[Federal Register Volume 60, Number 236 (Friday, December 8, 1995)]
[Rules and Regulations]
[Pages 63124-63357]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: X95-11208]
[[Page 63123]]
_______________________________________________________________________
Part II
Department of Health and Human Services
_______________________________________________________________________
Health Care Financing Administration
_______________________________________________________________________
42 CFR Part 400, et al.
Medicare Program; Physician Fee Schedule for Calendar Year 1996;
Payment Policies and Relative Value Unit Adjustments; Final Rule and
Notice
Federal Register / Vol. 60, No. 236 / Friday, December 8, 1995 /
Rules and Regulations
[[Page 63124]]
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
42 CFR Parts 400, 405, 410, 411, 412, 413, 414, 415, 417, and 489
[BPD-827-FC]
RIN 0938-AG96
Medicare Program; Revisions to Payment Policies and Adjustments
to the Relative Value Units Under the Physician Fee Schedule for
Calendar Year 1996
AGENCY: Health Care Financing Administration (HCFA), HHS.
ACTION: Final rule with comment period.
-----------------------------------------------------------------------
SUMMARY: This final rule revises various policies affecting payment for
physician services including Medicare payment for physician services in
teaching settings, the relative value units (RVUs) for certain existing
procedure codes, and establishes interim RVUs for new and revised
procedure codes. The rule also includes the final revised 1996
geographic practice cost indices.
The rule redesignates current regulations on teaching hospitals, on
the services of physicians to providers, on the services of physicians
in providers, and on the services of interns and residents. This
redesignation consolidates related rules affecting a specific audience
in a separate part and, thereby, makes them easier to use.
DATES: Effective Date: This final rule is effective January 1, 1996,
except part 415 which is effective July 1, 1996.
Comment Date: We will accept comments on interim RVUs for new or
revised procedure codes identified in Addendum C. Comments will be
considered if we receive them at the appropriate addresses, as provided
below, no later than 5 p.m., February 6, 1996.
ADDRESSES: Mail written comments (1 original and 3 copies) to the
following address: Health Care Financing Administration, Department of
Health and Human Services, Attention: BPD-827-FC, P.O. Box 7519,
Baltimore, MD 21207-0519.
If you prefer, you may deliver your written comments (1 original
and 3 copies) to one of the following addresses:
Room 309-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW.,
Washington, DC 20201,
or
Room C5-09-26, 7500 Security Boulevard, Baltimore, MD 21244-1850.
Because of staffing and resource limitations, we cannot accept
comments by facsimile (FAX) transmission. In commenting, please refer
to file code BPD-827-FC. Comments received timely will be available for
public inspection as they are received, generally beginning
approximately 3 weeks after publication of a document, in Room 309-G of
the Department's offices at 200 Independence Avenue, SW., Washington,
DC, on Monday through Friday of each week from 8:30 a.m. to 5 p.m.
(phone: (202) 690-7890).
For comments that relate to information collection requirements,
mail a copy of comments to: Allison Herron Eydt, HCFA Desk Officer,
Office of Information and Regulatory Affairs, Rm. 10235, New Executive
Office Bldg., Washington, DC 20530.
Copies: To order copies of the Federal Register containing this
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FOR FURTHER INFORMATION CONTACT: Shana Olshan, (410) 786-5714 (for all
issues except those related to physician services in teaching
settings). William Morse, (410) 786-4520 (for issues related to
physician services in teaching settings).
SUPPLEMENTARY INFORMATION: In this final rule, we provide background on
the statutory authority for and development of the physician fee
schedule. We also explain in detail the process by which certain
interim work RVUs are reviewed and, in some cases, revised.
Section 1848(c)(2)(B) of the Social Security Act (the Act) provides
that adjustments in RVUs resulting from an annual review of those 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. Thus, the statute allows a $20 million tolerance for
increasing or reducing total expenditures under the physician fee
schedule. We have determined that net increases because of changes in
RVUs for codes reviewed as part of a refinement process, the addition
of new codes to the fee schedule, and the revisions in payment policies
would have added to projected expenditures in calendar year 1996 by
approximately $140 million. Therefore, it is necessary to adjust the
physician fee schedule conversion factors (CFs). We have made the
adjustments in such a manner as to achieve budget neutrality as we were
best able to estimate. As a result, the total projected expenditures
from the revised fee schedule are estimated to be the same as they
would have been had we not changed the RVUs for any individual codes or
added new codes to the fee schedule. We have adjusted all CFs by a
uniform adjustment factor of 0.9964, which results in a uniform
reduction of 0.36 percent to the CFs for all services.
The CF is a national value that converts RVUs into payment amounts.
There are three separate CFs: one for surgical services, one for
primary care services, and one for nonsurgical services other than
primary care. The CFs are updated annually.
Anesthesia services are paid differently from other physicians'
services under the fee schedule. Payment for anesthesia services is
based on base unit RVUs that are assigned to each service and on time
units that can vary by procedure. The base and time units are
multiplied by an anesthesia-specific CF, not the CFs used for surgical,
nonsurgical, or primary care services.
This final rule also contains the second half of the revisions to
the geographic practice cost indices (GPCIs). Section 1848(e)(1)(c) of
the Act requires that the GPCIs be reviewed and, if necessary, revised
at least every 3 years. The first review was required by 1995. The
first-half of the revision was implemented in 1995. The second half,
[[Page 63125]]
published in Addendum D, is effective January 1, 1996.
Addenda to this rule provide the following information:
Addendum A--Explanation and Use of Addenda B through E.
Addendum B--1996 Relative Value Units and Related Information Used in
Determining Medicare Payments for 1996.
Addendum C--Codes with Interim Relative Value Units.
Addendum D--1996 Geographic Practice Cost Indices by Medicare Carrier
and Locality.
Addendum E--Procedure Codes Subject to the Site-of-Service
Differential.
The RVUs and revisions to payment policies in this final rule apply
to physicians' services furnished on or after January 1, 1996.
For those codes identified in Addendum C of this final rule as new
or revised codes, the RVUs and update indicators are considered to be
interim as they have not been published before this final rule.
Therefore, we will accept comments on these interim RVUs and update
indicators if they are received no later than 5 p.m. February 6, 1996.
The RVUs for the remaining codes are final.
To assist readers in referencing sections contained in this final
rule, we are providing the following table of contents. Some of the
issues discussed in this final rule affect the payment policies but do
not require changes to the regulations in the Code of Federal
Regulations.
Table of Contents
I. Background
A. Legislative Requirements
B. Published Changes to the Fee Schedule
C. Components of the Fee Schedule Payment Amounts
D. Summary of the Development of the Relative Value Units
1. Work Relative Value Units
2. Practice Expense and Malpractice Expense Relative Value Units
II. Specific Proposals for Calendar Year 1996 and Responses to
Public Comments
A. Budget-Neutrality Adjustments for Relative Value Units
B. Bundled Services
1. Hydration Therapy and Chemotherapy
2. Evaluation of Psychiatric Records and Reports and Family
Counseling Services
3. Fitting of Spectacles
C. X-Rays and Electrocardiograms Taken in the Emergency Room
D. Extension of Site-of-Service Payment Differential to Services
in Ambulatory Surgical Centers
E. Services of Teaching Physicians
1. General Background
2. Payment for Physician Services Furnished in Teaching Settings
3. Payments for Supervising Physicians in Teaching Settings and
for Residents in Certain Settings
4. Public Comments on the Teaching Physician Proposal in the
Proposed Rule and Our Responses
F. Unspecified Physical and Occupational Therapy Services (HCFA
Common Procedure Coding System Codes M0005 Through M0008 and H5300)
G. Transportation in Connection With Furnishing Diagnostic Tests
H. Maxillofacial Prosthetic Services
I. Coverage of Mammography Services
III. Anesthesia Issues
A. Modifier Units for Anesthesia Services
B. Issue for Change in Calendar Year 1998--Two Anesthesia
Providers Involved in One Procedure
IV. Refinement of Relative Value Units for Calendar Year 1996 and
Responses to Public Comments on Interim Relative Value Units for
1995
A. Summary of Issues Discussed Related to the Adjustment of
Relative Value Units
B. Process for Establishing Work Relative Value Units for the
1996 Fee Schedule
1. Work Relative Value Unit Refinements of Interim and Related
Relative Value Units
2. Establishment of Interim Work Relative Value Units for New
and Revised Codes for 1996
V. Issues for Discussion
A. Five-Year Refinement of Relative Value Units
B. Resource-Based Practice Expense Relative Value Units
C. Case Management in a Fee-for-Service System
VI. Provisions of the Final Rule
VII. Collection of Information Requirements
VIII.Response to Comments
IX. Regulatory Impact Analysis
A. Regulatory Flexibility Act
B. Budget-Neutrality Adjustments
C. Bundled Services
1. Hydration Therapy and Chemotherapy
2. Evaluation of Psychiatric Records and Reports and Family
Counseling Services
3. Fitting of Spectacles
D. X-Rays and Electrocardiograms Taken in the Emergency Room
E. Extension of Site-of-Service Payment Differential to Services
in Ambulatory Surgical Centers
F. Services of Teaching Physicians
G. Unspecified Physical and Occupational Therapy Services (HCFA
Common Procedure Coding System Codes M0005 Through M0008 and H5300)
H. Transportation in Connection With Furnishing Diagnostic Tests
I. Maxillofacial Prosthetic Services
J. Coverage of Mammography Services
K. Two Anesthesia Providers Involved in One Procedure
L. Rural Hospital Impact Statement
Text of the Final Regulations
Addenda
Addendum A--Explanation and Use of Addenda B through E
Addendum B--1996 Relative Value Units and Related Information Used
in Determining Medicare Payments for 1996
Addendum C--Codes with Interim Relative Value Units
Addendum D--1996 Geographic Practice Cost Indices by Medicare
Carrier and Locality
Addendum E--Procedure Codes Subject to the Site-of-Service
Differential
In addition, because of the many organizations and terms to which
we refer by acronym in this final rule, we are listing these acronyms
and their corresponding terms in alphabetical order below:
ASC Ambulatory surgical center
CF Conversion factor
CFR Code of Federal Regulations
CPT [Physicians'] Current Procedural Terminology [4th Edition, 1994,
copyrighted by the American Medical Association] DEFRA Deficit
Reduction Act
EKG Electrocardiogram
GPCI Geographic Practice Cost Index
GME Graduate Medical Education
HCFA Health Care Financing Administration
HCPCS HCFA Common Procedure Coding System
OBRA Omnibus Budget Reconciliation Act
ORA Omnibus Reconciliation Act
RUC [American Medical Association Specialty Society] Relative [Value]
Update Committee
RVU Relative Value Unit
TEFRA Tax Equity and Fiscal Responsibility Act
I. Background
A. Legislative Requirements
The Medicare program was established in 1965 by the addition of
title XVIII to the Social Security Act (the Act). Since January 1,
1992, Medicare pays for physician services under section 1848 of the
Act, ``Payment for Physicians' Services.'' This section contains three
major elements: (1) A fee schedule for the payment of physician
services; (2) a Medicare volume performance standard for the rates of
increase in Medicare expenditures for physician services; and (3)
limits on the amounts that nonparticipating physicians can charge
beneficiaries. The Act requires that payments under the fee schedule be
based on national uniform relative value units (RVUs) based on the
resources used in furnishing a service. Section 1848(c) of the Act
requires that national RVUs be established for physician work, practice
expense, and malpractice expense.
Section 1848(e)(1)(c) of the Act requires us to review and, if
necessary, adjust the geographic practice cost indices at least every 3
years. This section of the Act also requires us to phase in the
adjustment over 2 years and implement only one half of any
[[Page 63126]]
adjustment if more than 1 year has elapsed since the last geographic
practice cost index revision. The geographic practice cost indices were
first implemented in 1992 and were not reviewed until 1994. We
implemented one half of the adjustment in 1995 and will implement the
second half of the adjustment in 1996.
The Act requires that payments vary among fee schedule areas
according to geographic indices. In general, the fee schedule areas
that existed under the prior reasonable charge system were retained
under the fee schedule. A detailed discussion of fee schedule areas can
be found in the June 5, 1991 proposed rule (56 FR 25832) and in the
November 25, 1991 final rule (56 FR 59514). We are required by section
1848(e)(1)(A) of the Act to develop separate indices to measure
relative cost differences among fee schedule areas compared to the
national average for each of the three fee schedule components. While
requiring that the practice expense geographic practice cost indices
and malpractice geographic practice cost indices reflect the full
relative cost differences, the Act requires that the work indices
reflect only one-quarter of the relative cost differences compared to
the national average.
B. Published Changes to the Fee Schedule
We published a final rule on November 25, 1991, (56 FR 59502) to
implement section 1848 of the Act by establishing a fee schedule for
physician services furnished on or after January 1, 1992. In the
November 1991 final rule (56 FR 59511), we stated our intention to
update RVUs for new and revised codes in the American Medical
Association's Physicians' Current Procedural Terminology (CPT) through
an ``interim RVU'' process every year. The updates to the RVUs and fee
schedule policies follow:
November 25, 1992, as a final notice with comment period
on new and revised RVUs only (57 FR 55914).
December 2, 1993, as a final rule with comment period (58
FR 63626) announcing revised payment policies and RVUs for 1994. (We
solicited comments on new and revised RVUs only.)
December 8, 1994, as a final rule with comment period (59
FR 63410) to revise the geographic adjustment factor values, fee
schedule payment areas, and payment policies and RVUs for 1995. The
final rule also discussed the process for periodic review and
adjustment of RVUs not less frequently than every 5 years as required
by section 1848(c)(2)(B)(I) of the Act.
Prior Federal Register Documents
The information in this final rule with comment period updates
information in the following Federal Register documents:
June 5, 1991, proposed rule entitled ``Fee Schedule for
Physicians' Services'' (56 FR 25792).
November 25, 1991, final rule entitled ``Fee Schedule for
Physicians' Services'' (56 FR 59502).
September 15, 1992, correction notice for the 1992 fee
schedule (57 FR 42491).
November 25, 1992, final notice with comment period
entitled ``Fee Schedule for Physicians' Services for CY 1993'' (57 FR
55914).
June 7, 1993, correction notice for the 1993 fee schedule
(58 FR 31964).
July 14, 1993, proposed rule entitled ``Revisions to
Payment Policies Under the Physician Fee Schedule'' (58 FR 37994).
December 2, 1993, final rule with comment period entitled
``Revisions to Payment Policies and Adjustments to the Relative Value
Units under the Physician Fee Schedule for Calendar Year 1994'' (58 FR
63626). (There were two correction notices published for the 1994
physician fee schedule (July 15, 1994, 59 FR 36069) and (August 4,
1994, 59 FR 39828).)
June 24, 1994, proposed rule entitled ``Refinements to
Geographic Adjustment Factor Values and Other Policies Under the
Physician Fee Schedule'' (58 FR 32754).
December 8, 1994, final rule with comment period entitled
``Refinements to Geographic Adjustment Factor Values, Revisions to
Payment Policies, Adjustments to the Relative Value Units (RVUs) Under
the Physician Fee Schedule for Calendar Year 1995, and the 5-Year
Refinement of RVUs'' (59 FR 63410). (There were two correction notices
published for the 1995 physician fee schedule (January 3, 1995, 60 FR
46) and (July 18, 1995, 60 FR 36733).)
July 26, 1995, proposed rule entitled ``Revisions to
Payment Policies Under the Physician Fee Schedule for Calendar Year
1996 (60 FR 38400).
This final rule would affect the regulations set forth at 42 CFR
part 400, which consists of an introduction to, and definitions for,
the Medicare and Medicaid programs; part 405, which encompasses
regulations on Federal health insurance for the aged and disabled; part
410, which consists of regulations on supplementary medical insurance
benefits; part 414, which covers regulations on payment for Part B
medical and other health services; and new part 415, which contains
regulations on services of physicians in providers, supervising
physicians in teaching settings, and residents in certain settings. We
are making technical and conforming amendments to parts 411, 412, 413,
417, and 489.
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 for 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 for
each physician fee schedule area; and (3) a nationally uniform
conversion factor for the service. There are three conversion factors
(CFs)--one for surgical services, one for nonsurgical services, and one
for primary care services. The conversion factors convert 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 for each fee
schedule area. The geographic practice cost indices reflect the
relative costs of practice expenses, malpractice insurance, and
physician work in an area compared to the national average.
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=[(RVUwork x GPCIwork) + (RVUpractice expense
x GPCIpractice expense) + (RVUmalpractice x
GPCImalpractice)] x CF
The conversion factors for calendar year 1996 appear in Addendum A. The
RVUs for calendar year 1996 are in Addendum B. The GPCIs are in
Addendum D.
Section 1848(e) of the Act requires the Secretary to develop
geographic adjustment factors for all physician fee schedule areas. The
total geographic adjustment factor for a fee schedule area is equal to
a weighted average of the individual GPCIs for each of the three
components of the service. Thus, the geographic practice cost indices
reflect the relative costs of practice expenses, malpractice insurance,
and physician work in an area compared to the national average. In
accordance with the law, however, the geographic adjustment factor for
the physician's
[[Page 63127]]
work reflects one-quarter of the relative cost of physician's work
compared to the national average.
For the first year of the fee schedule, the law required a base-
year CF that was budget-neutral relative to 1991 estimated
expenditures. The Secretary is required to recommend to the Congress
updates to the CFs by April 15 of each year as part of the Medicare
volume performance standards and annual fee schedule update process.
The Congress may choose to enact the Secretary's recommendation, enact
another update amount, or not act at all. If the Congress does not act,
the annual fee schedule update is set according to a ``default''
mechanism in the law. Under this mechanism, the update will equal the
Medicare Economic Index adjusted by the amount actual expenditures for
the second previous fiscal year (FY) were greater or less than the
performance standard rate of increase for that FY. (The Medicare
Economic Index is a physician input price index, in which the annual
percent changes for the direct-labor price component are adjusted by an
annual percent change in a 10-year moving average index of labor
productivity in the nonfarm business sector.) The Medicare volume
performance standard for FY 1996 and the physician fee schedule update
for CY 1996 are published elsewhere in this Federal Register issue as a
final notice (BPD-828-FN).
D. Summary of the Development of the Relative Value Units
1. Work Relative Value Units
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. The original work RVUs
for most codes were developed by a research team at the Harvard School
of Public Health in a cooperative agreement with us. In constructing
the vignettes for the original RVUs, Harvard worked with panels of
expert physicians and obtained input from physicians from numerous
specialties.
The RVUs for radiology services are based on the American College
of Radiology (ACR) relative value scale, which we integrated into the
overall physician fee schedule. The RVUs for anesthesia services are
based on RVUs from a uniform relative value guide. We established a
separate CF for anesthesia services because we continue to recognize
time as a factor in determining payment for these services.
Proposed RVUs for services were published in a proposed rule in the
Federal Register on June 5, 1991 (56 FR 25792). We responded to the
comments in the November 1991 final rule. Since many of the RVUs were
published for the first time in the final rule, we considered the RVUs
to be interim during the first year of the fee schedule and gave the
public 120 days to comment on all work RVUs. In response to the final
rule, we received comments on approximately 1,000 services. We
responded to those comments and listed the new RVUs in the November
1992 notice for the 1993 fee schedule for physicians' services. We
considered these RVUs to be final and did not request comments on them.
The November 1992 notice (57 FR 55914) also discussed the process
used to establish work RVUs for codes that were new or revised in 1993.
The RVUs for these codes, which were listed in Addendum C of the
November 1992 notice, were considered interim in 1993 and open to
comment through January 26, 1993.
We responded to comments received on RVUs listed in Addendum C of
the November 1992 notice (57 FR 56152) in the December 1993 final rule
(58 FR 63647) for the 1994 physician fee schedule. The December 1993
final rule discussed the process used to establish RVUs for codes that
were new or revised for 1994. The RVUs for these codes, which are
listed in Addendum C of the December 1993 final rule (58 FR 63842),
were considered interim in 1994 and open to comment through January 31,
1994. We proposed RVUs for some non-Medicare and carrier-priced codes
in our June 1994 proposed rule (59 FR 32760). Codes listed in Table 1
of the June 1994 proposed rule were open to comment. These comments, in
addition to comments on RVUs published as interim in the December 1993
final rule were addressed in the December 1994 final rule (59 FR
63432). In addition, the December 1994 final rule discussed the process
used to establish RVUs for codes that were new or revised for 1995.
Interim RVUs for new or revised procedure codes were open to comment.
Comments were also accepted on all RVUs considered under the 5-year
refinement process. The comment period closed on February 6, 1995.
2. Practice Expense and Malpractice Expense Relative Value Units
Section 1848(c)(2)(C) of the Act requires 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.
If charge data were unavailable or insufficient, we imputed the
practice expense and malpractice expense RVUs from the work RVUs. For
example, if a procedure has work RVUs of 6.00, and the specialty
practice cost percentages for the specialty furnishing the service is
60 percent work, 30 percent practice expense, and 10 percent
malpractice expense, then the total RVUs would be 10.00 (6.00/.60), the
practice expense RVUs would be 3.00 (10 x .30), and the malpractice
expense RVUs would be 1.00 (10 x .10).
II. Specific Proposals for Calendar Year 1996 and Responses to Public
Comments
In response to the publication of the July 26, 1995 proposed rule,
we received approximately 9,500 comments. We received comments from
individual physicians and health care workers and professional
associations and societies. The majority of the comments addressed two
proposals: (1) Revising Medicare payment for physician services in
teaching settings; and (2) paying for only one interpretation of an
electrocardiogram or an x-ray procedure furnished to an emergency room
patient except in unusual circumstances.
The proposed rule discussed policies that affect the number of RVUs
on which payment for certain services would be based. Any changes
implemented through this final rule are subject to the $20 million
limitation on annual adjustments as contained in section 1848(c)(2)(B)
of the Act.
After reviewing the comments and determining the policies we will
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 1996, including RVU changes
necessitated by the 1995 CPT coding changes. We discuss in detail the
effects of these changes in the Regulatory Impact Analysis (section
IX).
In the July 1995 proposed rule (60 FR 38416), we invited public
comments on a proposal to calculate the Medicare volume performance
standard for fiscal year 1996 and all future years based on estimates
of the average volume and intensity growth specific to each category of
physician service. We are
[[Page 63128]]
responding to the comments we received on this issue in the final
notice entitled ``Physician Fee Schedule Update for Calendar Year 1996
and Physician Volume Performance Standard Rates of Increase for Federal
Fiscal Year 1996 (BPD-828-FN) published elsewhere in this Federal
Register issue.
For the convenience of the reader, the headings for the policy
issues in sections II, III, and IV, for the most part, correspond to
the headings used in the July 1995 proposed rule. More detailed
background information for each issue can be found in the July 1995
proposed rule (60 FR 38400).
A. Budget-Neutrality Adjustments for Relative Value Units
We make annual adjustments to RVUs for the physician fee schedule
to reflect changes in CPT codes and changes in estimated physician
work. The statute requires that these revisions may not change
physician expenditures by more than $20 million compared to estimated
expenditures that would have occurred if the RVU adjustments had not
been made. In the past, we have made an adjustment across all RVUs in
the physician fee schedule to maintain this statutorily-mandated budget
neutrality.
We recognize that many other payers, including several Medicaid
programs, use the Medicare physician fee schedule. To reduce the number
of system changes required by the annual revisions to the physician fee
schedule, we proposed to apply these budget-neutrality adjustments to
the physician fee schedule conversion factors (CFs) rather than across
all RVUs.
The impact of this proposal on payment amounts would be minimal
(slight differences could be caused by rounding). This alternative
approach would be administratively simpler for Medicare and other
payers that base payment on the Medicare RVUs, including many State
Medicaid programs. In addition, this change would provide for
consistent RVUs from year to year (for those codes with no other
changes), thus making it easier to analyze payment and policy changes.
Comment: An overwhelming majority of commenters strongly supported
our decision to apply the annual budget-neutrality adjustments to the
physician fee schedule CFs rather than across all RVUs, beginning with
the publication of this final rule in the Federal Register; however, a
few commenters suggested that we apply this change retroactively by
converting all RVUs, which were altered for budget-neutrality reasons,
back to their original 1992 levels.
Response: For the sake of administrative simplicity, we will not
readjust RVUs from periods before the current period. In addition, we
believe that retroactively adjusting the RVUs would cause unnecessary
programming costs for those who electronically maintain systems
containing the RVU data.
Comment: A few commenters suggested the use of a separate budget-
neutrality factor rather than the adjustment of the physician fee
schedule CFs to achieve budget neutrality. They stated that private
payers who use the Medicare fee schedule CFs would then be able to
decide whether to apply the budget neutrality adjustment. This
particularly could be an issue for any adjustments needed for the five-
year review of all work RVUs, depending on the magnitude of the
adjustments.
Response: We prefer to adjust the existing CFs rather than add an
additional factor to adjust for budget neutrality. Because we
explicitly identify the magnitude of the annual budget-neutrality
adjustment, other payers can decide whether to apply the adjustment to
their CFs. However, we may reconsider this issue in the future for
issues such as the 5-year review of RVUs or congressional action.
Final Decision: Beginning with the publication of this final rule,
we will apply annual budget-neutrality adjustments to physician fee
schedule CFs rather than across all RVUs. However, if the Congress
explicitly sets a conversion factor at a fixed dollar amount for a
given year, we will consider establishing a separate budget-neutrality
adjustor.
B. Bundled Services
1. Hydration Therapy and Chemotherapy
We proposed not paying separately for hydration therapy infusion
(CPT codes 90780 and 90781) when billed on the same day as chemotherapy
infusion, CPT codes (96410, 96412, and 96414). Frequently, hydration
therapy and chemotherapy are performed at the same time. We believe
paying for both would be duplicative. We would continue to pay
separately for both the hydration therapy solution and the chemotherapy
drug. This reflects a policy change that is not explicitly addressed in
our regulations.
Comment: Commenters objected to our proposal stating that the
administration of saline for hydration therapy infusion at the same
time as chemotherapy infusion requires significant additional work and
supplies.
Response: We disagree. The saline and the chemotherapy drug are
usually administered through the same port or site. In some cases, the
solutions may even be mixed. We see no significant additional work or
expense involved in these cases, and we believe that paying separately
for hydration therapy infusion administered at the same time as
chemotherapy infusion represents duplicate payment.
Comment: A commenter agreed with our proposal stating that the same
access port or site is used for administering the chemotherapy drug and
the hydration therapy solution. The commenter requested clarification
as to whether the policy would apply to other drugs, such as
antiemetics and corticosteroids, which are often administered with
chemotherapy and, like hydration therapy, billed using CPT codes 90780
and 90781. The commenter suggested that a logical extension of our
proposal is to cover the administration of these drugs as well as
hydration therapy.
Response: We agree with this comment. CPT codes 90780 and 90781 for
the administration of saline or drugs such as antiemetics and
corticosteriods will not be paid separately when furnished at the same
time as CPT codes 96410, 96412, and 96414 for chemotherapy infusion.
However, we will pay separately for the drugs.
Comment: Most commenters agreed that for any given segment of time
it would be duplicative to pay for both chemotherapy infusion and
hydration therapy infusion. These commenters noted that the course of
treatment for many chemotherapy drugs, for example, cisplatin,
ifosmamide, and methotrexate, require hydration therapy or the infusion
of an antiemetic on the same day, but either before or after the
chemotherapy. The commenters believed that in these cases, the work is
not duplicative, and they should be allowed to bill for the infusion of
the saline or antiemetic.
Response: We agree. We are revising our proposal to allow payment
for hydration therapy or the infusion of an antiemetic or other
nonchemotherapy drug on the same day as chemotherapy infusion when the
nonchemotherapy drug is administered sequentially rather than at the
same time as the chemotherapy infusion.
Final Decision: We will not pay for the infusion of saline, an
antiemetic, or any other nonchemotherapy drug under CPT codes 90780 and
90781 when these drugs are administered at the same time as
chemotherapy infusion (CPT codes
[[Page 63129]]
96410, 96412, or 96414). However, we will pay for the infusion of
saline, antiemetics, or any other nonchemotherapy drug under CPT codes
90780 and 90781 when these drugs are administered on the same day but
sequentially to rather than at the same time as chemotherapy infusion,
under CPT codes 96410, 96412, and 96414. Physicians should use the new
modifier ``-GB'' to indicate when CPT codes 90780 and 90781 are
provided sequentially rather than contemporaneously with CPT codes
96410, 96412, and 96414.
This policy change is not explicitly addressed in our regulations.
2. Evaluation of Psychiatric Records and Reports and Family Counseling
Services
At present, we allow separate payment for CPT codes 90825 and
90887. However, we believe that the activities described by these codes
are generally performed as part of the prework and postwork of other
physician services. The RVUs for psychiatric services (CPT codes 90801
and 90835 through 90857) include the prework and postwork activities
described by CPT codes 90825 and 90887. Thus, continuing to allow
separate payment for these codes, in addition to payment for other
psychiatric services, results in duplicate payments and is inconsistent
with our policy for other services.
Counseling of the family is part of the work of all other
evaluation and management services. Medicare has a long-standing policy
of covering these services if they relate to the management of the
beneficiary's problems and not to the problems of the family member. We
believe it is appropriate to bundle covered family counseling
procedures into the other psychiatric codes so that our policy is
consistent with our policy on services furnished by other physician
specialties.
Therefore, we proposed to change the status indicator for CPT codes
90825 and 90887 to ``B'' to show that payment for these codes is
bundled into the payment for another service, and separate payment
would not be allowed. We proposed to implement this change in a budget-
neutral manner by redistributing the RVUs for CPT codes 90825 and 90887
across the following psychiatric codes: 90801, 90820, 90835, 90842
through 90847, and 90853 through 90857.
Comment: Several commenters questioned our claim that the work
involved in CPT codes 90825 and 90887 is a fundamental element of the
pre- and postwork of other physician or other psychiatric services,
stating that medical psychotherapy is a specific procedure, distinct
from evaluation and management, and that these procedures (CPT codes
90825 and 90887) are characteristically excluded from psychotherapy.
Some commenters believed this payment change would be inherently unfair
to providers who furnish services under CPT codes 90825 and 90887.
Response: In addressing the concern that CPT codes 90825 and 90887
are excluded from psychotherapy and represent distinct and different
services, we note that in the CPT chapter on Psychiatry, General
Clinical Psychiatric Diagnostic or Evaluative Interview Procedures, CPT
code 90801 (Psychiatric Interview) refers to both communication with
family or other sources, as well as the ordering and medical
interpretation of laboratory or other medical diagnostic studies.
Further, the definition includes the history and the exchange of
information with family members and other informants. Additionally, the
final report by Harvard researchers (``Refinement of the Development of
a Resource-Based Relative Value Scale for Psychiatrist Services;
National Institute of Mental Health Contract No. 278-87-0024'') defines
physician work as encompassing work while with the patient and work
before and after the service, defined as reviewing records as well as
communicating with the patient, the patient's family, and other
professionals. We believe these definitions clearly indicate that the
evaluation of other records and family counseling fall within the scope
of medical psychotherapy and, thus, do not represent distinct services.
Therefore, we believe it is appropriate to bundle payment for these
services.
Comment: Several commenters specifically addressed CPT code 90887.
One commenter agreed that the services encompassed by CPT code 90825
are usually performed as part of the pre- and postwork for other
physician services, but expressed concern this was not true for CPT
code 90887, which is typically the exclusive service being furnished.
Another commenter questioned the redistribution of the RVUs for CPT
code 90887. The commenter believed that if, as stated, family
counseling is part of the postwork of evaluation and management
services, the RVUs for this service should be distributed across all
evaluation and management codes, not just the psychiatric codes.
Response: Family counseling must be related to the patient. The
fact that this service occurs on different days or times does not
preclude it from being part of the pre- and postwork. Although we
recognize that the services described by CPT code 90887 may be provided
on different dates of service from when the patient received
psychiatric service, they are still considered part of the postwork
service associated with that code. We note, also, that the evaluation
and management services cannot be billed by clinical psychologists and,
thus, have been included in other service codes.
If the RVUs for CPT code 90887 were distributed across all
evaluation and management codes as well as the psychiatric codes for
this service, the impact would be negligible. That is, the amount to be
distributed is not of sufficient magnitude to have any noticeable
effect.
Comment: One commenter requested that we also consider changing the
status indicator for CPT code 90862 (Pharmacologic management) to ``B''
because, according to the commenter, pharmacological management is part
of evaluation and management services.
Response: Separate payment for pharmacological management is not
permitted on the same day as psychotherapy as this service is already
included in the codes for psychotherapy. To distinguish services to
Medicare beneficiaries for the sole purpose of drug management from
those that include some psychotherapy, HCFA developed HCPCS code M0064.
This code is defined as a brief office visit for the sole purpose of
monitoring or changing drug prescriptions used in the treatment of
mental, psychoneurotic, and personality disorders.
Comment: According to one commenter, since the original survey of
psychiatric work conducted by Harvard researchers, managed care has
increased. With the rise in managed care, there is a decrease in mental
health benefits. Therefore, the patients that psychiatrists treat,
especially in the fee-for-service setting, are much more complex. The
commenter believed this additional work is not currently included in
the RVUs for psychiatric services. In addition, this commenter has
found that psychiatrists are spending a greater amount of time
responding to review requests, developing treatment plans for managed
care, managing and supervising nonphysician mental health providers,
and documenting and coding work.
Response: Section 1848(c)(2)(B) of the Act requires that all RVUs
be reviewed not less frequently than every 5 years to account for
changes in medical practice, coding changes, new data, and new
procedures. Thus, the issues of psychiatric work time, as well as the
[[Page 63130]]
issue of psychiatric services delivered in a managed care setting, will
be addressed as part of the 5-year review process.
Final Decision: We will bundle the payment for CPT codes 90825 and
90887 into the payment for other psychiatric services. Therefore,
separate payment for CPT codes 90825 and 90887 is not allowed.
This policy change is not explicitly addressed in our regulations.
3. Fitting of Spectacles
We proposed to cease paying separately for the fitting of glasses
and low vision systems. The payment for the fitting of spectacles is
included in the payment for the spectacles in the same way that payment
for other prosthetic fitting services is included in the payment for
the prosthetic device.
We proposed to assign a ``B'' status indicator to CPT codes 92352,
92353, 92354, 92355, 92358, and 92371 to indicate that the services are
covered under Medicare but that payment for them is bundled into the
payment for the spectacles. We proposed to implement this in a budget-
neutral manner by redistributing the current RVUs for these services
across all RVUs.
This reflects a policy change that is not explicitly addressed in
our regulations.
Comment: A commenter believed that these fitting services should
continue to be paid separately because of the time and expertise
required to fit glasses for aphakic patients and low vision aids.
Response: The fitting of spectacles is covered under section
1861(s)(8) of the Act. Services under this section are not included in
the definition of physician services as defined in section 1848(j)(3)
of the Act and are not payable under the physician fee schedule.
Although we have been allowing payment, the fitting of spectacles is
included in the payment for the spectacles in the same way that payment
for other prosthetic fitting services are included in the payment for
the device. Under the current system, duplicate payment has been made
for the aforementioned procedure codes.
Final Decision: We will no longer pay separately for CPT codes
92352, 92353, 92354, 92355, 92358, and 92371. Beginning January 1,
1996, these codes will be assigned a ``B'' status indicator to indicate
that the services are covered under Medicare, but payment for them is
bundled into the payment for the spectacles.
This policy change is not explicitly addressed in our regulations.
C. X-Rays and Electrocardiograms Taken in the Emergency Room
We proposed to pay for the x-ray and/or electrocardiogram (EKG)
interpretation that contributes to the diagnosis or treatment of the
patient in the emergency room. We will pay for only one x-ray and/or
EKG interpretation except under unusual circumstances.
Comment: The comments from radiologists opposed every aspect of the
proposal. The primary point raised by virtually all of these commenters
was that, by training and experience, they were more qualified than
emergency physicians or other nonradiologists to furnish these
interpretations. Some radiologists commented that we should require
board certification as a requirement to bill for the interpretation of
x-rays.
Response: In paying for physicians' services under the Act, we are
charged with determining the following:
Is the service covered under Medicare?
Is the service reasonable and necessary for the individual
beneficiary?
Is the physician licensed to perform the service in the
State in which it is furnished?
In the case of a licensed physician who has furnished a covered
service (that is not payable through another code) to a Medicare
beneficiary in an emergency room, it is not readily apparent to us upon
what basis the claim can be denied. There is no portion of the Act upon
which to base a decision that only board-certified radiologists can
furnish x-ray interpretations or board-certified cardiologists can
furnish EKG interpretations. (Where the Congress has determined that
there should be special qualifications in order to furnish a service,
as in the case of mammography, a provision was made in the statute.)
Our proposed policy for x-ray and EKG interpretation is consistent with
how we generally treat other physician services.
Comment: Emergency room physicians supported the direction of the
proposal but requested clarification of the proposal including its
effect on payments for second interpretations. Many commended us for
proposing to change the existing policy but criticized the agency for
not going far enough. Several emergency physicians commented that it
was unethical for us to withhold compensation from physicians who make
life-saving decisions every day based on x-ray and EKG interpretations.
Response: Our proposal addressed situations in which both the
emergency physician and the radiologist/cardiologist billed for the
same interpretation. It is that situation in which a determination
needs to be made of which interpretation contributed to the diagnosis
and treatment of the individual patient. If an emergency physician does
not bill for the interpretation, there would be no change from existing
policy. We would like to stress that if the only bill received is from
the radiologist or cardiologist, it is paid on the same basis as
current claims.
Comment: We received relatively few comments from physicians and
other entities specializing in cardiology procedures. Their comments
focused on the cardiologists' greater qualifications to interpret EKGs
based on their training and experience.
Response: The discussion above about the qualifications of the
interpreting radiologist would also apply here. The situation with EKGs
is somewhat different than with x-rays because section 13514 of OBRA
1993, Public Law 103-66, enacted August 10, 1993, requires us to make
separate payment for EKG interpretations and to exclude the RVUs for
EKG interpretations from the RVUs for visits and consultations, making
the EKG portion of the current policy as set forth in section 2020G of
the Medicare Carriers Manual obsolete.
Comment: We proposed that the radiologist or cardiologist should be
paid for the interpretation when it is performed contemporaneously with
the diagnosis and treatment of the emergency room patient. This
standard would be met if an interpretation were initially conveyed to
the treating physician verbally. Nearly all commenters seemed to be
troubled by the use of the term ``contemporaneous'' and requested
clarification of the term. Some radiologists indicated that their
interpretation is furnished contemporaneously if it is provided timely,
which commenters variously defined as 12-24 hours. Other radiologists
indicated that there are teleradiology hook-ups to radiologists, homes
which should satisfy the need for contemporaneous interpretations.
Several emergency room specialists indicated that the circumstances
under which a radiologist or cardiologist furnishes a contemporaneous
interpretation as discussed in the proposal should be clarified. They
expressed concern that the provision of a verbal interpretation by the
specialist to the emergency room physician could be used to circumvent
the stated intention to pay for the interpretation used in the
diagnosis and treatment of the beneficiary.
[[Page 63131]]
Response: When we used the term contemporaneous, we meant that the
interpretation of the procedure by the radiologist or cardiologist and
the diagnosis and treatment of the beneficiary by the physician in the
emergency room occur at the same time, as opposed to an interpretation
performed hours or days after the beneficiary is sent home. While the
argument that the carrier should pay for any interpretation furnished
timely sounds reasonable, it does not reflect the realities of claims
processing. It would be impossible for a reviewer to make an assessment
in every individual case as to whether the second interpretation was
furnished ``timely.'' In situations in which both physicians bill for
the interpretation, the question to be resolved is whether the
radiologist or cardiologist performed the interpretation in time to be
used in the diagnosis and treatment of the patient. As set forth in the
proposal, we believe that in any case in which the radiologist or
cardiologist furnishes the interpretation (a written interpretation or
a verbal interpretation that will be written later), the emergency room
physician should not bill for the interpretation, and the carrier
should pay for the claim submitted by the radiologist or cardiologist.
The comments we received from the emergency room physicians did not
seem to be requesting payment for interpretations furnished under these
conditions. We agree that an interpretation furnished via teleradiology
meets the requirement when the interpretation is used in the diagnosis
and treatment of the patient.
Comment: Several commenters indicated that emergency room
physicians without formal training in interpreting computerized axial
tomography (CT) scans will miss subtle changes which could lead to
permanent injuries to patients. They also stated that there were
problems with the application of the proposal to other diagnostic
procedures such as mammography, ultrasound, and upper and lower
gastrointestinal series.
Response: This proposal applies only to x-ray procedures and EKGs
furnished in emergency rooms.
Comment: Many radiologists indicated that the proposal will
increase the Medicare program costs ``tremendously'' because of the
potential for self-referral abuse. The commenters believed that
physicians who see patients in the emergency room will order
unnecessary tests if they know that they will be able to bill for the
interpretations of these tests.
Response: We would be interested in reviewing any evidence the
radiologists have that emergency room physicians order additional tests
that are not medically necessary when they are permitted to bill for x-
ray and EKG interpretations. We are also interested in any suggestions
we might offer to the carriers on how to identify such unnecessary
testing. We will address any self referral prohibitions within our
Stark regulations.
Comment: Several radiologists pointed out that a proper
interpretation does not really mean a ``check'' or a few words on the
chart, but requires a full written report.
Response: We agree completely. The requirement for a written report
of the interpretation of an x-ray or EKG is an integral part of our
proposal. We would point out that less extensive ``reviews'' by
emergency room physicians are not separately billable because payment
for such reviews is included in the payment for the evaluation and
management services rendered in an emergency room.
Comment: Many radiologists commented that, while some emergency
medicine specialists are very proficient at reading trauma films, they
lack the necessary training to identify subtle changes. For example, a
patient is brought into the emergency room with chest trauma. The
commenter indicated that the emergency physician would identify the
broken ribs but miss a lung tumor. Several other commenters were
concerned that a missed early diagnosis could result from an
interpretation performed by a nonradiologist emergency room physician
while a radiologist would review the total film rather than just the
area of clinical concern.
Response: It seems to us that the major purpose of the emergency
room x-ray in this instance would be to diagnose the degree of chest
trauma. However, in this circumstance, if the emergency physician
billed for the interpretation and a radiologist made an additional
finding of a lung tumor, it would be appropriate for the carrier to pay
for both interpretations.
Comment: One radiologist indicated that all too often the emergency
room preliminary interpretation is made by a nurse or medical student
and the films are never reviewed by a staff emergency room physician.
Response: It is difficult to see how such an observation relates to
our proposal. A physician could not provide a written interpretation of
an x-ray unless he or she personally viewed it. A written report of
interpretation is an integral part of our proposal.
Comment: Many commenters objected to the hospital playing a role in
determining which physician should bill for the interpretation of these
procedures. The following comments were received:
Hospitals are not capable of making such determinations.
It would be in the financial interest of the hospital for
the interpretation to be paid to those physicians who order the most
tests.
The medical staff is usually a legally separate and
independent body from the hospital, and hospitals have no authority to
become involved in such matters.
Such decisions should be left to peer review.
Hospitals should be encouraged to ensure that the billed
interpretation is the one upon which treatment is based.
The concept of a hospital making a policy decision as to
which physician should get paid for interpretations will be a
regulatory nightmare and the time and money carriers will have to
expend to monitor the situations will be enormous. However, one
emergency room physician commented that he hoped the proposal would
encourage radiologists and cardiologists to furnish these
interpretations in a more timely fashion.
Response: In developing our proposal, we considered requiring
hospitals to notify their local carrier of the identity of the
physician who would be performing these interpretations for their
patients. We determined that such a requirement would have had an
effect as indicated by one of the commenters and that our authority to
impose such a requirement was questionable. However, under our
proposal, we suggested that hospitals act to ensure that only one
interpretation is billed. (Hospitals could do this now; we are not
mandating an additional duty.) If a carrier receives only one claim,
there will be no problem. The problem will arise when hospitals do not
take action and the carrier receives two claims for each interpretation
and then must make a determination about which claim to pay. It seems
reasonable to us for hospitals to work with their medical staffs to
establish guidelines for the billing of x-ray and EKG interpretations
for emergency room patients.
Comment: Some commenters expressed concern about the effect of the
proposal on small, rural hospitals in which there are an insufficient
number of radiologists to cover the emergency room 24 hours a day. It
was pointed out that many of these hospitals either go without any
service at all and ship films to radiologists for interpretation or
[[Page 63132]]
receive direct radiologist's services on an infrequent basis each week.
One commenter indicated that consideration should be given to the size
of the hospital, the definition of what constitutes an emergency room,
and the availability of radiologic services.
Response: Since our proposal is limited to emergency room services,
if a hospital does not have an emergency room and no claims with a
place of service indicator of emergency room are received, there does
not appear to be a problem. Likewise, if there is an emergency room in
a hospital but no emergency room physician bills for an interpretation
of the test, there is also no problem. We indicated in our proposal
that if a carrier receives only one claim for a reasonable and
necessary interpretation of an x-ray or EKG, it would pay the claim,
generally without further development.
Comment: One commenter indicated that the proposal was
inappropriate because emergency room physicians are thankful that
radiologists will interpret the overnight x-rays the next morning in
view of the harried circumstances under which services are furnished in
the emergency room.
Response: Our proposal does not require emergency room physicians
to bill for these interpretations. If the emergency room physicians do
not bill for these interpretations, the radiologist and cardiologist
may continue to be paid for the interpretations. Our proposal has no
effect on situations in which the emergency physician does not wish to
bill for the interpretation.
Comment: A carrier medical director expressed concern that it will
be impossible to determine from a claim whether the emergency physician
has submitted written documentation of the x-ray or EKG interpretation
for the medical record. The carrier medical director went on to
indicate that encouraging hospitals to exercise their authority to
ensure that only one claim for interpretation is received will not work
and recommended that the current policy should be maintained.
Response: By submitting a claim for the interpretation of an x-ray
or EKG, the emergency room physician is stating that he or she has
prepared a written interpretation of the procedure for inclusion in the
patient's medical record. We do not agree that the current manual
policy works well since it became partially obsolete by the physician
fee schedule.
Comment: Another carrier medical director indicated that the
requirement for a written report be strengthened to indicate that
Medicare is requiring a separately written report which meets the
hospital's requirement for an official report.
Response: We agree and will include such a written report
requirement in the revised manual instructions.
Comment: Some emergency room physicians commented that they should
be paid for the x-ray and EKG interpretation in almost every case since
it is they who furnish the real-time service.
Response: We believe that our proposal is a better approach. There
is no question that the cardiologist or radiologist should be paid for
the interpretation when that physician furnishes the service in time to
be used in the diagnosis and treatment of the patient. Further, we
believe that there are physicians who work in emergency rooms who
prefer to defer to a cardiologist or radiologist for the final
interpretation and do not wish to prepare written reports or bill for
interpretations. However, our proposal provides for payment when the
emergency room physician provides a written interpretation that
contributed to the diagnosis and treatment of the patient.
Comment: One commenter indicated that, in their community hospital,
the radiologist is summoned at the time of the initial diagnosis and
treatment for the most serious cases, whereas, for less urgent
examinations, the formal interpretation is made the following morning.
The commenter went on to say that the issue should be the
responsiveness of the radiologist when his or her input will affect
care, and that having x-rays read by nonradiologists is moving in the
wrong direction.
Response: As indicated previously, interpretations by radiologists
used for the diagnosis and treatment of the patient would be payable.
Comment: A few commenters suggested that the appropriate approach
is to split the fee for the interpretation between the radiologist and
the ER physician.
Response: We do not believe that this would be a workable approach
since the carrier would not know when or if it would receive the second
claim.
Comment: Radiologists made the following additional comments:
The majority of carrier medical directors do not support
the proposal.
The changes do not reflect the findings of the July 1993
report of the Department of Health and Human Services, Office of
Inspector General, entitled ``Medicare's Reimbursement for
Interpretations of Hospital Emergency Room X-Rays.''
Response: We did present the proposal to a committee of carrier
medical directors during a monthly conference call on operational
issues and the views were mixed. The major impression we drew from
their comments was that they were most concerned with enforcement
issues. We will continue to seek the guidance of the carrier medical
directors and other interested parties in developing instructions to
implement this policy.
The recommendation of the OIG report was to pay for
reinterpretations of x-rays only when attending physicians specifically
request a second physician's interpretation in order to render
appropriate medical care before the patient is discharged. Any other
reinterpretation of the attending physician's original interpretation
should be treated and reimbursed as part of the hospital's quality
assurance program.
Using 1990 data, the OIG projected savings of $20.4 million based
on a cessation on payments for radiologists' interpretations of x-rays
if its recommendation were implemented. We believe that the OIG
recommendation would result in no payment for interpretations of these
services in many cases; therefore, we reject that portion of the
recommendation. In other words, we believe that one physician should be
paid for the interpretation of an x-ray.
Comment: One commenter suggested that the solution to this problem
be developed through the CPT system. The commenter suggested that we
propose separate codes for the emergent reading of the test and a
second, different code for the over-read. This commenter and some
others indicated that payment for these interpretations be evenly
divided between the two codes.
Response: The commenter may want to refer this proposal to the CPT
Editorial Panel.
Final Decision: We are adopting the policy as set forth in the
proposed rule for services furnished on or after January 1, 1996.
Listed below are the elements of our policy.
The carrier will pay separately for only one
interpretation of an EKG or x-ray procedure furnished to an emergency
room patient. However, there is a provision for payment of second
interpretation under unusual circumstances such as a questionable
finding for which the physician performing the initial interpretation
believes another physician's expertise is needed.
The professional component of a diagnostic procedure
furnished to a beneficiary in a hospital includes an interpretation and
written report for
[[Page 63133]]
inclusion in the beneficiary's medical record maintained by the
hospital. We have placed this requirement in the radiology section of
the regulations on services of physicians in providers at
Sec. 405.554(a). (Under the recodification, this section becomes
415.120(a)).
We distinguish between an ``interpretation and report'' of
an x-ray or an EKG procedure and a ``review'' of the procedure. An
interpretation and report of the procedure is separately payable by the
carrier. A review of the findings of these procedures, without a
written report, does not meet the conditions for separate payment of
the service since the review is already included in the emergency room
visit payment.
In the case of multiple bills for the same interpretation
and report, we will instruct the carriers to adopt the following
procedures:
+ Cease consideration of physician specialty in deciding which
interpretation and report to pay regardless of when the service is
performed.
+ Pay for the interpretation and report that directly contributed
to the diagnosis and treatment of the individual patient.
+ Pay for the interpretation billed by the cardiologist or
radiologist if the interpretation of the procedure is performed at the
same time as the diagnosis and treatment of the beneficiary. (This
interpretation may be a verbal report conveyed to the treating
physician that will be written in a report at a later time.)
We will minimize the carrier's need to make decisions
about which claim to pay when multiple claims for the interpretation
and report of the same procedure are received by--
+ Encouraging hospitals to work with their medical staffs to ensure
that only one claim per interpretation is submitted;
+ Advising hospitals that if they allow a physician to perform and
bill for a medically necessary service (the interpretation and report)
in an emergency room and permit another physician to perform and bill
for the same service, the Medicare carrier will not pay two claims;
+ Advising hospitals that the Medicare carrier may determine that
the hospital's ``official interpretation'' is for quality control and
liability purposes only and is a service to the hospital rather than to
an individual beneficiary; and
+ Advising hospitals that Medicare fiscal intermediaries consider
costs incurred for quality control activities in determining payments
to hospitals.
When the Medicare carrier receives only one claim for an
interpretation and the procedure is reasonable and necessary, the
carrier will pay the claim. We will presume that the one service billed
was a service to the individual beneficiary and not a quality control
measure.
Manual instructions to the carriers will be issued as soon as
possible.
This policy change is not explicitly addressed in our regulations.
D. Extension of Site-of-Service Payment Differential to Services in
Ambulatory Surgical Centers
We proposed extending the site-of-service payment differential to
services on the ambulatory surgical center (ASC) covered list of
procedures that are predominantly performed in an office setting. We
see no reason for exempting these procedures from the site-of-service
payment differential. The practice expense RVUs duplicate many of the
overhead expenses included in the ASC facility and hospital payment
rates. As such, when a service is provided in an ASC or a hospital, the
physician does not bear the same level of practice costs as when the
same service is furnished in the office. Therefore, in Sec. 414.32
(``Determining payments for certain physician services furnished in
facility settings''), we proposed to modify in paragraph (d)
(``Services excluded from the reduction'') the subordinate paragraph
(d)(2), which would have the effect of applying the site-of-service
payment differential to ASC services. The payment differential does not
apply to procedures performed in an ASC that are not on the ASC list
because no facility payment is made.
Comment: Many commenters stated that the Act provides that
procedures included on the ASC list, by definition, are not office-
based procedures. Commenters indicated that we had concluded in
previously published regulations on ASCs that certain procedures, such
as cystoscopies, prostate biopsies, and skin lesion excisions, are not
office-based procedures.
Response: Historically, the ASC list included only procedures that
were performed less than half of the time in an office setting.
Consequently, the ASC list and the site-of-service payment differential
lists were mutually exclusive. Over time, many procedures shifted from
being performed predominately in ASCs to being performed predominately
in offices. However, in many cases the procedures were retained on the
ASC list because we were persuaded by arguments that while the
procedure may usually be done in an office, there were circumstances
justifying using an ASC. Therefore, the two lists are no longer
mutually exclusive. Retention of certain procedures on the ASC list
does not imply that they cannot appropriately be performed in an
office. In fact, the only procedures proposed for addition to the site-
of-service differential payment list are those that are performed in an
office setting the majority of the time.
Comment: Several commenters questioned the accuracy of data or
indicated that they could not fully evaluate the proposals because we
did not publish data on which the site-of-service list is based. Some
stated we should use clinically-based criteria instead of purely
objective, arithmetic data.
Many commenters indicated that many of the procedures added to the
site-of-service differential list were inappropriate and unlikely to be
office-based procedures because they are extraordinarily complicated
procedures, require anesthesia or sophisticated equipment, or need to
be evaluated on a case by case basis. Several commenters believed the
list to be arbitrary and unfair. Others indicated that physicians
should not be punished for selecting the medically appropriate site for
certain procedures on the list. One commenter agreed that we should
encourage physicians to perform procedures in an office when it is safe
and effective.
Another commenter stated that we should pay urologists for supplies
and a small facility fee to shift procedures to the less costly office
setting.
Some commenters stated that because nasal/sinus endoscopy codes
were added to the ASC list effective January 1, 1994 the site-of-
service data are likely to be skewed toward the physician's office
setting. Other commenters stated the CPT description for breast biopsy
(CPT code 19100) was recently changed to include only core needle
aspiration while fine needle aspiration is now reported using code CPT
code 88170. One commenter agreed that breast biopsy should be on the
list. Other commenters argued that the data do not distinguish between
techniques employed. Many commenters indicated that the policy does not
account for gender differences. For example, cystoscopies performed on
males are more difficult and painful and are inappropriate for an
office setting.
Response: According to our data, the procedures on the site-of-
service payment differential list are performed in a physician's office
more than 50 percent of the time. Inclusion of procedures on the list
is not intended to
[[Page 63134]]
reflect a judgment regarding the appropriateness of the site where the
service is performed or to encourage performance of procedures in the
less costly office setting or to create a financial disincentive for
the physician to select the most appropriate site. Inclusion on this
list merely recognizes where the service is being furnished the
majority of the time. We recognize that although the majority of the
procedures we proposed to add to the site-of-service list are performed
in a physician's office, the ASC setting is sometimes appropriate. That
is the reason they remain on the ASC list. It is not the purpose of
this policy to dictate where a physician should perform the service.
The policy reflects the lower practice costs incurred by physicians
when these services are performed in an ASC or a hospital.
Comment: One commenter objected to including urodynamic evaluation
CPT codes 51725, 51726, and 51772 on the site-of-service payment
differential list. Another commenter provided information demonstrating
that 21 other proposed procedures should not be on the list because
more recent data indicate that the procedures are not performed in the
office more than 50 percent of the time.
Response: We agree with the comment that urodynamic evaluation
codes do not belong on the list and have removed CPT codes 51725,
51726, 51772, and 51785 from the list. We also agree with the comment
that some of the proposed procedures are not performed in the office
setting more than 50 percent of the time based on the most current data
available. Therefore, we have removed the following CPT codes from the
list: 13150, 14020, 14060, 15740, 21208, 21440, 23066, 26645, 28030,
28043, 28092, 28261, 40510, 41805, 42408, 46220, 46610, 63600, 64420,
65270, and 67921.
Comment: Some commenters stated that the site-of-service payment
differential should not apply to services furnished in an ASC for which
no facility payment is made. Another commenter said that many ASCs are
considered extensions of a physician's office, not a free-standing
facility, and physicians are responsible for ASC overhead.
Response: We agree with these comments. Therefore, we have
clarified the proposal to state that when a service that is not on the
ASC list is performed in an ASC, the site-of-service payment
differential does not apply. In this case, we view the ASC as an
extension of the physician's office and, for purposes of this
provision, view this as an office service.
Comment: Some commenters said that there is no difference in
practice costs between the office setting and the ASC. In some cases,
costs may be higher in the ASC because of more complicated cases, the
delivery of anesthesia services, and physician travel costs. Other
commenters said it is unjustified to conclude that there is no office
overhead for physicians performing procedures in another setting.
Some commenters recommended that we make no changes to the site-of-
service payment differential before the implementation of resource-
based practice expense RVUs in 1998. One commenter requested that we
suspend the site-of-service payment differential altogether. Others
recommended increasing practice expense payments for procedures
performed in the office to discourage physicians from using hospital
ASCs. Other commenters said we should exempt codes that are reduced by
the interim practice expense reduction of OBRA 1993.
Response: The site-of-service payment differential is a long
established policy that aims to avoid duplicate payments for overhead
while, at the same time, recognizes that some office overhead is
incurred when physicians perform procedures outside the office setting.
For this reason, the practice expense RVUs are reduced by only 50
percent. While we will implement resource-based practice expense RVUs
in 1998, we see no reason to postpone applying the payment differential
to ASCs until then. The site-of-service policy currently applies to
both inpatient and outpatient hospital settings. We see no
justification for continuing to exempt services provided in ASCs.
Section 13513 of OBRA 1993 provided for reductions in practice
expense RVUs for services for which practice expense RVUs exceeded 128
percent of the work RVUs and that are performed less than 75 percent of
the time in an office setting. This reduction was based on the
Congress' determination that practice expense RVUs were too high for
some procedures. This reduction is independent of the long standing
site-of-service payment differential.
Comment: Many commenters stated that the proposal would result in
reduced quality of care. Other commenters said it did not encourage
placement of patients in the most appropriate and cost-effective
setting to address the patient's medical needs. Several commenters
indicated that since we have determined that the proposed procedures
are appropriate for ASCs based on medical review and patient safety
outcome data, it would be inconsistent to apply the site-of-service
payment differential.
Some commenters indicated that many of the proposed procedures
cannot be performed safely in an office. They indicated that offices
are not certified to meet the same standards of care or health care
outcomes as ASCs, which are generally safer places to perform
procedures. They believed the proposal creates a disincentive for
physicians to use ASCs even when it is in the patient's best interest
to do so. Other commenters said procedures are performed in an ASC
because of patient choice or for a patient's safety and comfort. They
believed that paying less for the most complicated cases will
discourage doctors from doing such cases, thereby creating serious
access problems for patients.
Response: We disagree that application of the site-of-service
payment differential will penalize a physician who has valid clinical
reasons for performing a procedure in an ASC. Rather, we believe the
payment differential will appropriately reflect that the physician
incurs fewer costs when furnishing service in an ASC. We believe that
physicians consider the welfare of the beneficiary in selecting the
appropriate site to perform the service. We do not believe that
physicians will make inappropriate decisions regarding the health and
well being of their patients because of a reduction in their payment.
Comment: Many commenters said that the proposal will encourage
physicians to buy costly equipment for their offices, such as that
required for urologic and arthroscopic procedures, which most do not
have.
Response: We believe the payment differential is incentive neutral
with regard to selecting a practice site. That is, we do not believe
that the payment differential will induce physicians to purchase
additional equipment to enable them to furnish services in the office.
Comment: One commenter stated that a large number of procedures
proposed for addition to the site-of-service list were originally
exempt from the list because they were performed less than 50 percent
of the time in a physician's office. Therefore, the practice expense
values already reflect the costs of furnishing the procedures outside
the office setting.
Response: Physicians shift the place of service for procedures from
the hospital setting to the office setting for various reasons. Two
reasons are (1) that advances in technology, technique, or other
factors make it now feasible to do many services in the office setting
that
[[Page 63135]]
historically were furnished in a hospital setting; and (2) physicians
believe that it is cost-effective and efficient to shift the place of
service. We believe that the direct costs of providing the service
(staff, supplies, equipment, and space) are reflected in the practice
expense relative values based on the predominant place of service.
Therefore, we believe it is appropriate to apply the site-of-service
reduction to these services when they are performed in a setting where
we make a payment for the direct costs of providing the service; for
example, hospitals and ASCs. However, this issue will be further
examined as part of the development of practice expense RVUs for 1998.
Comment: Several commenters misunderstood the proposal. Some
implied that we were proposing a reduction in the ASC facility payment
rate or reducing payments for office based procedures. One objected to
applying the site-of-service payment differential to the hospital
setting. One commenter was not convinced the proposal will save money.
Several comments concerned issues not covered under this proposal,
for example, objections to removing certain codes from the ASC approved
list and requests that particular codes be added or deleted from the
ASC list. Another commenter suggested that new criteria are needed for
procedures on the ASC list. Another thought we were proposing removing
the codes from the ASC list.
Response: The proposal does not affect ASC facility payment rates
or physician payments for procedures performed in an office setting.
The site-of-service payment differential already applies to the
hospital outpatient setting. The proposal is budget neutral and is not
intended to reduce Medicare payments. The proposal does not revise
procedures on the approved ASC list.
Final Decision: We will extend the site-of-service payment
differential to office-based services on the ASC list if those services
are performed in an ASC or in a hospital setting. However, when a
service that is not on the ASC list is performed in an ASC, the site-
of-service payment differential will not apply. The site-of-service
list for 1996 appears in Addendum E of this final rule. All additions
to the list are identified by an asterisk.
E. Services of Teaching Physicians
1. General Background
Our July 26, 1995 proposed rule (60 FR 38405) discussed Medicare
payment for those services furnished under graduate medical education
(GME) programs that are not payable through the mechanisms established
for direct GME costs by section 1886(h) of the Act. Section 1886(h)
addresses Medicare payments to hospitals and hospital-based providers
for the costs of approved GME programs in medicine, osteopathy,
dentistry, and podiatry. Those costs include residents' salaries and
fringe benefits, physician compensation costs for GME program
activities that are not payable on a fee schedule basis, and other GME
program costs.
Medicare intermediary expenditures under section 1886(h) of the Act
for fiscal year 1996 are estimated to be approximately $1.9 billion. In
addition, under section 1886(d)(5)(B) of the Act, Medicare makes
additional payments to teaching hospitals under the prospective payment
system for the higher indirect operating costs hospitals incur by
having GME programs. (These are costs other than direct GME costs.)
Medicare indirect GME payments for fiscal year 1996 are estimated to be
approximately $4.9 billion. Medicare also supports GME programs in
teaching hospitals through billings for the services of attending
physicians who involve residents in the care of their patients. The
amount of Medicare expenditures for these services is not known since
attending physicians are not required to distinguish between services
they personally furnish and those they furnish as attending physicians
in claims submitted to the Part B carriers.
Our proposal addressed services of teaching physicians that are
payable on a fee schedule basis, services of residents in settings that
are not payable under section 1886(h), and services of moonlighting
residents. In addition, the proposed rule addressed, but did not
substantially change, existing rules on related issues on Medicare
payments for the services of residents in approved GME programs
furnished in certain freestanding skilled nursing facilities and home
health agencies, and services of residents who are not in approved GME
programs. We referred to the section 1886(h) mechanisms to distinguish
between that payment methodology and other payment mechanisms.
Title XVIII of the Act provides separate coverage and payment bases
for provider services and physician services. Under Medicare, provider
services, such as inpatient hospital services and skilled nursing
facility services, are covered under Hospital Insurance (Part A) and
are paid from the Part A Trust Fund. Outpatient hospital services are
covered under Supplementary Medical Insurance (Part B) and are paid
from the Part B Trust Fund. Provider services are paid on a prospective
payment, reasonable cost, or other payment mechanism through Medicare
contractors called ``fiscal intermediaries.'' Physician services and
other ``medical and other health services,'' as defined in section
1861(s) of the Act, are generally paid under Part B through Medicare
contractors called ``carriers.'' To administer the Medicare program, we
must distinguish clearly between provider services and physician
services to determine the appropriate payment methodology and the
appropriate Trust Fund that is liable for payment.
As discussed in the proposed rule, in part 405 (``Federal Health
Insurance for the Aged and Disabled''), subpart D (``Principles of
Reimbursement for Services by Hospital-Based Physicians''), current
regulations beginning with Sec. 405.480 set forth the basic principles
regarding payment for services of physicians who practice in providers.
Additional principles applicable to payment for physician services in
teaching hospitals appeared in subpart E (``Criteria for Determination
of Reasonable Charges; Payment for Services of Hospital Interns,
Residents, and Supervising Physicians'') in Secs. 405.520 and 405.521.
Principles applicable to services of interns and residents appeared in
Secs. 405.522 through 405.525. Sections 405.465 and 405.466 addressed
the payment methodology for teaching hospitals that elect reasonable
cost payments for physician services. (See sections
1832(a)(2)(B)(i)(II) and 1861(b)(7) of the Act.) Since the publication
of those regulations, the Congress enacted a series of legislative
changes that affected payments for these services, and we proposed to
revise the regulations to conform to those statutory changes and to
clarify current policy.
Section 948 of the Omnibus Reconciliation Act of 1980 (ORA 1980)
(Pub. L. 96-499), enacted on December 5, 1980, as amended by section
2307 of the Deficit Reduction Act of 1984 (DEFRA 1984) (Pub. L. 98-
369), enacted on July 18, 1984, addressed payments for physician
services in teaching settings. (See section 1842(b)(7) of the Act.)
Another pertinent legislative change, section 108 of the Tax Equity and
Fiscal Responsibility Act of 1982 (TEFRA 1982) (Pub. L. 97-248),
enacted on September 3, 1982, added a new section 1887 to the Act. That
legislation dealt explicitly with distinguishing between the
professional services physicians furnish to individual patients in a
provider and services physicians furnish to the provider itself. While
section 1887 of the Act does not
[[Page 63136]]
specifically address teaching physicians or GME issues, it is
consistent with Medicare policy on classifying the activities in which
physicians in teaching hospitals are engaged.
We published a final rule with comment period in the Federal
Register on March 2, 1983 (48 FR 8902), which implemented the
provisions of section 1887 of the Act. That final rule revised the
regulations that govern Medicare payment for services of physicians who
practice in providers such as hospitals, skilled nursing facilities,
and comprehensive outpatient rehabilitation facilities. As a part of
that final rule, we revised Secs. 405.480 through 405.482, removed
Secs. 405.483 through 405.488, and added new Secs. 405.550 through
405.557. Those regulations--
Set forth basic criteria for distinguishing those
physician services furnished in providers that are payable by Part B
carriers as physician services to individual patients from those
services that are payable by fiscal intermediaries as physician
services to the provider itself;
Set limits on the amounts payable on a reasonable cost
basis to providers for physician services to the provider; and
Established more specific criteria for determining the
basis and amount of payment for physician services in the specialties
of anesthesiology, radiology, and pathology.
In the preamble to the March 1983 final rule (48 FR 8906), we
stated that because of problems related to applying portions of the
revised regulations to teaching hospitals and to implement sections
1842(b)(6) and 1861(b)(7) of the Act for physician payment (as amended
by section 948 of ORA 1980), we planned to publish, in a separate
document, proposed regulations that would establish special rules
governing payment for services of physicians in teaching hospitals.
Those rules would have superseded Secs. 405.520 and 405.521 if they
became effective. Subsequently, however, the Congress passed DEFRA
1984, which further amended section 1842(b)(6) of the Act and
redesignated it as section 1842(b)(7).
Another statutory change that affected payments to teaching
hospitals was section 9202 of the Consolidated Omnibus Budget
Reconciliation Act of 1985 (Pub. L. 99-272), enacted on April 7, 1986,
as amended by section 9314 of the Omnibus Budget Reconciliation Act of
1986 (Pub. L. 99-509), enacted on October 21, 1986, which added a new
section 1886(h) to the Act. Section 1886(h) of the Act revised the
method of calculating Medicare payment for the direct costs of approved
GME activities such as residents' salaries and fringe benefits, from
reasonable cost payment to payments based on hospital-specific per-
resident amounts multiplied by the number of full-time equivalent
residents working in the hospital during a hospital's cost reporting
period.
A major change in the Medicare payment rules for physician services
in general was enacted as part of the Omnibus Budget Reconciliation Act
of 1989 (OBRA 1989) (Pub. L. 101-239), enacted on December 19, 1989,
which added section 1848 to the Act. Section 1848 replaced the
reasonable charge payment mechanism with a fee schedule for physician
services. The Omnibus Budget Reconciliation Act of 1990 (OBRA 1990)
(Pub. L. 101-508), enacted on November 5, 1990, contained several
modifications and clarifications to the OBRA 1989 provisions that
established the physician fee schedule.
2. Payment for Physician Services Furnished in Teaching Settings
a. Current Practices
In our proposed rule (60 FR 38406), we stated that of the nearly
7,000 hospitals that participate in Medicare, approximately 1,200 have
GME programs that are approved for residency training by the
appropriate accrediting organization. (We used the term ``residents''
in the preamble of the proposed rule to include residents, interns, and
fellows who are in formally organized and approved GME programs.)
For hospital cost reporting periods beginning on or after July 1,
1985, the costs of residents' compensation (representing payment for
the residents' services), certain physician compensation costs related
to GME programs, and other GME program costs are payable based on
hospital-specific per-resident amounts as described in Sec. 413.86, in
accordance with section 1886(h) of the Act. Physician compensation
costs for administrative and supervisory services unrelated to the GME
program or other approved educational activities are payable as
operating costs through diagnosis-related group payments under the
prospective payment system for inpatient services and on a reasonable
cost basis for inpatient services in hospitals excluded from the
prospective payment system and for outpatient services.
In the case of those few teaching hospitals that elect reasonable
cost payments for physician direct medical and surgical services under
section 1861(b)(7) of the Act instead of billing for services to
Medicare beneficiaries on a fee-for-service basis, the election and
payment mechanisms described in former Secs. 405.465 and 405.466 were
set forth in the proposed rule in new Sec. 415.160 and in redesignated
Secs. 415.162 and 415.164.
Practices vary widely among and within teaching hospitals with
respect to the degree of physician involvement in the care of patients.
In some cases, teaching physicians personally direct residents in
furnishing patient care services. In others, residents assume a greater
degree of responsibility for the care patients receive, and the
teaching physicians exercise only general control over the residents'
activities.
b. Statutory and Other Developments Pertaining to Teaching Physician
Services
(1) Original Medicare Law and Regulations
As originally enacted, title XVIII of the Act excluded the services
of physicians, interns, and residents from the definition of
``inpatient hospital services,'' except for the services of interns and
residents in approved training programs. The services of residents in
an approved program of a hospital with which a skilled nursing facility
has a transfer agreement are included in the definition of ``extended
care services'' and in the definition of ``home health services'' in
the case of a home health agency that is affiliated with or under
common control of a hospital having the program. These provisions
established the costs of approved GME programs for provider services
payable by intermediaries on a reasonable cost basis. The Act did not
include special rules for payment of physician services in teaching
hospitals.
At the time of the publication of the proposed rule, under
Secs. 405.520 and 405.521 for teaching physician services, and
Secs. 405.522 through 405.525 for residents' services, a physician in a
teaching setting was considered the attending physician for a Medicare
patient, and thereby qualified for Part B payment, only if he or she
furnished ``personal and identifiable direction'' to the interns and
residents who provided the actual services to the patient. Before
January 1, 1992, Part B physician services were paid under the
reasonable charge payment system. As of January 1, 1992, these
physician services are paid under the physician fee schedule set forth
in part 414 (56 FR 59502).
Although former Sec. 405.521(b) listed examples that illustrated
the types of responsibilities attending physicians
[[Page 63137]]
typically carry out, the list was not exhaustive. In individual cases,
it might be difficult to determine, by referring to Sec. 405.521,
whether a physician in a teaching setting is the ``attending
physician'' for a Medicare patient. It might be necessary for the
carrier to review hospital charts to see if the attending physician
requirements were met; however, the involvement of the teaching
physician in individual services was often unclear from a review of the
charts.
It became apparent, shortly after the former Secs. 405.520 and
405.521 were issued, that some Medicare carriers were paying charges
for physician services in some teaching hospitals, even though interns
and residents were primarily responsible for the care of the patients.
The physicians who were billing for these services were often assuming
only limited responsibility for the medical management of the patients'
treatment. It also became clear that some physicians were submitting
charges for services furnished to Medicare patients even though non-
Medicare patients were not billed for similar services, and patients
generally were not obligated to pay for those physician services.
In April 1969, those problems led to the issuance of Intermediary
Letter 372, which set forth specific conditions that physicians in
teaching settings were required to meet to be considered attending
physicians and, thus, qualify to charge the carrier for services in
which they involved residents. It also specified how carriers were
required to determine the reasonable charges for these services.
Although Intermediary Letter 372, which was still in effect at the time
of the publication of the proposed rule, provided guidance to Medicare
carriers and intermediaries on payment for these services, it was not
applied uniformly by all Medicare carriers.
(2) 1972 Amendments
On October 30, 1972, the Congress amended the Act to provide rules
on payment for physician services (as distinguished from the services
of interns and residents) furnished in teaching hospitals. Section 227
of the Social Security Amendments of 1972 (Pub. L. 92-603) amended
section 1861(b) of the Act to require that Medicare treat those
services as hospital services and pay for them on a reasonable cost
basis, except under certain specific circumstances. Section 227 also
made certain incentives available to hospitals that elected to be paid
for physician services on a reasonable cost basis.
In subsequent legislation (section 15 of Pub. L. 93-233, enacted on
December 31, 1973, and section 7 of the End-Stage Renal Disease Program
Amendments of 1978 (Pub. L. 95-292), enacted on June 13, 1978), the
Congress deferred implementation of all provisions of section 227 of
the 1972 amendments except for the incentives to elect reasonable cost
payment for physician direct medical and surgical services. The cost
reimbursement provisions were implemented through former Sec. 405.465,
as published in a final rule on August 8, 1975 (40 FR 33440). The
statutory provisions for which the Congress deferred implementation
were eventually replaced by new provisions passed by the Congress in
ORA 1980. ORA 1980 reaffirmed, but did not otherwise affect, the
provisions of section 227 of the 1972 amendments authorizing cost
reimbursement incentives.
(3) ORA 1980
Section 948 of ORA 1980 made several important changes in the
sections of the Medicare statute that address payment for physician
services in teaching hospitals. Specifically, section 948--
Repealed the provisions of the 1972 Amendments that
required Medicare to pay for those services (with certain exceptions)
on a reasonable cost basis;
Amended section 1861(b) of the Act to allow hospitals with
approved teaching programs to elect to be paid on a reasonable cost
basis for physician direct medical and surgical services furnished to
their Medicare patients and for the supervision of interns and
residents in the care of individual patients if all physicians in the
hospital agree not to bill charges for their services furnished to
Medicare patients; and
Added section 1842(b)(6) of the Act (now section
1842(b)(7)) to specify the conditions that must be met to permit
payment under Part B for physician services in teaching hospitals that
do not elect cost reimbursement, and to provide special payment rules
for determining the customary charges applicable in this situation.
In the Conference Report accompanying ORA 1980 (H.R. Rep. No. 1479,
96th Cong., 2d Sess. 145 (1980)), the Conference Committee stated that
its intention was to permit payment for physician services in a
teaching hospital on a reasonable charge basis only if the physician is
the patient's ``attending physician.'' The conferees also endorsed the
attending physician criteria in Intermediary Letter 372.
The Conference Report further stated that ``[t]he conferees intend
(without precluding reasonable changes in the future) that in
determining the amount payable on a charge basis under Medicare Part B
for services of physicians in teaching hospitals, the policies
contained in Intermediary Letter 372 should be generally followed where
these are not inconsistent with the provisions of the conference
agreement.'' Ibid. p. 146.
(4) DEFRA 1984
Subsequently, section 2307(a) of DEFRA 1984 further amended section
1842(b)(7) of the Act concerning conditions for payment for physician
services furnished in teaching hospitals that do not elect cost
reimbursement. Section 2307(a) was later amended by sections 3(b) (5)
and (6) of the DEFRA Technical Amendments (Public Law 98-617), enacted
on November 8, 1984. As revised, section 1842(b)(7) of the Act (which
was redesignated from section 1842(b)(6) of the Act by section 2306 of
DEFRA '84) provided that--
The customary charge of a physician qualifying as a
teaching physician is set no lower than 85 percent of the prevailing
charge paid for similar services in the same locality; and
If all the teaching physicians in a teaching hospital
agree to accept assignment for all the services they furnish to
Medicare patients in that hospital, the customary charge is set at 90
percent of the prevailing charge paid for similar services in the same
locality.
(5) 1989 Proposed Rule
On February 7, 1989, we published a proposed rule that would have
implemented the teaching physician payment provisions of both ORA 1980
and DEFRA 1984 (54 FR 5946). In that document, we proposed the
following changes relating to teaching physicians:
Revise the regulations governing the conditions under
which Medicare payment is made for the services of physicians in
teaching settings and implement a special methodology for determining
customary charges for the services of teaching physicians.
Revise the regulations governing Medicare payment to
providers for compensation paid to physicians who furnish services that
are of general benefit to patients in the provider.
That proposed rule was never published in final because legislation
enacted in 1989 and 1990 that mandated the implementation of the
Medicare physician fee schedule had the effect of replacing the payment
methodology of the proposed rule.
[[Page 63138]]
3. Payments for Supervising Physicians in Teaching Settings and for
Residents in Certain Settings
In our July 26, 1995 proposed rule, we proposed to revise the
regulations because of the substantial changes that have taken place in
the way Medicare payments for physician services are determined (that
is, the replacement of the reasonable charge system with the physician
fee schedule); the length of time since the publication of the February
1989 proposed rule; and our decision to propose to replace the
attending physician criteria of the February 1989 proposed rule. The
details of the attending physician policy had been set forth earlier in
Intermediary Letter 372, published in April 1969.
We proposed to change the attending physician criteria from those
of Intermediary Letter 372 to make the criteria more flexible in terms
of the individual teaching physician who may serve as the responsible
physician for a particular service while ensuring that a teaching
physician is present during at least some portion of each service
payable by the carrier. We also proposed rules based on other Medicare
policies that had been in effect for years but had never been
explicitly addressed in the regulations.
a. Distinction Between Teaching Hospital and Teaching Setting
We proposed to distinguish between ``teaching hospital'' and
``teaching setting,'' because the former is more directly related to
intermediary payments, and the latter (although defined in terms of
intermediary payments) is more directly related to carrier payments. We
proposed to define ``teaching hospital'' as a hospital engaged in an
approved GME residency program in medicine, osteopathy, dentistry, or
podiatry. We proposed to define ``teaching setting'' as a provider or
freestanding setting for which Medicare payment for the services of
residents is made under the direct GME payment provisions of
Sec. 413.86 (hospitals, hospital-based providers, and settings,
including nonprovider settings, meeting the requirements for residents
in Sec. 413.86(f)(1)(iii)), or on a reasonable cost basis under the
provisions of Sec. 409.26 or Sec. 409.40(f) for residents' services
furnished in freestanding skilled nursing facilities or home health
agencies, respectively.
b. Statutory Requirements for Payment in Teaching Hospitals Not
Electing Reasonable Costs for Physician Services to Individual Patients
Section 1842(b)(7) of the Act is generally premised on the use of
customary charges, that is, the reasonable charge system, as the basis
for Medicare payments for the services of physicians in teaching
hospitals. Section 1848 of the Act, however, established the physician
fee schedule as the payment methodology for physician services
furnished beginning January 1, 1992 without any exception for physician
services furnished in teaching settings. Therefore, we based the
policies in the July 26, 1995 proposed rule on principles established
in legislation on payment for physician services generally under the
physician fee schedule, on payment for physician services furnished in
providers, and on payment to hospitals for GME programs. With regard to
payment to hospitals for GME programs, the proposal addressed
activities associated with GME programs that were not payable through
fiscal intermediary payment mechanisms.
c. Intermediary Letter 372 Attending Physician Criteria
The Intermediary Letter 372 attending physician criteria and
related policy were developed by Medicare in 1969 as a means of
documenting the involvement of teaching physicians in patient care
services furnished in teaching hospitals and have been controversial
ever since. It was recognized then and now that residents must furnish
patient care services to develop their skills as physicians or other
types of practitioners. The ``attending physician'' policy was
developed as a mechanism to make Part B fee schedule payments for
services in which residents were involved. The main requirement of the
policy was that there would be a single attending physician who
personally examined the beneficiary within a reasonable time after
admission, confirmed the diagnosis and course of treatment, and was
continuously involved in the care of the beneficiary throughout the
stay. The attending physician policy as set forth in Intermediary
Letter 372 and related issuances specifically stated that the attending
physician had to be present when a major surgical procedure or a
complex or dangerous medical procedure was performed, but was vague,
perhaps necessarily, on the matter of the presence of the physician
during other occasions of inpatient service. There was less ambiguity
with regard to hospital outpatients. Part A Intermediary Letter No. 70-
7/Part B Intermediary Letter No. 70-2 (issued in January 1970), a
question-and-answer on Intermediary Letter 372, indicated that the
supervising physician must either personally perform the service or
function as the attending physician and be present while a service is
being furnished (question 14).
Medicare carriers were directed to periodically review the hospital
charts for verification of the establishment of attending physician
relationships and their involvement in individual services. If the
chart did not substantiate a sufficient level of involvement in the
care furnished, the teaching physician role was seen as supervisory in
nature, rather than as an attending physician, even though the teaching
physician may have had legal responsibility for the care furnished to
the patient. Consequently, the fiscal intermediary for the hospital
would pay Medicare's share of the salary costs of the teaching
physician attributable to the supervision of residents, but the
Medicare carrier would not make payment for the physician services on
the basis of reasonable charges.
We believe, after years of working experience with the Intermediary
Letter 372 attending physician policy, that we should replace it. The
amount of postpayment review necessary to verify the establishment and
continuity of the attending physician relationship from patient charts
had become impractical given reductions in contractor budgets and was
inconsistent with more recent congressional action. While the Congress
endorsed the attending physician policy in the Conference Report
accompanying ORA 1980, the Intermediary Letter 372 policy might be
viewed as not entirely consistent with the payment mechanism enacted in
OBRA '86 under section 1886(h) of the Act for payment of direct GME
costs in teaching hospitals. For example, Intermediary Letter 372
indicated that, if a physician was not an attending physician but
supervised a resident who furnished a service, the costs of the
physician services were payable by the intermediary. Under section
1886(h) of the Act, if a service was determined not to be an attending
physician service billable under Part B, the service could not become a
provider service for purposes of additional payments made under Part A
since the GME payments were prospectively determined amounts that could
not be adjusted based on the individual circumstances of the delivery
of individual services. Further, allocation agreements between
physicians and hospitals identifying the various activities in which
the
[[Page 63139]]
physicians were involved for purposes of determining the appropriate
payment amounts had no effect on GME payments in an individual hospital
cost reporting period. The costs that were allocated during the GME
base period were carried forward regardless of changes in the physician
activities.
Moreover, the Intermediary Letter 372 policy left it to individual
carriers to determine coverage of the services based on customary
practices in the area or on the competence of individual residents. For
example, a sentence in Intermediary Letter 372.A. reads as follows:
If the supervising physician was present at surgery, and the surgery
was performed by a resident acting under his close supervision and
instruction, he would not be the attending surgeon unless it were
customary in the community for such services to be performed in a
similar fashion to private patients who pay for services rendered by
a private physician.
While this policy might have been appropriate 30 years ago in the early
days of Medicare, we stated in our proposed rule (60 FR 38409) that we
believe it is inappropriate to base the determination of whether a
carrier will pay several thousand dollars or zero dollars for a
surgical procedure on this standard, which could result in a wide
disparity of policy from area to area regarding when payment is made.
Another problem with the Intermediary Letter 372 policy was
reliance on a single physician to be the attending physician for the
beneficiary throughout the inpatient stay. The only exception
permitting an attending physician relationship for only a portion of a
stay was if the portion was a distinct segment of the patient's course
of treatment, such as the postoperative period. Another example from
Intermediary Letter 372 reads as follows:
A group of physicians share the teaching and supervision of the
house staff on a rotating basis. Each physician sees patients every
third day as he makes rounds. No physician can be held to be one of
these patients' attending physician for any portion of the hospital
care although consultations and other services they personally
perform for the patient might be covered.
We stated in our proposed rule (60 FR 38409) that we believe that
this emphasis on a single teaching physician serving as the attending
physician through the stay was no longer necessary, and that we should
provide teaching hospitals and GME programs with flexibility in the
determination of the responsible teaching physician in an individual
case. We no longer believe the Intermediary Letter 372 requirement that
a single physician be recognized by the beneficiary as his or her
personal physician through a period of hospitalization reflects current
realities. Further, the existing attending physician regulation might
operate at cross-purposes with managed care arrangements that often
employ treatment teams.
