922.05
|
$34.24
|
$2,887.81
|
$2,922.05
|
$34.24
|
|
63290
|
Bx/exc xdrl/idrl lsn any lvl
|
A
|
$2,931.42
|
$2,972.87
|
$41.44
|
$2,931.42
|
$2,972.87
|
$41.44
|
|
63295
|
Repair laminectomy defect
|
A
|
$351.74
|
$353.90
|
$2.16
|
$351.74
|
$353.90
|
$2.16
|
|
63301
|
Remove vert xdrl body thrc
|
A
|
$2,312.63
|
$2,341.10
|
$28.47
|
$2,312.63
|
$2,341.10
|
$28.47
|
|
63302
|
Remove vert xdrl body thrlmb
|
A
|
$2,281.64
|
$2,312.99
|
$31.35
|
$2,281.64
|
$2,312.99
|
$31.35
|
|
63304
|
Remove vert idrl body crvcl
|
A
|
$2,433.36
|
$2,496.43
|
$63.07
|
$2,433.36
|
$2,496.43
|
$63.07
|
|
63306
|
Remov vert idrl bdy thrclmbr
|
A
|
$2,531.75
|
$2,612.47
|
$80.73
|
$2,531.75
|
$2,612.47
|
$80.73
|
|
63700
|
Repair of spinal herniation
|
A
|
$1,368.77
|
$1,376.69
|
$7.93
|
$1,368.77
|
$1,376.69
|
$7.93
|
|
63704
|
Repair of spinal herniation
|
A
|
$1,680.14
|
$1,750.06
|
$69.92
|
$1,680.14
|
$1,750.06
|
$69.92
|
|
63706
|
Repair of spinal herniation
|
A
|
$1,863.22
|
$1,947.19
|
$83.97
|
$1,863.22
|
$1,947.19
|
$83.97
|
|
63740
|
Install spinal shunt
|
A
|
$1,023.15
|
$1,029.64
|
$6.49
|
$1,023.15
|
$1,029.64
|
$6.49
|
|
63746
|
Removal of spinal shunt
|
A
|
$626.36
|
$634.29
|
$7.93
|
$626.36
|
$634.29
|
$7.93
|
|
64570
|
Remove vagus n eltrd
|
A
|
$767.27
|
$773.40
|
$6.13
|
$767.27
|
$773.40
|
$6.13
|
|
64580
|
Implant neuroelectrodes
|
A
|
$319.31
|
$320.03
|
$0.72
|
$319.31
|
$320.03
|
$0.72
|
|
64736
|
Incision of chin nerve
|
A
|
$386.70
|
$388.50
|
$1.80
|
$386.70
|
$388.50
|
$1.80
|
|
64744
|
Incise nerve back of head
|
A
|
$515.00
|
$520.04
|
$5.05
|
$515.00
|
$520.04
|
$5.05
|
|
64755
|
Incision of stomach nerves
|
A
|
$948.19
|
$961.52
|
$13.33
|
$948.19
|
$961.52
|
$13.33
|
|
64760
|
Incision of vagus nerve
|
A
|
$532.66
|
$537.34
|
$4.69
|
$532.66
|
$537.34
|
$4.69
|
|
64766
|
Incise hip/thigh nerve
|
A
|
$644.38
|
$655.91
|
$11.53
|
$644.38
|
$655.91
|
$11.53
|
|
64786
|
Remove sciatic nerve lesion
|
A
|
$1,044.41
|
$1,046.94
|
$2.52
|
$1,044.41
|
$1,046.94
|
$2.52
|
|
64804
|
Remove sympathetic nerves
|
A
|
$1,232.18
|
$1,250.92
|
$18.74
|
$1,232.18
|
$1,250.92
|
$18.74
|
|
64809
|
Remove sympathetic nerves
|
A
|
$1,118.29
|
$1,149.29
|
$30.99
|
$1,118.29
|
$1,149.29
|
$30.99
|
|
64818
|
Remove sympathetic nerves
|
A
|
$812.68
|
$813.40
|
$0.72
|
$812.68
|
$813.40
|
$0.72
|
|
64835
|
Repair of hand or foot nerve
|
A
|
$845.84
|
$849.08
|
$3.24
|
$845.84
|
$849.08
|
$3.24
|
|
64836
|
Repair of hand or foot nerve
|
A
|
$846.56
|
$849.08
|
$2.52
|
$846.56
|
$849.08
|
$2.52
|
|