The Intermediary Letter 372 requirements for continuity of care
might be difficult for carriers to verify from reviews of medical
records, might be interpreted in different ways by different carriers,
and might be counterproductive and burdensome in the delivery of
services to the patient. We believe the proposed policy would address
potential sources of misunderstanding and abuse that have been
longstanding Medicare program concerns. For example, Intermediary
Letter 372 required the attending physician to personally examine the
patient, review the history and record of test results, etc. From
discussions with carrier medical directors, it is our understanding
that some carriers considered the requirements to be met if the
teaching physician first saw the patient 1 or 2 days after admission.
In those situations, the carrier might pay for an admission history and
physical performed by a resident on Saturday while the teaching
physician did not actually see and examine the patient until Monday.
Other carriers would maintain that, to pay for the admission history
and physical as an attending physician, the teaching physician would
have to see the patient on the day the service was performed.
We believe that the most important consideration should be the
presence of the teaching physician during the key portion of the
service or procedure being furnished by the resident, and that
requiring both an attending physician relationship and the presence of
that same physician during every billable service is no longer
warranted. Thus, under our proposal, carriers would no longer pay for
services such as admission evaluation and management services unless a
teaching physician was present during the key portion of the service.
d. Carrier Payment for Services of Teaching Physicians--General
We proposed to eliminate the Intermediary Letter 372 attending
physician criteria from the determination of whether payment should be
made for the services of physicians in teaching settings. We recognize
that the term ``attending physician'' is used in academic medicine to
denote the responsible physician, and we believe that hospitals and GME
programs should be free to designate any physician to be the attending
physician of the patients in the teaching setting. We proposed to
require the following conditions for services of teaching physicians
(physicians who involve residents in the care of their patients) in
both inpatient and outpatient settings to be payable under the
physician fee schedule:
A teaching physician (a physician other than a resident or
fellow in an approved program) must be present for a key portion of the
time during the performance of the service for which payment is sought.
In the case of surgery or a dangerous or complex
procedure, the teaching physician must be present during all critical
portions of the procedure and must be immediately available to furnish
services during the entire service or procedure. We specified that the
teaching physician presence requirement is not met when the presence of
a teaching physician is required in two places for concurrent major
surgeries. The operative notes must indicate when the teaching
physician presence in individual procedures began and ended. In the
case of procedures, such as an endoscopy, in which a body area, rather
than a representation, is viewed, we would not make payment if the
teaching physician was not present during the viewing. A discussion of
the findings with a resident would not be sufficient. The situation is
contrasted with a diagnostic procedure, such as an x-ray, in which the
physician would not be expected to be present during the performance of
a test and could bill for an interpretation by reviewing the film with
the resident (or by performing an independent interpretation).
In the case of services such as evaluation and management
services (for example, visits and consultations), for which there are
several levels of service available for reporting purposes, the
appropriate payment level must reflect the extent and complexity of the
service if the service had been fully furnished by the teaching
physician. In other words, if the medical decision-making in an
individual service is highly complex to an inexperienced resident, but
straightforward to the teaching physician, payment is made at the lower
payment level reflecting the involvement of the teaching physician in
the service. We intend to promote flexibility and leave the decision to
the teaching physician as to whether the teaching physician should
perform hands-on care, in addition to the care furnished by the
resident in the presence of the teaching physician.
[[Page 63140]]
However, in the case of both hospital inpatient and outpatient
evaluation and management services, the teaching physician must be
present during the key portion of the visit.
The presence of the physician during the service or
procedure must be documented in the medical records.
The proposal eliminated the Intermediary Letter 372 requirement
that the attending physician personally examine the patient and left
the decision to the teaching physician as to whether he or she should
perform an examination in addition to the resident's examination based
on medical and risk management considerations rather than Medicare
payment rules. For example, a beneficiary might be admitted to the
hospital on a Saturday and be examined by a resident in the presence of
a teaching physician on duty at the time. On Monday, another teaching
physician might be designated to be the attending physician in the
case. Under the proposal to eliminate the Intermediary Letter 372
attending physician criteria, the services of both teaching physicians
in this example would be payable (as long as distinct services are
furnished).
Under our proposal, we clarified that services of teaching
physicians that involve the supervision of residents in the care of
individual patients are payable under the physician fee schedule only
if the teaching physician is present during the key portion of the
service. If a teaching physician is engaged in such activities as
discussions of the patient's treatment with a resident but is not
present during any portion of the session with the patient, we believe
that the supervisory service furnished is a teaching service as
distinguished from a physician service to an individual patient.
We believe that this clarification is consistent with existing
policy. Part A Intermediary Letter No. 70-7/Part B Intermediary Letter
No. 70-2, issued in January 1970, contained a series of questions and
answers about the attending physician policy set forth in Intermediary
Letter No. 372. Question 14 of that issuance addressed services
furnished in emergency rooms and outpatient departments and states the
following:
Q. Intermediary letter No. 372 states, ``An emergency room
supervising physician may not customarily be considered to be the
attending physician of patients cared for by the house staff, etc.'' Is
this also true in the hospital's outpatient department?
A. Yes, because an attending physician relationship is not normally
established with anyone other than the treating physician in an
outpatient department. If the Part B bills are submitted for services
performed by a physician in either the emergency room or in any part of
the outpatient department, the hospital records should clearly indicate
either that: the supervising physician personally performed the
service; or he functioned as the patient's attending physician and was
present at the furnishing of the service for which payment is claimed.
At the same time we were concerned about the integrity of the
Medicare payment process, we recognized that application of this policy
to the reimbursement of teaching physicians in family practice
residency programs raised special concerns about the viability of these
programs. Family practice residency programs are different from other
programs because training occurs primarily in an outpatient setting,
known as a family practice center. In these centers, residents are
assigned a panel of patients for whom they will provide care throughout
their 3 years of training. While teaching physicians supervise this
care and, indeed, are present during the actual furnishing of services
in some circumstances (most notably with first year residents and for
more complex patient cases), a general requirement that teaching
physicians be physically present during all visits to the family
practice center would undermine the development of this physician/
patient relationship. This requirement also would be incompatible with
the way family practice centers are organized and staffed and could
require the hiring of additional teaching physicians when the faculty
are already in short supply.
We stated in our July 26, 1995 proposed rule (60 FR 38410) that we
would be willing to develop a special rule for paying teaching family
physicians that takes into account the unique nature of these training
programs while clarifying the appropriate level of involvement of the
teaching physician in patient care in family practice centers. We
invited comments on the structure and content of such a rule, or a
legislative proposal, along with any supportive data. We also invited
comments on whether and how such a rule might be applied to other
primary care training programs.
e. Special Treatment--Psychiatric Services
During the period in which we were developing the February 1989
proposed rule, we met with representatives of psychiatric GME programs
who indicated that it was inappropriate for a physician other than the
treating resident to be viewed by psychiatric patients as their
physician. In psychiatric programs, the teaching physician may observe
a resident's treatment of patients only through one-way mirrors or
video equipment. We accepted this position and proposed that, with
respect to psychiatric services (including evaluation and management
services) furnished under an approved psychiatric GME program, the
teaching physician would be considered to be ``present'' during each
visit for which payment is sought as long as the teaching physician
observes the visit through visual devices and meets with the patient
after the visit.
f. Physician Services Furnished to Renal Dialysis Patients in Teaching
Hospitals
Effective for services furnished on or after August 1, 1983,
Medicare pays for physician services to end-stage renal disease
patients on the basis of the physician monthly capitation payment
method described in Sec. 414.314. This payment method generally applies
to renal-related physician services furnished to outpatient maintenance
dialysis patients, regardless of where the services are furnished (that
is, in an independent end-stage renal disease facility, a hospital-
based end-stage renal disease facility, or in the patient's home).
Physician services furnished to end-stage renal disease patients on or
after August 7, 1990 may also be paid on the basis of the initial
method as described in Sec. 414.313. We would continue application of
these physician payment methods to teaching hospitals with end-stage
renal disease facilities. We would not impose any special medical
record documentation requirements solely because the end-stage renal
disease facility is based in a teaching hospital.
Physician fee schedule payments for covered physician services
furnished to inpatients in a hospital by a physician who elects not to
continue to receive payment on a monthly capitation basis through the
period of the inpatient stay, or who is paid based on the initial
method, would be determined according to the rules described in
proposed Sec. 415.170. Physicians would have to either personally
furnish the services, or furnish the services as a teaching physician
as described in proposed Sec. 415.172.
g. Special Criteria for Anesthesia Services and Interpretation of
Diagnostic Tests
Special criteria for anesthesia services involving residents appear
in Sec. 415.178. In the case of diagnostic radiology and other
diagnostic tests, we make payment
[[Page 63141]]
for the interpretation if the physician either personally performs the
interpretation or reviews the resident's interpretation.
h. Services of Residents
We proposed to incorporate into the regulations longstanding
Medicare coverage and payment policy regarding the circumstances under
which the services of residents are payable as physician services.
These policies are in operating instructions and other issuances.
Generally, the services of residents in approved GME programs
furnished in hospitals and hospital-based providers are payable through
the direct GME payment methodology in Sec. 413.86. For hospital cost
reporting periods beginning on or after July 1, 1985, a teaching
hospital is entitled to include residents working in the hospital and
hospital-based providers in the full-time equivalency count used to
compute direct GME payments. These payments are based on per-resident
amounts reflecting GME costs incurred during a base period and updated
by the Consumer Price Index. Further, effective July 1, 1987, under the
conditions set forth in Sec. 413.86(f)(1)(iii), a teaching hospital may
elect to enter into a written agreement with another entity for the
purpose of including the time spent by residents in furnishing patient
care services in a setting outside the hospital in the hospital's full-
time equivalency count of residents for GME purposes. The agreement
must specify that the hospital compensate the resident for the services
in the nonhospital setting. When an agreement is in effect, the
teaching setting guidelines of proposed Secs. 415.170 through 415.184
would apply to services in which physicians involve residents in the
nonhospital setting. The services of residents in these settings are
payable as hospital services rather than physician services. We stated
that proposed Sec. 415.200 would replace current Sec. 405.522.
Current Sec. 405.523 addressed payment for the services of
residents who are not in approved programs. The section was applicable
to the services of a physician employed by a hospital who is authorized
to practice only in a hospital setting and to residents in an
unapproved program. We proposed to replace this rule with new
Sec. 415.202. The proposed rule incorporated the policy currently in
section 404.1.B of the Provider Reimbursement Manual (HCFA Pub. 15-1),
which provides that only the costs of the residents' services are
allowable as Part B costs, and that other costs, such as teaching
costs, of an unapproved program are not allowable.
Current Sec. 405.524 (``Interns' and residents' services outside
the hospital'') provided for reasonable cost payments for the services
of residents in freestanding skilled nursing facilities and home health
agencies. We proposed to rename this section to clarify that its scope
is limited to these types of providers and to include it with only
minor changes into a new Sec. 415.204.
We proposed to establish a new Sec. 415.206 to address payment
issues relating to the services of residents in nonprovider settings,
such as freestanding clinics that are not part of a hospital. Paragraph
(a) addresses situations when a teaching hospital and another entity
have entered into a written agreement under which the time the
residents spend in patient care activities in these nonhospital
settings is included in the hospital's full-time equivalency count used
to compute direct GME payments. If an agreement is in force, the
carrier would make payments for teaching physician and other physician
services under the rules in Secs. 415.170 through 415.190.
If a nonprovider entity, such as a freestanding family practice or
multispecialty clinic, does not enter into this type of agreement for
residency training with a teaching hospital, the payment mechanism in
proposed Sec. 415.206(b) would apply in the case of services furnished
by certain residents. We modified the policy on Part B billings for
services furnished by licensed residents in the late 1970's in an
action designed to enhance the ability of primary care residency
programs to finance their training activities outside the teaching
hospital setting. We revised the Medicare Carriers Manual (HCFA Pub.
14-3) to cover residents' services furnished in a setting that is not
part of a hospital as physician services if the resident was fully
licensed to practice by the State in which the service was performed.
This policy applies whether or not the residents are functioning within
the scope of their approved GME program. Under these circumstances, the
resident is functioning in the capacity of a physician, and the
teaching physician guidelines do not apply.
Additionally, the services of residents practicing in freestanding
federally qualified health centers and rural health clinics who meet
the requirements of proposed Sec. 415.206(b) would be eligible for
payment under the payment methodology for federally qualified health
centers. (We would make payments for residents' services in a hospital-
based entity under the provisions of Sec. 413.86 for direct GME
payments.) We proposed to allow freestanding federally qualified health
centers and rural health clinics to include the costs of a service
performed by a resident meeting those requirements as an allowable cost
on the entity's cost report. We proposed to amend Sec. 405.2468(b)(1),
which sets forth allowable costs for federally qualified health centers
and rural health clinic services, to recognize these costs. Further, a
resident is considered to be a physician as defined in revised
Sec. 405.2401(b) for the purpose of determining payments to the
federally qualified health centers and rural health clinics. Consistent
with the payment method for federally qualified health centers and
rural health clinics, payments for services furnished by residents in
federally qualified health centers and rural health clinics would be
paid under Sec. 405.2462 rather than under the physician fee schedule.
In other words, services of the resident would be treated in exactly
the same manner as services of other physicians who are not residents
in the federally qualified health center or rural health clinic. We
believe that recognizing the costs of these residents in federally
qualified health centers and rural health clinic settings would create
more uniformity in the way these costs are treated by the Medicare
program.
We proposed to establish a new Sec. 415.208 to address carrier
payments for the services of ``moonlighting'' residents. Paragraph (a)
defines these services as referring to services that licensed residents
perform that are outside the scope of an approved GME program.
Paragraph (b) reflects the policy set forth in section 2020.8.C. of the
Medicare Carriers Manual under which carriers may pay under the
physician fee schedule for the services of moonlighting residents in
the outpatient department or emergency department of a hospital in
which they have their training program if there is a contract between
the resident and the hospital indicating that the following criteria
are met:
The services are identifiable physician services and meet
the criteria in Sec. 415.102(a) (formerly Sec. 405.550(b)).
The resident is fully licensed to practice medicine,
osteopathy, dentistry, or podiatry in the State in which the services
are performed.
The services can be separately identified from those
services that are required as part of the approved GME program.
Paragraph (c) indicates that the moonlighting services of a
resident furnished outside the scope of an approved GME program in a
hospital or other setting that does not participate in
[[Page 63142]]
the GME program are payable as physician services under the physician
fee schedule.
i. Redesignation of Regulations on Teaching Hospitals, Teaching
Physicians, and Physicians Who Practice in Providers
As a part of this rulemaking process, we proposed to redesignate
the regulations currently set forth in Secs. 405.465 and 405.466,
405.480 through 405.482, 405.522 through 405.524, 405.550, 405.551,
405.554, 405.556, and 405.580 into a new part 415, along with the new
regulations proposed in this rule. The redesignation is part of our
continuing effort to improve the overall organization of title 42 of
the Code of Federal Regulations and, in this case, specifically, the
organization of the regulations on teaching hospitals, teaching
physicians, and physicians who practice in providers.
Except as indicated below, we proposed only technical changes to
conform cross-references, and no substantive changes were included. We
proposed to remove Secs. 405.520 and 405.521 because the applicable
rules for payment of services are obsolete. We also proposed to remove
the chart for payment to interns and residents in Sec. 405.525 as
obsolete. In addition, we proposed to remove Sec. 405.552 because the
applicable payment rules for anesthesia services are set forth in
Sec. 414.46. The proposed deletion of Sec. 405.552 was an error; we are
redesignating this section as Sec. 415.110.
We intended the redesignation to make these regulations easier to
use. Following is a distribution table that indicates the new section
numbers that will result from the redesignation or the removal of the
section:
Distribution Table
------------------------------------------------------------------------
Old section New section
------------------------------------------------------------------------
405.465............................. 415.162
405.466............................. 415.164
405.480............................ 415.55
405.481............................ 415.60
405.482............................ 415.70
405.520............................ Removed.
405.521............................ Removed.
405.522............................ 415.200
405.523............................ 415.202
405.524............................ 415.204
405.525............................ Removed.
405.550............................ 415.100, 415.102
405.551............................ 415.105
405.552............................ 415.110
405.554............................ 415.120
405.556............................ 415.130
405.580............................ 415.190
------------------------------------------------------------------------
Following is a derivation table that shows the origin of each
section of the new material:
Derivation Table
------------------------------------------------------------------------
New section Old section
------------------------------------------------------------------------
415.1.....................................................
415.50....................................................
415.55.................................................... 405.480
415.60.................................................... 405.481
415.70.................................................... 405.482
415.100, 415.102.......................................... 405.550
415.105................................................... 405.551
415.110................................................... 405.552
415.120................................................... 405.554
415.130................................................... 405.556
415.150...................................................
415.152...................................................
415.160...................................................
415.162................................................... 405.465
415.164................................................... 405.466
415.170...................................................
415.172...................................................
415.174...................................................
415.176...................................................
415.178...................................................
415.180...................................................
415.184...................................................
415.190................................................... 405.580
415.200................................................... 405.522
415.202................................................... 405.523
415.204................................................... 405.524
415.206...................................................
415.208...................................................
------------------------------------------------------------------------
4. Public Comments on the Teaching Physician Proposal in the Proposed
Rule and Our Responses
We received several thousand comments on the teaching physician
proposal in our July 26, 1995 proposed rule. Almost all of the comments
came from medical schools, residency programs, and other entities that
bill for physicians' services in teaching hospitals and GME programs.
The comments and our responses to them follow.
Comment: Most commenters argued that the requirement of teaching
physician presence during individual services was a significant
departure from the current practice, and that a teaching setting would
need a great deal of time to implement the requirement. They requested
a delay in the effective date of any new policy. They believed that
January 1 would be a particular problem since it falls in the middle of
the cost reporting period for most teaching hospitals.
Response: We do not believe that the physical presence requirement
is a significant departure from current practice. Instead, as we have
indicated in the proposed rule and in this final rule, the proposed
rule requiring physical presence clarifies current policy. Under the
criteria in Intermediary Letter 372, Part B payment should be made only
when a supervising physician either personally performed the service or
functioned as the attending physician and was present while the service
was furnished. It has always been our intent that, at a minimum, a
teaching physician must be present during a service furnished by an
intern or resident in order for the teaching physician to receive Part
B payment.
We proposed to clarify our policy because it has not been enforced
consistently across carriers. More specifically, we have learned that
some teaching physicians are billing Medicare and receiving Part B
payment for services even when the service is performed by an intern or
resident outside the presence of the teaching physician and the
teaching physician has minimal involvement, or no involvement, in the
service. Under the physician fee schedule, payment amounts are intended
to reflect the amount of resources required for a particular service,
and we believe a teaching physician should not receive a resource-based
fee schedule amount when the physician has expended little or no
resources with respect to the service. It would be particularly
inequitable to make a resource-based payment to some teaching
physicians when other teaching physicians receive no payment because a
carrier is properly applying the physical presence requirement in
Intermediary Letter 372.
Thus, the proposed rule would clarify the physical presence
requirement reflected in Intermediary Letter 372. At the same time, the
proposed rule increases flexibility for billing. The criteria in
Intermediary Letter 372 were premised in part on the notion that the
same physician served as the attending physician throughout the entire
inpatient stay; therefore, only that physician could bill Medicare Part
B. Accordingly, under Intermediary Letter 372, if a patient receives a
service from the attending physician soon after admission, and receives
services from other physicians during the course of the inpatient stay,
the other physicians cannot bill Medicare Part B for services furnished
by a resident. The proposed rule deletes the requirement of a single
attending physician, and allows more than one teaching physician to
receive Medicare Part B payment with respect to a particular inpatient
stay.
Although the physical presence requirement merely clarifies current
policy, we are nevertheless willing to delay the effective date of the
provisions of this final rule concerning teaching physicians until July
1, 1996 to give our
[[Page 63143]]
contractors adequate time to educate all affected parties. This delay
will apply to all provisions of the regulation concerning teaching
physicians, including those that state the new policies relating to the
elimination of the single attending physician requirement and the
exception for residency programs in certain centers.
Comment: One commenter stated that section 948 of the Omnibus
Reconciliation Act of 1980, as amended by section 2307 of the Deficit
Reduction Act of 1984, requires only that--
The physician renders sufficient personal and identifiable
physicians' services to the patient and exercises full, personal
control over the management of the portion of the case for which
payment is sought.
The commenter believed that these legislative provisions contain no
physician presence requirement and questioned our authority to change
25 years of policy without a Congressional mandate to do so.
Response: We believe that the physical presence requirement is
entirely consistent with our statutory authority. Under section 1887 of
the Act, we are authorized to establish criteria to distinguish between
services furnished for an individual patient, which may be paid for by
carriers as physician services, and services that are furnished for the
general benefit to patients in a hospital, which are paid for by
intermediaries.
In addition, we do not view the proposed policy as inconsistent
with the statutory provision cited by the commenter. In the first
place, we note that section 1842(b)(7) of the Act is largely premised
on the use of charges as a basis for payment, and the charge-based
system for physicians' services has been superseded by the enactment of
the physician fee schedule. Nevertheless, the requirements stated in
that section are not in conflict with the physical presence
requirement. Section 1842(b)(7) provides that Part B payment may not be
made for the services of teaching physicians unless, among other
things, ``The physician renders sufficient personal and identifiable
services to the patient and exercises full personal control over the
management of the portion of the case for which payment is sought.''
(Emphasis added.)
We believe we have ample authority under these provisions, as well
as section 1848 of the Act, to determine the circumstances under which
a teaching physician has performed a service for a patient, and thus
has furnished a ``physician's service'' that warrants Part B payment
under the physician fee schedule. Currently, despite the criteria in
Intermediary Letter 372, many teaching physicians are billing Medicare
and receiving Part B payment in situations when they have minimal, if
any, involvement in the care of an individual patient. For example, the
teaching physician may have medical and legal responsibility for the
care a resident furnishes to a patient but may never actually see the
patient after admission to the hospital. We believe it is inappropriate
to make Part B payment in these cases, particularly because the amount
of payment is resource-based.
Of course, it is often difficult, and quite time-consuming, to
determine when a physician is ``sufficiently involved'' in a particular
patient care service so that Part B payment is warranted. As indicated
in the proposed rule (60 FR 38409), the amount of postpayment review
necessary to verify the involvement of teaching physicians in the care
of individual patients would be enormous, and the use of scarce carrier
resources in that effort would be impractical. Therefore, consistent
with our authority to establish standards for determining when a
service is furnished for a patient, as a general matter we believe the
most appropriate and feasible manner to determine when Part B payment
may be made is to require that the teaching physician must be present
for the service for which payment is sought. The physical presence
requirement identifies situations when the teaching physician is
sufficiently involved in the service, and at the same time it provides
a standard that can be readily documented and verified.
Comment: One commenter argued that, under the proposed rule,
teaching physicians would not be reimbursed in any manner under
Medicare for certain teaching activities that were previously paid for
under Part B. According to the commenter, Part A payment reflects base
year costs that include only teaching physician costs related to the
administration of the teaching program, and ``Teaching physician time
was not allocable to Part A if attributable to patient care, whether
the service was personally performed by the physician, or furnished in
the context of the attending physician relationship.'' The commenter
argued that teaching activities related to services to individual
patients could not be included in base year costs and thus would never
be reimbursed under Part A. The commenter concluded that, under the
physical presence requirement, teaching activities related to the care
of individual patients would not be reimbursed under either Part A or
Part B.
Response: We believe the policies reflected in this final rule
fairly reimburse hospitals and physicians for the activities of
teaching physicians. As we have indicated, currently many teaching
physicians are billing Medicare and receiving Part B payment even when
they have little or no involvement in a service furnished by an intern
or resident. We believe it is not appropriate for teaching physicians
to receive physician fee schedule payment in these situations as if the
teaching physician had personally performed the service, particularly
since fee schedule payments are intended to reflect the amount of
resources expended by the physician. In order to address this problem,
and to ensure that Part B payment is made only when the situation
warrants, this final rule clarifies the physical presence requirement
reflected in Intermediary Letter 372. We believe the requirement is
reasonable and necessary because it ensures that Part B payment is made
only when a teaching physician is sufficiently involved in the service
and does so in a manner that can be readily documented.
We recognize that there may be some inherent tension between
policies for carrier payments under Part B and policies for
intermediary payments under Part A or Part B. If a service or activity
is payable under Medicare, and it is not payable under Part B, then
presumably the service or activity is encompassed in the Part A
payment. Therefore, any ``change'' in (or clarification of) Part B
policy may, at least arguably, implicate Part A policy. The commenter
argued that, despite this relationship between Part A and Part B, under
the proposed policies, some services might not be reimbursed at all
under Medicare.
We believe that the commenter's arguments are misguided. We note
initially that, as a general matter, payment for the costs of direct
GME under Part A, like any system that uses base year costs,
necessarily reflects conditions in the base year, and any number of
conditions might change after the base year (these changes might
benefit or hurt the hospital). However, the use of base years for
purposes of making these Part A payments is required by statute. We do
not believe we should necessarily perpetuate inappropriate payments
under Part B simply because payments under Part A cannot be adjusted.
Moreover, and more significantly, we believe that the policies
reflected in this final rule taken as a whole reasonably reconcile any
tension that there might be between Part A payment policies and
[[Page 63144]]
Part B payment policies. The commenter seemed to suggest that, in
conducting the Part A base year audits, the agency excluded all costs
associated with teaching activities that were related to patient care.
This suggestion, however, is incorrect. Indeed, as the commenter
acknowledged, time spent supervising residents in patient care was
allocable to Part A under the audits if there was no attending
physician relationship. Furthermore, although the commenter also
asserted that 100 percent of a physician's time was allocable to Part B
``in the absence of appropriate documentation,'' it follows that time
spent supervising residents could have been allocated to Part A if the
hospital or the physician provided appropriate documentation. Thus,
contrary to the commenter's suggestion, teaching activities related to
patient care were, or could have been, included in the Part A base year
costs. We believe we should not perpetuate inappropriate Part B
policies simply because hospitals and physicians failed to properly
claim or document Part A costs in the base year.
The commenter also indicated that, under the proposed rule, certain
teaching activities would not be reimbursed under Part B even though
they were reimbursed under Part B previously (incorrectly or
otherwise). This might relate to activities such as discussions about
patient charts with a resident when the teaching physician was not
present during the visit itself. The commenter stated that, in the
proposed rule, we claimed incorrectly that lost Part B revenues could
be collected through Part A. Contrary to the commenter's suggestion, we
did not mean to suggest that services that were previously, but no
longer, paid for under Part B would be paid for through increased
payments under Part A. Rather, we meant to indicate that, at times in
the past, improper payments may have been made.
We believe that our policies adequately reimburse hospitals and
teaching physicians for the activities of teaching physicians. First,
the services of the interns or residents themselves are payable under
separate mechanisms. Thus, to the extent that services are provided by
interns and residents who are largely unsupervised, Medicare pays for
the direct costs of those services through GME payments. Second,
consistent with the criteria in Intermediary Letter 372, the teaching
physician may receive Part B payment as long as the physician is
present for the service. Finally, we are providing further flexibility
for billing in this final rule, so that services may now be paid for
under Part B even though the same services could not previously be
properly billed to Part B; specifically, under this final rule, more
than one teaching physician may bill Part B with respect to a
particular hospital inpatient stay, whereas under Intermediary Letter
372, only a single attending physician could properly bill Part B.
In short, hospitals and physicians will not, as alleged, be
systematically underreimbursed under the policies reflected in this
final rule. The Part A payment encompasses costs of supervising
residents that were (or could have been) properly allocated and
substantiated for the base year. Teaching physicians may continue to
receive Part B payment under the physical presence requirement
reflected in Intermediary Letter 372. And Part B payment may now be
made under circumstances in which payment could not properly be made
under Intermediary Letter 372.
Comment: Many commenters believed that we developed the teaching
physician proposal because we had concluded that beneficiaries in
teaching hospitals receive substandard care when the teaching physician
is not present during the service or procedure.
Response: The policy was not intended to specifically address
quality concerns. Rather, the policy addresses payment issues, in
particular, identifying when it is appropriate to make Medicare Part B
payment to teaching physicians who oversee the services of interns and
residents.
It is important to distinguish between the services of interns and
residents and the services of teaching physicians. Medicare fiscal
intermediaries pay teaching hospitals for the services of interns and
residents. Those services are described in sections 1861(b) and 1832(a)
of the Act and are paid under the methodology established by section
1886(h) of the Act. Thus, the fiscal intermediaries are already paying
teaching hospitals for services furnished to beneficiaries by
residents. The graduate medical education costs payable through the
section 1886(h) methodology also encompass any costs associated with
the supervisory services of teaching physicians that were appropriately
allocated during the base period for that methodology (fiscal year
1984).
Particularly in light of these other payments, we believe that, if
we are to pay a fee to another physician who is medically responsible
for the services the resident is furnishing to the beneficiary, it is
entirely appropriate to require as a condition of payment that the
supervising physician furnish a direct, personal physician service to
the beneficiary. This is the basis for the payment of physician
services under Medicare. If the resident has personally furnished the
service to the beneficiary and the intermediary is paying the teaching
hospital for Medicare's share of the services performed by the
resident, we believe it is appropriate not to pay a full fee to a
supervising physician who was not present when the service was
furnished. Furthermore, the Medicare beneficiary is responsible for a
20 percent coinsurance amount for that physician's services as well as
any deductible liability. We believe it is fully consistent with a
resource-based fee schedule that the physician in whose name the
service is billed furnishes a service to the beneficiary.
Comment: Many commenters stated that residency programs cannot
afford to furnish services to Medicare beneficiaries without Medicare
payment.
Response: Medicare fiscal intermediaries pay approximately $7
billion annually in direct and indirect medical expenses to teaching
hospitals for the costs associated with approved GME programs.
Comment: Some commenters expressed concern about the term ``key
portion'' in determining when the teaching physician should be present.
They stated that it is often difficult to define the key portion of a
service or procedure. Many commenters expressed their concern with the
lack of a clear definition of what constitutes the key portion of every
service or procedure. Many other commenters contended that the key
portion of the teaching physician's services takes place during the
teaching physician's discussions of the case with the resident before
and after a visit or procedures. This argument was made by physicians
in both medical and surgical specialties.
Response: We proposed the concept of the key portion of a service
or procedure to provide flexibility and to avoid requiring the presence
of the teaching physician for the duration of every service or
procedure billed in his or her name. Many of the commenters expressed
the view that the key portion--and the most meaningful portion--of the
teaching physician's service to the beneficiary actually takes place in
the absence of the beneficiary. We do not agree with this
interpretation of key portion because it blurs the distinction between
teaching oversight and actually furnishing an identifiable service to
the beneficiary.
While we recognize the concern that it may be difficult to
determine the key portion for a particular service, this concept is
necessarily general because it
[[Page 63145]]
is not feasible to define the key portion for each and every billable
service. In order to provide guidance, we stated some general
guidelines in the proposed rule. Thus, in the case of surgical, high-
risk, or other complex procedures, the teaching physician must be
present during all critical portions of the procedure and immediately
available to furnish services during the entire service or procedure.
In the case of surgery, the teaching physician's presence is not
required during opening and closing of the surgical field. In the case
of procedures performed through an endoscope, the teaching physician
must be present during the entire viewing.
In the case of evaluation and management services, the teaching
physician must be present during the portion of the service that
determines the level of service billed. The factors to be considered
are complexity of medical decision-making, extent of history obtained,
and extent of examination performed. We believe that the teaching
physician should have considerable discretion in determining the key
portion of the service, and we do not anticipate that carriers will
deny claims submitted based on this discretion, as long as the claims
are documented and in accord with our guidelines. If the teaching
physician believes that a key portion of an entire evaluation and
management service cannot be identified, the teaching physician should
be present for the entire service.
We plan to address this matter further in carrier manual
instructions.
Comment: Some commenters objected to the requirement of the
proposed rule that the teaching physician be present during the viewing
portion of a procedure such as an endoscopy. The commenters believed
that the presence of the physician should be determined by the teaching
physician based on the competence of the resident.
Response: In those situations, we believe that the carrier should
pay for the interpretation of the viewed area by the teaching physician
rather than by the resident. As indicated earlier, the viewing by the
resident is not payable as a physician service; this service by the
resident is paid under direct GME.
Comment: The majority of the commenters identified themselves as
representatives of family practice residency programs. The commenters
made the following points:
Many appreciated the preamble language of the proposed
rule indicating our willingness to consider adopting special rules for
family practice programs.
Many claimed that hospitals and health care delivery
systems would cease residency training for family practice programs if
the proposal went into effect without an exception.
In a family practice program, the resident is the primary
care-giver, and the faculty physician sees the patient only in a
consultative role.
It is beneficial for family practice residents to see
patients alone in order to learn medical decision-making and to
recognize their own limitations.
A resident cannot be educated in the art and practice of
medicine without unsupervised patient contact; the proposed policy
would interfere with the development of a resident's bedside manner.
One family practice resident objected to the low levels of
fee payments for his services under Medicare and Medicaid.
The teaching physician presence requirement intrudes upon
the relationship between the resident and the patient and, in the view
of some, would cause Medicare beneficiaries to lose confidence in the
competence of their resident physician.
The requirement would necessitate the hiring of more
teaching physicians and inhibit the ability to finance family practice
programs through patient care billings.
In many cases, the presence of the teaching physician is
superfluous.
The proposal does not adequately recognize the way
medicine is practiced in this country.
The family practice teaching physician is responsible for
supervising four or more residents and medical students who are seeing
patients simultaneously. Since the teaching physician must remain with
the medical students during patient care visits, he or she does not
have time to be involved in services furnished by the residents.
The family practice preceptors are responsible for signing
the medical records after the residents have dictated their entries
which, in the view of some, guarantees mandatory supervision for each
and every visit.
Some residents are experienced physicians who have been in
private practice for years and are in the residency program only to
obtain board certification. The proposal does not adequately address
those residents.
If the proposed policy is implemented, family practice
clinics will refuse to treat Medicare beneficiaries. Thus, the
beneficiaries will be forced to go to medical assistance clinics.
The proposal would put the resident in the position of
being a clerk rather than a physician.
Care furnished in family practice programs is more cost-
effective than care furnished in established practices; therefore,
total Medicare costs are lower when services are provided by these
programs.
The physician presence requirement would inhibit the
ability of family practice clinics to compete with managed care
programs in the community.
In addition, the American Academy of Family Practice proposed a
specific limited exception to the physician presence requirement that
we have adopted in large part as set forth below.
Response: As we have discussed, we believe the physical presence
requirement is necessary and appropriate as a general rule to ensure
that Part B payment is not made when a teaching physician does not
furnish a service for a patient; we also believe that hospitals and
teaching physicians generally can, as a practical matter, reasonably
meet the presence requirement and that Part B payment will be made as
appropriate for the services and activities of teaching physicians. At
the same time, we believe that, if the nature of a residency program is
fundamentally incompatible with a physical presence requirement, it may
be appropriate to make Part B payment if the teaching physicians
satisfy certain conditions that demonstrate that they are sufficiently
involved in the care of individual patients to warrant Medicare Part B
payment. As reflected in the proposed rule, we believe a requirement of
physical presence would be inherently incompatible with the nature of
family practice residency programs, and thus unfairly deny
reimbursement for the activities of teaching physicians in these
programs and endanger the financial viability of these programs.
Because of these considerations, we proposed a limited exception for
family practice residency programs.
In light of the comments, we have concluded that an exception
should not be limited to family practice programs, but instead should
apply to any program that satisfies certain specified criteria. The
criteria are designed to capture those residency programs with
requirements that are incompatible with a physical presence
requirement. Thus, in this final rule, we have decided to establish an
exception to the physician presence requirement for certain evaluation
and management services furnished in certain centers within the context
of certain types of residency
[[Page 63146]]
training programs. The exception is set forth in a new Sec. 415.174 of
this final rule.
Under the exception, carriers may make physician fee schedule
payment for reasonable and necessary low to mid-level evaluation and
management services when furnished by a resident without the presence
of a teaching physician if all of the following conditions are met:
Services must be furnished in a center located in the
outpatient department of a hospital or another ambulatory care entity
in which the time spent by residents in patient care activities is
included in determining intermediary payments to a hospital under
Sec. 413.86.
Any resident furnishing the service without the presence
of a teaching physician must have completed more than 6 months of an
approved residency program. The center is responsible for furnishing
this information to the carrier. The family practice groups recommended
the 6-month requirement, and we believe it is an appropriate safeguard.
The teaching physician may not supervise more than four
residents at any given time and must direct the care from such
proximity as to constitute immediate availability. The teaching
physician must--
+ Have no other responsibilities at the time of the service for
which payment is sought;
+ Assume management responsibility for those beneficiaries seen by
the residents;
+ Ensure that the services furnished are appropriate;
+ Review with each resident during or immediately after each visit,
the beneficiary's medical history, physical examination, diagnosis, and
record of tests and therapies; and
+ Document the extent of his or her own participation in the review
and direction of the services furnished to each beneficiary.
The patients seen must be an identifiable group of
individuals who consider the center to be the continuing source of
their health care and in which services are furnished by residents
under the medical direction of teaching physicians. The residents must
generally follow the same group of patients throughout the course of
their residency program. We are not requiring that the teaching
physicians remain the same over any period of time.
The range of services furnished by residents includes:
+ Acute care for undifferentiated problems or chronic care for
ongoing conditions.
+ Coordination of care furnished by other physicians and providers.
+ Comprehensive care not limited by organ system, diagnosis, or
gender.
We believe that the types of GME programs most likely to qualify
for this exception include: family practice and some programs in
general internal medicine, geriatrics, and pediatrics.
The center must be located in a setting in which the
resident's time is included in the full-time equivalency count used by
the intermediary to make direct GME payments to a hospital for services
of residents in that setting. In a freestanding setting in which
residents are not counted for the purpose of making these payments, the
services of licensed residents are already covered as physician
services.
This exception to the teaching physician presence applies only to
specific low- and mid-level evaluation and management codes for office
or other outpatient visits for both new and established patients. The
established patient codes to which the exception applies are CPT codes
99211, 99212, and 99213 (and their successor codes). New patient codes
to which the exception applies are CPT codes 99201, 99202, and 99203
(and their successor codes). The teaching physician must be present for
higher level evaluation and management codes and all invasive
procedures.
In paragraph (b) of new Sec. 415.174, we clarify that the exception
may not be construed as providing a basis for the coverage of otherwise
noncovered services under Medicare, such as routine physical checkups.
Further, this special treatment for certain training situations does
not apply to services involving medical school students. A service
furnished by a medical school student is a noncovered service under
Medicare even if the teaching physician is in the room. We will publish
further instructions on the new policy in the Medicare Carriers Manual.
Comment: Some commenters who represent physician specialty
organizations stated that they were opposed to any exception to the
physician presence requirement if it was limited to a particular
specialty. They believed that the same rules on physician presence
should apply to all specialties. Some commenters indicated that special
treatment for family practice programs ``devalued'' the importance of
residency training in other programs. Many commenters argued that any
special treatment given to family practice programs should apply to
their programs as well. These include psychiatry, physical medicine,
internal medicine, and obstetrics-gynecology. For example, several
commenters believed that psychiatric residency programs should be given
the same special treatment in the final rule as might be afforded to
family practice programs. Some indicated that the costs of purchasing
video equipment or one-way mirrors would be too great.
Response: The exception we are establishing at new Sec. 415.174 is
not limited to family practice programs; it applies to the indicated
evaluation and management codes when furnished under the specified
conditions. We are continuing to provide an additional, special
exception for psychiatric programs in Sec. 415.184 as originally
proposed.
Comment: Some commenters indicated that their family practice
clinics are not under the sponsorship of a hospital, and that their
programs do not receive Medicare funds from a hospital for the time the
resident is in the clinic.
Response: If the family practice clinic is freestanding (that is,
not part of a hospital) and the residents are not included in any
hospital's full-time equivalent count of residents, the services of
licensed residents are payable under the physician fee schedule on the
same basis as any other physician's services. This longstanding policy
applies regardless of whether or not the resident's services are
furnished within the scope of an approved GME training program.
Comment: Several commenters expressed concern that the same
residents for whom we are requiring the presence of a teaching
physician are not supervised by a teaching physician when they
``moonlight'' outside of their training programs.
Response: We recognize moonlighting situations and addressed the
subject in the proposed rule. When licensed residents moonlight outside
of their training program, Medicare pays for their services as
physician services. Medicare does not pay a teaching hospital for these
services through the direct GME payment mechanism or through the
indirect medical education payment mechanism. In other words, in
moonlighting situations, the Medicare program pays for the service only
once.
Comment: One organization supported the proposed rule on
``moonlighting residents'' but sought clarification as to the impact of
the proposal on inpatient services. Another commenter sought
clarification of the policy when a licensed resident moonlights in
another teaching hospital.
Response: The proposal reflects longstanding policy outlined in
section 2020.8 of the Medicare Carriers Manual.
[[Page 63147]]
The policy does not encompass Medicare payment for moonlighting
services furnished to inpatients in the hospital in which the resident
has his or her program since we believe these services are virtually
indistinguishable from the services the resident furnishes within the
scope of the training program. However, when a licensed resident
moonlights in another teaching hospital, the carrier must be furnished
sufficient information to be sure that the moonlighting resident is not
being included in the residency count (used to determine direct and
indirect medical education payments) of either hospital for the period
of time in question. Moreover, in this final rule, we are revising
proposed Sec. 415.202 (``Services of residents not in approved GME
programs'') (formerly Sec. 405.523) to clarify that, when an intern or
resident is in an approved GME program at one hospital and is
concurrently furnishing moonlighting services in another hospital that
lacks an approved GME program, the services in the second hospital may
be reimbursed only pursuant to 42 CFR part 414 or section 2109 of the
Provider Reimbursement Manual.
Comment: Some commenters suggested that we should discard the
current proposal and implement the ``philosophy'' of teaching physician
immediate availability rather than presence as proposed in the February
7, 1989 proposed rule.
Response: The exception that we have added to the policy we are
adopting is consistent with the philosophy to which the commenters
referred.
Comment: Some commenters stated that documentation of a teaching
physician's presence during a procedure would add costs to an already
burdensome, bureaucratic process.
Response: The policy we are adopting cannot be enforced without
some documentation of the presence of the teaching physician during
procedures and the personal involvement of the teaching physician in
evaluation and management services.
Comment: A few physician specialty organizations supported the
proposal. In addition, a few physicians stated that the physician
presence requirements reflected their standard practice. Some
commenters representing surgeons stated that, while they generally
supported the physician presence proposal, they objected to the
requirement that the surgeons have to indicate in their operative notes
when their presence began and ended since the anesthesiologist and
nurses already record this information. Many other commenters objected
to any restriction in the involvement of teaching surgeons in
concurrent cases. Some commenters believed that third or fourth year
residents were capable of performing surgical procedures with the
teaching physician in the operating suite rather than in the operating
room.
Response: As we stated in the proposed rule, the notation in the
nurse's notes is sufficient documentation of the teaching physician's
presence during surgical procedures. There is no requirement that the
teaching physician personally record the information if it duplicates
information available elsewhere. If the teaching physician believes the
third or fourth year resident is capable of performing surgical
procedures without supervision, the teaching physician should not bill
Part B for the surgical services furnished by the resident.
Comment: One commenter recommended that the teaching physician be
able to indicate the following general statement on all records:
I have interviewed and examined the patient, and I agree with the
history and physical findings as recorded by Dr. (Resident) in his/her
note of (date).
The commenter believed that this would clarify that the physician
participated in the care of the patient, but not require that he or she
spend valuable time repeating all of the documentation already present
in the record.
Response: This statement, by itself, would not be sufficient for
Part B payment if the physician was not present during the service. If
the physician was present, it is not necessary for the teaching
physician to repeat all of the documentation entered into the medical
records by the resident. The teaching physician may countersign the
resident's entries and enter additional notes as necessary to indicate
his or her involvement in the service. We will address these matters in
more detail in manual instructions.
Comment: One commenter believed that we should pay teaching
physicians under case management CPT codes 99361 through 99373 and care
plan oversight codes (CPT codes 99375 and 99376). These services
include care team conferences and telephone calls for consultation or
medical management with other health care professionals. In addition,
the commenter suggested that we undertake a demonstration project to
test the feasibility and cost-effectiveness of these payments with the
goal of implementing a budget-neutral policy for the payments. The same
commenter also suggested a policy under which the teaching physician
could bill Medicare for each visit if the physician were present to
observe every third visit furnished by the resident to the patient.
Response: Medicare does not allow separate payment for the case
management codes. We consider case management services to be included
in the prework and postwork of the evaluation and management codes. The
suggestion seems to be a way of removing the teaching physician further
from the actual performance of the service, and we do not support this
outcome.
Comment: Under current policy in Sec. 414.46(c)(1)(iii), if a
teaching anesthesiologist is involved in concurrent cases, the medical
direction payment rules apply, and a reduced allowance is recognized
for the physician service in each concurrent case. Commenters argued
that this standard is inconsistent with the standard for teaching
surgical services. They indicated their understanding that the teaching
surgeon can be involved in concurrent procedures and receive a full
allowance for each surgical procedure.
Response: We intend to apply the physician presence standard for
both surgical and anesthesia teaching services and have revised
Sec. 415.178 (``Anesthesia services'') accordingly. Under the policy we
are adopting, while we require the teaching surgeon's presence during
the critical portion of the service, we do not require the surgeon's
presence during the opening and closing of the patient. However, during
this period, the teaching surgeon may not be involved in surgical
services for other patients since this would preclude his or her return
to the original case. We believe that this policy is analogous to the
teaching anesthesiologist policy under which, in order to receive an
unreduced fee, the anesthesiologist must be present during all critical
portions of the procedure and immediately available to furnish services
during the entire procedure.
Comment: A carrier medical director commented that there should be
a national standard on documentation of what the teaching physician
actually does. The carrier medical director believed that physicians in
nonteaching settings have to provide considerably more documentation
than a counter-signature, and that the teaching physician should make a
brief notation documenting his or her involvement in support of the
level of evaluation and management code billed.
Response: We plan to address this matter in billing instructions to
implement the new policy.
Final decision: We are going forward with the policy we proposed
but have
[[Page 63148]]
included an exception to the teaching physician presence requirement
for certain evaluation and management services furnished in certain
centers within the context of certain types of residency training
programs. The new exception is found in Sec. 415.174 (``Exception:
Evaluation and management services furnished in certain centers''). The
effective date of the regulations concerning teaching physicians will
be July 1, 1996.
F. Unspecified Physical and Occupational Therapy Services (HCFA Common
Procedure Coding System Codes M0005 Through M0008 and H5300)
We proposed to eliminate HCFA Common Procedure Coding System
(HCPCS) codes M0005 through M0008 and H5300 and to redistribute the
RVUs to the codes in the physical medicine section of the CPT (CPT
codes 97010 through 97799). This policy change requires a single way of
reporting and paying for a service for which there are now two ways to
report. We proposed no change regarding what services may be covered,
only as to how covered services would be billed and paid.
Comment: All the comments we received expressed agreement with our
proposal to eliminate the HCPCS codes M0005 through M0008 and H5300.
The commenters stated that these services can be accurately reported
using the new and revised physical medicine and rehabilitation codes in
the CPT. They considered the decision to delete these codes to be
appropriate and long overdue. The commenters cited the opportunity for
unnecessary duplications of service codes and the misuse or overuse of
the ``M'' codes in billing by physical therapists to support
eliminating the HCPCS codes.
However, some commenters were concerned that carriers might be
reluctant to follow billing rules under the CPT for occupational and
physical therapists in the same manner as is accepted for physicians.
One commenter had encountered problems in the past with carrier
refusals to accept the range of codes allowed under the scope of
practice, to allow payment for both physical therapy and occupational
therapy services required by the same patient, or to reimburse for more
than one code per visit. Another commenter questioned whether
occupational therapists in independent practice could report the full
range of codes or if some codes were appropriate only to physical
therapists in independent practice. The commenter also observed that
some procedures can be considered either a physical therapy service or
an occupational therapy service based solely on the specialty of the
provider performing the service. Because of the coding flexibility, a
beneficiary who has met his or her outpatient limit for physical
therapy can continue to receive some of the same services under the
occupational therapy outpatient limit if the service is furnished by an
occupational therapist and vice versa.
Response: Physical therapy and occupational therapy services
required by the same patient are permitted, as is payment for more than
one code per visit, subject to statutory requirements and limitations.
That is, the provider of a service must be qualified within the State's
scope of practice to furnish the service. According to Sec. 410.60
(``Outpatient physical therapy services: Conditions.''), the services
must be furnished under a written plan of treatment established by the
physician or therapist caring for the patient. The services also must
be medically necessary and reasonable for the diagnosis or treatment of
an illness or injury, as mandated by section 1862(a) of the Act.
Occupational and physical therapy services furnished to the same
patient on the same day would necessitate two separate treatment plans,
two separate physician orders, and both must be medically necessary.
The current Medicare coding limitations apply when both physical
therapists and occupational therapists furnish services to the same
patient. Specifically, we do not allow separate payment for CPT code
97250 (Myofascial release/soft tissue mobilization, one or more
regions) for the same patient, on the same date of service as CPT codes
97265 (Joint mobilization), 97260 (Manipulation (cervical, thoracic,
lumbosacral, sacroiliac, hand, wrist) (separate procedure)), or 97261
(each additional area) because these services overlap. Because of the
duplication of services represented by the codes for manual
manipulation (CPT codes 97260 and 97261), soft tissue mobilization (CPT
code 97250), joint mobilization (CPT code 97265), or osteopathic
manipulation (CPT codes 98925 through 98929), we do not permit separate
payment if any of these codes are reported for the same patient, on the
same date of service. Aside from these limitations, there is nothing
that precludes the payment for both physical therapy and occupational
therapy services for the same patient on the same date of service.
The full range of CPT codes 97010 through 97799 may be reported by
occupational therapists in independent practice as well as by physical
therapists in independent practice if the service is within the scope
of practice. We have no national payment policy that prevents
occupational therapists in independent practice from billing and being
paid for any CPT code that describes a service they furnish that may be
covered. We do not allow payment for evaluation and management services
billed by physical therapists in independent practice and occupational
therapists in independent practice because the work RVUs for these
services include work that they are not trained to perform (for
example, evaluation for and prescription of drug therapy and evaluation
for and prescription of surgical or other therapy). Otherwise,
occupational therapists in independent practice may bill using any CPT
code the carrier determines describes the covered services, not just
the codes in the physical medicine section of the CPT.
It follows, therefore, that the same procedure code may be used to
bill for an occupational therapy service or a physical therapy service.
The covered outpatient limit applies to both specialties individually.
Comment: We were requested to clarify whether carriers allow
payment for therapists' bills submitted under the physician fee
schedule in the same manner as physicians' bills for similar services.
Response: Section 1848(j)(3) of the Act defines physicians'
services to include outpatient physical therapy and occupational
therapy for physician fee schedule payment and, therefore, bills of
physical therapists and occupational therapists in independent practice
are treated in the same manner as bills of a physician for covered
services.
Comment: We received one comment asking if RVUs will be established
for CPT codes 97545 and 97546, which are currently carrier priced.
Response: We reviewed the RUC recommendations and decided to defer
assigning RVUs for these codes until there is a better definition of
the services. It is unclear whether the time specified in the codes
(CPT 97545, work hardening/conditioning, initial 2 hours and CPT code
97546, each additional hour) describes the time of the patient or the
practitioner. It is our belief that it is possible for physical
therapists in independent practice to do work hardening for four
patients simultaneously, rotating from patient to patient located
within the same room. Moreover, we believe that there is more work
(that is, higher intensity and one-on-one attention) in the first 2 or
more hours of service, not the initial 2 hours
[[Page 63149]]
of care in a given day, as these codes are defined. We believe that the
intensity and amount of work drops off quickly in the process and that
it would be impossible to value the services correctly under its
current definition.
Comment: As noted in the proposed rule, the Health Care
Professional Advisory Committee will be considering the creation of
evaluation and management codes for physical therapists in independent
practice and occupational therapists in independent practice. One
commenter expressed hope that these codes would be developed by 1997.
Response: We anticipate these codes will be developed for use in
1997.
Final Decision: We will eliminate HCPCS codes M0005 through M0008
and H5300 and redistribute the RVUs across CPT codes 97010 through
97799. This policy change is not explicitly addressed in our
regulations.
G. Transportation in Connection with Furnishing Diagnostic Tests
The general physician fee schedule policy regarding additional
payments for travel expenses is that travel is included in the practice
expense RVUs for a service. However, we have not specifically applied
that policy to the transportation of equipment used to perform
diagnostic tests. In the absence of specific instructions from us,
separate payment for the transportation of diagnostic equipment has
been at the Medicare carriers' discretion. We proposed to standardize
payment for transportation of diagnostic equipment by applying the
general physician fee schedule policy regarding payment for travel
expenses to transportation services except in some cases of
transporting portable x-ray and EKG equipment.
The exceptions are based on longstanding specific instructions. In
the case of x-ray services furnished by approved suppliers, section
1861(s)(3) of the Act establishes the coverage of diagnostic x-rays
furnished in a place of residence used as the patient's home. Although
the Congress did not explicitly so state, we determined that, because
there were increased costs associated with transporting the x-ray
equipment to the beneficiary, the Congress intended for us to pay an
additional amount for the transportation service. Thus, we established
codes for use in billing for a transportation component of these
services. Nothing in our proposal affects the payment of a
transportation component in connection with the x-ray procedures
furnished by approved portable x-ray suppliers listed in section
2070.4.C of the Medicare Carriers Manual.
We later added the taking of an EKG tracing to the list of services
approved suppliers of portable x-ray services may furnish (section
2070.4.F of the Medicare Carriers Manual) and established HCPCS code
R0076 to pay for the transportation of EKG equipment. Under our
proposal, we would continue to pay for the transportation of EKG
equipment by approved suppliers of portable x-ray equipment although we
did clarify that the policy applied only to standard EKG procedures
described by CPT code 93005 (or CPT code 93000 if the interpretation is
billed with the tracing).
Many Medicare carriers have limited the use of HCPCS code R0076 to
approved portable x-ray suppliers, but some Medicare carriers permit
other types of entities, such as independent physiological laboratories
to use the code. Section 2070.1.G of the Medicare Carriers Manual
provides for the coverage of an EKG tracing by an independent
laboratory in the following situations:
In a home if the beneficiary is a homebound patient.
In an institution used as a place of residence if the
patient is confined to the facility and the facility does not have on-
duty personnel qualified to perform the service.
Under our proposal, we would remove the requirement that the
beneficiary be confined to his or her home or to an institution for the
EKG tracing to be a covered service since this requirement does not
apply to EKG tracings taken by portable x-ray suppliers.
For all other types of diagnostic tests payable under the physician
fee schedule, Medicare carriers would pay for the transportation of
equipment only on a ``by report'' basis under CPT code 99082 if a
physician submits documentation to justify the ``very unusual'' travel
set forth in section 15026 of the Medicare Carriers Manual.
Comment: One commenter, representing a mobile independent
physiological laboratory, indicated that the laboratory currently
furnished several types of diagnostic procedures to patients in various
settings without any separate payment for transportation. The commenter
appreciated the fact that, under the proposal, the laboratory would now
receive a transportation payment for CPT code 93005 (a 12-lead EKG) and
suggested that the exceptions to the transportation payment proposal be
extended to include CPT code 93225 (holter monitoring) and HCPCS code
G0005 (patient activated event recording procedures). The commenter
suggested that HCPCS code R0076 be revised to specifically include the
transportation of holter monitoring and patient activated event
recorder equipment to patients upon physician order.
Response: We were not seeking to expand the list of services
independent physiological laboratories may furnish for which carriers
will make separate transportation payments. Since the law does not
provide for coverage of any diagnostic tests payable under the
physician fee schedule furnished to beneficiaries in their place of
residence other than x-ray services furnished under conditions we have
approved, we will not provide for transportation payments in connection
with other diagnostic tests furnished by independent physiological
laboratories.
Under our proposal, Medicare carriers would make transportation
payments under HCPCS code R0076 in connection with standard EKG
procedures (CPT code 93005) furnished by an independent physiological
laboratory when the coverage conditions of section 2070.5 of the
Medicare Carriers Manual are met. We made this exception to the general
policy on transportation of diagnostic equipment because of the
longstanding nature of the Medicare Carriers Manual policy on
furnishing EKGs to patients in their residences or in nursing homes by
``independent'' laboratories. We have some concerns about making this
exception because it is our understanding that some Medicare carriers
are not currently making such payments. However, we anticipate that
this additional cost will be offset, to some degree, nationally by the
discontinuation of transportation payments to independent physiological
laboratories for other types of diagnostic tests that Medicare carriers
may currently allow. In addition, we are modifying our proposal in that
we are maintaining section 2070.1.G of the Medicare Carriers Manual
regarding the homebound status of the beneficiary receiving the
service.
Comment: A carrier medical director questioned why the proposal did
not address whether the diagnostic procedure itself was payable when
furnished by an independent physiological laboratory in settings such
as a nursing home and whether we were suggesting that such procedures
should not be done in nursing homes. The commenter noted that it would
be useful for us to establish a list of ``physiological'' tests that
can be furnished by an independent physiological laboratory.
Response: Our proposal does not address the coverage for procedures
[[Page 63150]]
furnished by independent physiological laboratories. In the absence of
a national policy on the payment for the services, the coverage for
independent physiological laboratory services remains within the
authority of the carrier and must be consistent with any applicable
State or local laws.
Comment: A national organization of suppliers of portable x-ray
services commented that portable x-ray suppliers should be the only
entities paid under the physician fee schedule who may bill for
transportation of diagnostic equipment under HCPCS codes R0070, R0075,
and R0076.
Response: Under the policy we are adopting, approved suppliers of
portable x-ray services are the only entities who may bill HCPCS codes
R0070 and R0075 under the physician fee schedule. Portable x-ray
suppliers and independent physiological laboratories may bill HCPCS
code R0076 for the transportation of EKG equipment used to furnish
standard EKGs (CPT codes 93000 and 93005).
Comment: A national organization whose membership includes primary
care physicians opposed the proposal because it would adversely affect
the availability of portable diagnostic equipment for small hospitals
and for patients in home care and skilled nursing facilities. The
commenter noted that it was not in the best interest of patient care to
force patients to travel to medical facilities outside their
communities to receive the testing and that Medicare carriers should
ensure that transportation payments do not exceed transportation costs.
Response: We believe there is no problem with respect to the
transportation of diagnostic equipment to small hospitals. The hospital
must purchase the service ``under arrangements'' if the service is
provided to its patients. When a hospital purchases services ``under
arrangement,'' it assumes responsibility for the service furnished, and
Medicare intermediary payment is made for this service through one of
several payment mechanisms applicable to payment for hospital services.
Comment: Several commenters indicated that home and facility bound
patients would benefit from expanded coverage of portable ultrasound
services. One commenter indicated that these services offer the patient
a top quality examination while eliminating the trauma and expense of
an ambulance ride and emergency room stay. The commenter requested a
mobile ultrasound transport code and a mobile ultrasound set-up code.
Response: Our proposal does not affect the furnishing of these
procedures in homes or facilities; it merely affects any additional
payment for the transportation of the diagnostic equipment. We can find
no basis in the statute to support separate payments for the
transportation of the equipment used to furnish these services.
Comment: A national physicians' organization recommended we
establish a list of diagnostic services for which transportation
payment will be made. It suggested the list include transportation of
diagnostic equipment used to perform the following:
Frozen section diagnosis in hospitals and other facilities
in which surgery is provided.
Therapeutic apheresis furnished to patients in sites where
the equipment is not available.
Response: The frozen section diagnostic equipment should be
purchased ``under arrangement'' by the hospital and is payable through
Medicare intermediary payment mechanisms. Therapeutic apheresis
services are outside the scope of this proposal, which only relates to
diagnostic tests.
Comment: We received several comments requesting the following:
The definition of an independent physiological laboratory
be extended to include diagnostic and screening mammograms furnished by
certified facilities.
Transportation payments be made to mobile facilities
providing mammography services.
Diagnostic and screening mammography services be added to
the list of covered portable x-ray services.
Response: As indicated in an earlier response, the coverage of
services furnished by independent physiological laboratories is beyond
the scope of this proposal. Furthermore, the Congress has placed the
authority for setting standards for entities furnishing both diagnostic
and screening mammograms with the Food and Drug Administration. If an
independent physiological laboratory were to receive certification from
the Food and Drug Administration, it may furnish these services to
Medicare beneficiaries.
Under the policy we are adopting, the only service furnished by an
independent physiological laboratory for which a separate
transportation payment may be made is a standard EKG.
Under our proposal, we were not planning to make any changes in the
services an approved supplier of portable x-ray services may furnish;
however, the commenter has made a good point about mammography
services. Under the changes made to section 1861(s)(3) of the Act by
section 145(b) of the Social Security Act Amendments of 1994, Public
Law 103-432, enacted on October 31, 1994, we believe that the Congress
has added diagnostic mammography as part of the portable x-ray benefit.
We will issue instructions to Medicare carriers regarding payments
(including transportation payments) for mammograms furnished by
approved portable x-ray suppliers.
Final Decision: We are adopting the proposal to preclude separate
payment for the transportation of diagnostic equipment except under the
following circumstances:
Transportation services billed under HCPCS codes R0070,
R0075, or R0076 in connection with services furnished by approved
suppliers of portable x-ray services as set forth in section 2070.4 of
the Medicare Carriers Manual.
Transportation services billed by an independent
physiological laboratory under HCPCS code R0076 in connection with the
provision of the CPT codes 93000 or 93005 (a 12-lead EKG with
interpretation and report or a 12-lead EKG, tracing only, without
interpretation and report, respectively) furnished under the conditions
set forth in section 2070.1.G. of the Medicare Carriers Manual.
Transportation services billed on a ``by report'' basis
under CPT code 99082 (unusual travel) if a physician submits
documentation to justify ``very unusual'' travel as set forth in
section 15026 of the Medicare Carriers Manual.
Payment for expenses associated with the transportation of
diagnostic equipment under conditions that do not meet any of the above
criteria is included in the practice expense RVUs assigned to the
service or procedure and is not separately payable. In addition, we
plan to develop a proposal related to the transportation of EKG
equipment furnished by any supplier as part of next year's physician
fee schedule regulation.
H. Maxillofacial Prosthetic Services
We proposed to eliminate the carrier-priced status and establish
RVUs for maxillofacial prosthetic services effective for services
performed on or after January 1, 1996. We proposed RVUs for CPT codes
21079 through 21087 and HCPCS codes G0020 and G0021.
The work RVUs that we proposed were developed by the American
Academy of Maxillofacial Prosthetics. We believe they appropriately
represent the work involved in these procedures.
[[Page 63151]]
Because the CPT codes were introduced in 1991 and the HCPCS codes in
1995, we have little or no charge data on which to base practice
expense and malpractice expense RVUs in accordance with section
1848(c)(2)(C) of the Act. Therefore, we imputed the practice expense
and malpractice expense RVUs from the work RVUs based on the practice
cost shares provided by the American Association of Oral and
Maxillofacial Surgeons. Those shares are 54.7 percent for practice
expense and 4.4 percent for malpractice expense.
Comment: We received numerous comments in response to the RVUs
assigned to maxillofacial prosthetic services. Although there was some
support for eliminating the carrier-priced status of these services and
at least one commenter expressed appreciation of the work RVUs, the
commenters were unanimous in objecting to our use of the American
Association of Oral and Maxillofacial Surgeons' practice cost shares.
These commenters stated that the practice and malpractice expenses for
the sub-specialty of maxillofacial prosthetics differ substantially
from those of maxillofacial surgery, primarily due to increased
laboratory, supply, and maxillofacial material costs. The commenters
believed that the RVUs imputed for practice expense are too low and
should be between 65 and 70 percent to accurately reflect the practice
expenses incurred by the prosthodontist. According to the commenters,
the RVUs we proposed for malpractice expense are too high and should be
in the range of 1 percent to 3.5 percent of the total RVUs.
Because maxillofacial prosthodontic practice expenses include
laboratory charges (including precious metals and impression materials)
that are rarely seen in oral and maxillofacial surgery and include
significantly higher practice expenses, the commenters requested that
we revise the RVUs for maxillofacial prosthetic procedures to account
for the higher practice cost shares.
Response: In the absence of charge data, we use the best available
data to impute practice expense and malpractice expense RVUs.
Maxillofacial surgery represented the specialty for which we had
available data that used comparable survey methods. We note, also, that
we are currently working on a resource-based practice expense study
and, as part of this effort, hope to have more definitive data in the
future. At that time, we will reevaluate all maxillofacial practice
expense RVUs.
Final Decision: We are recommending no additional modifications to
the RVUs for maxillofacial codes at this time. The proposed RVUs for
CPT codes 21079 through 21087 are accepted as final. HCPCS code G0020
has been replaced by new CPT code 21076, and G0021 has been replaced by
new CPT code 21077. Because these new CPT codes describe the same
services as the HCPCS codes, the assigned RVUs will not change.
Therefore, the proposed relative values for G0020 and G0021 are
accepted as final but are assigned to CPT codes 21076 and 21077,
respectively. G0020 and G0021 are deleted effective January 1, 1996.
All RVUs for oral maxillofacial prosthetic services are published in
Addendum B.
I. Coverage of Mammography Services
Based on recommendations from the Food and Drug Administration, the
National Cancer Institute, and a carrier medical directors' workgroup,
we proposed to revise the definitions of ``diagnostic'' and
``screening'' mammography in Sec. 410.34 to make them consistent with
previous Medicare coverage policy regarding ``diagnostic'' mammography
and with the way these terms are used in general clinical practice in
the United States. Specifically, we proposed to expand the definition
of ``diagnostic'' mammography in Sec. 410.34(a)(1) to include as
candidates for this service asymptomatic men or women who have a
personal history of biopsy-proven breast disease. However, we proposed
to retain the substance of the present definition of ``screening''
mammography in Sec. 410.34(a)(2) so that patients with a personal
history of breast disease can be considered candidates for the
``screening'' examination, if the woman's attending physician
determines that this is appropriate.
Comment: One commenter indicated that, because of the overlap in
the definitions for ``screening'' and ``diagnostic'' mammograms, the
proposal would lead to allowing almost every mammogram furnished to a
Medicare beneficiary to be covered as a diagnostic mammogram, thereby
increasing Medicare costs for mammograms.
Response: We do not believe the revised definitions will
significantly increase the total number of diagnostic mammography
services furnished. Information from the Medicare carriers indicates
that most asymptomatic patients with a personal history of biopsy-
proven breast disease are already receiving diagnostic mammograms
rather than screening mammograms. This final rule is consistent with
general clinical practice in the United States and falls within the
parameters of Medicare statutory coverage for diagnostic and screening
mammograms.
Comment: Two commenters recommended that we clarify the term ``a
personal history of biopsy-proven breast disease.'' One commenter
assumed that both benign (for example, fibroadenomas) and malignant
neoplasms would fall in that category. The other commenter suggested
that we make a distinction between ``a personal history of breast
cancer'' and ``a personal history of biopsy-proven breast disease.''
Response: We agree that this point needs to be clarified. The
intent of the proposal was to include both benign and malignant
neoplasms within the meaning of the term ``a personal history of
biopsy-proven breast disease.'' Breast diseases, including both benign
and malignant neoplasms, that require a biopsy and subsequently
demonstrate a pathologic process, establish a history of biopsy-proven
breast disease. In the final rule, we are clarifying this by revising
the term ``a personal history of biopsy-proven breast disease'' to read
``a personal history of breast cancer or a personal history of biopsy-
proven benign breast disease.''
Comment: One commenter expressed the opinion that the term
``fibrocystic disease'' referred to in the preamble of the proposed
rule should be more appropriately referenced as ``fibrocystic
changes.''
Response: The terms ``fibrocystic disease'' and ``fibrocystic
changes'' are often used synonymously. We agree that, in our discussion
of this subject in the preamble to the proposed rule, the preferred
term is ``fibrocystic changes.''
Comment: One commenter suggested that the proposal should be
revised to include, as candidates for diagnostic mammography, women who
have a family history of breast disease (within one generation).
Response: While there is a growing consensus among clinicians and
mammography experts that family history is an important etiologic
factor that places women at high risk of developing breast cancer, and
thus eligible for screening mammography at frequent intervals, the data
are not sufficiently definitive at present to consider these women to
be candidates for diagnostic mammography.
Comment: One commenter suggested that we discuss whether women who
have tested positive for any of the recently identified breast cancer
genes, such as BRCA1, should be considered to have a personal history
of breast cancer
[[Page 63152]]
within the meaning of this term in the regulations.
Response: As we stated in the final rule concerning Medicare
coverage of screening mammography that was published in the Federal
Register on September 30, 1994 (59 FR 49826), the term ``a personal
history of breast cancer'' in Sec. 410.34(b)(4) of the regulations was
intended to mean that there is documented evidence in the woman's
medical record that she has tested positive for breast cancer. While
the development of screening tests in this area is promising, we do not
believe that the inclusion of these tests as specific criteria for
coverage of screening mammograms is warranted at this time. However, as
new information becomes available, we will reconsider this issue.
Final Decision: We are adopting our proposal to revise the
definitions of the terms diagnostic and screening mammography in
Sec. 410.34. As requested by several commenters, we are clarifying the
final regulations text by revising the term ``a personal history of
biopsy-proven breast disease'' to read ``a personal history of breast
cancer or a personal history of biopsy-proven benign breast disease.''
III. Anesthesia Issues
A. Modifier Units for Anesthesia Services
In the January 26, 1989 proposed rule (54 FR 3794) and the August
7, 1990 final rule implementing the uniform relative value guide for
physician anesthesia services, we stated our national policy that
Medicare carriers cannot recognize payments for anesthesia modifiers.
Anesthesia modifiers represent additional units charged by physicians
because of the patient's advanced age, poor physical health status, or
unusual circumstances including the performance of anesthesia under
emergency circumstances or anesthesia complicated by the use of
controlled hypotension.
For the 3 years preceding the physician fee schedule, Medicare
carriers had uniformly implemented the policy of not allowing modifier
units in determining payment for physician anesthesia services.
The physician fee schedule legislation required us to use the
uniform relative value guide to the extent feasible and to make any
necessary adjustments to the anesthesia CF. In the November 1991 final
rule (56 FR 59509) to implement the physician fee schedule, we stated
that we were continuing to use the uniform relative value guide to
determine payment for physician anesthesia services under the physician
fee schedule. Since it was the established uniform practice for
Medicare carriers not to recognize modifier units, we believed it was
sufficient to write the regulations to explain only those elements that
the Medicare carrier would recognize in calculating anesthesia
payments, namely anesthesia base and time units. Thus, in the final
rule to implement the physician fee schedule, we did not include
specific regulatory language prohibiting anesthesia modifier units.
Some administrative law judges have interpreted the absence of
language expressly prohibiting the use of modifier units under the
physician fee schedule to mean that modifier units can be allowed. This
is clearly an incorrect interpretation of our regulations, and we have
chosen to clarify this matter by including a specific reference in the
regulations stating that modifier units are not allowed. We have
revised Sec. 414.46 to reflect this policy. Because this clarification
of the regulations is an interpretive change, the law does not require
prior notice and comment. However, we will accept comments on this
change in the regulations.
B. Issue for Change in Calendar Year 1998--Two Anesthesia Providers
Involved in One Procedure
As a result of the revised payment methodology for the anesthesia
care team established by section 13516 of OBRA 1993, we proposed to
apply the medical direction payment policy to the single procedure
involving both the physician and the certified registered nurse
anesthetist. Thus, in Sec. 414.46 we proposed to revise paragraphs (c)
and (d) to state that, in this situation, the payment allowance for the
medical direction service of the physician and the medically directed
service of the certified registered nurse anesthetist or the
anesthesiologist assistant is based on the specified percentage of the
payment allowance in Sec. 414.46(d)(3). In addition, we proposed that
in 1998 and later years, this payment allowance is equal to 50 percent
of the allowance for personally performed procedures.
We proposed to implement this policy on January 1, 1998. At that
time, the change in policy will be done in a budget-neutral manner.
Comment: Commenters referred to those complicated anesthesia cases
when it may be medically necessary for two anesthesia care providers to
be involved. The anesthesia providers could be an anesthesiologist and
a certified registered nurse anesthetist or two anesthesiologists. They
asked whether we would permit full payment for each of these providers
or subject these providers to the new proposal in which case each
provider would receive only 50 percent of the allowance recognized for
the anesthesia case personally performed by a single anesthesiologist.
Response: We are not changing the current policy under which the
Medicare carriers can, on the basis of medical necessity, recognize
full payment for the services of each of two anesthesia providers if
both providers are needed in a single anesthesia case. Thus, the
Medicare carriers can continue, based on medical necessity, to allow
full payment for the service furnished by each anesthesia provider in a
single case.
Comment: A commenter offered an alternative proposal that would
achieve budget neutrality but allow implementation beginning in 1996.
Under the commenter's proposal, which would take effect in 1996, the
payment allowance for both the certified registered nurse anesthetist
and the anesthesiologist involved in the single case would be 50
percent of the allowance recognized for the single anesthesiologist.
Response: The law recognizes that an anesthesia service is either
personally performed by a physician (or nonmedically directed certified
registered nurse anesthetist) or the case is medically directed. We
have implemented the medical direction policy as applying only to two,
three, or four concurrent procedures. Therefore, we deemed the case
involving both the anesthesiologist and the certified registered nurse
anesthetist to be personally performed by the physician. In the July
26, 1995 proposed rule, we proposed to modify the definition of medical
direction to include a single procedure in addition to concurrent
procedures. The statutory provisions governing medical direction
provide that, in 1996, the payment allowance for both the certified
registered nurse anesthetist and the physician are equal to 55 percent
of the single anesthesiologist payment allowance. Thus, there is no
direct authority in the law to recognize a payment allowance that is 50
percent of the single anesthesiologist payment allowance for both the
certified registered nurse anesthetist and the physician.
Final Decision: We will apply the medical direction payment policy
to the single procedure involving both the physician and the certified
registered nurse anesthetist. We will implement this policy on January
1, 1998. At that
[[Page 63153]]
time, the change in policy will be done in a budget-neutral manner.
IV. Refinement of Relative Value Units for Calendar Year 1996 and
Responses to Public Comments on Interim Relative Value Units for 1995
A. Summary of Issues Discussed Related to the Adjustment of Relative
Value Units
Section IV.B. of this final rule describes the methodology used to
review the comments received on the relative value units (RVUs) for
physician work and the process used to establish RVUs for new and
revised CPT codes. (The CPT, which is published annually by the
American Medical Association, is a listing of descriptive terms and
identifying codes for reporting medical services and procedures
performed by physicians.) Changes to codes on the physician fee
schedule reflected in Addendum B are effective for services furnished
beginning January 1, 1996.
B. Process for Establishing Work Relative Value Units for the 1996 Fee
Schedule
Our December 8, 1994 final rule on the 1995 physician fee schedule
(59 FR 63410) announced the final RVUs for Medicare payment for
existing procedure codes under the physician fee schedule and interim
RVUs for new and revised codes. The RVUs contained in the rule apply to
physician services furnished beginning January 1, 1995. We announced
that we would accept comments on interim RVUs for new or revised codes.
We announced that we considered the RVUs for the remaining codes to be
subject to public comment under the 5-year refinement process. In this
section, we summarize the refinements to the interim work RVUs that
have occurred since publication of the December 1994 final rule and our
establishment of the work RVUs for new and revised codes for the 1996
fee schedule.
1. Work Relative Value Unit Refinements of Interim and Related Relative
Value Units
a. Methodology (Includes Table 1--Work Relative Value Unit
Refinements of Interim and Related Relative Value Units).
Although the RVUs in the December 1994 final rule were used to
calculate 1995 payment amounts, we considered the RVUs for the new or
revised codes to be interim. We accepted comments for a period of 60
days. We received approximately 100 substantive comments from 24
specialty societies on approximately 83 CPT codes with interim RVUs.
Only comments received on codes listed in Addendum C of the
December 1994 final rule were considered this year. We will consider
comments we received on other codes under the 5-year refinement
process. We convened a multispecialty panel of physicians to assist us
in the review of the comments with certain exceptions. The comments
that we did not submit to panel review are discussed at the end of this
section. The panel was moderated by our medical staff and consisted of
the following groups:
A clinician representing each of the specialties most
identified with the procedures in question. Each specialist on the
panel was nominated by the specialty society that submitted the
comments. Eleven specialty societies, including primary care, were
represented on the panel.
Primary care clinicians nominated by the American Academy
of Family Physicians, the American Society of Internal Medicine, the
American College of Physicians, and the American Academy of Pediatrics.
Carrier medical directors.
After eliminating the codes with final RVUs and certain codes that
are discussed at the end of this section, we submitted comments on 18
codes for evaluation by the panel. The panel discussed the work
involved in each procedure under review in comparison to the work
associated with other services on the fee schedule. We had assembled a
set of reference services and asked specialty societies to compare
clinical aspects of the work of services they believed were incorrectly
valued to one or more of the reference services. In compiling the set,
we attempted to include: (1) Services that are commonly performed whose
work RVUs are not controversial; (2) services that span the entire
spectrum from the easiest to the most difficult; and (3) at least three
services performed by each of the major specialties so that each
specialty would be represented. The set listed approximately 120
services. Panelists were encouraged to make comparisons to reference
services.
The intent of the panel process was to capture each participant's
independent judgment based on the discussion and his or her clinical
experience. Following each discussion, each participant rated the work
for the procedure. Ratings were individual and confidential, and there
was no attempt to achieve consensus among the panel members.
We then analyzed the ratings based on a presumption that the final
rule RVUs were correct. To overcome this presumption, the inaccuracy of
the interim RVUs had to be apparent to the broad range of physicians
participating in each panel.
Ratings of work were analyzed for consistency among the groups
represented on each panel. In general terms, we used statistical tests
to determine whether there was enough agreement among the groups of the
panel and whether the agreed-upon RVUs were significantly different
from the interim RVUs published in Addendum C of the December 1994
final rule. We did not modify the RVUs unless there was clear
indication for a change. If there was agreement across groups for
change, but the groups did not agree on what the new RVUs should be, we
eliminated the outlier group and looked for agreement among the two
remaining groups as the basis for new RVUs. We used the same
methodology in analyzing the ratings that we used in the refinement
process for the 1993 fee schedule. The statistical tests were described
in detail in the November 25, 1992 final notice (57 FR 55938).
Our decision to convene multispecialty panels of physicians and to
apply the statistical tests described above was based on our need to
balance the interests of those who commented on the work RVUs against
the redistributive effects that would occur in other specialties,
particularly the potential adverse effect on primary care services. Of
the 18 codes reviewed by our multispecialty panel, all of the requests
were for increased values.
We also received comments on RVUs that were interim for 1995 but
which we did not submit to the panel for review for a variety of
reasons. These comments and our decisions on those comments are
discussed in further detail in section VI.B.1.c. of this final rule. Of
the 44 interim work RVUs that were reviewed, approximately 41 percent
were increased, and approximately 59 percent were not changed.
Table 1--Work Relative Value Unit Refinements of Interim Relative Value
Units
Table 1 lists the interim and related codes reviewed during the
1995 refinement process described in this section. This table includes
the following information:
CPT code. This is the CPT code for a service.
Modifier. A ``26'' in this column indicates that the RVUs
are for the professional component of the code.
Description. This is an abbreviated version of the
narrative description of the code.
[[Page 63154]]
1995 work RVUs. The work RVUs that appeared in the
December 1994 rule are shown for each reviewed code.
Requested work RVUs. This column identifies the work RVUs
requested by commenters. We received more than one comment on some
codes, and, in a few of these cases, the commenters requested different
RVUs. The table lists the highest requested RVUs. For some codes, we
received recommendations for an increase or decrease but no specific
RVU recommendations.
1996 work RVUs. This column contains the final RVUs for
physician work.
Basis for decision. This column indicates whether:
--The recommendations of the refinement panel were the basis upon which
we determined that the interim work RVUs published in the December 1994
final rule should be retained (indicator 1);
--A new value emerged from our analysis of the refinement panel ratings
(indicator 2); or
--A new or retained value emerged from some other source (indicator 3).
Codes with an indicator of 3 are discussed following Table 1, in
section VI.B.1.c.
--New or retained values emerged through a combination of the panel
ratings and code descriptor interpretation (indicator 4). Codes with an
indicator of 4 are discussed following Table 1, in section VI.B.1.b.
[[Page 63154]]
Table 1.--Work RVU Refinements of Interim and Related RVUs
----------------------------------------------------------------------------------------------------------------
1995 work Requested 1996 work Basis for
CPT* Mod Description RVU work RVU RVU decision
----------------------------------------------------------------------------------------------------------------
11977.... ......... Removal/reinsert contra cap................... 2.52 3.30 3.30 3
19367.... ......... Breast reconstruction......................... 24.73 26.50 24.73 3
20955.... ......... Microvascular fibula graft.................... 37.58 43.00 37.58 3
25337.... ......... Reconstruct ulna/radioulna.................... 9.10 9.50 9.50 3
25830.... ......... Fusion radioulnar jnt/ulna.................... 9.10 9.50 9.50 3
26580.... ......... Repair hand deformity......................... 15.81 17.71 17.71 3
29445.... ......... Apply rigid leg cast.......................... 1.78 0.57 1.78 3
31276.... ......... Sinus surgical endoscopy...................... 7.42 8.85 8.85 3
37209.... ......... Exchange arterial catheter.................... 1.48 3.66 2.27 2
41822.... ......... Excision of gum lesion........................ 2.26 4.20 2.26 1
41823.... ......... Excision of gum lesion........................ 3.15 4.60 3.15 1
41828.... ......... Excision of gum lesion........................ 1.26 4.44 3.04 2
41830.... ......... Removal of gum tissue......................... 1.12 5.00 3.30 2
43842.... ......... Gastroplasty for obesity...................... 13.76 17.47 13.76 3
43843.... ......... Gastroplasty for obesity...................... 13.76 17.47 13.76 3
43846.... ......... Gastric bypass for obesity.................... 17.84 20.87 17.84 3
43847.... ......... Gastric bypass for obesity.................... 19.87 23.24 19.87 3
43848.... ......... Revision gastroplasty......................... 22.10 24.75 22.10 3
52647.... ......... Laser surgery of prostate..................... 7.42 11.51 9.84 2
52648.... ......... Laser surgery of prostate..................... 8.65 11.51 10.69 2
59855.... ......... Abortion...................................... 4.75 5.80 5.80 3
64820.... ......... Remove sympathetic nerves..................... 9.10 10.00 10.00 3
76093.... 26 Magnetic image, breast........................ 1.63 1.94 1.63 1
76094.... 26 Magnetic image, both breasts.................. 1.63 1.94 1.63 1
76936.... 26 Echo guide for artery repair.................. 1.31 2.64 1.99 2
90849.... ......... Special family therapy........................ 0.59 0.78 0.59 3
90918.... ......... ESRD related services, month.................. 9.77 13.27 11.18 4
90919.... ......... ESRD related services, month.................. 7.13 9.13 8.54 4
90920.... ......... ESRD related services, month.................. 5.86 6.64 7.27 4
90921.... ......... ESRD related services, month.................. 3.06 5.06 4.47 4
92587.... 26 Evoked auditory test.......................... 0.13 1.40 0.13 3
92588.... 26 Evoked auditory test.......................... 0.36 1.70 0.36 3
93350.... 26 Echo exam of heart............................ 0.78 Increase 0.78 3
93990.... 26 Doppler flow testing.......................... 0.25 1.18 0.25 1
95812.... 26 Electroencephalogram (EEG).................... 1.08 1.75 1.08 4
95813.... 26 Electroencephalogram (EEG).................... 1.73 2.50 1.73 4
96913.... ......... Photochemotherapy, UV-A or B.................. 0.00 Increase 0.00 3
97124.... ......... Massage therapy............................... 0.35 Decrease 0.35 3
97265.... ......... Joint mobilization............................ 0.45 Decrease 0.45 3
99354.... ......... Prolonged service, office..................... 1.51 2.33 1.51 3
99355.... ......... Prolonged service, office..................... 1.51 1.20 1.51 3
99356.... ......... Prolonged service, inpatient.................. 1.44 3.00 1.44 3
99357.... ......... Prolonged service, inpatient.................. 1.44 1.50 1.44 3
99375.... ......... Care plan oversight/30-60..................... 1.06 2.65 1.73 2
----------------------------------------------------------------------------------------------------------------
b. Discussion of codes reviewed by the panel for which
clarification of the description of the service is required.
For several of the codes reviewed by the refinement panel, it was
necessary to reach agreement on the meaning of the codes before
individual ratings of work could be provided. In the following
paragraphs, we summarize the
[[Page 63155]]
panel's understanding of the nature and extent of the services included
in the codes for which extensive discussion was required.
End-stage renal disease services, per full month (CPT codes 90918
through 90921).
Before rating the work of CPT codes 90918 through 90921, the
refinement panel discussed the definition of the monthly capitation
payment and the list of services included in and excluded from the
monthly capitation payment that was developed by the Renal Physicians
Association and presented to the RUC and the refinement panel. The
refinement panel also reviewed HCFA regulations regarding the monthly
capitation payment and agreed to rate the work of the codes based on
the following definition and list of services included in and excluded
from the monthly capitation payment.
The monthly capitation payment for maintenance dialysis is defined
as a comprehensive monthly payment that covers all physician services
associated with the continuing medical management of a maintenance
dialysis patient.
The following physician services are included in the monthly
capitation payment:
Assessment and determination of the need for outpatient
chronic dialysis therapy.
Assessment of the need for a specified diet and the need
for nutritional supplementation for the control of chronic renal
failure. Specification of the quantity of total protein, high biologic
protein, sodium, potassium, and amount of fluids to be allowed during a
given time period. For diabetic patients with chronic renal failure,
the prescription usually includes specification of the number of
calories in the diet.
Assessment of which mode(s) of chronic dialysis (types of
hemodialysis or peritoneal dialysis) are suitable for a given patient
and recommendation of the type(s) of therapy for a given patient.
Assessment and determination of which type of dialysis
access is best suited for a given patient and arrangement for creation
of dialysis access.
Assessment of whether the patient meets preliminary
criteria as a renal transplant candidate and presentation of this
assessment to the patient and family.
Prescription of the parameters of intradialytic
management. For chronic hemodialysis therapies, this includes the type
of dialysis access, the type and amount of anticoagulant to be
employed, blood flow rates, dialysate flow rate, ultrafiltration rate,
dialysate temperature, type of dialysate (acetate versus bicarbonate)
and composition of the electrolytes in the dialysate, size of
hemodialyzer (surface area) and composition of the dialyzer membrane
(conventional versus high flux), duration and frequency of treatments,
the type and frequency of measuring indices of clearance, and
intradialytic medications to be administered. For chronic peritoneal
dialysis therapies, this includes the type of peritoneal dialysis, the
volume of dialysate, concentration of dextrose in the dialysate
electrolyte composition of the dialysate, duration of each exchange,
and addition of medication to the dialysate, such as heparin, and the
type and frequency of measuring indices of clearance. For diabetics,
the quantity of insulin to be added to each exchange is prescribed.
Assessment of whether the patient has significant renal
failure-related anemia, determination of the etiology(ies) for the
anemia based on diagnostic tests, and prescription of therapy for
correction of the anemia, such as vitamins, oral or parenteral iron,
and hormonal therapy such as erythropoietin.
Assessment of whether the patient has hyperparathyroidism
and/or renal osteodystrophy secondary to chronic renal failure and
prescription of appropriate therapy, such as calcium and phosphate
binders for control of hyperphosphatemia. Based upon assessment of
parahormone levels, serum calcium levels, and evaluation for the
presence of metabolic bone disease, the physician determines whether
oral or parenteral therapy with vitamin D or its analogs is indicated,
and prescribes the appropriate therapy. Based upon assessment and
diagnosis of aluminum bone disease, the physician may prescribe
specific chelation therapy with deferoxamine and the use of
hemoperfusion for removal of aluminum and the chelator.
Assessment of whether the patient has dialysis-related
arthropathy or neuropathy and adjustment of the patient's prescription
accordingly. Referral of the patient for any additional needed
specialist evaluation and management of these end-organ problems.
Assessment of whether the patient has fluid overload
resulting from renal failure and establishment of an estimated ``ideal
(dry) weight.'' The physician determines the need for fluid removal
independent of the dialysis prescription and implements these measures
when indicated.
Determination of the need for and prescription of anti-
hypertensive medications and their timing relative to dialysis when the
patient is hypertensive in spite of correction of fluid overload.
Periodic review of the dialysis records to ascertain
whether the patient is receiving the prescribed amount of dialysis and
ordering of indices of clearance, such as urea kinetics, in order to
ascertain whether the dialysis prescription is producing adequate
dialysis. If the indices of clearance suggest that the prescription
requires alteration, the physician orders changes in the hemodialysis
prescription, such as blood flow rate, dialyzer surface area, dialysis
frequency, and/or dialysis duration (length of treatment). For
peritoneal dialysis patients, the physician may order changes in the
volume of dialysate, dextrose concentration of the dialysate, and
duration of the exchanges.
Periodic visits to the patient during dialysis to
ascertain whether the dialysis is working well and whether the patient
is tolerating the procedure well (physiologically and psychologically).
During these visits, the physician determines whether alteration in any
aspect of a given patient's prescription is indicated, such as changes
in the estimate of the patient's dry weight. Review of the treatment
with the nurse or technician performing the therapy is also included.
The frequency of these visits will vary depending upon the patient's
medical status, complicating conditions, and other determinants.
Performance of periodic physical assessments, based upon
the patient's clinical stability, in order to determine the necessity
for alterations in various aspects of the patient's prescription.
Similarly, the physician reviews the results of periodic laboratory
testing in order to determine the need for alterations in the patient's
prescription, such as changes in the amount and timing of phosphate
binders or dose of erythropoietin.
Periodic assessment of the adequacy and function of the
patient's dialysis access.
Assessment of patients on peritoneal dialysis for evidence
of peritonitis and the ordering of appropriate tests and antibiotic
therapy.
[[Page 63156]]
Periodic review and update of the patient's short-term and
long-term care plans with staff.
Coordination and direction of the care of patients by
other professional staff, such as dieticians and social workers.
Certification of the need for items and services such as
durable medical equipment and home health care services. Care plan
oversight services described by CPT code 99375 also are included in the
monthly capitation payment and may not be separately reported.
The following physician services are excluded from the monthly
capitation payment:
Surgical services such as--
--Temporary hemodialysis catheter placement.
--Permanent hemodialysis catheter placement.
--Temporary peritoneal dialysis catheter placement.
--Permanent peritoneal dialysis catheter placement.
--Repair of existing dialysis accesses.
--Placement of catheter(s) for thrombolytic therapy.
--Thrombolytic therapy (systemic, regional, or access catheter only;
hemodialysis or peritoneal dialysis).
--Thrombectomy of clotted cannula.
--Arthrocentesis.
--Bone marrow aspiration.
--Bone marrow biopsy.
Interpretation of tests that have a professional component
such as:
--Electrocardiograms (12 lead, Holter monitor, stress tests, etc.).
--Echocardiograms.
--24-hour blood pressure monitor.
--Nerve conduction velocity and electromyography studies.
--Flow doppler studies.
--Bone densitometry studies.
--Biopsies.
--Spirometry and complete pulmonary function tests.
Complete evaluation for renal transplantation. While the
physician assessment of whether the patient meets preliminary criteria
as a renal transplant candidate is included under the monthly
capitation payment, the complete evaluation for renal transplantation
is excluded from the monthly capitation payment.
Evaluation of potential living transplant donors.
The training of patients to perform home hemodialysis,
self hemodialysis, and the various forms of self peritoneal dialysis.
Non-renal related physician's services. These services may
be furnished by the physician providing renal care or by another
physician. They may not be incidental to services furnished during a
dialysis session or office visit necessitated by the renal condition.
For example, the medical management of diabetes mellitus that is not
related to the dialysis or furnished during a dialysis session is
excluded.
Covered physician services furnished to hospital
inpatients, including services related to inpatient dialysis, by a
physician who elects not to continue to receive the monthly capitation
payment during the period of inpatient stay. In these cases, the
physician receives a prorated portion of the monthly capitation payment
for that month.
All physician services that antedate the initiation of
outpatient dialysis.
While the refinement panel agreed to rate the work of the monthly
capitation payment codes based on the above definitions, it was unable
to reach consensus on whether the interpretation of all tests that have
a professional component should be included in or excluded from the
monthly capitation payment. Because the American Medical Association
Specialty Society Relative Value Update Committee (RUC) recommendations
were based on the Renal Physicians Association's definition, which
excludes test interpretations from the monthly capitation payment, it
was decided to rate the physician work based on an assumption that the
physician work associated with test interpretations was excluded from
the monthly capitation payment and included in other codes that would
be reported separately. It was also agreed that the Renal Physicians
Association and HCFA would examine current utilization data and that
HCFA would consider bundling the work of test interpretations into the
monthly capitation payment. This would lead to adding additional RVUs
to the RVUs that emerged from the panel ratings. The RVUs that emerged
from the statistical tests of the refinement panel were 4.45.
Subsequent to the refinement panel, we analyzed utilization data on
test interpretations provided to end-stage renal disease patients by
monthly capitation payment physicians. In general, most physicians who
are paid under the monthly capitation payment method do not separately
bill for test interpretations. Based on our analysis, we have bundled
the work RVUs of the test interpretations listed below into the monthly
capitation payment:
Bone mineral density studies (CPT codes 76070, 76075,
78350, and 78351).
Non-invasive vascular diagnostic studies of hemodialysis
access (CPT codes 93925, 93926, 93930, 93931, and 93990).
Nerve conduction studies (CPT codes 95900, 95903, 95904,
95925, 95926, 95927, 95934, 95935, and 95936).
Electromyography studies (CPT codes 95860, 95861, 95863,
95864, 95867, 95868, 95869, and 95872).
In performing our analysis, we took into account the fact that the
coding for the four categories of services listed above has changed in
the past 2 years. Thus, while we used all of the most current
utilization data, the specific codes listed may be new, revised or
deleted from CPT 1996. When the physician receiving the monthly
capitation payment payment performs the services listed above, we will
not make separate payment. However, these and other medically necessary
services that are included or bundled into the monthly capitation
payment are separately payable when furnished by physicians other than
the monthly capitation payment physician.
The bundling of these services leads to the addition of 0.02 RVUs
to the refinement panel rating of 4.45 RVUs to result in the assignment
of 4.47 RVUs. Medically necessary services that are included or bundled
into the monthly capitation payment are separately payable when
furnished by physicians other than the monthly capitation payment
physician.
We next increased the RVUs of the pediatric monthly capitation
payment CPT codes (90918 through 90920) to maintain the relationship of
adult to pediatric services that we established in last year's final
rule. This led to the assignment of 11.18 RVUs to CPT code 90918, 8.54
RVUs to CPT code 90919, and 7.27 RVUs to CPT code 90920.
Electroencephalogram Codes
Before rating the work of CPT codes 95812 and 95813
(electroencephalogram (EEG) extended monitoring), the panel discussed
extensively the work involved in EEG monitoring compared to other EEG
and electrodiagnostic services on the fee schedule. Subsequent to the
panel meeting, the American Academy of Neurology provided us with the
following written definitions and clinical vignettes to clarify the
types of services that should be coded using nine
[[Page 63157]]
common EEG diagnostic codes by comparing and contrasting them. The
panel members discussed these definitions of the EEG services before
they rated the work of extended EEG monitoring.
Extended EEG; up to one hour (CPT code 95812).
EEG recording is conducted for 45 to 60 minutes. Hyperventilation,
photic stimulation and/or oral sedation may be used. The physician
reviews in detail the entire 45-to-60 minute record (270 to 360 pages
of standard EEG paper).
The following is a vignette for CPT code 95812: A 35-year-old woman
experiences episodic loss of consciousness. Differential diagnosis
includes syncope and several types of seizure disorder. The EEG is
extended because the EEG technologist detected no epileptic
abnormalities during the first 20 to 30 minutes of recording, and the
physician had requested a longer recording if needed to find
abnormalities. Bursts of epileptic abnormalities are finally detected
at 55 minutes into the recording. This helps make the diagnosis of a
seizure disorder. The type of epileptic abnormalities seen on the EEG
guides the diagnosis and choice of medications.
Extended EEG; greater than one hour (CPT code 95813).
EEG recording is conducted continuously for more than 1 hour.
Hyperventilation, photic stimulation and/or oral sedation may be used.
The recording is continued until the events sought are obtained, if
possible. Typical recording time is 2 to 3 hours. The physician reviews
the entire recording in detail (typically equal to 360 to 1,000-plus
pages of standard EEG paper). The entire continuous EEG recording is
also interpreted for additional diagnostic information.
The following is a vignette for CPT code 95813: A 55-year-old woman
is comatose in the intensive care unit with multiple medical problems
and is having repeated episodes of movements possibly representing
epileptic seizures. Continuous EEG recording is performed for 3 hours,
including recording during two of her episodes. Four additional
subclinical ictal events were also detected on the EEG beyond the two
events noted by the nurses. Events are determined to be epileptic
seizures, and a treatment plan is developed accordingly.
Awake EEG (CPT code 95816).
The test is conducted with the patient awake. The patient often
becomes drowsy or may briefly fall asleep, but the test is not run
deliberately to obtain sleep. Hyperventilation and/or photic
stimulation are usually obtained. The minimum recording time is 20
minutes. The typical recording time is 20 to 25 minutes. The physician
reads in detail the entire 20-to-25 minute record (120 to 150 pages of
standard EEG paper).
The following is a vignette for CPT code 95816: A 60-year-old man
complains of memory and other cognitive impairment. Differential
diagnosis includes dementia and depression. EEG seeks objective
evidence of organic impairment supporting a diagnosis of a dementia.
EEG awake and asleep (CPT code 95819).
Sleep is deliberately sought during the EEG record to identify
specific epileptic abnormalities. The patient may be sleep-deprived
before the recording or given sedative medication to induce sleep. The
recording continues until at least 5 minutes of Stage 2 sleep is
obtained. During the awake portion of the recording, hyperventilation
and/or photic stimulation are usually obtained. The minimum recording
time is 20 minutes. The typical recording time is 30 to 35 minutes. The
physician reads in detail the entire 30-to-35 minute record (180 to 210
pages of standard EEG paper).
The following is a vignette for CPT code 95819: A 25-year-old woman
experiences recent onset of lapses of consciousness. The differential
diagnosis includes syncope and several types of seizure disorders. A
test is conducted to look for evidence of a seizure disorder and to
help specify which type of seizure disorder.
EEG; sleep only (CPT code 95822).
The EEG is conducted with the patient asleep, stuporous, or
comatose. Little or no awake EEG is recorded. Hyperventilation and
photic stimulation are generally not performed. Stuporous or comatose
patients may be stimulated by the technologist to attempt to induce
state changes. The minimum recording time is 20 minutes. The typical
recording time is 20 to 30 minutes. The physician reads in detail the
entire 20 to 30 minute record (120 to 180 pages of standard EEG paper).
The following is a vignette for CPT code 95822: A 45-year-old man
is comatose after a head injury. An EEG is performed to assess the
depth of the coma, assist in assessing prognosis, and evaluate for
epileptic discharges or focal cerebral abnormality.
EEG; all night sleep only (CPT code 95827).
Prolonged EEG recording is performed by leaving equipment at the
hospital bedside. The recording may or may not be continuous. If not
continuous, the recording is done periodically as needed. The minimum
time the EEG is at the bedside is 8 hours. The physician scans the
hours-long records, reading in detail selected or specific portions.
The minimum amount of the EEG actually reviewed in detail is 20 minutes
of recording (120 pages of standard EEG paper). The typical amount
reviewed in detail is 30 to 40 minutes.
The following is a vignette for CPT code 95827: A 3-year-old boy is
comatose from near-drowning. The patient is in a therapeutic
barbiturate coma. The EEG is used to titrate the amount of barbiturate
to keep the EEG in burst-suppression. Incidental observations are made
of any epileptic discharges or focal features. The EEG is kept at the
intensive care unit bedside for 3 days. Each day, 50 to 90 minutes of
EEG are printed, of which 20 to 30 minutes (120 to 180 pages of
standard EEG paper) are reviewed in detail, and other pages are scanned
for relevant events.
Electrocorticography (CPT code 95829).
The EEG is recorded in the operating room from electrodes applied
directly to the surgically exposed cerebral cortex. Many separate
recording sites are used. While it is being recorded in the operating
room, the EEG is interpreted by the EEG physician, who is present in
the operating room for 60 minutes or more. The EEG physician uses the
EEG features for determining the extent of surgical resection of the
cerebral cortex. During this 60 minutes, 30 to 60 minutes of EEG
recording (minimum 20 minutes) are made from various cortical recording
sites.
The following is a vignette for CPT code 95829: A 25-year-old man,
disabled by medically refractory epileptic seizures, undergoes a
craniotomy to resect a portion of his temporal lobe. The EEG physician
interprets the record in the operating room. Electrocorticography is
used to define the extent of epileptic spiking and slowing, and the
resection is tailored to include regions of electrically identified
pathology. Follow-up recording is made to check for any remaining
epileptic spiking after resection.
Ambulatory EEG monitoring (CPT code 95950).
The EEG is recorded onto a long-term storage medium such as
magnetic disc
[[Page 63158]]
or tape, using a small portable recorder. The patient is free to take
this home, returning to the laboratory one or several days later. The
recording is continuous for 24 hours per day. The patient, family, and
friends write notes about clinical events. The recorded EEG is scanned
to find these or other events of clinical interest. Around the time of
each clinical event of interest, 5 to 10 minutes of the EEG is reviewed
in detail. The EEG is also surveyed for other EEG findings of clinical
importance.
The following is a vignette for CPT code 95950: A 12-year-old boy
has episodes of staring or daydreaming, possibly representing
nonconvulsive seizures. Previous routine EEG recording was normal.
Ambulatory EEG is conducted to search for signs of epileptic
abnormality. During 2 days of ambulatory monitoring, 6 clinical
daydreaming events are noted by the family. These demonstrate petit mal
seizures, as do 10 additional events not noted by the family but found
on EEG review. A treatment plan is developed accordingly.
Video EEG long-term monitoring (CPT code 95951).
This daily procedure is used when video and EEG are continuously
recorded for several days. Continuous videotaping of the patient's
behavior is made simultaneously with the EEG. Monitoring is usually
conducted in a specialized inpatient epilepsy evaluation and monitoring
unit, with the patient's antiepileptic medications reduced or withdrawn
to induce epileptic seizures. The physician reviews the EEG and
videotapes recorded before, during, and after each captured epileptic
seizure. Typically, several seizures may occur each day. In some
patients, no seizures may occur for several days, whereas other
patients may have more than a dozen seizures per day. Randomly selected
recorded segments are also chosen for review and comparison to look for
subclinical seizures and isolated epileptic EEG discharges. Monitoring
generally is continued until at least 5 seizures are captured to
characterize and to localize the abnormality. The exact number of
seizures needed varies with the specific clinical circumstances and the
nature of EEG findings.
The following is vignette number one for CPT code 95951: A 25-year-
old man has become totally disabled as a result of frequent medically
refractory epileptic seizures. Long-term video EEG monitoring for 4
days captures 6 seizures and localizes the ictal onset sufficiently to
refer the patient for surgical excision of the epileptic area.
Localization for surgical excision is based primarily on this EEG
localization. After eventual surgical excision, the patient becomes
seizure-free, stops medication, and is no longer disabled.
The following is vignette number two for CPT code 95951: A 9-year-
old boy has frequent seizures not controlled by medication, during some
of which he abruptly falls to the ground. Because of the falls, he has
lacerated his scalp on several occasions, requiring trips to the
emergency room for x-rays, sutures, and antibiotic treatment. His
physicians are considering corpus callosum section, but some of the
clinical data suggest that the seizures may be originating from a more
localized area of one frontal lobe. Forty seizures are recorded in 2
days, some of which appear to originate from this region. Analysis of
the recordings indicates, however, that the majority do not, and he
undergoes callosal section. Following callosal section, he no longer
has ``falling seizures'' and no longer needs to wear a helmet for
protection. He does continue to have focal seizures of one arm.
We have finalized the interim RVUs for the EEG CPT codes; we have
not changed any of the interim RVUs for these codes. However, we have
clarified the descriptors for the CPT codes for the services. We have
assigned 1.08 RVUs to CPT code 95812, 1.73 RVUs to CPT code 95813, 1.08
RVUs to CPT code 95816, 1.08 RVUs to CPT code 95819, 1.08 RVUs to CPT
code 95822, 1.08 RVUs to CPT code 95827, 6.21 RVUs to CPT code 95829,
1.51 RVUs to CPT code 95950, and 3.80 RVUs to CPT code 95951.
c. Discussion of codes not reviewed by the panel.
Codes listed in Table 1 with a basis of decision of ``3'' fall into
several categories. For most of these codes, we received comments that
were not considered by the multispecialty refinement panel for a
variety of reasons. Those codes and our rationale for the final work
RVUs we have established for the codes are discussed below.
Removal with reinsertion, implantable contraceptive capsules (CPT
code 11977).
Comment: A commenter stated that we erred in rejecting the RUC
recommendation of 3.30 RVUs for CPT code 11977. The commenter
recommended that ``Removal with reinsertion'' should be assigned the
full value of both CPT code 11975 (Insertion, implantable contraceptive
capsules) and CPT code 11976 (Removal, implantable contraceptive
capsules). Typically, the new capsules are inserted at a different site
than the one from which the old capsules were removed, thus requiring a
second incision and closure. In addition, the amount of preservice and
postservice work associated with reinsertion is similar to the
preservice and postservice work for the original insertion. The
physician must ascertain that the patient has not undergone changes in
health status or experienced side effects that would make her an
unsuitable candidate for this contraceptive method and must instruct
her about follow-up care and potential complications.
Response: We agree with the comment and have assigned 3.30 RVUs to
CPT code 11977, as recommended.
Breast reconstruction with a TRAM flap (CPT code 19367).
Comment: A commenter recommended that the RVUs of CPT code 19367 be
increased from 24.73 to a minimum 26.50 RVUs. The commenter stated that
breast reconstruction is similar to facial fracture surgeries and that
in comparison to CPT code 21159 (Le Forte III), with 40.99 RVUs, a TRAM
flap reconstruction is a much larger procedure.
Response: We disagree with this comment that we believe may have
been based on a misunderstanding of CPT code 21159. This code is used
to report reconstruction of the midface. It is not used to report the
repair of facial fractures. When compared to the RVUs of codes for the
open repair of a facial fracture, for example, CPT code 21432, which is
assigned 8.05 RVUs, the RVUs of the breast reconstruction code are much
higher. The 24.73 interim RVUs, which were based on a RUC
recommendation, will be made final.
Microvascular fibula graft (CPT code 20955).
Comment: A commenter recommended 43.00 RVUs for this procedure,
which was described as a very delicate, labor-intensive procedure
particularly for mandible reconstruction, multiple osteotomies, and
plate and wire fixation. The commenter stated that the work and
postoperative care can be compared to twice that of a breast
reconstruction with a TRAM flap (CPT code 19367), with 24.73 RVUs.
Because of the nature of this delicate procedure, the risks for
malpractice are greater than for any
[[Page 63159]]
other bone procedure. These risks include complications such as foot
drop, sensory loss of the lower extremity, complications related to
skin graft healing, chronic pain, and wound closure.
Response: We agree this is a complex procedure as confirmed by our
acceptance of a RUC recommendation of 38.00 RVUs (see Table 4,
``American Medical Association RUC Recommendations and HCFA's
Decisions,'' in our December 8, 1994 final rule with comment period (60
FR 63441)). We do not believe, however, the arguments presented warrant
an increase to 43.00 RVUs, which would be nearly 3.00 RVUs higher than
the reference code for repair of a thoracoabdominal aortic aneurysm
with graft (CPT code 33877) valued at 40.29 RVUs. We have retained
38.00 RVUs for CPT code 20955 (37.58 RVUs after adjustment for budget
neutrality).
Reconstruction for stabilization of unstable distal ulna or distal
radioulnar joint (CPT code 25337).
Comment: A commenter disagreed with our decision to value new CPT
code 25337 at 9.10 RVUs instead of 9.50 RVUs as the RUC recommended.
The commenter stated that the preservice and postservice work is quite
similar between the new code and the reference service, CPT code 25312.
The commenter also stated the intraservice work requires more skill,
effort, and time because the new code may involve a two-tendon transfer
with two skin incisions, hence, a larger surgical exposure. The
potential of injury to the ulnar nerve is high. Confirmation of an
accurate reduction of the distal ulna requires an intraoperative x-ray,
and, frequently, internal fixation with K-wires. Tunnels must be
drilled into bone to allow passage of the tendons.
Response: We agree with the comment and have assigned 9.50 RVUs to
CPT code 25337, as recommended.
Distal radioulnar joint arthrodesis and segmental resection of ulna
(Sauve-Kapandji procedure) (CPT code 25830).
Comment: A commenter stated that the work of CPT code 25830 is
equal to the work of CPT code 25337 (Distal radioulnar tenodesis) and
recommended that 9.50 RVUs are the most appropriate RVUs for both
codes. The commenter also stated that the RUC accepted CPT code 25390
(Osteoplasty, radius or ulna; shortening), with 9.96 RVUs, as a
reference service for new CPT code 25830. This reference service
involves excising a carefully measured segment of ulna followed by
internal fixation using a plate and screws. Preoperative work is
somewhat greater than the work in new CPT code 25830. New CPT code
25830 is similar to the reference service in that a small segment of
ulna is excised and then fused to the adjacent radius using pins or
screws. Plates are not used and the amount of excised ulna is less
critical. For these clinical reasons, the commenter recommended 9.50
RVUs for CPT code 25830.
Response: We agree with the comment and have assigned 9.50 RVUs to
CPT code 25830, as recommended.
Repair of cleft hand (CPT code 26580).
Comment: A commenter disagreed with our decision to value CPT code
26580 at 15.99 RVUs (15.81 RVUs rescaled) instead of 17.71 RVUs, as the
RUC recommended (see Table 4 of our December 8, 1994 final rule with
comment period (60 FR 63441)). The commenter objected to the use of CPT
code 28360 (Repair of a cleft foot) as the reference service. The
commenter argued that the choice of this code as a reference service
was inappropriate because of its clinical dissimilarity to the revised
code. The commenter stated that CPT code 26590 (Repair macrodactylia),
with 17.63 RVUs, is a more appropriate reference service. This code
deals with a congenital anomaly of the digits of the hand requiring
exacting microsurgical reconstruction of soft tissue, nerves, and bone
in an infant. Revised CPT code 26580 requires metacarpal alignment by
soft tissue dissection or metacarpal osteotomy requiring internal
fixation, reconstruction of the deep transverse metacarpal ligament,
and a thumb re-alignment to allow opposition. Mobilization of skin
flaps may be necessary to achieve skin closure. This is a microsurgical
procedure performed in infants, with an amount of work similar to the
work involved in CPT code 26590. For these clinical reasons, the
commenter recommended that revised CPT code 26580 should have 17.71
RVUs.
Response: We agree with the comment and have assigned 17.71 RVUs to
CPT code 26580, as recommended.
Application of rigid total contact leg cast (CPT code 29445).
Comment: A commenter stated that this service is overvalued
compared to the application of an Unna boot (CPT code 29580), with 0.57
RVUs.
Response: We disagree that this service is overvalued. The
application of a rigid total contact leg cast (CPT code 29445) involves
more work than the application of an Unna boot because it requires the
physician to custom make and fabricate the walking surface for each
cast. The patient is usually diabetic with a grade 1 or 2 foot ulcer.
The use of casts by these patients is risky because they are at risk of
developing additional ulcers. Therefore, a great deal of time is spent
ensuring that the cast will fit properly. Unlike Unna boots or other
casts, total contact casts are always performed personally by a
physician who must hold the foot in place while applying the cast.
Nasal/sinus endoscopy, surgical with frontal sinus exploration,
with or without removal of tissue from frontal sinus (CPT code 31276).
Comment: A commenter objected to the assigned 7.42 RVUs and
requested an increase to 8.85 RVUs. The commenter presented the
following description of the procedure. This procedure is performed
around the middle turbinate anterior attachment in the frontal recess
at 90 degrees to the line of sight. It requires the use of 70 and 30
degree telescopes, small-angled forceps, curettes, and hooks. It
requires an exhaustive knowledge of frontal recess anatomy, very
delicate technique, removal of tiny bone fragments, preservation of
mucosa, and a dry field. It is very tedious and time-consuming. The
commenter believed that the overall intensity and time is significantly
greater for the endoscopic frontal sinustomy than either a total
ethmoidectomy (CPT code 31255), with 6.96 RVUs, or an external frontal
sinusotomy (CPT code 31075), with 8.85 RVUs.
Response: We agree with the comment and have assigned 8.85 RVUs to
CPT code 31276, as recommended.
Gastroplasties and gastric bypass for obesity (CPT codes 43842,
43843, 43846, 43847, and 43848).
Comment: A commenter requested a re-evaluation of the entire family
of codes because of a lack of representation of bariatric surgeons in
the original resource-based relative value scale process. The commenter
stated that the modest increase in the RVUs we assigned to these
procedures still left a deficit valuation of approximately 27 percent
for CPT codes 43842 and 43843, 17 percent for CPT codes 43846 and
43847, and 12 percent for CPT code 43848.
Response: We have not revised the interim RVUs because we do not
believe the commenter made a compelling argument for change. We also
disagree that the increases in RVUs assigned to
[[Page 63160]]
these codes were modest. As we discussed in Table 4 of our December 8,
1994 final rule (59 FR 63444), the increases were as follows: CPT code
43842 from 11.99 RVUs to 13.91 RVUs; CPT code 43843 from 11.99 RVUs to
13.91 RVUs; CPT code 43846 from 12.90 RVUs to 18.04 RVUs; CPT code
43847 from 14.32 RVUs to 20.09 RVUs; and, CPT code 43848 from 15.00
RVUs to 22.35 RVUs. When the RVUs were adjusted for budget neutrality,
the RVUs were as follows: CPT code 43842, assigned 13.76 RVUs; CPT code
43843, assigned 13.76 RVUs; CPT code 43846, assigned 17.84 RVUs; CPT
code 43847, assigned 19.87 RVUs; and, CPT code 43848 assigned 22.10
RVUs. We believe that further increases would create rank order
anomalies with other abdominal surgical procedures on the physician fee
schedule.
Induced abortion, by one or more vaginal suppositories (eg.
prostaglandin) with or without cervical dilation (eg. laminaria),
including hospital admission and visits (CPT code 59855).
Comment: A commenter recommended that we assign the RUC-recommended
5.80 RVUs to CPT code 59855. The commenter believed that our rationale
for lowering the work RVUs to 4.80 (4.75 rescaled) was ``the physician
work in placing suppositories is less than the work in an
amnioinjection, regardless of the number of suppositories needed'' and
that CPT code 59855 requires less physician work than CPT code 59850
(Induced abortion by amnioinjection). The commenter stated that while
it is true that the procedural work associated with placing
suppositories is less than the procedural work associated with
amnioinjection, placement of the suppositories or performance of the
amnioinjection is only one element of the total work of each of these
services. Use of prostaglandin suppositories typically results in more
side effects that the physician must manage over a period of time that
is longer than that associated with the amnioinjection, increasing the
amount of evaluation and management work for CPT code 59855. Overall,
CPT code 59855 requires a greater amount of physician work than CPT
code 59850.
Response: We agree with the comment and have assigned 5.80 RVUs to
CPT code 59855, as recommended.
Sympathectomy, digital arteries (CPT code 64820).
Comment: A commenter disagreed with our decision to value CPT code
64820 at 9.20 RVUs (9.10 RVUs rescaled) instead of 10.00 RVUs as the
RUC recommended. The commenter objected to our determination that the
work involved in new CPT code 64820 is approximately the same as the
repair of a blood vessel of the hand or finger (CPT code 35207). The
commenter stated that the work on the two vessels involved in a digital
sympathectomy is not similar to the anastomosis of a single vessel and
offered the following explanation. CPT code 35207 involves the repair
of a single injured vessel through an existing skin laceration. CPT
code 35207 has less preservice and intraservice work than new CPT code
64820. Digital sympathectomy is performed in individuals with
vasospastic disease of the hand and severe ischemic pain frequently
with ulceration of the finger tip. Two vessels are always treated
through an extensile palmar incision on the radial and ulnar side of a
digit. Using an operating microscope and jeweler's forceps, a tedious
removal of the adventitia is performed for a distance of 1.5 to 2.0
centimeters. Extraordinary care must be taken to avoid perforating the
vessel. Damaging the vessel's media or intima will cause thrombosis and
possible gangrene of the finger. Considering the clinical circumstances
regarding the patient indications and actual intraservice work, digital
sympathectomy represents a greater intensity of work than CPT code
35207, as measured by increased mental effort and judgment, greater
technical skill, and considerably more psychological stress.
Postservice work is similar for both codes, however, with an average of
four office visits after the procedure. For these clinical reasons, the
commenter recommended that new CPT code 64820 should have 10.00 RVUs.
Response: We agree with the comment and have assigned 10.00 RVUs to
CPT code 64820, as recommended.
Multiple-family group medical psychotherapy (CPT code 90849).
Comment: A commenter recommended increases for all psychiatric
services in response to our request for comments as part of the 5-year
refinement of RVUs under the physician fee schedule. Included in that
comment was a recommendation to increase the RVUs for CPT code 90849
from 0.59 to 0.78 to maintain the relative value with the recommended
increases for the other psychiatric codes.
Response: The RVUs assigned to this code were based on a 1994 RUC
recommendation that we accepted. We have not increased the RVUs this
year because we believe it is an issue for the 5-year refinement. We
will consider the recommended RVUs as part of that process. In the
meantime, we will maintain the assigned 0.59 RVUs.
Evoked otoacoustic emissions testing (CPT codes 92587 and 92588).
Comment: A commenter recommended that we provide a ten-fold
increase in the RVUs for these audiology services to ``properly
compensate for the training, effort, and time necessary to diagnose
hearing loss and related disorders.''
Response: We have not accepted this comment because it did not
provide enough clinical information about the nature of the work to
warrant a reconsideration of the interim RVUs.
Stress echocardiography (CPT code 93350).
Comment: A commenter expressed concern about the decrease in RVUs
for this service.
Response: The decrease in RVUs for stress echocardiography occurred
as a result of a change in CPT reporting instructions that now direct
the user to report the appropriate stress testing code from the 93015
through 93018 series in addition to CPT code 93350. The sum of the RVUs
for these services is equal to the RVUs that were assigned to CPT code
93350 in the past when it was the only code used to report stress
echocardiography.
Photochemotherapy (Goeckerman and/or PUVA) for severe
photoresponsive dermatoses requiring at least four to eight hours of
care under direct supervision of the physician (includes application of
medication and dressings) (CPT code 96913).
Comment: A commenter objected to our decision not to assign
physician work RVUs to this service. The commenter stated that with the
availability of psoriasis day treatment centers, much Goeckerman
therapy is now practical in a day treatment program but that it is very
different from a simple office visit. The commenter argued that there
is considerable professional judgment involved and there is also an
extraordinary quantity of nursing time involved since the patient is
typically in a day treatment center for 6 hours or more a day. The
treatment requires bathing, scale removal, twice daily application of
tar over the total body surface, shampoos, scale removal from scalp,
ultraviolet light, and typically anthralin as well. The treatment is
extremely time-consuming because the medication must be put on
[[Page 63161]]
each individual spot while avoiding normal skin.
Response: We have not revised our decision regarding this code. We
have not assigned any work RVUs to this service because the commenter
did not persuade us that photochemotherapy requires any physician work
beyond that already described by existing evaluation and management
codes. We have assigned practice expense and malpractice expense RVUs
based on historic charges for this code so that it will no longer be
carrier-priced. We have categorized this service as an ``incident to''
code, which means that it is covered incident to a physician's service
when it is furnished by auxiliary personnel employed by the physician
and working under his or her direct supervision. Payment may not be
made for this service when it is furnished to hospital inpatients or
patients in a hospital outpatient department. Physicians may bill for
evaluation and management services in those settings.
Joint mobilization and massage (CPT codes 97124 and 97265).
Comment: One commenter stated that these codes may be overvalued
relative to osteopathic manipulative treatment (CPT codes 98925 through
98929) and evaluation and management services.
Response: The interim RVUs we proposed for these codes were based
on our acceptance of recommendations we received from the RUC Health
Care Professionals Advisory Committee Review Board last year. The
history and functions of this board are described below.
In 1992 the American Medical Association recommended that a Health
Care Professionals Advisory Committee be established to expand the CPT
Editorial Panel and the RUC processes to all groups legally required to
use the CPT to report their services. Organizations representing
physician assistants, nurses, occupational and physical therapists,
optometrists, podiatrists, psychologists, social workers, audiologists
and speech pathologists were invited to nominate representatives to the
CPT and RUC Health Care Professionals Advisory Committee. The CPT
Health Care Professionals Advisory Committee was created to foster
participation in and solicit comments from these professional
organizations in coding changes affecting their members, while the RUC
Health Care Professionals Advisory Committee was formed to allow
participation in development of RVUs for new and revised codes within
their scope of practice.
To further facilitate the decision-making process on issues of
concern to both medical doctors (MDs) and doctors of osteopathy (DOs)
and non-MDs and non-DOs, CPT and RUC Health Care Professionals Advisory
Committee Review Boards were also formed. The review boards bring MDs
and DOs and non-MDs and non-DOs together to discuss coding issues and
RVU proposals. The RUC Health Care Professionals Advisory Committee
Review Board comprises all nine members of the current RUC Health Care
Professionals Advisory Committee and three RUC members. For codes used
only or predominantly by non-MDs and non-DOs, the RUC Health Care
Professionals Advisory Committee Review Board replaces the RUC as the
body responsible for developing recommendations for HCFA.
We have decided to maintain the RVUs for joint mobilization (CPT
code 97265), with 0.45 RVUs, and massage (CPT code 97124), with 0.35
RVUs, as interim RVUs on the 1996 fee schedule so that we will have
additional time to re-evaluate them. While we agree that these services
appropriately are compared to other therapeutic procedures in the
physical medicine section of CPT, our review of them in light of the
comment causes us to believe that the interim RVUs we assigned to the
therapeutic procedures services may have been too high relative to
other services on the fee schedule, for example, osteopathic
manipulative treatments and evaluation and management services.
While we acknowledge that we accepted last year's recommendations
of the RUC Health Care Professionals Advisory Committee Review Board,
we now plan to refer these and all other physical medicine and
rehabilitation codes (CPT codes 97010 through 97770) back to the RUC
Health Care Professionals Advisory Committee Review Board for its
reconsideration. We also will notify the RUC of our concerns. In
addition, we seek public comments on this issue.
Prolonged physician services (CPT codes 99354 through 99357).
Comment: A commenter provided extensive arguments for an increase
in the RVUs of these codes based on the premise that we have
underestimated the time involved in furnishing these services. Because
the RVUs for evaluation and management services are related to the time
specified in the CPT codes, the commenter believed that the selection
of the appropriate level of service should be based solely on the time
spent providing the service. For example, a consultation (CPT code
99253) typically assumes a 55-minute time segment. The commenter stated
that if less time is spent, the consultation would be coded at a lower
level as CPT code 99252 or 99251. The commenter believed that the
correct key references for these prolonged physician services are CPT
codes 99245 (Office consultation) and 99255 (Hospital inpatient
consultation) because the times specified in those codes correspond to
the times specified in the prolonged services codes.
Response: We have decided not to accept this comment, which we
believe is based, in part, on a misunderstanding of the relationship of
the typical times associated with the evaluation and management codes
and the RVUs assigned to the codes. While it is true that time is a key
predictor of work, it is not true that physicians are required to
report their evaluation and management services based solely on the
amount of time spent furnishing the service. CPT codes 99354 and 99356
both describe the ``first hour'' of prolonged services. This
terminology in the code does not require that an entire hour of service
be furnished in order for the code to be used. In fact, the CPT directs
the reader to use the code to report 30 to 74 minutes of prolonged
services. In our discussion of these codes in the December 8, 1994
Federal Register (59 FR 63437 through 63440), we indicated that we did
not expect that the typical use of the code would be to report an hour
of service. We assigned RVUs that are equivalent to 40 minutes of face-
to-face or floor time.
Finally, for those specialties with very prolonged encounters, we
have assigned the same RVUS to the ``each additional 30 minutes'' codes
(CPT codes 99355 and 99357) that we assigned to the ``first hour''
codes. This actually represents an increase above the recommended RVUs
we received from the RUC for CPT codes 99355 and 99357. We believe the
final RVUs for the prolonged service codes appropriately recognize the
work associated with very prolonged services.
2. Establishment of Interim Work Relative Value Units for New and
Revised Codes for 1996
a. Methodology (Includes Table 2--American Medical Association
Specialty Society Relative Value Update
[[Page 63162]]
Committee Recommendations and HCFA's Decisions).
The major aspect of establishing work RVUs for 1996 was related to
the assignment of interim RVUs for all new and revised CPT codes. As
described in our November 1992 notice on the 1993 fee schedule (57 FR
55938), we established a process, based on recommendations received
from the RUC, for establishing interim RVUs for new and revised codes.
The RUC was formed in November 1991 and grew out of a series of
discussions between the American Medical Association and the major
national medical specialty societies. The RUC is comprised of 26
members; 22 are representatives of major specialty societies. The
remaining members represent the American Medical Association, the
American Osteopathic Association, and the CPT Editorial Panel. The work
of the RUC is supported by the RUC Advisory Committee made up of
representatives of 65 specialty societies in the American Medical
Association House of Delegates. The RUC used a small group survey
method to produce work RVUs that were voted on by the RUC, with a two-
thirds vote required for acceptance. The RUC then submitted to us those
accepted RVUs as recommended values.
We received work RVU recommendations for approximately 140 new and
revised codes from the RUC. We also received RUC recommendations for
base units for two anesthesia codes, CPT codes 00520 (Anesthesia,
closed chest procedures) and 00540 (Anesthesia, chest procedure) and
have accepted the recommendations of 6.00 and 13.00 base units,
respectively. Physician panels consisting of carrier medical directors
and our staff reviewed the RUC recommendations by comparing them to our
reference set or to other comparable services on the fee schedule for
which work RVUs had been established previously, or to both of these
criteria. The panels also considered the relationships among the new
and revised codes for which we received the RUC recommendations. We
agreed with a majority of the relationships reflected in the RUC
values. In some cases when we agreed with the RUC relationships, we
revised the RVUs recommended by the RUC in order to achieve work
neutrality within families of codes. For example, if CPT revised an
existing code by splitting it into two or more new codes, we took into
account the RVUs assigned to the existing code and the expected
utilization of the split codes in such a way that the coding change
would not lead to an overall increase in RVUs associated with services
previously described by a single code. For approximately 90 percent of
the RUC recommendations, proposed RVUs were accepted or increased, and
for approximately 10 percent, RVUs were decreased.
We also received two recommendations from specialty societies and
four recommendations from the Health Care Professionals Advisory
Committee for new or revised codes for which the RUC did not provide a
recommendation. The specialty society recommendations were also
reviewed by the physician panels. All of the proposed RVUs of the
specialty society recommendations were accepted. All of the proposed
RVUs of the Health Care Professionals Advisory Committee
recommendations were decreased.
Table 2 is a listing of those codes that will be new or revised in
1996 for which we received recommended work RVUs. This table includes
the following information:
A ``#'' identifies a new code for 1996.
CPT code. This is the CPT code for a service.
Modifier. A ``26'' in this column indicates that the RVUs
are for the professional component of the code.
Description. This is an abbreviated version of the
narrative description of the code.
RUC-recommended work RVUs. This column identifies the work
RVUs recommended by the RUC. If no recommendation was received from the
RUC, this column shows ``no rec.''
Health Care Professionals Advisory Committee (HCPAC)
recommendations. This column identifies work RVUs recommended by the
Health Care Professionals Advisory Committee.
Specialty-recommended RVUs. This column identifies work
RVUs recommended by a specialty society.
HCFA decision. This column indicates whether we agreed
with the RUC recommendation (``agreed''); we established work RVUs that
are higher than the RUC recommendation (``increased''); or we
established work RVUs that were less than the RUC recommendation
(``decreased''). Codes for which we did not accept the RUC
recommendation are discussed in greater detail following Table 2. A
discussion follows the table in section VI.B.2.b. An (a) in the column
indicates that RVUs were not assigned.
HCFA value. This column contains the 1996 RVUs for
physician work.
This table includes only those codes that were reviewed by the full
RUC or for which we received a recommendation from a specialty society
or Health Care Professionals Advisory Committee.
[[Page 63162]]
Table 2.--AMA RUC Recommendations and HCFA's Decisions
--------------------------------------------------------------------------------------------------------------------------------------------------------
RUC HCPAC Specialty
CPT* Mod Description recommendations recommendations recommendations HCFA decision 1996 work RVUs
--------------------------------------------------------------------------------------------------------------------------------------------------------
17110.... ......... Destruction of skin lesions... 0.55 ............... ............... Agreed......................... 0.55
#20100... ......... Explore wound, neck........... 9.50 ............... ............... Agreed......................... 9.50
#20101... ......... Explore wound, chest.......... 3.00 ............... ............... Agreed......................... 3.00
#20102... ......... Explore wound, abdomen........ 3.68 ............... ............... Agreed......................... 3.68
#20103... ......... Explore wound, extremity...... 4.95 ............... ............... Agreed......................... 4.95
#20930... ......... Spinal bone allograft......... 0.00 ............... ............... Agreed......................... 0.00
#20931... ......... Spinal bone allograft......... 1.81 ............... ............... Agreed......................... 1.81
#20936... ......... Spinal bone autograft......... 0.00 ............... ............... Agreed......................... 0.00
#20937... ......... Spinal bone autograft......... 2.79 ............... ............... Agreed......................... 2.79
#20938... ......... Spinal bone autograft......... 3.02 ............... ............... Agreed......................... 3.02
#21076... ......... Prepare face/oral prosthesis.. ............... ............... 12.54 Agreed........................ 12.54
#21077... ......... Prepare face/oral prosthesis.. ............... ............... 31.54 Agreed........................ 31.54
#21141... ......... Reconstruct midface, lefort... 16.92 ............... ............... Agreed......................... 16.92
#21142... ......... Reconstruct midface, lefort... 17.58 ............... ............... Agreed......................... 17.58
[[Page 63163]]
#21143... ......... Reconstruct midface, lefort... 18.30 ............... ............... Agreed......................... 18.30
21145.... ......... Reconstruct midface, lefort... 18.92 ............... ............... Agreed......................... 18.92
21146.... ......... Reconstruct midface, lefort... 19.58 ............... ............... Agreed......................... 19.58
21147.... ......... Reconstruct midface, lefort... 20.30 ............... ............... Agreed......................... 20.30
22100.... ......... Remove part of neck vertebra.. 9.05 ............... ............... Agreed......................... 9.05
22101.... ......... Remove part, thorax vertebra.. 9.00 ............... ............... Agreed......................... 9.00
22102.... ......... Remove part, lumbar vertebra.. 9.00 ............... ............... Agreed......................... 9.00
#22103... ......... Remove extra spine segment.... 2.34 ............... ............... Agreed......................... 2.34
22110.... ......... Remove part of neck vertebra.. 11.59 ............... ............... Agreed......................... 11.59
22112.... ......... Remove part, thorax vertebra.. 11.59 ............... ............... Agreed......................... 11.59
22114.... ......... Remove part, lumbar vertebra.. 11.59 ............... ............... Agreed......................... 11.59
#22116... ......... Remove extra spine segment.... 2.32 ............... ............... Agreed......................... 2.32
22210.... ......... Revision of neck spine........ 22.51 ............... ............... Agreed......................... 22.51
22212.... ......... Revision of thorax spine...... 18.14 ............... ............... Agreed......................... 18.14
22214.... ......... Revision of lumbar spine...... 18.14 ............... ............... Agreed......................... 18.14
#22216... ......... Revise, extra spine segment... 6.04 ............... ............... Agreed......................... 6.04
22220.... ......... Revision of neck spine........ 20.15 ............... ............... Agreed......................... 20.15
22222.... ......... Revision of thorax spine...... 20.15 ............... ............... Agreed......................... 20.15
22224.... ......... Revision of lumbar spine...... 20.15 ............... ............... Agreed......................... 20.15
#22226... ......... Revise, extra spine segment... 6.04 ............... ............... Agreed......................... 6.04
22305.... ......... Treat spine process fracture.. 1.86 ............... ............... Agreed......................... 1.86
22310.... ......... Treat spine fracture.......... 1.86 ............... ............... Agreed......................... 1.86
22315.... ......... Treat spine fracture.......... 8.36 ............... ............... Agreed......................... 8.36
22325.... ......... Repair of spine fracture...... 17.19 ............... ............... Agreed......................... 17.19
22326.... ......... Repair neck spine fracture.... 18.43 ............... ............... Agreed......................... 18.43
22327.... ......... Repair thorax spine fracture.. 17.56 ............... ............... Agreed......................... 17.56
#22328... ......... Repair each add spine fx...... 4.61 ............... ............... Agreed......................... 4.61
22548.... ......... Neck spine fusion............. 24.08 ............... ............... Agreed......................... 24.08
22554.... ......... Neck spine fusion............. 17.24 ............... ............... Agreed......................... 17.24
22556.... ......... Thorax spine fusion........... 22.27 ............... ............... Agreed......................... 22.27
22558.... ......... Lumbar spine fusion........... 21.22 ............... ............... Agreed......................... 21.22
22585.... ......... Additional spinal fusion...... 5.53 ............... ............... Agreed......................... 5.53
22590.... ......... Spine & skull spinal fusion... 19.50 ............... ............... Agreed......................... 19.50
22595.... ......... Neck spinal fusion............ 18.19 ............... ............... Agreed......................... 18.19
22600.... ......... Neck spine fusion............. 14.74 ............... ............... Agreed......................... 14.74
22610.... ......... Thorax spine fusion........... 14.62 ............... ............... Agreed......................... 14.62
22612.... ......... Lumbar spine fusion........... 20.19 ............... ............... Agreed......................... 20.19
#22614... ......... Spine fusion, extra segment... 6.44 ............... ............... Agreed......................... 6.44
22630.... ......... Lumbar spine fusion........... 20.03 ............... ............... Agreed......................... 20.03
#22632... ......... Spine fusion, extra segment... 5.23 ............... ............... Agreed......................... 5.23
22800.... ......... Fusion of spine............... 16.92 ............... ............... Agreed......................... 16.92
22802.... ......... Fusion of spine............... 29.74 ............... ............... Agreed......................... 29.74
#22804... ......... Fusion of spine............... 35.00 ............... ............... Agreed......................... 35.00
#22808... ......... Fusion of spine............... 25.00 ............... ............... Agreed......................... 25.00
22810.... ......... Fusion of spine............... 29.00 ............... ............... Agreed......................... 29.00
22812.... ......... Fusion of spine............... 31.00 ............... ............... Agreed......................... 31.00
22830.... ......... Exploration of spinal fusion.. 10.22 ............... ............... Agreed......................... 10.22
22840.... ......... Insert spine fixation device.. 6.27 ............... ............... Agreed......................... 6.27
#22841... ......... Insert spine fixation device.. 0.00 ............... ............... Agreed......................... 0.00
#22842... ......... Insert spine fixation device.. 7.19 ............... ............... Agreed......................... 7.19
#22843... ......... Insert spine fixation device.. 8.97 ............... ............... Agreed......................... 8.97
#22844... ......... Insert spine fixation device.. 10.96 ............... ............... Agreed......................... 10.96
22845.... ......... Insert spine fixation device.. 5.98 ............... ............... Agreed......................... 5.98
#22846... ......... Insert spine fixation device.. 8.28 ............... ............... Agreed......................... 8.28
#22847... ......... Insert spine fixation device.. 9.20 ............... ............... Agreed......................... 9.20
#22848... ......... Insert pelvic fixation device. 6.00 ............... ............... Agreed......................... 6.00
#22851... ......... Apply spine prosth device..... 6.71 ............... ............... Agreed......................... 6.71
32095.... ......... Biopsy through chest wall..... 7.13 ............... ............... Agreed......................... 7.13
#32501... ......... Repair bronchus (add-on)...... 4.69 ............... ............... Agreed......................... 4.69
#33253... ......... Reconstruct atria............. 30.00 ............... ............... Agreed......................... 30.00
#33924... ......... Remove pulmonary shunt........ 5.50 ............... ............... Agreed......................... 5.50
#38231... ......... Stem cell collection.......... 1.74 ............... ............... Decreased...................... 1.50
38240.... ......... Bone marrow/stem transplant... 2.24 ............... ............... Agreed......................... 2.24
38241.... ......... Bone marrow/stem transplant... 2.24 ............... ............... Agreed......................... 2.24
47350.... ......... Repair liver wound............ 11.29 ............... ............... Agreed......................... 11.29
47360.... ......... Repair liver wound............ 15.34 ............... ............... Agreed......................... 15.34
#47361... ......... Repair liver wound............ 28.00 ............... ............... Agreed......................... 28.00
#47362... ......... Repair liver wound............ 10.00 ............... ............... Agreed......................... 10.00
[[Page 63164]]
49000.... ......... Exploration of abdomen........ 8.99 ............... ............... Agreed......................... 8.99
49002.... ......... Reopening of abdomen.......... 9.40 ............... ............... Agreed......................... 9.40
49010.... ......... Exploration behind abdomen.... 11.19 ............... ............... Agreed......................... 11.19
55859.... ......... Percut/needle insert, pros.... 14.00 ............... ............... Decreased...................... 8.29
#56343... ......... Laparoscopic salpingostomy.... 6.96 ............... ............... Agreed......................... 6.96
#56344... ......... Laparoscopic fimbrioplasty.... 7.16 ............... ............... Agreed......................... 7.16
#57284... ......... Repair paravaginal defect..... 12.10 ............... ............... Agreed......................... 12.10
#59610... ......... Vbac delivery................. 22.63 ............... ............... Decreased...................... 22.55
#59612... ......... Vbac delivery only............ 15.00 ............... ............... Decreased...................... 14.84
#59614... ......... Vbac care after delivery...... 16.00 ............... ............... Decreased...................... 15.96
#59618... ......... Attempted vbac delivery....... 25.03 ............... ............... Increased...................... 25.23
#59620... ......... Attempted vbac delivery only.. 16.75 ............... ............... Increased...................... 16.95
#59622... ......... Attempted vbac after care..... 17.94 ............... ............... Increased...................... 18.11
62274.... ......... Inject spinal anesthetic...... 1.78 ............... ............... Agreed......................... 1.78
62288.... ......... Injection into spinal canal... 1.74 ............... ............... Agreed......................... 1.74
#62350... ......... Implant spinal catheter....... 6.25 ............... ............... Agreed......................... 6.25
#62351... ......... Implant spinal catheter....... 9.25 ............... ............... Agreed......................... 9.25
#62355... ......... Remove spinal canal catheter.. 4.80 ............... ............... Agreed......................... 4.80
#62360... ......... Insert spine infusion device.. 2.00 ............... ............... Agreed......................... 2.00
#62361... ......... Implant spine infusion pump... 4.80 ............... ............... Agreed......................... 4.80
#62362... ......... Implant spine infusion pump... 6.29 ............... ............... Agreed......................... 6.29
#62365... ......... Remove spine infusion device.. 4.77 ............... ............... Agreed......................... 4.77
#62367... 26 Analyze spine infusion pump... 0.48 ............... ............... Agreed......................... 0.48
#62368... 26 Analyze spine infusion pump... 0.75 ............... ............... Agreed......................... 0.75
67107.... ......... Repair detached retina........ 13.99 ............... ............... Agreed......................... 13.99
67108.... ......... Repair detached retina........ 19.90 ............... ............... Agreed......................... 19.90
67112.... ......... Re-repair detached retina..... 16.15 ............... ............... Agreed......................... 16.15
# 76965.. 26 Echo guidance radiotherapy... 1.34 ............... ............... Agreed......................... 1.34
# 78459.. 26 Heart muscle imaging (PET)... 1.88 ............... ............... Agreed......................... 1.88
# 78810.. 26 Tumor imaging (PET).......... 1.93 ............... ............... Agreed......................... 1.93
# 90922.. ......... ESRD related services, day.... 0.44 ............... ............... Decreased...................... 0.37
# 90923.. ......... Esrd related services, day.... 0.30 ............... ............... Decreased...................... 0.28
# 90924.. ......... Esrd related services, day.... 0.22 ............... ............... Increased...................... 0.24
# 90925.. ......... Esrd related services, day.... 0.17 ............... ............... Decreased...................... 0.15
92506.... ......... Speech & hearing evaluation... 0.86 ............... ............... Agreed......................... 0.86
92507.... ......... Speech/hearing therapy........ 0.52 ............... ............... Agreed......................... 0.52
92508.... ......... Speech/hearing therapy........ 0.26 ............... ............... Agreed......................... 0.26
# 92510.. ......... Rehab for ear implant......... 1.50 ............... ............... Agreed......................... 1.50
92516.... ......... Facial nerve function test.... 0.43 ............... ............... Agreed......................... 0.43
# 92525.. ......... Oral function evaluation...... 1.61 ............... ............... Decreased...................... 1.13
# 92526.. ......... Oral function therapy......... 0.64 ............... ............... Decreased...................... 0.52
92546.... 26 Sinusoidal rotational test... 0.29 ............... ............... Agreed......................... 0.29
# 92579.. ......... Visual audiometry (vra)....... ............... ............... ............... (a)............................ ..............
# 92597.. ......... Oral speech device eval....... 1.50 ............... ............... Decreased...................... 1.11
# 92598.. ......... Modify oral speech device..... 0.99 ............... ............... Decreased...................... 0.73
# 92987.. ......... Revision of mitral valve...... 20.69 ............... ............... Agreed......................... 20.69
95872.... 26 Muscle test, one fiber....... 1.50 ............... ............... Agreed......................... 1.50
95900.... 26 Motor nerve conduction test.. 0.42 ............... ............... Agreed......................... 0.42
# 95903.. 26 Motor nerve conduction test.. 0.60 ............... ............... Agreed......................... 0.60
95904.... 26 Sense nerve conduction test.. 0.34 ............... ............... Agreed......................... 0.34
95925.... 26 Somatosensory testing........ 0.81 ............... ............... Decreased...................... 0.54
# 95926.. 26 Somatosensory testing........ 0.81 ............... ............... Decreased...................... 0.54
# 95927.. 26 Somatosensory testing........ 0.81 ............... ............... Decreased...................... 0.54
# 95930.. 26 Visual evoked potential test. 0.35 ............... ............... Agreed......................... 0.35
# 95934.. 26 `H' reflex test.............. 0.51 ............... ............... Agreed......................... 0.51
# 95936.. 26 `H' reflex test.............. 0.55 ............... ............... Agreed......................... 0.55
97116.... ......... Gait training therapy......... 0.40 ............... ............... Agreed......................... 0.40
# 97535.. ......... Self care mngment training.... ............... 0.45 ............... Decreased...................... 0.33
# 97537.. ......... Community/work reintegration.. ............... 0.45 ............... Decreased...................... 0.33
# 97542.. ......... Wheelchair mngement training.. ............... 0.45 ............... Decreased...................... 0.25
# 97703.. ......... Prosthetic checkout........... ............... 0.45 ............... Decreased...................... 0.25
99238.... ......... Hospital discharge day........ 1.06 ............... ............... Agreed......................... 1.06
# 99239.. ......... Hospital discharge day........ 1.75 ............... ............... Agreed......................... 1.75
# 99435.. ......... Hospital NB discharge day..... 1.50 ............... ............... Agreed......................... 1.50
--------------------------------------------------------------------------------------------------------------------------------------------------------
[[Page 63165]]
b. Discussion of codes for which the recommendations were not
accepted or for which clarification of the code is necessary.
The following is a summary of our rationale for not accepting
particular recommendations. It is arranged by type of service in CPT
code order. We have included in this section a clarification of the
intended use of one family of codes for which we accepted the RUC
recommendations. This summary refers only to work RVUs.
Exploration of penetrating wounds (CPT codes 20100 through 20103).
We accepted the RUC recommendations for these codes but are
concerned that they could be inappropriately used to report the repair
of wounds. Therefore, we are providing a clarification of the codes
based on the language that will be included in CPT 1996.
These codes are used to report the treatment of wounds resulting
from penetrating trauma that require surgical exploration and
enlargement of the wound, extension of dissection (to determine
penetration), debridement, removal of foreign body(s), ligation or
coagulation of minor subcutaneous and/or muscular blood vessel(s), of
the subcutaneous tissue, muscle fascia, and/or muscle. If a repair is
done to major blood vessel(s) requiring thoracotomy or laparotomy,
those specific code(s) would supersede the use of CPT codes 20100
through 20103. These codes should not be used to report simple,
intermediate, or complex repair of wound(s) that do not require
enlargement of the wound, extension of dissection, etc., as stated
above.
Blood-derived peripheral stem cell harvesting for transplantation,
per collection (CPT code 38231).
The RUC recommended 1.74 RVUs based on its determination that the
work is equivalent to the work of CPT code 36520 (Therapeutic
apheresis). We believe that the work associated with this procedure is
less than that for CPT code 36520 in that the patients are less ill and
the risk of complications is much less. In addition, patients require
less physician monitoring, and the procedure is more likely to be
performed on an outpatient basis. We believe the work is comparable to
a level-5 evaluation and management service (CPT code 99215), which is
assigned 1.50 RVUs.
However, as with therapeutic apheresis, we do not permit payment
for both harvesting and certain evaluation and management codes on the
same date. Specifically, we do not allow separate payment for CPT codes
99211 through 99215 (Established patient office or other outpatient
visits), 99231 through 99233 (Subsequent hospital care), and 99261
through 99263 (Follow-up inpatient consultations) on the same date that
CPT code 38231 (Stem cell harvesting) is furnished because it would
allow duplicate payment for the evaluation and management service.
Physicians furnishing stem cell harvesting services may choose to bill
for the appropriate evaluation and management visit or consultation
code indicating the level of services furnished rather than billing for
the stem cell harvesting. This will permit physicians to be paid for
the level of service furnished.
Separate payment will be allowed for physician services furnished
to establish the required vascular access if performed by the physician
and if the criteria for payment under the appropriate CPT code are
satisfied. We will also allow separate billing for CPT codes 99221
through 99223 (Initial hospital visit), CPT codes 99241 through 99245
and 99251 through 99255 (Initial consultations), and CPT code 99238
(Hospital discharge service) when billed on the same date as CPT code
38231 (Stem cell harvesting) because the work associated with these
evaluation and management services is not included in work RVUs
assigned to the stem cell harvesting. These policies are consistent
with the policies for therapeutic apheresis that were established for
the 1995 fee schedule.
Transperineal placement of needles or catheters into prostate for
interstitial radioelement application, with or without cystoscopy (CPT
code 55859).
We received a RUC recommendation of 14.00 RVUs based upon the use
of CPT code 61770 (Stereotactic localization, any method, including
burr hole(s) with insertion of catheter(s) for brachytherapy) as a
reference procedure. We believe that these RVUs are too high and
disagree with the RUC's use of CPT code 61770 as a reference procedure;
we view that procedure as requiring greater technical skill, mental
effort, and judgment. The recommended 14.00 RVUs are higher than the
RVUs assigned to CPT code 55860 (Exposure of prostate, any approach,
for insertion of radioactive substance), which is assigned 13.33 RVUs.
This is an open surgical procedure with significantly more
postprocedure work than CPT code 55859, which can be performed on an
outpatient basis.
The placement of needles or catheters into the prostate is
performed under ultrasonic guidance, and the guidance is separately
reported by new CPT code 76965 for which we accepted the RUC
recommendation of 1.34 RVUs. In addition, CPT also directs separate
reporting of the interstitial radioelement application (CPT codes 77776
through 77778). CPT code 77778 (Interstitial radioelement application,
complex) is the code most likely to be reported. We assigned 10.46 RVUs
to this code. Thus, a physician performing all aspects of this
procedure would report all three codes with 25.80 total RVUs if we
accepted the RUC recommendation of 14.00 for code 55859.
We believe it is possible that urologists responding to the
surveyed vignette may have misunderstood that this code is used to
report only the placement of the needles or catheters into the prostate
and that they inadvertently included in their estimates of work the
separately reported work of ultrasonic guidance and application of the
radioelements.
We believe that a more appropriate reference procedure than a
neurosurgical procedure would be another prostate procedure that can be
performed on an outpatient basis. We selected CPT code 55700 (Biopsy,
prostate; needle or punch, single or multiple, any approach), which is
assigned 1.57 RVUs. Because of the increased intraoperative time and
complexity as well as the increased surgical risk associated with CPT
code 55859, we have increased the RVUs four-fold to 6.28 RVUs. In
addition we added 2.01 RVUs, the RVUs assigned to CPT code 52000, to
reflect the added work of the cystoscopy. This addition results is the
assignment of 8.29 RVUs for CPT code 55859.
Vaginal birth after cesarean (CPT codes 59610, 59612, 59614, 59618,
59620, and 59622).
The CPT has added a new section to the 1996 edition for ``delivery
after previous cesarean delivery.'' Included in this section are six
new codes that are used to report the services furnished to patients
who have had a previous cesarean delivery and who present with the
expectation of a vaginal delivery. If the patient has a successful
vaginal delivery after a previous cesarean delivery (VBAC), then either
CPT code 59610, 59612, or 59614 is reported. If the attempt is
unsuccessful and another cesarean delivery is carried out, either
[[Page 63166]]
CPT code 59618, 59620, or 59622 is reported. The RUC-recommended RVUs
for all six codes that added varying increments of work to the RVUs of
the six existing codes that are used to report routine vaginal and
cesarean deliveries. The following table includes the RVUs for the six
existing codes, the RUC recommendations for the six new VBAC codes and
the difference in RVUs for each of the six pairs.
----------------------------------------------------------------------------------------------------------------
RUC-
RVUs of Corresponding Recommended HCFA
Existing delivery code existing new VBAC code RVUs for new RVU difference RVUs
delivery code VBAC code
----------------------------------------------------------------------------------------------------------------
59400.................................. 20.99 59610 22.63 1.64 22.55
59409.................................. 13.28 59612 15.00 1.72 14.84
59410.................................. 14.44 59614 16.00 1.56 15.96
59510.................................. 23.67 59618 25.03 1.36 25.23
59514.................................. 15.39 59620 16.75 1.36 16.95
59515.................................. 16.55 59622 17.94 1.39 18.11
----------------------------------------------------------------------------------------------------------------
While we accept the RUC conclusion that VBAC services entail more
physician work and that the existing delivery codes are appropriate
reference points, we disagree with the variable and small differences
in work from one code to the next. We believe the increased stress,
mental effort, and judgment associated with VBAC is the same regardless
of the particular delivery service furnished. Therefore, we are adding
1.56 RVUs (the median RVUs of the above differences) to each of the
existing delivery codes. This results in the interim RVUs identified in
the last column of the table as ``HCFA RVUs.''
End-stage renal disease services, per day (CPT codes 90922 through
90925).
CPT 1996 will include four codes for the reporting of end-stage
renal disease services on a per day rather than per month basis. We did
not accept the RUC recommendations for these codes that were based on
the RUC's recommendations for the monthly codes (CPT codes 90918
through 90921). As discussed in section VI.B.1.b. of this final rule,
new RVUs emerged from the refinement panel ratings for these codes. We
calculated work RVUs for the four ``per day'' end-stage renal disease
codes by dividing the RVUs of the ``per full month'' codes by 30. This
led to the assignment of 0.37 RVUs to CPT code 90922, 0.28 RVUs to CPT
code 90923, 0.24 RVUs to CPT code 90924, and 0.15 RVUs to CPT code
90925.
Evaluation of swallowing and oral function for feeding (CPT code
92525).
The RUC made its recommendation of 1.61 RVUs based on a clinical
vignette of an inpatient whose evaluation included a barium swallow.
The RUC lowered the specialty's recommendation to better account for
the times when the barium swallow might not be done. We believe the
RVUs recommended, which are between the RVUs of a level-3 inpatient
consultation (CPT code 99253), with 1.56 RVUs, and a level-4 inpatient
consultation (CPT code 99254) with 2.27 RVUs, are too high. While we
believe that the intraservice work determined by the survey for the
vignette may be reasonable, we do not believe that the surveyed
vignette represented a typical patient.
Our data suggest that this procedure, which was formerly reported
by CPT code 92506, is performed primarily in the physician's office. We
took into consideration that the procedure is currently reported using
CPT code 92506, which is assigned 0.86 RVUs. We then took into account
that the barium swallow is probably included in at least 50 percent of
the cases and that the evaluation of the barium swallow is an integral
part of the procedure. Therefore, we added half the value of CPT code
74230 (Swallowing function, pharynx and/or esophagus, with
cineradiography and/or video), which is assigned 0.54 RVUs to the 0.86
RVUs for CPT code 92506 resulting in an assignment of 1.13 RVUs to CPT
code 92525. These RVUs are slightly higher than the RVUs of CPT code
99242, which is the code for a level-2 office consultation, the
components of which include an expanded problem-focused history, an
expanded problem-focused examination, and straightforward medical
decision making.
Treatment of swallowing dysfunction and/or oral function for
feeding (CPT code 92526).
The RUC recommended 0.64 RVUs based on a clinical vignette of an
inpatient similar to the patient described in the vignette used for CPT
code 92525 described above. Our data suggest that this procedure, which
is currently reported using CPT code 92507, also is performed primarily
in physicians' offices. Because we believe the surveyed vignette does
not describe a typical patient, we reduced the RUC recommendation for
CPT code 92526 to 0.52 RVUs, which are the same RVUs as those for CPT
code 92507 (Speech, language or hearing therapy, with continuing
medical supervision; individual). These RVUs are slightly less than the
RVUs assigned to a mid-level office visit (CPT code 99213), with 0.55
RVUs, which typically requires 15 minutes of face-to-face time with a
physician.
Visual reinforcement audiometry (VRA) (CPT code 92579).
The RUC made no recommendation for RVUs for this procedure. As with
most of the audiologic function tests, we do not believe this service
requires performance by a physician. Consequently, we have not assigned
physician work RVUs to this code. However, we have assigned 0.69
practice expense RVUs and 0.07 malpractice expense RVUs.
Evaluation for use and/or fitting of voice prosthetic or
augmentative/alternative communication device to supplement oral speech
(CPT code 92597).
The RUC recommended 1.50 RVUs. We believe the recommended RVUs are
too high because they are comparable to the highest level established
patient office visit, CPT code 99215, the components of which include a
comprehensive history, a comprehensive examination, and medical
decision-making of high complexity. We do not believe the work of these
two services is comparable. Rather, we believe the work associated with
CPT code 92597 is slightly less than the work associated with a level-3
new patient office visit (CPT code 99203) with 1.14 RVUs and a level-2
inpatient consultation (CPT code 99252) with 1.13 RVUs. Therefore, we
have assigned 1.11 RVUs to CPT code 92597.
[[Page 63167]]
Modification of voice prosthetic or augmentative/alternative
communication device to supplement oral speech (CPT code 92598).
The RUC recommended 0.99 RVUs, which are higher than the RVUs
assigned to a level-4 established patient office visit (CPT code
99214), with 0.94 RVUs. We believe that the recommendation is too high.
However, we believe that the relative relationship between this service
and CPT code 92597, as established by the RUC, should be maintained.
Thus, we calculated the interim RVUs by multiplying the recommended
0.99 RVUs by 74 percent (0.99 x 1.11/1.5) representing the percentage
of the RUC-recommended RVUs, which we accepted for the preceding code.
This calculation results in 0.73 interim RVUs for CPT code 92598.
Short-latency somatosensory evoked potential studies, stimulation
of any/all peripheral nerves or skin sites, recording from the central
nervous system (CPT codes 95925 through 95927).
The existing code for the reporting of somatosensory testing is CPT
code 95925. The descriptor in CPT 1995 is ``Somatosensory testing
(e.g., cerebral evoked potentials), one or more nerves.'' CPT revised
existing CPT code 95925 by splitting it into three codes (95925, 95926,
and 95927), which will be used to report testing of the upper limbs,
lower limbs, and trunk or head, respectively. Currently, 0.81 RVUs are
assigned to CPT code 95925. The RUC viewed the coding change as
editorial and recommended 0.81 RVUs for each of these codes. While we
agree that the same RVUs should be assigned to the three codes, we have
not accepted the specific recommendation of 0.81 RVUs because we do not
view it as an editorial change. We believe that the RUC failed to take
account of the fact that some patients will require testing of both the
upper and lower limbs during an encounter and that, under the existing
code, only one unit of service can be reported regardless of the number
of nerves tested because the descriptor specifies ``one or more
nerves.'' We estimate that the cases previously reported with CPT code
95925 will be reported under the new and revised codes as follows:
About 50 percent will be reported with revised CPT code 95925; about 50
percent will be reported as new CPT code 95926; about 1 percent will be
reported as CPT code 95927; and 50 percent of all testing will involve
both CPT codes 95925 and 95926 during the same encounter. Using these
estimates, we adjusted the RVUs for the three codes so that the total
number of RVUs under the new codes will be the same as the total number
of RVUs under the old codes. This results in a decrease of the RUC's
recommendation of 0.81 RVUs for each of the codes to 0.54 RVUs for each
of the codes.
Additional Codes
------------------------------------------------------------------------
CPT code Description
------------------------------------------------------------------------
97535............................. Self care/home management training
(eg, activities of daily living
(ADL) and compensatory training,
meal preparation, safety
procedures, and instructions in use
of adaptive equipment) direct one
on one contact by provider, each 15
minutes.
97537............................. Community/work reintegration,
training (eg, shopping,
transportation, money management,
avocational activities and/or work
environment/modification analysis,
work task analysis), direct one on
one contact by provider, each 15
minutes.
97542............................. Wheelchair management/propulsion
training, each 15 minutes.
97703............................. Checkout for orthotic/prosthetic
use, established patient, each 15
minutes.
------------------------------------------------------------------------
The RUC Health Care Professionals Advisory Committee Review Board
recommended 0.45 RVUs for each of these services on the basis of their
comparability to other physical medicine codes, for example, CPT code
97110 (Therapeutic procedure, one or more areas, each 15 minutes;
therapeutic exercises to develop strength and endurance, range of
motion and flexibility). While we agree that these new services
appropriately are compared to other therapeutic procedures, our review
of the new services causes us to believe that the interim RVUs we
assigned to the therapeutic procedures services may have been too high
relative to other services on the fee schedule, for example, evaluation
and management services.
We have decided to maintain the interim RVUs for the physical
medicine and rehabilitation codes (CPT codes 97010 through 97770) as
interim RVUs on the 1996 fee schedule so that we will have additional
time to re-evaluate them. While we acknowledge that we accepted last
year's recommendations of the Health Care Professionals Advisory
Committee Review Board to assign 0.45 RVUs to CPT code 97110 and
several other of the therapeutic procedures, we now plan to refer these
codes back to the RUC Health Care Professionals Advisory Committee
Review Board for its reconsideration, and we will notify the RUC of our
concerns. In addition, we seek public comments on this issue.
For new CPT codes 97535 and 97537, we believe the recommended 0.45
RVUs are too high. Since they are currently reported using CPT code
97540 (Training in activities of daily living (self care skills and/or
daily life management skills); initial 30 minutes, each visit), which
has 0.44 RVUs, we divided the RVUs for CPT code 97540 by 2 to arrive at
RVUs for 15 minutes and added 50 percent to account for the prework and
postwork inherent in the service. This results in 0.33 RVUs for CPT
codes 97535 and 97537.
For new CPT codes 97542 and 97703, we believe the recommended 0.45
RVUs are too high. We believe these services are comparable to attended
modality services such as manual electrical stimulation (CPT code
97032), with 0.25 RVUs. Therefore, we have assigned 0.25 RVUs to both
CPT codes 97542 and 97703.
------------------------------------------------------------------------
CPT code Description
------------------------------------------------------------------------
99238............................. Hospital discharge day management;
30 minutes or less.
99239............................. Hospital discharge day management;
more than 30 minutes.
------------------------------------------------------------------------
We agreed with the RUC recommendation of 1.06 RVUs for CPT code
99238 and 1.75 RVUs for CPT code 99239. The reporting of CPT code 99239
must be supported by documentation in the patient's medical record of
the time spent by the physician furnishing the service as well as
documentation of the actual services furnished. Time spent by
individuals other than the physician should not be considered in
selecting the appropriate hospital discharge day management code.
[[Page 63168]]
------------------------------------------------------------------------
CPT code Description
------------------------------------------------------------------------
99411............................. Preventive medicine counseling and/
or risk factor reduction
intervention(s) provided to
individuals in a group setting
(separate procedure): approximately
30 minutes.
99412............................. Preventive medicine counseling and/
or risk factor reduction
intervention(s) provided to
individuals in a group setting
(separate procedure): approximately
60 minutes.
------------------------------------------------------------------------
We agreed with the RUC recommendations of 0.15 RVUs for CPT code
99411 and 0.25 RVUs for CPT code 99412. While these services are not
covered by Medicare, we believe it is important to state the
assumptions we made in agreeing with the RUC-recommended RVUs. The
intent of the codes is to represent an interactive service between the
patient and the physician. We expect that the interaction will be
documented in each patient's individual medical record. In addition,
since the RVUs are based on physician work, the codes should not be
reported unless they are personally performed by a physician; they
should not be used to report group preventive medicine counseling
furnished by anyone other than a physician. Nor is the service to be
reported if it is furnished in a place of service other than the
physician's office. Finally, the assigned RVUs are based on a group of
two to five persons for CPT code 99411 and a group of two to six
persons for CPT code 99412. Preventive medicine furnished to groups
larger than these should be reported using code 99249 which is for the
reporting of preventive medicine services not listed in CPT.
c. Temporary alpha-numeric HCFA Common Procedure Coding System
codes.
For the 1996 Medicare fee schedule for physicians services, we have
established several new alpha-numeric HCFA Common Procedure Coding
System (HCPCS) codes for the reporting of certain new services that are
not clearly described by existing CPT codes. In this section, we
discuss our rationale for establishing the codes as well as the basis
of the interim RVUs we have assigned to them. We view these codes as
temporary since we will be referring them to the CPT Editorial Panel
for possible inclusion in future editions of the CPT.
Measurement of post-voiding residual urine and/or bladder capacity
by ultrasound (HCPCS code G0050).
Measurement of postvoiding residual (PVR) urine and/or bladder
capacity can be done by simple diagnostic catheterization. It can also
be done by ultrasound using either traditional sonographic equipment or
smaller less expensive equipment whose capacity is limited only to
bladder volume determination. When done by catheterization, CPT code
53670, with 0.74 RVUs, is reported. When done by ultrasound, CPT code
76857, pelvic echography, with 1.65 RVUs, is reported whether done
using traditional equipment or the smaller bladder scan. There is
presently no separate CPT code for a bladder scan only. Both individual
carriers and a manufacturer of bladder scanning devices have
recommended that we establish a separate code to distinguish bladder
scans from general pelvic scans because they believe that payment for
CPT code 76857 is too high for only a bladder scan to determine PVR. We
agree with this recommendation and are issuing the new HCPCS code
G0050.
----------------------------------------------------------------------------------------------------------------
Work Malpractice Total
HCPCS code RVUs Practice RVUs RVUs RVUs
----------------------------------------------------------------------------------------------------------------
G0050......................................................... 0.00 0.81 0.05 0.86
----------------------------------------------------------------------------------------------------------------
We believe that this bladder scan performs the same function as a
simple diagnostic catheterization but without the risk of infection. To
recognize the slightly higher equipment costs, we have established
interim total RVUs for bladder scan of 0.86, or about 0.12 RVUs higher
than for catheterization. We have not assigned physician work RVUs for
a bladder scan. We expect that the scan will be performed after a
physician has examined the patient and determined the medical necessity
for a bladder scan. Physician interpretation of the scan is included in
the associated evaluation and management service.
Lung volume reduction surgery (reduction pneumoplasty) eg, lung
shaving, lung contouring, unilateral or bilateral (HCPCS code G0061).
Lung volume reduction surgery, also termed reduction pneumoplasty,
lung shaving, or lung contouring is a procedure performed to improve
pulmonary function in patients with severe emphysema. Medicare has not
established that the procedure is reasonable and necessary for the
diagnosis or treatment of illness or injury. Therefore, we have
excluded this procedure from coverage under the provisions of section
1862(a)(1)(A) of the Act.
Although we have assigned a noncoverage indicator of ``N'' to this
code, we are providing interim RVUs for those who look to the Medicare
fee schedule for information on the relative value of all physicians
services including those not covered by Medicare.
We believe the procedure is most often being reported as wedge
resection(s) of the lung using CPT code 32500, which has 13.10 work
RVUs. Based on discussions with carrier medical directors, we believe
that lung volume reduction surgery is more difficult than wedge
resection(s). After considering existing CPT codes for other pulmonary
procedures, we have assigned 17.62 RVUs on an interim basis to HCPCS
code G0061. These are the same RVUs assigned to total pulmonary
decortication (CPT code 32220), which we believe is similar to lung
reduction surgery in terms of physician work.
V. Issues for Discussion
A. Five-Year Refinement of Relative Value Units
Section 1848(c)(2)(B)(i) of the Act requires that we review all
RVUs no less often than every 5 years. Since we implemented the
physician fee schedule effective for services furnished beginning
January 1, 1992, we have initiated the 5-year refinement of RVUs that
will be effective for services furnished beginning January 1, 1997.
All work RVUs included in the December 1994 final rule (59 FR
63617) were subject to comment. During the comment period, which closed
on February 6, 1995, we received approximately 500 public comments on
approximately 1,100 procedure codes. After review by our medical staff,
we forwarded comments on approximately 700 CPT codes for consideration
by the
[[Page 63169]]
American Medical Association/Specialty Society Relative Value Update
Committee (RUC).
After a thorough review of the RUC recommendations, we will
announce any proposed changes to the work RVUs in the Federal Register
in early 1996 and provide an opportunity for the public to comment
before we finalize the changes.
B. Resource-Based Practice Expense Relative Value Units
With the exception of anesthesia services, physician services and
other diagnostic services paid under the physician fee schedule have
practice expense and malpractice expense RVUs. Payments for practice
expense RVUs account for approximately 42 percent of physician fee
schedule payments.
The practice expense RVUs are derived from historical allowed
charge data. The common criticism is that the practice expense RVUs are
not truly resource-based because they are not based on resource costs.
Section 121 of the Social Security Act Amendments of 1994, Public
Law 103-432, enacted on October 31, 1994, requires the Secretary to
develop a methodology for a resource-based system for determining
practice expense RVUs for each physician service. In developing the
methodology, the Secretary must consider the staff, equipment, and
supplies used in the provision of medical and surgical services in
various settings. The Secretary must report to the Congress on the
methodology by June 30, 1996. The new payment methodology is effective
for services furnished in 1998. There is no transition provision for
these services.
We awarded a contract to Abt Associates in March 1995. Abt will
develop a uniform database that can be used to support a number of
analytical methods (for example, microcosting or economic cost
functions) to estimate practice expense per service. Abt will also
provide us with both direct and indirect practice expense estimates for
all services paid under the physician fee schedule. We expect that
these estimates will vary based on the site where the service is
furnished. For example, the practice expense for a physician service
furnished in the hospital outpatient department will differ from the
practice expense for the same service performed in the physician's
office.
As we pointed out in our July 26, 1995 proposed rule (60 FR 38400),
Abt will use information from two separate processes to generate
practice expense RVUs for physician services (60 FR 38417). Through the
use of Clinical Practice Expert Panels, Abt will estimate the expenses,
including the cost of clinical labor, supplies, and medical equipment
for specific physician services. The Clinical Practice Expert Panels
will also consider whether additional items, such as the cost of
administrative services, can be directly assigned to individual
services. The remaining expenses for physician services will be
calculated from the information obtained through the practice expense
survey.
Practice Expense Survey
Abt will obtain physician practice specific information through a
practice expense survey. Abt expects to receive responses from
approximately 3,000 practices.
The survey instrument was sent to the Office of the Secretary in
the Department of Health and Human Services on August 7, 1995. Under
current procedures, the Department has a 60-day period to review this
survey. After Departmental clearance, the survey is sent to the Office
of Management and Budget where it will undergo a 60-day clearance
process. Under the current schedule, the earliest clearance on the
survey will be in early December.
We expect that Abt will send the survey to individual practices
starting in January 1996. Abt estimates that it will take approximately
7 months for its staff to mail the survey, to compile the completed
responses, and to assemble the data into a database.
As we stated in the July 26, 1995 proposed rule, one of the main
objectives of the practice expense survey will be to collect indirect
practice expenses so that these expenses can be related to individual
CPT procedure codes.
Clinical Practice Expert Panels
We furnished Abt with a list of all the codes in the Medicare
physician fee schedule database for which practice expense RVUs are to
be estimated. As a starting point, Abt used a classification system
that is a hybrid of the Ambulatory Patient Groups system developed by
3M and the Berenson-Eggers-Holahan (Urban Institute) system to group
the codes into similar families of codes. The objective was to sort the
codes into families that are clinically related and have relatively
comparable direct costs. This system was reviewed by our medical staff,
clinical consultants, and the Clinical Practice Expert Panel Technical
Expert Group, the advisory group for the overall design of the project.
At a HCFA-sponsored public meeting on August 18, 1995, a draft copy
of this classification system was provided to various specialty groups.
These groups were given the opportunity to review the families of codes
and the Clinical Practice Expert Panel to which the family was assigned
and to suggest one or more reference codes for each family. Abt
considered these comments in the development of the final
classification system.
At this time, Abt has grouped the codes into 199 families. These
families have been assigned to 15 Clinical Practice Expert Panels. Each
Clinical Practice Expert Panel is generally assigned between 6 to 25
families. A goal is to keep the number of service families per Clinical
Practice Expert Panel manageable.
Each Clinical Practice Expert Panel will be composed of up to 15
members. Clinical Practice Expert Panel membership is not restricted to
practicing physicians. Clinical Practice Expert Panel members can be
practice managers and nonphysician clinicians who are knowledgeable
about physician practice expenses. There will be a primary care
physician and surgeon on every Clinical Practice Expert Panel. The
remainder of the Clinical Practice Expert Panel members will be
composed of the primary providers of the services in the Clinical
Practice Expert Panel families.
The Clinical Practice Expert Panel is to reach consensus on the
detailed direct inputs for one reference procedure per family. The
following four criteria were established to guide the selection process
of the reference procedure:
The service should be commonly performed.
The service should have a mid-range level of resource
usage relative to the other codes in the family.
The service should be a code whose definition or coding
application has not changed in the last several years.
The variation across physicians in the way the service is
performed should be minimal.
A Clinical Practice Expert Panel Technical Expert Group meeting was
held on September 7 and 8, 1995. The Clinical Practice Expert Panel
Technical Expert Group devoted its attention to
[[Page 63170]]
the following topics: service family composition including criteria;
reference procedures per family; composition of the Clinical Practice
Expert Panel; and the process for conducting the Clinical Practice
Expert Panels, in particular, the worksheets to be completed.