64859
|
Nerve surgery
|
A
|
$259.12
|
$260.92
|
$1.80
|
$259.12
|
$260.92
|
$1.80
|
|
64862
|
Repair of low back nerves
|
A
|
$1,416.70
|
$1,437.24
|
$20.54
|
$1,416.70
|
$1,437.24
|
$20.54
|
|
64865
|
Repair of facial nerve
|
A
|
$1,131.63
|
$1,134.87
|
$3.24
|
$1,131.63
|
$1,134.87
|
$3.24
|
|
64874
|
Repair & revise nerve add-on
|
A
|
$182.36
|
$183.08
|
$0.72
|
$182.36
|
$183.08
|
$0.72
|
|
64890
|
Nerve graft hand/foot </4 cm
|
A
|
$1,124.78
|
$1,126.94
|
$2.16
|
$1,124.78
|
$1,126.94
|
$2.16
|
|
64891
|
Nerve graft hand/foot >4 cm
|
A
|
$1,193.25
|
$1,198.66
|
$5.41
|
$1,193.25
|
$1,198.66
|
$5.41
|
|
64892
|
Nerve graft arm/leg <4 cm
|
A
|
$1,085.86
|
$1,096.31
|
$10.45
|
$1,085.86
|
$1,096.31
|
$10.45
|
|
64895
|
Nerve graft hand/foot </4 cm
|
A
|
$1,379.58
|
$1,385.34
|
$5.77
|
$1,379.58
|
$1,385.34
|
$5.77
|
|
64897
|
Nerve graft arm/leg </4 cm
|
A
|
$1,315.07
|
$1,323.72
|
$8.65
|
$1,315.07
|
$1,323.72
|
$8.65
|
|
64898
|
Nerve graft arm/leg >4 cm
|
A
|
$1,428.59
|
$1,433.64
|
$5.05
|
$1,428.59
|
$1,433.64
|
$5.05
|
|
64911
|
Neurorraphy w/vein autograft
|
A
|
$1,064.60
|
$1,067.84
|
$3.24
|
$1,064.60
|
$1,067.84
|
$3.24
|
|
69155
|
Extensive ear/neck surgery
|
A
|
$1,694.92
|
$1,696.72
|
$1.80
|
$1,694.92
|
$1,696.72
|
$1.80
|
|
69300
|
Revise external ear
|
R
|
$655.19
|
$655.55
|
$0.36
|
$499.14
|
$499.50
|
$0.36
|
|
69905
|
Remove inner ear
|
A
|
$939.18
|
$940.26
|
$1.08
|
$939.18
|
$940.26
|
$1.08
|
|
69910
|
Remove inner ear & mastoid
|
A
|
$1,034.68
|
$1,036.12
|
$1.44
|
$1,034.68
|
$1,036.12
|
$1.44
|
|
69955
|
Release facial nerve
|
A
|
$2,026.48
|
$2,031.52
|
$5.05
|
$2,026.48
|
$2,031.52
|
$5.05
|
|
92977
|
Dissolve clot heart vessel
|
A
|
$56.22
|
$56.94
|
$0.72
|
$56.22
|
$56.94
|
$0.72
|
|
94011
|
Spirometry up to 2 yrs old
|
A
|
$89.38
|
$89.02
|
-$0.36
|
$89.38
|
$89.02
|
-$0.36
|
|
94012
|
Spirmtry w/brnchdil inf-2 yr
|
A
|
$144.88
|
$144.52
|
-$0.36
|
$144.88
|
$144.52
|
-$0.36
|
|
96440
|
Chemotherapy intracavitary
|
A
|
$853.77
|
$854.13
|
$0.36
|
$128.66
|
$129.02
|
$0.36
|
|
99462
|
Sbsq nb em per day hosp
|
A
|
$42.89
|
$42.53
|
-$0.36
|
$42.89
|
$42.53
|
-$0.36
|
|
G0412
|
Open tx iliac spine uni/bil
|
A
|
$750.33
|
$752.14
|
$1.80
|
$750.33
|
$752.14
|
$1.80
|
|
G0516
|
Insert drug del implant, >=4
|
A
|
$245.79
|
$246.15
|
$0.36
|
$111.00
|
$111.36
|
$0.36
|
|
G0517
|
Remove drug implant
|
A
|
$265.25
|
$265.61
|
$0.36
|
$126.86
|
$127.22
|
$0.36
|
|
G0518
|
Remove w insert drug implant
|
A
|
$463.46
|
$465.26
|
$1.80
|
$204.70
|
$206.50
|
$1.80
|