Future Scheduled Activities
A mock Clinical Practice Expert Panel meeting will be held in
January 1996. The purpose of the mock Clinical Practice Expert Panel
meeting is to pre-test the Clinical Practice Expert Panel process and
worksheets.
The first series of Clinical Practice Expert Panel meetings will be
conducted beginning in late January 1996. Before the Clinical Practice
Expert Panel meetings, each Clinical Practice Expert Panel member (and
if it so chooses, specialty group) will complete the worksheets on the
resource costs of reference procedures. Abt will compile these data and
provide summary information to each Clinical Practice Expert Panel
member. The Clinical Practice Expert Panel members will use a consensus
approach to estimate the direct inputs for the reference services.
The second series of Clinical Practice Expert Panel meetings will
be conducted in the spring of 1996. The Clinical Practice Expert Panel
members will use an extrapolation process to estimate the direct costs
of the other nonreference procedures in the same family.
Data collection on the practice expense survey will be completed by
June 1996. Abt will deliver data files by August 1, 1996. We expect to
award multiple contracts to analyze the data. Abt's report on the
analysis of the data is due by September 1996.
We expect to publish the proposed rule in the Federal Register in
the spring of 1997 and the final rule in the fall of 1997. We will
implement the resource-based practice expense RVUs beginning January 1,
1998.
As we also stated in the July 26, 1995 proposed rule, this
discussion of our efforts to implement the requirement in the statute
to develop a resource-based relative value scale is for informational
purposes and is not a formal proposal. We were not soliciting comments
on the proposal. While we did receive several comments, we are not
providing a summary of these comments nor responses to them because it
was not a formal proposal. We will, however, consider the comments.
C. Case Management in a Fee-for-Service System
In the July 26, 1995 proposed rule, we solicited information,
recommendations, and suggestions from the public on how we might apply
case management to the Medicare fee-for-service system. While the
comments we received addressed the issues we raised in the proposed
rule, we are now seeking comments on some additional issues.
We are currently interested in paying physicians for the management
of patients with specific diagnoses. We believe that physicians often
provide extensive case management to patients with certain chronic
conditions and that these management activities may maintain or improve
health status. We are interested in learning more about which patients
would benefit from this case management.
We are also exploring various managed care options within the
Medicare fee-for-service system. We are interested in receiving public
comment about the appropriateness and feasibility of creating periodic
capitated payments for comprehensive management of medical cases.
Our intent at this time is to solicit information, recommendations,
and suggestions from the public on how we might create a capitated
payment for case management. We are particularly interested in the
following:
What types of patients would benefit from extensive case
management? We are considering developing bundled payments for
physician services furnished to patients with dementia and one or more
co-morbidities, diabetes, hypertension, or congestive heart failure. We
are seeking comments on these and other types of patients who would
benefit from case management. Any information about the types of
services that should be included in a bundled payment for care of these
patients and data on the prevalence of a given medical condition or
combination of conditions in the Medicare population would be
appreciated.
What is an appropriate periodicity for a capitated
payment? There is precedent in the Medicare program for monthly and
weekly capitated payments. (Medicare pays on a monthly basis for
physician services associated with the continuing medical management of
a maintenance dialysis patient and has a weekly radiation therapy
management payment.) Do other schedules such as quarterly or
semiannually make more sense for identifiable groups of patients?
VI. Provisions of the Final Rule
The provisions of this final rule, for the most part, restate the
provisions of the July 1995 proposed rule. This section includes the
following changes from the proposed rule:
Adds a new statutory basis section in Sec. 405.500 for
subpart E (``Criteria for Determining Reasonable Charges'') in part 405
and also revises the authority citation for subpart E.
Redesignates Sec. 405.552 (``Conditions for payment:
Anesthesiology services'') as Sec. 415.110.
Adds a statutory basis section in Sec. 405.2400 for
subpart X (``Health Clinic and Federally Qualified Health Center
Services'') of part 405 and also revises the authority citation for
subpart X.
Revises Sec. 405.2468 (``Allowable costs'') to expand the
definition of physician services in rural health clinics and Federally
qualified health centers to include services of residents as defined in
Sec. 415.152 (``Definitions'') who meet the requirements in
Sec. 415.206(b) (concerning physician fee schedule payment for services
of residents in nonprovider settings).
Revises Sec. 414.30 (``Conversion factor update'') to
incorporate a change regarding the downward adjustment to the
conversion factor required by section 13511 of OBRA 1993.
Revises Sec. 414.32 (``Determining payments for certain
physicians' services furnished in facility settings'') to state that
when a service which is not on the ASC list is performed in an ASC, the
site-of-service payment differential does not apply.
Removes the urodynamic evaluation CPT codes 51725, 51726,
51772, 51785 and CPT codes 13150, 14020, 14060, 15740, 21208, 21440,
23066, 26645, 28030, 28043, 28092, 28261, 40510, 41805, 42408, 46220,
46610, 63600, 64420, 65270, and 67921 from the site-of-service payment
differential list as proposed.
Revises Sec. 414.46 (``Additional rules for payment of
anesthesia services'') to state that anesthesia CPT modifier units are
not allowed for Medicare payment.
Moves the ``Scope'' paragraph (a) in Sec. 415.100 of
subpart C (``Part B Carrier Payments for Physician Services to
Beneficiaries in Providers'') of part 415 in the proposed rule into a
separate Sec. 415.100. Redesignates the remaining paragraphs in
proposed rule Sec. 415.100 as Sec. 415.102 (``Conditions for fee
[[Page 63171]]
schedule payment for physician services to beneficiaries in
providers'').
Creates a limited exception to the teaching physician
presence requirement for certain residency programs in new Sec. 415.174
(``Exception: Evaluation and management services furnished in certain
centers'').
In addition, the final rule differs from the proposed rule in that
we have revised our proposed payment policy related to hydration
therapy and chemotherapy as a result of public comments. We will allow
separate payment for hydration therapy or the infusion of antiemetics
or other nonchemotherapy drug on the same date of service as
chemotherapy infusion only when the nonchemotherapy drug is
administered sequentially rather than at the same time as the
chemotherapy infusion. However, as we proposed, we will not pay for
hydration therapy when administered at the same time as chemotherapy
infusion.
VII. Collection of Information Requirements
Under the Paperwork Reduction Act of 1995, agencies are required to
provide 60-day notice in the Federal Register and solicit public
comment before a collection of information requirement is submitted to
the Office of Management and Budget (OMB) for review and approval. In
order to fairly evaluate whether an information collection should be
approved by OMB, section 3506(c)(2)(A) of the Paperwork Reduction Act
of 1995 requires that we solicit comment on the following issues:
Whether the information collection is necessary and useful
to carry out the proper functions of the agency;
The accuracy of the agency's estimate of the information
collection burden;
The quality, utility, and clarity of the information to be
collected; and
Recommendations to minimize the information collection
burden on the affected public, including automated collection
techniques.
Therefore, we are soliciting public comment on each of these issues
for the information collection requirements discussed below.
The following sections of this document contain information
collection requirements as described below:
The information collection requirements in Sec. 415.60
(``Allocation of physician compensation costs''), in paragraph (f)(1),
concern determination and payment of allowable physician compensation
costs. The requirements also concern the amounts of time the physician
spends in furnishing physician services to the provider, physician
services to patients, and services that are not paid under either Part
A or Part B of Medicare; and assurance that the compensation is
reasonable in terms of the time devoted to these services. The
information collection requirements in Sec. 415.60(g) concern
recordkeeping requirements for allocation of physician compensation
costs. They also concern time records used to allocate physician
compensation, information on which the physician compensation
allocation is based, and retention of this information for a 4-year
period after the end of each cost reporting period to which the
allocation applies. Respondents that will provide the information are
7,091 hospitals, 10,630 freestanding skilled nursing facilities, and
258 freestanding comprehensive outpatient rehabilitation facilities.
The respondents will provide the information in Exhibits 2 through 4 on
Form HCFA-339, ``Provider Cost Report Reimbursement Questionnaire.''
The information collection requirements in Sec. 415.130
(``Conditions for payment: Physician pathology services''), paragraph
(b)(3), concern a written narrative report included in the
beneficiary's medical record for clinical consultation pathology
services. The services must be requested by the beneficiary's attending
physician, relate to a test result that lies outside the clinically
significant normal or expected range in view of the condition of the
beneficiary, and require the exercise of medical judgment by the
consultant physicians. Respondents who will provide the information are
physicians furnishing clinical consultation pathology services.
The information collection requirements in Sec. 415.162
(``Determining payment for physician services furnished to
beneficiaries in teaching hospitals'') concern the apportionment of
compensation in the case of teaching hospitals electing cost
reimbursement for direct medical and surgical services furnished by
physicians to beneficiaries and supervision of interns and residents
furnishing care to beneficiaries in a teaching hospital. Respondents
that will provide the information are 40 cost election teaching
hospitals. The respondents will provide the information on Supplemental
Worksheet, Part I and Part II, of Form HCFA-2552-92.
The information collection requirements in Sec. 415.172
(``Physician fee schedule payment for services of teaching
physicians''), paragraph (b), concern documentation in the medical
records that the teaching physician was present at the time the service
was furnished, and, in the case of evaluation and management services,
personal documentation by the teaching physician in the medical records
of his or her participation in the service. The information collection
requirements also concern, in the case of surgical, high-risk, or other
complex procedures, the presence of the teaching physician during all
critical portions of the procedure and immediate availability to
furnish services during the entire service or procedure. In the case of
surgery, the teaching physician's presence is not required during
opening and closing of the surgical field. In the case of procedures
performed through an endoscope, the teaching physician must be present
during the entire viewing. In the case of evaluation and management
services, the teaching physician must be present during the portion of
the service that determines the level of service billed. Respondents
who will provide this information are physicians, residents, or nurses;
however, in the case of evaluation and management services, the
teaching physician must personally document in the medical records his
or her participation in the service.
The information collection requirements in Sec. 415.174
(``Exception: Evaluation and management services furnished in certain
centers''), paragraph (a)(3)(v), concern documentation of the extent of
the teaching physician's participation in the review and direction of
the services furnished to each beneficiary in an outpatient department
of a hospital or another ambulatory care entity. The information
collection requirements concern the conditions under which carriers
will make physician fee schedule payment for certain evaluation and
management services of lower and mid-level complexity furnished by a
resident without the presence of a teaching physician. Respondents who
will provide this information are teaching physicians.
The information collection requirements in Sec. 415.178
(``Anesthesia services''), paragraph (b), concern
[[Page 63172]]
documentation of the teaching physician's presence or participation in
the administration of the anesthesia and a preoperative and
postoperative visit by the teaching physician. The teaching physician
must be present during all critical portions of the procedure and
immediately available to furnish services during the entire service or
procedure. The teaching physician cannot receive an unreduced fee if he
or she performs services involving other patients during the period the
anesthesia resident is furnishing services in a single case.
Respondents who will provide this information are teaching physicians.
The information collection requirements in Sec. 415.180 (``Teaching
setting requirements for the interpretation of diagnostic radiology and
other diagnostic tests''), paragraph (b), concern documentation that
the teaching physician personally performed the interpretation or
reviewed the resident's interpretation with the resident. Physician fee
schedule payment will be made in those situations. Respondents who will
provide this information are teaching physicians.
The table below indicates the annual number of responses for each
regulation section in this final rule containing information collection
requirements, the average burden per response in minutes or hours, and
the total annual burden hours.
Estimated Annual Reporting and Recordkeeping Burden
----------------------------------------------------------------------------------------------------------------
Annual No. of Annual Average burden per Annual burden
CFR sections responses frequency response hours
----------------------------------------------------------------------------------------------------------------
415.60............................... 17,979 1 11 hours................. 197,769
415.130.............................. 9,273 1 3 minutes................ 464
415.162.............................. 40 1 2 hours.................. 80
415.172.............................. 3,200,232 1 1 minute................. 53,337
415.174.............................. 1,237,516 1 1 minute................. 20,625
415.178.............................. 106,819 1 1 minute................. 1,780
415.180.............................. 1,000,107 1 1 minute................. 16,668
----------------------------------------------------------------------------------------------------------------
The information collection requirements were approved by OMB for
Secs. 415.60 and 415.162 as Secs. 405.481 and 405.465, respectively,
under OMB control number 0938-0301 and expire August 31, 1998.
We have submitted a copy of this final rule with comment period to
OMB for its review of the information collection requirements in
Secs. 415.130, 415.172, 415.174, 415.178, and 415.180. These
requirements are not effective until they have been approved by OMB. A
document will be published in the Federal Register when OMB approval is
obtained.
Organizations and individuals desiring to submit comments on the
information collection and recordkeeping requirements should send them
to the Health Care Financing Administration, Office of Financial and
Human Resources, Management Planning and Analysis Staff, 7500 Security
Boulevard, Baltimore, Maryland, 21244-1850 and to the Office of
Management and Budget official whose name appears in the ADDRESSES
section of this preamble.
VIII. Response to Comments
Because of the large number of items of correspondence we normally
receive on Federal Register documents published for comment, we are not
able to acknowledge or respond to them individually. We will consider
all comments we receive by the date and time specified in the DATES
section of this preamble, and, if we proceed with a subsequent
document, we will respond to the comments in the preamble to that
document.
IX. Regulatory Impact Analysis
A. Regulatory Flexibility Act
Consistent with the Regulatory Flexibility Act (5 U.S.C. 601
through 612), we prepare a regulatory flexibility analysis unless the
Secretary certifies that a rule will not have a significant economic
impact on a substantial number of small entities. For purposes of the
Regulatory Flexibility Act, all physicians are considered to be small
entities.
This final rule will not have a significant economic impact on a
substantial number of small entities. Nevertheless, we are preparing a
regulatory flexibility analysis because the provisions of this rule are
expected to have varying effects on the distribution of Medicare
physician payments across specialties and across geographic areas. We
anticipate that virtually all of the approximately 500,000 physicians
who furnish covered services to Medicare beneficiaries will be affected
by one or more provisions of this rule. In addition, physicians who are
paid by private insurers for non-Medicare services will be affected to
the extent that they are paid by private insurers that choose to use
the RVUs. However, with few exceptions, we expect that the impact on
individual medical practitioners will be limited.
In accordance with the provisions of Executive Order 12866, this
final rule was reviewed by the Office of Management and Budget.
B. Budget-Neutrality Adjustment
Section 1848(c)(2)(B) of the Act requires that adjustments to RVUs
in a year may not cause the amount of expenditures for the year to
differ by more than $20 million from the amount of expenditures that
would have been made if these adjustments had not been made. We refer
to this as the budget-neutrality adjustment.
In past years, we have made this adjustment across all RVUs. This
year, as we proposed, we are making this adjustment on the conversion
factors instead of the RVUs. This alternative approach is
administratively simpler, and it facilitates policy and data analysis
of RVUs. It does not significantly affect the final payments that are
made to physicians because any changes to payments will be the result
of rounding and will be minimal.
The issues discussed in sections IX.C. through IX.K. will have no
impact on Medicare program expenditures because the effects of these
changes have been neutralized in the calculation of the conversion
factors for 1996.
We have estimated the net increase in program costs in calendar
year 1996
[[Page 63173]]
resulting from the adjustments to RVUs and revisions in payment
policies to be approximately $140 million. This is a net figure in that
savings from the reductions in RVUs for some services partially offset
the cost associated with increases in the RVUs for other services. This
figure requires a reduction of 0.36 percent in the conversion factors
for all services to comply with the statutory limitation on increases
in expenditures. Although a $20 million tolerance is permitted under
the law, this 0.36 percent reduction to all conversion factors is
designed to approximate budget neutrality as closely as possible,
without creating any increase or decrease in expenditures as a result
of RVU adjustments or revisions in payment policies.
C. Bundled Services
1. Hydration Therapy and Chemotherapy
Bundling of payment for CPT codes 90780 and 90781, (Therapeutic
infusions except for chemotherapy) into CPT codes 96410, 96412, and
96414 (Chemotherapy infusion), when nonchemotherapy drugs are infused
at the same time as chemotherapy drugs means that in some cases,
physicians will no longer be paid for CPT codes 90780 and 90781.
However, our policy will allow physicians to continue to be paid for
CPT codes 90780 and 90781 when done on the same day as CPT codes 96410,
96412, and 96414 if the nonchemotherapy drugs are infused sequentially
rather than contemporaneously with the chemotherapy drugs. We are
unable to determine from our existing data which portion of billings
for CPT codes 90780 and 90781 that are currently furnished on the same
day as CPT codes 96410, 96412, and 96414 are for sequential or
contemporaneous services. Therefore, at this time, we are unable to
estimate the impact of this policy. We expect that the impact will be
minor.
2. Evaluation of Psychiatric Records and Reports and Family Counseling
Services
Bundling of payment for CPT codes 90825 and 90887 into the payment
for other psychiatric codes means that physicians who are currently
billing for, and receiving separate payment for, these services may no
longer do so. Because we believe that the services described by CPT
codes 90825 and 90887 are captured in the prework and postwork of other
psychiatric services, we will implement this change in policy by
redistributing the RVUs for CPT codes 90825 and 90887 equally into the
following psychiatric procedure codes: CPT codes 90801, 90820, 90835,
90842 through 90847, and 90853 through 90857. We estimate that this
change will increase the RVUs for the latter codes by approximately 0.7
percent.
3. Fitting of Spectacles
We will cease making separate payment under the physician fee
schedule for fitting of spectacles and low vision systems (CPT codes
92352 through 92358 and 92371) beginning January 1, 1996. Payment for
these services is already included in the payment for the prosthetic
device. We will redistribute the payment currently made for these CPT
codes across all physician services, which is what would have occurred
had we not included these fees when the fee schedule was created.
Because the total payment for spectacle fitting services is relatively
low (approximately $2.5 million in calendar year 1994) compared to the
total payment for all physician services, we believe the impact on RVUs
for all physician services is negligible.
Virtually all of the providers who have been billing for the
fitting of spectacles as a professional service have been optometrists.
Under this revised policy, they are no longer able to bill separately
for this service. The effect on individual optometrists will depend
upon the amount of their income derived from billing for spectacle
fitting services.
D. X-Rays and Electrocardiograms Taken in the Emergency Room
Under policy issued in 1981, the interpretation of an x-ray or EKG
furnished to an emergency room patient by a radiologist or
cardiologist, respectively, ``almost always'' constituted a covered
Part B service payable by the carrier, regardless of whether the test
results had been previously used in the diagnosis and treatment of the
patient by a physician in the emergency room and regardless of when the
specialist furnished the interpretation. A study completed by the
Office of Inspector General of the Department of Health and Human
Services, dated July 1993, recommended that we change this policy to
indicate that the second interpretation is generally a quality control
service to be taken into account by intermediaries in determining
hospital reasonable costs. Further, we understand that some carriers
are currently paying both the emergency room physician and the
radiologist or cardiologist for the interpretation of the same x-ray or
EKG.
We will pay for only one interpretation of an x-ray or EKG
furnished to an emergency room patient except under unusual
circumstances. In situations in which both the emergency room physician
and the radiologist or cardiologist bill for the interpretation, we
will instruct the carriers to pay for the interpretation used in the
diagnosis and treatment of the patient. We will consider the second
interpretation to be a quality control service. Under this policy, we
will reduce the incidence of carriers' paying twice for an
interpretation, but we have no estimate of the number of duplicate
payments that will be eliminated. We believe that the specialists will
be affected primarily. If hospitals want to ensure that their
specialists are paid for these interpretations, they can make
arrangements to preclude the emergency room physician from billing for
the same service.
E. Extension of Site-of-Service Payment Differential to Services in
Ambulatory Surgical Centers
We are extending the site-of-service payment limit to office-based
services if those services are performed in an ambulatory surgical
center, effective for services furnished beginning January 1, 1996. We
are adding 126 procedure codes to the list. Were it not for budget-
neutrality adjustments, we estimate that these additions would result
in a $24.6 million reduction in 1996 Medicare payments.
F. Services of Teaching Physicians
This change removes the single attending physician criteria for
hospital patients. It allows and promotes supervision of the care by
physician group practices. We believe allowing for more than one
teaching physician per beneficiary inpatient stay will result in
negligible additional cost, but the lack of any data prevents us from
quantifying the effects of this change. In addition, this rule will
incorporate longstanding Medicare coverage and payment policy regarding
the circumstances under which the services of residents are payable as
physician services.
We will require the physical presence of a teaching physician
during the key portion of the service in order for the teaching
physician to receive Part B physician fee schedule payment for the
service. Details regarding the physical
[[Page 63174]]
presence of a teaching physician during different types of services and
procedures are discussed in section II.F. of this preamble. Although we
lack specific data, we believe that the provisions of this part of the
final rule have no budgetary effect because we believe that the
potential costs are offset by the potential savings.
G. Unspecified Physical and Occupational Therapy Services (HCFA Common
Procedure Coding System Codes M0005 Through M0008 and H5300)
We are eliminating HCPCS codes M0005 through M0008 and H5300 and
redistributing the RVUs to codes in the physical medicine and
rehabilitation section of the CPT (codes 97010 through 97799). The
codes we are deleting are general codes that do not describe adequately
the service being furnished. Their use precludes effective review
necessary to ensure that the services being paid are covered by
Medicare. In 1995, the American Medical Association revised the CPT
codes in the Physical Medicine and Rehabilitation section of the CPT to
better reflect the provision of physical and occupational therapy
services.
We believe that each unit of service currently billed under the
codes we are deleting will be billed under a CPT or HCPCS code and that
the total amount of Medicare payment for physical medicine services
will not change significantly as a result of the elimination of these
codes. Therefore, we believe there will be no additional costs or
savings as a result of this change in billing. Since the original codes
were not descriptive, we had no way of comparing payments. However, we
believe that we are eliminating potential manipulation of payment and
are improving the data collected by requiring practitioners to use the
more specific codes when billing for these services.
H. Transportation in Connection With Furnishing Diagnostic Tests
Under the policy adopted in this final rule, we are restricting the
discretion of carriers to make separate payments for the transportation
of diagnostic testing equipment. Effective for services furnished
beginning January 1, 1996, the general policy is that separate
transportation payments will be made only in connection with the
following services:
X-ray and standard EKG services furnished by an approved
portable x-ray supplier; and
Standard EKG services furnished by an independent
physiological laboratory under special conditions.
For all other types of diagnostic tests payable under the physician
fee schedule, travel expenses are considered to be ``bundled'' into the
payment for the procedure, and Medicare carriers will pay for the
transportation of equipment only on a ``by report'' basis under CPT
code 99082 if a physician submits documentation to justify the ``very
unusual'' travel as set forth in section 15026 of the Medicare
Carriers' Manual.
We are unable to assess the impact of this new national policy
because carriers have had such varying payment policies on this issue.
We had thought that this might be a significant policy change since we
had received many inquiries on the subject in recent years; however, we
received fewer than 10 comments on this policy as set forth in the
proposed rule, and we now conclude that the national impact of the new
policy will not be significant. There will likely be an impact on
payments to independent physiological laboratories in some areas in
which transportation payments were made before January 1, but it is not
possible to assess these reductions from the comments received.
I. Maxillofacial Prosthetic Services
We are establishing national RVUs for these services and,
therefore, are discontinuing pricing by individual carriers, effective
January 1, 1996. We estimate that total expenditures for CPT codes
21079 through 21087 and codes G0020 and G0021 (replaced by CPT codes
21076 and 20177 in 1996), based on the RVUs will be approximately $2.4
million in calendar year 1996. The 1994 Medicare expenditures for these
codes under the carrier pricing methodology were approximately $1.5
million which, if updated for 1995, would be approximately $1.6
million. Thus, we estimate an increase of approximately $800,000 for
these codes. However, total expenditures for physician services will
not increase because we are implementing this change in a budget-
neutral manner in accordance with section 1848(c)(2)(B)(ii) of the Act.
These services are furnished most frequently by oral surgeons
(dentists only) and by maxillofacial surgeons. Because we estimate that
the total expenditures for these services will increase slightly, we
expect that, in general, the physicians who perform and bill for these
procedures will realize an increase in payment. However, in some areas,
the payment amounts based on national RVUs may be lower than those
calculated by the local carrier.
J. Coverage of Mammography Services
We are expanding the definition of ``diagnostic'' mammography to
include as candidates for this service asymptomatic men or women who
have a personal history of breast cancer or a personal history of
biopsy-proven benign breast disease. We do not believe this change will
result in a significant increase in the total number of mammography
services because information from carriers indicates that most
asymptomatic patients in these categories are already receiving
diagnostic mammography services.
K. Two Anesthesia Providers Involved in One Procedure
We will apply the medical direction payment policy to the single
procedure involving both the physician and the CRNA. We will not
implement this policy until January 1, 1998, at which time the proposal
will be budget-neutral. In 1998, the allowance for the medically-
directed CRNA service and the medical-direction service of the
anesthesiologist will be equivalent to 50 percent of the allowance
recognized for the service personally performed by the anesthesiologist
alone. Thus, payment for both services will be no different than what
would be allowed for the anesthesia service personally performed by the
anesthesiologist.
Although this proposal is budget-neutral, total payments to
anesthesiologists will decrease slightly and payments to the CRNAs'
employers will increase slightly. We cannot quantify the amount of the
losses to the anesthesiologists or the gains to the CRNAs' employers.
However, anesthesiologists can lessen their losses by actually
personally performing as many of these services as possible and
receiving the same allowance they would have in the absence of this new
policy.
L. Rural Hospital Impact Statement
Section 1102(b) of the Act requires the Secretary to prepare a
regulatory impact analysis if a rule 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 604 of the
Regulatory Flexibility Act. For purposes of section
[[Page 63175]]
1102(b) of the Act, we define a small rural hospital as a hospital that
is located outside of a Metropolitan Statistical Area and has fewer
than 50 beds.
This final rule will have little direct effect on payments to rural
hospitals since this rule will change only payments made to physicians
and certain other practitioners under Part B of the Medicare program
and will not change payments to hospitals under Part A. We do not
believe the changes will have a major, indirect effect on rural
hospitals.
Therefore, we are not preparing an analysis for section 1102(b) of
the Act since we have determined, and the Secretary certifies, that
this rule will not have a significant impact on the operations of a
substantial number of small rural hospitals.
List of Subjects
42 CFR Part 400
Grant programs--health, Health facilities, Health maintenance
organizations (HMO), Medicaid, Medicare, Reporting and recordkeeping
requirements.
42 CFR Part 405
Administrative practice and procedure, Health facilities, Health
professions, Kidney diseases, Medicare, Reporting and recordkeeping
requirements, Rural areas, X-rays.
42 CFR Part 410
Health facilities, Health professions, Kidney diseases,
Laboratories, Medicare, Rural areas, X-rays.
42 CFR Part 411
Kidney diseases, Medicare, Reporting and recordkeeping
requirements.
42 CFR Part 412
Administrative practice and procedure, Health facilities, Medicare,
Puerto Rico, Reporting and recordkeeping requirements.
42 CFR Part 413
Health facilities, Kidney diseases, Medicare, Puerto Rico,
Reporting and recordkeeping requirements.
42 CFR Part 414
Administrative practice and procedure, Health facilities, Health
professions, Kidney diseases, Medicare, Reporting and recordkeeping
requirements, Rural areas, X-rays.
42 CFR Part 415
Health facilities, Health professions, Medicare, Reporting and
recordkeeping requirements.
42 CFR Part 417
Administrative practice and procedure, Grant programs--health,
Health care, Health facilities, Health insurance, Health maintenance
organizations (HMO), Loan programs--health, Medicare, Reporting and
recordkeeping requirements.
42 CFR Part 489
Health facilities, Medicare, Reporting and recordkeeping
requirements.
Under the authority of 42 U.S.C. 1302 and 1395hh, 42 CFR chapter IV
is amended as set forth below:
PART 400--INTRODUCTION; DEFINITIONS
A. Part 400 is amended as set forth below:
1. The authority citation for part 400 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh) and 44 U.S.C. Chapter 35.
2. In Sec. 400.202, the introductory text is republished and the
definition of GME is added in alphabetical order to read as follows:
Sec. 400.202 Definitions specific to Medicare.
As used in connection with the Medicare program, unless the context
indicates otherwise--
* * * * *
GME stands for graduate medical education.
* * * * *
PART 405--FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED
B. Part 405 is amended as set forth below:
Subpart D--[Removed and Reserved]
1. Subpart D, consisting of Secs. 405.465 through 405.482, is
removed and reserved.
2. Subpart E is amended as set forth below:
a. The authority citation for subpart E is revised to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
b. The heading for subpart E is revised to read as follows:
Subpart E--Criteria for Determining Reasonable Charges
c. A new Sec. 405.500 is added to read as follows:
Sec. 405.500 Basis.
Subpart E is based on the provisions of the following sections of
the Act: Section 1814(b) provides for Part A payment on the basis of
the lesser of a provider's reasonable costs or customary charges.
Section 1832 establishes the scope of benefits provided under the Part
B supplementary medical insurance program. Section 1833(a) sets forth
the amounts of payment for supplementary medical insurance services on
the basis of the lesser of a provider's reasonable costs or customary
charges. Section 1834(a) specifies how payments are made for the
purchase or rental of new and used durable medical equipment for
Medicare beneficiaries. Section 1834(b) provides for payment for
radiologist services on a fee schedule basis. Section 1834(c) provides
for payments and standards for screening mammography. Section 1842(b)
sets forth the provisions for a carrier to enter into a contract with
the Secretary and to make determinations with respect to Part B claims.
Section 1842(h) sets forth the requirements for a physician or supplier
to voluntarily enter into an agreement with the Secretary to become a
participating physician or supplier. Section 1842(i) sets forth the
provisions for the payment of Part B claims. Section 1848 establishes a
fee schedule for payment of physician services. Section 1861(b) sets
forth the inpatient hospital services covered by the Medicare program.
Section 1861(s) sets forth medical and other health services covered by
the Medicare program. Section 1861(v) sets forth the general authority
under which HCFA may establish limits on provider costs recognized as
reasonable in determining Medicare program payments. Section 1861(aa)
sets forth the rural health clinic services and Federally qualified
health center services covered by the Medicare program. Section
1861(jj) defines the term ``covered osteoporosis drug.'' Section
1862(a)(14) lists services that are excluded from coverage. Section
1866(a) specifies the terms for provider agreements. Section 1881
authorizes special rules for the coverage of and payment for services
furnished to patients with end-stage renal disease. Section 1886 sets
forth the requirements for payment to hospitals for inpatient hospital
services. Section 1887 sets forth
[[Page 63176]]
requirements for payment of provider-based physicians and payment under
certain percentage arrangements. Section 1889 provides for Medicare and
Medigap information by telephone.
Sec. 405.501 [Amended]
d. In Sec. 405.501, the following changes are made:
i. Paragraphs (c) and (d) are removed, and paragraphs (e) and (f)
are redesignated as paragraphs (c) and (d), respectively.
ii. In newly redesignated paragraph (c), the phrase ``Secs. 405.480
through 405.482 and Secs. 405.550 through 405.557'' is removed, and the
phrase ``Secs. 415.55 through 415.70 and Secs. 415.100 through 415.130
of this chapter'' is added in its place.
iii. In newly redesignated paragraph (d), the words ``For services
furnished on or after January 1, 1989, payment'' are removed, and the
word ``Payment'' is added in their place.
Secs. 405.520-405.525 [Removed]
e. Sections 405.520 through 405.525 are removed.
Subpart F--[Removed and Reserved]
3. Subpart F, consisting of Secs. 405.550 through 405.580, is
removed and reserved.
Subpart X--Rural Health Clinic and Federally Qualified Health
Center Services
4. Subpart X is amended as set forth below:
a. The authority citation for subpart X is revised to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
b. A new Sec. 405.2400 is added to read as follows:
Sec. 405.2400 Basis.
Subpart X is based on the provisions of the following sections of
the Act: Section 1833 sets forth the amounts of payment for
supplementary medical insurance services. Section 1861(aa) sets forth
the rural health clinic services and Federally qualified health center
services covered by the Medicare program.
c. In Sec. 405.2401, paragraph (b), the introductory text is
republished, and the definition for physician is revised to read as
follows:
Sec. 405.2401 Scope and definitions.
* * * * *
(b) Definitions. As used in this subpart, unless the context
indicates otherwise:
* * * * *
Physician means the following:
(1) A doctor of medicine or osteopathy legally authorized to
practice medicine and surgery by the State in which the function is
performed.
(2) Within limitations as to the specific services furnished, a
doctor of dentistry or dental or oral surgery, a doctor of optometry, a
doctor of podiatry or surgical chiropody or a chiropractor. (See
section 1861(r) of the Act for specific limitations.)
(3) A resident (including residents as defined in Sec. 415.152 of
this chapter who meet the requirements in Sec. 415.206(b) of this
chapter for payment under the physician fee schedule).
* * * * *
d. In Sec. 405.2468, the introductory text of paragraph (b) is
republished, and paragraph (b)(1) is revised to read as follows:
Sec. 405.2468 Allowable costs.
* * * * *
(b) Typical rural health clinic and Federally qualified health
center costs. The following types and items of cost are included in
allowable costs to the extent that they are covered and reasonable:
(1) Compensation for the services of physicians, (including
residents as defined in Sec. 415.152 of this chapter who meet the
requirements in Sec. 415.206(b) of this chapter for payment under the
physician fee schedule), physician assistants, nurse practitioners,
nurse midwives, specialized nurse practitioners, visiting nurses,
qualified clinical psychologists, and clinical social workers employed
by the clinic or center.
* * * * *
PART 410--SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
C. Part 410 is amended as set forth below:
1. The authority citation for part 410 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
2. Section 410.34 is amended by republishing the introductory text
to paragraph (a) and revising paragraphs (a)(1), (a)(2), and (d) to
read as follows:
Sec. 410.34 Mammography services: Conditions for and limitations on
coverage.
(a) Definitions. As used in this section, the following definitions
apply:
(1) Diagnostic mammography means a radiologic procedure furnished
to a man or woman with signs or symptoms of breast disease, or a
personal history of breast cancer, or a personal history of biopsy-
proven benign breast disease, and includes a physician's interpretation
of the results of the procedure.
(2) Screening mammography means a radiologic procedure furnished to
a woman without signs or symptoms of breast disease, for the purpose of
early detection of breast cancer, and includes a physician's
interpretation of the results of the procedure.
* * * * *
(d) Limitations on coverage of screening mammography services. The
following limitations apply to coverage of screening mammography
services as described in paragraph (a)(2) of this section:
(1) The service must be, at a minimum a two-view exposure (that is,
a cranio-caudal and a medial lateral oblique view) of each breast.
(2) Payment may not be made for screening mammography performed on
a woman under age 35.
(3) Payment may be made for only 1 screening mammography performed
on a woman over age 34, but under age 40.
(4) For a woman over age 39, but under age 50, the following
limitations apply:
(i) Payment may be made for a screening mammography performed after
at least 11 months have passed following the month in which the last
screening mammography was performed if the woman has--
(A) A personal history of breast cancer;
(B) A personal history of biopsy-proven benign breast disease;
(C) A mother, sister, or daughter who has had breast cancer; or
(D) Not given birth before age 30.
(ii) If the woman does not meet the conditions described in
paragraph (d)(4)(i) of this section, payment may be made for a
screening mammography performed after at least 23 months have passed
following the month in which the last screening mammography was
performed.
(5) For a woman over age 49, but under age 65, payment may be made
for a screening mammography performed after at least 11 months have
passed
[[Page 63177]]
following the month in which the last screening mammography was
performed.
(6) For a woman over age 64, payment may be made for a screening
mammography performed after at least 23 months have passed following
the month in which the last screening mammography was performed.
PART 414--PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
D. Part 414 is amended as set forth below:
1. The authority citation for part 414 continues to read as
follows:
Authority: Secs. 1102, 1871, and 1881(b)(1) of the Social
Security Act (42 U.S.C. 1302, 1395hh, and 1395rr(b)(1)).
2. In Sec. 414.2, the following definitions are added
alphabetically:
Sec. 414.2 Definitions.
AA stands for anesthesiologist assistant.
* * * * *
CRNA stands for certified registered nurse anesthetist.
* * * * *
3. In Sec. 414.28, the introductory text is republished, and
paragraph (b) is revised to read as follows:
Sec. 414.28 Conversion factors.
HCFA establishes CFs in accordance with section 1848(d) of the Act.
* * * * *
(b) Subsequent CFs. For calendar years 1993 through 1995, the CF
for each year is equal to the CF for the previous year, adjusted in
accordance with Sec. 414.30. Beginning January 1, 1996, the CF for each
calendar year may be further adjusted so that adjustments to the fee
schedule in accordance with section 1848(c)(2)(B)(ii) of the Act do not
cause total expenditures under the fee schedule to differ by more than
$20 million from the amount that would have been spent if these
adjustments had not been made.
4. In Sec. 414.30, the introductory text to the section and the
introductory text to paragraph (b) are republished, paragraph (b)(2) is
revised, and paragraph (c) is added to read as follows:
Sec. 414.30 Conversion factor update.
Unless Congress acts in accordance with section 1848(d)(3) of the
Act--
* * * * *
(b) Downward adjustment. The downward adjustment may not exceed the
following:
* * * * *
(2) For CY 1994, 2.5 percentage points.
* * * * *
(c) For CYs 1995 and thereafter, 5 percentage points.
5. In Sec. 414.32, the introductory text to paragraph (d) is
republished and paragraph (d)(2) is revised to read as follows:
Sec. 414.32 Determining payments for certain physician services
furnished in facility settings.
* * * * *
(d) Services excluded from the reduction. The reduction established
under this section does not apply to the following:
* * * * *
(2) Surgical services not on the ambulatory surgical center covered
list of procedures published under Sec. 416.65(c) of this chapter when
furnished in an ambulatory surgical center.
* * * * *
Sec. 414.46 [Amended]
6. In Sec. 414.46, the following changes are made:
a. The word ``procedure'' in paragraph (g) is removed, and the word
``service'' is added in its place. The word ``procedures'' in
paragraphs (a)(1), (e) and (g) is removed, and the word ``services'' is
added in its place.
b. Paragraphs (b), (c), and (d) are revised to read as follows:
Sec. 414.46 Additional rules for payment of anesthesia services.
* * * * *
(b) Determination of payment amount--Basic rule. For anesthesia
services performed, medically directed, or medically supervised by a
physician, HCFA pays the lesser of the actual charge or the anesthesia
fee schedule amount.
(1) The physician fee schedule amount for an anesthesia service is
based on the product of the allowable base and time units and an
anesthesia-specific CF.
(2) The allowable base units are determined by the uniform relative
value guide based on the 1988 American Society of Anesthesiologists'
Relative Value Guide except that the number of base units recognized
for anesthesia services furnished during cataract or iridectomy surgery
is four units. The uniform base units are identified in program
operating instructions.
(3) Modifier units are not allowed. Modifier units include
additional units charged by a physician or a CRNA for patient health
status, risk, age, or unusual circumstances.
(c) Physician personally performs the anesthesia procedure.
(1) HCFA considers an anesthesia service to be personally performed
under any of the following circumstances:
(i) The physician performs the entire anesthesia service alone.
(ii) The physician establishes an attending physician relationship
in one or two concurrent cases involving an intern or resident and the
service was furnished before January 1, 1994.
(iii) The physician establishes an attending physician relationship
in one case involving an intern or resident and the service was
furnished on or after January 1, 1994 but prior to January 1, 1996. For
services on or after January 1, 1996, the physician must be the
teaching physician as defined in Secs. 415.170 through 415.184 of this
chapter.
(iv) The physician and the CRNA or AA are involved in a single case
and the services of each are found to be medically necessary.
(v) The physician is continuously involved in a single case
involving a student nurse anesthetist.
(vi) The physician is continuously involved in a single case
involving a CRNA or AA and the service was furnished prior to January
1, 1998.
(2) HCFA determines the fee schedule amount for an anesthesia
service personally performed by a physician on the basis of an
anesthesia-specific fee schedule CF and unreduced base units and
anesthesia time units. One anesthesia time unit is equivalent to 15
minutes of anesthesia time, and fractions of a 15-minute period are
recognized as fractions of an anesthesia time unit.
(d) Anesthesia services medically directed by a physician. (1) HCFA
considers an anesthesia service to be medically directed by a physician
if:
(i) The physician performs the activities described in Sec. 415.110
of this chapter.
(ii) The physician directs qualified individuals involved in two,
three, or four concurrent cases.
(iii) Medical direction can occur for a single case furnished on or
after January 1, 1998 if the physician performs the activities
described in Sec. 415.110 of this
[[Page 63178]]
chapter and medically directs a single CRNA or AA.
(2) The rules for medical direction differ for certain time periods
depending on the nature of the qualified individual who is directed by
the physician. If more than two procedures are directed on or after
January 1, 1994, the qualified individuals could be AAs, CRNAs,
interns, or residents. The medical direction rules apply to student
nurse anesthetists only if the physician directs two concurrent cases,
each of which involves a student nurse anesthetist or the physician
directs one case involving a student nurse anesthetist and the other
involving a CRNA, AA, intern, or resident.
(3) Payment for medical direction is based on a specific percentage
of the payment allowance recognized for the anesthesia service
personally performed by a physician alone. The following percentages
apply for the years specified:
(i) CY 1994--60 percent of the payment allowance for personally
performed procedures.
(ii) CY 1995--57.5 percent of the payment allowance for personally
performed services.
(iii) CY 1996--55 percent of the payment allowance for personally
performed services.
(iv) CY 1997--52.5 percent of the payment allowance for personally
performed services.
(v) CY 1998 and thereafter--50 percent of the payment allowance for
personally performed services.
* * * * *
7. Section 414.60 is revised to read as follows:
Sec. 414.60 Payment for the services of CRNAs.
(a) Basis for payment. Beginning with CY 1994--
(1) The allowance for an anesthesia service furnished by a
medically directed CRNA is based on a fixed percentage of the allowance
recognized for the anesthesia service personally performed by the
physician alone, as specified in Sec. 414.46(d)(3); and
(2) The CF for an anesthesia service furnished by a CRNA not
directed by a physician may not exceed the CF for a service personally
performed by a physician.
(b) To whom payment may be made. Payment for an anesthesia service
furnished by a CRNA may be made to the CRNA or to any individual or
entity (such as a hospital, rural primary care hospital, physician,
group practice, or ambulatory surgical center) with which the CRNA has
an employment or contract relationship that provides for payment to be
made to the individual or entity.
(c) Condition for payment. Payment for the services of a CRNA may
be made only on an assignment related basis, and any assignment
accepted by a CRNA is binding on any other person presenting a claim or
request for payment for the service.
Subpart H--[Removed and Reserved]
8. Subpart H, consisting of Secs. 414.450 through 414.453, is
removed and reserved.
E. A new part 415 is added to read as follows:
PART 415--SERVICES FURNISHED BY PHYSICIANS IN PROVIDERS,
SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN
CERTAIN SETTINGS
Subpart A--General Provisions
Sec.
415.1 Basis and scope.
Subpart B--Fiscal Intermediary Payments to Providers for Physician
Services
415.50 Scope.
415.55 General payment rules.
415.60 Allocation of physician compensation costs.
415.70 Limits on compensation for physician services in providers.
Subpart C--Part B Carrier Payments for Physician Services to
Beneficiaries in Providers
415.100 Scope.
415.102 Conditions for fee schedule payment for physician services
to beneficiaries in providers.
415.105 Amounts of payment for physician services to beneficiaries
in providers.
415.110 Conditions for payment: Anesthesiology services.
415.120 Conditions for payment: Radiology services.
415.130 Conditions for payment: Physician pathology services.
Subpart D--Physician Services in Teaching Settings
415.150 Scope.
415.152 Definitions.
415.160 Election of reasonable cost payment for direct medical and
surgical services of physicians in teaching hospitals: General
provisions.
415.162 Determining payment for physician services furnished to
beneficiaries in teaching hospitals.
415.164 Payment to a fund.
415.170 Conditions for payment on a fee schedule basis for
physician services in a teaching setting.
415.172 Physician fee schedule payment for services of teaching
physicians.
415.174 Exception: Evaluation and management services furnished in
certain centers.
415.176 Renal dialysis services.
415.178 Anesthesia services.
415.180 Teaching setting requirements for the interpretation of
diagnostic radiology and other diagnostic tests.
415.184 Psychiatric services.
415.190 Conditions of payment: Assistants at surgery in teaching
hospitals.
Subpart E--Services of Residents
415.200 Services of residents in approved GME programs.
415.202 Services of residents not in approved GME programs.
415.204 Services of residents in skilled nursing facilities and
home health agencies.
415.206 Services of residents in nonprovider settings.
415.208 Services of moonlighting residents.
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
Subpart A--General Provisions
Sec. 415.1 Basis and scope.
(a) Basis. This part is based on the provisions of the following
sections of the Act: Section 1848 establishes a fee schedule for
payment for physician services. Section 1861(q) specifies what is
included in the term ``physician services'' covered under Medicare.
Section 1862(a)(14) sets forth the exclusion of nonphysician services
furnished to hospital patients under Part B of Medicare. Section
1886(d)(5)(B) provides for a payment adjustment under the prospective
payment system for the operating costs of inpatient hospital services
furnished to Medicare beneficiaries in cost reporting periods beginning
on or after October 1, 1983, to account for the indirect costs of
medical education. Section 1886(h) establishes the methodology for
Medicare payment of the cost of direct GME activities.
(b) Scope. This part sets forth rules for fiscal intermediary
payments to providers for physician services, Part B carrier payments
for physician services to beneficiaries in providers, physician
services in teaching settings, and services of residents.
Subpart B--Fiscal Intermediary Payments to Providers for Physician
Services
Sec. 415.50 Scope.
This subpart sets forth rules for payment by fiscal intermediaries
to providers for services furnished by
[[Page 63179]]
physicians. Payment for covered services is made either under the
prospective payment system (PPS) to PPS-participating providers in
accordance with part 412 of this chapter or under the reasonable cost
method to non-PPS participating providers in accordance with part 413
of this chapter.
Sec. 415.55 General payment rules.
(a) Allowable costs. Except as specified otherwise in Secs. 413.102
of this chapter (concerning compensation of owners), 415.60 (concerning
allocation of physician compensation costs), and 415.162 (concerning
payment for physician services furnished to beneficiaries in teaching
hospitals), costs a provider incurs for services of physicians are
allowable only if the following conditions are met:
(1) The services do not meet the conditions in Sec. 415.102(a)
regarding fee schedule payment for services of physicians to a
beneficiary in a provider.
(2) The services include a surgeon's supervision of services of a
qualified anesthetist, but do not include physician availability
services, except for reasonable availability services furnished for
emergency rooms and the services of standby surgical team physicians.
(3) The provider has incurred a cost for salary or other
compensation it furnished the physician for the services.
(4) The costs incurred by the provider for the services meet the
requirements in Sec. 413.9 of this chapter regarding costs related to
patient care.
(5) The costs do not include supervision of interns and residents
unless the provider elects reasonable cost payment as specified in
Sec. 415.160, or any other costs incurred in connection with an
approved GME program that are payable under Sec. 413.86 of this
chapter.
(b) Allocation of allowable costs. The provider must follow the
rules in Sec. 415.60 regarding allocation of physician compensation
costs to determine its costs of services.
(c) Limits on allowable costs. The intermediary must apply the
limits on compensation set forth in Sec. 415.70 to determine its
payments to a provider for the costs of services.
Sec. 415.60 Allocation of physician compensation costs.
(a) Definition. For purposes of this subpart, physician
compensation costs means monetary payments, fringe benefits, deferred
compensation, and any other items of value (excluding office space or
billing and collection services) that a provider or other organization
furnishes a physician in return for the physician services. Other
organizations are entities related to the provider within the meaning
of Sec. 413.17 of this chapter or entities that furnish services for
the provider under arrangements within the meaning of the Act.
(b) General rule. Except as provided in paragraph (d) of this
section, each provider that incurs physician compensation costs must
allocate those costs, in proportion to the percentage of total time
that is spent in furnishing each category of services, among--
(1) Physician services to the provider (as described in
Sec. 415.55);
(2) Physician services to patients (as described in Sec. 415.102);
and
(3) Activities of the physician, such as funded research, that are
not paid under either Part A or Part B of Medicare.
(c) Allowable physician compensation costs. Only costs allocated to
payable physician services to the provider (as described in
Sec. 415.55) are allowable costs to the provider under this subpart.
(d) Allocation of all compensation to services to the provider.
Generally, the total physician compensation received by a physician is
allocated among all services furnished by the physician, unless--
(1) The provider certifies that the compensation is attributable
solely to the physician services furnished to the provider; and
(2) The physician bills all patients for the physician services he
or she furnishes to them and personally receives the payment from or on
behalf of the patients. If returned directly or indirectly to the
provider or an organization related to the provider within the meaning
of Sec. 413.17 of this chapter, these payments are not compensation for
physician services furnished to the provider.
(e) Assumed allocation of all compensation to beneficiary services.
If the provider and physician agree to accept the assumed allocation of
all the physician services to direct services to beneficiaries as
described under Sec. 415.102(a), HCFA does not require a written
allocation agreement between the physician and the provider.
(f) Determination and payment of allowable physician compensation
costs. (1) Except as provided under paragraph (e) of this section, the
intermediary pays the provider for these costs only if--
(i) The provider submits to the intermediary a written allocation
agreement between the provider and the physician that specifies the
respective amounts of time the physician spends in furnishing physician
services to the provider, physician services to patients, and services
that are not payable under either Part A or Part B of Medicare; and
(ii) The compensation is reasonable in terms of the time devoted to
these services.
(2) In the absence of a written allocation agreement, the
intermediary assumes, for purposes of determining reasonable costs of
the provider, that 100 percent of the physician compensation cost is
allocated to services to beneficiaries as specified in paragraph (b)(2)
of this section.
(g) Recordkeeping requirements. Except for services furnished in
accordance with the assumed allocation under paragraph (e) of this
section, each provider that claims payment for services of physicians
under this subpart must meet all of the following requirements:
(1) Maintain the time records or other information it used to
allocate physician compensation in a form that permits the information
to be validated by the intermediary or the carrier.
(2) Report the information on which the physician compensation
allocation is based to the intermediary or the carrier on an annual
basis and promptly notify the intermediary or carrier of any revisions
to the compensation allocation.
(3) Retain each physician compensation allocation, and the
information on which it is based, for at least 4 years after the end of
each cost reporting period to which the allocation applies.
Sec. 415.70 Limits on compensation for physician services in
providers.
(a) Principle and scope. (1) Except as provided in paragraphs
(a)(2) and (a)(3) of this section, HCFA establishes reasonable
compensation equivalency limits on the amount of compensation paid to
physicians by providers. These limits are applied to a provider's costs
incurred in compensating physicians for services to the provider, as
described in Sec. 415.55(a).
(2) Limits established under this section do not apply to costs of
physician compensation attributable to furnishing inpatient hospital
services that are paid for under the prospective
[[Page 63180]]
payment system implemented under part 412 of this chapter or to costs
of physician compensation attributable to approved GME programs that
are payable under Sec. 413.86 of this chapter.
(3) Compensation that a physician receives for activities that may
not be paid for under either Part A or Part B of Medicare is not
considered in applying these limits.
(b) Methodology for establishing limits. HCFA establishes a
methodology for determining annual reasonable compensation equivalency
limits and, to the extent possible, considers average physician incomes
by specialty and type of location using the best available data.
(c) Application of limits. If the level of compensation exceeds the
limits established under paragraph (b) of this section, Medicare
payment is based on the level established by the limits.
(d) Adjustment of the limits. The intermediary may adjust limits
established under paragraph (b) of this section to account for costs
incurred by the physician or the provider related to malpractice
insurance, professional memberships, and continuing medical education.
(1) For the costs of membership in professional societies and
continuing medical education, the intermediary may adjust the limit by
the lesser of--
(i) The actual cost incurred by the provider or the physician for
these activities; or
(ii) Five percent of the appropriate limit.
(2) For the cost of malpractice expenses incurred by either the
provider or the physician, the intermediary may adjust the reasonable
compensation equivalency limit by the cost of the malpractice insurance
expense related to the physician service furnished to patients in
providers.
(e) Exception to limits. An intermediary may grant a provider an
exception to the limits established under paragraph (b) of this section
only if the provider can demonstrate to the intermediary that it is
unable to recruit or maintain an adequate number of physicians at a
compensation level within these limits.
(f) Notification of changes in methodologies and payment limits.
(1) Before the start of a cost reporting period to which limits
established under this section will be applied, HCFA publishes a notice
in the Federal Register that sets forth the amount of the limits and
explains how it calculated the limits.
(2) If HCFA proposes to revise the methodology for establishing
payment limits under this section, HCFA publishes a notice, with
opportunity for public comment, in the Federal Register. The notice
explains the proposed basis and methodology for setting limits,
specifies the limits that would result, and states the date of
implementation of the limits.
(3) If HCFA updates limits by applying the most recent economic
index data without revising the limit methodology, HCFA publishes the
revised limits in a notice in the Federal Register without prior
publication of a proposal or public comment period.
Subpart C--Part B Carrier Payments for Physician Services to
Beneficiaries in Providers
Sec. 415.100 Scope.
This subpart implements section 1887(a)(1)(A) of the Act by
providing general conditions that must be met in order for services
furnished by physicians to beneficiaries in providers to be paid for on
the basis of the physician fee schedule under part 414 of this chapter.
Section 415.102 sets forth the conditions for fee schedule payment for
physician services to beneficiaries in providers. Section 415.105 sets
forth general requirements for determining the amounts of payment for
services that meet the conditions of this section. Sections 415.120 and
415.130 set forth additional conditions for payment for physician
services in the specialties of radiology and pathology (laboratory
services).
Sec. 415.102 Conditions for fee schedule payment for physician
services to beneficiaries in providers.
(a) General rule. If the physician furnishes services to
beneficiaries in providers, the carrier pays on a fee schedule basis
provided the following requirements are met:
(1) The services are personally furnished for an individual
beneficiary by a physician.
(2) The services contribute directly to the diagnosis or treatment
of an individual beneficiary.
(3) The services ordinarily require performance by a physician.
(4) In the case of radiology or laboratory services, the additional
requirements in Sec. 415.120 or Sec. 415.130, respectively, are met.
(b) Exception. If a physician furnishes services in a provider that
do not meet the requirements in paragraph (a) of this section, but are
related to beneficiary care furnished by the provider, the intermediary
pays for those services, if otherwise covered. The intermediary follows
the rules in Secs. 415.55 and 415.60 for payment on the basis of
reasonable cost or PPS, as appropriate.
(c) Effect of billing charges for physician services to a provider.
(1) If a physician furnishes services that may be paid under the
reasonable cost rules in Sec. 415.55 or Sec. 415.60, and paid by the
intermediary, or would be paid under those rules except for the PPS
rules in part 412 of this chapter, and under the payment rules for GME
established by Sec. 413.86 of this chapter, neither the provider nor
the physician may seek payment from the carrier, beneficiary, or
another insurer.
(2) If a physician furnishes services to an individual beneficiary
that do not meet the applicable conditions in Secs. 415.120 (concerning
conditions for payment for radiology services) and 415.130 (concerning
conditions for payment for physician pathology services), the carrier
does not pay on a fee schedule basis.
(3) If the physician, the provider, or another entity bills the
carrier or the beneficiary or another insurer for physician services
furnished to the provider, as described in Sec. 415.55(a), HCFA
considers the provider to which the services are furnished to have
violated its provider participation agreement, and may terminate that
agreement. See part 489 of this chapter for rules governing provider
agreements.
(d) Effect of physician assumption of operating costs. If a
physician or other entity enters into an agreement (such as a lease or
concession) with a provider, and the physician (or entity) assumes some
or all of the operating costs of the provider department in which the
physician furnishes physician services, the following rules apply:
(1) If the conditions set forth in paragraph (a) of this section
are met, the carrier pays for the physician services under the
physician fee schedule in part 414 of this chapter.
(2) To the extent the provider incurs a cost payable on a
reasonable cost basis under part 413 of this chapter, the intermediary
pays the provider on a reasonable cost basis for the costs associated
with producing these services, including overhead, supplies, equipment
costs, and services furnished by nonphysician personnel.
(3) The physician (or other entity) is treated as being related to
the provider within the meaning of Sec. 413.17 of this
[[Page 63181]]
chapter (concerning cost to related organizations).
(4) The physician (or other entity) must make its books and records
available to the provider and the intermediary as necessary to verify
the nature and extent of the costs of the services furnished by the
physician (or other entity).
Sec. 415.105 Amounts of payment for physician services to
beneficiaries in providers.
(a) General rule. The carrier determines amounts of payment for
physician services to beneficiaries in providers in accordance with the
general rules governing the physician fee schedule payment in part 414
of this chapter, except as provided in paragraph (b) of this section.
(b) Application in certain settings--(1) Teaching hospitals. The
carrier applies the rules in subpart D of this part (concerning
physician services in teaching settings), in addition to those in this
section, in determining whether fee schedule payment should be made for
physician services to individual beneficiaries in a teaching hospital.
(2) Hospital-based ESRD facilities. The carrier applies
Secs. 414.310 through 414.314 of this chapter, which set forth
determination of reasonable charges under the ESRD program, to
determine the amount of payment for physician services furnished to
individual beneficiaries in a hospital-based ESRD facility approved
under part 405 subpart U.
Sec. 415.110 Conditions for payment: Anesthesiology services.
(a) Services furnished directly or concurrently. The carrier pays a
physician for anesthesia services furnished to patients in a provider
on a fee schedule basis only if the services meet the conditions in
Sec. 415.102(a) and the following additional conditions:
(1) For each patient, the physician--
(i) Performs a pre-anesthetic examination and evaluation;
(ii) Prescribes the anesthesia plan;
(iii) Personally participates in the most demanding procedures in
the anesthesia plan, including induction and emergence;
(iv) Ensures that any procedures in the anesthesia plan that he or
she does not perform are performed by a qualified individual as defined
in program operating instructions;
(v) Monitors the course of anesthesia administration at frequent
intervals;
(vi) Remains physically present and available for immediate
diagnosis and treatment of emergencies; and
(vii) Provides indicated post-anesthesia care.
(2) The physician performs the procedure personally or directs no
more than four anesthesia procedures concurrently and does not perform
any other services while he or she is directing the concurrent
procedures.
(b) Supervision of more than four procedures concurrently. If a
physician is involved in furnishing more than four procedures
concurrently, or is performing other services while directing the
concurrent procedures, the concurrent anesthesia services are physician
services to the provider in which the procedures are performed. In
these cases, the physician is not required to meet the criteria of
paragraphs (a)(1) (iii) and (vii) of this section personally, but must
ensure that a qualified individual performs any procedure in which the
physician does not personally participate. In these cases, the
intermediary pays for the services under the rules in Secs. 415.55 and
415.60 on reasonable cost payment for physician services to providers
or under the rules in part 412 of this chapter for payment under the
prospective payment system.
Sec. 415.120 Conditions for payment: Radiology services.
(a) Services to beneficiaries. The carrier pays for radiology
services furnished by a physician to a beneficiary on a fee schedule
basis only if the services meet the conditions for fee schedule payment
in Sec. 415.102(a) and are identifiable, direct, and discrete
diagnostic or therapeutic services furnished to an individual
beneficiary, such as interpretation of x-ray plates, angiograms,
myelograms, pyelograms, or ultrasound procedures. The carrier pays for
interpretations only if there is a written report prepared for
inclusion in the patient's medical record maintained by the hospital.
(b) Services to providers. The carrier does not pay on a fee
schedule basis for physician services to the provider (for example,
administrative or supervisory services) or for provider services needed
to produce the x-ray films or other items that are interpreted by the
radiologist. However, the intermediary pays the provider for these
services in accordance with Sec. 415.55 for provider costs;
Sec. 415.102(d)(2) for costs incurred by a physician, such as under a
lease or concession agreement; or part 412 of this chapter for payment
under PPS.
Sec. 415.130 Conditions for payment: Physician pathology services.
(a) Physician pathology services. The carrier pays for pathology
services furnished by a physician to an individual beneficiary on a fee
schedule basis only if the services meet the conditions for payment in
Sec. 415.102(a) and are one of the following services:
(1) Surgical pathology services.
(2) Specific cytopathology, hematology, and blood banking services
that have been identified to require performance by a physician and are
listed in program operating instructions.
(3) Clinical consultation services that meet the requirements in
paragraph (b) of this section.
(4) Clinical laboratory interpretative services that meet the
requirements of paragraphs (b)(1), (b)(3), and (b)(4) of this section
and that are specifically listed in program operating instructions.
(b) Clinical consultation services. For purposes of this section,
clinical consultation services must meet the following requirements:
(1) Be requested by the beneficiary's attending physician.
(2) Relate to a test result that lies outside the clinically
significant normal or expected range in view of the condition of the
beneficiary.
(3) Result in a written narrative report included in the
beneficiary's medical record.
(4) Require the exercise of medical judgment by the consultant
physician.
(c) Physician pathology services furnished by an independent
laboratory. Laboratory services, including the technical component of a
service, furnished to a hospital inpatient or outpatient by an
independent laboratory are paid on a fee schedule basis under this
subpart only if they are physician pathology services as described in
paragraph (a) of this section.
Subpart D--Physician Services in Teaching Settings
Sec. 415.150 Scope.
This subpart sets forth the rules governing payment for the
services of physicians in teaching settings and the criteria for
determining whether the payments are made as one of the following:
(a) Services to the hospital under the reasonable cost election in
Secs. 415.160 through 415.164.
[[Page 63182]]
(b) Provider services through the direct GME payment mechanism in
Sec. 413.86 of this chapter.
(c) Physician services to beneficiaries under the physician fee
schedule as set forth in part 414 of this chapter.
Sec. 415.152 Definitions.
As used in this subpart--
Approved graduate medical education (GME) program means a residency
program approved by the Accreditation Council for Graduate Medical
Education of the American Medical Association, by the Committee on
Hospitals of the Bureau of Professional Education of the American
Osteopathic Association, by the Council on Dental Education of the
American Dental Association, or by the Council on Podiatric Medicine
Education of the American Podiatric Medical Association.
Direct medical and surgical services means services to individual
beneficiaries that are either personally furnished by a physician or
furnished by a resident under the supervision of a physician in a
teaching hospital making the cost election described in Secs. 415.160
through 415.162.
Nonprovider setting means a setting other than a hospital, skilled
nursing facility, home health agency, or comprehensive outpatient
rehabilitation facility in which residents furnish services. These
include, but are not limited to, family practice or multispecialty
clinics and physician offices.
Resident means one of the following:
(1) An individual who participates in an approved GME program,
including programs in osteopathy, dentistry, and podiatry.
(2) A physician who is not in an approved GME program, but who is
authorized to practice only in a hospital, for example, individuals
with temporary or restricted licenses, or unlicensed graduates of
foreign medical schools. For purposes of this subpart, the term
resident is synonymous with the terms intern and fellow.
Teaching hospital means a hospital engaged in an approved GME
residency program in medicine, osteopathy, dentistry, or podiatry.
Teaching physician means a physician (other than another resident)
who involves residents in the care of his or her patients.
Teaching setting means any provider, hospital-based provider, or
nonprovider settings in which Medicare payment for the services of
residents is made under the direct GME payment provisions of
Sec. 413.86, or on a reasonable-cost basis under the provisions of
Sec. 409.26 or Sec. 409.40(f) for resident services furnished in
skilled nursing facilities or home health agencies, respectively.
Sec. 415.160 Election of reasonable cost payment for direct medical
and surgical services of physicians in teaching hospitals: General
provisions.
(a) Scope. A teaching hospital may elect to receive payment on a
reasonable cost basis for the direct medical and surgical services of
its physicians in lieu of fee schedule payments that might otherwise be
made for these services.
(b) Conditions. A teaching hospital may elect to receive these
payments only if--
(1) The hospital notifies its intermediary in writing of the
election and meets the conditions of either paragraph (b)(2) or
paragraph (b)(3) of this section;
(2) All physicians who furnish services to Medicare beneficiaries
in the hospital agree not to bill charges for these services; or
(3) All physicians who furnish services to Medicare beneficiaries
in the hospital are employees of the hospital and, as a condition of
employment, are precluded from billing for these services.
(c) Effect of election. If a teaching hospital elects to receive
reasonable cost payment for physician direct medical and surgical
services furnished to beneficiaries--
(1) Those services and the supervision of interns and residents
furnishing care to individual beneficiaries are covered as hospital
services, and
(2) The intermediary pays the hospital for those services on a
reasonable cost basis under the rules in Sec. 415.162. (Payment for
other physician compensation costs related to approved GME programs is
made as described in Sec. 413.86 of this chapter.)
(d) Election declined. If the teaching hospital does not make this
election, payment is made--
(1) For physician services furnished to beneficiaries on a fee
schedule basis as described in part 414 subject to the rules in this
subpart, and
(2) For the supervision of interns and residents as described in
Sec. 413.86.
Sec. 415.162 Determining payment for physician services furnished to
beneficiaries in teaching hospitals.
(a) General rule. Payments for direct medical and surgical services
of physicians furnished to beneficiaries and supervision of interns and
residents furnishing care to beneficiaries is made by Medicare on the
basis of reasonable cost if the hospital exercises the election as
provided for in Sec. 415.160. If this election is made, the following
occurs:
(1) Physician services furnished to beneficiaries and supervision
of interns and residents furnishing care to beneficiaries are paid on a
reasonable-cost basis, as provided for in paragraph (b) of this
section.
(2) Payment for certain medical school costs may be made as
provided for in paragraph (c) of this section.
(3) Payments for services donated by volunteer physicians to
beneficiaries are made to a fund designated by the organized medical
staff of the teaching hospital or medical school as provided for in
paragraph (d) of this section.
(b) Reasonable cost of physician services and supervision of
interns and residents.
(1) Physician services furnished to beneficiaries and supervision
of interns and residents furnishing care to beneficiaries in a teaching
hospital are payable as provider services on a reasonable-cost basis.
(2) For purposes of this paragraph, reasonable cost is defined as
the direct salary paid to these physicians, plus applicable fringe
benefits.
(3) The costs must be allocated to the services as provided by
paragraph (j) of this section and apportioned to program beneficiaries
as provided by paragraph (g) of this section.
(4) Other allowable costs incurred by the provider related to the
services described in this paragraph are payable subject to the
requirements applicable to all other provider services.
(c) Reasonable costs for the services furnished by a medical school
or related organization in a hospital. An amount is payable to the
hospital by HCFA under the Medicare program provided that the costs
would be payable if incurred directly by the hospital rather than under
the arrangement. The amount must not be in excess of the reasonable
costs (as defined in paragraphs (c)(1) and (c)(2) of this section)
incurred by a teaching hospital for services furnished by a medical
school or organization as described in Sec. 413.17 of this chapter for
certain costs to the medical school (or a related organization) in
furnishing services in the hospital.
(1) Reasonable costs of physician services.
(i) When the medical school and the hospital are related
organizations. If the
[[Page 63183]]
medical school (or organization related to the medical school) and the
hospital are related by common ownership or control as described in
Sec. 413.17 of this chapter--
(A) The costs of these services are allowable costs to the hospital
under the provisions of Sec. 413.17 of this chapter; and
(B) The reimbursable costs to the hospital are determined under the
provisions of this section in the same manner as the costs incurred for
physicians on the hospital staff and without regard to payments made to
the medical school by the hospital.
(ii) When the medical school and the hospital are not related
organizations.
(A) If the medical school and the hospital are not related
organizations under the provisions of Sec. 413.17 of this chapter and
the hospital makes payment to the medical school for the costs of those
services furnished to all patients, payment is made by Medicare to the
hospital for the reasonable cost incurred by the hospital for its
payments to the medical school for services furnished to beneficiaries.
(B) Costs incurred under an arrangement must be allocated to the
full range of services furnished to the hospital by the medical school
physicians on the same basis as provided for under paragraph (j) of
this section, and costs allocated to direct medical and surgical
services furnished to hospital patients must be apportioned to
beneficiaries as provided for under paragraph (g) of this section.
(C) If the medical school and the hospital are not related
organizations under the provisions of Sec. 413.17 of this chapter and
the hospital makes payment to the medical school only for the costs of
those services furnished to beneficiaries, costs of the medical school
not to exceed 105 percent of the sum of physician direct salaries,
applicable fringe benefits, employer's portion of FICA taxes, Federal
and State unemployment taxes, and workmen's compensation paid by the
medical school or an organization related to the medical school may be
recognized as allowable costs of the medical school.
(D) These allowable medical school costs must be allocated to the
full range of services furnished by the physicians of the medical
school or organization related as provided by paragraph (j) of this
section.
(E) Costs allocated to direct medical and surgical services
furnished to hospital patients must be apportioned to beneficiaries as
provided by paragraph (g) of this section.
(2) Reasonable costs of other than direct medical and surgical
services. These costs are determined in accordance with paragraph
(c)(1) of this section except that--
(i) If the hospital makes payment to the medical school for other
than direct medical and surgical services furnished to beneficiaries
and supervision of interns and residents furnishing care to
beneficiaries, these payments are subject to the required cost-finding
and apportionment methods applicable to the cost of other hospital
services (except for direct medical and surgical services furnished to
beneficiaries); or
(ii) If the hospital makes payment to the medical school only for
these services furnished to beneficiaries, the cost of these services
is not subject to cost-finding and apportionment as otherwise provided
by this subpart, and the reasonable cost paid by Medicare must be
determined on the basis of the health insurance ratio(s) used in the
apportionment of all other provider costs (excluding physician direct
medical and surgical services furnished to beneficiaries) applied to
the allowable medical school costs incurred by the medical school for
the services furnished to all patients of the hospital.
(d) ``Salary equivalent'' payments for direct medical and surgical
services furnished by physicians on the voluntary staff of the
hospital.
(1) HCFA makes payments under the Medicare program to a fund as
defined in Sec. 415.164 for direct medical and surgical services
furnished to beneficiaries on a regularly scheduled basis by physicians
on the unpaid voluntary medical staff of the hospital (or medical
school under arrangement with the hospital).
(i) These payments represent compensation for contributed medical
staff time which, if not contributed, would have to be obtained through
employed staff on a payable basis.
(ii) Payments for volunteer services are determined by applying to
the regularly scheduled contributed time an hourly rate not to exceed
the equivalent of the average direct salary (exclusive of fringe
benefits) paid to all full-time, salaried physicians (other than
interns and residents) on the hospital staff or, if the number of full-
time salaried physicians is minimal in absolute terms or in relation to
the number of physicians on the voluntary staff, to physicians at like
institutions in the area.
(iii) This ``salary equivalent'' is a single hourly rate covering
all physicians regardless of specialty and is applied to the actual
regularly scheduled time contributed by the physicians in furnishing
direct medical and surgical services to beneficiaries including
supervision of interns and residents in that care.
(iv) A physician who receives any compensation from the hospital or
a medical school related to the hospital by common ownership or control
(within the meaning of Sec. 413.17 of this chapter) for direct medical
and surgical services furnished to any patient in the hospital is not
considered an unpaid voluntary physician for purposes of this
paragraph.
(v) If, however, a physician receives compensation from the
hospital or related medical school or organization only for services
that are other than direct medical and surgical services, a salary
equivalent payment for the physician's regularly scheduled direct
medical and surgical services to beneficiaries in the hospital may be
imputed. However, the sum of the imputed value for volunteer services
and the physician's actual compensation from the hospital and the
related medical school (or organization) may not exceed the amount that
would have been imputed if all of the physician's hospital and medical
school services (compensated and volunteer) had been volunteer
services, or paid at the rate of $30,000 per year, whichever is less.
(2) The following examples illustrate how the allowable imputed
value for volunteer services is determined. In each example, it has
been assumed that the average salary equivalent hourly rate is equal to
the hourly rate for the individual physician's compensated services.
Example No: 1. Dr. Jones received $3,000 a year from Hospital X
for services other than direct medical services to all patients, for
example, utilization review and administrative services. Dr. Jones
also voluntarily furnished direct medical services to beneficiaries.
The imputed value of the volunteer services amounted to $10,000 for
the cost reporting period. The full imputed value of Dr. Jones'
volunteer direct medical services would be allowed since the total
amount of the imputed value ($10,000) and the compensated services
($3,000) does not exceed $30,000.
Example No: 2. Dr. Smith received $25,000 from Hospital X for
services as a department head in a teaching hospital. Dr. Smith also
voluntarily furnished direct medical services to beneficiaries. The
imputed value of the
[[Page 63184]]
volunteer services amounted to $10,000. Only $5,000 of the imputed
value of volunteer services would be allowed since the total amount
of the imputed value ($10,000) and the compensated services
($25,000) exceeds the $30,000 maximum amount allowable for all of
Dr. Smith's services.
Computation:
Maximum amount allowable for all services performed by Dr.
Smith for purposes of this computation...................... $30,000
Less compensation received from Hospital X for other than
direct medical services to individual patients.............. $25,000
Allowable amount of imputed value for the volunteer services
furnished by Dr. Smith...................................... $5,000
Example No. 3. Dr. Brown is not compensated by Hospital X for
any services furnished in the hospital. Dr. Brown voluntarily
furnished direct surgical services to beneficiaries for a period of
6 months, and the imputed value of these services amounted to
$20,000. The allowable amount of the imputed value for volunteer
services furnished by Dr. Brown would be limited to $15,000 ($30,000
x 6/12).
(3) The amount of the imputed value for volunteer services
applicable to beneficiaries and payable to a fund is determined in
accordance with the aggregate per diem method described in paragraph
(g) of this section.
(4) Medicare payments to a fund must be used by the fund solely for
improvement of care of hospital patients or for educational or
charitable purposes (which may include but are not limited to medical
and other scientific research).
(i) No personal financial gain, either direct or indirect, from
benefits of the fund may inure to any of the hospital staff physicians,
medical school faculty, or physicians for whom Medicare imputes costs
for purposes of payment into the fund.
(ii) Expenses met from contributions made to the hospital from a
fund are not included as a reimbursable cost when expended by the
hospital, and depreciation expense is not allowed with respect to
equipment or facilities donated to the hospital by a fund or purchased
by the hospital from monies in a fund.
(e) Requirements for payment--(1) Physicians on the hospital staff.
The requirements under which the costs of physician direct medical and
surgical services (including supervision of interns and residents) to
beneficiaries are the same as those applicable to the cost of all other
covered provider services except that the costs of these services are
separately determined as provided by this section and are not subject
to cost-finding as described in Sec. 413.24 of this chapter.
(2) Physicians on the medical school faculty. Payment is made to a
hospital for the costs of services of physicians on the medical school
faculty, provided that if the medical school is not related to the
hospital (within the meaning of Sec. 413.17 of this chapter, concerning
cost to related organizations), the hospital does not make payment to
the medical school for services furnished to all patients and the
following requirements are met: If the hospital makes payment to the
medical school for services furnished to all patients, these
requirements do not apply. (See paragraph (c)(1)(ii) of this section.)
(i) There is a written agreement between the hospital and the
medical school or organization, specifying the types and extent of
services to be furnished by the medical school and specifying that the
hospital must pay to the medical school an amount at least equal to the
reasonable cost (as defined in paragraph (c) of this section) of
furnishing the services to beneficiaries.
(ii) The costs are paid to the medical school by the hospital no
later than the date on which the cost report covering the period in
which the services were furnished is due to HCFA.
(iii) Payment for the services furnished under an arrangement would
have been made to the hospital had the services been furnished directly
by the hospital.
(3) Physicians on the voluntary staff of the hospital (or medical
school under arrangement with the hospital). If the conditions for
payment to a fund outlined in Sec. 415.164 are met, payments are made
on a ``salary equivalent'' basis (as defined in paragraph (d) of this
section) to a fund.
(f) Requirements for payment for medical school faculty services
other than physician direct medical and surgical services. If the
requirements for payment for physician direct medical and surgical
services furnished to beneficiaries in a teaching hospital described in
paragraph (e) of this section are met, payment is made to a hospital
for the costs of medical school faculty services other than physician
direct medical and surgical services furnished in a teaching hospital.
(g) Aggregate per diem methods of apportionment--(1) For the costs
of physician direct medical and surgical services. The cost of
physician direct medical and surgical services furnished in a teaching
hospital to beneficiaries is determined on the basis of an average cost
per diem as defined in paragraph (h)(1) of this section for physician
direct medical and surgical services to all patients (see Secs. 415.172
through 415.184) for each of the following categories of physicians:
(i) Physicians on the hospital staff.
(ii) Physicians on the medical school faculty.
(2) For the imputed value of physician volunteer direct medical and
surgical services. The imputed value of physician direct medical and
surgical services furnished to beneficiaries in a teaching hospital is
determined on the basis of an average per diem, as defined in paragraph
(h)(1) of this section, for physician direct medical and surgical
services to all patients except that the average per diem is derived
from the imputed value of the physician volunteer direct medical and
surgical services furnished to all patients.
(h) Definitions. (1) Average cost per diem for physician direct
medical and surgical services (including supervision of interns and
residents) furnished in a teaching hospital to patients in each
category of physician services described in paragraph (g)(1) of this
section means the amount computed by dividing total reasonable costs of
these services in each category by the sum of--
(i) Inpatient days (as defined in paragraph (h)(2) of this
section); and
(ii) Outpatient visit days (as defined in paragraph (h)(3) of this
section).
(2) Inpatient days are determined by counting the day of admission
as 3.5 days and each day after a patient's day of admission, except the
day of discharge, as 1 day.
(3) Outpatient visit days are determined by counting only one visit
day for each calendar day that a patient visits an outpatient
department or multiple outpatient departments.
(i) Application. (1) The following illustrates how apportionment
based on the aggregate per diem method for costs of physician direct
medical and surgical services furnished in a teaching hospital to
patients is determined.
Teaching Hospital Y
Statistical and financial data:
Total inpatient days as defined in paragraph (h)(2) of this
section and outpatient visit days as defined in paragraph
(h)(3) of this section.................................... 75,000
[[Page 63185]]
Total inpatient Part A days................................ 20,000
Total inpatient Part B days where Part A coverage is not
available................................................. 1,000
Total outpatient Part B visit days......................... 5,000
Total cost of direct medical and surgical services
furnished to all patients by physicians on the hospital
staff as determined in accordance with paragraph (i) of
this section.............................................. $1,500,000
Total cost of direct medical and surgical services
furnished to all patients by physicians on the medical
school faculty as determined in accordance with paragraph
(i) of this section....................................... $1,650,000
Computation of cost applicable to program for physicians on the
hospital staff:
Average cost per diem for direct medical and surgical services
to patients by physicians on the hospital staff: $1,500,000
75,000 = $20 per diem.
Cost of physician direct medical and surgical services
furnished to inpatient beneficiaries covered under Part A:
$20 per diem x 20,000................................... $400,000
Cost of physician direct medical and surgical services
furnished to inpatient beneficiaries covered under Part B:
$20 per diem x 1,000.................................... $20,000
Cost of physician direct medical and surgical services
furnished to outpatient beneficiaries covered under Part
B: $20 per diem x 5,000................................. $100,000
Computation of cost applicable to program for physicians on the
medical school faculty:
Average cost per diem for direct medical and surgical services
to patients by physicians on the medical school faculty: $1,650,000
75,000 = $22 per diem.
Cost of physician direct medical and surgical services
furnished to inpatient beneficiaries covered under Part A:
$22 per diem x 20,000................................... $440,000
Cost of physician direct medical and surgical services
furnished to inpatient beneficiaries covered under Part B:
$20 per diem x 1,000.................................... $22,000
Cost of physician direct medical and surgical services
furnished to outpatient beneficiaries covered under Part
B: $22 per diem x 5,000................................. $110,000
(2) The following illustrates how the imputed value of physician
volunteer direct medical and surgical services furnished in a
teaching hospital to beneficiaries is determined.
Example: The physicians on the medical staff of Teaching
Hospital Y donated a total of 5,000 hours in furnishing direct
medical and surgical services to patients of the hospital during a
cost reporting period and did not receive any compensation from
either the hospital or the medical school. Also, the imputed value
for any physician volunteer services did not exceed the rate of
$30,000 per year per physician.
Statistical and financial data:
Total salaries paid to the full-time salaried physicians by
the hospital (excluding interns and residents)............ $800,000
Total physicians who were paid for an average of 40 hours
per week or 2,080 (52 weeks x 40 hours per week) hours per
year...................................................... 20
Average hourly rate equivalent: $800,000 41,600
(2,080 x 20)............................................ $19.23
Computation of total imputed value of physician volunteer
services applicable to all patients:
(Total donated hours x average hourly rate equivalent):
5,000 x $19.23.......................................... $96,150
Total inpatient days (as defined in paragraph (h)(2) of
this section) and outpatient visit days (as defined in
paragraph (h)(3) of this section)......................... 75,000
Total inpatient Part A days................................ 20,000
Total inpatient Part B days if Part A coverage is not
available................................................. 1,000
Total outpatient Part B visit days......................... 5,000
Computation of imputed value of physician volunteer direct
medical and surgical services furnished to Medicare beneficiaries:
Average per diem for physician direct medical and surgical
services to all patients: $96,150 75,000 = $1.28 per diem
Imputed value of physician direct medical and surgical
services furnished to inpatient beneficiaries covered
under Part A: $1.28 per diem x 20,000................... $25,600
Imputed value of physician direct medical and surgical
services furnished to inpatient beneficiaries covered
under Part B: $1.28 per diem x 1,000.................... $1,280
Imputed value of physician direct medical and surgical
services furnished to outpatient beneficiaries covered
under Part B: $1.28 per diem x 5,000.................... $6,400
Total...................................................... $33,280
(j) Allocation of compensation paid to physicians in a teaching
hospital.
(1) In determining reasonable cost under this section, the
compensation paid by a teaching hospital, or a medical school or
related organization under arrangement with the hospital, to physicians
in a teaching hospital must be allocated to the full range of services
implicit in the physician compensation arrangements. (However, see
paragraph (d) of this section for the computation of the ``salary
equivalent'' payments for volunteer services furnished to patients.)
(2) This allocation must be made and must be capable of
substantiation on the basis of the proportion of each physician's time
spent in furnishing each type of service to the hospital or medical
school.
Sec. 415.164 Payment to a fund.
(a) General rules. Payment for certain voluntary services by
physicians in teaching hospitals (as these services are described in
Sec. 415.160) is made on a salary equivalent basis (as described in
Sec. 415.162(d)) subject to the conditions and limitations contained in
parts 405 and 413 of this chapter and this part 415, to a single fund
(as defined in paragraph (b) of this section) designated by the
organized medical staff of the hospital (or, if the services are
furnished in the hospital by the faculty of a medical school, to a fund
as may be designated by the faculty), if the following conditions are
met:
(1) The hospital (or medical school furnishing the services under
arrangement with the hospital) incurs no actual cost in furnishing the
services.
(2) The hospital has an agreement with HCFA under part 489 of this
chapter.
(3) The intermediary, or HCFA as appropriate, has received written
assurances that--
(i) The payment is used solely for the improvement of care of
hospital patients or for educational or charitable purposes; and
(ii) Neither the individuals who are furnished the services nor any
other persons are charged for the services (and if charged, provision
is made for the return of any monies incorrectly collected).
[[Page 63186]]
(b) Definition of a fund. For purposes of paragraph (a) of this
section, a fund is an organization that meets either of the following
requirements:
(1) The organization has and retains exemption, as a governmental
entity or under section 501(c)(3) of the Internal Revenue Code
(nonprofit educational, charitable, and similar organizations), from
Federal taxation.
(2) The organization is an organization of physicians who, under
the terms of their employment by an entity that meets the requirements
of paragraph (b)(1) of this section, are required to turn over to that
entity all income that the physician organization derives from the
physician services.
(c) Status of a fund. A fund approved for payment under paragraph
(a) of this section has all the rights and responsibilities of a
provider under Medicare except that it does not enter into an agreement
with HCFA under part 489 of this chapter.
Sec. 415.170 Conditions for payment on a fee schedule basis for
physician services in a teaching setting.
Services meeting the conditions for payment in Sec. 415.102(a)
furnished in teaching settings are payable under the physician fee
schedule if--
(a) The services are personally furnished by a physician who is not
a resident; or
(b) The services are furnished by a resident in the presence of a
teaching physician except as provided in Sec. 415.172 (concerning
physician fee schedule payment for services of teaching physicians),
Sec. 415.174 (concerning an exception for services furnished in
hospital outpatient and certain other ambulatory settings),
Sec. 415.176 (concerning renal dialysis services), and Sec. 415.184
(concerning psychiatric services), as applicable.
Sec. 415.172 Physician fee schedule payment for services of teaching
physicians.
(a) General rule. If a resident participates in a service furnished
in a teaching setting, physician fee schedule payment is made only if a
teaching physician is present during the key portion of any service or
procedure for which payment is sought.
(1) In the case of surgical, high-risk, or other complex
procedures, the teaching physician must be present during all critical
portions of the procedure and immediately available to furnish services
during the entire service or procedure.
(i) In the case of surgery, the teaching physician's presence is
not required during opening and closing of the surgical field.
(ii) In the case of procedures performed through an endoscope, the
teaching physician must be present during the entire viewing.
(2) In the case of evaluation and management services, the teaching
physician must be present during the portion of the service that
determines the level of service billed. (However, in the case of
evaluation and management services furnished in hospital outpatient
departments and certain other ambulatory settings, the requirements of
Sec. 415.174 apply.)
(b) Documentation. Except for services furnished as set forth in
Secs. 415.174 (concerning an exception for services furnished in
hospital outpatient and certain other ambulatory settings), 415.176
(concerning renal dialysis services), and 415.184 (concerning
psychiatric services), the medical records must document the teaching
physician was present at the time the service is furnished. The
presence of the teaching physician during procedures may be
demonstrated by the notes in the medical records made by a physician,
resident, or nurse. In the case of evaluation and management
procedures, the teaching physician must personally document his or her
participation in the service in the medical records.
(c) Payment level. In the case of services such as evaluation and
management for which there are several levels of service codes
available for reporting purposes, the appropriate payment level must
reflect the extent and complexity of the service when fully furnished
by the teaching physician.
Sec. 415.174 Exception: Evaluation and management services furnished
in certain centers.
(a) In the case of certain evaluation and management codes of lower
and mid-level complexity (as specified by HCFA in program
instructions), carriers may make physician fee schedule payment for a
service furnished by a resident without the presence of a teaching
physician. For the exception to apply, all of the following conditions
must be met:
(1) The services must be furnished in a center that is located in
an outpatient department of a hospital or another ambulatory care
entity in which the time spent by residents in patient care activities
is included in determining intermediary payments to a hospital under
Sec. 413.86.
(2) Any resident furnishing the service without the presence of a
teaching physician must have completed more than 6 months of an
approved residency program.
(3) The teaching physician must not direct the care of more than
four residents at any given time and must direct the care from such
proximity as to constitute immediate availability. The teaching
physician must--
(i) Have no other responsibilities at the time;
(ii) Assume management responsibility for those beneficiaries seen
by the residents;
(iii) Ensure that the services furnished are appropriate;
(iv) Review with each resident during or immediately after each
visit, the beneficiary's medical history, physical examination,
diagnosis, and record of tests and therapies; and
(v) Document the extent of the teaching physician's participation
in the review and direction of the services furnished to each
beneficiary.
(4) The range of services furnished by residents in the center
includes all of the following:
(i) Acute care for undifferentiated problems or chronic care for
ongoing conditions.
(ii) Coordination of care furnished by other physicians and
providers.
(iii) Comprehensive care not limited by organ system, diagnosis, or
gender.
(5) The patients seen must be an identifiable group of individuals
who consider the center to be the continuing source of their health
care and in which services are furnished by residents under the medical
direction of teaching physicians.
(b) Nothing in paragraph (a) of this section may be construed as
providing a basis for the coverage of services not determined to be
covered under Medicare, such as routine physical checkups.
Sec. 415.176 Renal dialysis services.
In the case of renal dialysis services, physicians who are not paid
under the physician monthly capitation payment method (as described in
Sec. 414.314 of this chapter) must meet the requirements of
Secs. 415.170 and 415.172 (concerning physician fee schedule payment
for services of teaching physicians).
Sec. 415.178 Anesthesia services.
(a) General rule. An unreduced physician fee schedule payment may
be made if a physician is involved in a
[[Page 63187]]
single anesthesia procedure involving an anesthesia resident. In the
case of anesthesia services, the teaching physician must be present
during all critical portions of the procedure and immediately available
to furnish services during the entire service or procedure. The
teaching physician cannot receive an unreduced fee if he or she
performs services involving other patients during the period the
anesthesia resident is furnishing services in a single case. For
additional rules for payment of anesthesia services involving
residents, see Sec. 414.46(c)(1)(iii)).
(b) Documentation. Documentation must indicate the physician's
presence or participation in the administration of the anesthesia and a
preoperative and postoperative visit by the physician.
Sec. 415.180 Teaching setting requirements for the interpretation of
diagnostic radiology and other diagnostic tests.
(a) General rule. Physician fee schedule payment is made for the
interpretation of diagnostic radiology and other diagnostic tests if
the interpretation is performed or reviewed by a physician other than a
resident.
(b) Documentation. Documentation must indicate that the physician
personally performed the interpretation or reviewed the resident's
interpretation with the resident.
Sec. 415.184 Psychiatric services.
To qualify for physician fee schedule payment for psychiatric
services furnished under an approved GME program, the physician must
meet the requirements of Secs. 415.170 and 415.172, including
documentation, except that the requirement for the presence of the
teaching physician during the service in which a resident is involved
may be met by observation of the service by use of a one-way mirror,
video equipment, or similar device.
Sec. 415.190 Conditions of payment: Assistants at surgery in teaching
hospitals.
(a) Basis, purpose, and scope. This section describes the
conditions under which Medicare pays on a fee schedule basis for the
services of an assistant at surgery in a teaching hospital. This
section is based on section 1842(b)(7)(D)(I) of the Act and applies
only to hospitals with an approved GME residency program. Except as
specified in paragraph (c) of this section, fee schedule payment is not
available for assistants at surgery in hospitals with--
(1) A training program relating to the medical specialty required
for the surgical procedure; and
(2) A resident in a training program relating to the specialty
required for the surgery available to serve as an assistant at surgery.
(b) Definition. Assistant at surgery means a physician who actively
assists the physician in charge of a case in performing a surgical
procedure.
(c) Conditions for payment for assistants at surgery. Payment on a
fee schedule basis is made for the services of an assistant at surgery
in a teaching hospital only if the services meet one of the following
conditions:
(1) Are required as a result of exceptional medical circumstances.
(2) Are complex medical procedures performed by a team of
physicians, each performing a discrete, unique function integral to the
performance of a complex medical procedure that requires the special
skills of more than one physician.
(3) Constitute concurrent medical care relating to a medical
condition that requires the presence of, and active care by, a
physician of another specialty during surgery.
(4) Are medically required and are furnished by a physician who is
primarily engaged in the field of surgery, and the primary surgeon does
not use interns and residents in the surgical procedures that the
surgeon performs (including preoperative and postoperative care).
(5) Are not related to a surgical procedure for which HCFA
determines that assistants are used less than 5 percent of the time.
Subpart E--Services of Residents
Sec. 415.200 Services of residents in approved GME programs.
(a) General rules. Services furnished in hospitals by residents in
approved GME programs are specifically excluded from being paid as
``physician services'' defined in Sec. 414.2 of this chapter and are
payable as hospital services. This exclusion applies whether or not the
resident is licensed to practice under the laws of the State in which
he or she performs the service. The payment methodology for services of
residents in hospitals and hospital-based providers is set forth in
Sec. 413.86 of this chapter.
(b) Exception. For low and mid-level evaluation and management
services furnished under certain conditions in centers located in
hospital outpatient departments and other ambulatory settings, see
Sec. 415.174.
(c) Definitions. See Sec. 415.152 for definitions of terms used in
this subpart E.
Sec. 415.202 Services of residents not in approved GME programs.
(a) General rules. For services of a physician employed by a
hospital who is authorized to practice only in a hospital setting and
for the services of a resident who is not in any approved GME program,
payment is made to the hospital on a Part B reasonable cost basis
regardless of whether the services are furnished to hospital inpatients
or outpatients.
(b) Payment. For services described in paragraph (a) of this
section, payment is made under Part B by reducing the reasonable costs
of furnishing the services by the beneficiary deductible and paying 80
percent of the remaining amount. No payment is made for other costs of
unapproved programs, such as administrative costs related to teaching
activities of physicians.
Sec. 415.204 Services of residents in skilled nursing facilities and
home health agencies.
(a) Medicare Part A payment. Payment is made under Medicare Part A
for interns' and residents' services furnished in the following
settings that meet the specified requirements:
(1) Skilled nursing facility. Payment to a participating skilled
nursing facility may include the cost of services of an intern or
resident who is in an approved GME program in a hospital with which the
skilled nursing facility has a transfer agreement that provides, in
part, for the transfer of patients and the interchange of medical
records.
(2) Home health agency. A participating home health agency may
receive payment for the cost of the services of an intern or resident
who is under an approved GME program of a hospital with which the home
health agency is affiliated or under common control if these services
are furnished as part of the home health visits for a Medicare
beneficiary. (Nevertheless, see Sec. 413.86 of this chapter for the
costs of approved GME programs in hospital-based providers.)
(b) Medicare Part B payment. Medical services of a resident of a
hospital that are furnished by a skilled nursing facility or home
health agency are paid under Medicare Part B if payment is not provided
under Medicare Part A. Payment is made under Part B for a resident's
services by reducing the
[[Page 63188]]
reasonable costs of furnishing the services by the beneficiary
deductible and paying 80 percent of the remaining amount.
Sec. 415.206 Services of residents in nonprovider settings.
Patient care activities of residents in approved GME programs that
are furnished in nonprovider settings are payable in one of the
following two ways:
(a) Direct GME payments. If the conditions in
Sec. 413.86(f)(1)(iii) regarding patient care activities and training
of residents are met, the time residents spend in nonprovider settings
such as clinics, nursing facilities, and physician offices in
connection with approved GME programs is included in determining the
number of full-time equivalency residents in the calculation of a
teaching hospital's resident count. The teaching physician rules on
carrier payments in Secs. 415.170 through 415.184 apply in these
teaching settings.
(b) Physician fee schedule. (1) Services furnished by a resident in
a nonprovider setting are covered as physician services and payable
under the physician fee schedule if the following requirements are met:
(i) The resident is fully licensed to practice medicine,
osteopathy, dentistry, or podiatry in the State in which the service is
performed.
(ii) The time spent in patient care activities in the nonprovider
setting is not included in a teaching hospital's full-time equivalency
resident count for the purpose of direct GME payments.
(2) Payment may be made regardless of whether a resident is
functioning within the scope of his or her GME program in the
nonprovider setting.
(3) If fee schedule payment is made for the resident's services in
a nonprovider setting, payment must not be made for the services of a
teaching physician.
(4) The carrier must apply the physician fee schedule payment rules
set forth in subpart A of part 414 of this chapter to payments for
services furnished by a resident in a nonprovider setting.
Sec. 415.208 Services of moonlighting residents.
(a) Definition. For purposes of this section, the term services of
moonlighting residents refers to services that licensed residents
perform that are outside the scope of an approved GME program.
(b) Services in GME program hospitals. (1) The services of
residents to inpatients of hospitals in which the residents have their
approved GME program are not covered as physician services and are
payable under Sec. 413.86 regarding direct GME payments.
(2) Services of residents that are not related to their approved
GME programs and are performed in an outpatient department or emergency
department of a hospital in which they have their training program are
covered as physician services and payable under the physician fee
schedule if all of the following criteria are met:
(i) The services are identifiable physician services and meet the
conditions for payment of physician services to beneficiaries in
providers in Sec. 415.102(a).
(ii) The resident is fully licensed to practice medicine,
osteopathy, dentistry, or podiatry by the State in which the services
are performed.
(iii) The services performed can be separately identified from
those services that are required as part of the approved GME program.
(3) If the criteria specified in paragraph (b)(2) of this section
are met, the services of the moonlighting resident are considered to
have been furnished by the individual in his or her capacity as a
physician, rather than in the capacity of a resident. The carrier must
review the contracts and agreements for these services to ensure
compliance with the criteria specified in paragraph (b)(2) of this
section.
(4) No payment is made for services of a ``teaching physician''
associated with moonlighting services, and the time spent furnishing
these services is not included in the teaching hospital's full-time
equivalency count for the indirect GME payment (Sec. 412.105 of this
chapter) and for the direct GME payment (Sec. 413.86 of this chapter).
(c) Other settings. Moonlighting services of a licensed resident in
an approved GME program furnished outside the scope of that program in
a hospital or other setting that does not participate in the approved
GME program are payable under the physician fee schedule as set forth
in Sec. 415.206(b)(1).
F. Technical Amendments
PART 400--[AMENDED]
1. In Sec. 400.310, the following changes are made:
a. The entries for Secs. 405.481 and 405.552 are removed.
b. The table is amended by adding the following entries:
Sec. 400.310 Display of currently valid OMB control numbers.
------------------------------------------------------------------------
Current OMB
Sections in 42 CFR that contain collections of information control
numbers
------------------------------------------------------------------------
* * * * *
415.60..................................................... 0938-0301
415.162.................................................... 0938-0301
* * * * *
------------------------------------------------------------------------
PART 405--[AMENDED]
Sec. 405.502 [Amended]
2. In Sec. 405.502(a)(10), the phrase ``Sec. 405.580(c)(2) or (3)''
is removed, and the phrase ``Sec. 415.190(c)(2) or (c)(3) of this
chapter'' is added in its place.
PART 411--EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE
PAYMENT
3. The authority citation for part 411 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
Sec. 411.15 [Amended]
4. In Sec. 411.15(m)(2)(i), ``Sec. 405.550(b)'' is removed, and
``Sec. 415.102(a)'' is added in its place.
PART 412--PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL
SERVICES
5. The authority citation for part 412 continues to read as
follows:
Authority: Secs. 1102, 1815(e), 1820, 1871, and 1886 of the
Social Security Act (42 U.S.C. 1302, 1395g(e), 1395i-4, 1395hh, and
1395ww).
Sec. 412.50 [Amended]
6. In Sec. 412.50, the following changes are made:
a. In paragraph (a), ``Sec. 405.550(b)'' is removed, and
``Sec. 415.102(a)'' is added in its place.
b. In paragraph (b), ``Sec. 405.550(b)'' is removed, and
``Sec. 415.102(a)'' is added in its place.
Sec. 412.71 [Amended]
7. In Sec. 412.71(c)(1)(i), ``Sec. 405.550(b)'' is removed, and
``Sec. 415.102(a)'' is added in its place.
Sec. 412.105 [Amended]
8. In Sec. 412.105(g)(1)(i)(A), ``Sec. 405.522(a)'' is removed, and
``Sec. 415.200(a)'' is added in its place.
[[Page 63189]]
PART 413--[AMENDED]
9. The authority citation for part 413 continues to read as
follows:
Authority: Secs. 1102, 1861(v)(1)(A), and 1871 of the Social
Security Act (42 U.S.C. 1302, 1395x(v)(1)(A), and 1395hh).
Sec. 413.5 [Amended]
10. In Sec. 413.5(c)(9), the phrase ``(as described in Sec. 405.465
of this chapter) where elected as provided for in Sec. 405.521 of this
chapter.'' is removed, and the phrase ``(as described in Sec. 415.162
of this chapter) if elected as provided for in Sec. 415.160 of this
chapter.'' is added in its place.
Sec. 413.13 [Amended]
11. In Sec. 413.13(g)(1)(i), the phrase ``Secs. 405.480 through
405.482'' is removed, and the phrase ``Secs. 415.55 through 415.70'' is
added in its place.
Sec. 413.80 [Amended]
12. In Sec. 413.80(h), the phrase ``, as described in Sec. 414.450
of this chapter,'' is removed.
Sec. 413.86 [Amended]
13. In Sec. 413.86, the following changes are made:
a. In paragraph (b), in the definition of ``Approved medical
residency program'' in paragraph (1), ``Sec. 405.522(a)'' is removed,
and ``Sec. 415.200(a)'' is added in its place.
b. In paragraph (g)(1)(ii), ``Sec. 405.522(a)'' is removed, and
``Sec. 415.200(a)'' is added in its place.
Sec. 413.174 [Amended]
14. In Sec. 413.174(b)(4)(iv), the phrase ``Secs. 405.465 through
405.482'' is removed, and the phrase ``Secs. 415.55 through 415.70,
Sec. 415.162, and Sec. 415.164'' is added in its place.
PART 414--[AMENDED]
Sec. 414.58 [Amended]
15. In Sec. 414.58, the following changes are made:
a. In paragraph (a), the phrase ``Secs. 405.550 through 405.580''
is removed, and the phrase ``Secs. 415.100 through 415.130, and
Sec. 415.190'' is added in its place.
b. In paragraph (b), the phrase ``Sec. 405.465 of this chapter if
the hospital exercises the election described in Sec. 405.521(c)(2) of
this chapter'' is removed, and the phrase ``Sec. 415.162 of this
chapter if the hospital exercises the election described in
Sec. 415.160 of this chapter'' is added in its place.
PART 417--HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL
PLANS, AND HEALTH CARE PREPAYMENT PLANS
16. The authority citation for part 417 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh), secs. 1301, 1306, and 1310 of the Public
Health Service Act (42 U.S.C. 300e, 300e-5, and 300e-9); and 31
U.S.C. 9701.
Sec. 417.554 [Amended]
17. In Sec. 417.554, the phrase ``Sec. 405.480, part 412 of this
chapter, and Secs. 413.55 and 413.24'' is removed, and the phrase
``part 412, Secs. 413.24, 413.55, and 415.55'' is added in its place.
PART 489--PROVIDER AGREEMENTS AND SUPPLIER APPROVAL
18. The authority citation for part 489 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
Sec. 489.20 [Amended]
19. In Sec. 489.20(d)(1), ``Sec. 405.550(b)'' is removed, and
``Sec. 415.102(a)'' is added in its place.
Sec. 489.21 [Amended]
20. In Sec. 489.21(f), ``Sec. 405.550(b)'' is removed, and
``Sec. 415.102(a)'' is added in its place.
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)
Dated: November 28, 1995.
Bruce C. Vladeck,
Administrator, Health Care Financing Administration.
Dated: December 1, 1995.
Donna E. Shalala,
Secretary.
Note: These addenda will not appear in the Code of Federal
Regulations.
Addendum A--Explanation and Use of Addenda B Through E
The addenda on the following pages provide various data
pertaining to the Medicare fee schedule for physician services
furnished in 1995. Addendum B contains the RVUs for work, practice
expense, and malpractice expense, and other information for all
services included in the physician fee schedule. Addendum C provides
interim RVUs and related information for codes that are subject to
comment. Each code listed in Addendum C is also included in Addendum
B. Further explanations of the information in these addenda are
provided at the beginning of each addendum.
To compute a fee schedule amount according to the formula
provided in the final rule, use the RVUs listed in Addendum B and
the GPCIs for 1996 listed in Addendum D of this final rule. In
applying the formula, use the appropriate CF: For services
designated as surgical, use a CF of $40.7986. For primary care
services, use a CF of $35.4173. For other nonsurgical services, use
a CF of $34.6293.
Addendum D lists the GPCIs for 1996.
Addendum E lists the procedure codes subject to the site-of-
service differential.
Addendum B--1996 Relative Value Units and Related Information Used in
Determining Medicare Payments for 1996
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 nonphysician 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.
3. Status indicator. This indicator shows whether the CPT/HCPCS
code is in the physician fee schedule and whether it is separately
payable if the service is covered.
A = Active code. These codes are separately payable under the
fee schedule if covered. There will be RVUs for codes with this
status. The presence of an ``A'' indicator does not mean that
Medicare has made a national decision regarding the coverage of the
service. Carriers remain responsible for coverage decisions in the
absence of a national Medicare policy.
B = Bundled code. Payment for covered services is always bundled
into payment for other services not specified. If RVUs are shown,
they are not used for Medicare payment. If these services are
covered, payment for them is subsumed by the payment for the
services to which they are incident. (An example is a telephone call
from a hospital nurse regarding care of a patient.)
C = Carrier-priced code. Carriers will establish RVUs and
payment amounts for these services, generally on a case-by-case
basis following review of documentation, such as an operative
report.
D = Deleted code. These codes are deleted effective with the
beginning of the calendar year.
[[Page 63190]]
E = Excluded from physician fee schedule by regulation. These
codes are for items or services that we chose to exclude from the
physician fee schedule payment by regulation. No RVUs are shown, and
no payment may be made under the physician fee schedule for these
codes. Payment for them, if they are covered, continues under
reasonable charge or other payment procedures.
G = Code not valid for Medicare purposes. Medicare does not
recognize codes assigned this status. Medicare uses another code for
reporting of, and payment for, these services.
H = Deleted modifier. This code had TC and PC components in
1995. For 1996, these components are deleted.
N = Noncovered service. These codes are noncovered services.
Medicare payment may not be made for these codes. If RVUs are shown,
they are not used for Medicare payment.
P = Bundled or excluded code. There are no RVUs for these
services. No separate payment should be made for them under the
physician fee schedule.
--If the item or service is covered as incident to a physician
service and is furnished on the same day as a physician service,
payment for it is bundled into the payment for the physician service
to which it is incident (an example is an elastic bandage furnished
by a physician incident to a physician service).
--If the item or service is covered as other than incident to a
physician 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 ``physician 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 1996. Codes that are not used for Medicare
payment are identified with a ``#.''
6. Practice expense RVUs. These are the RVUs for the practice
expense for the service for 1996. Codes that are subject to the OBRA
1993 practice expense reduction are identified by an asterisk in
this column.
7. Malpractice expense RVUs. These are the RVUs for the
malpractice expense for the service for 1996.
8. Total RVUs. This is the sum of the work, practice expense,
and malpractice expense RVUs for 1996.
9. 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 1996
Physicians' Current Procedural Terminology for specific definitions.
XXX = The global concept does not apply.
YYY = The global period is to be set by the carrier (for
example, unlisted surgery codes).
ZZZ = The code is part of another service and falls within the
global period for the other service.
10. Update indicator. This column indicates whether the update
for surgical procedures, primary care services, or other nonsurgical
services applies to the CPT/HCPCS code in column 1. A ``0'' appears
in this field for codes that are deleted in 1996 or are not paid
under the physician fee schedule. A ``P'' in this column indicates
that the update and CF for primary care services applies to this
code. An ``N'' in this column indicates that the update and CF for
other nonsurgical services applies to this code. An ``S'' in this
column indicates that the separate update and CF for surgical
procedures applies.
\4\ * Indicates reduction of Practice
Expense RVUs as a result of OBRA 1993.
Addendum B.--Relative Value Units (RVUs) and Related Information
--------------------------------------------------------------------------------------------------------------------------------------------------------
Physician Practice
CPT \1\/ MOD Status Description work RVUs expense Malpractice Total Global Update
HCPCS \3\ RVUs \4\ RVUs period
---\2\--------------------------------------------------------------------------------------------------------------------------------------------------
10040... .................. A Acne surgery of skin abscess 1.34 0.32 0.03 1.69 010 S
10060... .................. A Drainage of skin abscess.... 1.12 0.44 0.04 1.60 010 S
10061... .................. A Drainage of skin abscess.... 2.48 0.64 0.06 3.18 010 S
10080... .................. A Drainage of pilonidal cyst.. 1.62 0.50 0.05 2.17 010 N
10081... .................. A Drainage of pilonidal cyst.. 2.40 1.11 0.16 3.67 010 S
10120... .................. A Remove foreign body......... 1.19 0.46 0.05 1.70 010 S
10121... .................. A Remove foreign body......... 2.64 1.00 0.12 3.76 010 S
10140... .................. A Drainage of hematoma/fluid.. 1.48 0.48 0.05 2.01 010 S
10160... .................. A Puncture drainage of lesion. 1.15 0.38 0.05 1.58 010 S
10180... .................. A Complex drainage, wound..... 2.20 1.05 0.18 3.43 010 S
11000... .................. A Surgical cleansing of skin.. 0.91 0.40 0.04 1.35 000 S
11001... .................. A Additional cleansing of skin 0.45 0.26 0.02 0.73 ZZZ S
11040... .................. A Surgical cleansing, abrasion 0.50 0.40 0.04 0.94 000 S
11041... .................. A Surgical cleansing of skin.. 0.82 0.56 0.06 1.44 000 S
11042... .................. A Cleansing of skin/tissue.... 1.12 0.65 0.08 1.85 000 S
11043... .................. A Cleansing of tissue/muscle.. 1.83 1.81 0.34 3.98 010 S
11044... .................. A Cleansing tissue/muscle/bone 2.28 2.82 0.49 5.59 010 S
11050... .................. A Trim skin lesion............ 0.43 0.37 0.03 0.83 000 S
11051... .................. A Trim 2 to 4 skin lesions.... 0.66 0.50 0.05 1.21 000 S
11052... .................. A Trim over 4 skin lesions.... 0.86 0.41 0.04 1.31 000 S
11100... .................. A Biopsy of skin lesion....... 0.81 0.51 0.04 1.36 000 S
11101... .................. A Biopsy, each added lesion... 0.41 0.29 0.02 0.72 ZZZ S
11200... .................. A Removal of skin tags........ 0.69 0.43 0.04 1.16 010 S
11201... .................. A Removal of added skin tags.. 0.26 0.17 0.02 0.45 ZZZ S
11300... .................. A Shave skin lesion........... 0.51 0.53 0.05 1.09 000 S
11301... .................. A Shave skin lesion........... 0.85 0.67 0.06 1.58 000 S
[[Page 63191]]
11302... .................. A Shave skin lesion........... 1.05 0.89 0.09 2.03 000 S
11303... .................. A Shave skin lesion........... 1.24 1.36 0.17 2.77 000 S
11305... .................. A Shave skin lesion........... 0.67 0.52 0.05 1.24 000 S
11306... .................. A Shave skin lesion........... 0.99 0.71 0.07 1.77 000 S
11307... .................. A Shave skin lesion........... 1.14 0.94 0.10 2.18 000 S
11308... .................. A Shave skin lesion........... 1.41 1.40 0.17 2.98 000 S
11310... .................. A Shave skin lesion........... 0.73 0.69 0.06 1.48 000 S
11311... .................. A Shave skin lesion........... 1.05 0.85 0.08 1.98 000 S
11312... .................. A Shave skin lesion........... 1.20 1.12 0.11 2.43 000 S
11313... .................. A Shave skin lesion........... 1.62 1.49 0.15 3.26 000 S
11400... .................. A Removal of skin lesion...... 0.86 0.53 0.05 1.44 010 S
11401... .................. A Removal of skin lesion...... 1.27 0.67 0.06 2.00 010 S
11402... .................. A Removal of skin lesion...... 1.56 0.89 0.09 2.54 010 S
11403... .................. A Removal of skin lesion...... 1.87 1.17 0.13 3.17 010 S
11404... .................. A Removal of skin lesion...... 2.15 1.38 0.17 3.70 010 S
11406... .................. A Removal of skin lesion...... 2.71 1.88 0.33 4.92 010 S
11420... .................. A Removal of skin lesion...... 1.01 0.52 0.05 1.58 010 S
11421... .................. A Removal of skin lesion...... 1.48 0.71 0.07 2.26 010 S
11422... .................. A Removal of skin lesion...... 1.71 0.94 0.10 2.75 010 S
11423... .................. A Removal of skin lesion...... 2.12 1.31 0.15 3.58 010 S
11424... .................. A Removal of skin lesion...... 2.57 1.39 0.16 4.12 010 S
11426... .................. A Removal of skin lesion...... 3.73 1.83 0.29 5.85 010 S
11440... .................. A Removal of skin lesion...... 1.10 0.69 0.06 1.85 010 S
11441... .................. A Removal of skin lesion...... 1.56 0.85 0.08 2.49 010 S
11442... .................. A Removal of skin lesion...... 1.82 1.12 0.11 3.05 010 S
11443... .................. A Removal of skin lesion...... 2.44 1.45 0.15 4.04 010 S
11444... .................. A Removal of skin lesion...... 3.37 1.47 0.14 4.98 010 S
11446... .................. A Removal of skin lesion...... 4.44 1.78 0.18 6.40 010 S
11450... .................. A Removal, sweat gland lesion. 2.58 2.68 0.44 5.70 090 S
11451... .................. A Removal, sweat gland lesion. 3.80 2.90 0.46 7.16 090 S
11462... .................. A Removal, sweat gland lesion. 2.36 2.41 0.36 5.13 090 S
11463... .................. A Removal, sweat gland lesion. 3.80 2.00 0.34 6.14 090 S
11470... .................. A Removal, sweat gland lesion. 3.10 2.78 0.45 6.33 090 S
11471... .................. A Removal, sweat gland lesion. 4.26 2.46 0.48 7.20 090 S
11600... .................. A Removal of skin lesion...... 1.36 1.13 0.10 2.59 010 S
11601... .................. A Removal of skin lesion...... 1.88 1.39 0.12 3.39 010 S
11602... .................. A Removal of skin lesion...... 2.04 1.82 0.16 4.02 010 S
11603... .................. A Removal of skin lesion...... 2.30 2.25 0.21 4.76 010 S
11604... .................. A Removal of skin lesion...... 2.53 2.59 0.26 5.38 010 S
11606... .................. A Removal of skin lesion...... 3.38 3.11 0.49 6.98 010 S
11620... .................. A Removal of skin lesion...... 1.29 1.34 0.12 2.75 010 S
11621... .................. A Removal of skin lesion...... 1.92 1.75 0.16 3.83 010 S
11622... .................. A Removal of skin lesion...... 2.29 2.20 0.19 4.68 010 S
11623... .................. A Removal of skin lesion...... 2.88 2.58 0.25 5.71 010 S
11624... .................. A Removal of skin lesion...... 3.38 3.21 0.32 6.91 010 S
11626... .................. A Removal of skin lesion...... 4.20 3.41 0.51 8.12 010 S
11640... .................. A Removal of skin lesion...... 1.48 1.65 0.15 3.28 010 S
11641... .................. A Removal of skin lesion...... 2.39 2.09 0.18 4.66 010 S
11642... .................. A Removal of skin lesion...... 2.88 2.57 0.23 5.68 010 S
11643... .................. A Removal of skin lesion...... 3.45 3.01 0.28 6.74 010 S
11644... .................. A Removal of skin lesion...... 4.50 3.51 0.33 8.34 010 S
11646... .................. A Removal of skin lesion...... 5.85 4.32 0.60 10.77 010 S
11700... .................. A Scraping of 1-5 nails....... 0.32 0.32 0.03 0.67 000 S
11701... .................. A Scraping of additional nails 0.23 0.23 0.02 0.48 ZZZ S
11710... .................. A Scraping of 1-5 nails....... 0.32 0.32 0.03 0.67 000 S
11711... .................. A Scraping of additional nails 0.20 0.19 0.02 0.41 ZZZ S
11730... .................. A Removal of nail plate....... 1.13 0.45 0.04 1.62 000 S
11731... .................. A Removal of second nail plate 0.55 0.51 0.05 1.11 ZZZ S
11732... .................. A Remove additional nail plate 0.38 0.25 0.02 0.65 ZZZ S
11740... .................. A Drain blood from under nail. 0.37 0.39 0.04 0.80 000 S
11750... .................. A Removal of nail bed......... 1.66 2.10 0.19 3.95 010 S
11752... .................. A Remove nail bed/finger tip.. 2.37 2.82 0.36 5.55 010 S
11755... .................. A Biopsy, nail unit........... 1.31 0.99 0.12 2.42 000 S
11760... .................. A Reconstruction of nail bed.. 1.53 0.93 0.09 2.55 010 S
11762... .................. A Reconstruction of nail bed.. 2.84 2.57 0.24 5.65 010 S
11765... .................. A Excision of nail fold, toe.. 0.64 0.51 0.05 1.20 010 S
[[Page 63192]]
11770... .................. A Removal of pilonidal lesion. 2.56 2.67 0.44 5.67 010 S
11771... .................. A Removal of pilonidal lesion. 5.15 4.52 0.92 10.59 090 S
11772... .................. A Removal of pilonidal lesion. 6.36 4.82 1.01 12.19 090 S
11900... .................. A Injection into skin lesions. 0.52 0.25 0.02 0.79 000 S
11901... .................. A Added skin lesions injection 0.80 0.41 0.03 1.24 000 S
11920... .................. R Correct skin color defects.. 1.61 1.18 0.23 3.02 000 S
11921... .................. R Correct skin color defects.. 1.93 1.40 0.28 3.61 000 S
11922... .................. R Correct skin color defects.. 0.49 0.36 0.07 0.92 ZZZ S
11950... .................. R Therapy for contour defects. 0.84 1.19 0.11 2.14 000 S
11951... .................. R Therapy for contour defects. 1.19 1.19 0.11 2.49 000 S
11952... .................. R Therapy for contour defects. 1.69 1.19 0.11 2.99 000 S
11954... .................. R Therapy for contour defects. 1.85 1.19 0.11 3.15 000 S
11960... .................. A Insert tissue expander(s)... 6.04 *7.73 1.48 15.25 090 S
11970... .................. A Replace tissue expander..... 6.65 *8.51 1.61 16.77 090 S
11971... .................. A Remove tissue expander(s)... 1.51 *2.30 0.82 4.63 090 S
11975... .................. N Insert contraceptive cap.... #1.48 1.06 0.25 2.79 XXX 0
11976... .................. R Removal of contraceptive cap 1.78 1.28 0.30 3.36 XXX N
11977... .................. N Removal/reinsert contra cap. #3.30 2.36 0.55 6.21 XXX 0
12001... .................. A Repair superficial wound(s). 1.65 0.57 0.05 2.27 010 N
12002... .................. A Repair superficial wound(s). 1.81 0.79 0.07 2.67 010 N
12004... .................. A Repair superficial wound(s). 2.19 1.14 0.10 3.43 010 N
12005... .................. A Repair superficial wound(s). 2.81 1.47 0.14 4.42 010 N
12006... .................. A Repair superficial wound(s). 3.62 1.78 0.19 5.59 010 N
12007... .................. A Repair superficial wound(s). 4.07 1.80 0.19 6.06 010 S
12011... .................. A Repair superficial wound(s). 1.71 0.74 0.06 2.51 010 N
12013... .................. A Repair superficial wound(s). 1.94 1.03 0.08 3.05 010 N
12014... .................. A Repair superficial wound(s). 2.41 1.19 0.10 3.70 010 N
12015... .................. A Repair superficial wound(s). 3.14 1.62 0.14 4.90 010 N
12016... .................. A Repair superficial wound(s). 3.88 2.26 0.19 6.33 010 N
12017... .................. A Repair superficial wound(s). 4.66 3.36 0.31 8.33 010 N
12018... .................. A Repair superficial wound(s). 5.48 5.15 0.48 11.11 010 S
12020... .................. A Closure of split wound...... 2.57 1.19 0.18 3.94 010 S
12021... .................. A Closure of split wound...... 1.79 0.62 0.11 2.52 010 S
12031... .................. A Layer closure of wound(s)... 2.10 0.72 0.07 2.89 010 S
12032... .................. A Layer closure of wound(s)... 2.42 1.05 0.10 3.57 010 S
12034... .................. A Layer closure of wound(s)... 2.87 1.47 0.15 4.49 010 S
12035... .................. A Layer closure of wound(s)... 3.38 1.92 0.23 5.53 010 S
12036... .................. A Layer closure of wound(s)... 4.00 2.32 0.37 6.69 010 S
12037... .................. A Layer closure of wound(s)... 4.62 3.09 0.48 8.19 010 S
12041... .................. A Layer closure of wound(s)... 2.32 0.84 0.08 3.24 010 N
12042... .................. A Layer closure of wound(s)... 2.69 1.17 0.12 3.98 010 N
12044... .................. A Layer closure of wound(s)... 3.09 1.62 0.17 4.88 010 N
12045... .................. A Layer closure of wound(s)... 3.59 2.13 0.23 5.95 010 N
12046... .................. A Layer closure of wound(s)... 4.20 2.82 0.37 7.39 010 S
12047... .................. A Layer closure of wound(s)... 4.60 4.02 0.56 9.18 010 N
12051... .................. A Layer closure of wound(s)... 2.42 1.01 0.10 3.53 010 S
12052... .................. A Layer closure of wound(s)... 2.72 1.47 0.14 4.33 010 S
12053... .................. A Layer closure of wound(s)... 3.07 1.76 0.17 5.00 010 S
12054... .................. A Layer closure of wound(s)... 3.41 2.60 0.25 6.26 010 S
12055... .................. A Layer closure of wound(s)... 4.38 3.24 0.37 7.99 010 S
12056... .................. A Layer closure of wound(s)... 5.19 4.74 0.52 10.45 010 S
12057... .................. A Layer closure of wound(s)... 5.91 5.57 0.48 11.96 010 S
13100... .................. A Repair of wound or lesion... 3.07 1.14 0.13 4.34 010 S
13101... .................. A Repair of wound or lesion... 3.87 2.08 0.21 6.16 010 S
13120... .................. A Repair of wound or lesion... 3.25 1.35 0.17 4.77 010 S
13121... .................. A Repair of wound or lesion... 4.28 2.65 0.33 7.26 010 S
13131... .................. A Repair of wound or lesion... 3.74 1.98 0.23 5.95 010 S
13132... .................. A Repair of wound or lesion... 4.21 4.57 0.44 9.22 010 S
13150... .................. A Repair of wound or lesion... 3.76 1.76 0.23 5.75 010 S
13151... .................. A Repair of wound or lesion... 4.40 2.45 0.35 7.20 010 S
13152... .................. A Repair of wound or lesion... 6.28 5.13 0.68 12.09 010 S
13160... .................. A Late closure of wound....... 9.53 3.33 0.58 13.44 090 S
13300... .................. A Repair of wound or lesion... 5.11 5.71 0.86 11.68 010 S
14000... .................. A Skin tissue rearrangement... 5.43 3.41 0.38 9.22 090 S
14001... .................. A Skin tissue rearrangement... 7.78 4.75 0.76 13.29 090 S
14020... .................. A Skin tissue rearrangement... 6.08 4.90 0.49 11.47 090 S
[[Page 63193]]
14021... .................. A Skin tissue rearrangement... 9.37 6.21 0.94 16.52 090 S
14040... .................. A Skin tissue rearrangement... 7.18 6.77 0.65 14.60 090 S
14041... .................. A Skin tissue rearrangement... 10.74 7.88 1.02 19.64 090 S
14060... .................. A Skin tissue rearrangement... 8.05 7.75 1.04 16.84 090 S
14061... .................. A Skin tissue rearrangement... 11.42 10.49 1.27 23.18 090 S
14300... .................. A Skin tissue rearrangement... 10.76 11.31 1.84 23.91 090 S
14350... .................. A Skin tissue rearrangement... 9.05 6.07 1.05 16.17 090 S
15000... .................. A Skin graft procedure........ 1.95 *2.49 0.53 4.97 ZZZ S
15050... .................. A Skin pinch graft procedure.. 3.90 1.79 0.30 5.99 090 S
15100... .................. A Skin split graft procedure.. 8.05 4.54 0.89 13.48 090 S
15101... .................. A Skin split graft procedure.. 1.72 1.59 0.33 3.64 ZZZ S
15120... .................. A Skin split graft procedure.. 9.14 6.05 0.94 16.13 090 S
15121... .................. A Skin split graft procedure.. 2.67 2.91 0.53 6.11 ZZZ S
15200... .................. A Skin full graft procedure... 7.46 4.13 0.69 12.28 090 S
15201... .................. A Skin full graft procedure... 1.32 *1.68 0.50 3.50 ZZZ S
15220... .................. A Skin full graft procedure... 7.42 4.84 0.85 13.11 090 S
15221... .................. A Skin full graft procedure... 1.19 *1.59 0.50 3.28 ZZZ S
15240... .................. A Skin full graft procedure... 8.30 6.10 1.03 15.43 090 S
15241... .................. A Skin full graft procedure... 1.86 *2.38 0.58 4.82 ZZZ S
15260... .................. A Skin full graft procedure... 9.56 7.46 0.99 18.01 090 S
15261... .................. A Skin full graft procedure... 2.23 *2.85 0.60 5.68 ZZZ S
15350... .................. A Skin homograft procedure.... 3.89 2.15 0.42 6.46 090 S
15400... .................. A Skin heterograft procedure.. 4.91 1.06 0.17 6.14 090 S
15570... .................. A Form skin pedicle flap...... 3.75 *5.50 2.08 11.33 090 S
15572... .................. A Form skin pedicle flap...... 3.80 *5.38 1.86 11.04 090 S
15574... .................. A Form skin pedicle flap...... 3.85 *5.40 1.66 10.91 090 S
15576... .................. A Form skin pedicle flap...... 4.27 3.12 0.60 7.99 090 S
15580... .................. A Attach skin pedicle graft... 3.30 *4.31 1.30 8.91 090 S
15600... .................. A Skin graft procedure........ 1.70 *2.51 0.88 5.09 090 S
15610... .................. A Skin graft procedure........ 2.21 *2.82 0.80 5.83 090 S
15620... .................. A Skin graft procedure........ 2.69 *3.44 0.86 6.99 090 S
15625... .................. A Skin graft procedure........ 1.81 *2.41 0.78 5.00 090 S
15630... .................. A Skin graft procedure........ 3.02 *3.86 0.90 7.78 090 S
15650... .................. A Transfer skin pedicle flap.. 3.61 *4.62 0.93 9.16 090 S
15732... .................. A Muscle-skin graft, head/neck 12.10 *15.48 3.46 31.04 090 S
15734... .................. A Muscle-skin graft, trunk.... 16.52 19.01 3.24 38.77 090 S
15736... .................. A Muscle-skin graft, arm...... 15.26 16.21 3.02 34.49 090 S
15738... .................. A Muscle-skin graft, leg...... 10.07 *12.89 3.29 26.25 090 S
15740... .................. A Island pedicle flap graft... 9.45 10.39 1.62 21.46 090 S
15750... .................. A Neurovascular pedicle graft. 10.61 11.96 2.03 24.60 090 S
15755... .................. A Microvascular flap graft.... 28.33 30.09 5.33 63.75 090 S
15760... .................. A Composite skin graft........ 8.28 7.29 1.11 16.68 090 S
15770... .................. A Derma-fat-fascia graft...... 6.85 7.46 0.95 15.26 090 S
15775... .................. R Hair transplant punch grafts 3.96 2.88 0.56 7.40 000 S
15776... .................. R Hair transplant punch grafts 5.54 4.03 0.79 10.36 000 S
15780... .................. A Abrasion treatment of skin.. 6.73 1.53 0.13 8.39 090 S
15781... .................. A Abrasion treatment of skin.. 4.67 3.77 0.39 8.83 090 S
15782... .................. A Abrasion treatment of skin.. 4.19 1.19 0.13 5.51 090 S
15783... .................. A Abrasion treatment of skin.. 4.16 1.85 0.19 6.20 090 S
15786... .................. A Abrasion treatment of lesion 1.98 0.62 0.06 2.66 010 S
15787... .................. A Abrasion, added skin lesions 0.33 0.23 0.03 0.59 ZZZ S
15788... .................. R Chemical peel, face, epiderm 1.96 1.48 0.12 3.56 090 S
15789... .................. R Chemical peel, face, dermal. 4.69 1.48 0.12 6.29 090 S
15792... .................. R Chemical peel, nonfacial.... 1.73 0.50 0.05 2.28 090 S
15793... .................. A Chemical peel, nonfacial.... 3.51 0.50 0.05 4.06 090 S
15810... .................. A Salabrasion................. 4.49 3.80 0.29 8.58 090 S
15811... .................. A Salabrasion................. 5.14 3.74 0.73 9.61 090 S
15819... .................. A Plastic surgery, neck....... 8.87 8.01 0.87 17.75 090 S
15820... .................. A Revision of lower eyelid.... 4.80 *6.14 0.64 11.58 090 S
15821... .................. A Revision of lower eyelid.... 5.37 *6.87 0.68 12.92 090 S
15822... .................. A Revision of upper eyelid.... 4.27 *5.47 0.56 10.30 090 S
15823... .................. A Revision of upper eyelid.... 6.65 7.71 0.61 14.97 090 S
15824... .................. R Removal of forehead wrinkles 0.00 0.00 0.00 0.00 XXX S
15825... .................. R Removal of neck wrinkles.... 0.00 0.00 0.00 0.00 XXX S
15826... .................. R Removal of brow wrinkles.... 0.00 0.00 0.00 0.00 XXX S
15828... .................. R Removal of face wrinkles.... 0.00 0.00 0.00 0.00 XXX S
[[Page 63194]]
15829... .................. R Removal of skin wrinkles.... 0.00 0.00 0.00 0.00 XXX S
15831... .................. A Excise excessive skin tissue 11.66 9.84 2.01 23.51 090 S
15832... .................. A Excise excessive skin tissue 10.97 8.29 1.33 20.59 090 S
15833... .................. A Excise excessive skin tissue 10.02 6.22 1.12 17.36 090 S
15834... .................. A Excise excessive skin tissue 10.16 7.18 1.22 18.56 090 S
15835... .................. A Excise excessive skin tissue 10.98 7.00 1.22 19.20 090 S
15836... .................. A Excise excessive skin tissue 8.83 5.80 1.10 15.73 090 S
15837... .................. A Excise excessive skin tissue 8.08 5.97 0.85 14.90 090 S
15838... .................. A Excise excessive skin tissue 6.78 5.88 0.73 13.39 090 S
15839... .................. A Excise excessive skin tissue 8.92 2.44 0.46 11.82 090 S
15840... .................. A Graft for face nerve palsy.. 12.26 15.54 2.28 30.08 090 S
15841... .................. A Graft for face nerve palsy.. 21.53 16.87 2.76 41.16 090 S
15842... .................. A Graft for face nerve palsy.. 35.98 29.00 2.68 67.66 090 S
15845... .................. A Skin and muscle repair, face 11.80 *15.10 2.54 29.44 090 S
15850... .................. B Removal of sutures.......... #0.78 0.36 0.04 1.18 XXX 0
15851... .................. A Removal of sutures.......... 0.86 0.30 0.03 1.19 000 N
15852... .................. A Dressing change, not for 0.86 0.44 0.07 1.37 000 N
burn.
15860... .................. A Test for blood flow in graft 1.95 1.35 0.25 3.55 000 S
15876... .................. R Suction assisted lipectomy.. 0.00 0.00 0.00 0.00 XXX S
15877... .................. R Suction assisted lipectomy.. 0.00 0.00 0.00 0.00 XXX S
15878... .................. R Suction assisted lipectomy.. 0.00 0.00 0.00 0.00 XXX S
15879... .................. R Suction assisted lipectomy.. 0.00 0.00 0.00 0.00 XXX S
15920... .................. A Removal of tail bone ulcer.. 7.37 2.95 0.63 10.95 090 S
15922... .................. A Removal of tail bone ulcer.. 9.17 5.98 1.19 16.34 090 S
15931... .................. A Remove sacrum pressure sore. 8.13 2.93 0.55 11.61 090 S
15933... .................. A Remove sacrum pressure sore. 9.64 6.92 1.43 17.99 090 S
15934... .................. A Remove sacrum pressure sore. 11.40 7.46 1.50 20.36 090 S
15935... .................. A Remove sacrum pressure sore. 13.05 11.24 2.27 26.56 090 S
15936... .................. A Remove sacrum pressure sore. 11.31 10.27 2.05 23.63 090 S
15937... .................. A Remove sacrum pressure sore. 12.98 13.47 2.67 29.12 090 S
15940... .................. A Removal of pressure sore.... 8.19 3.55 0.73 12.47 090 S
15941... .................. A Removal of pressure sore.... 10.15 7.05 1.39 18.59 090 S
15944... .................. A Removal of pressure sore.... 10.18 9.26 1.82 21.26 090 S
15945... .................. A Removal of pressure sore.... 11.32 11.14 2.09 24.55 090 S
15946... .................. A Removal of pressure sore.... 19.81 16.61 3.24 39.66 090 S
15950... .................. A Remove thigh pressure sore.. 6.79 3.01 0.58 10.38 090 S
15951... .................. A Remove thigh pressure sore.. 9.57 7.65 1.58 18.80 090 S
15952... .................. A Remove thigh pressure sore.. 10.18 7.13 1.37 18.68 090 S
15953... .................. A Remove thigh pressure sore.. 11.39 9.08 1.87 22.34 090 S
15956... .................. A Remove thigh pressure sore.. 13.93 17.17 3.39 34.49 090 S
15958... .................. A Remove thigh pressure sore.. 13.89 *17.77 3.76 35.42 090 S
15999... .................. C Removal of pressure sore.... 0.00 0.00 0.00 0.00 YYY S
16000... .................. A Initial treatment of burn(s) 0.89 0.35 0.03 1.27 000 N
16010... .................. A Treatment of burn(s)........ 0.87 0.32 0.03 1.22 000 N
16015... .................. A Treatment of burn(s)........ 2.35 2.04 0.38 4.77 000 S
16020... .................. A Treatment of burn(s)........ 0.80 0.34 0.03 1.17 000 N
16025... .................. A Treatment of burn(s)........ 1.85 0.45 0.05 2.35 000 S
16030... .................. A Treatment of burn(s)........ 2.08 0.52 0.08 2.68 000 S
16035... .................. A Incision of burn scab....... 4.53 1.88 0.34 6.75 090 S
16040... .................. A Burn wound excision......... 1.02 *1.56 0.53 3.11 000 S
16041... .................. A Burn wound excision......... 2.70 3.16 0.53 6.39 000 S
16042... .................. A Burn wound excision......... 2.35 *3.02 0.53 5.90 000 S
17000... .................. A Destroy benign/premal lesion 0.64 0.42 0.03 1.09 010 S
17001... .................. A Destruction of add'l lesions 0.19 0.19 0.02 0.40 ZZZ S
17002... .................. A Destruction of add'l lesions 0.19 0.10 0.01 0.30 ZZZ S
17010... .................. A Destruction skin lesion(s).. 1.01 0.48 0.04 1.53 010 S
17100... .................. A Destruction of skin lesion.. 0.53 0.37 0.03 0.93 010 S
17101... .................. A Destruction of 2nd lesion... 0.11 0.18 0.02 0.31 ZZZ S
17102... .................. A Destruction of add'l lesions 0.11 0.08 0.01 0.20 ZZZ S
17104... .................. A Destruction of skin lesions. 2.01 0.07 0.01 2.09 010 S
17105... .................. A Destruction of skin lesions. 0.76 0.31 0.03 1.10 010 S
17106... .................. A Destruction of skin lesions. 4.54 1.93 0.18 6.65 090 S
17107... .................. A Destruction of skin lesions. 9.06 3.70 0.39 13.15 090 S
17108... .................. A Destruction of skin lesions. 13.10 9.32 0.69 23.11 090 S
17110... .................. A Destruction of skin lesions. 0.55 0.40 0.03 0.98 010 S
17200... .................. A Electrocautery of skin tags. 0.59 0.41 0.04 1.04 010 S
[[Page 63195]]
17201... .................. A Electrocautery added lesions 0.38 0.15 0.01 0.54 ZZZ S
17250... .................. A Chemical cautery, tissue.... 0.50 0.34 0.04 0.88 000 S
17260... .................. A Destruction of skin lesions. 0.86 1.13 0.10 2.09 010 S
17261... .................. A Destruction of skin lesions. 1.12 1.39 0.12 2.63 010 S
17262... .................. A Destruction of skin lesions. 1.53 1.82 0.16 3.51 010 S
17263... .................. A Destruction of skin lesions. 1.74 2.25 0.21 4.20 010 S
17264... .................. A Destruction of skin lesions. 1.89 2.59 0.26 4.74 010 S
17266... .................. A Destruction of skin lesions. 2.29 3.11 0.49 5.89 010 S
17270... .................. A Destruction of skin lesions. 1.27 1.34 0.12 2.73 010 S
17271... .................. A Destruction of skin lesions. 1.44 1.75 0.16 3.35 010 S
17272... .................. A Destruction of skin lesions. 1.72 2.20 0.19 4.11 010 S
17273... .................. A Destruction of skin lesions. 2.00 2.58 0.25 4.83 010 S
17274... .................. A Destruction of skin lesions. 2.54 3.21 0.32 6.07 010 S
17276... .................. A Destruction of skin lesions. 3.15 3.41 0.51 7.07 010 S
17280... .................. A Destruction of skin lesions. 1.12 1.65 0.15 2.92 010 S
17281... .................. A Destruction of skin lesions. 1.67 2.09 0.18 3.94 010 S
17282... .................. A Destruction of skin lesions. 1.99 2.57 0.23 4.79 010 S
17283... .................. A Destruction of skin lesions. 2.59 3.01 0.28 5.88 010 S
17284... .................. A Destruction of skin lesions. 3.16 3.51 0.33 7.00 010 S
17286... .................. A Destruction of skin lesions. 4.39 4.32 0.60 9.31 010 S
17304... .................. A Chemosurgery of skin lesion. 7.60 4.02 0.31 11.93 000 S
17305... .................. A 2nd stage chemosurgery...... 2.85 2.26 0.17 5.28 000 S
17306... .................. A 3rd stage chemosurgery...... 2.85 1.40 0.11 4.36 000 S
17307... .................. A Followup skin lesion therapy 2.85 1.47 0.12 4.44 000 S
17310... .................. A Extensive skin chemosurgery. 0.95 0.13 0.01 1.09 000 S
17340... .................. A Cryotherapy of skin......... 0.73 0.28 0.02 1.03 010 S
17360... .................. A Skin peel therapy........... 1.40 0.27 0.02 1.69 010 S
17380... .................. R Hair removal by electrolysis 0.00 0.00 0.00 0.00 XXX S
17999... .................. C Skin tissue procedure....... 0.00 0.00 0.00 0.00 YYY S
19000... .................. A Drainage of breast lesion... 0.84 0.38 0.07 1.29 000 S
19001... .................. A Drain added breast lesion... 0.42 0.24 0.05 0.71 ZZZ S
19020... .................. A Incision of breast lesion... 3.37 1.40 0.28 5.05 090 S
19030... .................. A Injection for breast x-ray.. 1.53 0.49 0.04 2.06 000 N
19100... .................. A Biopsy of breast............ 1.27 0.64 0.13 2.04 000 S
19101... .................. A Biopsy of breast............ 3.13 2.34 0.45 5.92 010 S
19110... .................. A Nipple exploration.......... 4.15 2.46 0.51 7.12 090 S
19112... .................. A Excise breast duct fistula.. 3.52 2.34 0.35 6.21 090 S
19120... .................. A Removal of breast lesion.... 4.84 2.90 0.60 8.34 090 S
19125... .................. A Excision, breast lesion..... 5.85 2.90 0.60 9.35 090 S
19126... .................. A Excision, add'l breast 2.93 1.45 0.31 4.69 ZZZ S
lesion.
19140... .................. A Removal of breast tissue.... 4.90 4.29 0.91 10.10 090 S
19160... .................. A Removal of breast tissue.... 6.65 4.13 0.88 11.66 090 S
19162... .................. A Remove breast tissue, nodes. 12.81 9.38 1.96 24.15 090 S
19180... .................. A Removal of breast........... 8.15 5.61 1.17 14.93 090 S
19182... .................. A Removal of breast........... 7.28 6.07 1.27 14.62 090 S
19200... .................. A Removal of breast........... 14.23 10.22 2.15 26.60 090 S
19220... .................. A Removal of breast........... 14.23 10.73 2.38 27.34 090 S
19240... .................. A Removal of breast........... 14.71 9.44 1.99 26.14 090 S
19260... .................. A Removal of chest wall lesion 13.91 5.05 1.04 20.00 090 S
19271... .................. A Revision of chest wall...... 17.07 13.95 2.77 33.79 090 S
19272... .................. A Extensive chest wall surgery 19.47 12.60 2.56 34.63 090 S
19290... .................. A Place needle wire, breast... 1.27 0.44 0.07 1.78 000 S
19291... .................. A Place needle wire, breast... 0.63 0.25 0.04 0.92 ZZZ S
19316... .................. A Suspension of breast........ 10.07 12.84 2.43 25.34 090 S
19318... .................. A Reduction of large breast... 11.08 *14.18 3.23 28.49 090 S
19324... .................. A Enlarge breast.............. 5.55 3.29 0.67 9.51 090 S
19325... .................. A Enlarge breast with implant. 8.05 5.87 1.13 15.05 090 S
19328... .................. A Removal of breast implant... 5.32 3.76 0.73 9.81 090 S
19330... .................. A Removal of implant material. 7.18 3.88 0.75 11.81 090 S
19340... .................. A Immediate breast prosthesis. 6.33 *8.10 2.06 16.49 ZZZ S
19342... .................. A Delayed breast prosthesis... 10.64 10.81 2.03 23.48 090 S
19350... .................. A Breast reconstruction....... 8.21 7.08 1.38 16.67 090 S
19355... .................. A Correct inverted nipple(s).. 7.27 4.93 1.00 13.20 090 S
19357... .................. A Breast reconstruction....... 16.72 12.15 2.37 31.24 090 S
19361... .................. A Breast reconstruction....... 17.82 20.13 3.88 41.83 090 S
19364... .................. A Breast reconstruction....... 27.60 16.68 3.58 47.86 090 S
[[Page 63196]]
19366... .................. A Breast reconstruction....... 19.84 16.40 3.18 39.42 090 S
19367... .................. A Breast reconstruction....... 24.73 20.13 3.88 48.74 090 S
19368... .................. A Breast reconstruction....... 31.15 20.13 3.88 55.16 090 S
19369... .................. A Breast reconstruction....... 28.68 20.13 3.88 52.69 090 S
19370... .................. A Surgery of breast capsule... 7.59 6.17 1.19 14.95 090 S
19371... .................. A Removal of breast capsule... 8.84 7.91 1.54 18.29 090 S
19380... .................. A Revise breast reconstruction 8.63 8.11 1.57 18.31 090 S
19396... .................. A Design custom breast implant 2.17 1.57 0.31 4.05 000 S
19499... .................. C Breast surgery procedure.... 0.00 0.00 0.00 0.00 YYY S
20000... .................. A Incision of abscess......... 1.85 0.85 0.08 2.78 010 S
20005... .................. A Incision of deep abscess.... 3.02 1.83 0.28 5.13 010 S
20100... .................. A Explore wound, neck......... 9.50 4.97 1.16 15.63 010 S
20101... .................. A Explore wound, chest........ 3.00 1.57 0.37 4.94 010 S
20102... .................. A Explore wound, abdomen...... 3.68 1.92 0.45 6.05 010 S
20103... .................. A Explore wound, extremity.... 4.95 2.59 0.60 8.14 010 S
20200... .................. A Muscle biopsy............... 1.46 1.12 0.18 2.76 000 S
20205... .................. A Deep muscle biopsy.......... 2.35 1.88 0.33 4.56 000 S
20206... .................. A Needle biopsy, muscle....... 0.99 0.96 0.14 2.09 000 S
20220... .................. A Bone biopsy, trocar/needle.. 1.27 1.31 0.09 2.67 000 N
20225... .................. A Bone biopsy, trocar/needle.. 1.87 *2.39 0.28 4.54 000 N
20240... .................. A Bone biopsy, excisional..... 3.07 1.88 0.18 5.13 010 S
20245... .................. A Bone biopsy, excisional..... 3.68 3.58 0.44 7.70 010 S
20250... .................. A Open bone biopsy............ 4.63 5.07 0.76 10.46 010 S
20251... .................. A Open bone biopsy............ 5.16 5.84 0.92 11.92 010 S
20500... .................. A Injection of sinus tract.... 1.18 0.36 0.04 1.58 010 N
20501... .................. A Inject sinus tract for x-ray 0.76 0.30 0.02 1.08 000 N
20520... .................. A Removal of foreign body..... 1.80 0.71 0.08 2.59 010 S
20525... .................. A Removal of foreign body..... 3.23 2.23 0.33 5.79 010 S
20550... .................. A Inj tendon/ligament/cyst.... 0.86 0.38 0.04 1.28 000 N
20600... .................. A Drain/inject joint/bursa.... 0.66 0.47 0.05 1.18 000 S
20605... .................. A Drain/inject joint/bursa.... 0.68 0.45 0.05 1.18 000 S
20610... .................. A Drain/inject joint/bursa.... 0.79 0.45 0.05 1.29 000 N
20615... .................. A Treatment of bone cyst...... 2.23 0.49 0.06 2.78 010 N
20650... .................. A Insert and remove bone pin.. 2.07 1.08 0.14 3.29 010 S
20660... .................. A Apply, remove fixation 2.51 1.56 0.21 4.28 000 S
device.
20661... .................. A Application of head brace... 4.27 3.82 0.65 8.74 090 S
20662... .................. A Application of pelvis brace. 5.52 6.54 1.03 13.09 090 S
20663... .................. A Application of thigh brace.. 4.88 4.64 0.76 10.28 090 S
20665... .................. A Removal of fixation device.. 1.26 0.50 0.07 1.83 010 S
20670... .................. A Removal of support implant.. 1.69 0.74 0.11 2.54 010 S
20680... .................. A Removal of support implant.. 3.25 3.33 0.51 7.09 090 S
20690... .................. A Apply bone fixation device.. 3.52 3.66 0.58 7.76 ZZZ S
20692... .................. A Apply bone fixation device.. 6.41 5.51 0.89 12.81 ZZZ S
20693... .................. A Adjust bone fixation device. 5.42 2.49 0.42 8.33 090 S
20694... .................. A Remove bone fixation device. 3.81 2.60 0.41 6.82 090 S
20802... .................. A Replantation, arm, complete. 39.56 37.72 6.17 83.45 090 S
20804... .................. D Replantation, arm, partial.. 0.00 0.00 0.00 0.00 090 S
20805... .................. A Replant forearm, complete... 48.41 46.17 7.56 102.14 090 S
20806... .................. D Replantation, forearm, 0.00 0.00 0.00 0.00 090 S
partial.
20808... .................. A Replantation, hand, complete 60.19 57.40 9.40 126.99 090 S
20812... .................. D Replantation, hand, partial. 0.00 0.00 0.00 0.00 090 S
20816... .................. A Replantation digit, complete 29.67 28.30 4.63 62.60 090 S
20820... .................. D Replantation, digit, partial 0.00 0.00 0.00 0.00 090 S
20822... .................. A Replantation digit, complete 24.53 23.39 3.83 51.75 090 S
20823... .................. D Replantation, digit, partial 0.00 0.00 0.00 0.00 090 S
20824... .................. A Replantation thumb, complete 29.67 28.30 4.63 62.60 090 S
20826... .................. D Replantation, thumb, partial 0.00 0.00 0.00 0.00 090 S
20827... .................. A Replantation thumb, complete 25.22 24.05 3.94 53.21 090 S
20828... .................. D Replantation, thumb, partial 0.00 0.00 0.00 0.00 090 S
20832... .................. D Replantation, leg, complete. 0.00 0.00 0.00 0.00 090 S
20834... .................. D Replantation, leg, partial.. 0.00 0.00 0.00 0.00 090 S
20838... .................. A Replantation, foot, complete 39.56 37.72 6.17 83.45 090 S
20840... .................. D Replantation, foot, partial. 0.00 0.00 0.00 0.00 090 S
20900... .................. A Removal of bone for graft... 5.03 2.80 0.45 8.28 090 S
20902... .................. A Removal of bone for graft... 6.74 4.95 0.80 12.49 090 S
20910... .................. A Remove cartilage for graft.. 5.03 0.79 0.09 5.91 090 S
[[Page 63197]]
20912... .................. A Remove cartilage for graft.. 6.04 4.62 0.64 11.30 090 S
20920... .................. A Removal of fascia for graft. 4.87 3.93 0.50 9.30 090 S
20922... .................. A Removal of fascia for graft. 6.04 4.39 0.71 11.14 090 S
20924... .................. A Removal of tendon for graft. 6.04 5.45 0.85 12.34 090 S
20926... .................. A Removal of tissue for graft. 5.03 2.59 0.39 8.01 090 S
20930... .................. B Spinal bone allograft....... 0.00 0.00 0.00 0.00 XXX 0
20931... .................. A Spinal bone allograft....... 1.81 1.73 0.28 3.82 ZZZ S
20936... .................. B Spinal bone autograft....... 0.00 0.00 0.00 0.00 XXX 0
20937... .................. A Spinal bone autograft....... 2.79 2.66 0.44 5.89 ZZZ S
20938... .................. A Spinal bone autograft....... 3.02 2.88 0.47 6.37 ZZZ S
20950... .................. A Record fluid pressure, 1.26 1.09 0.17 2.52 000 S
muscle.
20955... .................. A Microvascular fibula graft.. 37.58 35.84 5.87 79.29 090 S
20960... .................. C Microvascular rib graft..... 0.00 0.00 0.00 0.00 090 S
20962... .................. C Microvascular bone graft.... 0.00 0.00 0.00 0.00 090 S
20969... .................. A Bone-skin graft............. 42.08 40.13 6.57 88.78 090 S
20970... .................. A Bone-skin graft, pelvis..... 41.22 39.31 6.44 86.97 090 S
20971... .................. C Bone-skin graft, rib........ 0.00 0.00 0.00 0.00 090 S
20972... .................. A Bone-skin graft, metatarsal. 41.54 39.61 6.49 87.64 090 S
20973... .................. A Bone-skin graft, great toe.. 44.31 42.25 6.91 93.47 090 S
20974... .................. A Electrical bone stimulation. 0.62 3.42 0.53 4.57 ZZZ S
20975... .................. A Electrical bone stimulation. 2.60 *3.33 0.56 6.49 ZZZ S
20999... .................. C Musculoskeletal surgery..... 0.00 0.00 0.00 0.00 YYY S
21010... .................. A Incision of jaw joint....... 9.06 10.24 0.93 20.23 090 S
21015... .................. A Resection of facial tumor... 4.94 *6.32 1.13 12.39 090 S
21025... .................. A Excision of bone, lower jaw. 5.03 4.14 0.38 9.55 090 S
21026... .................. A Excision of facial bone(s).. 4.53 3.14 0.28 7.95 090 S
21029... .................. A Contour of face bone lesion. 7.21 *9.23 0.78 17.22 090 S
21030... .................. A Removal of face bone lesion. 7.05 3.35 0.29 10.69 090 S
21031... .................. A Remove exostosis, mandible.. 2.01 3.68 0.32 6.01 090 S
21032... .................. A Remove exostosis, maxilla... 4.27 3.88 0.35 8.50 090 S
21034... .................. A Removal of face bone lesion. 15.11 6.98 0.89 22.98 090 S
21040... .................. A Removal of jaw bone lesion.. 2.01 2.76 0.24 5.01 090 S
21041... .................. A Removal of jaw bone lesion.. 5.03 5.76 0.50 11.29 090 S
21044... .................. A Removal of jaw bone lesion.. 11.08 9.55 1.11 21.74 090 S
21045... .................. A Extensive jaw surgery....... 15.11 13.83 1.58 30.52 090 S
21050... .................. A Removal of jaw joint........ 10.07 12.33 1.08 23.48 090 S
21060... .................. A Remove jaw joint cartilage.. 9.56 11.59 1.04 22.19 090 S
21070... .................. A Remove coronoid process..... 7.66 6.81 0.82 15.29 090 S
21076... .................. A Prepare face/oral prosthesis 12.54 16.77 1.35 30.66 010 S
21077... .................. A Prepare face/oral prosthesis 31.54 42.18 3.39 77.11 090 S
21079... .................. A Prepare face/oral prosthesis 20.88 27.93 2.25 51.06 090 S
21080... .................. A Prepare face/oral prosthesis 23.46 31.38 2.52 57.36 090 S
21081... .................. A Prepare face/oral prosthesis 21.38 28.59 2.30 52.27 090 S
21082... .................. A Prepare face/oral prosthesis 19.50 26.08 2.10 47.68 090 S
21083... .................. A Prepare face/oral prosthesis 18.04 24.13 1.94 44.11 090 S
21084... .................. A Prepare face/oral prosthesis 21.04 28.14 2.28 51.46 090 S
21085... .................. A Prepare face/oral prosthesis 8.41 11.25 0.90 20.56 010 S
21086... .................. A Prepare face/oral prosthesis 23.29 31.15 2.51 56.95 090 S
21087... .................. A Prepare face/oral prosthesis 23.29 31.15 2.51 56.95 090 S
21088... .................. C Prepare face/oral prosthesis 0.00 0.00 0.00 0.00 090 S
21089... .................. C Prepare face/oral prosthesis 0.00 0.00 0.00 0.00 090 S
21100... .................. A Maxillofacial fixation...... 4.04 1.06 0.11 5.21 090 S
21110... .................. A Interdental fixation........ 5.03 5.53 0.46 11.02 090 S
21116... .................. A Injection, jaw joint x-ray.. 0.81 0.73 0.06 1.60 000 S
21120... .................. A Reconstruction of chin...... 4.75 3.59 0.42 8.76 090 S
21121... .................. A Reconstruction of chin...... 7.46 5.65 0.66 13.77 090 S
21122... .................. A Reconstruction of chin...... 8.21 6.23 0.73 15.17 090 S
21123... .................. A Reconstruction of chin...... 10.74 8.14 0.95 19.83 090 S
21125... .................. A Augmentation lower jaw bone. 6.22 4.72 0.54 11.48 090 S
21127... .................. A Augmentation lower jaw bone. 10.43 7.91 0.92 19.26 090 S
21137... .................. A Reduction of forehead....... 9.40 7.11 0.83 17.34 090 S
21138... .................. A Reduction of forehead....... 11.72 8.86 1.04 21.62 090 S
21139... .................. A Reduction of forehead....... 14.06 10.64 1.25 25.95 090 S
21141... .................. A Reconstruct midface, lefort. 16.92 14.34 1.68 32.94 090 S
21142... .................. A Reconstruct midface, lefort. 17.58 14.84 1.74 34.16 090 S
21143... .................. A Reconstruct midface, lefort. 18.30 15.40 1.81 35.51 090 S
[[Page 63198]]
21144... .................. D Reconstruct midface, lefort. 0.00 0.00 0.00 0.00 090 S
21145... .................. A Reconstruct midface, lefort. 18.92 14.34 1.68 34.94 090 S
21146... .................. A Reconstruct midface, lefort. 19.58 14.84 1.74 36.16 090 S
21147... .................. A Reconstruct midface, lefort. 20.30 15.40 1.81 37.51 090 S
21150... .................. A Reconstruct midface, lefort. 24.41 18.46 2.17 45.04 090 S
21151... .................. A Reconstruct midface, lefort. 27.34 20.68 2.42 50.44 090 S
21154... .................. A Reconstruct midface, lefort. 29.28 22.15 2.59 54.02 090 S
21155... .................. A Reconstruct midface, lefort. 33.19 25.11 2.94 61.24 090 S
21159... .................. A Reconstruct midface, lefort. 40.99 31.02 3.63 75.64 090 S
21160... .................. A Reconstruct midface, lefort. 44.90 33.96 3.98 82.84 090 S
21172... .................. A Reconstruct orbit/forehead.. 26.84 20.30 2.37 49.51 090 S
21175... .................. A Reconstruct orbit/forehead.. 32.21 24.37 2.85 59.43 090 S
21179... .................. A Reconstruct entire forehead. 21.47 16.24 1.90 39.61 090 S
21180... .................. A Reconstruct entire forehead. 24.41 18.46 2.17 45.04 090 S
21181... .................. A Contour cranial bone lesion. 9.40 7.11 0.83 17.34 090 S
21182... .................. A Reconstruct cranial bone.... 31.23 23.63 2.77 57.63 090 S
21183... .................. A Reconstruct cranial bone.... 34.17 25.85 3.03 63.05 090 S
21184... .................. A Reconstruct cranial bone.... 37.10 28.06 3.28 68.44 090 S
21188... .................. A Reconstruction of midface... 21.47 16.24 1.90 39.61 090 S
21193... .................. A Reconstruct lower jaw bone.. 16.23 12.31 1.44 29.98 090 S
21194... .................. A Reconstruct lower jaw bone.. 18.81 14.26 1.67 34.74 090 S
21195... .................. A Reconstruct lower jaw bone.. 16.27 12.34 1.44 30.05 090 S
21196... .................. A Reconstruct lower jaw bone.. 17.94 13.61 1.58 33.13 090 S
21198... .................. A Reconstruct lower jaw bone.. 13.36 14.82 1.74 29.92 090 S
21206... .................. A Reconstruct upper jaw bone.. 13.36 10.14 1.19 24.69 090 S
21208... .................. A Augmentation of facial bones 9.56 11.26 1.07 21.89 090 S
21209... .................. A Reduction of facial bones... 6.28 4.59 0.76 11.63 090 S
21210... .................. A Face bone graft............. 9.56 *12.24 1.29 23.09 090 S
21215... .................. A Lower jaw bone graft........ 10.07 *12.89 1.42 24.38 090 S
21230... .................. A Rib cartilage graft......... 10.07 10.37 1.69 22.13 090 S
21235... .................. A Ear cartilage graft......... 6.28 *8.04 1.09 15.41 090 S
21240... .................. A Reconstruction of jaw joint. 13.10 *16.77 2.09 31.96 090 S
21242... .................. A Reconstruction of jaw joint. 12.10 *15.55 2.25 29.90 090 S
21243... .................. A Reconstruction of jaw joint. 18.98 14.40 1.68 35.06 090 S
21244... .................. A Reconstruction of lower jaw. 11.08 *14.18 1.93 27.19 090 S
21245... .................. A Reconstruction of jaw....... 11.08 11.47 1.31 23.86 090 S
21246... .................. A Reconstruction of jaw....... 11.65 8.83 1.04 21.52 090 S
21247... .................. A Reconstruct lower jaw bone.. 21.15 *27.08 2.27 50.50 090 S
21248... .................. A Reconstruction of jaw....... 11.08 *14.18 1.75 27.01 090 S
21249... .................. A Reconstruction of jaw....... 17.12 *23.10 3.29 43.51 090 S
21255... .................. A Reconstruct lower jaw bone.. 15.63 *20.00 1.68 37.31 090 S
21256... .................. A Reconstruction of orbit..... 15.13 *19.36 1.63 36.12 090 S
21260... .................. A Revise eye sockets.......... 15.44 *19.76 1.66 36.86 090 S
21261... .................. A Revise eye sockets.......... 29.43 17.78 1.65 48.86 090 S
21263... .................. A Revise eye sockets.......... 26.56 *34.00 2.86 63.42 090 S
21267... .................. A Revise eye sockets.......... 17.66 14.61 2.13 34.40 090 S
21268... .................. A Revise eye sockets.......... 22.88 15.35 3.13 41.36 090 S
21270... .................. A Augmentation cheek bone..... 12.10 9.60 1.41 23.11 090 S
21275... .................. A Revision orbitofacial bones. 10.50 8.95 1.26 20.71 090 S
21280... .................. A Revision of eyelid.......... 5.64 7.19 0.61 13.44 090 S
21282... .................. A Revision of eyelid.......... 3.26 *4.52 0.79 8.57 090 S
21295... .................. A Revision of jaw muscle/bone. 1.43 0.96 0.13 2.52 090 S
21296... .................. A Revision of jaw muscle/bone. 3.97 3.62 0.22 7.81 090 S
21299... .................. C Cranio/maxillofacial surgery 0.00 0.00 0.00 0.00 YYY S
21300... .................. A Treatment of skull fracture. 0.72 *0.92 0.11 1.75 000 S
21310... .................. A Treatment of nose fracture.. 0.58 *0.75 0.09 1.42 000 N
21315... .................. A Treatment of nose fracture.. 1.41 1.81 0.21 3.43 010 S
21320... .................. A Treatment of nose fracture.. 1.82 *2.33 0.34 4.49 010 S
21325... .................. A Repair of nose fracture..... 3.52 4.09 0.52 8.13 090 S
21330... .................. A Repair of nose fracture..... 5.03 *6.45 0.86 12.34 090 S
21335... .................. A Repair of nose fracture..... 8.05 *10.31 1.56 19.92 090 S
21336... .................. A Repair nasal septal fracture 5.35 4.09 0.52 9.96 090 S
21337... .................. A Repair nasal septal fracture 2.52 2.82 0.38 5.72 090 S
21338... .................. A Repair nasoethmoid fracture. 6.04 5.01 0.66 11.71 090 S
21339... .................. A Repair nasoethmoid fracture. 7.56 7.09 0.70 15.35 090 S
21340... .................. A Repair of nose fracture..... 10.07 8.91 1.04 20.02 090 S
[[Page 63199]]
21343... .................. A Repair of sinus fracture.... 12.10 9.17 1.08 22.35 090 S
21344... .................. A Repair of sinus fracture.... 18.43 9.17 1.08 28.68 090 S
21345... .................. A Repair of nose/jaw fracture. 7.63 7.90 0.81 16.34 090 S
21346... .................. A Repair of nose/jaw fracture. 9.92 9.40 1.04 20.36 090 S
21347... .................. A Repair of nose/jaw fracture. 11.86 10.36 1.36 23.58 090 S
21348... .................. A Repair of nose/jaw fracture. 15.60 11.34 2.22 29.16 090 S
21355... .................. A Repair cheek bone fracture.. 3.52 1.56 0.17 5.25 010 S
21356... .................. A Repair cheek bone fracture.. 3.88 *4.96 0.89 9.73 010 S
21360... .................. A Repair cheek bone fracture.. 6.04 7.28 0.89 14.21 090 S
21365... .................. A Repair cheek bone fracture.. 13.97 12.35 1.63 27.95 090 S
21366... .................. A Repair cheek bone fracture.. 16.61 12.08 2.36 31.05 090 S
21385... .................. A Repair eye socket fracture.. 8.56 9.59 1.13 19.28 090 S
21386... .................. A Repair eye socket fracture.. 8.56 9.07 1.25 18.88 090 S
21387... .................. A Repair eye socket fracture.. 9.07 7.45 0.96 17.48 090 S
21390... .................. A Repair eye socket fracture.. 9.47 11.89 1.37 22.73 090 S
21395... .................. A Repair eye socket fracture.. 11.85 9.63 1.37 22.85 090 S
21400... .................. A Treat eye socket fracture... 1.31 *1.67 0.17 3.15 090 N
21401... .................. A Repair eye socket fracture.. 3.05 2.58 0.32 5.95 090 S
21406... .................. A Repair eye socket fracture.. 6.55 5.21 0.74 12.50 090 S
21407... .................. A Repair eye socket fracture.. 8.05 7.09 0.78 15.92 090 S
21408... .................. A Repair eye socket fracture.. 11.57 8.49 0.99 21.05 090 S
21421... .................. A Treat mouth roof fracture... 4.80 *6.14 0.62 11.56 090 S
21422... .................. A Repair mouth roof fracture.. 7.78 9.80 1.19 18.77 090 S
21423... .................. A Repair mouth roof fracture.. 9.72 9.80 1.19 20.71 090 S
21431... .................. A Treat craniofacial fracture. 6.59 6.02 0.71 13.32 090 S
21432... .................. A Repair craniofacial fracture 8.05 6.76 0.84 15.65 090 S
21433... .................. A Repair craniofacial fracture 23.69 17.96 2.10 43.75 090 S
21435... .................. A Repair craniofacial fracture 16.12 13.25 1.88 31.25 090 S
21436... .................. A Repair craniofacial fracture 26.21 14.65 2.08 42.94 090 S
21440... .................. A Repair dental ridge fracture 2.52 3.07 0.28 5.87 090 S
21445... .................. A Repair dental ridge fracture 5.03 6.11 0.56 11.70 090 S
21450... .................. A Treat lower jaw fracture.... 2.78 2.84 0.26 5.88 090 S
21451... .................. A Treat lower jaw fracture.... 4.55 *5.83 0.74 11.12 090 S
21452... .................. A Treat lower jaw fracture.... 1.85 1.39 0.17 3.41 090 S
21453... .................. A Treat lower jaw fracture.... 5.18 *6.64 0.55 12.37 090 S
21454... .................. A Treat lower jaw fracture.... 6.04 *8.19 1.42 15.65 090 S
21461... .................. A Repair lower jaw fracture... 7.56 *9.67 1.30 18.53 090 S
21462... .................. A Repair lower jaw fracture... 9.15 *11.71 1.34 22.20 090 S
21465... .................. A Repair lower jaw fracture... 11.13 8.44 0.99 20.56 090 S
21470... .................. A Repair lower jaw fracture... 14.19 17.13 1.74 33.06 090 S
21480... .................. A Reset dislocated jaw........ 0.61 *0.78 0.09 1.48 000 S
21485... .................. A Reset dislocated jaw........ 3.73 2.19 0.20 6.12 090 S
21490... .................. A Repair dislocated jaw....... 11.08 6.31 0.52 17.91 090 S
21493... .................. A Treat hyoid bone fracture... 1.19 *1.52 0.13 2.84 090 S
21494... .................. A Repair hyoid bone fracture.. 5.87 *7.52 0.63 14.02 090 S
21495... .................. A Repair hyoid bone fracture.. 5.32 4.82 0.51 10.65 090 S
21497... .................. A Interdental wiring.......... 3.61 3.97 0.38 7.96 090 S
21499... .................. C Head surgery procedure...... 0.00 0.00 0.00 0.00 YYY S
21501... .................. A Drain neck/chest lesion..... 3.52 1.82 0.26 5.60 090 S
21502... .................. A Drain chest lesion.......... 6.44 4.22 0.75 11.41 090 S
21510... .................. A Drainage of bone lesion..... 5.03 3.82 0.50 9.35 090 S
21550... .................. A Biopsy of neck/chest........ 2.01 0.85 0.12 2.98 010 S
21555... .................. A Remove lesion neck/chest.... 4.09 1.60 0.25 5.94 090 S
21556... .................. A Remove lesion neck/chest.... 5.28 3.80 0.64 9.72 090 S
21557... .................. A Remove tumor, neck or chest. 8.56 8.50 1.41 18.47 090 S
21600... .................. A Partial removal of rib...... 6.27 4.50 0.88 11.65 090 S
21610... .................. A Partial removal of rib...... 8.54 5.17 0.76 14.47 090 S
21615... .................. A Removal of rib.............. 9.03 10.13 1.96 21.12 090 S
21616... .................. A Removal of rib and nerves... 11.11 7.26 1.50 19.87 090 S
21620... .................. A Partial removal of sternum.. 6.04 6.85 1.23 14.12 090 S
21627... .................. A Sternal debridement......... 6.06 5.03 0.90 11.99 090 S
21630... .................. A Extensive sternum surgery... 15.77 12.89 2.40 31.06 090 S
21632... .................. A Extensive sternum surgery... 16.62 11.54 2.22 30.38 090 S
21700... .................. A Revision of neck muscle..... 5.84 4.16 0.50 10.50 090 S
21705... .................. A Revision of neck muscle/rib. 9.03 4.85 0.96 14.84 090 S
21720... .................. A Revision of neck muscle..... 5.44 3.84 0.52 9.80 090 S
[[Page 63200]]
21725... .................. A Revision of neck muscle..... 6.55 4.84 0.74 12.13 090 S
21740... .................. A Reconstruction of sternum... 15.42 8.99 1.64 26.05 090 S
21750... .................. A Repair of sternum separation 10.07 7.33 1.43 18.83 090 S
21800... .................. A Treatment of rib fracture... 0.91 0.77 0.07 1.75 090 N
21805... .................. A Treatment of rib fracture... 2.62 1.35 0.17 4.14 090 S
21810... .................. A Treatment of rib fracture(s) 6.68 7.33 0.61 14.62 090 N
21820... .................. A Treat sternum fracture...... 1.20 1.36 0.17 2.73 090 S
21825... .................. A Repair sternum fracture..... 6.82 6.90 1.12 14.84 090 S
21899... .................. C Neck/chest surgery procedure 0.00 0.00 0.00 0.00 YYY S
21920... .................. A Biopsy soft tissue of back.. 2.01 0.79 0.11 2.91 010 S
21925... .................. A Biopsy soft tissue of back.. 4.23 1.95 0.32 6.50 090 S
21930... .................. A Remove lesion, back or flank 6.55 2.72 0.49 9.76 090 S
21935... .................. A Remove tumor of back........ 17.12 6.59 1.30 25.01 090 S
22100... .................. A Remove part of neck vertebra 9.05 7.64 1.09 17.78 090 S
22101... .................. A Remove part, thorax vertebra 9.00 8.01 1.38 18.39 090 S
22102... .................. A Remove part, lumbar vertebra 9.00 4.50 0.67 14.17 090 S
22103... .................. A Remove extra spine segment.. 2.34 2.23 0.37 4.94 ZZZ S
22105... .................. D Remove part of neck vertebra 0.00 0.00 0.00 0.00 090 S
22106... .................. D Remove part, thorax vertebra 0.00 0.00 0.00 0.00 090 S
22107... .................. D Remove part, lumbar vertebra 0.00 0.00 0.00 0.00 090 S
22110... .................. A Remove part of neck vertebra 11.59 9.72 1.64 22.95 090 S
22112... .................. A Remove part, thorax vertebra 11.59 9.90 1.63 23.12 090 S
22114... .................. A Remove part, lumbar vertebra 11.59 7.25 1.17 20.01 090 S
22116... .................. A Remove extra spine segment.. 2.32 2.21 0.36 4.89 ZZZ S
22140... .................. D Reconstruct neck spine...... 0.00 0.00 0.00 0.00 090 S
22141... .................. D Reconstruct thorax spine.... 0.00 0.00 0.00 0.00 090 S
22142... .................. D Reconstruct lumbar spine.... 0.00 0.00 0.00 0.00 090 S
22145... .................. D Reconstruct vertebra(e)..... 0.00 0.00 0.00 0.00 ZZZ S
22148... .................. D Harvesting bone graft....... 0.00 0.00 0.00 0.00 ZZZ S
22150... .................. D Reconstruct neck spine...... 0.00 0.00 0.00 0.00 090 S
22151... .................. D Reconstruct thorax spine.... 0.00 0.00 0.00 0.00 090 S
22152... .................. D Reconstruct lumbar spine.... 0.00 0.00 0.00 0.00 090 S
22210... .................. A Revision of neck spine...... 22.51 13.83 2.43 38.77 090 S
22212... .................. A Revision of thorax spine.... 18.14 17.29 2.83 38.26 090 S
22214... .................. A Revision of lumbar spine.... 18.14 15.11 2.68 35.93 090 S
22216... .................. A Revise, extra spine segment. 6.04 5.07 0.89 12.00 ZZZ S
22220... .................. A Revision of neck spine...... 20.15 16.64 2.63 39.42 090 S
22222... .................. A Revision of thorax spine.... 20.15 13.61 1.58 35.34 090 S
22224... .................. A Revision of lumbar spine.... 20.15 14.68 2.66 37.49 090 S
22226... .................. A Revise, extra spine segment. 6.04 5.07 0.89 12.00 ZZZ S
22230... .................. D Additional revision of spine 0.00 0.00 0.00 0.00 ZZZ S
22305... .................. A Treat spine process fracture 1.86 *2.38 0.37 4.61 090 S
22310... .................. A Treat spine fracture........ 1.86 *2.52 0.69 5.07 090 S
22315... .................. A Treat spine fracture........ 8.36 5.51 0.86 14.73 090 S
22325... .................. A Repair of spine fracture.... 17.19 8.32 1.34 26.85 090 S
22326... .................. A Repair neck spine fracture.. 18.43 15.93 2.74 37.10 090 S
22327... .................. A Repair thorax spine fracture 17.56 15.95 2.35 35.86 090 S
22328... .................. A Repair each add spine fx.... 4.61 4.40 0.72 9.73 ZZZ S
22505... .................. A Manipulation of spine....... 1.77 1.31 0.17 3.25 010 N
22548... .................. A Neck spine fusion........... 24.08 22.74 3.82 50.64 090 S
22554... .................. A Neck spine fusion........... 17.24 19.81 3.52 40.57 090 S
22556... .................. A Thorax spine fusion......... 22.27 21.68 3.58 47.53 090 S
22558... .................. A Lumbar spine fusion......... 21.22 20.17 3.38 44.77 090 S
22585... .................. A Additional spinal fusion.... 5.53 5.40 0.93 11.86 ZZZ S
22590... .................. A Spine & skull spinal fusion. 19.50 21.57 3.44 44.51 090 S
22595... .................. A Neck spinal fusion.......... 18.19 22.46 3.87 44.52 090 S
22600... .................. A Neck spine fusion........... 14.74 19.36 3.32 37.42 090 S
22610... .................. A Thorax spine fusion......... 14.62 17.87 2.75 35.24 090 S
22612... .................. A Lumbar spine fusion......... 20.19 20.60 3.33 44.12 090 S
22614... .................. A Spine fusion, extra segment. 6.44 5.65 0.92 13.01 ZZZ S
22625... .................. D Lumbar spine fusion......... 0.00 0.00 0.00 0.00 090 S
22630... .................. A Lumbar spine fusion......... 20.03 18.44 3.15 41.62 090 S
22632... .................. A Spine fusion, extra segment. 5.23 4.99 0.82 11.04 ZZZ S
22650... .................. D Additional spinal fusion.... 0.00 0.00 0.00 0.00 ZZZ S
22800... .................. A Fusion of spine............. 16.92 *21.66 3.58 42.16 090 S
22802... .................. A Fusion of spine............. 29.74 28.32 4.61 62.67 090 S
[[Page 63201]]
22804... .................. A Fusion of spine............. 35.00 28.32 4.61 67.93 090 S
22808... .................. A Fusion of spine............. 25.00 18.41 3.15 46.56 090 S
22810... .................. A Fusion of spine............. 29.00 18.41 3.15 50.56 090 S
22812... .................. A Fusion of spine............. 31.00 25.93 4.24 61.17 090 S
22820... .................. D Harvesting of bone.......... 0.00 0.00 0.00 0.00 ZZZ S
22830... .................. A Exploration of spinal fusion 10.22 *13.07 2.18 25.47 090 S
22840... .................. A Insert spine fixation device 6.27 5.98 0.98 13.23 ZZZ S
22841... .................. B Insert spine fixation device 0.00 0.00 0.00 0.00 XXX 0
22842... .................. A Insert spine fixation device 7.19 6.86 1.12 15.17 ZZZ S
22843... .................. A Insert spine fixation device 8.97 8.55 1.40 18.92 ZZZ S
22844... .................. A Insert spine fixation device 10.96 10.45 1.71 23.12 ZZZ S
22845... .................. A Insert spine fixation device 5.98 5.70 0.93 12.61 ZZZ S
22846... .................. A Insert spine fixation device 8.28 7.90 1.29 17.47 ZZZ S
22847... .................. A Insert spine fixation device 9.20 8.77 1.44 19.41 ZZZ S
22848... .................. A Insert pelvic fixation 6.00 5.72 0.94 12.66 ZZZ S
device.
22849... .................. A Reinsert spinal fixation.... 12.86 11.76 1.97 26.59 090 S
22850... .................. A Remove spine fixation device 8.98 9.17 1.50 19.65 090 S
22851... .................. A Apply spine prosth device... 6.71 6.40 1.05 14.16 ZZZ S
22852... .................. A Remove spine fixation device 8.40 9.80 1.57 19.77 090 S
22855... .................. A Remove spine fixation device 9.10 7.46 1.25 17.81 090 S
22899... .................. C Spine surgery procedure..... 0.00 0.00 0.00 0.00 YYY S
22900... .................. A Remove abdominal wall lesion 6.56 3.03 0.60 10.19 090 S
22999... .................. C Abdomen surgery procedure... 0.00 0.00 0.00 0.00 YYY S
23000... .................. A Removal of calcium deposits. 4.12 3.24 0.47 7.83 090 S
23020... .................. A Release shoulder joint...... 8.25 7.27 1.09 16.61 090 S
23030... .................. A Drain shoulder lesion....... 3.16 2.16 0.35 5.67 010 S
23031... .................. A Drain shoulder bursa........ 2.69 0.50 0.05 3.24 010 S
23035... .................. A Drain shoulder bone lesion.. 7.80 6.22 1.04 15.06 090 S
23040... .................. A Exploratory shoulder surgery 8.39 9.27 1.47 19.13 090 S
23044... .................. A Exploratory shoulder surgery 6.40 6.91 1.18 14.49 090 S
23065... .................. A Biopsy shoulder tissues..... 2.24 0.66 0.09 2.99 010 S
23066... .................. A Biopsy shoulder tissues..... 4.01 1.18 0.10 5.29 090 S
23075... .................. A Removal of shoulder lesion.. 2.34 1.68 0.29 4.31 010 S
23076... .................. A Removal of shoulder lesion.. 7.12 3.54 0.65 11.31 090 S
23077... .................. A Remove tumor of shoulder.... 14.65 7.38 1.38 23.41 090 S
23100... .................. A Biopsy of shoulder joint.... 5.63 *7.20 1.24 14.07 090 S
23101... .................. A Shoulder joint surgery...... 5.21 *6.68 1.21 13.10 090 S
23105... .................. A Remove shoulder joint lining 7.74 *9.91 1.73 19.38 090 S
23106... .................. A Incision of collarbone joint 5.56 4.75 0.80 11.11 090 S
23107... .................. A Explore, treat shoulder 8.13 9.59 1.60 19.32 090 S
joint.
23120... .................. A Partial removal, collar bone 6.65 4.61 0.74 12.00 090 S
23125... .................. A Removal of collarbone....... 8.90 8.49 1.27 18.66 090 S
23130... .................. A Partial removal, shoulder 7.10 7.05 1.14 15.29 090 S
bone.
23140... .................. A Removal of bone lesion...... 6.43 4.16 0.73 11.32 090 S
23145... .................. A Removal of bone lesion...... 8.54 8.13 1.33 18.00 090 S
23146... .................. A Removal of bone lesion...... 7.34 5.23 1.01 13.58 090 S
23150... .................. A Removal of humerus lesion... 7.80 6.64 1.01 15.45 090 S
23155... .................. A Removal of humerus lesion... 9.58 8.80 1.37 19.75 090 S
23156... .................. A Removal of humerus lesion... 8.00 7.64 1.25 16.89 090 S
23170... .................. A Remove collarbone lesion.... 6.27 4.81 0.78 11.86 090 S
23172... .................. A Remove shoulder blade lesion 6.24 5.16 0.73 12.13 090 S
23174... .................. A Remove humerus lesion....... 8.71 8.55 1.21 18.47 090 S
23180... .................. A Remove collar bone lesion... 7.82 4.30 0.67 12.79 090 S
23182... .................. A Remove shoulder blade lesion 7.44 6.57 1.13 15.14 090 S
23184... .................. A Remove humerus lesion....... 8.61 8.83 1.48 18.92 090 S
23190... .................. A Partial removal of scapula.. 6.78 6.07 0.98 13.83 090 S
23195... .................. A Removal of head of humerus.. 9.00 8.91 1.45 19.36 090 S
23200... .................. A Removal of collar bone...... 11.05 9.17 1.26 21.48 090 S
23210... .................. A Removal of shoulderblade.... 11.39 9.01 1.41 21.81 090 S
23220... .................. A Partial removal of humerus.. 13.31 12.05 2.03 27.39 090 S
23221... .................. A Partial removal of humerus.. 16.62 18.13 1.19 35.94 090 S
23222... .................. A Partial removal of humerus.. 16.64 15.02 2.30 33.96 090 S
23330... .................. A Remove shoulder foreign body 1.80 0.55 0.07 2.42 010 S
23331... .................. A Remove shoulder foreign body 6.89 2.26 0.38 9.53 090 S
23332... .................. A Remove shoulder foreign body 10.59 9.72 1.57 21.88 090 S
23350... .................. A Injection for shoulder x-ray 1.00 0.52 0.05 1.57 000 N
[[Page 63202]]
23395... .................. A Muscle transfer, shoulder/ 12.42 11.13 1.84 25.39 090 S
arm.
23397... .................. A Muscle transfers............ 15.23 13.97 2.34 31.54 090 S
23400... .................. A Fixation of shoulder blade.. 12.96 9.84 1.68 24.48 090 S
23405... .................. A Incision of tendon & muscle. 7.97 7.49 0.99 16.45 090 S
23406... .................. A Incise tendon(s) & muscle(s) 10.33 9.41 1.58 21.32 090 S
23410... .................. A Repair of tendon(s)......... 11.90 10.94 1.75 24.59 090 S
23412... .................. A Repair of tendon(s)......... 12.69 13.37 2.16 28.22 090 S
23415... .................. A Release of shoulder ligament 9.51 5.18 0.83 15.52 090 S
23420... .................. A Repair of shoulder.......... 12.60 14.68 2.34 29.62 090 S
23430... .................. A Repair biceps tendon........ 9.56 7.34 1.19 18.09 090 S
23440... .................. A Removal/transplant tendon... 10.08 7.17 1.17 18.42 090 S
23450... .................. A Repair shoulder capsule..... 12.85 12.75 2.04 27.64 090 S
23455... .................. A Repair shoulder capsule..... 13.82 15.56 2.50 31.88 090 S
23460... .................. A Repair shoulder capsule..... 14.66 14.07 2.24 30.97 090 S
23462... .................. A Repair shoulder capsule..... 14.62 15.13 2.48 32.23 090 S
23465... .................. A Repair shoulder capsule..... 15.14 14.15 2.27 31.56 090 S
23466... .................. A Repair shoulder capsule..... 13.65 16.53 2.67 32.85 090 S
23470... .................. A Reconstruct shoulder joint.. 16.12 16.76 2.65 35.53 090 S
23472... .................. A Reconstruct shoulder joint.. 16.09 *20.60 4.89 41.58 090 S
23480... .................. A Revision of collarbone...... 10.56 6.59 1.02 18.17 090 S
23485... .................. A Revision of collarbone...... 12.68 11.35 1.87 25.90 090 S
23490... .................. A Reinforce clavicle.......... 11.31 9.98 0.80 22.09 090 S
23491... .................. A Reinforce shoulder bones.... 13.63 12.70 2.11 28.44 090 S
23500... .................. A Treat clavicle fracture..... 1.95 1.65 0.21 3.81 090 S
23505... .................. A Treat clavicle fracture..... 3.54 2.57 0.38 6.49 090 S
23515... .................. A Repair clavicle fracture.... 7.01 6.93 1.12 15.06 090 S
23520... .................. A Treat clavicle dislocation.. 2.03 1.38 0.19 3.60 090 S
23525... .................. A Treat clavicle dislocation.. 3.40 1.98 0.27 5.65 090 S
23530... .................. A Repair clavicle dislocation. 7.02 6.58 0.91 14.51 090 S
23532... .................. A Repair clavicle dislocation. 7.59 7.23 1.19 16.01 090 S
23540... .................. A Treat clavicle dislocation.. 2.10 1.55 0.19 3.84 090 S
23545... .................. A Treat clavicle dislocation.. 3.07 1.98 0.29 5.34 090 S
23550... .................. A Repair clavicle dislocation. 6.65 *8.51 1.46 16.62 090 S
23552... .................. A Repair clavicle dislocation. 7.83 7.29 1.17 16.29 090 S
23570... .................. A Treat shoulderblade fracture 2.10 1.70 0.25 4.05 090 S
23575... .................. A Treat shoulderblade fracture 3.88 2.75 0.43 7.06 090 S
23585... .................. A Repair scapula fracture..... 8.41 7.70 1.29 17.40 090 S
23600... .................. A Treat humerus fracture...... 2.75 2.90 0.43 6.08 090 S
23605... .................. A Treat humerus fracture...... 4.56 4.76 0.76 10.08 090 S
23615... .................. A Repair humerus fracture..... 8.38 *10.72 1.78 20.88 090 S
23616... .................. A Repair humerus fracture..... 19.88 22.32 3.54 45.74 090 S
23620... .................. A Treat humerus fracture...... 2.25 *2.88 0.46 5.59 090 S
23625... .................. A Treat humerus fracture...... 3.64 3.82 0.60 8.06 090 S
23630... .................. A Repair humerus fracture..... 6.89 8.82 1.40 17.11 090 S
23650... .................. A Treat shoulder dislocation.. 3.24 2.10 0.24 5.58 090 S
23655... .................. A Treat shoulder dislocation.. 4.26 2.93 0.44 7.63 090 S
23660... .................. A Repair shoulder dislocation. 7.09 9.07 1.40 17.56 090 S
23665... .................. A Treat dislocation/fracture.. 4.16 3.35 0.51 8.02 090 S
23670... .................. A Repair dislocation/fracture. 7.44 *9.52 1.85 18.81 090 S
23675... .................. A Treat dislocation/fracture.. 5.60 3.93 0.61 10.14 090 S
23680... .................. A Repair dislocation/fracture. 9.44 *12.09 2.13 23.66 090 S
23700... .................. A Fixation of shoulder........ 2.47 2.09 0.34 4.90 010 S
23800... .................. A Fusion of shoulder joint.... 13.32 16.35 2.63 32.30 090 S
23802... .................. A Fusion of shoulder joint.... 14.67 14.07 2.24 30.98 090 S
23900... .................. A Amputation of arm & girdle.. 18.40 12.57 2.40 33.37 090 S
23920... .................. A Amputation at shoulder joint 13.60 13.85 2.54 29.99 090 S
23921... .................. A Amputation follow-up surgery 5.03 4.27 0.74 10.04 090 S
23929... .................. C Shoulder surgery procedure.. 0.00 0.00 0.00 0.00 YYY S
23930... .................. A Drainage of arm lesion...... 2.78 1.61 0.24 4.63 010 S
23931... .................. A Drainage of arm bursa....... 1.63 0.75 0.11 2.49 010 S
23935... .................. A Drain arm/elbow bone lesion. 5.56 4.69 0.78 11.03 090 S
24000... .................. A Exploratory elbow surgery... 5.32 *6.81 1.44 13.57 090 S
24006... .................. A Release elbow joint......... 8.70 7.14 1.17 17.01 090 S
24065... .................. A Biopsy arm/elbow soft tissue 2.03 0.79 0.10 2.92 010 S
24066... .................. A Biopsy arm/elbow soft tissue 4.95 2.71 0.41 8.07 090 S
24075... .................. A Remove arm/elbow lesion..... 3.79 1.98 0.35 6.12 090 S
[[Page 63203]]
24076... .................. A Remove arm/elbow lesion..... 6.01 3.68 0.67 10.36 090 S
24077... .................. A Remove tumor of arm/elbow... 11.18 9.79 1.87 22.84 090 S
24100... .................. A Biopsy elbow joint lining... 4.67 4.23 0.69 9.59 090 S
24101... .................. A Explore/treat elbow joint... 5.84 *7.47 1.41 14.72 090 S
24102... .................. A Remove elbow joint lining... 7.57 *9.68 1.81 19.06 090 S
24105... .................. A Removal of elbow bursa...... 3.43 3.77 0.63 7.83 090 S
24110... .................. A Remove humerus lesion....... 7.08 7.69 1.22 15.99 090 S
24115... .................. A Remove/graft bone lesion.... 8.88 7.68 1.33 17.89 090 S
24116... .................. A Remove/graft bone lesion.... 11.13 9.72 1.47 22.32 090 S
24120... .................. A Remove elbow lesion......... 6.36 6.02 0.98 13.36 090 S
24125... .................. A Remove/graft bone lesion.... 7.40 5.79 0.61 13.80 090 S
24126... .................. A Remove/graft bone lesion.... 7.76 7.40 1.21 16.37 090 S
24130... .................. A Removal of head of radius... 5.96 6.72 1.08 13.76 090 S
24134... .................. A Removal of arm bone lesion.. 8.98 8.69 1.24 18.91 090 S
24136... .................. A Remove radius bone lesion... 7.33 8.78 0.92 17.03 090 S
24138... .................. A Remove elbow bone lesion.... 7.36 6.39 1.06 14.81 090 S
24140... .................. A Partial removal of arm bone. 8.56 8.77 1.45 18.78 090 S
24145... .................. A Partial removal of radius... 7.12 6.38 1.03 14.53 090 S
24147... .................. A Partial removal of elbow.... 7.00 6.61 1.08 14.69 090 S
24150... .................. A Extensive humerus surgery... 12.43 14.08 2.24 28.75 090 S
24151... .................. A Extensive humerus surgery... 14.65 13.83 2.11 30.59 090 S
24152... .................. A Extensive radius surgery.... 9.51 6.80 1.16 17.47 090 S
24153... .................. A Extensive radius surgery.... 10.96 10.44 1.71 23.11 090 S
24155... .................. A Removal of elbow joint...... 11.11 10.75 1.72 23.58 090 S
24160... .................. A Remove elbow joint implant.. 7.43 4.84 0.80 13.07 090 S
24164... .................. A Remove radius head implant.. 5.79 5.53 0.90 12.22 090 S
24200... .................. A Removal of arm foreign body. 1.71 0.56 0.06 2.33 010 N
24201... .................. A Removal of arm foreign body. 4.30 3.06 0.49 7.85 090 S
24220... .................. A Injection for elbow x-ray... 1.31 0.51 0.05 1.87 000 N
24301... .................. A Muscle/tendon transfer...... 9.78 7.90 1.23 18.91 090 S
24305... .................. A Arm tendon lengthening...... 7.16 3.08 0.29 10.53 090 S
24310... .................. A Revision of arm tendon...... 5.72 2.95 0.48 9.15 090 S
24320... .................. A Repair of arm tendon........ 10.01 9.20 1.29 20.50 090 S
24330... .................. A Revision of arm muscles..... 9.18 8.74 1.43 19.35 090 S
24331... .................. A Revision of arm muscles..... 10.10 9.62 1.57 21.29 090 S
24340... .................. A Repair of biceps tendon..... 7.58 7.00 1.13 15.71 090 S
24342... .................. A Repair of ruptured tendon... 10.13 10.38 1.76 22.27 090 S
24350... .................. A Repair of tennis elbow...... 5.05 4.23 0.69 9.97 090 S
24351... .................. A Repair of tennis elbow...... 5.73 4.57 0.73 11.03 090 S
24352... .................. A Repair of tennis elbow...... 6.14 5.69 0.93 12.76 090 S
24354... .................. A Repair of tennis elbow...... 6.19 5.61 0.94 12.74 090 S
24356... .................. A Revision of tennis elbow.... 6.39 7.28 1.18 14.85 090 S
24360... .................. A Reconstruct elbow joint..... 11.76 *15.05 2.47 29.28 090 S
24361... .................. A Reconstruct elbow joint..... 13.50 13.13 2.00 28.63 090 S
24362... .................. A Reconstruct elbow joint..... 14.41 13.14 0.80 28.35 090 S
24363... .................. A Replace elbow joint......... 17.66 *22.61 4.13 44.40 090 S
24365... .................. A Reconstruct head of radius.. 7.93 7.52 1.19 16.64 090 S
24366... .................. A Reconstruct head of radius.. 8.67 11.05 1.80 21.52 090 S
24400... .................. A Revision of humerus......... 10.55 8.43 1.37 20.35 090 S
24410... .................. A Revision of humerus......... 14.28 14.04 2.06 30.38 090 S
24420... .................. A Revision of humerus......... 12.90 12.30 2.01 27.21 090 S
24430... .................. A Repair of humerus........... 12.26 14.66 2.34 29.26 090 S
24435... .................. A Repair humerus with graft... 12.19 *15.61 2.84 30.64 090 S
24470... .................. A Revision of elbow joint..... 8.32 7.92 1.30 17.54 090 S
24495... .................. A Decompression of forearm.... 7.59 5.75 1.10 14.44 090 S
24498... .................. A Reinforce humerus........... 11.30 10.37 1.62 23.29 090 S
24500... .................. A Treat humerus fracture...... 3.01 2.54 0.36 5.91 090 S
24505... .................. A Treat humerus fracture...... 4.83 4.50 0.71 10.04 090 S
24515... .................. A Repair humerus fracture..... 10.92 9.65 1.54 22.11 090 S
24516... .................. A Repair humerus fracture..... 10.92 9.65 1.54 22.11 090 S
24530... .................. A Treat humerus fracture...... 3.30 2.73 0.42 6.45 090 S
24535... .................. A Treat humerus fracture...... 6.51 4.85 0.78 12.14 090 S
24538... .................. A Treat humerus fracture...... 8.85 7.98 1.26 18.09 090 S
24545... .................. A Repair humerus fracture..... 9.65 9.97 1.59 21.21 090 S
24546... .................. A Repair humerus fracture..... 14.66 9.97 1.59 26.22 090 S
24560... .................. A Treat humerus fracture...... 2.62 2.16 0.30 5.08 090 S
[[Page 63204]]
24565... .................. A Treat humerus fracture...... 5.22 3.45 0.54 9.21 090 S
24566... .................. A Treat humerus fracture...... 7.17 6.06 0.96 14.19 090 S
24575... .................. A Repair humerus fracture..... 9.91 7.79 1.24 18.94 090 S
24576... .................. A Treat humerus fracture...... 2.66 2.16 0.33 5.15 090 S
24577... .................. A Treat humerus fracture...... 5.45 4.00 0.61 10.06 090 S
24579... .................. A Repair humerus fracture..... 10.85 8.37 1.35 20.57 090 S
24582... .................. A Treat humerus fracture...... 7.83 6.62 1.06 15.51 090 S
24586... .................. A Repair elbow fracture....... 14.37 14.72 2.36 31.45 090 S
24587... .................. A Repair elbow fracture....... 14.26 13.72 2.17 30.15 090 S
24600... .................. A Treat elbow dislocation..... 4.08 1.95 0.26 6.29 090 S
24605... .................. A Treat elbow dislocation..... 5.08 2.29 0.37 7.74 090 S
24615... .................. A Repair elbow dislocation.... 8.76 9.29 1.48 19.53 090 S
24620... .................. A Treat elbow fracture........ 6.62 3.78 0.57 10.97 090 S
24635... .................. A Repair elbow fracture....... 12.42 11.06 1.78 25.26 090 S
24640... .................. A Treat elbow dislocation..... 1.15 1.01 0.08 2.24 010 N
24650... .................. A Treat radius fracture....... 2.01 2.25 0.33 4.59 090 S
24655... .................. A Treat radius fracture....... 4.17 3.01 0.45 7.63 090 S
24665... .................. A Repair radius fracture...... 7.69 7.13 1.14 15.96 090 S
24666... .................. A Repair radius fracture...... 8.87 10.27 1.60 20.74 090 S
24670... .................. A Treatment of ulna fracture.. 2.39 1.95 0.27 4.61 090 S
24675... .................. A Treatment of ulna fracture.. 4.52 3.51 0.54 8.57 090 S
24685... .................. A Repair ulna fracture........ 8.34 8.40 1.34 18.08 090 S
24800... .................. A Fusion of elbow joint....... 10.75 10.59 1.55 22.89 090 S
24802... .................. A Fusion/graft of elbow joint. 12.79 12.18 1.99 26.96 090 S
24900... .................. A Amputation of upper arm..... 8.76 7.68 1.39 17.83 090 S
24920... .................. A Amputation of upper arm..... 8.69 6.78 1.19 16.66 090 S
24925... .................. A Amputation follow-up surgery 6.61 6.27 0.75 13.63 090 S
24930... .................. A Amputation follow-up surgery 9.40 8.16 1.17 18.73 090 S
24931... .................. A Amputate upper arm & implant 11.71 11.17 1.84 24.72 090 S
24935... .................. A Revision of amputation...... 14.37 13.70 2.24 30.31 090 S
24940... .................. C Revision of upper arm....... 0.00 0.00 0.00 0.00 090 S
24999... .................. C Upper arm/elbow surgery..... 0.00 0.00 0.00 0.00 YYY S
25000... .................. A Incision of tendon sheath... 3.20 3.94 0.62 7.76 090 S
25020... .................. A Decompression of forearm.... 5.55 4.35 0.77 10.67 090 S
25023... .................. A Decompression of forearm.... 11.80 5.44 0.94 18.18 090 S
25028... .................. A Drainage of forearm lesion.. 4.88 2.06 0.36 7.30 090 S
25031... .................. A Drainage of forearm bursa... 3.90 0.66 0.09 4.65 090 S
25035... .................. A Treat forearm bone lesion... 6.83 6.30 1.01 14.14 090 S
25040... .................. A Explore/treat wrist joint... 6.61 5.69 0.90 13.20 090 S
25065... .................. A Biopsy forearm soft tissues. 2.39 0.75 0.09 3.23 010 S
25066... .................. A Biopsy forearm soft tissues. 3.87 1.54 0.22 5.63 090 S
25075... .................. A Removal of forearm lesion... 3.61 2.19 0.37 6.17 090 S
25076... .................. A Removal of forearm lesion... 4.77 3.77 0.67 9.21 090 S
25077... .................. A Remove tumor, forearm/wrist. 9.25 8.48 1.67 19.40 090 S
25085... .................. A Incision of wrist capsule... 5.13 4.62 0.71 10.46 090 S
25100... .................. A Biopsy of wrist joint....... 3.66 *4.69 0.79 9.14 090 S
25101... .................. A Explore/treat wrist joint... 4.43 5.61 0.98 11.02 090 S
25105... .................. A Remove wrist joint lining... 5.56 *7.11 1.19 13.86 090 S
25107... .................. A Remove wrist joint cartilage 5.89 5.28 0.89 12.06 090 S
25110... .................. A Remove wrist tendon lesion.. 3.79 2.80 0.46 7.05 090 S
25111... .................. A Remove wrist tendon lesion.. 3.24 3.22 0.55 7.01 090 S
25112... .................. A Reremove wrist tendon lesion 4.38 3.72 0.66 8.76 090 S
25115... .................. A Remove wrist/forearm lesion. 6.26 7.14 1.23 14.63 090 S
25116... .................. A Remove wrist/forearm lesion. 6.44 8.17 1.38 15.99 090 S
25118... .................. A Excise wrist tendon sheath.. 4.11 *5.26 1.02 10.39 090 S
25119... .................. A Partial removal of ulna..... 5.64 *7.22 1.32 14.18 090 S
25120... .................. A Removal of forearm lesion... 5.70 6.53 1.14 13.37 090 S
25125... .................. A Remove/graft forearm lesion. 7.06 6.84 1.04 14.94 090 S
25126... .................. A Remove/graft forearm lesion. 7.13 6.80 1.12 15.05 090 S
25130... .................. A Removal of wrist lesion..... 5.08 4.21 0.67 9.96 090 S
25135... .................. A Remove & graft wrist lesion. 6.58 5.46 0.97 13.01 090 S
25136... .................. A Remove & graft wrist lesion. 5.68 4.74 0.85 11.27 090 S
25145... .................. A Remove forearm bone lesion.. 5.97 5.95 0.75 12.67 090 S
25150... .................. A Partial removal of ulna..... 6.56 6.67 1.12 14.35 090 S
25151... .................. A Partial removal of radius... 6.86 5.75 1.02 13.63 090 S
25170... .................. A Extensive forearm surgery... 10.45 9.79 1.51 21.75 090 S
[[Page 63205]]
25210... .................. A Removal of wrist bone....... 5.55 4.88 0.80 11.23 090 S
25215... .................. A Removal of wrist bones...... 7.40 8.68 1.42 17.50 090 S
25230... .................. A Partial removal of radius... 4.86 5.57 0.85 11.28 090 S
25240... .................. A Partial removal of ulna..... 4.91 5.30 0.86 11.07 090 S
25246... .................. A Injection for wrist x-ray... 1.45 0.50 0.05 2.00 000 N
25248... .................. A Remove forearm foreign body. 4.96 2.18 0.37 7.51 090 S
25250... .................. A Removal of wrist prosthesis. 6.31 5.63 0.91 12.85 090 S
25251... .................. A Removal of wrist prosthesis. 9.08 8.25 1.39 18.72 090 S
25260... .................. A Repair forearm tendon/muscle 7.33 4.61 0.78 12.72 090 S
25263... .................. A Repair forearm tendon/muscle 7.37 5.77 1.03 14.17 090 S
25265... .................. A Repair forearm tendon/muscle 9.54 7.93 1.41 18.88 090 S
25270... .................. A Repair forearm tendon/muscle 5.71 3.36 0.55 9.62 090 S
25272... .................. A Repair forearm tendon/muscle 6.75 3.44 0.54 10.73 090 S
25274... .................. A Repair forearm tendon/muscle 8.44 6.62 1.13 16.19 090 S
25280... .................. A Revise wrist/forearm tendon. 6.82 4.22 0.69 11.73 090 S
25290... .................. A Incise wrist/forearm tendon. 5.03 2.47 0.41 7.91 090 S
25295... .................. A Release wrist/forearm tendon 6.26 3.05 0.52 9.83 090 S
25300... .................. A Fusion of tendons at wrist.. 8.46 7.36 1.19 17.01 090 S
25301... .................. A Fusion of tendons at wrist.. 8.09 6.77 1.18 16.04 090 S
25310... .................. A Transplant forearm tendon... 7.68 7.14 1.17 15.99 090 S
25312... .................. A Transplant forearm tendon... 9.08 7.63 1.31 18.02 090 S
25315... .................. A Revise palsy hand tendon(s). 9.45 8.06 1.34 18.85 090 S
25316... .................. A Revise palsy hand tendon(s). 11.49 10.58 1.78 23.85 090 S
25320... .................. A Repair/revise wrist joint... 9.89 8.60 1.45 19.94 090 S
25330... .................. A Revise wrist joint.......... 10.85 9.23 1.50 21.58 090 S
25331... .................. A Revise wrist joint.......... 12.60 14.66 2.40 29.66 090 S
25332... .................. A Revise wrist joint.......... 10.83 9.98 1.61 22.42 090 S
25335... .................. A Realignment of hand......... 12.11 11.41 1.56 25.08 090 S
25337... .................. A Reconstruct ulna/radioulnar. 9.50 8.60 1.45 19.55 090 S
25350... .................. A Revision of radius.......... 8.23 7.61 1.26 17.10 090 S
25355... .................. A Revision of radius.......... 9.55 9.12 1.49 20.16 090 S
25360... .................. A Revision of ulna............ 7.88 6.41 0.99 15.28 090 S
25365... .................. A Revise radius & ulna........ 11.63 10.31 1.57 23.51 090 S
25370... .................. A Revise radius or ulna....... 12.34 11.76 1.92 26.02 090 S
25375... .................. A Revise radius & ulna........ 12.27 13.38 0.87 26.52 090 S
25390... .................. A Shorten radius/ulna......... 9.85 8.82 1.50 20.17 090 S
25391... .................. A Lengthen radius/ulna........ 12.75 11.25 1.93 25.93 090 S
25392... .................. A Shorten radius & ulna....... 13.05 12.44 2.04 27.53 090 S
25393... .................. A Lengthen radius & ulna...... 14.90 14.21 2.32 31.43 090 S
25400... .................. A Repair radius or ulna....... 10.30 10.78 1.75 22.83 090 S
25405... .................. A Repair/graft radius or ulna. 13.48 12.42 2.02 27.92 090 S
25415... .................. A Repair radius & ulna........ 12.64 11.42 1.92 25.98 090 S
25420... .................. A Repair/graft radius & ulna.. 15.34 14.70 2.28 32.32 090 S
25425... .................. A Repair/graft radius or ulna. 12.44 12.02 1.87 26.33 090 S
25426... .................. A Repair/graft radius & ulna.. 14.92 11.72 2.13 28.77 090 S
25440... .................. A Repair/graft wrist bone..... 9.95 9.05 1.50 20.50 090 S
25441... .................. A Reconstruct wrist joint..... 12.26 11.36 1.89 25.51 090 S
25442... .................. A Reconstruct wrist joint..... 10.34 7.06 1.22 18.62 090 S
25443... .................. A Reconstruct wrist joint..... 9.88 9.38 1.52 20.78 090 S
25444... .................. A Reconstruct wrist joint..... 10.64 10.14 1.66 22.44 090 S
25445... .................. A Reconstruct wrist joint..... 9.27 10.36 1.72 21.35 090 S
25446... .................. A Wrist replacement........... 15.52 *19.86 3.49 38.87 090 S
25447... .................. A Repair wrist joint(s)....... 9.86 9.65 1.56 21.07 090 S
25449... .................. A Remove wrist joint implant.. 13.78 7.84 1.16 22.78 090 S
25450... .................. A Revision of wrist joint..... 7.67 7.31 1.19 16.17 090 S
25455... .................. A Revision of wrist joint..... 9.15 8.71 1.42 19.28 090 S
25490... .................. A Reinforce radius............ 9.12 8.69 1.42 19.23 090 S
25491... .................. A Reinforce ulna.............. 9.54 9.10 1.49 20.13 090 S
25492... .................. A Reinforce radius and ulna... 11.75 11.20 1.84 24.79 090 S
25500... .................. A Treat fracture of radius.... 2.30 2.33 0.29 4.92 090 S
25505... .................. A Treat fracture of radius.... 4.96 3.57 0.51 9.04 090 S
25515... .................. A Repair fracture of radius... 8.63 7.63 1.22 17.48 090 S
25520... .................. A Repair fracture of radius... 6.01 5.74 0.94 12.69 090 S
25525... .................. A Repair fracture of radius... 11.69 11.15 1.83 24.67 090 S
25526... .................. A Repair fracture of radius... 12.43 11.85 1.94 26.22 090 S
25530... .................. A Treat fracture of ulna...... 1.94 2.44 0.35 4.73 090 S
[[Page 63206]]
25535... .................. A Treat fracture of ulna...... 4.91 3.57 0.54 9.02 090 S
25545... .................. A Repair fracture of ulna..... 8.35 7.58 1.20 17.13 090 S
25560... .................. A Treat fracture radius & ulna 2.29 2.27 0.27 4.83 090 S
25565... .................. A Treat fracture radius & ulna 5.29 4.66 0.70 10.65 090 S
25574... .................. A Treat fracture radius & ulna 6.03 *7.72 1.73 15.48 090 S
25575... .................. A Repair fracture radius/ulna. 9.47 10.70 1.73 21.90 090 S
25600... .................. A Treat fracture radius/ulna.. 2.48 2.84 0.42 5.74 090 S
25605... .................. A Treat fracture radius/ulna.. 5.36 3.95 0.61 9.92 090 S
25611... .................. A Repair fracture radius/ulna. 7.11 6.01 0.97 14.09 090 S
25620... .................. A Repair fracture radius/ulna. 8.15 7.13 1.14 16.42 090 S
25622... .................. A Treat wrist bone fracture... 2.43 2.28 0.33 5.04 090 S
25624... .................. A Treat wrist bone fracture... 4.28 3.67 0.57 8.52 090 S
25628... .................. A Repair wrist bone fracture.. 7.81 7.13 1.16 16.10 090 S
25630... .................. A Treat wrist bone fracture... 2.73 2.19 0.30 5.22 090 S
25635... .................. A Treat wrist bone fracture... 4.16 3.36 0.50 8.02 090 S
25645... .................. A Repair wrist bone fracture.. 6.85 6.68 0.95 14.48 090 S
25650... .................. A Repair wrist bone fracture.. 2.87 2.66 0.36 5.89 090 S
25660... .................. A Treat wrist dislocation..... 4.53 1.82 0.26 6.61 090 S
25670... .................. A Repair wrist dislocation.... 7.52 7.08 1.12 15.72 090 S
25675... .................. A Treat wrist dislocation..... 4.44 2.28 0.34 7.06 090 S
25676... .................. A Repair wrist dislocation.... 7.55 7.32 1.11 15.98 090 S
25680... .................. A Treat wrist fracture........ 5.63 2.44 0.36 8.43 090 S
25685... .................. A Repair wrist fracture....... 9.23 8.79 1.44 19.46 090 S
25690... .................. A Treat wrist dislocation..... 5.16 4.89 0.73 10.78 090 S
25695... .................. A Repair wrist dislocation.... 7.94 7.04 1.17 16.15 090 S
25800... .................. A Fusion of wrist joint....... 9.21 10.94 1.80 21.95 090 S
25805... .................. A Fusion/graft of wrist joint. 10.57 12.85 2.09 25.51 090 S
25810... .................. A Fusion/graft of wrist joint. 9.79 *12.53 2.06 24.38 090 S
25820... .................. A Fusion of hand bones........ 7.14 8.91 1.48 17.53 090 S
25825... .................. A Fusion hand bones with graft 8.60 *11.02 1.99 21.61 090 S
25830... .................. A Fusion radioulnar jnt/ulna.. 9.50 8.60 1.45 19.55 090 S
25900... .................. A Amputation of forearm....... 8.15 7.08 1.31 16.54 090 S
25905... .................. A Amputation of forearm....... 8.40 7.11 1.15 16.66 090 S
25907... .................. A Amputation follow-up surgery 7.27 5.74 1.00 14.01 090 S
25909... .................. A Amputation follow-up surgery 8.37 5.55 1.06 14.98 090 S
25915... .................. A Amputation of forearm....... 16.61 15.83 2.59 35.03 090 S
25920... .................. A Amputate hand at wrist...... 8.09 7.00 1.20 16.29 090 S
25922... .................. A Amputate hand at wrist...... 6.96 5.55 1.02 13.53 090 S
25924... .................. A Amputation follow-up surgery 7.87 7.50 1.22 16.59 090 S
25927... .................. A Amputation of hand.......... 8.27 6.29 1.22 15.78 090 S
25929... .................. A Amputation follow-up surgery 7.13 4.74 0.96 12.83 090 S
25931... .................. A Amputation follow-up surgery 7.35 4.54 0.90 12.79 090 S
25999... .................. C Forearm or wrist surgery.... 0.00 0.00 0.00 0.00 YYY S
26010... .................. A Drainage of finger abscess.. 1.49 0.48 0.05 2.02 010 N
26011... .................. A Drainage of finger abscess.. 2.14 1.54 0.24 3.92 010 S
26020... .................. A Drain hand tendon sheath.... 4.01 3.72 0.63 8.36 090 S
26025... .................. A Drainage of palm bursa...... 4.32 4.51 0.76 9.59 090 S
26030... .................. A Drainage of palm bursa(s)... 5.36 5.73 0.98 12.07 090 S
26034... .................. A Treat hand bone lesion...... 5.59 4.23 0.71 10.53 090 S
26035... .................. A Decompress fingers/hand..... 8.38 5.17 0.86 14.41 090 S
26037... .................. A Decompress fingers/hand..... 6.68 6.37 1.05 14.10 090 S
26040... .................. A Release palm contracture.... 3.09 2.86 0.49 6.44 090 S
26045... .................. A Release palm contracture.... 5.27 4.83 0.81 10.91 090 S
26055... .................. A Incise finger tendon sheath. 2.56 *3.28 0.56 6.40 090 S
26060... .................. A Incision of finger tendon... 2.71 1.13 0.17 4.01 090 S
26070... .................. A Explore/treat hand joint.... 3.34 2.76 0.42 6.52 090 S
26075... .................. A Explore/treat finger joint.. 3.44 3.78 0.62 7.84 090 S
26080... .................. A Explore/treat finger joint.. 3.78 3.14 0.51 7.43 090 S
26100... .................. A Biopsy hand joint lining.... 3.54 2.99 0.45 6.98 090 S
26105... .................. A Biopsy finger joint lining.. 3.58 4.17 0.67 8.42 090 S
26110... .................. A Biopsy finger joint lining.. 3.40 2.93 0.50 6.83 090 S
26115... .................. A Removal of hand lesion...... 3.68 2.01 0.34 6.03 090 S
26116... .................. A Removal of hand lesion...... 5.19 3.71 0.62 9.52 090 S
26117... .................. A Remove tumor, hand/finger... 8.24 5.07 0.91 14.22 090 S
26121... .................. A Release palm contracture.... 7.34 *9.40 1.61 18.35 090 S
26123... .................. A Release palm contracture.... 8.64 9.10 1.53 19.27 090 S
[[Page 63207]]
26125... .................. A Release palm contracture.... 4.61 2.62 0.45 7.68 ZZZ S
26130... .................. A Remove wrist joint lining... 5.13 5.01 0.86 11.00 090 S
26135... .................. A Revise finger joint, each... 6.67 4.86 0.82 12.35 090 S
26140... .................. A Revise finger joint, each... 5.88 4.40 0.75 11.03 090 S
26145... .................. A Tendon excision, palm/finger 6.03 4.71 0.80 11.54 090 S
26160... .................. A Remove tendon sheath lesion. 3.00 2.32 0.40 5.72 090 S
26170... .................. A Removal of palm tendon, each 4.62 2.83 0.45 7.90 090 S
26180... .................. A Removal of finger tendon.... 5.00 4.01 0.71 9.72 090 S
26200... .................. A Remove hand bone lesion..... 5.25 4.48 0.72 10.45 090 S
26205... .................. A Remove/graft bone lesion.... 7.24 6.40 1.03 14.67 090 S
26210... .................. A Removal of finger lesion.... 4.97 3.90 0.64 9.51 090 S
26215... .................. A Remove/graft finger lesion.. 6.81 5.55 0.94 13.30 090 S
26230... .................. A Partial removal of hand bone 5.96 4.26 0.69 10.91 090 S
26235... .................. A Partial removal, finger bone 5.82 4.17 0.71 10.70 090 S
26236... .................. A Partial removal, finger bone 4.95 3.86 0.66 9.47 090 S
26250... .................. A Extensive hand surgery...... 7.26 6.00 1.07 14.33 090 S
26255... .................. A Extensive hand surgery...... 11.66 8.94 1.54 22.14 090 S
26260... .................. A Extensive finger surgery.... 6.74 5.73 0.97 13.44 090 S
26261... .................. A Extensive finger surgery.... 8.54 7.70 1.31 17.55 090 S
26262... .................. A Partial removal of finger... 5.41 4.75 0.76 10.92 090 S
26320... .................. A Removal of implant from hand 3.74 3.54 0.57 7.85 090 S
26350... .................. A Repair finger/hand tendon... 5.76 5.74 0.99 12.49 090 S
26352... .................. A Repair/graft hand tendon.... 7.26 6.60 1.10 14.96 090 S
26356... .................. A Repair finger/hand tendon... 7.05 7.21 1.24 15.50 090 S
26357... .................. A Repair finger/hand tendon... 8.16 6.58 1.19 15.93 090 S
26358... .................. A Repair/graft hand tendon.... 8.69 7.40 1.27 17.36 090 S
26370... .................. A Repair finger/hand tendon... 6.71 6.71 1.13 14.55 090 S
26372... .................. A Repair/graft hand tendon.... 8.27 6.39 1.15 15.81 090 S
26373... .................. A Repair finger/hand tendon... 7.67 6.85 1.11 15.63 090 S
26390... .................. A Revise hand/finger tendon... 8.73 7.95 1.23 17.91 090 S
26392... .................. A Repair/graft hand tendon.... 9.77 8.61 1.26 19.64 090 S
26410... .................. A Repair hand tendon.......... 4.37 3.29 0.51 8.17 090 S
26412... .................. A Repair/graft hand tendon.... 5.91 6.01 0.97 12.89 090 S
26415... .................. A Excision, hand/finger tendon 8.05 6.75 0.90 15.70 090 S
26416... .................. A Graft hand or finger tendon. 9.06 8.64 1.41 19.11 090 S
26418... .................. A Repair finger tendon........ 4.02 3.58 0.59 8.19 090 S
26420... .................. A Repair/graft finger tendon.. 6.37 5.68 0.96 13.01 090 S
26426... .................. A Repair finger/hand tendon... 5.86 6.31 1.07 13.24 090 S
26428... .................. A Repair/graft finger tendon.. 6.90 5.50 1.00 13.40 090 S
26432... .................. A Repair finger tendon........ 3.87 3.15 0.51 7.53 090 S
26433... .................. A Repair finger tendon........ 4.41 3.94 0.66 9.01 090 S
26434... .................. A Repair/graft finger tendon.. 5.80 4.95 0.84 11.59 090 S
26437... .................. A Realignment of tendons...... 5.53 4.05 0.68 10.26 090 S
26440... .................. A Release palm/finger tendon.. 4.76 3.57 0.59 8.92 090 S
26442... .................. A Release palm & finger tendon 6.10 3.37 0.59 10.06 090 S
26445... .................. A Release hand/finger tendon.. 4.16 3.25 0.54 7.95 090 S
26449... .................. A Release forearm/hand tendon. 6.39 5.57 0.96 12.92 090 S
26450... .................. A Incision of palm tendon..... 3.54 2.28 0.36 6.18 090 S
26455... .................. A Incision of finger tendon... 3.51 1.89 0.33 5.73 090 S
26460... .................. A Incise hand/finger tendon... 3.33 1.72 0.30 5.35 090 S
26471... .................. A Fusion of finger tendons.... 5.55 4.15 0.67 10.37 090 S
26474... .................. A Fusion of finger tendons.... 5.14 4.61 0.75 10.50 090 S
26476... .................. A Tendon lengthening.......... 5.00 2.89 0.27 8.16 090 S
26477... .................. A Tendon shortening........... 4.97 3.99 0.73 9.69 090 S
26478... .................. A Lengthening of hand tendon.. 5.62 4.30 0.72 10.64 090 S
26479... .................. A Shortening of hand tendon... 5.56 5.29 0.86 11.71 090 S
26480... .................. A Transplant hand tendon...... 6.49 6.53 1.11 14.13 090 S
26483... .................. A Transplant/graft hand tendon 7.87 8.50 1.40 17.77 090 S
26485... .................. A Transplant palm tendon...... 7.28 6.50 1.08 14.86 090 S
26489... .................. A Transplant/graft palm tendon 9.00 3.40 0.51 12.91 090 S
26490... .................. A Revise thumb tendon......... 7.99 7.80 1.28 17.07 090 S
26492... .................. A Tendon transfer with graft.. 9.17 8.75 1.21 19.13 090 S
26494... .................. A Hand tendon/muscle transfer. 8.05 7.28 1.23 16.56 090 S
26496... .................. A Revise thumb tendon......... 9.17 8.73 1.53 19.43 090 S
26497... .................. A Finger tendon transfer...... 9.15 8.02 1.38 18.55 090 S
26498... .................. A Finger tendon transfer...... 13.55 11.78 2.04 27.37 090 S
[[Page 63208]]
26499... .................. A Revision of finger.......... 8.56 7.75 1.25 17.56 090 S
26500... .................. A Hand tendon reconstruction.. 5.67 3.49 0.60 9.76 090 S
26502... .................. A Hand tendon reconstruction.. 6.74 5.27 0.95 12.96 090 S
26504... .................. A Hand tendon reconstruction.. 7.05 6.72 1.11 14.88 090 S
26508... .................. A Release thumb contracture... 5.61 4.15 0.72 10.48 090 S
26510... .................. A Thumb tendon transfer....... 5.03 4.15 0.68 9.86 090 S
26516... .................. A Fusion of knuckle joint..... 6.75 4.16 0.67 11.58 090 S
26517... .................. A Fusion of knuckle joints.... 8.34 7.07 1.23 16.64 090 S
26518... .................. A Fusion of knuckle joints.... 8.53 6.51 1.22 16.26 090 S
26520... .................. A Release knuckle contracture. 5.01 4.48 0.71 10.20 090 S
26525... .................. A Release finger contracture.. 5.04 3.64 0.62 9.30 090 S
26530... .................. A Revise knuckle joint........ 6.38 5.16 0.85 12.39 090 S
26531... .................. A Revise knuckle with implant. 7.57 6.65 1.11 15.33 090 S
26535... .................. A Revise finger joint......... 4.95 4.84 0.58 10.37 090 S
26536... .................. A Revise/implant finger joint. 6.06 7.21 1.19 14.46 090 S
26540... .................. A Repair hand joint........... 6.03 6.64 1.12 13.79 090 S
26541... .................. A Repair hand joint with graft 8.20 8.94 1.47 18.61 090 S
26542... .................. A Repair hand joint with graft 6.38 5.67 0.97 13.02 090 S
26545... .................. A Reconstruct finger joint.... 6.50 5.27 0.94 12.71 090 S
26548... .................. A Reconstruct finger joint.... 7.61 5.79 1.00 14.40 090 S
26550... .................. A Construct thumb replacement. 20.77 19.81 3.24 43.82 090 S
26552... .................. C Construct thumb replacement. 0.00 0.00 0.00 0.00 090 S
26555... .................. A Positional change of finger. 16.16 15.41 2.52 34.09 090 S
26557... .................. C Construct finger replacement 0.00 0.00 0.00 0.00 090 S
26558... .................. C Added finger surgery........ 0.00 0.00 0.00 0.00 090 S
26559... .................. C Added finger surgery........ 0.00 0.00 0.00 0.00 090 S
26560... .................. A Repair of web finger........ 5.23 4.65 0.66 10.54 090 S
26561... .................. A Repair of web finger........ 10.50 8.89 1.56 20.95 090 S
26562... .................. A Repair of web finger........ 9.23 10.97 0.82 21.02 090 S
26565... .................. A Correct metacarpal flaw..... 6.45 5.82 0.85 13.12 090 S
26567... .................. A Correct finger deformity.... 6.53 4.28 0.67 11.48 090 S
26568... .................. A Lengthen metacarpal/finger.. 8.66 8.45 1.06 18.17 090 S
26580... .................. A Repair hand deformity....... 17.71 16.89 2.76 37.36 090 S
26585... .................. A Repair finger deformity..... 13.58 12.95 2.12 28.65 090 S
26587... .................. C Reconstruct extra finger.... 0.00 0.00 0.00 0.00 090 S
26590... .................. A Repair finger deformity..... 17.44 16.63 2.72 36.79 090 S
26591... .................. A Repair muscles of hand...... 2.90 2.29 0.39 5.58 090 S
26593... .................. A Release muscles of hand..... 4.89 4.12 0.70 9.71 090 S
26596... .................. A Excision constricting tissue 8.64 8.24 1.35 18.23 090 S
26597... .................. A Release of scar contracture. 9.37 8.02 1.37 18.76 090 S
26600... .................. A Treat metacarpal fracture... 1.81 1.54 0.22 3.57 090 S
26605... .................. A Treat metacarpal fracture... 2.67 2.29 0.36 5.32 090 S
26607... .................. A Treat metacarpal fracture... 5.12 3.55 0.57 9.24 090 S
26608... .................. A Treat metacarpal fracture... 5.12 3.55 0.57 9.24 090 S
26615... .................. A Repair metacarpal fracture.. 5.18 4.87 0.80 10.85 090 S
26641... .................. A Treat thumb dislocation..... 3.74 1.11 0.14 4.99 090 S
26645... .................. A Treat thumb fracture........ 4.23 2.20 0.33 6.76 090 S
26650... .................. A Repair thumb fracture....... 5.49 4.01 0.64 10.14 090 S
26665... .................. A Repair thumb fracture....... 7.14 6.39 1.09 14.62 090 S
26670... .................. A Treat hand dislocation...... 3.54 0.96 0.10 4.60 090 S
26675... .................. A Treat hand dislocation...... 4.44 4.34 0.60 9.38 090 S
26676... .................. A Pin hand dislocation........ 5.29 4.86 0.67 10.82 090 S
26685... .................. A Repair hand dislocation..... 6.54 5.76 0.91 13.21 090 S
26686... .................. A Repair hand dislocation..... 7.48 6.31 1.04 14.83 090 S
26700... .................. A Treat knuckle dislocation... 3.54 0.88 0.10 4.52 090 S
26705... .................. A Treat knuckle dislocation... 3.99 1.78 0.27 6.04 090 S
26706... .................. A Pin knuckle dislocation..... 4.92 4.68 0.75 10.35 090 S
26715... .................. A Repair knuckle dislocation.. 5.48 4.13 0.66 10.27 090 S
26720... .................. A Treat finger fracture, each. 1.56 1.10 0.15 2.81 090 S
26725... .................. A Treat finger fracture, each. 3.18 1.54 0.23 4.95 090 S
26727... .................. A Treat finger fracture, each. 4.92 2.45 0.38 7.75 090 S
26735... .................. A Repair finger fracture, each 5.72 3.73 0.61 10.06 090 S
26740... .................. A Treat finger fracture, each. 1.81 1.16 0.16 3.13 090 S
26742... .................. A Treat finger fracture, each. 3.70 1.98 0.32 6.00 090 S
26746... .................. A Repair finger fracture, each 5.55 4.75 0.80 11.10 090 S
26750... .................. A Treat finger fracture, each. 1.60 0.83 0.10 2.53 090 S
[[Page 63209]]
26755... .................. A Treat finger fracture, each. 2.97 1.08 0.15 4.20 090 S
26756... .................. A Pin finger fracture, each... 4.19 1.90 0.33 6.42 090 S
26765... .................. A Repair finger fracture, each 4.04 2.66 0.45 7.15 090 S
26770... .................. A Treat finger dislocation.... 2.89 0.76 0.08 3.73 090 S
26775... .................. A Treat finger dislocation.... 3.51 1.13 0.17 4.81 090 S
26776... .................. A Pin finger dislocation...... 4.60 2.08 0.35 7.03 090 S
26785... .................. A Repair finger dislocation... 4.08 2.97 0.48 7.53 090 S
26820... .................. A Thumb fusion with graft..... 7.84 6.65 1.05 15.54 090 S
26841... .................. A Fusion of thumb............. 6.79 6.17 1.00 13.96 090 S
26842... .................. A Thumb fusion with graft..... 7.75 8.58 1.37 17.70 090 S
26843... .................. A Fusion of hand joint........ 7.21 6.37 1.10 14.68 090 S
26844... .................. A Fusion/graft of hand joint.. 8.24 7.35 1.19 16.78 090 S
26850... .................. A Fusion of knuckle........... 6.57 4.63 0.76 11.96 090 S
26852... .................. A Fusion of knuckle with graft 7.97 5.72 1.00 14.69 090 S
26860... .................. A Fusion of finger joint...... 4.49 4.30 0.68 9.47 090 S
26861... .................. A Fusion of finger joint, 1.74 *2.23 0.43 4.40 ZZZ S
added.
26862... .................. A Fusion/graft of finger joint 7.06 5.16 0.85 13.07 090 S
26863... .................. A Fuse/graft added joint...... 3.90 3.37 0.57 7.84 ZZZ S
26910... .................. A Amputate metacarpal bone.... 7.18 5.16 0.93 13.27 090 S
26951... .................. A Amputation of finger/thumb.. 4.41 2.87 0.49 7.77 090 S
26952... .................. A Amputation of finger/thumb.. 6.02 4.00 0.69 10.71 090 S
26989... .................. C Hand/finger surgery......... 0.00 0.00 0.00 0.00 YYY S
26990... .................. A Drainage of pelvis lesion... 6.76 3.10 0.51 10.37 090 S
26991... .................. A Drainage of pelvis bursa.... 6.05 1.81 0.29 8.15 090 S
26992... .................. A Drainage of bone lesion..... 13.97 6.38 1.05 21.40 090 S
27000... .................. A Incision of hip tendon...... 5.27 1.85 0.24 7.36 090 S
27001... .................. A Incision of hip tendon...... 7.70 2.34 0.38 10.42 090 S
27003... .................. A Incision of hip tendon...... 6.53 6.77 1.08 14.38 090 S
27005... .................. A Incision of hip tendon...... 9.00 3.37 0.54 12.91 090 S
27006... .................. A Incision of hip tendons..... 9.50 4.64 0.77 14.91 090 S
27025... .................. A Incision of hip/thigh fascia 10.16 6.12 1.02 17.30 090 S
27030... .................. A Drainage of hip joint....... 12.09 11.42 1.86 25.37 090 S
27033... .................. A Exploration of hip joint.... 12.38 11.52 1.85 25.75 090 S
27035... .................. A Denervation of hip joint.... 15.72 11.86 2.21 29.79 090 S
27040... .................. A Biopsy of soft tissues...... 3.26 0.72 0.11 4.09 010 N
27041... .................. A Biopsy of soft tissues...... 9.36 2.67 0.44 12.47 090 S
27047... .................. A Remove hip/pelvis lesion.... 7.16 1.89 0.32 9.37 090 S
27048... .................. A Remove hip/pelvis lesion.... 5.70 4.33 0.82 10.85 090 S
27049... .................. A Remove tumor, hip/pelvis.... 12.52 10.14 1.87 24.53 090 S
27050... .................. A Biopsy of sacroiliac joint.. 3.73 *4.78 0.90 9.41 090 S
27052... .................. A Biopsy of hip joint......... 5.45 *6.97 1.59 14.01 090 S
27054... .................. A Removal of hip joint lining. 7.60 *9.72 2.26 19.58 090 S
27060... .................. A Removal of ischial bursa.... 4.73 3.93 0.68 9.34 090 S
27062... .................. A Remove femur lesion/bursa... 4.74 4.23 0.70 9.67 090 S
27065... .................. A Removal of hip bone lesion.. 4.98 5.59 0.90 11.47 090 S
27066... .................. A Removal of hip bone lesion.. 9.17 7.90 1.30 18.37 090 S
27067... .................. A Remove/graft hip bone lesion 12.64 11.63 1.93 26.20 090 S
27070... .................. A Partial removal of hip bone. 9.58 7.41 1.21 18.20 090 S
27071... .................. A Partial removal of hip bone. 10.23 8.50 1.45 20.18 090 S
27075... .................. A Extensive hip surgery....... 15.85 13.54 2.32 31.71 090 S
27076... .................. A Extensive hip surgery....... 17.93 16.37 2.61 36.91 090 S
27077... .................. A Extensive hip surgery....... 21.29 18.98 3.24 43.51 090 S
27078... .................. A Extensive hip surgery....... 11.86 9.20 1.67 22.73 090 S
27079... .................. A Extensive hip surgery....... 12.11 8.64 1.66 22.41 090 S
27080... .................. A Removal of tail bone........ 5.63 4.78 0.87 11.28 090 S
27086... .................. A Remove hip foreign body..... 1.82 0.58 0.07 2.47 010 S
27087... .................. A Remove hip foreign body..... 8.01 3.62 0.60 12.23 090 S
27090... .................. A Removal of hip prosthesis... 12.00 9.09 1.46 22.55 090 S
27091... .................. A Removal of hip prosthesis... 20.48 19.81 3.16 43.45 090 S
27093... .................. A Injection for hip x-ray..... 1.30 0.82 0.11 2.23 000 S
27095... .................. A Injection for hip x-ray..... 1.50 0.93 0.13 2.56 000 N
27097... .................. A Revision of hip tendon...... 8.08 7.71 1.26 17.05 090 S
27098... .................. A Transfer tendon to pelvis... 8.08 7.71 1.26 17.05 090 S
27100... .................. A Transfer of abdominal muscle 10.57 7.68 1.42 19.67 090 S
27105... .................. A Transfer of spinal muscle... 11.26 5.89 1.36 18.51 090 S
27110... .................. A Transfer of iliopsoas muscle 12.49 10.61 1.86 24.96 090 S
[[Page 63210]]
27111... .................. A Transfer of iliopsoas muscle 11.44 11.63 1.65 24.72 090 S
27120... .................. A Reconstruction of hip socket 16.43 18.10 2.95 37.48 090 S
27122... .................. A Reconstruction of hip socket 13.56 *17.36 2.94 33.86 090 S
27125... .................. A Partial hip replacement..... 13.21 *16.91 3.01 33.13 090 S
27130... .................. A Total hip replacement....... 18.68 *23.91 4.58 47.17 090 S
27132... .................. A Total hip replacement....... 21.44 *27.44 5.09 53.97 090 S
27134... .................. A Revise hip joint replacement 24.54 *31.41 5.96 61.91 090 S
27137... .................. A Revise hip joint replacement 18.67 *23.90 4.82 47.39 090 S
27138... .................. A Revise hip joint replacement 18.93 *24.23 4.58 47.74 090 S
27140... .................. A Transplant of femur ridge... 11.43 11.05 1.71 24.19 090 S
27146... .................. A Incision of hip bone........ 13.72 10.88 1.35 25.95 090 S
27147... .................. A Revision of hip bone........ 17.58 16.97 2.76 37.31 090 S
27151... .................. A Incision of hip bones....... 18.58 17.71 2.90 39.19 090 S
27156... .................. A Revision of hip bones....... 20.16 18.32 3.08 41.56 090 S
27158... .................. A Revision of pelvis.......... 18.10 14.42 2.64 35.16 090 S
27161... .................. A Incision of neck of femur... 15.20 14.31 2.31 31.82 090 S
27165... .................. A Incision/fixation of femur.. 16.20 16.76 2.63 35.59 090 S
27170... .................. A Repair/graft femur head/neck 14.90 16.41 2.65 33.96 090 S
27175... .................. A Treat slipped epiphysis..... 7.24 1.18 0.18 8.60 090 S
27176... .................. A Treat slipped epiphysis..... 10.89 10.39 1.70 22.98 090 S
27177... .................. A Repair slipped epiphysis.... 13.76 12.39 2.05 28.20 090 S
27178... .................. A Repair slipped epiphysis.... 10.76 10.46 1.55 22.77 090 S
27179... .................. A Revise head/neck of femur... 11.69 11.15 1.83 24.67 090 S
27181... .................. A Repair slipped epiphysis.... 13.80 13.14 2.16 29.10 090 S
27185... .................. A Revision of femur epiphysis. 8.30 2.77 0.87 11.94 090 S
27187... .................. A Reinforce hip bones......... 12.57 *16.09 2.76 31.42 090 S
27193... .................. A Treat pelvic ring fracture.. 4.64 2.41 0.39 7.44 090 S
27194... .................. A Treat pelvic ring fracture.. 8.73 3.90 0.50 13.13 090 S
27200... .................. A Treat tail bone fracture.... 1.76 1.49 0.17 3.42 090 S
27202... .................. A Repair tail bone fracture... 6.52 6.15 0.89 13.56 090 S
27215... .................. A Pelvic fracture(s) treatment 9.39 *12.02 2.33 23.74 090 S
27216... .................. A Treat pelvic ring fracture.. 14.20 4.30 0.66 19.16 090 S
27217... .................. A Treat pelvic ring fracture.. 13.19 14.55 2.33 30.07 090 S
27218... .................. A Treat pelvic ring fracture.. 18.83 14.55 2.33 35.71 090 S
27220... .................. A Treat hip socket fracture... 5.26 4.26 0.64 10.16 090 S
27222... .................. A Treat hip socket fracture... 10.95 6.37 1.03 18.35 090 S
27226... .................. A Treat hip wall fracture..... 13.93 15.78 2.52 32.23 090 S
27227... .................. A Treat hip fracture(s)....... 15.39 *19.70 3.20 38.29 090 S
27228... .................. A Treat hip fracture(s)....... 17.90 19.95 3.20 41.05 090 S
27230... .................. A Treat fracture of thigh..... 4.95 3.30 0.41 8.66 090 S
27232... .................. A Treat fracture of thigh..... 9.32 8.98 1.46 19.76 090 S
27235... .................. A Repair of thigh fracture.... 11.02 *14.10 2.60 27.72 090 S
27236... .................. A Repair of thigh fracture.... 14.14 16.91 2.71 33.76 090 S
27238... .................. A Treatment of thigh fracture. 5.06 4.91 0.71 10.68 090 S
27240... .................. A Treatment of thigh fracture. 10.86 9.70 1.53 22.09 090 S
27244... .................. A Repair of thigh fracture.... 14.35 16.30 2.62 33.27 090 S
27245... .................. A Repair of thigh fracture.... 18.72 16.30 2.62 37.64 090 S
27246... .................. A Treatment of thigh fracture. 4.36 3.87 0.60 8.83 090 S
27248... .................. A Repair of thigh fracture.... 9.73 *12.46 2.11 24.30 090 S
27250... .................. A Treat hip dislocation....... 6.31 3.19 0.45 9.95 090 S
27252... .................. A Treat hip dislocation....... 9.47 4.34 0.68 14.49 090 S
27253... .................. A Repair of hip dislocation... 11.98 13.14 2.11 27.23 090 S
27254... .................. A Repair of hip dislocation... 17.29 13.47 2.27 33.03 090 S
27256... .................. A Treatment of hip dislocation 3.72 1.88 0.31 5.91 010 S
27257... .................. A Treatment of hip dislocation 4.82 4.62 0.73 10.17 010 S
27258... .................. A Repair of hip dislocation... 14.40 13.73 2.25 30.38 090 S
27259... .................. A Repair of hip dislocation... 18.03 17.20 2.82 38.05 090 S
27265... .................. A Treatment of hip dislocation 5.58 3.46 0.54 9.58 090 S
27266... .................. A Treatment of hip dislocation 7.73 4.45 0.71 12.89 090 S
27275... .................. A Manipulation of hip joint... 2.00 1.88 0.30 4.18 010 S
27280... .................. A Fusion of sacroiliac joint.. 11.81 10.06 1.77 23.64 090 S
27282... .................. A Fusion of pubic bones....... 10.57 9.01 1.69 21.27 090 S
27284... .................. A Fusion of hip joint......... 15.62 14.50 2.40 32.52 090 S
27286... .................. A Fusion of hip joint......... 15.65 15.20 2.26 33.11 090 S
27290... .................. A Amputation of leg at hip.... 21.68 25.40 4.70 51.78 090 S
27295... .................. A Amputation of leg at hip.... 17.32 16.54 2.95 36.81 090 S
[[Page 63211]]
27299... .................. C Pelvis/hip joint surgery.... 0.00 0.00 0.00 0.00 YYY S
27301... .................. A Drain thigh/knee lesion..... 5.96 2.46 0.40 8.82 090 S
27303... .................. A Drainage of bone lesion..... 7.69 5.86 0.96 14.51 090 S
27305... .................. A Incise thigh tendon & fascia 5.42 3.80 0.68 9.90 090 S
27306... .................. A Incision of thigh tendon.... 4.27 1.99 0.32 6.58 090 S
27307... .................. A Incision of thigh tendons... 5.30 3.01 0.48 8.79 090 S
27310... .................. A Exploration of knee joint... 8.26 9.60 1.51 19.37 090 S
27315... .................. A Partial removal, thigh nerve 6.51 5.38 0.96 12.85 090 S
27320... .................. A Partial removal, thigh nerve 5.90 5.18 0.73 11.81 090 S
27323... .................. A Biopsy thigh soft tissues... 2.67 0.91 0.13 3.71 010 S
27324... .................. A Biopsy thigh soft tissues... 4.53 2.63 0.45 7.61 090 S
27327... .................. A Removal of thigh lesion..... 4.32 2.29 0.40 7.01 090 S
27328... .................. A Removal of thigh lesion..... 5.31 4.07 0.73 10.11 090 S
27329... .................. A Remove tumor, thigh/knee.... 11.74 11.69 2.14 25.57 090 S
27330... .................. A Biopsy knee joint lining.... 4.71 *6.02 1.19 11.92 090 S
27331... .................. A Explore/treat knee joint.... 5.51 *7.05 1.49 14.05 090 S
27332... .................. A Removal of knee cartilage... 7.85 *10.05 1.73 19.63 090 S
27333... .................. A Removal of knee cartilage... 6.81 *9.01 2.52 18.34 090 S
27334... .................. A Remove knee joint lining.... 7.95 *10.18 1.77 19.90 090 S
27335... .................. A Remove knee joint lining.... 9.19 *11.76 2.05 23.00 090 S
27340... .................. A Removal of kneecap bursa.... 3.92 3.85 0.62 8.39 090 S
27345... .................. A Removal of knee cyst........ 5.63 5.63 0.95 12.21 090 S
27350... .................. A Removal of kneecap.......... 7.42 *9.49 1.54 18.45 090 S
27355... .................. A Remove femur lesion......... 7.06 7.58 1.23 15.87 090 S
27356... .................. A Remove femur lesion/graft... 8.60 8.20 1.34 18.14 090 S
27357... .................. A Remove femur lesion/graft... 9.63 8.80 1.43 19.86 090 S
27358... .................. A Remove femur lesion/fixation 4.74 4.55 0.72 10.01 ZZZ S
27360... .................. A Partial removal leg bone(s). 9.23 8.56 1.40 19.19 090 S
27365... .................. A Extensive leg surgery....... 13.84 13.94 2.43 30.21 090 S
27370... .................. A Injection for knee x-ray.... 0.96 0.60 0.05 1.61 000 N
27372... .................. A Removal of foreign body..... 4.81 3.42 0.54 8.77 090 S
27380... .................. A Repair of kneecap tendon.... 6.63 7.94 1.29 15.86 090 S
27381... .................. A Repair/graft kneecap tendon. 9.66 11.27 1.82 22.75 090 S
27385... .................. A Repair of thigh muscle...... 7.17 8.84 1.42 17.43 090 S
27386... .................. A Repair/graft of thigh muscle 9.72 *12.44 2.02 24.18 090 S
27390... .................. A Incision of thigh tendon.... 4.89 4.36 0.71 9.96 090 S
27391... .................. A Incision of thigh tendons... 6.67 5.42 0.90 12.99 090 S
27392... .................. A Incision of thigh tendons... 8.52 7.67 1.28 17.47 090 S
27393... .................. A Lengthening of thigh tendon. 5.95 5.67 0.93 12.55 090 S
27394... .................. A Lengthening of thigh tendons 7.97 5.73 0.94 14.64 090 S
27395... .................. A Lengthening of thigh tendons 10.96 10.48 1.65 23.09 090 S
27396... .................. A Transplant of thigh tendon.. 7.33 7.06 1.11 15.50 090 S
27397... .................. A Transplants of thigh tendons 9.33 8.88 1.45 19.66 090 S
27400... .................. A Revise thigh muscles/tendons 8.47 7.89 1.24 17.60 090 S
27403... .................. A Repair of knee cartilage.... 7.80 8.79 1.44 18.03 090 S
27405... .................. A Repair of knee ligament..... 7.97 10.17 1.67 19.81 090 S
27407... .................. A Repair of knee ligament..... 9.44 8.87 1.42 19.73 090 S
27409... .................. A Repair of knee ligaments.... 11.80 *15.10 2.48 29.38 090 S
27418... .................. A Repair degenerated kneecap.. 9.82 12.23 1.85 23.90 090 S
27420... .................. A Revision of unstable kneecap 9.15 10.99 1.74 21.88 090 S
27422... .................. A Revision of unstable kneecap 9.10 11.45 1.83 22.38 090 S
27424... .................. A Revision/removal of kneecap. 9.13 *11.68 1.89 22.70 090 S
27425... .................. A Lateral retinacular release. 5.04 *6.46 1.08 12.58 090 S
27427... .................. A Reconstruction, knee........ 8.68 *11.12 2.25 22.05 090 S
27428... .................. A Reconstruction, knee........ 10.68 *13.67 2.71 27.06 090 S
27429... .................. A Reconstruction, knee........ 11.86 11.27 1.83 24.96 090 S
27430... .................. A Revision of thigh muscles... 8.92 9.36 1.50 19.78 090 S
27435... .................. A Incision of knee joint...... 8.74 7.03 1.13 16.90 090 S
27437... .................. A Revise kneecap.............. 7.74 *9.91 1.55 19.20 090 S
27438... .................. A Revise kneecap with implant. 10.29 13.13 2.14 25.56 090 S
27440... .................. A Revision of knee joint...... 9.49 11.83 2.10 23.42 090 S
27441... .................. A Revision of knee joint...... 9.81 9.14 1.51 20.46 090 S
27442... .................. A Revision of knee joint...... 11.14 *14.25 3.05 28.44 090 S
27443... .................. A Revision of knee joint...... 10.18 *13.03 3.34 26.55 090 S
27445... .................. A Revision of knee joint...... 16.39 *20.98 4.21 41.58 090 S
27446... .................. A Revision of knee joint...... 15.03 *19.25 3.87 38.15 090 S
[[Page 63212]]
27447... .................. A Total knee replacement...... 19.69 *25.20 4.95 49.84 090 S
27448... .................. A Incision of thigh........... 10.25 12.87 2.09 25.21 090 S
27450... .................. A Incision of thigh........... 13.08 14.84 2.36 30.28 090 S
27454... .................. A Realignment of thigh bone... 12.26 *15.70 2.82 30.78 090 S
27455... .................. A Realignment of knee......... 12.01 12.01 1.95 25.97 090 S
27457... .................. A Realignment of knee......... 12.60 13.30 2.14 28.04 090 S
27465... .................. A Shortening of thigh bone.... 12.84 12.24 2.00 27.08 090 S
27466... .................. A Lengthening of thigh bone... 15.08 13.43 2.27 30.78 090 S
27468... .................. A Shorten/lengthen thighs..... 17.65 16.84 2.75 37.24 090 S
27470... .................. A Repair of thigh............. 14.82 16.67 2.60 34.09 090 S
27472... .................. A Repair/graft of thigh....... 16.40 19.87 3.16 39.43 090 S
27475... .................. A Surgery to stop leg growth.. 8.11 7.74 1.27 17.12 090 S
27477... .................. A Surgery to stop leg growth.. 9.32 *11.93 2.57 23.82 090 S
27479... .................. A Surgery to stop leg growth.. 12.18 11.63 1.89 25.70 090 S
27485... .................. A Surgery to stop leg growth.. 8.31 7.91 1.30 17.52 090 S
27486... .................. A Revise knee joint replace... 16.63 *21.28 4.26 42.17 090 S
27487... .................. A Revise knee joint replace... 21.69 *27.76 5.97 55.42 090 S
27488... .................. A Removal of knee prosthesis.. 14.48 16.16 2.58 33.22 090 S
27495... .................. A Reinforce thigh............. 14.26 17.63 2.82 34.71 090 S
27496... .................. A Decompression of thigh/knee. 4.75 4.53 0.74 10.02 090 S
27497... .................. A Decompression of thigh/knee. 5.81 5.55 0.91 12.27 090 S
27498... .................. A Decompression of thigh/knee. 6.63 6.32 1.04 13.99 090 S
27499... .................. A Decompression of thigh/knee. 7.64 7.28 1.19 16.11 090 S
27500... .................. A Treatment of thigh fracture. 5.29 5.41 0.82 11.52 090 S
27501... .................. A Treatment of thigh fracture. 5.29 5.41 0.82 11.52 090 S
27502... .................. A Treatment of thigh fracture. 9.51 7.67 1.21 18.39 090 S
27503... .................. A Treatment of thigh fracture. 9.51 7.67 1.21 18.39 090 S
27506... .................. A Repair of thigh fracture.... 15.93 16.02 2.56 34.51 090 S
27507... .................. A Treatment of thigh fracture. 12.85 16.02 2.56 31.43 090 S
27508... .................. A Treatment of thigh fracture. 5.21 4.22 0.65 10.08 090 S
27509... .................. A Treatment of thigh fracture. 6.77 4.22 0.65 11.64 090 S
27510... .................. A Treatment of thigh fracture. 8.19 6.82 1.09 16.10 090 S
27511... .................. A Treatment of thigh fracture. 12.50 *16.00 2.56 31.06 090 S
27513... .................. A Treatment of thigh fracture. 16.78 16.02 2.56 35.36 090 S
27514... .................. A Repair of thigh fracture.... 15.98 15.76 2.53 34.27 090 S
27516... .................. A Repair of thigh growth plate 4.92 4.82 0.71 10.45 090 S
27517... .................. A Repair of thigh growth plate 8.20 7.82 1.28 17.30 090 S
27519... .................. A Repair of thigh growth plate 13.82 12.68 2.05 28.55 090 S
27520... .................. A Treat kneecap fracture...... 2.68 3.04 0.45 6.17 090 S
27524... .................. A Repair of kneecap fracture.. 9.38 10.34 1.65 21.37 090 S
27530... .................. A Treatment of knee fracture.. 3.23 3.40 0.51 7.14 090 S
27532... .................. A Treatment of knee fracture.. 6.81 5.68 0.91 13.40 090 S
27535... .................. A Treatment of knee fracture.. 10.36 11.69 1.88 23.93 090 S
27536... .................. A Repair of knee fracture..... 14.51 11.69 1.88 28.08 090 S
27538... .................. A Treat knee fracture(s)...... 4.64 3.37 0.51 8.52 090 S
27540... .................. A Repair of knee fracture..... 12.38 10.95 1.74 25.07 090 S
27550... .................. A Treat knee dislocation...... 5.53 2.57 0.36 8.46 090 S
27552... .................. A Treat knee dislocation...... 7.39 3.43 0.53 11.35 090 S
27556... .................. A Repair of knee dislocation.. 13.47 12.48 1.95 27.90 090 S
27557... .................. A Repair of knee dislocation.. 15.80 14.60 2.43 32.83 090 S
27558... .................. A Repair of knee dislocation.. 16.75 14.60 2.43 33.78 090 S
27560... .................. A Treat kneecap dislocation... 3.64 1.43 0.16 5.23 090 S
27562... .................. A Treat kneecap dislocation... 5.48 5.18 0.76 11.42 090 S
27566... .................. A Repair kneecap dislocation.. 11.48 10.58 1.67 23.73 090 S
27570... .................. A Fixation of knee joint...... 1.69 1.72 0.28 3.69 010 S
27580... .................. A Fusion of knee.............. 12.26 *15.70 2.56 30.52 090 S
27590... .................. A Amputate leg at thigh....... 10.24 9.11 1.80 21.15 090 S
27591... .................. A Amputate leg at thigh....... 11.09 11.77 2.11 24.97 090 S
27592... .................. A Amputate leg at thigh....... 8.75 8.11 1.61 18.47 090 S
27594... .................. A Amputation follow-up surgery 6.30 3.65 0.68 10.63 090 S
27596... .................. A Amputation follow-up surgery 9.63 7.37 1.42 18.42 090 S
27598... .................. A Amputate lower leg at knee.. 9.56 10.04 1.78 21.38 090 S
27599... .................. C Leg surgery procedure....... 0.00 0.00 0.00 0.00 YYY S
27600... .................. A Decompression of lower leg.. 5.02 3.39 0.64 9.05 090 S
27601... .................. A Decompression of lower leg.. 4.98 3.38 0.67 9.03 090 S
27602... .................. A Decompression of lower leg.. 6.63 4.05 0.77 11.45 090 S
[[Page 63213]]
27603... .................. A Drain lower leg lesion...... 4.41 2.38 0.41 7.20 090 S
27604... .................. A Drain lower leg bursa....... 4.23 1.02 0.14 5.39 090 S
27605... .................. A Incision of achilles tendon. 2.82 1.18 0.14 4.14 010 S
27606... .................. A Incision of achilles tendon. 3.87 2.12 0.35 6.34 010 S
27607... .................. A Treat lower leg bone lesion. 7.05 6.01 0.98 14.04 090 S
27610... .................. A Explore/treat ankle joint... 7.27 7.43 1.13 15.83 090 S
27612... .................. A Exploration of ankle joint.. 6.23 *7.97 1.30 15.50 090 S
27613... .................. A Biopsy lower leg soft tissue 2.12 0.67 0.10 2.89 010 S
27614... .................. A Biopsy lower leg soft tissue 5.29 2.26 0.38 7.93 090 S
27615... .................. A Remove tumor, lower leg..... 11.79 8.23 1.42 21.44 090 S
27618... .................. A Remove lower leg lesion..... 4.94 2.10 0.32 7.36 090 S
27619... .................. A Remove lower leg lesion..... 7.98 4.13 0.67 12.78 090 S
27620... .................. A Explore, treat ankle joint.. 5.69 6.03 0.96 12.68 090 S
27625... .................. A Remove ankle joint lining... 7.88 8.71 1.27 17.86 090 S
27626... .................. A Remove ankle joint lining... 8.49 *10.86 1.25 20.60 090 S
27630... .................. A Removal of tendon lesion.... 4.65 3.10 0.46 8.21 090 S
27635... .................. A Remove lower leg bone lesion 7.29 8.04 1.27 16.60 090 S
27637... .................. A Remove/graft leg bone lesion 9.14 8.47 1.40 19.01 090 S
27638... .................. A Remove/graft leg bone lesion 9.89 9.15 1.52 20.56 090 S
27640... .................. A Partial removal of tibia.... 10.21 9.81 1.57 21.59 090 S
27641... .................. A Partial removal of fibula... 8.36 7.13 1.18 16.67 090 S
27645... .................. A Extensive lower leg surgery. 13.14 11.64 1.98 26.76 090 S
27646... .................. A Extensive lower leg surgery. 11.69 10.75 1.71 24.15 090 S
27647... .................. A Extensive ankle/heel surgery 11.21 9.95 1.35 22.51 090 S
27648... .................. A Injection for ankle x-ray... 0.96 0.52 0.05 1.53 000 N
27650... .................. A Repair achilles tendon...... 9.07 8.98 1.41 19.46 090 S
27652... .................. A Repair/graft achilles tendon 9.62 10.41 1.56 21.59 090 S
27654... .................. A Repair of achilles tendon... 9.34 10.93 1.65 21.92 090 S
27656... .................. A Repair leg fascia defect.... 4.31 3.18 0.54 8.03 090 S
27658... .................. A Repair of leg tendon, each.. 4.61 4.02 0.60 9.23 090 S
27659... .................. A Repair of leg tendon, each.. 6.28 5.87 0.86 13.01 090 S
27664... .................. A Repair of leg tendon, each.. 4.33 3.41 0.52 8.26 090 S
27665... .................. A Repair of leg tendon, each.. 5.11 4.95 0.76 10.82 090 S
27675... .................. A Repair lower leg tendons.... 6.78 6.40 0.94 14.12 090 S
27676... .................. A Repair lower leg tendons.... 7.87 7.56 1.14 16.57 090 S
27680... .................. A Release of lower leg tendon. 5.37 4.12 0.61 10.10 090 S
27681... .................. A Release of lower leg tendons 6.36 5.97 0.86 13.19 090 S
27685... .................. A Revision of lower leg tendon 6.08 3.83 0.41 10.32 090 S
27686... .................. A Revise lower leg tendons.... 6.93 6.56 0.90 14.39 090 S
27687... .................. A Revision of calf tendon..... 5.84 5.45 0.76 12.05 090 S
27690... .................. A Revise lower leg tendon..... 8.09 6.74 0.88 15.71 090 S
27691... .................. A Revise lower leg tendon..... 9.25 7.89 1.23 18.37 090 S
27692... .................. A Revise additional leg tendon 1.87 2.03 0.29 4.19 ZZZ S
27695... .................. A Repair of ankle ligament.... 6.09 *7.79 1.32 15.20 090 S
27696... .................. A Repair of ankle ligaments... 7.72 7.06 1.16 15.94 090 S
27698... .................. A Repair of ankle ligament.... 8.87 *11.35 1.86 22.08 090 S
27700... .................. A Revision of ankle joint..... 8.67 *11.11 1.51 21.29 090 S
27702... .................. A Reconstruct ankle joint..... 12.64 *16.18 3.99 32.81 090 S
27703... .................. A Reconstruction, ankle joint. 14.49 13.82 2.25 30.56 090 S
27704... .................. A Removal of ankle implant.... 7.20 5.84 0.98 14.02 090 S
27705... .................. A Incision of tibia........... 9.63 10.74 1.76 22.13 090 S
27707... .................. A Incision of fibula.......... 3.71 *4.75 0.79 9.25 090 S
27709... .................. A Incision of tibia & fibula.. 9.14 *11.70 2.14 22.98 090 S
27712... .................. A Realignment of lower leg.... 11.81 10.99 1.63 24.43 090 S
27715... .................. A Revision of lower leg....... 12.97 12.61 1.88 27.46 090 S
27720... .................. A Repair of tibia............. 10.95 13.97 2.25 27.17 090 S
27722... .................. A Repair/graft of tibia....... 10.92 10.50 1.64 23.06 090 S
27724... .................. A Repair/graft of tibia....... 12.11 *15.50 2.87 30.48 090 S
27725... .................. A Repair of lower leg......... 11.04 10.43 1.53 23.00 090 S
27727... .................. A Repair of lower leg......... 12.89 9.38 1.84 24.11 090 S
27730... .................. A Repair of tibia epiphysis... 6.88 3.59 0.84 11.31 090 S
27732... .................. A Repair of fibula epiphysis.. 5.06 4.84 0.79 10.69 090 S
27734... .................. A Repair lower leg epiphyses.. 7.89 7.54 1.23 16.66 090 S
27740... .................. A Repair of leg epiphyses..... 8.75 8.36 1.36 18.47 090 S
27742... .................. A Repair of leg epiphyses..... 9.72 9.29 1.52 20.53 090 S
27745... .................. A Reinforce tibia............. 9.39 8.97 1.39 19.75 090 S
[[Page 63214]]
27750... .................. A Treatment of tibia fracture. 2.90 3.45 0.50 6.85 090 S
27752... .................. A Treatment of tibia fracture. 5.16 5.09 0.81 11.06 090 S
27756... .................. A Repair of tibia fracture.... 5.84 *7.48 1.70 15.02 090 S
27758... .................. A Repair of tibia fracture.... 10.51 *13.46 2.22 26.19 090 S
27759... .................. A Repair of tibia fracture.... 12.60 13.74 2.22 28.56 090 S
27760... .................. A Treatment of ankle fracture. 2.81 2.58 0.37 5.76 090 S
27762... .................. A Treatment of ankle fracture. 4.80 3.36 0.50 8.66 090 S
27766... .................. A Repair of ankle fracture.... 7.61 7.87 1.26 16.74 090 S
27780... .................. A Treatment of fibula fracture 2.47 1.97 0.26 4.70 090 S
27781... .................. A Treatment of fibula fracture 4.20 3.29 0.49 7.98 090 S
27784... .................. A Repair of fibula fracture... 6.45 5.59 0.87 12.91 090 S
27786... .................. A Treatment of ankle fracture. 2.66 2.52 0.38 5.56 090 S
27788... .................. A Treatment of ankle fracture. 4.25 3.27 0.50 8.02 090 S
27792... .................. A Repair of ankle fracture.... 7.04 7.38 1.17 15.59 090 S
27808... .................. A Treatment of ankle fracture. 2.63 2.79 0.39 5.81 090 S
27810... .................. A Treatment of ankle fracture. 4.82 5.05 0.80 10.67 090 S
27814... .................. A Repair of ankle fracture.... 9.87 10.00 1.60 21.47 090 S
27816... .................. A Treatment of ankle fracture. 2.71 *3.47 0.55 6.73 090 S
27818... .................. A Treatment of ankle fracture. 5.08 *6.51 1.06 12.65 090 S
27822... .................. A Repair of ankle fracture.... 8.39 *10.73 1.88 21.00 090 S
27823... .................. A Repair of ankle fracture.... 10.90 12.79 2.05 25.74 090 S
27824... .................. A Treat lower leg fracture.... 2.71 *3.47 0.55 6.73 090 S
27825... .................. A Treat lower leg fracture.... 5.08 *6.51 1.06 12.65 090 S
27826... .................. A Treat lower leg fracture.... 7.43 *9.50 1.88 18.81 090 S
27827... .................. A Treat lower leg fracture.... 9.90 11.71 1.88 23.49 090 S
27828... .................. A Treat lower leg fracture.... 12.33 12.79 2.05 27.17 090 S
27829... .................. A Treat lower leg joint....... 4.87 *6.23 1.37 12.47 090 S
27830... .................. A Treat lower leg dislocation. 3.50 3.25 0.46 7.21 090 S
27831... .................. A Treat lower leg dislocation. 4.27 3.98 0.59 8.84 090 S
27832... .................. A Repair lower leg dislocation 5.96 5.70 0.89 12.55 090 S
27840... .................. A Treat ankle dislocation..... 4.27 1.87 0.21 6.35 090 S
27842... .................. A Treat ankle dislocation..... 5.72 2.22 0.34 8.28 090 S
27846... .................. A Repair ankle dislocation.... 9.04 8.59 1.37 19.00 090 S
27848... .................. A Repair ankle dislocation.... 10.45 8.36 1.32 20.13 090 S
27860... .................. A Fixation of ankle joint..... 2.29 1.39 0.23 3.91 010 S
27870... .................. A Fusion of ankle joint....... 10.42 *13.34 2.22 25.98 090 S
27871... .................. A Fusion of tibiofibular joint 8.55 7.79 1.21 17.55 090 S
27880... .................. A Amputation of lower leg..... 10.69 8.36 1.60 20.65 090 S
27881... .................. A Amputation of lower leg..... 10.89 10.82 1.87 23.58 090 S
27882... .................. A Amputation of lower leg..... 7.80 7.36 1.42 16.58 090 S
27884... .................. A Amputation follow-up surgery 7.40 3.37 0.61 11.38 090 S
27886... .................. A Amputation follow-up surgery 8.35 7.17 1.34 16.86 090 S
27888... .................. A Amputation of foot at ankle. 8.70 9.49 1.65 19.84 090 S
27889... .................. A Amputation of foot at ankle. 8.82 8.43 1.55 18.80 090 S
27892... .................. A Decompression of leg........ 6.03 3.39 0.64 10.06 090 S
27893... .................. A Decompression of leg........ 5.99 3.38 0.67 10.04 090 S
27894... .................. A Decompression of leg........ 7.64 4.05 0.77 12.46 090 S
27899... .................. C Leg/ankle surgery procedure. 0.00 0.00 0.00 0.00 YYY S
28001... .................. A Drainage of bursa of foot... 2.68 0.52 0.05 3.25 010 S
28002... .................. A Treatment of foot infection. 3.76 2.25 0.33 6.34 010 S
28003... .................. A Treatment of foot infection. 7.49 3.50 0.59 11.58 090 S
28005... .................. A Treat foot bone lesion...... 7.65 4.08 0.61 12.34 090 S
28008... .................. A Incision of foot fascia..... 4.19 2.68 0.29 7.16 090 S
28010... .................. A Incision of toe tendon...... 2.97 3.62 0.33 6.92 090 S
28011... .................. A Incision of toe tendons..... 3.99 1.77 0.19 5.95 090 S
28020... .................. A Exploration of a foot joint. 4.75 4.40 0.56 9.71 090 S
28022... .................. A Exploration of a foot joint. 4.41 2.74 0.31 7.46 090 S
28024... .................. A Exploration of a toe joint.. 4.12 2.39 0.24 6.75 090 S
28030... .................. A Removal of foot nerve....... 5.78 3.93 0.42 10.13 090 S
28035... .................. A Decompression of tibia nerve 4.83 *6.18 0.90 11.91 090 S
28043... .................. A Excision of foot lesion..... 3.41 1.73 0.20 5.34 090 S
28045... .................. A Excision of foot lesion..... 4.46 3.99 0.46 8.91 090 S
28046... .................. A Resection of tumor, foot.... 9.41 5.35 0.79 15.55 090 S
28050... .................. A Biopsy of foot joint lining. 3.99 3.84 0.53 8.36 090 S
28052... .................. A Biopsy of foot joint lining. 3.70 3.82 0.43 7.95 090 S
28054... .................. A Biopsy of toe joint lining.. 3.21 2.24 0.28 5.73 090 S
[[Page 63215]]
28060... .................. A Partial removal foot fascia. 5.05 4.22 0.53 9.80 090 S
28062... .................. A Removal of foot fascia...... 6.23 7.06 0.86 14.15 090 S
28070... .................. A Removal of foot joint lining 4.73 4.48 0.48 9.69 090 S
28072... .................. A Removal of foot joint lining 4.32 3.21 0.42 7.95 090 S
28080... .................. A Removal of foot lesion...... 3.18 *4.07 0.45 7.70 090 S
28086... .................. A Excise foot tendon sheath... 4.52 3.12 0.46 8.10 090 S
28088... .................. A Excise foot tendon sheath... 3.62 3.62 0.40 7.64 090 S
28090... .................. A Removal of foot lesion...... 4.26 3.02 0.29 7.57 090 S
28092... .................. A Removal of toe lesions...... 3.49 2.03 0.25 5.77 090 S
28100... .................. A Removal of ankle/heel lesion 5.37 4.58 0.56 10.51 090 S
28102... .................. A Remove/graft foot lesion.... 7.31 6.84 0.85 15.00 090 S
28103... .................. A Remove/graft foot lesion.... 6.10 5.61 0.69 12.40 090 S
28104... .................. A Removal of foot lesion...... 4.86 4.33 0.49 9.68 090 S
28106... .................. A Remove/graft foot lesion.... 6.74 6.42 0.79 13.95 090 S
28107... .................. A Remove/graft foot lesion.... 5.16 4.86 0.48 10.50 090 S
28108... .................. A Removal of toe lesions...... 4.01 4.20 0.38 8.59 090 S
28110... .................. A Part removal of metatarsal.. 3.82 3.48 0.39 7.69 090 S
28111... .................. A Part removal of metatarsal.. 4.64 5.04 0.65 10.33 090 S
28112... .................. A Part removal of metatarsal.. 4.23 3.96 0.45 8.64 090 S
28113... .................. A Part removal of metatarsal.. 4.09 4.44 0.48 9.01 090 S
28114... .................. A Removal of metatarsal heads. 7.16 *9.17 1.42 17.75 090 S
28116... .................. A Revision of foot............ 6.17 5.48 0.57 12.22 090 S
28118... .................. A Removal of heel bone........ 5.56 5.71 0.66 11.93 090 S
28119... .................. A Removal of heel spur........ 5.10 5.44 0.57 11.11 090 S
28120... .................. A Part removal of ankle/heel.. 4.81 5.04 0.67 10.52 090 S
28122... .................. A Partial removal of foot bone 6.62 4.48 0.54 11.64 090 S
28124... .................. A Partial removal of toe...... 4.39 4.11 0.37 8.87 090 S
28126... .................. A Partial removal of toe...... 3.39 3.98 0.36 7.73 090 S
28130... .................. A Removal of ankle bone....... 7.33 7.03 0.88 15.24 090 S
28140... .................. A Removal of metatarsal....... 6.45 4.93 0.62 12.00 090 S
28150... .................. A Removal of toe.............. 3.83 3.29 0.38 7.50 090 S
28153... .................. A Partial removal of toe...... 3.40 3.99 0.36 7.75 090 S
28160... .................. A Partial removal of toe...... 3.59 4.12 0.38 8.09 090 S
28171... .................. A Extensive foot surgery...... 8.98 7.99 0.88 17.85 090 S
28173... .................. A Extensive foot surgery...... 8.18 5.74 0.74 14.66 090 S
28175... .................. A Extensive foot surgery...... 5.59 5.38 0.58 11.55 090 S
28190... .................. A Removal of foot foreign body 1.91 0.52 0.05 2.48 010 S
28192... .................. A Removal of foot foreign body 4.49 1.95 0.24 6.68 090 S
28193... .................. A Removal of foot foreign body 5.44 2.38 0.30 8.12 090 S
28200... .................. A Repair of foot tendon....... 4.45 5.06 0.50 10.01 090 S
28202... .................. A Repair/graft of foot tendon. 6.38 5.82 0.77 12.97 090 S
28208... .................. A Repair of foot tendon....... 4.11 2.81 0.28 7.20 090 S
28210... .................. A Repair/graft of foot tendon. 5.95 5.60 0.60 12.15 090 S
28220... .................. A Release of foot tendon...... 4.27 3.87 0.43 8.57 090 S
28222... .................. A Release of foot tendons..... 5.36 6.40 0.63 12.39 090 S
28225... .................. A Release of foot tendon...... 3.42 2.37 0.25 6.04 090 S
28226... .................. A Release of foot tendons..... 4.27 3.38 0.40 8.05 090 S
28230... .................. A Incision of foot tendon(s).. 4.00 2.43 0.22 6.65 090 S
28232... .................. A Incision of toe tendon...... 3.26 1.60 0.15 5.01 090 S
28234... .................. A Incision of foot tendon..... 3.19 1.53 0.14 4.86 090 S
28236... .................. D Transfer of foot tendon..... 0.00 0.00 0.00 0.00 090 S
28238... .................. A Revision of foot tendon..... 7.27 7.23 0.85 15.35 090 S
28240... .................. A Release of big toe.......... 4.12 2.13 0.23 6.48 090 S
28250... .................. A Revision of foot fascia..... 5.66 4.46 0.50 10.62 090 S
28260... .................. A Release of midfoot joint.... 7.50 4.43 0.48 12.41 090 S
28261... .................. A Revision of foot tendon..... 8.92 5.91 0.58 15.41 090 S
28262... .................. A Revision of foot and ankle.. 12.19 11.91 1.44 25.54 090 S
28264... .................. A Release of midfoot joint.... 9.80 9.56 1.17 20.53 090 S
28270... .................. A Release of foot contracture. 4.58 2.63 0.23 7.44 090 S
28272... .................. A Release of toe joint, each.. 3.67 2.04 0.18 5.89 090 S
28280... .................. A Fusion of toes.............. 4.93 2.22 0.30 7.45 090 S
28285... .................. A Repair of hammertoe......... 4.41 4.37 0.39 9.17 090 S
28286... .................. A Repair of hammertoe......... 4.41 3.58 0.38 8.37 090 S
28288... .................. A Partial removal of foot bone 3.73 3.75 0.43 7.91 090 S
28290... .................. A Correction of bunion........ 5.37 5.36 0.63 11.36 090 S
28292... .................. A Correction of bunion........ 6.24 7.05 0.74 14.03 090 S
[[Page 63216]]
28293... .................. A Correction of bunion........ 8.25 9.55 0.98 18.78 090 S
28294... .................. A Correction of bunion........ 8.14 9.16 0.86 18.16 090 S
28296... .................. A Correction of bunion........ 8.69 8.81 0.98 18.48 090 S
28297... .................. A Correction of bunion........ 8.69 9.02 1.05 18.76 090 S
28298... .................. A Correction of bunion........ 7.52 8.89 0.79 17.20 090 S
28299... .................. A Correction of bunion........ 8.46 10.14 1.08 19.68 090 S
28300... .................. A Incision of heel bone....... 9.12 6.52 0.79 16.43 090 S
28302... .................. A Incision of ankle bone...... 9.13 8.89 1.12 19.14 090 S
28304... .................. A Incision of midfoot bones... 8.67 6.44 0.70 15.81 090 S
28305... .................. A Incise/graft midfoot bones.. 9.99 9.85 1.03 20.87 090 S
28306... .................. A Incision of metatarsal...... 5.71 4.57 0.47 10.75 090 S
28307... .................. A Incision of metatarsal...... 6.04 5.87 0.76 12.67 090 S
28308... .................. A Incision of metatarsal...... 5.09 5.71 0.50 11.30 090 S
28309... .................. A Incision of metatarsals..... 8.83 6.87 1.00 16.70 090 S
28310... .................. A Revision of big toe......... 5.06 4.17 0.42 9.65 090 S
28312... .................. A Revision of toe............. 4.29 4.56 0.45 9.30 090 S
28313... .................. A Repair deformity of toe..... 4.75 2.57 0.31 7.63 090 S
28315... .................. A Removal of sesamoid bone.... 4.60 4.24 0.41 9.25 090 S
28320... .................. A Repair of foot bones........ 8.76 8.69 1.03 18.48 090 S
28322... .................. A Repair of metatarsals....... 8.03 4.67 0.52 13.22 090 S
28340... .................. A Resect enlarged toe tissue.. 6.58 6.34 0.91 13.83 090 S
28341... .................. A Resect enlarged toe......... 7.86 7.66 0.96 16.48 090 S
28344... .................. A Repair extra toe(s)......... 3.89 3.70 0.60 8.19 090 S
28345... .................. A Repair webbed toe(s)........ 5.52 5.34 0.73 11.59 090 S
28360... .................. A Reconstruct cleft foot...... 12.49 11.91 1.95 26.35 090 S
28400... .................. A Treatment of heel fracture.. 2.01 *2.57 0.40 4.98 090 S
28405... .................. A Treatment of heel fracture.. 4.28 3.90 0.58 8.76 090 S
28406... .................. A Treatment of heel fracture.. 5.82 6.09 0.93 12.84 090 S
28415... .................. A Repair of heel fracture..... 13.28 9.02 1.39 23.69 090 S
28420... .................. A Repair/graft heel fracture.. 15.80 10.89 1.63 28.32 090 S
28430... .................. A Treatment of ankle fracture. 1.96 2.45 0.35 4.76 090 S
28435... .................. A Treatment of ankle fracture. 3.25 3.36 0.50 7.11 090 S
28436... .................. A Treatment of ankle fracture. 4.40 4.19 0.68 9.27 090 S
28445... .................. A Repair of ankle fracture.... 8.78 8.80 1.40 18.98 090 S
28450... .................. A Treat midfoot fracture, each 1.77 1.87 0.25 3.89 090 S
28455... .................. A Treat midfoot fracture, each 2.94 2.54 0.34 5.82 090 S
28456... .................. A Repair midfoot fracture..... 2.39 2.27 0.38 5.04 090 S
28465... .................. A Repair midfoot fracture, 6.55 5.54 0.81 12.90 090 S
each.
28470... .................. A Treat metatarsal fracture... 1.76 1.80 0.23 3.79 090 S
28475... .................. A Treat metatarsal fracture... 2.74 2.34 0.30 5.38 090 S
28476... .................. A Repair metatarsal fracture.. 3.15 3.37 0.45 6.97 090 S
28485... .................. A Repair metatarsal fracture.. 5.31 4.68 0.60 10.59 090 S
28490... .................. A Treat big toe fracture...... 1.01 0.90 0.10 2.01 090 S
28495... .................. A Treat big toe fracture...... 1.48 1.12 0.13 2.73 090 S
28496... .................. A Repair big toe fracture..... 2.18 2.07 0.31 4.56 090 S
28505... .................. A Repair big toe fracture..... 3.55 2.99 0.43 6.97 090 S
28510... .................. A Treatment of toe fracture... 1.01 0.89 0.09 1.99 090 S
28515... .................. A Treatment of toe fracture... 1.36 1.12 0.11 2.59 090 S
28525... .................. A Repair of toe fracture...... 3.08 2.06 0.29 5.43 090 S
28530... .................. A Treat sesamoid bone fracture 1.01 1.00 0.10 2.11 090 S
28531... .................. A Treat sesamoid bone fracture 2.01 1.91 0.32 4.24 090 S
28540... .................. A Treat foot dislocation...... 1.89 0.60 0.06 2.55 090 S
28545... .................. A Treat foot dislocation...... 2.19 1.31 0.14 3.64 090 S
28546... .................. A Treat foot dislocation...... 2.89 2.74 0.45 6.08 090 S
28555... .................. A Repair foot dislocation..... 5.84 5.58 0.73 12.15 090 S
28570... .................. A Treat foot dislocation...... 1.56 1.59 0.17 3.32 090 S
28575... .................. A Treat foot dislocation...... 2.91 2.77 0.42 6.10 090 S
28576... .................. A Treat foot dislocation...... 3.75 2.77 0.42 6.94 090 S
28585... .................. A Repair foot dislocation..... 7.46 4.96 0.55 12.97 090 S
28600... .................. A Treat foot dislocation...... 1.76 0.68 0.08 2.52 090 S
28605... .................. A Treat foot dislocation...... 2.42 2.26 0.34 5.02 090 S
28606... .................. A Treat foot dislocation...... 4.48 3.49 0.55 8.52 090 S
28615... .................. A Repair foot dislocation..... 5.12 4.96 0.78 10.86 090 S
28630... .................. A Treat toe dislocation....... 1.65 1.03 0.11 2.79 010 S
28635... .................. A Treat toe dislocation....... 1.86 1.45 0.18 3.49 010 S
28636... .................. A Treat toe dislocation....... 2.67 2.56 0.42 5.65 010 S
[[Page 63217]]
28645... .................. A Repair toe dislocation...... 3.96 3.24 0.38 7.58 090 S
28660... .................. A Treat toe dislocation....... 1.18 0.63 0.06 1.87 010 S
28665... .................. A Treat toe dislocation....... 1.87 0.98 0.11 2.96 010 S
28666... .................. A Treat toe dislocation....... 2.56 2.44 0.40 5.40 010 S
28675... .................. A Repair of toe dislocation... 2.68 3.00 0.41 6.09 090 S
28705... .................. A Fusion of foot bones........ 14.23 15.11 2.35 31.69 090 S
28715... .................. A Fusion of foot bones........ 12.18 12.33 1.89 26.40 090 S
28725... .................. A Fusion of foot bones........ 10.86 9.44 1.44 21.74 090 S
28730... .................. A Fusion of foot bones........ 9.91 9.00 1.33 20.24 090 S
28735... .................. A Fusion of foot bones........ 10.07 9.76 1.37 21.20 090 S
28737... .................. A Revision of foot bones...... 8.89 8.87 1.13 18.89 090 S
28740... .................. A Fusion of foot bones........ 6.20 5.14 0.72 12.06 090 S
28750... .................. A Fusion of big toe joint..... 4.77 5.32 0.82 10.91 090 S
28755... .................. A Fusion of big toe joint..... 4.48 3.69 0.45 8.62 090 S
28760... .................. A Fusion of big toe joint..... 5.47 5.40 0.65 11.52 090 S
28800... .................. A Amputation of midfoot....... 7.37 6.65 1.19 15.21 090 S
28805... .................. A Amputation thru metatarsal.. 7.55 6.32 1.21 15.08 090 S
28810... .................. A Amputation toe & metatarsal. 5.53 3.91 0.75 10.19 090 S
28820... .................. A Amputation of toe........... 3.56 2.58 0.46 6.60 090 S
28825... .................. A Partial amputation of toe... 3.13 2.40 0.41 5.94 090 S
28899... .................. C Foot/toes surgery procedure. 0.00 0.00 0.00 0.00 YYY S
29000... .................. A Application of body cast.... 2.25 1.85 0.21 4.31 000 S
29010... .................. A Application of body cast.... 2.06 2.33 0.34 4.73 000 S
29015... .................. A Application of body cast.... 2.41 2.33 0.33 5.07 000 S
29020... .................. A Application of body cast.... 2.11 1.82 0.23 4.16 000 S
29025... .................. A Application of body cast.... 2.40 0.75 0.14 3.29 000 S
29035... .................. A Application of body cast.... 1.77 1.95 0.32 4.04 000 S
29040... .................. A Application of body cast.... 2.22 2.02 0.30 4.54 000 S
29044... .................. A Application of body cast.... 2.12 2.09 0.34 4.55 000 S
29046... .................. A Application of body cast.... 2.41 2.23 0.36 5.00 000 S
29049... .................. A Application of shoulder cast 0.89 0.42 0.06 1.37 000 S
29055... .................. A Application of shoulder cast 1.78 1.20 0.17 3.15 000 S
29058... .................. A Application of shoulder cast 1.31 0.65 0.09 2.05 000 S
29065... .................. A Application of long arm cast 0.87 0.80 0.13 1.80 000 S
29075... .................. A Application of forearm cast. 0.77 0.61 0.10 1.48 000 S
29085... .................. A Apply hand/wrist cast....... 0.87 0.50 0.08 1.45 000 S
29105... .................. A Apply long arm splint....... 0.87 0.50 0.08 1.45 000 S
29125... .................. A Apply forearm splint........ 0.59 0.37 0.05 1.01 000 S
29126... .................. A Apply forearm splint........ 0.77 0.40 0.06 1.23 000 S
29130... .................. A Application of finger splint 0.50 0.17 0.02 0.69 000 S
29131... .................. A Application of finger splint 0.55 0.39 0.06 1.00 000 S
29200... .................. A Strapping of chest.......... 0.65 0.27 0.03 0.95 000 N
29220... .................. A Strapping of low back....... 0.64 0.38 0.05 1.07 000 S
29240... .................. A Strapping of shoulder....... 0.71 0.27 0.03 1.01 000 S
29260... .................. A Strapping of elbow or wrist. 0.55 0.23 0.03 0.81 000 S
29280... .................. A Strapping of hand or finger. 0.51 0.21 0.02 0.74 000 S
29305... .................. A Application of hip cast..... 2.03 1.88 0.31 4.22 000 S
29325... .................. A Application of hip casts.... 2.32 1.94 0.28 4.54 000 S
29345... .................. A Application of long leg cast 1.40 1.02 0.16 2.58 000 S
29355... .................. A Application of long leg cast 1.53 1.10 0.17 2.80 000 S
29358... .................. A Apply long leg cast brace... 1.43 *1.84 0.33 3.60 000 S
29365... .................. A Application of long leg cast 1.18 0.86 0.14 2.18 000 S
29405... .................. A Apply short leg cast........ 0.86 0.79 0.12 1.77 000 S
29425... .................. A Apply short leg cast........ 1.01 0.97 0.14 2.12 000 S
29435... .................. A Apply short leg cast........ 1.18 1.18 0.18 2.54 000 S
29440... .................. A Addition of walker to cast.. 0.57 0.23 0.03 0.83 000 S
29445... .................. A Apply rigid leg cast........ 1.78 1.70 0.28 3.76 000 S
29450... .................. A Application of leg cast..... 1.02 0.39 0.04 1.45 000 S
29505... .................. A Application long leg splint. 0.69 0.57 0.07 1.33 000 S
29515... .................. A Application lower leg splint 0.73 0.47 0.06 1.26 000 S
29520... .................. A Strapping of hip............ 0.54 0.36 0.03 0.93 000 S
29530... .................. A Strapping of knee........... 0.57 0.35 0.05 0.97 000 S
29540... .................. A Strapping of ankle.......... 0.51 0.30 0.03 0.84 000 S
29550... .................. A Strapping of toes........... 0.47 0.28 0.03 0.78 000 S
29580... .................. A Application of paste boot... 0.57 0.79 0.04 1.40 000 S
29590... .................. A Application of foot splint.. 0.76 0.28 0.03 1.07 000 S
[[Page 63218]]
29700... .................. A Removal/revision of cast.... 0.88 0.32 0.05 1.25 000 S
29705... .................. A Removal/revision of cast.... 1.12 0.35 0.05 1.52 000 S
29710... .................. A Removal/revision of cast.... 1.34 0.45 0.07 1.86 000 S
29715... .................. A Removal/revision of cast.... 0.94 0.86 0.12 1.92 000 S
29720... .................. A Repair of body cast......... 0.68 0.23 0.04 0.95 000 S
29730... .................. A Windowing of cast........... 0.75 0.26 0.04 1.05 000 S
29740... .................. A Wedging of cast............. 1.12 0.38 0.06 1.56 000 S
29750... .................. A Wedging of clubfoot cast.... 1.26 0.50 0.07 1.83 000 S
29799... .................. C Casting/strapping procedure. 0.00 0.00 0.00 0.00 YYY S
29800... .................. A Jaw arthroscopy/surgery..... 5.28 4.01 0.46 9.75 090 S
29804... .................. A Jaw arthroscopy/surgery..... 7.99 *10.23 1.46 19.68 090 S
29815... .................. A Shoulder arthroscopy........ 5.74 4.84 0.76 11.34 090 S
29819... .................. A Shoulder arthroscopy/surgery 7.33 *9.38 1.73 18.44 090 S
29820... .................. A Shoulder arthroscopy/surgery 6.81 *8.72 1.73 17.26 090 S
29821... .................. A Shoulder arthroscopy/surgery 7.43 *9.50 2.13 19.06 090 S
29822... .................. A Shoulder arthroscopy/surgery 7.14 *9.14 1.74 18.02 090 S
29823... .................. A Shoulder arthroscopy/surgery 7.86 *10.07 2.32 20.25 090 S
29825... .................. A Shoulder arthroscopy/surgery 7.33 *9.38 2.05 18.76 090 S
29826... .................. A Shoulder arthroscopy/surgery 8.70 *11.14 2.31 22.15 090 S
29830... .................. A Elbow arthroscopy........... 5.63 5.32 0.83 11.78 090 S
29834... .................. A Elbow arthroscopy/surgery... 6.13 5.84 0.96 12.93 090 S
29835... .................. A Elbow arthroscopy/surgery... 6.33 6.03 0.99 13.35 090 S
29836... .................. A Elbow arthroscopy/surgery... 7.37 7.03 1.15 15.55 090 S
29837... .................. A Elbow arthroscopy/surgery... 6.72 6.40 1.06 14.18 090 S
29838... .................. A Elbow arthroscopy/surgery... 7.42 7.05 1.14 15.61 090 S
29840... .................. A Wrist arthroscopy........... 5.39 3.29 0.54 9.22 090 S
29843... .................. A Wrist arthroscopy/surgery... 5.86 5.60 0.91 12.37 090 S
29844... .................. A Wrist arthroscopy/surgery... 6.22 5.59 0.95 12.76 090 S
29845... .................. A Wrist arthroscopy/surgery... 7.34 7.00 1.15 15.49 090 S
29846... .................. A Wrist arthroscopy/surgery... 6.60 *8.45 2.20 17.25 090 S
29847... .................. A Wrist arthroscopy/surgery... 6.93 6.78 0.97 14.68 090 S
29848... .................. A Wrist arthroscopy/surgery... 4.04 3.85 0.62 8.51 090 S
29850... .................. A Knee arthroscopy/surgery.... 7.96 *10.19 1.74 19.89 090 S
29851... .................. A Knee arthroscopy/surgery.... 12.38 10.95 1.74 25.07 090 S
29855... .................. A Tibial arthroscopy/surgery.. 9.48 11.69 1.88 23.05 090 S
29856... .................. A Tibial arthroscopy/surgery.. 13.28 11.69 1.88 26.85 090 S
29870... .................. A Knee arthroscopy, diagnostic 4.94 4.02 0.64 9.60 090 S
29871... .................. A Knee arthroscopy/drainage... 6.29 6.77 0.96 14.02 090 S
29874... .................. A Knee arthroscopy/surgery.... 6.79 *8.69 1.52 17.00 090 S
29875... .................. A Knee arthroscopy/surgery.... 6.16 *7.88 1.61 15.65 090 S
29876... .................. A Knee arthroscopy/surgery.... 7.51 *9.61 1.95 19.07 090 S
29877... .................. A Knee arthroscopy/surgery.... 7.05 *9.03 1.81 17.89 090 S
29879... .................. A Knee arthroscopy/surgery.... 7.63 *9.76 2.19 19.58 090 S
29880... .................. A Knee arthroscopy/surgery.... 8.09 *10.35 2.22 20.66 090 S
29881... .................. A Knee arthroscopy/surgery.... 7.46 *9.54 1.82 18.82 090 S
29882... .................. A Knee arthroscopy/surgery.... 8.24 *10.54 1.90 20.68 090 S
29883... .................. A Knee arthroscopy/surgery.... 9.00 *11.52 2.80 23.32 090 S
29884... .................. A Knee arthroscopy/surgery.... 6.92 *8.86 1.56 17.34 090 S
29885... .................. A Knee arthroscopy/surgery.... 8.63 8.23 1.35 18.21 090 S
29886... .................. A Knee arthroscopy/surgery.... 7.13 6.80 1.12 15.05 090 S
29887... .................. A Knee arthroscopy/surgery.... 8.58 10.52 1.71 20.81 090 S
29888... .................. A Knee arthroscopy/surgery.... 13.28 *17.00 3.18 33.46 090 S
29889... .................. A Knee arthroscopy/surgery.... 10.76 10.26 1.68 22.70 090 S
29894... .................. A Ankle arthroscopy/surgery... 6.95 *8.90 1.47 17.32 090 S
29895... .................. A Ankle arthroscopy/surgery... 6.73 *8.60 1.51 16.84 090 S
29897... .................. A Ankle arthroscopy/surgery... 6.92 *8.86 1.77 17.55 090 S
29898... .................. A Ankle arthroscopy/surgery... 8.03 *10.28 1.91 20.22 090 S
29909... .................. C Arthroscopy of joint........ 0.00 0.00 0.00 0.00 YYY S
30000... .................. A Drainage of nose lesion..... 1.38 0.58 0.05 2.01 010 S
30020... .................. A Drainage of nose lesion..... 1.38 0.60 0.06 2.04 010 S
30100... .................. A Intranasal biopsy........... 0.94 0.69 0.08 1.71 000 S
30110... .................. A Removal of nose polyp(s).... 1.58 1.29 0.14 3.01 010 S
30115... .................. A Removal of nose polyp(s).... 4.25 2.81 0.30 7.36 090 S
30117... .................. A Removal of intranasal lesion 3.06 2.84 0.31 6.21 090 S
30118... .................. A Removal of intranasal lesion 9.23 8.01 0.92 18.16 090 S
30120... .................. A Revision of nose............ 5.14 *6.59 1.00 12.73 090 S
[[Page 63219]]
30124... .................. A Removal of nose lesion...... 3.00 1.34 0.16 4.50 090 S
30125... .................. A Removal of nose lesion...... 6.79 5.55 0.73 13.07 090 S
30130... .................. A Removal of turbinate bones.. 3.17 1.67 0.17 5.01 090 S
30140... .................. A Removal of turbinate bones.. 3.28 3.04 0.34 6.66 090 S
30150... .................. A Partial removal of nose..... 8.48 7.92 1.07 17.47 090 S
30160... .................. A Removal of nose............. 8.92 *11.42 1.73 22.07 090 S
30200... .................. A Injection treatment of nose. 0.78 0.37 0.04 1.19 000 S
30210... .................. A Nasal sinus therapy......... 1.03 0.26 0.03 1.32 010 S
30220... .................. A Insert nasal septal button.. 1.49 1.51 0.16 3.16 010 S
30300... .................. A Remove nasal foreign body... 0.99 0.46 0.05 1.50 010 S
30310... .................. A Remove nasal foreign body... 1.91 1.62 0.18 3.71 010 S
30320... .................. A Remove nasal foreign body... 4.39 4.29 0.43 9.11 090 S
30400... .................. R Reconstruction of nose...... 9.24 9.97 1.36 20.57 090 S
30410... .................. R Reconstruction of nose...... 12.39 14.54 2.01 28.94 090 S
30420... .................. R Reconstruction of nose...... 15.40 17.78 2.22 35.40 090 S
30430... .................. R Revision of nose............ 6.73 6.09 0.66 13.48 090 S
30435... .................. R Revision of nose............ 11.23 10.17 1.10 22.50 090 S
30450... .................. R Revision of nose............ 18.06 11.24 0.91 30.21 090 S
30460... .................. A Revision of nose............ 9.48 8.58 0.93 18.99 090 S
30462... .................. A Revision of nose............ 18.98 17.16 1.87 38.01 090 S
30520... .................. A Repair of nasal septum...... 5.55 *7.10 0.96 13.61 090 S
30540... .................. A Repair nasal defect......... 7.46 6.63 0.70 14.79 090 S
30545... .................. A Repair nasal defect......... 10.89 10.83 0.93 22.65 090 S
30560... .................. A Release of nasal adhesions.. 1.21 0.55 0.06 1.82 010 S
30580... .................. A Repair upper jaw fistula.... 6.49 6.24 0.57 13.30 090 S
30600... .................. A Repair mouth/nose fistula... 5.87 3.77 0.36 10.00 090 S
30620... .................. A Intranasal reconstruction... 5.55 *7.10 1.10 13.75 090 S
30630... .................. A Repair nasal septum defect.. 6.83 6.24 0.71 13.78 090 S
30801... .................. A Cauterization inner nose.... 1.02 0.47 0.05 1.54 010 S
30802... .................. A Cauterization inner nose.... 1.98 0.94 0.11 3.03 010 S
30901... .................. A Control of nosebleed........ 1.21 0.56 0.06 1.83 000 S
30903... .................. A Control of nosebleed........ 1.54 0.85 0.08 2.47 000 S
30905... .................. A Control of nosebleed........ 1.97 1.79 0.17 3.93 000 S
30906... .................. A Repeat control of nosebleed. 2.45 1.08 0.11 3.64 000 S
30915... .................. A Ligation nasal sinus artery. 6.72 4.95 0.52 12.19 090 S
30920... .................. A Ligation upper jaw artery... 7.46 *9.54 1.32 18.32 090 S
30930... .................. A Therapy fracture of nose.... 1.21 0.71 0.08 2.00 010 S
30999... .................. C Nasal surgery procedure..... 0.00 0.00 0.00 0.00 YYY N
31000... .................. A Irrigation maxillary sinus.. 1.10 0.43 0.05 1.58 010 S
31002... .................. A Irrigation sphenoid sinus... 1.86 0.46 0.05 2.37 010 S
31020... .................. A Exploration maxillary sinus. 2.81 2.66 0.29 5.76 090 S
31030... .................. A Exploration maxillary sinus. 5.60 *7.16 0.86 13.62 090 S
31032... .................. A Explore sinus, remove polyps 6.22 *7.96 0.99 15.17 090 S
31040... .................. A Exploration behind upper jaw 8.83 7.98 0.86 17.67 090 S
31050... .................. A Exploration sphenoid sinus.. 5.07 5.96 0.64 11.67 090 S
31051... .................. A Sphenoid sinus surgery...... 6.85 8.12 0.85 15.82 090 S
31070... .................. A Exploration of frontal sinus 4.04 4.69 0.50 9.23 090 S
31075... .................. A Exploration of frontal sinus 8.57 10.51 1.10 20.18 090 S
31080... .................. A Removal of frontal sinus.... 10.73 9.21 1.12 21.06 090 S
31081... .................. A Removal of frontal sinus.... 11.93 10.32 1.30 23.55 090 S
31084... .................. A Removal of frontal sinus.... 12.69 14.79 1.62 29.10 090 S
31085... .................. A Removal of frontal sinus.... 13.38 15.65 1.76 30.79 090 S
31086... .................. A Removal of frontal sinus.... 11.98 10.87 1.15 24.00 090 S
31087... .................. A Removal of frontal sinus.... 12.14 10.39 1.33 23.86 090 S
31090... .................. A Exploration of sinuses...... 8.65 *11.32 2.12 22.09 090 S
31200... .................. A Removal of ethmoid sinus.... 4.68 4.62 0.48 9.78 090 S
31201... .................. A Removal of ethmoid sinus.... 7.91 7.01 0.75 15.67 090 S
31205... .................. A Removal of ethmoid sinus.... 9.65 8.03 0.81 18.49 090 S
31225... .................. A Removal of upper jaw........ 15.19 *19.44 2.37 37.00 090 S
31230... .................. A Removal of upper jaw........ 21.06 21.74 2.48 45.28 090 S
31231... .................. A Nasal endoscopy, dx......... 1.10 1.37 0.15 2.62 000 S
31233... .................. A Nasal/sinus endoscopy, dx... 2.18 *2.79 0.31 5.28 000 S
31235... .................. A Nasal/sinus endoscopy, dx... 2.64 2.39 0.26 5.29 000 S
31237... .................. A Nasal/sinus endoscopy, surg. 2.98 3.37 0.37 6.72 000 S
31238... .................. A Nasal/sinus endoscopy, surg. 3.26 *4.17 0.45 7.88 000 S
31239... .................. A Nasal/sinus endoscopy, surg. 8.50 *10.88 1.18 20.56 010 S
[[Page 63220]]
31240... .................. A Nasal/sinus endoscopy, surg. 2.61 *3.34 0.37 6.32 000 S
31254... .................. A Revision of ethmoid sinus... 4.65 *5.95 0.69 11.29 000 S
31255... .................. A Removal of ethmoid sinus.... 6.96 *8.91 1.14 17.01 000 S
31256... .................. A Exploration maxillary sinus. 3.29 3.77 0.41 7.47 000 S
31267... .................. A Endoscopy, maxillary sinus.. 5.46 5.23 0.81 11.50 000 S
31276... .................. A Sinus surgical endoscopy.... 8.85 6.72 0.73 16.30 000 S
31287... .................. A Nasal/sinus endoscopy, surg. 3.92 *5.01 0.65 9.58 000 S
31288... .................. A Nasal/sinus endoscopy, surg. 4.58 *5.86 0.78 11.22 000 S
31290... .................. A Nasal/sinus endoscopy, surg. 12.87 *16.47 1.80 31.14 010 S
31291... .................. A Nasal/sinus endoscopy, surg. 13.52 *17.31 1.88 32.71 010 S
31292... .................. A Nasal/sinus endoscopy, surg. 10.45 *13.38 1.45 25.28 010 S
31293... .................. A Nasal/sinus endoscopy, surg. 11.43 *14.64 1.59 27.66 010 S
31294... .................. A Nasal/sinus endoscopy, surg. 13.06 *16.72 1.83 31.61 010 S
31299... .................. C Sinus surgery procedure..... 0.00 0.00 0.00 0.00 YYY S
31300... .................. A Removal of larynx lesion.... 13.28 11.58 1.28 26.14 090 S
31320... .................. A Diagnostic incision larynx.. 4.54 3.87 0.48 8.89 090 S
31360... .................. A Removal of larynx........... 15.19 19.36 2.19 36.74 090 S
31365... .................. A Removal of larynx........... 21.83 27.14 3.10 52.07 090 S
31367... .................. A Partial removal of larynx... 18.98 17.22 1.88 38.08 090 S
31368... .................. A Partial removal of larynx... 23.72 26.76 3.06 53.54 090 S
31370... .................. A Partial removal of larynx... 18.50 17.18 1.88 37.56 090 S
31375... .................. A Partial removal of larynx... 18.50 14.84 1.56 34.90 090 S
31380... .................. A Partial removal of larynx... 18.50 17.27 1.88 37.65 090 S
31382... .................. A Partial removal of larynx... 18.50 16.06 1.78 36.34 090 S
31390... .................. A Removal of larynx & pharynx. 21.15 *27.08 4.05 52.28 090 S
31395... .................. A Reconstruct larynx & pharynx 26.19 *33.52 4.42 64.13 090 S
31400... .................. A Revision of larynx.......... 9.06 7.81 0.91 17.78 090 S
31420... .................. A Removal of epiglottis....... 9.06 8.08 0.84 17.98 090 S
31500... .................. A Insert emergency airway..... 2.33 1.14 0.14 3.61 000 N
31502... .................. A Change of windpipe airway... 0.65 0.58 0.07 1.30 000 S
31505... .................. A Diagnostic laryngoscopy..... 0.61 0.43 0.05 1.09 000 S
31510... .................. A Laryngoscopy with biopsy.... 1.92 0.55 0.07 2.54 000 S
31511... .................. A Remove foreign body, larynx. 2.16 0.96 0.10 3.22 000 S
31512... .................. A Removal of larynx lesion.... 2.07 1.79 0.20 4.06 000 S
31513... .................. A Injection into vocal cord... 2.10 *2.68 0.38 5.16 000 S
31515... .................. A Laryngoscopy for aspiration. 1.80 1.13 0.14 3.07 000 S
31520... .................. A Diagnostic laryngoscopy..... 2.56 1.64 0.18 4.38 000 S
31525... .................. A Diagnostic laryngoscopy..... 2.63 2.20 0.23 5.06 000 S
31526... .................. A Diagnostic laryngoscopy..... 2.57 *3.29 0.38 6.24 000 S
31527... .................. A Laryngoscopy for treatment.. 3.27 2.99 0.30 6.56 000 S
31528... .................. A Laryngoscopy and dilatation. 2.37 2.66 0.30 5.33 000 S
31529... .................. A Laryngoscopy and dilatation. 2.68 2.46 0.25 5.39 000 S
31530... .................. A Operative laryngoscopy...... 3.39 3.63 0.39 7.41 000 S
31531... .................. A Operative laryngoscopy...... 3.73 *4.78 0.60 9.11 000 S
31535... .................. A Operative laryngoscopy...... 3.16 4.01 0.45 7.62 000 S
31536... .................. A Operative laryngoscopy...... 3.17 *4.06 0.59 7.82 000 S
31540... .................. A Operative laryngoscopy...... 4.13 *5.29 0.61 10.03 000 S
31541... .................. A Operative laryngoscopy...... 3.56 *4.56 0.75 8.87 000 S
31560... .................. A Operative laryngoscopy...... 5.46 4.99 0.51 10.96 000 S
31561... .................. A Operative laryngoscopy...... 4.90 *6.27 1.08 12.25 000 S
31570... .................. A Laryngoscopy with injection. 3.87 *4.95 0.60 9.42 000 S
31571... .................. A Laryngoscopy with injection. 3.52 *4.51 0.69 8.72 000 S
31575... .................. A Diagnostic laryngoscopy..... 1.10 1.56 0.17 2.83 000 S
31576... .................. A Laryngoscopy with biopsy.... 1.97 *2.52 0.33 4.82 000 S
31577... .................. A Remove foreign body, larynx. 2.47 *3.16 0.37 6.00 000 S
31578... .................. A Removal of larynx lesion.... 2.84 *3.63 0.48 6.95 000 S
31579... .................. A Diagnostic laryngoscopy..... 2.26 2.33 0.26 4.85 000 S
31580... .................. A Revision of larynx.......... 11.01 *14.09 1.63 26.73 090 S
31582... .................. A Revision of larynx.......... 19.73 17.87 1.94 39.54 090 S
31584... .................. A Repair of larynx fracture... 18.50 12.72 1.34 32.56 090 S
31585... .................. A Repair of larynx fracture... 4.40 3.77 0.40 8.57 090 S
31586... .................. A Repair of larynx fracture... 7.24 6.55 0.71 14.50 090 S
31587... .................. A Revision of larynx.......... 7.98 7.21 0.79 15.98 090 S
31588... .................. A Revision of larynx.......... 11.82 10.70 1.16 23.68 090 S
31590... .................. A Reinnervate larynx.......... 6.36 5.76 0.62 12.74 090 S
31595... .................. A Larynx nerve surgery........ 7.58 6.84 0.74 15.16 090 S
[[Page 63221]]
31599... .................. C Larynx surgery procedure.... 0.00 0.00 0.00 0.00 YYY S
31600... .................. A Incision of windpipe........ 3.62 4.04 0.65 8.31 000 S
31601... .................. A Incision of windpipe........ 4.45 5.03 0.66 10.14 000 S
31603... .................. A Incision of windpipe........ 4.15 4.23 0.66 9.04 000 S
31605... .................. A Incision of windpipe........ 3.58 4.19 0.50 8.27 000 S
31610... .................. A Incision of windpipe........ 7.87 6.67 0.92 15.46 090 S
31611... .................. A Surgery/speech prosthesis... 5.03 *6.45 1.04 12.52 090 S
31612... .................. A Puncture/clear windpipe..... 0.91 1.17 0.12 2.20 000 S
31613... .................. A Repair windpipe opening..... 4.24 2.21 0.28 6.73 090 S
31614... .................. A Repair windpipe opening..... 6.11 6.74 0.73 13.58 090 S
31615... .................. A Visualization of windpipe... 2.09 1.95 0.22 4.26 000 S
31622... .................. A Diagnostic bronchoscopy..... 2.80 3.57 0.34 6.71 000 N
31625... .................. A Bronchoscopy with biopsy.... 3.37 3.83 0.35 7.55 000 N
31628... .................. A Bronchoscopy with biopsy.... 3.81 *4.88 0.38 9.07 000 N
31629... .................. A Bronchoscopy with biopsy.... 3.37 *4.31 0.34 8.02 000 N
31630... .................. A Bronchoscopy with repair.... 3.82 3.72 0.50 8.04 000 S
31631... .................. A Bronchoscopy with dilation.. 4.37 3.94 0.48 8.79 000 N
31635... .................. A Remove foreign body, airway. 3.68 4.53 0.53 8.74 000 S
31640... .................. A Bronchoscopy & remove lesion 4.94 5.02 0.67 10.63 000 S
31641... .................. A Bronchoscopy, treat blockage 5.03 *6.45 0.85 12.33 000 N
31645... .................. A Bronchoscopy, clear airways. 3.16 3.62 0.30 7.08 000 N
31646... .................. A Bronchoscopy, reclear 2.72 3.06 0.27 6.05 000 N
airways.
31656... .................. A Bronchoscopy, inject for x- 2.17 *2.77 0.31 5.25 000 N
ray.
31700... .................. A Insertion of airway catheter 1.34 1.38 0.17 2.89 000 N
31708... .................. A Instill airway contrast dye. 1.41 0.77 0.09 2.27 000 N
31710... .................. A Insertion of airway catheter 1.30 0.90 0.12 2.32 000 N
31715... .................. A Injection for bronchus x-ray 1.11 0.48 0.04 1.63 000 N
31717... .................. A Bronchial brush biopsy...... 2.12 0.73 0.06 2.91 000 N
31720... .................. A Clearance of airways........ 1.06 0.74 0.09 1.89 000 N
31725... .................. A Clearance of airways........ 1.96 1.41 0.15 3.52 000 N
31730... .................. A Intro windpipe wire/tube.... 2.85 2.47 0.23 5.55 000 N
31750... .................. A Repair of windpipe.......... 9.05 8.88 1.09 19.02 090 S
31755... .................. A Repair of windpipe.......... 14.69 13.30 1.44 29.43 090 S
31760... .................. A Repair of windpipe.......... 20.89 10.92 2.55 34.36 090 S
31766... .................. A Reconstruction of windpipe.. 28.82 18.40 1.12 48.34 090 S
31770... .................. A Repair/graft of bronchus.... 21.15 15.07 2.08 38.30 090 S
31775... .................. A Reconstruct bronchus........ 22.15 16.37 1.92 40.44 090 S
31780... .................. A Reconstruct windpipe........ 16.14 17.33 2.08 35.55 090 S
31781... .................. A Reconstruct windpipe........ 22.22 16.86 1.96 41.04 090 S
31785... .................. A Remove windpipe lesion...... 16.14 8.92 1.17 26.23 090 S
31786... .................. A Remove windpipe lesion...... 22.54 13.30 2.24 38.08 090 S
31800... .................. A Repair of windpipe injury... 6.77 4.90 0.76 12.43 090 S
31805... .................. A Repair of windpipe injury... 12.59 9.82 1.41 23.82 090 S
31820... .................. A Closure of windpipe lesion.. 4.10 3.58 0.46 8.14 090 S
31825... .................. A Repair of windpipe defect... 6.31 5.00 0.58 11.89 090 S
31830... .................. A Revise windpipe scar........ 4.26 3.66 0.42 8.34 090 S
31899... .................. C Airways surgical procedure.. 0.00 0.00 0.00 0.00 YYY S
32000... .................. A Drainage of chest........... 1.54 0.90 0.08 2.52 000 N
32002... .................. A Treatment of collapsed lung. 2.19 1.34 0.22 3.75 000 N
32005... .................. A Treat lung lining chemically 2.19 1.09 0.15 3.43 000 S
32020... .................. A Insertion of chest tube..... 3.98 2.63 0.43 7.04 000 S
32035... .................. A Exploration of chest........ 6.55 6.76 1.25 14.56 090 S
32036... .................. A Exploration of chest........ 7.56 7.13 1.32 16.01 090 S
32095... .................. A Biopsy through chest wall... 7.13 8.25 1.45 16.83 090 S
32100... .................. A Exploration/biopsy of chest. 10.07 11.24 2.10 23.41 090 S
32110... .................. A Explore/repair chest........ 11.76 11.51 2.01 25.28 090 S
32120... .................. A Re-exploration of chest..... 9.62 9.45 1.72 20.79 090 S
32124... .................. A Explore chest, free 10.93 10.94 2.21 24.08 090 S
adhesions.
32140... .................. A Removal of lung lesion(s)... 12.14 12.37 2.42 26.93 090 S
32141... .................. A Remove/treat lung lesions... 12.14 13.42 2.53 28.09 090 S
32150... .................. A Removal of lung lesion(s)... 12.42 10.34 2.01 24.77 090 S
32151... .................. A Remove lung foreign body.... 12.42 9.15 1.37 22.94 090 S
32160... .................. A Open chest heart massage.... 7.13 *9.13 1.52 17.78 090 S
32200... .................. A Drainage of lung lesion..... 13.10 6.89 0.93 20.92 090 S
32215... .................. A Treat chest lining.......... 10.07 7.62 1.28 18.97 090 S
32220... .................. A Release of lung............. 17.62 15.81 3.01 36.44 090 S
[[Page 63222]]
32225... .................. A Partial release of lung..... 12.10 11.84 2.28 26.22 090 S
32310... .................. A Removal of chest lining..... 12.05 11.64 2.10 25.79 090 S
32320... .................. A Free/remove chest lining.... 19.15 18.10 3.40 40.65 090 S
32400... .................. A Needle biopsy chest lining.. 1.76 1.48 0.12 3.36 000 N
32402... .................. A Open biopsy chest lining.... 6.55 7.58 1.34 15.47 090 S
32405... .................. A Biopsy, lung or mediastinum. 1.93 2.12 0.18 4.23 000 N
32420... .................. A Puncture/clear lung......... 2.18 1.50 0.13 3.81 000 N
32440... .................. A Removal of lung............. 19.15 18.56 3.55 41.26 090 S
32442... .................. A Sleeve pneumonectomy........ 24.68 17.94 3.50 46.12 090 S
32445... .................. A Removal of lung............. 23.37 20.46 3.88 47.71 090 S
32480... .................. A Partial removal of lung..... 16.84 17.15 3.23 37.22 090 S
32482... .................. A Bilobectomy................. 18.54 17.15 3.23 38.92 090 S
32484... .................. A Segmentectomy............... 19.52 17.15 3.23 39.90 090 S
32485... .................. D Partial removal of lung..... 0.00 0.00 0.00 0.00 090 S
32486... .................. A Sleeve lobectomy............ 22.75 16.54 3.23 42.52 090 S
32488... .................. A Completion pneumonectomy.... 24.41 17.74 3.46 45.61 090 S
32500... .................. A Partial removal of lung..... 13.10 13.47 2.56 29.13 090 S
32501... .................. A Repair bronchus (add-on).... 4.69 4.31 0.70 9.70 ZZZ S
32520... .................. A Remove lung & revise chest.. 19.42 20.67 3.93 44.02 090 S
32522... .................. A Remove lung & revise chest.. 21.94 21.90 4.19 48.03 090 S
32525... .................. A Remove lung & revise chest.. 24.33 23.50 4.61 52.44 090 S
32540... .................. A Removal of lung lesion...... 13.31 11.67 2.05 27.03 090 S
32601... .................. A Thoracoscopy, diagnostic.... 5.46 3.47 0.57 9.50 000 S
32602... .................. A Thoracoscopy, diagnostic.... 5.96 3.87 0.64 10.47 000 S
32603... .................. A Thoracoscopy, diagnostic.... 7.81 3.47 0.57 11.85 000 S
32604... .................. A Thoracoscopy, diagnostic.... 8.78 3.87 0.64 13.29 000 S
32605... .................. A Thoracoscopy, diagnostic.... 6.93 3.47 0.57 10.97 000 S
32606... .................. A Thoracoscopy, diagnostic.... 8.40 3.87 0.64 12.91 000 S
32650... .................. A Thoracoscopy, surgical...... 10.07 7.62 1.28 18.97 090 S
32651... .................. A Thoracoscopy, surgical...... 12.10 11.84 2.28 26.22 090 S
32652... .................. A Thoracoscopy, surgical...... 17.62 15.81 3.01 36.44 090 S
32653... .................. A Thoracoscopy, surgical...... 12.42 10.34 2.01 24.77 090 S
32654... .................. A Thoracoscopy, surgical...... 11.76 11.51 2.01 25.28 090 S
32655... .................. A Thoracoscopy, surgical...... 12.42 13.42 2.53 28.37 090 S
32656... .................. A Thoracoscopy, surgical...... 12.10 13.36 2.36 27.82 090 S
32657... .................. A Thoracoscopy, surgical...... 13.10 13.47 2.56 29.13 090 S
32658... .................. A Thoracoscopy, surgical...... 11.08 13.26 2.52 26.86 090 S
32659... .................. A Thoracoscopy, surgical...... 10.91 *13.96 2.61 27.48 090 S
32660... .................. A Thoracoscopy, surgical...... 16.62 19.93 3.56 40.11 090 S
32661... .................. A Thoracoscopy, surgical...... 12.70 9.25 1.47 23.42 090 S
32662... .................. A Thoracoscopy, surgical...... 15.76 14.55 2.74 33.05 090 S
32663... .................. A Thoracoscopy, surgical...... 17.43 17.15 3.23 37.81 090 S
32664... .................. A Thoracoscopy, surgical...... 13.65 10.55 2.04 26.24 090 S
32665... .................. A Thoracoscopy, surgical...... 14.73 14.33 2.64 31.70 090 S
32800... .................. A Repair lung hernia.......... 12.10 8.28 1.58 21.96 090 S
32810... .................. A Close chest after drainage.. 11.59 6.50 1.19 19.28 090 S
32815... .................. A Close bronchial fistula..... 21.36 15.22 2.62 39.20 090 S
32820... .................. A Reconstruct injured chest... 19.78 19.01 3.24 42.03 090 S
32850... .................. X Donor pneumonectomy......... 0.00 0.00 0.00 0.00 XXX 0
32851... .................. A Lung transplant, single..... 35.14 25.55 4.99 65.68 090 S
32852... .................. A Lung transplant w/bypass.... 38.11 27.71 5.41 71.23 090 S
32853... .................. A Lung transplant, double..... 43.93 31.94 6.24 82.11 090 S
32854... .................. A Lung transplant w/bypass.... 46.90 34.10 6.67 87.67 090 S
32900... .................. A Removal of rib(s)........... 18.14 8.47 1.63 28.24 090 S
32905... .................. A Revise & repair chest wall.. 19.15 12.74 2.60 34.49 090 S
32906... .................. A Revise & repair chest wall.. 25.17 15.42 2.92 43.51 090 S
32940... .................. A Revision of lung............ 18.14 11.37 1.75 31.26 090 S
32960... .................. A Therapeutic pneumothorax.... 1.84 0.93 0.13 2.90 000 N
32999... .................. C Chest surgery procedure..... 0.00 0.00 0.00 0.00 YYY S
33010... .................. A Drainage of heart sac....... 2.24 1.54 0.14 3.92 000 N
33011... .................. A Repeat drainage of heart sac 2.24 1.11 0.12 3.47 000 N
33015... .................. A Incision of heart sac....... 5.64 4.26 0.62 10.52 090 S
33020... .................. A Incision of heart sac....... 11.08 13.26 2.52 26.86 090 S
33025... .................. A Incision of heart sac....... 10.91 *13.96 2.61 27.48 090 S
33030... .................. A Partial removal of heart sac 16.62 21.02 3.92 41.56 090 S
33031... .................. A Partial removal of heart sac 19.64 13.25 2.50 35.39 090 S
[[Page 63223]]
33050... .................. A Removal of heart sac lesion. 12.70 9.25 1.47 23.42 090 S
33120... .................. A Removal of heart lesion..... 22.57 *28.89 5.17 56.63 090 S
33130... .................. A Removal of heart lesion..... 19.53 13.50 2.22 35.25 090 S
33200... .................. A Insertion of heart pacemaker 11.08 12.27 1.90 25.25 090 S
33201... .................. A Insertion of heart pacemaker 8.93 11.19 1.67 21.79 090 S
33206... .................. A Insertion of heart pacemaker 6.04 *7.73 1.34 15.11 090 S
33207... .................. A Insertion of heart pacemaker 7.28 9.01 1.33 17.62 090 S
33208... .................. A Insertion of heart pacemaker 7.28 *9.50 1.54 18.32 090 N
33210... .................. A Insertion of heart electrode 3.30 3.30 0.27 6.87 000 N
33211... .................. A Insertion of heart electrode 3.40 3.30 0.27 6.97 000 N
33212... .................. A Insertion of pulse generator 5.21 5.38 0.88 11.47 090 S
33213... .................. A Insertion of pulse generator 6.15 5.38 0.88 12.41 090 N
33214... .................. A Upgrade of pacemaker system. 7.43 5.40 1.06 13.89 090 N
33216... .................. A Revision implanted electrode 5.07 5.02 0.55 10.64 090 N
33217... .................. A Insert/revise electrode..... 5.43 5.02 0.55 11.00 090 N
33218... .................. A Repair pacemaker electrodes. 5.02 4.59 0.62 10.23 090 S
33220... .................. A Repair pacemaker electrode.. 5.10 4.59 0.62 10.31 090 N
33222... .................. A Pacemaker aicd pocket....... 4.59 5.70 1.01 11.30 090 S
33223... .................. A Pacemaker aicd pocket....... 6.14 5.70 1.01 12.85 090 S
33233... .................. A Removal of pacemaker system. 2.97 2.64 0.05 5.66 090 N
33234... .................. A Removal of pacemaker system. 8.69 4.74 0.38 13.81 090 S
33235... .................. A Removal pacemaker electrode. 9.93 5.21 0.55 15.69 090 N
33236... .................. A Remove electrode/thoracotomy 11.71 3.98 0.62 16.31 090 S
33237... .................. A Remove electrode/thoracotomy 12.69 9.60 1.13 23.42 090 S
33238... .................. A Remove electrode/thoracotomy 14.15 10.29 2.01 26.45 090 S
33240... .................. A Insert/replace pulse gener.. 7.20 5.38 0.88 13.46 090 S
33241... .................. A Remove pulse generator only. 2.97 2.16 0.43 5.56 090 S
33242... .................. A Repair pulse generator/leads 5.85 *7.50 1.54 14.89 090 S
33243... .................. A Remove generator/thoracotomy 21.47 9.02 1.54 32.03 090 S
33244... .................. A Remove generator............ 8.34 9.02 1.54 18.90 090 S
33245... .................. A Implant heart defibrillator. 12.57 *16.09 2.36 31.02 090 S
33246... .................. A Implant heart defibrillator. 19.28 20.79 3.19 43.26 090 S
33247... .................. A Insert/replace leads........ 9.76 *12.49 2.36 24.61 090 N
33249... .................. A Insert/replace leads/gener.. 12.83 *16.42 3.19 32.44 090 S
33250... .................. A Ablate heart dysrhythm focus 19.54 11.56 0.86 31.96 090 S
33251... .................. A Ablate heart dysrhythm focus 22.57 16.41 3.21 42.19 090 S
33253... .................. A Reconstruct atria........... 30.00 21.81 4.26 56.07 090 S
33260... .................. D Ablate heart dysrhythm focus 0.00 0.00 0.00 0.00 090 S
33261... .................. A Ablate heart dysrhythm focus 22.57 13.96 2.73 39.26 090 S
33300... .................. A Repair of heart wound....... 16.19 14.36 2.60 33.15 090 S
33305... .................. A Repair of heart wound....... 19.22 17.40 3.07 39.69 090 S
33310... .................. A Exploratory heart surgery... 17.12 11.28 1.93 30.33 090 S
33315... .................. A Exploratory heart surgery... 20.15 14.48 2.57 37.20 090 S
33320... .................. A Repair major blood vessel(s) 15.39 14.14 2.51 32.04 090 S
33321... .................. A Repair major vessel......... 18.74 21.75 3.61 44.10 090 S
33322... .................. A Repair major blood vessel(s) 18.40 21.75 3.61 43.76 090 S
33330... .................. A Insert major vessel graft... 19.15 12.67 1.93 33.75 090 S
33332... .................. A Insert major vessel graft... 22.50 15.07 2.39 39.96 090 S
33335... .................. A Insert major vessel graft... 27.66 15.07 2.39 45.12 090 S
33350... .................. D Repair major blood vessel(s) 0.00 0.00 0.00 0.00 090 S
33400... .................. A Repair of aortic valve...... 23.16 26.21 2.83 52.20 090 S
33401... .................. A Valvuloplasty, open......... 22.45 26.21 2.83 51.49 090 S
33403... .................. A Valvuloplasty, w/cp bypass.. 23.43 26.21 2.83 52.47 090 S
33404... .................. A Prepare heart-aorta conduit. 26.62 31.25 5.59 63.46 090 S
33405... .................. A Replacement of aortic valve. 28.47 30.48 5.33 64.28 090 S
33406... .................. A Replacement, aortic valve... 31.23 38.65 7.45 77.33 090 S
33411... .................. A Replacement of aortic valve. 30.37 38.65 7.45 76.47 090 S
33412... .................. A Replacement of aortic valve. 32.26 38.65 7.45 78.36 090 S
33413... .................. A Replacement, aortic valve... 34.17 41.09 7.23 82.49 090 S
33414... .................. A Repair, aortic valve........ 29.28 38.65 7.45 75.38 090 S
33415... .................. A Revision, subvalvular tissue 25.02 30.48 5.33 60.83 090 S
33416... .................. A Revise ventricle muscle..... 28.20 28.14 4.99 61.33 090 S
33417... .................. A Repair of aortic valve...... 27.34 34.71 6.18 68.23 090 S
33420... .................. A Revision of mitral valve.... 20.69 19.82 2.45 42.96 090 S
33422... .................. A Revision of mitral valve.... 23.72 *30.35 6.45 60.52 090 S
33425... .................. A Repair of mitral valve...... 25.57 31.27 5.42 62.26 090 S
[[Page 63224]]
33426... .................. A Repair of mitral valve...... 26.07 31.96 5.80 63.83 090 S
33427... .................. A Repair of mitral valve...... 32.07 34.71 6.30 73.08 090 S
33430... .................. A Replacement of mitral valve. 29.42 34.85 6.11 70.38 090 S
33460... .................. A Revision of tricuspid valve. 21.60 26.07 4.73 52.40 090 S
33463... .................. A Valvuloplasty, tricuspid.... 24.16 32.67 5.95 62.78 090 S
33464... .................. A Valvuloplasty, tricuspid.... 25.87 32.67 5.95 64.49 090 S
33465... .................. A Replace tricuspid valve..... 26.57 32.67 5.95 65.19 090 S
33468... .................. A Revision of tricuspid valve. 28.20 34.71 6.30 69.21 090 S
33470... .................. A Revision of pulmonary valve. 19.52 19.82 2.45 41.79 090 S
33471... .................. A Valvotomy, pulmonary valve.. 21.13 26.21 2.83 50.17 090 S
33472... .................. A Revision of pulmonary valve. 20.91 *28.70 2.83 52.44 090 S
33474... .................. A Revision of pulmonary valve. 20.91 *28.70 2.83 52.44 090 S
33475... .................. A Replacement, pulmonary valve 27.34 34.85 6.11 68.30 090 S
33476... .................. A Revision of heart chamber... 24.41 28.14 4.99 57.54 090 S
33478... .................. A Revision of heart chamber... 25.38 31.27 5.42 62.07 090 S
33500... .................. A Repair heart vessel fistula. 23.91 29.55 5.20 58.66 090 S
33501... .................. A Repair heart vessel fistula. 16.14 14.14 2.51 32.79 090 S
33502... .................. A Coronary artery correction.. 19.80 14.14 2.51 36.45 090 S
33503... .................. A Coronary artery graft....... 20.15 29.55 5.20 54.90 090 S
33504... .................. A Coronary artery graft....... 23.16 29.55 5.20 57.91 090 S
33505... .................. A Repair artery w/tunnel...... 25.38 34.24 6.03 65.65 090 S
33506... .................. A Repair artery, translocation 25.38 34.24 6.03 65.65 090 S
33510... .................. A CABG, vein, single.......... 23.29 29.55 5.20 58.04 090 S
33511... .................. A CABG, vein, two............. 25.57 32.44 5.71 63.72 090 S
33512... .................. A CABG, vein, three........... 27.84 35.33 6.22 69.39 090 S
33513... .................. A CABG, vein, four............ 30.12 38.21 6.73 75.06 090 S
33514... .................. A CABG, vein, five............ 32.39 41.09 7.23 80.71 090 S
33516... .................. A CABG, vein, six+............ 34.66 43.97 7.74 86.37 090 S
33517... .................. A CABG, artery-vein, single... 2.27 2.89 0.50 5.66 090 S
33518... .................. A CABG, artery-vein, two...... 4.55 5.77 1.02 11.34 090 S
33519... .................. A CABG, artery-vein, three.... 6.82 8.65 1.52 16.99 090 S
33521... .................. A CABG, artery-vein, four..... 9.10 11.54 2.03 22.67 090 S
33522... .................. A CABG, artery-vein, five..... 11.37 14.43 2.54 28.34 090 S
33523... .................. A CABG, artery-vein, six+..... 13.65 17.32 3.05 34.02 090 S
33530... .................. A Coronary artery, bypass/reop 5.86 *7.51 2.18 15.55 ZZZ S
33533... .................. A CABG, arterial, single...... 24.00 30.45 5.36 59.81 090 S
33534... .................. A CABG, arterial, two......... 26.99 34.24 6.03 67.26 090 S
33535... .................. A CABG, arterial, three....... 29.98 38.03 6.70 74.71 090 S
33536... .................. A CABG, arterial, four+....... 32.96 41.82 7.37 82.15 090 S
33542... .................. A Removal of heart lesion..... 26.57 30.73 5.53 62.83 090 S
33545... .................. A Repair of heart damage...... 33.96 34.92 6.28 75.16 090 S
33572... .................. A Open coronary endarterectomy 4.45 3.23 0.63 8.31 ZZZ S
33600... .................. A Closure of valve............ 28.31 34.85 6.11 69.27 090 S
33602... .................. A Closure of valve............ 27.34 30.48 5.33 63.15 090 S
33606... .................. A Anastomosis/artery-aorta.... 29.28 38.65 7.45 75.38 090 S
33608... .................. A Repair anomaly w/conduit.... 30.02 38.65 7.45 76.12 090 S
33610... .................. A Repair by enlargement....... 29.28 38.65 7.45 75.38 090 S
33611... .................. A Repair double ventricle..... 31.23 38.65 7.45 77.33 090 S
33612... .................. A Repair double ventricle..... 32.06 38.65 7.45 78.16 090 S
33615... .................. A Repair (simple fontan)...... 30.50 38.65 7.45 76.60 090 S
33617... .................. A Repair by modified fontan... 32.21 38.65 7.45 78.31 090 S
33619... .................. A Repair single ventricle..... 35.39 44.30 8.04 87.73 090 S
33641... .................. A Repair heart septum defect.. 19.93 *25.51 4.87 50.31 090 S
33645... .................. A Revision of heart veins..... 22.78 27.61 4.87 55.26 090 S
33647... .................. A Repair heart septum defects. 27.44 34.92 6.28 68.64 090 S
33660... .................. A Repair of heart defects..... 24.41 31.27 5.42 61.10 090 S
33665... .................. A Repair of heart defects..... 27.34 31.27 5.42 64.03 090 S
33670... .................. A Repair of heart chambers.... 31.23 38.65 7.45 77.33 090 S
33681... .................. A Repair heart septum defect.. 26.36 34.92 6.28 67.56 090 S
33684... .................. A Repair heart septum defect.. 28.31 34.92 6.28 69.51 090 S
33688... .................. A Repair heart septum defect.. 29.28 34.92 6.28 70.48 090 S
33690... .................. A Reinforce pulmonary artery.. 18.31 22.10 4.29 44.70 090 S
33692... .................. A Repair of heart defects..... 29.28 38.65 7.45 75.38 090 S
33694... .................. A Repair of heart defects..... 30.26 38.65 7.45 76.36 090 S
33696... .................. D Repair of heart defects..... 0.00 0.00 0.00 0.00 090 S
33697... .................. A Repair of heart defects..... 32.21 38.65 7.45 78.31 090 S
[[Page 63225]]
33698... .................. D Repair of heart defects..... 0.00 0.00 0.00 0.00 090 S
33702... .................. A Repair of heart defects..... 25.38 30.48 5.33 61.19 090 S
33710... .................. A Repair of heart defects..... 28.35 34.92 6.28 69.55 090 S
33720... .................. A Repair of heart defect...... 25.38 30.48 5.33 61.19 090 S
33722... .................. A Repair of heart defect...... 27.34 30.48 5.33 63.15 090 S
33730... .................. A Repair heart-vein defect(s). 29.89 38.65 7.45 75.99 090 S
33732... .................. A Repair heart-vein defect.... 27.09 31.27 5.42 63.78 090 S
33735... .................. A Revision of heart chamber... 19.97 25.69 4.87 50.53 090 S
33736... .................. A Revision of heart chamber... 22.45 25.69 4.87 53.01 090 S
33737... .................. A Revision of heart chamber... 20.50 25.69 4.87 51.06 090 S
33750... .................. A Major vessel shunt.......... 20.15 22.10 4.29 46.54 090 S
33755... .................. A Major vessel shunt.......... 20.50 22.10 4.29 46.89 090 S
33762... .................. A Major vessel shunt.......... 20.50 22.10 4.29 46.89 090 S
33764... .................. A Major vessel shunt & graft.. 20.50 22.10 4.29 46.89 090 S
33766... .................. A Major vessel shunt.......... 21.47 22.10 4.29 47.86 090 S
33767... .................. A Atrial septectomy/septostomy 23.43 25.69 4.87 53.99 090 S
33770... .................. A Repair great vessels defect. 31.96 38.65 7.45 78.06 090 S
33771... .................. A Repair great vessels defect. 33.19 38.65 7.45 79.29 090 S
33774... .................. A Repair great vessels defect. 29.28 31.27 5.42 65.97 090 S
33775... .................. A Repair great vessels defect. 30.50 31.27 5.42 67.19 090 S
33776... .................. A Repair great vessels defect. 32.21 34.92 6.28 73.41 090 S
33777... .................. A Repair great vessels defect. 31.73 31.27 5.42 68.42 090 S
33778... .................. A Repair great vessels defect. 34.17 41.82 7.37 83.36 090 S
33779... .................. A Repair great vessels defect. 34.41 41.82 7.37 83.60 090 S
33780... .................. A Repair great vessels defect. 35.14 41.82 7.37 84.33 090 S
33781... .................. A Repair great vessels defect. 34.65 41.82 7.37 83.84 090 S
33786... .................. A Repair arterial trunk....... 33.19 38.65 7.45 79.29 090 S
33788... .................. A Revision of pulmonary artery 25.38 29.55 5.20 60.13 090 S
33800... .................. A Aortic suspension........... 15.18 14.14 2.51 31.83 090 S
33802... .................. A Repair vessel defect........ 16.60 22.10 4.29 42.99 090 S
33803... .................. A Repair vessel defect........ 18.54 22.10 4.29 44.93 090 S
33813... .................. A Repair septal defect........ 19.52 22.10 4.29 45.91 090 S
33814... .................. A Repair septal defect........ 24.41 30.48 5.33 60.22 090 S
33820... .................. A Revise major vessel......... 15.62 22.10 4.29 42.01 090 S
33822... .................. A Revise major vessel......... 16.60 22.10 4.29 42.99 090 S
33824... .................. A Revise major vessel......... 18.54 22.10 4.29 44.93 090 S
33840... .................. A Remove aorta constriction... 19.52 31.25 5.59 56.36 090 S
33845... .................. A Remove aorta constriction... 20.99 31.25 5.59 57.83 090 S
33851... .................. A Remove aorta constriction... 20.01 31.25 5.59 56.85 090 S
33852... .................. A Repair septal defect........ 22.45 31.25 5.59 59.29 090 S
33853... .................. A Repair septal defect........ 30.26 38.65 7.45 76.36 090 S
33860... .................. A Ascending aorta graft....... 31.23 34.71 6.18 72.12 090 S
33861... .................. A Ascending aorta graft....... 33.19 34.71 6.18 74.08 090 S
33863... .................. A Ascending aorta graft....... 35.14 34.71 6.18 76.03 090 S
33870... .................. A Transverse aortic arch graft 37.74 44.30 8.04 90.08 090 S
33875... .................. A Thoracic aorta graft........ 26.94 31.25 5.59 63.78 090 S
33877... .................. A Thoracoabdominal graft...... 40.29 44.11 8.38 92.78 090 S
33910... .................. A Remove lung artery emboli... 21.86 14.65 2.77 39.28 090 S
33915... .................. A Remove lung artery emboli... 18.84 12.02 2.22 33.08 090 S
33916... .................. A Surgery of great vessel..... 24.17 17.57 3.43 45.17 090 S
33917... .................. A Repair pulmonary artery..... 23.43 34.71 6.30 64.44 090 S
33918... .................. A Repair pulmonary atresia.... 25.38 29.55 5.20 60.13 090 S
33919... .................. A Repair pulmonary atresia.... 31.11 38.65 7.45 77.21 090 S
33920... .................. A Repair pulmonary atresia.... 30.75 38.65 7.45 76.85 090 S
33922... .................. A Transect pulmonary artery... 22.45 26.21 2.83 51.49 090 S
33924... .................. A Remove pulmonary shunt...... 5.50 4.00 0.78 10.28 ZZZ S
33930... .................. X Removal of donor heart/lung. 0.00 0.00 0.00 0.00 XXX 0
33935... .................. R Transplantation, heart/lung. 56.87 77.57 13.54 147.98 090 S
33940... .................. X Removal of donor heart...... 0.00 0.00 0.00 0.00 XXX 0
33945... .................. R Transplantation of heart.... 39.56 64.80 11.05 115.41 090 S
33960... .................. A External circulation assist. 19.36 7.01 0.94 27.31 XXX S
33961... .................. A External circulation assist. 10.93 7.01 0.94 18.88 XXX S
33970... .................. A Aortic circulation assist... 8.05 7.54 1.00 16.59 000 S
33971... .................. A Aortic circulation assist... 4.04 *5.16 0.91 10.11 090 S
33973... .................. A Insert balloon device....... 9.76 7.54 1.00 18.30 000 S
33974... .................. A Remove intra-aortic balloon. 12.69 5.56 0.91 19.16 090 S
[[Page 63226]]
33975... .................. A Implant ventricular device.. 19.52 14.19 2.77 36.48 090 S
33976... .................. A Implant ventricular device.. 26.60 19.33 3.78 49.71 090 S
33977... .................. A Remove ventricular device... 17.08 12.41 2.43 31.92 090 S
33978... .................. A Remove ventricular device... 19.52 14.19 2.77 36.48 090 S
33999... .................. C Cardiac surgery procedure... 0.00 0.00 0.00 0.00 YYY S
34001... .................. A Removal of artery clot...... 11.69 9.58 1.87 23.14 090 S
34051... .................. A Removal of artery clot...... 13.62 8.81 1.59 24.02 090 S
34101... .................. A Removal of artery clot...... 8.73 8.34 1.71 18.78 090 S
34111... .................. A Removal of arm artery clot.. 7.18 7.59 1.59 16.36 090 S
34151... .................. A Removal of artery clot...... 15.23 11.96 2.39 29.58 090 S
34201... .................. A Removal of artery clot...... 8.04 8.90 1.78 18.72 090 S
34203... .................. A Removal of leg artery clot.. 11.06 8.63 1.72 21.41 090 S
34401... .................. A Removal of vein clot........ 11.64 8.07 1.39 21.10 090 S
34421... .................. A Removal of vein clot........ 8.89 7.45 1.51 17.85 090 S
34451... .................. A Removal of vein clot........ 13.13 10.69 2.14 25.96 090 S
34471... .................. A Removal of vein clot........ 9.12 3.51 0.55 13.18 090 S
34490... .................. A Removal of vein clot........ 6.51 7.27 1.54 15.32 090 S
34501... .................. A Repair valve, femoral vein.. 9.71 7.35 0.86 17.92 090 S
34502... .................. A Reconstruct, vena cava...... 25.65 18.65 3.64 47.94 090 S
34510... .................. A Transposition of vein valve. 11.75 8.89 1.04 21.68 090 S
34520... .................. A Cross-over vein graft....... 12.33 9.33 1.09 22.75 090 S
34530... .................. A Leg vein fusion............. 16.33 12.35 1.44 30.12 090 S
35001... .................. A Repair defect of artery..... 18.14 15.90 3.18 37.22 090 S
35002... .................. A Repair artery rupture, neck. 19.43 12.64 2.41 34.48 090 S
35005... .................. A Repair defect of artery..... 16.62 10.28 2.19 29.09 090 S
35011... .................. A Repair defect of artery..... 10.43 *13.35 2.76 26.54 090 S
35013... .................. A Repair artery rupture, arm.. 15.96 14.70 3.03 33.69 090 S
35021... .................. A Repair defect of artery..... 17.62 18.13 3.06 38.81 090 S
35022... .................. A Repair artery rupture, chest 21.15 14.78 2.80 38.73 090 S
35045... .................. A Repair defect of arm artery. 9.98 12.35 2.50 24.83 090 S
35081... .................. A Repair defect of artery..... 22.15 21.45 4.18 47.78 090 S
35082... .................. A Repair artery rupture, aorta 28.82 22.91 4.59 56.32 090 S
35091... .................. A Repair defect of artery..... 28.10 22.67 4.25 55.02 090 S
35092... .................. A Repair artery rupture, aorta 36.06 26.27 5.21 67.54 090 S
35102... .................. A Repair defect of artery..... 23.44 22.15 4.32 49.91 090 S
35103... .................. A Repair artery rupture, groin 31.31 26.16 5.21 62.68 090 S
35111... .................. A Repair defect of artery..... 15.12 17.60 3.70 36.42 090 S
35112... .................. A Repair artery rupture,spleen 17.38 10.45 2.22 30.05 090 S
35121... .................. A Repair defect of artery..... 24.68 19.12 3.66 47.46 090 S
35122... .................. A Repair artery rupture, belly 32.08 17.92 3.96 53.96 090 S
35131... .................. A Repair defect of artery..... 17.00 15.88 3.15 36.03 090 S
35132... .................. A Repair artery rupture, groin 20.40 18.68 3.58 42.66 090 S
35141... .................. A Repair defect of artery..... 13.28 14.70 2.88 30.86 090 S
35142... .................. A Repair artery rupture, thigh 14.62 16.10 3.24 33.96 090 S
35151... .................. A Repair defect of artery..... 15.76 15.36 2.94 34.06 090 S
35152... .................. A Repair artery rupture, knee. 15.46 9.27 1.95 26.68 090 S
35161... .................. A Repair defect of artery..... 17.45 15.88 3.15 36.48 090 S
35162... .................. A Repair artery rupture....... 18.45 18.68 3.58 40.71 090 S
35180... .................. A Repair blood vessel lesion.. 12.16 7.37 1.48 21.01 090 S
35182... .................. A Repair blood vessel lesion.. 16.12 10.65 1.61 28.38 090 S
35184... .................. A Repair blood vessel lesion.. 10.79 9.73 1.96 22.48 090 S
35188... .................. A Repair blood vessel lesion.. 13.10 8.11 1.59 22.80 090 S
35189... .................. A Repair blood vessel lesion.. 17.12 11.33 2.21 30.66 090 S
35190... .................. A Repair blood vessel lesion.. 11.79 10.34 2.14 24.27 090 S
35201... .................. A Repair blood vessel lesion.. 8.90 10.07 1.94 20.91 090 S
35206... .................. A Repair blood vessel lesion.. 8.49 10.15 2.03 20.67 090 S
35207... .................. A Repair blood vessel lesion.. 9.06 10.80 1.93 21.79 090 S
35211... .................. A Repair blood vessel lesion.. 20.15 13.38 2.59 36.12 090 S
35216... .................. A Repair blood vessel lesion.. 17.12 10.68 2.08 29.88 090 S
35221... .................. A Repair blood vessel lesion.. 15.11 11.09 2.20 28.40 090 S
35226... .................. A Repair blood vessel lesion.. 8.17 10.28 1.95 20.40 090 S
35231... .................. A Repair blood vessel lesion.. 10.76 *13.78 2.91 27.45 090 S
35236... .................. A Repair blood vessel lesion.. 9.39 *12.02 2.56 23.97 090 S
35241... .................. A Repair blood vessel lesion.. 21.15 13.49 2.60 37.24 090 S
35246... .................. A Repair blood vessel lesion.. 18.14 16.95 2.15 37.24 090 S
35251... .................. A Repair blood vessel lesion.. 16.12 9.59 1.88 27.59 090 S
[[Page 63227]]
35256... .................. A Repair blood vessel lesion.. 10.14 12.40 2.39 24.93 090 S
35261... .................. A Repair blood vessel lesion.. 10.39 13.16 2.66 26.21 090 S
35266... .................. A Repair blood vessel lesion.. 9.06 *11.59 2.41 23.06 090 S
35271... .................. A Repair blood vessel lesion.. 20.15 12.53 2.56 35.24 090 S
35276... .................. A Repair blood vessel lesion.. 17.12 10.85 2.26 30.23 090 S
35281... .................. A Repair blood vessel lesion.. 15.11 17.28 3.37 35.76 090 S
35286... .................. A Repair blood vessel lesion.. 10.78 11.71 2.33 24.82 090 S
35301... .................. A Rechanneling of artery...... 15.95 14.46 2.81 33.22 090 S
35311... .................. A Rechanneling of artery...... 22.61 22.06 4.61 49.28 090 S
35321... .................. A Rechanneling of artery...... 11.08 12.96 2.69 26.73 090 S
35331... .................. A Rechanneling of artery...... 22.15 13.34 2.66 38.15 090 S
35341... .................. A Rechanneling of artery...... 23.67 17.37 3.53 44.57 090 S
35351... .................. A Rechanneling of artery...... 19.15 14.95 2.97 37.07 090 S
35355... .................. A Rechanneling of artery...... 15.11 15.42 2.99 33.52 090 S
35361... .................. A Rechanneling of artery...... 22.15 19.37 3.88 45.40 090 S
35363... .................. A Rechanneling of artery...... 23.16 22.77 4.40 50.33 090 S
35371... .................. A Rechanneling of artery...... 10.49 12.51 2.50 25.50 090 S
35372... .................. A Rechanneling of artery...... 12.28 11.20 2.28 25.76 090 S
35381... .................. A Rechanneling of artery...... 14.50 13.67 2.71 30.88 090 S
35390... .................. A Reoperation, carotid........ 3.19 1.67 0.39 5.25 ZZZ S
35450... .................. A Repair arterial blockage.... 10.07 *12.89 1.38 24.34 000 N
35452... .................. A Repair arterial blockage.... 6.91 4.35 0.61 11.87 000 S
35454... .................. A Repair arterial blockage.... 6.04 *7.73 1.53 15.30 000 S
35456... .................. A Repair arterial blockage.... 7.35 *9.41 1.69 18.45 000 S
35458... .................. A Repair arterial blockage.... 9.49 10.13 1.83 21.45 000 S
35459... .................. A Repair arterial blockage.... 8.63 10.39 1.69 20.71 000 S
35460... .................. A Repair venous blockage...... 6.04 3.16 0.74 9.94 000 S
35470... .................. A Repair arterial blockage.... 8.63 10.39 1.69 20.71 000 N
35471... .................. A Repair arterial blockage.... 10.07 *12.89 1.38 24.34 000 N
35472... .................. A Repair arterial blockage.... 6.91 3.61 0.85 11.37 000 N
35473... .................. A Repair arterial blockage.... 6.04 *7.73 1.53 15.30 000 N
35474... .................. A Repair arterial blockage.... 7.36 *9.42 1.69 18.47 000 N
35475... .................. R Repair arterial blockage.... 9.49 10.13 1.83 21.45 000 N
35476... .................. A Repair venous blockage...... 6.04 3.16 0.74 9.94 000 N
35480... .................. A Atherectomy, open........... 11.08 13.43 1.38 25.89 000 S
35481... .................. A Atherectomy, open........... 7.61 4.35 0.61 12.57 000 S
35482... .................. A Atherectomy, open........... 6.65 *8.51 1.53 16.69 000 S
35483... .................. A Atherectomy, open........... 8.10 *10.36 1.69 20.15 000 S
35484... .................. A Atherectomy, open........... 10.44 10.13 1.83 22.40 000 S
35485... .................. A Atherectomy, open........... 9.49 4.52 1.06 15.07 000 S
35490... .................. A Atherectomy, percutaneous... 11.08 13.43 1.38 25.89 000 N
35491... .................. A Atherectomy, percutaneous... 7.61 4.35 0.61 12.57 000 N
35492... .................. A Atherectomy, percutaneous... 6.65 *8.51 1.53 16.69 000 N
35493... .................. A Atherectomy, percutaneous... 8.10 *10.36 1.69 20.15 000 N
35494... .................. A Atherectomy, percutaneous... 10.44 10.13 1.83 22.40 000 N
35495... .................. A Atherectomy, percutaneous... 9.49 4.52 1.06 15.07 000 N
35501... .................. A Artery bypass graft......... 18.23 19.35 3.49 41.07 090 S
35506... .................. A Artery bypass graft......... 18.23 19.17 3.64 41.04 090 S
35507... .................. A Artery bypass graft......... 18.23 17.92 3.61 39.76 090 S
35508... .................. A Artery bypass graft......... 17.21 18.11 3.43 38.75 090 S
35509... .................. A Artery bypass graft......... 16.70 18.90 3.92 39.52 090 S
35511... .................. A Artery bypass graft......... 15.39 10.40 1.92 27.71 090 S
35515... .................. A Artery bypass graft......... 17.21 11.25 2.01 30.47 090 S
35516... .................. A Artery bypass graft......... 14.88 17.37 3.54 35.79 090 S
35518... .................. A Artery bypass graft......... 14.05 17.47 3.38 34.90 090 S
35521... .................. A Artery bypass graft......... 14.80 17.53 3.34 35.67 090 S
35526... .................. A Artery bypass graft......... 18.63 12.95 2.44 34.02 090 S
35531... .................. A Artery bypass graft......... 24.17 20.25 3.90 48.32 090 S
35533... .................. A Artery bypass graft......... 19.15 21.04 4.43 44.62 090 S
35536... .................. A Artery bypass graft......... 21.65 21.37 4.17 47.19 090 S
35541... .................. A Artery bypass graft......... 24.17 19.55 3.65 47.37 090 S
35546... .................. A Artery bypass graft......... 24.17 21.39 4.26 49.82 090 S
35548... .................. A Artery bypass graft......... 20.13 19.55 3.65 43.33 090 S
35549... .................. A Artery bypass graft......... 21.91 21.39 4.26 47.56 090 S
35551... .................. A Artery bypass graft......... 25.17 19.25 3.87 48.29 090 S
35556... .................. A Artery bypass graft......... 15.47 18.71 3.71 37.89 090 S
[[Page 63228]]
35558... .................. A Artery bypass graft......... 12.82 *16.41 3.23 32.46 090 S
35560... .................. A Artery bypass graft......... 22.12 20.22 3.93 46.27 090 S
35563... .................. A Artery bypass graft......... 13.83 8.32 1.70 23.85 090 S
35565... .................. A Artery bypass graft......... 13.83 *17.69 3.51 35.03 090 S
35566... .................. A Artery bypass graft......... 20.21 20.62 4.08 44.91 090 S
35571... .................. A Artery bypass graft......... 16.66 19.36 3.87 39.89 090 S
35582... .................. A Vein bypass graft........... 25.69 23.74 4.89 54.32 090 S
35583... .................. A Vein bypass graft........... 15.97 *20.44 4.13 40.54 090 S
35585... .................. A Vein bypass graft........... 19.05 22.95 4.63 46.63 090 S
35587... .................. A Vein bypass graft........... 17.07 21.51 4.13 42.71 090 S
35601... .................. A Artery bypass graft......... 16.19 18.83 3.33 38.35 090 S
35606... .................. A Artery bypass graft......... 17.40 17.55 3.51 38.46 090 S
35612... .................. A Artery bypass graft......... 14.39 16.75 3.30 34.44 090 S
35616... .................. A Artery bypass graft......... 14.39 16.79 3.42 34.60 090 S
35621... .................. A Artery bypass graft......... 13.23 *16.94 3.80 33.97 090 S
35623... .................. A Bypass graft, not vein...... 15.42 8.06 1.88 25.36 090 S
35626... .................. A Artery bypass graft......... 22.26 20.51 4.08 46.85 090 S
35631... .................. A Artery bypass graft......... 23.16 17.87 3.57 44.60 090 S
35636... .................. A Artery bypass graft......... 21.15 13.50 2.45 37.10 090 S
35641... .................. A Artery bypass graft......... 22.67 20.56 4.08 47.31 090 S
35642... .................. A Artery bypass graft......... 16.70 10.33 2.20 29.23 090 S
35645... .................. A Artery bypass graft......... 16.19 11.15 2.05 29.39 090 S
35646... .................. A Artery bypass graft......... 24.00 23.78 4.73 52.51 090 S
35650... .................. A Artery bypass graft......... 13.05 *16.71 3.56 33.32 090 S
35651... .................. A Artery bypass graft......... 23.67 24.09 4.69 52.45 090 S
35654... .................. A Artery bypass graft......... 17.62 22.10 4.42 44.14 090 S
35656... .................. A Artery bypass graft......... 13.86 *17.73 3.60 35.19 090 S
35661... .................. A Artery bypass graft......... 11.81 *15.11 3.30 30.22 090 S
35663... .................. A Artery bypass graft......... 12.82 *16.41 3.80 33.03 090 S
35665... .................. A Artery bypass graft......... 14.05 17.79 3.57 35.41 090 S
35666... .................. A Artery bypass graft......... 15.97 20.06 4.00 40.03 090 S
35671... .................. A Artery bypass graft......... 12.18 *15.60 4.08 31.86 090 S
35681... .................. A Artery bypass graft......... 8.05 *10.42 3.52 21.99 ZZZ S
35691... .................. A Arterial transposition...... 16.70 19.62 3.81 40.13 090 S
35693... .................. A Arterial transposition...... 14.01 9.40 1.91 25.32 090 S
35694... .................. A Arterial transposition...... 17.81 9.33 2.17 29.31 090 S
35695... .................. A Arterial transposition...... 17.81 9.33 2.17 29.31 090 S
35700... .................. A Reoperation, bypass graft... 3.08 1.61 0.38 5.07 ZZZ S
35701... .................. A Exploration, carotid artery. 4.54 *5.82 1.25 11.61 090 S
35721... .................. A Exploration, femoral artery. 4.54 5.56 1.11 11.21 090 S
35741... .................. A Exploration popliteal artery 4.54 5.73 1.15 11.42 090 S
35761... .................. A Exploration of artery/vein.. 4.54 5.81 1.14 11.49 090 S
35800... .................. A Explore neck vessels........ 6.04 5.28 0.97 12.29 090 S
35820... .................. A Explore chest vessels....... 11.64 7.92 1.43 20.99 090 S
35840... .................. A Explore abdominal vessels... 8.63 7.23 1.44 17.30 090 S
35860... .................. A Explore limb vessels........ 4.54 5.81 1.15 11.50 090 S
35870... .................. A Repair vessel graft defect.. 20.35 10.64 2.47 33.46 090 S
35875... .................. A Removal of clot in graft.... 9.07 8.21 1.65 18.93 090 S
35876... .................. A Removal of clot in graft.... 12.91 8.21 1.65 22.77 090 S
35901... .................. A Excision, graft, neck....... 7.25 7.18 1.46 15.89 090 S
35903... .................. A Excision, graft, extremity.. 8.63 7.18 1.46 17.27 090 S
35905... .................. A Excision, graft, thorax..... 16.89 7.18 1.46 25.53 090 S
35907... .................. A Excision, graft, abdomen.... 17.68 7.18 1.46 26.32 090 S
36000... .................. A Place needle in vein........ 0.18 *0.24 0.04 0.46 XXX N
36005... .................. A Injection, venography....... 0.95 0.47 0.04 1.46 000 N
36010... .................. A Place catheter in vein...... 2.43 2.11 0.31 4.85 XXX N
36011... .................. A Place catheter in vein...... 3.14 1.90 0.22 5.26 XXX N
36012... .................. A Place catheter in vein...... 3.52 2.67 0.32 6.51 XXX N
36013... .................. A Place catheter in artery.... 2.52 2.11 0.31 4.94 XXX N
36014... .................. A Place catheter in artery.... 3.02 2.28 0.27 5.57 XXX N
36015... .................. A Place catheter in artery.... 3.52 2.67 0.32 6.51 XXX N
36100... .................. A Establish access to artery.. 3.02 2.59 0.32 5.93 XXX N
36120... .................. A Establish access to artery.. 2.01 2.32 0.30 4.63 XXX N
36140... .................. A Establish access to artery.. 2.01 1.41 0.24 3.66 XXX N
36145... .................. A Artery to vein shunt........ 2.01 *2.57 0.49 5.07 XXX N
36160... .................. A Establish access to aorta... 2.52 2.32 0.35 5.19 XXX S
[[Page 63229]]
36200... .................. A Place catheter in aorta..... 3.02 2.73 0.28 6.03 XXX N
36215... .................. A Place catheter in artery.... 4.47 2.78 0.23 7.48 XXX N
36216... .................. A Place catheter in artery.... 5.28 3.29 0.27 8.84 XXX N
36217... .................. A Place catheter in artery.... 6.30 3.92 0.32 10.54 XXX N
36218... .................. A Place catheter in artery.... 1.01 0.62 0.05 1.68 XXX N
36245... .................. A Place catheter in artery.... 5.07 3.15 0.26 8.48 XXX N
36246... .................. A Place catheter in artery.... 5.28 3.29 0.27 8.84 XXX N
36247... .................. A Place catheter in artery.... 6.30 3.92 0.32 10.54 XXX N
36248... .................. A Place catheter in artery.... 1.01 0.62 0.05 1.68 XXX N
36260... .................. A Insertion of infusion pump.. 9.27 6.74 1.41 17.42 090 S
36261... .................. A Revision of infusion pump... 5.04 2.23 0.42 7.69 090 S
36262... .................. A Removal of infusion pump.... 3.70 1.93 0.40 6.03 090 S
36299... .................. C Vessel injection procedure.. 0.00 0.00 0.00 0.00 YYY N
36400... .................. A Drawing blood............... 0.18 0.09 0.01 0.28 XXX N
36405... .................. A Drawing blood............... 0.18 0.45 0.03 0.66 XXX N
36406... .................. A Drawing blood............... 0.18 0.16 0.01 0.35 XXX S
36410... .................. A Drawing blood............... 0.18 0.22 0.02 0.42 XXX N
36415... .................. G Drawing blood............... 0.00 0.00 0.00 0.00 XXX 0
36420... .................. A Establish access to vein.... 1.01 0.51 0.05 1.57 XXX N
36425... .................. A Establish access to vein.... 0.76 0.08 0.01 0.85 XXX N
36430... .................. A Blood transfusion service... 0.00 0.96 0.07 1.03 XXX N
36440... .................. A Blood transfusion service... 1.03 0.94 0.07 2.04 XXX S
36450... .................. A Exchange transfusion service 2.23 1.88 0.18 4.29 XXX N
36455... .................. A Exchange transfusion service 2.43 2.27 0.22 4.92 XXX N
36460... .................. A Transfusion service, fetal.. 6.59 4.71 1.09 12.39 XXX N
36468... .................. R Injection(s); spider veins.. 0.00 0.00 0.00 0.00 XXX S
36469... .................. R Injection(s); spider veins.. 0.00 0.00 0.00 0.00 XXX S
36470... .................. A Injection therapy of vein... 1.02 0.27 0.04 1.33 010 S
36471... .................. A Injection therapy of veins.. 1.49 0.39 0.05 1.93 010 S
36481... .................. A Insertion of catheter, vein. 6.99 5.30 0.61 12.90 000 S
36488... .................. A Insertion of catheter, vein. 1.35 0.97 0.14 2.46 000 N
36489... .................. A Insertion of catheter, vein. 1.22 1.12 0.17 2.51 000 N
36490... .................. A Insertion of catheter, vein. 1.67 1.38 0.20 3.25 000 N
36491... .................. A Insertion of catheter, vein. 1.43 1.71 0.32 3.46 000 N
36493... .................. A Repositioning of cvc........ 1.21 0.63 0.16 2.00 000 N
36500... .................. A Insertion of catheter, vein. 3.52 0.08 0.01 3.61 000 N
36510... .................. A Insertion of catheter, vein. 1.09 0.34 0.02 1.45 000 N
36520... .................. A Plasma and/or cell exchange. 1.74 1.92 0.12 3.78 000 N
36522... .................. A Photopheresis............... 1.67 *2.48 0.37 4.52 000 S
36530... .................. R Insertion of infusion pump.. 4.83 4.82 1.02 10.67 010 S
36531... .................. R Revision of infusion pump... 4.80 4.37 0.27 9.44 010 S
36532... .................. R Removal of infusion pump.... 3.23 1.77 0.37 5.37 010 S
36533... .................. A Insertion of access port.... 3.82 4.29 0.85 8.96 010 S
36534... .................. A Revision of access port..... 3.79 3.46 0.21 7.46 010 S
36535... .................. A Removal of access port...... 2.22 1.81 0.38 4.41 010 S
36600... .................. A Withdrawal of arterial blood 0.32 0.28 0.02 0.62 XXX N
36620... .................. A Insertion catheter, artery.. 1.15 0.66 0.14 1.95 000 N
36625... .................. A Insertion catheter, artery.. 2.11 0.86 0.18 3.15 000 N
36640... .................. A Insertion catheter, artery.. 2.10 2.32 0.40 4.82 000 N
36660... .................. A Insertion catheter, artery.. 1.40 0.49 0.04 1.93 000 N
36680... .................. A Insert needle, bone cavity.. 1.20 1.24 0.10 2.54 000 N
36800... .................. A Insertion of cannula........ 2.43 2.22 0.28 4.93 000 N
36810... .................. A Insertion of cannula........ 3.97 4.85 0.74 9.56 000 S
36815... .................. A Insertion of cannula........ 2.62 *3.35 0.70 6.67 000 S
36821... .................. A Artery-vein fusion.......... 8.39 7.24 1.46 17.09 090 S
36822... .................. A Insertion of cannula(s)..... 5.03 5.60 0.77 11.40 090 S
36825... .................. A Artery-vein graft........... 9.36 11.20 2.21 22.77 090 S
36830... .................. A Artery-vein graft........... 7.78 *9.96 2.36 20.10 090 S
36832... .................. A Revise artery-vein fistula.. 5.84 *7.48 2.38 15.70 090 S
36834... .................. A Repair A-V aneurysm......... 9.32 7.80 1.66 18.78 090 S
36835... .................. A Artery to vein shunt........ 6.54 3.42 0.79 10.75 090 S
36860... .................. A Cannula declotting.......... 2.01 2.57 0.43 5.01 000 N
36861... .................. A Cannula declotting.......... 2.52 *3.22 1.01 6.75 000 S
37140... .................. A Revision of circulation..... 22.15 16.29 3.34 41.78 090 S
37145... .................. A Revision of circulation..... 23.16 17.13 1.72 42.01 090 S
37160... .................. A Revision of circulation..... 20.15 17.74 3.79 41.68 090 S
[[Page 63230]]
37180... .................. A Revision of circulation..... 23.16 14.19 2.76 40.11 090 S
37181... .................. A Splice spleen/kidney veins.. 25.17 16.41 3.52 45.10 090 S
37200... .................. A Transcatheter biopsy........ 4.56 1.59 0.13 6.28 000 N
37201... .................. A Transcatheter therapy infuse 7.25 5.50 0.64 13.39 000 N
37202... .................. A Transcatheter therapy infuse 5.68 4.30 0.50 10.48 000 N
37203... .................. A Transcatheter retrieval..... 5.03 3.82 0.45 9.30 000 N
37204... .................. A Transcatheter occlusion..... 18.14 13.76 1.60 33.50 000 N
37205... .................. A Transcatheter stent......... 8.28 5.16 0.42 13.86 000 S
37206... .................. A Transcatheter stent......... 4.13 2.58 0.21 6.92 ZZZ S
37207... .................. A Transcatheter stent......... 8.28 5.16 0.42 13.86 000 S
37208... .................. A Transcatheter stent......... 4.13 2.58 0.21 6.92 ZZZ S
37209... .................. A Exchange arterial catheter.. 2.27 1.41 0.11 3.79 000 N
37565... .................. A Ligation of neck vein....... 3.90 3.79 0.74 8.43 090 S
37600... .................. A Ligation of neck artery..... 3.90 *4.98 0.80 9.68 090 S
37605... .................. A Ligation of neck artery..... 4.63 5.56 1.04 11.23 090 S
37606... .................. A Ligation of neck artery..... 4.63 *5.92 0.72 11.27 090 S
37607... .................. A Ligation of fistula......... 5.84 3.06 0.71 9.61 090 S
37609... .................. A Temporal artery procedure... 2.27 2.22 0.38 4.87 010 S
37615... .................. A Ligation of neck artery..... 4.39 *5.62 1.11 11.12 090 S
37616... .................. A Ligation of chest artery.... 14.69 4.21 0.83 19.73 090 S
37617... .................. A Ligation of abdomen artery.. 14.19 8.00 1.54 23.73 090 S
37618... .................. A Ligation of extremity artery 3.90 *4.98 1.06 9.94 090 S
37620... .................. A Revision of major vein...... 9.24 8.81 1.48 19.53 090 S
37650... .................. A Revision of major vein...... 4.39 4.02 0.52 8.93 090 S
37660... .................. A Revision of major vein...... 9.65 5.75 1.07 16.47 090 S
37700... .................. A Revise leg vein............. 3.52 3.64 0.73 7.89 090 S
37720... .................. A Removal of leg vein......... 5.22 5.11 1.04 11.37 090 S
37730... .................. A Removal of leg veins........ 6.63 6.95 1.40 14.98 090 S
37735... .................. A Removal of leg veins/lesion. 9.90 8.34 1.68 19.92 090 S
37760... .................. A Revision of leg veins....... 9.90 7.48 1.52 18.90 090 S
37780... .................. A Revision of leg vein........ 3.52 1.89 0.35 5.76 090 S
37785... .................. A Revise secondary varicosity. 3.56 0.98 0.18 4.72 090 S
37788... .................. A Revascularization, penis.... 21.33 15.14 1.48 37.95 090 S
37790... .................. A Penile venous occlusion..... 8.02 5.70 0.55 14.27 090 S
37799... .................. C Vascular surgery procedure.. 0.00 0.00 0.00 0.00 YYY S
38100... .................. A Removal of spleen, total.... 11.99 8.55 1.81 22.35 090 S
38101... .................. A Removal of spleen, partial.. 12.59 6.99 1.51 21.09 090 S
38102... .................. A Removal of spleen, total.... 4.80 2.51 0.58 7.89 ZZZ S
38115... .................. A Repair of ruptured spleen... 12.59 7.64 1.49 21.72 090 S
38200... .................. A Injection for spleen x-ray.. 2.64 1.71 0.15 4.50 000 S
38230... .................. A Bone marrow collection...... 3.16 2.78 0.21 6.15 010 N
38231... .................. A Stem cell collection........ 1.50 1.37 0.08 2.95 000 N
38240... .................. A Bone marrow/stem transplant. 2.24 2.08 0.14 4.46 XXX N
38241... .................. A Bone marrow/stem transplant. 2.24 2.04 0.13 4.41 XXX N
38300... .................. A Drainage lymph node lesion.. 1.48 0.58 0.10 2.16 010 S
38305... .................. A Drainage lymph node lesion.. 4.24 1.96 0.36 6.56 090 S
38308... .................. A Incision of lymph channels.. 4.55 3.37 0.45 8.37 090 S
38380... .................. A Thoracic duct procedure..... 6.53 4.44 0.76 11.73 090 S
38381... .................. A Thoracic duct procedure..... 12.10 7.56 1.50 21.16 090 S
38382... .................. A Thoracic duct procedure..... 9.24 4.84 1.13 15.21 090 S
38500... .................. A Biopsy/removal, lymph 2.83 1.59 0.31 4.73 010 S
node(s).
38505... .................. A Needle biopsy, lymph node(s) 1.14 1.12 0.17 2.43 000 S
38510... .................. A Biopsy/removal, lymph 3.90 2.54 0.45 6.89 090 S
node(s).
38520... .................. A Biopsy/removal, lymph 4.86 2.99 0.56 8.41 090 S
node(s).
38525... .................. A Biopsy/removal, lymph 4.37 2.59 0.53 7.49 090 S
node(s).
38530... .................. A Biopsy/removal, lymph 5.82 3.17 0.65 9.64 090 S
node(s).
38542... .................. A Explore deep node(s), neck.. 5.41 4.26 0.59 10.26 090 S
38550... .................. A Removal neck/armpit lesion.. 6.42 3.23 0.63 10.28 090 S
38555... .................. A Removal neck/armpit lesion.. 13.05 7.27 1.38 21.70 090 S
38562... .................. A Removal, pelvic lymph nodes. 9.65 6.88 1.20 17.73 090 S
38564... .................. A Removal, abdomen lymph nodes 10.00 7.39 1.51 18.90 090 S
38700... .................. A Removal of lymph nodes, neck 7.56 9.64 1.31 18.51 090 S
38720... .................. A Removal of lymph nodes, neck 12.29 *15.73 2.04 30.06 090 S
38724... .................. A Removal of lymph nodes, neck 13.22 14.36 2.00 29.58 090 S
38740... .................. A Remove armpit lymph nodes... 6.28 4.72 1.00 12.00 090 S
38745... .................. A Remove armpits lymph nodes.. 8.08 8.28 1.76 18.12 090 S
[[Page 63231]]
38746... .................. A Remove thoracic lymph nodes. 4.39 2.29 0.53 7.21 ZZZ S
38747... .................. A Remove abdominal lymph nodes 4.89 2.56 0.59 8.04 ZZZ S
38760... .................. A Remove groin lymph nodes.... 8.19 6.63 1.35 16.17 090 S
38765... .................. A Remove groin lymph nodes.... 14.98 12.67 2.42 30.07 090 S
38770... .................. A Remove pelvis lymph nodes... 12.10 15.40 1.73 29.23 090 S
38780... .................. A Remove abdomen lymph nodes.. 15.17 16.06 3.13 34.36 090 S
38790... .................. A Injection for lymphatic xray 1.29 *1.64 0.19 3.12 000 N
38794... .................. A Access thoracic lymph duct.. 4.05 2.84 0.38 7.27 090 S
38999... .................. C Blood/lymph system procedure 0.00 0.00 0.00 0.00 YYY S
39000... .................. A Exploration of chest........ 5.03 6.05 1.08 12.16 090 S
39010... .................. A Exploration of chest........ 10.78 11.46 2.08 24.32 090 S
39200... .................. A Removal chest lesion........ 12.40 11.58 2.14 26.12 090 S
39220... .................. A Removal chest lesion........ 16.16 14.94 2.83 33.93 090 S
39400... .................. A Visualization of chest...... 5.11 5.12 0.95 11.18 010 S
39499... .................. C Chest procedure............. 0.00 0.00 0.00 0.00 YYY S
39501... .................. A Repair diaphragm laceration. 12.10 10.66 2.10 24.86 090 S
39502... .................. A Repair paraesophageal hernia 15.18 11.93 2.45 29.56 090 S
39503... .................. A Repair of diaphragm hernia.. 33.22 25.18 2.94 61.34 090 S
39520... .................. A Repair of diaphragm hernia.. 15.18 12.53 2.46 30.17 090 S
39530... .................. A Repair of diaphragm hernia.. 14.22 14.06 2.71 30.99 090 S
39531... .................. A Repair of diaphragm hernia.. 15.23 10.00 1.80 27.03 090 S
39540... .................. A Repair of diaphragm hernia.. 12.10 11.98 2.51 26.59 090 S
39541... .................. A Repair of diaphragm hernia.. 13.10 12.16 2.37 27.63 090 S
39545... .................. A Revision of diaphragm....... 12.10 7.90 1.31 21.31 090 S
39599... .................. C Diaphragm surgery procedure. 0.00 0.00 0.00 0.00 YYY S
40490... .................. A Biopsy of lip............... 1.22 0.74 0.07 2.03 000 S
40500... .................. A Partial excision of lip..... 4.08 *5.23 0.94 10.25 090 S
40510... .................. A Partial excision of lip..... 4.57 *5.84 0.83 11.24 090 S
40520... .................. A Partial excision of lip..... 4.54 4.50 0.68 9.72 090 S
40525... .................. A Reconstruct lip with flap... 7.26 *9.30 1.43 17.99 090 S
40527... .................. A Reconstruct lip with flap... 8.71 *11.16 1.65 21.52 090 S
40530... .................. A Partial removal of lip...... 5.14 5.10 0.74 10.98 090 S
40650... .................. A Repair lip.................. 3.49 *4.47 0.65 8.61 090 S
40652... .................. A Repair lip.................. 4.08 *5.23 0.79 10.10 090 S
40654... .................. A Repair lip.................. 5.13 *6.57 1.00 12.70 090 S
40700... .................. A Repair cleft lip/nasal...... 12.04 8.46 1.28 21.78 090 S
40701... .................. A Repair cleft lip/nasal...... 15.10 *19.33 1.62 36.05 090 S
40702... .................. A Repair cleft lip/nasal...... 12.34 9.37 1.10 22.81 090 S
40720... .................. A Repair cleft lip/nasal...... 12.91 9.59 1.79 24.29 090 S
40761... .................. A Repair cleft lip/nasal...... 14.00 10.84 1.74 26.58 090 S
40799... .................. C Lip surgery procedure....... 0.00 0.00 0.00 0.00 YYY S
40800... .................. A Drainage of mouth lesion.... 1.12 0.74 0.07 1.93 010 S
40801... .................. A Drainage of mouth lesion.... 2.48 1.70 0.16 4.34 010 S
40804... .................. A Removal foreign body, mouth. 1.19 0.58 0.06 1.83 010 S
40805... .................. A Removal foreign body, mouth. 2.64 2.50 0.30 5.44 010 S
40806... .................. A Incision of lip fold........ 0.31 0.36 0.03 0.70 000 S
40808... .................. A Biopsy of mouth lesion...... 0.91 0.76 0.08 1.75 010 S
40810... .................. A Excision of mouth lesion.... 1.26 1.18 0.11 2.55 010 S
40812... .................. A Excise/repair mouth lesion.. 2.26 1.50 0.14 3.90 010 S
40814... .................. A Excise/repair mouth lesion.. 3.27 3.23 0.32 6.82 090 S
40816... .................. A Excision of mouth lesion.... 3.52 3.22 0.33 7.07 090 S
40818... .................. A Excise oral mucosa for graft 2.26 2.25 0.20 4.71 090 S
40819... .................. A Excise lip or cheek fold.... 2.26 1.23 0.14 3.63 090 S
40820... .................. A Treatment of mouth lesion... 1.23 0.53 0.06 1.82 010 S
40830... .................. A Repair mouth laceration..... 1.71 0.67 0.07 2.45 010 S
40831... .................. A Repair mouth laceration..... 2.41 1.94 0.21 4.56 010 S
40840... .................. R Reconstruction of mouth..... 8.31 6.28 0.73 15.32 090 S
40842... .................. R Reconstruction of mouth..... 8.31 6.28 0.73 15.32 090 S
40843... .................. R Reconstruction of mouth..... 11.63 8.80 1.03 21.46 090 S
40844... .................. R Reconstruction of mouth..... 15.37 11.63 1.36 28.36 090 S
40845... .................. R Reconstruction of mouth..... 17.94 23.99 1.93 43.86 090 S
40899... .................. C Mouth surgery procedure..... 0.00 0.00 0.00 0.00 YYY S
41000... .................. A Drainage of mouth lesion.... 1.25 0.76 0.08 2.09 010 S
41005... .................. A Drainage of mouth lesion.... 1.21 0.62 0.07 1.90 010 S
41006... .................. A Drainage of mouth lesion.... 3.03 1.01 0.11 4.15 090 S
41007... .................. A Drainage of mouth lesion.... 2.89 2.90 0.30 6.09 090 S
[[Page 63232]]
41008... .................. A Drainage of mouth lesion.... 3.16 1.06 0.11 4.33 090 S
41009... .................. A Drainage of mouth lesion.... 3.35 3.31 0.34 7.00 090 S
41010... .................. A Incision of tongue fold..... 1.19 0.37 0.04 1.60 010 S
41015... .................. A Drainage of mouth lesion.... 3.72 0.87 0.10 4.69 090 S
41016... .................. A Drainage of mouth lesion.... 3.72 3.69 0.38 7.79 090 S
41017... .................. A Drainage of mouth lesion.... 3.72 1.40 0.14 5.26 090 S
41018... .................. A Drainage of mouth lesion.... 4.75 3.93 0.38 9.06 090 S
41100... .................. A Biopsy of tongue............ 1.58 0.80 0.08 2.46 010 S
41105... .................. A Biopsy of tongue............ 1.37 1.03 0.12 2.52 010 S
41108... .................. A Biopsy of floor of mouth.... 1.00 0.85 0.09 1.94 010 S
41110... .................. A Excision of tongue lesion... 1.46 1.30 0.15 2.91 010 S
41112... .................. A Excision of tongue lesion... 2.63 2.39 0.23 5.25 090 S
41113... .................. A Excision of tongue lesion... 3.09 3.41 0.37 6.87 090 S
41114... .................. A Excision of tongue lesion... 7.88 6.39 0.73 15.00 090 S
41115... .................. A Excision of tongue fold..... 1.69 1.78 0.17 3.64 010 S
41116... .................. A Excision of mouth lesion.... 2.36 2.49 0.27 5.12 090 S
41120... .................. A Partial removal of tongue... 8.83 7.28 0.88 16.99 090 S
41130... .................. A Partial removal of tongue... 10.27 9.06 1.14 20.47 090 S
41135... .................. A Tongue and neck surgery..... 14.29 *18.30 2.64 35.23 090 S
41140... .................. A Removal of tongue........... 23.46 18.89 2.45 44.80 090 S
41145... .................. A Tongue removal; neck surgery 27.58 22.79 2.95 53.32 090 S
41150... .................. A Tongue, mouth, jaw surgery.. 19.36 18.96 2.46 40.78 090 S
41153... .................. A Tongue, mouth, neck surgery. 21.18 25.00 3.03 49.21 090 S
41155... .................. A Tongue, jaw, & neck surgery. 23.40 *29.95 3.75 57.10 090 S
41250... .................. A Repair tongue laceration.... 1.86 1.07 0.11 3.04 010 S
41251... .................. A Repair tongue laceration.... 2.22 2.07 0.21 4.50 010 S
41252... .................. A Repair tongue laceration.... 2.92 2.35 0.26 5.53 010 S
41500... .................. A Fixation of tongue.......... 3.50 3.29 0.26 7.05 090 S
41510... .................. A Tongue to lip surgery....... 3.32 2.53 0.45 6.30 090 S
41520... .................. A Reconstruction, tongue fold. 2.63 2.88 0.28 5.79 090 S
41599... .................. C Tongue and mouth surgery.... 0.00 0.00 0.00 0.00 YYY S
41800... .................. A Drainage of gum lesion...... 1.12 0.69 0.07 1.88 010 S
41805... .................. A Removal foreign body, gum... 1.19 0.84 0.08 2.11 010 S
41806... .................. A Removal foreign body, 2.64 1.64 0.15 4.43 010 S
jawbone.
41820... .................. R Excision, gum, each quadrant 0.00 0.00 0.00 0.00 XXX S
41821... .................. R Excision of gum flap........ 0.00 0.00 0.00 0.00 XXX S
41822... .................. R Excision of gum lesion...... 2.26 3.03 0.25 5.54 010 S
41823... .................. R Excision of gum lesion...... 3.15 4.20 0.34 7.69 090 S
41825... .................. A Excision of gum lesion...... 1.26 1.49 0.14 2.89 010 S
41826... .................. A Excision of gum lesion...... 2.26 2.07 0.18 4.51 010 S
41827... .................. A Excision of gum lesion...... 3.27 3.78 0.38 7.43 090 S
41828... .................. R Excision of gum lesion...... 3.04 4.07 0.33 7.44 010 S
41830... .................. R Removal of gum tissue....... 3.30 4.41 0.36 8.07 010 S
41850... .................. R Treatment of gum lesion..... 0.00 0.00 0.00 0.00 XXX S
41870... .................. R Gum graft................... 0.00 0.00 0.00 0.00 XXX S
41872... .................. R Repair gum.................. 2.44 3.26 0.27 5.97 090 S
41874... .................. R Repair tooth socket......... 2.94 3.93 0.32 7.19 090 S
41899... .................. C Dental surgery procedure.... 0.00 0.00 0.00 0.00 YYY S
42000... .................. A Drainage mouth roof lesion.. 1.18 0.62 0.06 1.86 010 S
42100... .................. A Biopsy roof of mouth........ 1.26 0.79 0.08 2.13 010 S
42104... .................. A Excision lesion, mouth roof. 1.59 1.62 0.17 3.38 010 S
42106... .................. A Excision lesion, mouth roof. 2.63 2.22 0.21 5.06 010 S
42107... .................. A Excision lesion, mouth roof. 4.20 4.91 0.50 9.61 090 S
42120... .................. A Remove palate/lesion........ 5.39 *6.90 1.01 13.30 090 S
42140... .................. A Excision of uvula........... 1.54 1.35 0.15 3.04 090 S
42145... .................. A Repair, palate, pharynx/ 7.04 *9.01 1.45 17.50 090 S
uvula.
42160... .................. A Treatment mouth roof lesion. 1.75 1.53 0.16 3.44 010 S
42180... .................. A Repair palate............... 2.45 2.24 0.26 4.95 010 S
42182... .................. A Repair palate............... 3.78 3.47 0.38 7.63 010 S
42200... .................. A Reconstruct cleft palate.... 9.48 7.19 0.85 17.52 090 S
42205... .................. A Reconstruct cleft palate.... 8.96 10.82 0.79 20.57 090 S
42210... .................. A Reconstruct cleft palate.... 10.02 12.51 0.95 23.48 090 S
42215... .................. A Reconstruct cleft palate.... 8.42 7.68 0.86 16.96 090 S
42220... .................. A Reconstruct cleft palate.... 6.65 5.40 0.81 12.86 090 S
42225... .................. A Reconstruct cleft palate.... 9.08 6.90 1.08 17.06 090 S
42226... .................. A Lengthening of palate....... 9.42 7.89 0.86 18.17 090 S
[[Page 63233]]
42227... .................. A Lengthening of palate....... 8.89 7.41 0.38 16.68 090 S
42235... .................. A Repair palate............... 7.50 5.55 0.49 13.54 090 S
42260... .................. A Repair nose to lip fistula.. 4.17 3.98 0.44 8.59 090 S
42280... .................. A Preparation, palate mold.... 1.49 1.99 0.17 3.65 010 S
42281... .................. A Insertion, palate prosthesis 1.77 1.47 0.15 3.39 010 S
42299... .................. C Palate/uvula surgery........ 0.00 0.00 0.00 0.00 YYY S
42300... .................. A Drainage of salivary gland.. 1.88 0.96 0.12 2.96 010 S
42305... .................. A Drainage of salivary gland.. 5.59 2.18 0.27 8.04 090 S
42310... .................. A Drainage of salivary gland.. 1.51 1.03 0.12 2.66 010 S
42320... .................. A Drainage of salivary gland.. 2.30 1.83 0.22 4.35 010 S
42325... .................. A Create salivary cyst drain.. 2.65 2.12 0.20 4.97 090 S
42326... .................. A Create salivary cyst drain.. 3.65 4.34 0.33 8.32 090 S
42330... .................. A Removal of salivary stone... 2.16 1.10 0.12 3.38 010 S
42335... .................. A Removal of salivary stone... 3.21 2.47 0.27 5.95 090 S
42340... .................. A Removal of salivary stone... 4.47 4.25 0.45 9.17 090 S
42400... .................. A Biopsy of salivary gland.... 0.78 0.79 0.10 1.67 000 S
42405... .................. A Biopsy of salivary gland.... 3.24 1.54 0.19 4.97 010 S
42408... .................. A Excision of salivary cyst... 4.41 3.24 0.38 8.03 090 S
42409... .................. A Drainage of salivary cyst... 2.71 2.81 0.30 5.82 090 S
42410... .................. A Excise parotid gland/lesion. 8.88 5.94 0.92 15.74 090 S
42415... .................. A Excise parotid gland/lesion. 16.12 12.68 1.68 30.48 090 S
42420... .................. A Excise parotid gland/lesion. 18.63 14.82 1.87 35.32 090 S
42425... .................. A Excise parotid gland/lesion. 12.36 11.10 1.43 24.89 090 S
42426... .................. A Excise parotid gland/lesion. 19.88 24.12 3.21 47.21 090 S
42440... .................. A Excision submaxillary gland. 6.61 7.98 0.99 15.58 090 S
42450... .................. A Excision sublingual gland... 4.38 3.42 0.35 8.15 090 S
42500... .................. A Repair salivary duct........ 4.06 4.61 0.50 9.17 090 S
42505... .................. A Repair salivary duct........ 5.92 7.34 0.86 14.12 090 S
42507... .................. A Parotid duct diversion...... 5.96 4.65 0.67 11.28 090 S
42508... .................. A Parotid duct diversion...... 8.64 7.61 0.94 17.19 090 S
42509... .................. A Parotid duct diversion...... 11.08 7.31 1.23 19.62 090 S
42510... .................. A Parotid duct diversion...... 7.71 7.65 0.84 16.20 090 S
42550... .................. A Injection for salivary x-ray 1.25 0.44 0.04 1.73 000 N
42600... .................. A Closure of salivary fistula. 4.58 3.89 0.46 8.93 090 S
42650... .................. A Dilation of salivary duct... 0.77 0.39 0.04 1.20 000 S
42660... .................. A Dilation of salivary duct... 1.13 0.50 0.06 1.69 000 S
42665... .................. A Ligation of salivary duct... 2.43 2.04 0.25 4.72 090 S
42699... .................. C Salivary surgery procedure.. 0.00 0.00 0.00 0.00 YYY S
42700... .................. A Drainage of tonsil abscess.. 1.57 0.85 0.10 2.52 010 S
42720... .................. A Drainage of throat abscess.. 2.61 1.89 0.22 4.72 010 S
42725... .................. A Drainage of throat abscess.. 7.60 4.45 0.53 12.58 090 S
42800... .................. A Biopsy of throat............ 1.34 0.74 0.08 2.16 010 S
42802... .................. A Biopsy of throat............ 1.49 1.02 0.12 2.63 010 S
42804... .................. A Biopsy of upper nose/throat. 1.19 1.09 0.13 2.41 010 S
42806... .................. A Biopsy of upper nose/throat. 1.53 1.40 0.16 3.09 010 S
42808... .................. A Excise pharynx lesion....... 2.25 2.52 0.29 5.06 010 S
42809... .................. A Remove pharynx foreign body. 1.76 0.82 0.08 2.66 010 S
42810... .................. A Excision of neck cyst....... 3.20 3.14 0.47 6.81 090 S
42815... .................. A Excision of neck cyst....... 6.75 8.47 1.12 16.34 090 S
42820... .................. A Remove tonsils and adenoids. 3.59 3.15 0.32 7.06 090 S
42821... .................. A Remove tonsils and adenoids. 4.10 3.93 0.46 8.49 090 S
42825... .................. A Removal of tonsils.......... 3.21 2.64 0.33 6.18 090 S
42826... .................. A Removal of tonsils.......... 3.19 3.86 0.43 7.48 090 S
42830... .................. A Removal of adenoids......... 2.49 1.86 0.27 4.62 090 S
42831... .................. A Removal of adenoids......... 2.61 2.36 0.25 5.22 090 S
42835... .................. A Removal of adenoids......... 2.22 1.86 0.10 4.18 090 S
42836... .................. A Removal of adenoids......... 3.10 2.79 0.31 6.20 090 S
42842... .................. A Extensive surgery of throat. 8.13 6.69 0.73 15.55 090 S
42844... .................. A Extensive surgery of throat. 12.73 10.85 1.27 24.85 090 S
42845... .................. A Extensive surgery of throat. 21.88 18.62 2.22 42.72 090 S
42860... .................. A Excision of tonsil tags..... 2.14 1.89 0.21 4.24 090 S
42870... .................. A Excision of lingual tonsil.. 5.16 2.32 0.26 7.74 090 S
42880... .................. A Excise nose/throat lesion... 6.01 4.62 0.52 11.15 090 S
42890... .................. A Partial removal of pharynx.. 11.67 8.99 1.03 21.69 090 S
42892... .................. A Revision of pharyngeal walls 13.94 10.92 1.27 26.13 090 S
42894... .................. A Revision of pharyngeal walls 20.68 16.06 1.83 38.57 090 S
[[Page 63234]]
42900... .................. A Repair throat wound......... 4.98 4.26 0.48 9.72 010 S
42950... .................. A Reconstruction of throat.... 7.70 9.86 1.10 18.66 090 S
42953... .................. A Repair throat, esophagus.... 8.21 6.34 0.93 15.48 090 S
42955... .................. A Surgical opening of throat.. 6.50 3.32 0.43 10.25 090 S
42960... .................. A Control throat bleeding..... 2.28 1.08 0.12 3.48 010 S
42961... .................. A Control throat bleeding..... 5.18 1.75 0.19 7.12 090 S
42962... .................. A Control throat bleeding..... 6.64 5.98 0.68 13.30 090 S
42970... .................. A Control nose/throat bleeding 4.78 1.03 0.10 5.91 090 N
42971... .................. A Control nose/throat bleeding 5.56 2.90 0.34 8.80 090 S
42972... .................. A Control nose/throat bleeding 6.55 4.55 0.73 11.83 090 S
42999... .................. C Throat surgery procedure.... 0.00 0.00 0.00 0.00 YYY S
43020... .................. A Incision of esophagus....... 7.72 6.58 0.71 15.01 090 S
43030... .................. A Throat muscle surgery....... 7.15 *9.15 1.21 17.51 090 S
43045... .................. A Incision of esophagus....... 18.83 12.45 2.36 33.64 090 S
43100... .................. A Excision of esophagus lesion 8.47 6.19 0.95 15.61 090 S
43101... .................. A Excision of esophagus lesion 15.11 9.48 1.88 26.47 090 S
43107... .................. A Removal of esophagus........ 27.20 22.50 4.42 54.12 090 S
43108... .................. A Removal of esophagus........ 32.64 25.27 4.77 62.68 090 S
43112... .................. A Removal of esophagus........ 29.67 21.65 4.22 55.54 090 S
43113... .................. A Removal of esophagus........ 33.63 25.27 4.77 63.67 090 S
43116... .................. A Partial removal of esophagus 29.67 25.27 4.77 59.71 090 S
43117... .................. A Partial removal of esophagus 28.47 25.27 4.77 58.51 090 S
43118... .................. A Partial removal of esophagus 31.65 25.27 4.77 61.69 090 S
43121... .................. A Partial removal of esophagus 27.69 21.36 4.19 53.24 090 S
43122... .................. A Parital removal of esophagus 27.69 21.36 4.19 53.24 090 S
43123... .................. A Partial removal of esophagus 31.65 25.27 4.77 61.69 090 S
43124... .................. A Removal of esophagus........ 24.73 22.50 4.42 51.65 090 S
43130... .................. A Removal of esophagus pouch.. 10.68 10.51 1.60 22.79 090 S
43135... .................. A Removal of esophagus pouch.. 15.11 11.72 2.17 29.00 090 S
43200... .................. A Esophagus endoscopy......... 1.59 *2.04 0.26 3.89 000 S
43202... .................. A Esophagus endoscopy, biopsy. 1.89 *2.41 0.31 4.61 000 N
43204... .................. A Esophagus endoscopy & inject 3.77 *4.83 0.36 8.96 000 N
43205... .................. A Esophagus endoscopy/ligation 3.79 2.70 0.18 6.67 000 N
43215... .................. A Esophagus endoscopy......... 2.60 *3.33 0.46 6.39 000 N
43216... .................. A Esophagus endoscopy/lesion.. 2.40 *3.58 0.37 6.35 000 N
43217... .................. A Esophagus endoscopy......... 2.90 *3.58 0.37 6.85 000 N
43219... .................. A Esophagus endoscopy......... 2.80 *3.58 0.34 6.72 000 N
43220... .................. A Esophagus endoscopy, 2.10 *2.68 0.27 5.05 000 N
dilation.
43226... .................. A Esophagus endoscopy, 2.34 *3.00 0.26 5.60 000 N
dilation.
43227... .................. A Esophagus endoscopy, repair. 3.60 *4.61 0.34 8.55 000 N
43228... .................. A Esophagus endoscopy, 3.77 4.79 0.38 8.94 000 N
ablation.
43234... .................. A Upper GI endoscopy, exam.... 2.01 *2.57 0.30 4.88 000 N
43235... .................. A Upper GI endoscopy, 2.39 *3.07 0.29 5.75 000 N
diagnosis.
43239... .................. A Upper GI endoscopy, biopsy.. 2.69 *3.44 0.33 6.46 000 N
43241... .................. A Upper GI endoscopy with tube 2.59 *3.31 0.38 6.28 000 N
43243... .................. A Upper GI endoscopy & inject. 4.57 5.63 0.39 10.59 000 N
43244... .................. A Upper GI endoscopy/ligation. 4.59 3.47 0.41 8.47 000 N
43245... .................. A Operative upper GI endoscopy 3.39 *4.34 0.40 8.13 000 N
43246... .................. A Place gastrostomy tube...... 4.33 *5.55 0.51 10.39 000 N
43247... .................. A Operative upper GI endoscopy 3.39 *4.34 0.38 8.11 000 N
43248... .................. A Upper GI endoscopy/guidewire 3.15 *4.03 0.35 7.53 000 N
43249... .................. A Esophagus endoscopy, 2.90 3.73 0.30 6.93 000 N
dilation.
43250... .................. A Upper GI endoscopy/tumor.... 3.20 *4.60 0.43 8.23 000 N
43251... .................. A Operative upper GI endoscopy 3.70 *4.60 0.43 8.73 000 N
43255... .................. A Operative upper GI endoscopy 4.40 5.63 0.38 10.41 000 N
43258... .................. A Operative upper GI endoscopy 4.55 5.41 0.38 10.34 000 N
43259... .................. A Endoscopic ultrasound exam.. 4.89 4.02 0.35 9.26 000 N
43260... .................. A Endoscopy,bile duct/pancreas 5.96 5.98 0.39 12.33 000 N
43261... .................. A Endoscopy,bile duct/pancreas 6.27 5.98 0.39 12.64 000 N
43262... .................. A Endoscopy,bile duct/pancreas 7.39 9.00 0.58 16.97 000 N
43263... .................. A Endoscopy,bile duct/pancreas 6.19 5.83 0.38 12.40 000 N
43264... .................. A Endoscopy,bile duct/pancreas 8.90 8.92 0.61 18.43 000 N
43265... .................. A Endoscopy,bile duct/pancreas 8.90 6.82 0.49 16.21 000 N
43267... .................. A Endoscopy,bile duct/pancreas 7.39 7.41 0.48 15.28 000 N
43268... .................. A Endoscopy,bile duct/pancreas 7.39 8.72 0.56 16.67 000 N
43269... .................. A Endoscopy,bile duct/pancreas 6.04 7.35 0.51 13.90 000 N
[[Page 63235]]
43271... .................. A Endoscopy,bile duct/pancreas 7.39 7.63 0.50 15.52 000 N
43272... .................. A Endoscopy,bile duct/pancreas 7.39 5.60 0.42 13.41 000 N
43300... .................. A Repair of esophagus......... 8.72 *11.17 1.70 21.59 090 S
43305... .................. A Repair esophagus and fistula 16.14 13.71 1.78 31.63 090 S
43310... .................. A Repair of esophagus......... 24.20 16.99 3.23 44.42 090 S
43312... .................. A Repair esophagus and fistula 27.26 13.72 2.30 43.28 090 S
43320... .................. A Fuse esophagus & stomach.... 14.49 11.68 2.05 28.22 090 S
43324... .................. A Revise esophagus & stomach.. 15.18 11.88 2.53 29.59 090 S
43325... .................. A Revise esophagus & stomach.. 14.63 11.61 2.29 28.53 090 S
43326... .................. A Revise esophagus & stomach.. 14.37 7.52 1.75 23.64 090 S
43330... .................. A Repair of esophagus......... 14.27 11.36 2.39 28.02 090 S
43331... .................. A Repair of esophagus......... 14.73 14.33 2.64 31.70 090 S
43340... .................. A Fuse esophagus & intestine.. 14.16 12.44 2.52 29.12 090 S
43341... .................. A Fuse esophagus & intestine.. 15.26 9.90 1.56 26.72 090 S
43350... .................. A Surgical opening, esophagus. 11.25 7.88 1.15 20.28 090 S
43351... .................. A Surgical opening, esophagus. 13.42 8.77 1.53 23.72 090 S
43352... .................. A Surgical opening, esophagus. 10.92 8.86 1.47 21.25 090 S
43360... .................. A Gastrointestinal repair..... 26.06 21.36 4.19 51.61 090 S
43361... .................. A Gastrointestinal repair..... 29.67 25.27 4.77 59.71 090 S
43400... .................. A Ligate esophagus veins...... 15.55 10.82 1.63 28.00 090 S
43401... .................. A Esophagus surgery for veins. 16.26 9.59 1.93 27.78 090 S
43405... .................. A Ligate/staple esophagus..... 14.84 14.33 2.64 31.81 090 S
43410... .................. A Repair esophagus wound...... 9.61 8.90 1.54 20.05 090 S
43415... .................. A Repair esophagus wound...... 15.86 12.74 2.52 31.12 090 S
43420... .................. A Repair esophagus opening.... 10.19 5.88 0.78 16.85 090 S
43425... .................. A Repair esophagus opening.... 15.58 9.94 1.71 27.23 090 S
43450... .................. A Dilate esophagus............ 1.38 0.68 0.05 2.11 000 N
43453... .................. A Dilate esophagus............ 1.51 1.51 0.11 3.13 000 N
43456... .................. A Dilate esophagus............ 3.52 2.47 0.24 6.23 000 N
43458... .................. A Dilation of esophagus....... 3.06 *1.52 0.27 4.85 000 N
43460... .................. A Pressure treatment esophagus 3.80 1.67 0.15 5.62 000 N
43499... .................. C Esophagus surgery procedure. 0.00 0.00 0.00 0.00 YYY N
43500... .................. A Surgical opening of stomach. 7.60 6.13 1.20 14.93 090 S
43501... .................. A Surgical repair of stomach.. 13.85 8.58 1.83 24.26 090 S
43502... .................. A Surgical repair of stomach.. 15.82 8.58 1.83 26.23 090 S
43510... .................. A Surgical opening of stomach. 9.27 8.29 0.94 18.50 090 N
43520... .................. A Incision of pyloric muscle.. 7.00 4.48 0.87 12.35 090 S
43600... .................. A Biopsy of stomach........... 1.91 0.50 0.05 2.46 000 N
43605... .................. A Biopsy of stomach........... 8.23 5.91 1.29 15.43 090 S
43610... .................. A Excision of stomach lesion.. 10.11 8.17 1.71 19.99 090 S
43611... .................. A Excision of stomach lesion.. 12.43 8.17 1.71 22.31 090 S
43620... .................. A Removal of stomach.......... 21.03 15.38 3.19 39.60 090 S
43621... .................. A Removal of stomach.......... 21.47 15.38 3.19 40.04 090 S
43622... .................. A Removal of stomach.......... 22.82 15.38 3.19 41.39 090 S
43631... .................. A Removal of stomach, partial. 18.10 12.42 2.66 33.18 090 S
43632... .................. A Removal stomach, partial.... 18.10 12.42 2.66 33.18 090 S
43633... .................. A Removal stomach, partial.... 18.54 12.42 2.66 33.62 090 S
43634... .................. A Removal stomach, partial.... 19.89 20.83 4.57 45.29 090 S
43635... .................. A Partial removal of stomach.. 2.06 1.08 0.26 3.40 ZZZ S
43638... .................. A Partial removal of stomach.. 20.15 12.75 2.73 35.63 090 S
43639... .................. A Removal stomach, partial.... 20.64 12.75 2.73 36.12 090 S
43640... .................. A Vagotomy & pylorus repair... 13.28 10.34 2.19 25.81 090 S
43641... .................. A Vagotomy & pylorus repair... 13.28 10.34 2.18 25.80 090 S
43750... .................. A Place gastrostomy tube...... 5.71 4.35 0.56 10.62 010 N
43760... .................. A Change gastrostomy tube..... 1.10 0.69 0.09 1.88 000 N
43761... .................. A Reposition gastrostomy tube. 2.01 1.06 0.25 3.32 000 N
43800... .................. A Reconstruction of pylorus... 9.41 6.85 1.47 17.73 090 S
43810... .................. A Fusion of stomach and bowel. 10.08 7.64 1.53 19.25 090 S
43820... .................. A Fusion of stomach and bowel. 10.43 8.29 1.75 20.47 090 S
43825... .................. A Fusion of stomach and bowel. 13.28 11.08 2.30 26.66 090 S
43830... .................. A Place gastrostomy tube...... 4.84 *6.19 1.19 12.22 090 S
43831... .................. A Place gastrostomy tube...... 6.41 5.20 0.93 12.54 090 S
43832... .................. A Place gastrostomy tube...... 10.68 7.95 1.36 19.99 090 S
43840... .................. A Repair of stomach lesion.... 10.45 7.84 1.66 19.95 090 S
43842... .................. A Gastroplasty for obesity.... 13.76 13.72 2.93 30.41 090 S
43843... .................. A Gastroplasty for obesity.... 13.76 13.72 2.93 30.41 090 S
[[Page 63236]]
43846... .................. A Gastric bypass for obesity.. 17.84 14.80 3.30 35.94 090 S
43847... .................. A Gastric bypass for obesity.. 19.87 14.80 3.30 37.97 090 S
43848... .................. A Revision gastroplasty....... 22.10 14.80 3.30 40.20 090 S
43850... .................. A Revise stomach-bowel fusion. 18.14 11.64 2.25 32.03 090 S
43855... .................. A Revise stomach-bowel fusion. 19.15 10.44 2.28 31.87 090 S
43860... .................. A Revise stomach-bowel fusion. 18.14 11.46 2.51 32.11 090 S
43865... .................. A Revise stomach-bowel fusion. 19.15 13.39 2.98 35.52 090 S
43870... .................. A Repair stomach opening...... 6.56 5.77 1.14 13.47 090 S
43880... .................. A Repair stomach-bowel fistula 18.14 8.25 1.76 28.15 090 S
43999... .................. C Stomach surgery procedure... 0.00 0.00 0.00 0.00 YYY N
44005... .................. A Freeing of bowel adhesion... 12.52 8.28 1.75 22.55 090 S
44010... .................. A Incision of small bowel..... 9.24 6.91 1.42 17.57 090 S
44015... .................. A Insert needle catheter, 2.62 3.22 0.45 6.29 ZZZ S
bowel.
44020... .................. A Exploration of small bowel.. 10.69 7.81 1.65 20.15 090 S
44021... .................. A Decompress small bowel...... 10.83 7.00 1.48 19.31 090 S
44025... .................. A Incision of large bowel..... 11.07 7.74 1.61 20.42 090 S
44050... .................. A Reduce bowel obstruction.... 10.05 7.77 1.64 19.46 090 S
44055... .................. A Correct malrotation of bowel 11.92 7.66 1.60 21.18 090 S
44100... .................. A Biopsy of bowel............. 2.01 1.38 0.13 3.52 000 N
44110... .................. A Excision of bowel lesion(s). 9.01 7.67 1.58 18.26 090 S
44111... .................. A Excision of bowel lesion(s). 11.05 9.67 2.14 22.86 090 S
44120... .................. A Removal of small intestine.. 13.15 9.46 2.02 24.63 090 S
44121... .................. A Removal of small intestine.. 4.45 2.32 0.54 7.31 ZZZ S
44125... .................. A Removal of small intestine.. 13.15 10.75 2.28 26.18 090 S
44130... .................. A Bowel to bowel fusion....... 11.09 8.67 1.86 21.62 090 S
44139... .................. A Mobilization of colon....... 2.23 1.17 0.27 3.67 ZZZ S
44140... .................. A Partial removal of colon.... 16.97 11.37 2.40 30.74 090 S
44141... .................. A Partial removal of colon.... 17.36 11.86 2.55 31.77 090 S
44143... .................. A Partial removal of colon.... 15.00 12.26 2.62 29.88 090 S
44144... .................. A Partial removal of colon.... 15.00 12.06 2.53 29.59 090 S
44145... .................. A Partial removal of colon.... 21.29 13.25 2.78 37.32 090 S
44146... .................. A Partial removal of colon.... 22.22 14.98 3.14 40.34 090 S
44147... .................. A Partial removal of colon.... 16.23 15.34 3.30 34.87 090 S
44150... .................. A Removal of colon............ 19.04 14.84 3.17 37.05 090 S
44151... .................. A Removal of colon/ileostomy.. 17.95 10.21 2.22 30.38 090 S
44152... .................. A Removal of colon/ileostomy.. 22.98 15.44 3.36 41.78 090 S
44153... .................. A Removal of colon/ileostomy.. 24.69 19.35 3.63 47.67 090 S
44155... .................. A Removal of colon............ 22.09 16.65 3.50 42.24 090 S
44156... .................. A Removal of colon/ileostomy.. 20.48 11.40 2.52 34.40 090 S
44160... .................. A Removal of colon............ 14.09 12.44 2.68 29.21 090 S
44300... .................. A Open bowel to skin.......... 7.77 6.03 1.29 15.09 090 S
44310... .................. A Ileostomy/jejunostomy....... 10.07 7.88 1.66 19.61 090 S
44312... .................. A Revision of ileostomy....... 5.34 3.08 0.45 8.87 090 S
44314... .................. A Revision of ileostomy....... 9.77 6.68 1.21 17.66 090 S
44316... .................. A Devise bowel pouch.......... 13.59 9.64 1.43 24.66 090 S
44320... .................. A Colostomy................... 11.39 7.46 1.57 20.42 090 S
44322... .................. A Colostomy with biopsies..... 10.31 9.07 1.88 21.26 090 S
44340... .................. A Revision of colostomy....... 4.92 1.68 0.35 6.95 090 S
44345... .................. A Revision of colostomy....... 10.05 4.84 1.03 15.92 090 S
44346... .................. A Revision of colostomy....... 11.13 6.65 1.38 19.16 090 S
44360... .................. A Small bowel endoscopy....... 2.92 *3.74 0.32 6.98 000 N
44361... .................. A Small bowel endoscopy, 3.23 *4.14 0.34 7.71 000 N
biopsy.
44363... .................. A Small bowel endoscopy....... 3.94 2.99 0.36 7.29 000 N
44364... .................. A Small bowel endoscopy....... 4.22 4.73 0.72 9.67 000 N
44365... .................. A Small bowel endoscopy....... 3.73 4.73 0.72 9.18 000 N
44366... .................. A Small bowel endoscopy....... 4.97 5.86 0.45 11.28 000 N
44369... .................. A Small bowel endoscopy....... 5.09 *6.52 0.50 12.11 000 N
44372... .................. A Small bowel endoscopy....... 4.97 5.83 0.67 11.47 000 N
44373... .................. A Small bowel endoscopy....... 3.94 *5.03 0.50 9.47 000 N
44376... .................. A Small bowel endoscopy....... 5.69 4.05 0.26 10.00 000 N
44377... .................. A Small bowel endoscopy....... 5.98 4.26 0.28 10.52 000 N
44378... .................. A Small bowel endoscopy....... 7.71 5.27 0.35 13.33 000 N
44380... .................. A Small bowel endoscopy....... 1.51 *1.94 0.22 3.67 000 N
44382... .................. A Small bowel endoscopy....... 1.82 *2.33 0.29 4.44 000 N
44385... .................. A Endoscopy of bowel pouch.... 1.82 *2.33 0.34 4.49 000 S
44386... .................. A Endoscopy, bowel pouch, 2.12 1.54 0.15 3.81 000 N
biopsy.
[[Page 63237]]
44388... .................. A Colon endoscopy............. 2.82 *3.61 0.50 6.93 000 S
44389... .................. A Colonoscopy with biopsy..... 3.13 *4.00 0.45 7.58 000 N
44390... .................. A Colonoscopy for foreign body 3.83 2.63 0.28 6.74 000 N
44391... .................. A Colonoscopy for bleeding.... 4.32 5.26 0.53 10.11 000 N
44392... .................. A Colonoscopy & polypectomy... 3.82 *5.16 0.70 9.68 000 N
44393... .................. A Colonoscopy, lesion removal. 4.84 5.41 0.70 10.95 000 N
44394... .................. A Colonoscopy w/snare......... 4.43 *5.16 0.70 10.29 000 N
44500... .................. A Intro, gastrointestinal tube 0.49 0.36 0.02 0.87 000 N
44602... .................. A Suture, small intestine..... 9.72 7.65 1.62 18.99 090 S
44603... .................. A Suture, small intestine..... 12.94 9.09 1.96 23.99 090 S
44604... .................. A Suture, large intestine..... 12.94 7.87 1.67 22.48 090 S
44605... .................. A Repair of bowel lesion...... 13.91 9.37 2.02 25.30 090 S
44615... .................. A Intestinal stricturoplasty.. 12.89 6.74 1.57 21.20 090 S
44620... .................. A Repair bowel opening........ 9.65 5.97 1.26 16.88 090 S
44625... .................. A Repair bowel opening........ 12.10 9.58 2.03 23.71 090 S
44640... .................. A Repair bowel-skin fistula... 13.34 6.54 1.35 21.23 090 S
44650... .................. A Repair bowel fistula........ 13.76 7.33 1.46 22.55 090 S
44660... .................. A Repair bowel-bladder fistula 13.14 8.34 1.21 22.69 090 S
44661... .................. A Repair bowel-bladder fistula 15.44 13.94 2.52 31.90 090 S
44680... .................. A Surgical revision, intestine 12.41 9.71 2.14 24.26 090 S
44799... .................. C Intestine surgery procedure. 0.00 0.00 0.00 0.00 YYY S
44800... .................. A Excision of bowel pouch..... 10.12 5.24 1.08 16.44 090 S
44820... .................. A Excision of mesentery lesion 9.31 5.80 1.21 16.32 090 S
44850... .................. A Repair of mesentery......... 8.64 5.60 1.18 15.42 090 S
44899... .................. C Bowel surgery procedure..... 0.00 0.00 0.00 0.00 YYY S
44900... .................. A Drainage of appendix abscess 7.86 4.28 0.88 13.02 090 S
44950... .................. A Appendectomy................ 6.06 4.89 1.01 11.96 090 S
44955... .................. A Appendectomy................ 1.53 *1.96 0.60 4.09 ZZZ S
44960... .................. A Appendectomy................ 9.78 5.89 1.24 16.91 090 S
45000... .................. A Drainage of pelvic abscess.. 4.28 1.59 0.24 6.11 090 S
45005... .................. A Drainage of rectal abscess.. 1.96 1.29 0.21 3.46 010 S
45020... .................. A Drainage of rectal abscess.. 4.40 2.61 0.51 7.52 090 S
45100... .................. A Biopsy of rectum............ 3.38 1.88 0.35 5.61 090 S
45108... .................. A Removal of anorectal lesion. 4.28 2.66 0.53 7.47 090 S
45110... .................. A Removal of rectum........... 21.68 16.32 3.43 41.43 090 S
45111... .................. A Partial removal of rectum... 14.97 11.77 2.49 29.23 090 S
45112... .................. A Removal of rectum........... 24.02 16.06 3.36 43.44 090 S
45113... .................. A Partial proctectomy......... 24.69 16.06 3.36 44.11 090 S
45114... .................. A Partial removal of rectum... 21.20 15.39 3.24 39.83 090 S
45116... .................. A Partial removal of rectum... 19.09 10.77 2.34 32.20 090 S
45120... .................. A Removal of rectum........... 22.78 16.39 3.54 42.71 090 S
45121... .................. A Removal of rectum and colon. 24.96 10.79 2.01 37.76 090 S
45123... .................. A Partial proctectomy......... 13.27 11.77 2.49 27.53 090 S
45130... .................. A Excision of rectal prolapse. 13.03 8.92 1.79 23.74 090 S
45135... .................. A Excision of rectal prolapse. 15.36 15.95 3.50 34.81 090 S
45150... .................. A Excision of rectal stricture 5.26 3.38 0.63 9.27 090 S
45160... .................. A Excision of rectal lesion... 12.34 7.46 1.56 21.36 090 S
45170... .................. A Excision of rectal lesion... 9.40 4.62 0.96 14.98 090 S
45190... .................. A Destruction, rectal tumor... 7.91 5.09 1.06 14.06 090 S
45300... .................. A Proctosigmoidoscopy......... 0.70 0.55 0.07 1.32 000 S
45303... .................. A Proctosigmoidoscopy......... 0.50 *0.64 0.12 1.26 000 S
45305... .................. A Proctosigmoidoscopy; biopsy. 1.01 0.84 0.14 1.99 000 S
45307... .................. A Proctosigmoidoscopy......... 1.71 1.27 0.18 3.16 000 S
45308... .................. A Proctosigmoidoscopy......... 1.51 1.13 0.20 2.84 000 S
45309... .................. A Proctosigmoidoscopy......... 2.01 1.13 0.20 3.34 000 S
45315... .................. A Proctosigmoidoscopy......... 2.54 1.19 0.18 3.91 000 S
45317... .................. A Proctosigmoidoscopy......... 2.73 1.26 0.19 4.18 000 S
45320... .................. A Proctosigmoidoscopy......... 2.88 1.87 0.34 5.09 000 S
45321... .................. A Proctosigmoidoscopy......... 2.12 1.47 0.27 3.86 000 S
45330... .................. A Sigmoidoscopy, diagnostic... 0.96 *1.23 0.12 2.31 000 N
45331... .................. A Sigmoidoscopy and biopsy.... 1.26 *1.61 0.15 3.02 000 N
45332... .................. A Sigmoidoscopy............... 1.96 1.76 0.16 3.88 000 N
45333... .................. A Sigmoidoscopy & polypectomy. 1.96 2.24 0.26 4.46 000 N
45334... .................. A Sigmoidoscopy for bleeding.. 2.99 2.71 0.23 5.93 000 N
45337... .................. A Sigmoidoscopy, decompression 2.36 *3.03 0.38 5.77 000 N
45338... .................. A Sigmoidoscopy............... 2.57 2.24 0.26 5.07 000 N
[[Page 63238]]
45339... .................. A Sigmoidoscopy............... 3.14 3.24 0.31 6.69 000 N
45355... .................. A Surgical colonoscopy........ 3.52 1.17 0.10 4.79 000 N
45378... .................. A Diagnostic colonoscopy...... 3.70 4.13 0.39 8.22 000 N
45379... .................. A Colonoscopy................. 4.72 5.33 0.45 10.50 000 N
45380... .................. A Colonoscopy and biopsy...... 4.01 4.79 0.40 9.20 000 N
45382... .................. A Colonoscopy, control 5.73 5.87 0.41 12.01 000 N
bleeding.
45383... .................. A Colonoscopy, lesion removal. 5.87 5.92 0.50 12.29 000 N
45384... .................. A Colonoscopy................. 4.70 *6.65 0.58 11.93 000 N
45385... .................. A Colonoscopy, lesion removal. 5.31 *6.65 0.58 12.54 000 N
45500... .................. A Repair of rectum............ 6.59 5.95 1.21 13.75 090 S
45505... .................. A Repair of rectum............ 5.54 6.29 1.23 13.06 090 S
45520... .................. A Treatment of rectal prolapse 0.55 0.61 0.10 1.26 000 N
45540... .................. A Correct rectal prolapse..... 11.98 9.89 2.10 23.97 090 S
45541... .................. A Correct rectal prolapse..... 9.79 10.17 2.04 22.00 090 S
45550... .................. A Repair rectum; remove 13.38 11.49 2.38 27.25 090 S
sigmoid.
45560... .................. A Repair of rectocele......... 7.48 4.79 0.98 13.25 090 S
45562... .................. A Exploration/repair of rectum 11.13 8.09 1.58 20.80 090 S
45563... .................. A Exploration/repair of rectum 17.55 12.77 2.49 32.81 090 S
45800... .................. A Repair rectumbladder fistula 12.75 9.82 1.45 24.02 090 S
45805... .................. A Repair fistula; colostomy... 15.08 12.32 2.39 29.79 090 S
45820... .................. A Repair rectourethral fistula 13.31 8.98 1.23 23.52 090 S
45825... .................. A Repair fistula; colostomy... 15.45 9.87 1.66 26.98 090 S
45900... .................. A Reduction of rectal prolapse 1.68 0.58 0.11 2.37 010 S
45905... .................. A Dilation of anal sphincter.. 1.51 0.71 0.12 2.34 010 S
45910... .................. A Dilation of rectal narrowing 1.86 0.87 0.13 2.86 010 S
45915... .................. A Remove rectal obstruction... 2.09 0.78 0.09 2.96 010 N
45999... .................. C Rectum surgery procedure.... 0.00 0.00 0.00 0.00 YYY N
46030... .................. A Removal of rectal marker.... 1.20 0.40 0.07 1.67 010 S
46040... .................. A Incision of rectal abscess.. 4.90 1.69 0.34 6.93 090 S
46045... .................. A Incision of rectal abscess.. 3.91 1.85 0.38 6.14 090 S
46050... .................. A Incision of anal abscess.... 1.14 0.60 0.11 1.85 010 S
46060... .................. A Incision of rectal abscess.. 5.03 5.35 1.12 11.50 090 S
46070... .................. A Incision of anal septum..... 2.63 1.37 0.33 4.33 090 S
46080... .................. A Incision of anal sphincter.. 2.35 2.13 0.43 4.91 010 S
46083... .................. A Incise external hemorrhoid.. 1.35 0.63 0.08 2.06 010 N
46200... .................. A Removal of anal fissure..... 3.02 3.29 0.66 6.97 090 S
46210... .................. A Removal of anal crypt....... 2.52 0.77 0.14 3.43 090 S
46211... .................. A Removal of anal crypts...... 4.07 1.90 0.38 6.35 090 S
46220... .................. A Removal of anal tab......... 1.51 0.63 0.12 2.26 010 S
46221... .................. A Ligation of hemorrhoid(s)... 1.38 0.66 0.14 2.18 010 S
46230... .................. A Removal of anal tabs........ 2.52 0.83 0.12 3.47 010 S
46250... .................. A Hemorrhoidectomy............ 4.29 2.84 0.52 7.65 090 S
46255... .................. A Hemorrhoidectomy............ 4.95 4.72 0.85 10.52 090 S
46257... .................. A Remove hemorrhoids & fissure 5.87 5.23 1.08 12.18 090 S
46258... .................. A Remove hemorrhoids & fistula 6.26 5.87 1.22 13.35 090 S
46260... .................. A Hemorrhoidectomy............ 6.70 6.07 1.25 14.02 090 S
46261... .................. A Remove hemorrhoids & fissure 6.54 6.62 1.34 14.50 090 S
46262... .................. A Remove hemorrhoids & fistula 6.77 6.72 1.39 14.88 090 S
46270... .................. A Removal of anal fistula..... 3.51 1.87 0.37 5.75 090 S
46275... .................. A Removal of anal fistula..... 4.35 5.50 1.13 10.98 090 S
46280... .................. A Removal of anal fistula..... 5.63 6.08 1.24 12.95 090 S
46285... .................. A Removal of anal fistula..... 3.88 2.28 0.43 6.59 090 S
46288... .................. A Repair anal fistula......... 6.83 3.57 0.83 11.23 090 S
46320... .................. A Removal of hemorrhoid clot.. 1.58 0.70 0.11 2.39 010 S
46500... .................. A Injection into hemorrhoids.. 1.53 0.32 0.06 1.91 010 S
46600... .................. A Diagnostic anoscopy......... 0.50 0.28 0.03 0.81 000 N
46604... .................. A Anoscopy and dilation....... 1.31 0.38 0.06 1.75 000 S
46606... .................. A Anoscopy and biopsy......... 0.81 0.36 0.06 1.23 000 S
46608... .................. A Anoscopy; remove foreign 1.51 1.07 0.12 2.70 000 N
body.
46610... .................. A Anoscopy; remove lesion..... 1.32 0.85 0.15 2.32 000 S
46611... .................. A Anoscopy.................... 1.81 0.85 0.15 2.81 000 S
46612... .................. A Anoscopy; remove lesions.... 2.34 1.39 0.20 3.93 000 S
46614... .................. A Anoscopy; control bleeding.. 2.01 1.55 0.25 3.81 000 S
46615... .................. A Anoscopy.................... 2.68 1.55 0.25 4.48 000 S
46700... .................. A Repair of anal stricture.... 6.40 6.14 1.24 13.78 090 S
46705... .................. A Repair of anal stricture.... 6.38 3.60 0.77 10.75 090 S
[[Page 63239]]
46715... .................. A Repair of anovaginal fistula 6.73 3.51 0.82 11.06 090 S
46716... .................. A Repair of anovaginal fistula 11.58 6.05 1.40 19.03 090 S
46730... .................. A Construction of absent anus. 20.54 10.74 2.50 33.78 090 S
46735... .................. A Construction of absent anus. 24.91 13.04 3.04 40.99 090 S
46740... .................. A Construction of absent anus. 22.08 11.55 2.68 36.31 090 S
46742... .................. A Repair, imperforated anus... 27.82 19.75 1.93 49.50 090 S
46744... .................. A Repair, cloacal anomaly..... 31.23 22.17 2.17 55.57 090 S
46746... .................. A Repair, cloacal anomaly..... 34.17 24.26 2.37 60.80 090 S
46748... .................. A Repair, cloacal anomaly..... 38.07 27.03 2.64 67.74 090 S
46750... .................. A Repair of anal sphincter.... 7.35 6.00 1.22 14.57 090 S
46751... .................. A Repair of anal sphincter.... 7.78 4.07 0.95 12.80 090 S
46753... .................. A Reconstruction of anus...... 6.04 4.89 1.02 11.95 090 S
46754... .................. A Removal of suture from anus. 1.51 1.48 0.30 3.29 010 S
46760... .................. A Repair of anal sphincter.... 10.61 6.80 1.41 18.82 090 S
46761... .................. A Repair of anal sphincter.... 10.16 6.83 1.35 18.34 090 S
46762... .................. A Implant artificial sphincter 9.26 5.72 1.21 16.19 090 S
46900... .................. A Destruction, anal lesion(s). 1.81 0.39 0.06 2.26 010 S
46910... .................. A Destruction, anal lesion(s). 1.81 0.64 0.08 2.53 010 S
46916... .................. A Cryosurgery, anal lesion(s). 1.81 0.67 0.06 2.54 010 S
46917... .................. A Laser surgery, anal 1.81 1.94 0.31 4.06 010 S
lesion(s).
46922... .................. A Excision of anal lesion(s).. 1.81 1.28 0.23 3.32 010 S
46924... .................. A Destruction, anal lesion(s). 2.71 2.56 0.46 5.73 010 S
46934... .................. A Destruction of hemorrhoids.. 3.84 1.19 0.17 5.20 090 N
46935... .................. A Destruction of hemorrhoids.. 2.40 1.62 0.22 4.24 010 N
46936... .................. A Destruction of hemorrhoids.. 4.17 2.29 0.24 6.70 090 N
46937... .................. A Cryotherapy of rectal lesion 2.66 2.35 0.45 5.46 010 S
46938... .................. A Cryotherapy of rectal lesion 4.42 2.50 0.52 7.44 090 S
46940... .................. A Treatment of anal fissure... 2.29 0.51 0.09 2.89 010 S
46942... .................. A Treatment of anal fissure... 2.01 0.46 0.08 2.55 010 S
46945... .................. A Ligation of hemorrhoids..... 3.06 0.63 0.12 3.81 090 S
46946... .................. A Ligation of hemorrhoids..... 4.04 0.94 0.17 5.15 090 S
46999... .................. C Anus surgery procedure...... 0.00 0.00 0.00 0.00 YYY S
47000... .................. A Needle biopsy of liver...... 1.90 1.40 0.13 3.43 000 N
47001... .................. A Needle biopsy, liver........ 1.90 1.40 0.13 3.43 ZZZ S
47010... .................. A Drainage of liver lesion.... 8.75 6.75 1.13 16.63 090 S
47015... .................. A Inject/aspirate liver cyst.. 8.78 6.75 1.13 16.66 090 S
47100... .................. A Wedge biopsy of liver....... 6.75 3.29 0.67 10.71 090 S
47120... .................. A Partial removal of liver.... 19.99 12.00 2.48 34.47 090 S
47122... .................. A Extensive removal of liver.. 32.54 17.58 3.59 53.71 090 S
47125... .................. A Partial removal of liver.... 28.68 17.43 3.61 49.72 090 S
47130... .................. A Partial removal of liver.... 31.56 19.19 3.89 54.64 090 S
47133... .................. X Removal of donor liver...... 0.00 0.00 0.00 0.00 XXX 0
47134... .................. R Partial removal, donor liver 39.15 20.48 4.77 64.40 XXX S
47135... .................. R Transplantation of liver.... 77.61 54.48 8.49 140.58 090 S
47136... .................. R Transplantation of liver.... 64.04 33.50 7.79 105.33 090 S
47300... .................. A Surgery for liver lesion.... 8.75 7.67 1.59 18.01 090 S
47350... .................. A Repair liver wound.......... 11.29 7.46 1.49 20.24 090 S
47355... .................. D Repair liver wound.......... 0.00 0.00 0.00 0.00 090 S
47360... .................. A Repair liver wound.......... 15.34 10.93 2.18 28.45 090 S
47361... .................. A Repair liver wound.......... 28.00 14.64 3.41 46.05 090 S
47362... .................. A Repair liver wound.......... 10.00 5.23 1.22 16.45 090 S
47399... .................. C Liver surgery procedure..... 0.00 0.00 0.00 0.00 YYY S
47400... .................. A Incision of liver duct...... 18.90 8.53 1.36 28.79 090 S
47420... .................. A Incision of bile duct....... 15.31 9.48 1.99 26.78 090 S
47425... .................. A Incision of bile duct....... 14.79 11.71 2.45 28.95 090 S
47460... .................. A Incise bile duct sphincter.. 14.41 15.54 1.82 31.77 090 N
47480... .................. A Incision of gallbladder..... 8.05 7.60 1.59 17.24 090 S
47490... .................. A Incision of gallbladder..... 6.04 3.57 0.38 9.99 090 N
47500... .................. A Injection for liver x-rays.. 1.96 1.51 0.14 3.61 000 N
47505... .................. A Injection for liver x-rays.. 0.76 *0.98 0.14 1.88 000 N
47510... .................. A Insert catheter, bile duct.. 7.39 2.87 0.25 10.51 090 N
47511... .................. A Insert bile duct drain...... 9.91 2.87 0.25 13.03 090 N
47525... .................. A Change bile duct catheter... 5.41 1.59 0.16 7.16 010 N
47530... .................. A Revise, reinsert bile tube.. 5.41 1.51 0.19 7.11 090 N
47550... .................. A Bile duct endoscopy......... 3.02 1.56 0.35 4.93 000 S
47552... .................. A Biliary endoscopy, thru skin 6.04 1.36 0.21 7.61 000 S
[[Page 63240]]
47553... .................. A Biliary endoscopy, thru skin 6.35 3.80 0.62 10.77 000 N
47554... .................. A Biliary endoscopy, thru skin 9.06 3.93 0.67 13.66 000 S
47555... .................. A Biliary endoscopy, thru skin 7.56 2.63 0.30 10.49 000 N
47556... .................. A Biliary endoscopy, thru skin 8.56 2.63 0.30 11.49 000 N
47600... .................. A Removal of gallbladder...... 10.68 7.53 1.58 19.79 090 S
47605... .................. A Removal of gallbladder...... 11.53 8.14 1.75 21.42 090 S
47610... .................. A Removal of gallbladder...... 13.86 9.37 2.00 25.23 090 S
47612... .................. A Removal of gallbladder...... 14.75 14.23 3.05 32.03 090 S
47620... .................. A Removal of gallbladder...... 15.79 11.23 2.36 29.38 090 S
47630... .................. A Remove bile duct stone...... 8.31 3.75 0.40 12.46 090 N
47700... .................. A Exploration of bile ducts... 13.75 7.63 1.58 22.96 090 S
47701... .................. A Bile duct revision.......... 26.57 8.21 1.90 36.68 090 S
47711... .................. A Excision of bile duct tumor. 18.16 12.06 2.46 32.68 090 S
47712... .................. A Excision of bile duct tumor. 23.74 12.06 2.46 38.26 090 S
47715... .................. A Excision of bile duct cyst.. 14.50 8.22 1.71 24.43 090 S
47716... .................. A Fusion of bile duct cyst.... 12.53 6.56 1.53 20.62 090 S
47720... .................. A Fuse gallbladder & bowel.... 11.90 9.16 1.93 22.99 090 S
47721... .................. A Fuse upper gi structures.... 14.41 11.42 2.47 28.30 090 S
47740... .................. A Fuse gallbladder & bowel.... 13.93 10.21 2.14 26.28 090 S
47741... .................. A Fuse gallbladder & bowel.... 16.23 14.35 3.02 33.60 090 S
47760... .................. A Fuse bile ducts and bowel... 19.93 11.61 2.53 34.07 090 S
47765... .................. A Fuse liver ducts & bowel.... 19.04 14.61 2.97 36.62 090 S
47780... .................. A Fuse bile ducts and bowel... 20.40 13.07 2.73 36.20 090 S
47785... .................. A Fuse bile ducts and bowel... 24.41 13.07 2.73 40.21 090 S
47800... .................. A Reconstruction of bile ducts 17.71 13.22 2.43 33.36 090 S
47801... .................. A Placement, bile duct support 11.28 5.48 0.81 17.57 090 S
47802... .................. A Fuse liver duct & intestine. 16.01 10.27 1.75 28.03 090 S
47900... .................. A Suture bile duct injury..... 15.63 13.22 2.43 31.28 090 S
47999... .................. C Bile tract surgery procedure 0.00 0.00 0.00 0.00 YYY S
48000... .................. A Drainage of abdomen......... 13.10 7.05 1.40 21.55 090 S
48001... .................. A Placement of drain, pancreas 15.54 8.13 1.89 25.56 090 S
48005... .................. A Resect/debride pancreas..... 17.57 9.19 2.14 28.90 090 S
48020... .................. A Removal of pancreatic stone. 12.98 6.78 1.57 21.33 090 S
48100... .................. A Biopsy of pancreas.......... 10.19 4.21 0.79 15.19 090 S
48102... .................. A Needle biopsy, pancreas..... 4.43 2.41 0.25 7.09 010 N
48120... .................. A Removal of pancreas lesion.. 12.79 9.72 2.07 24.58 090 S
48140... .................. A Partial removal of pancreas. 18.27 13.29 2.83 34.39 090 S
48145... .................. A Partial removal of pancreas. 19.09 15.71 3.16 37.96 090 S
48146... .................. A Pancreatectomy.............. 21.73 16.49 1.92 40.14 090 S
48148... .................. A Removal of pancreatic duct.. 14.41 8.23 1.68 24.32 090 S
48150... .................. A Partial removal of pancreas. 40.25 22.54 4.75 67.54 090 S
48152... .................. A Pancreatectomy.............. 36.50 22.54 4.75 63.79 090 S
48153... .................. A Pancreatectomy.............. 40.25 22.54 4.75 67.54 090 S
48154... .................. A Pancreatectomy.............. 36.50 22.54 4.75 63.79 090 S
48155... .................. A Removal of pancreas......... 19.43 20.40 4.26 44.09 090 S
48160... .................. N Pancreas removal, transplant 0.00 0.00 0.00 0.00 XXX 0
48180... .................. A Fuse pancreas and bowel..... 20.88 12.60 2.63 36.11 090 S
48400... .................. A Injection, intraoperative... 1.95 1.03 0.24 3.22 ZZZ N
48500... .................. A Surgery of pancreas cyst.... 12.04 8.53 1.66 22.23 090 S
48510... .................. A Drain pancreatic pseudocyst. 11.22 7.54 1.44 20.20 090 S
48520... .................. A Fuse pancreas cyst and bowel 12.97 11.30 2.43 26.70 090 S
48540... .................. A Fuse pancreas cyst and bowel 15.77 12.66 2.65 31.08 090 S
48545... .................. A Pancreatorrhaphy............ 14.65 7.66 1.79 24.10 090 S
48547... .................. A Duodenal exclusion.......... 21.18 11.08 2.58 34.84 090 S
48550... .................. N Donor pancreatectomy........ 0.00 0.00 0.00 0.00 XXX 0
48554... .................. N Transplantallograft pancreas #34.17 17.87 4.16 56.20 XXX 0
48556... .................. A Removal, allograft pancreas. 13.89 7.26 1.69 22.84 090 S
48999... .................. C Pancreas surgery procedure.. 0.00 0.00 0.00 0.00 YYY S
49000... .................. A Exploration of abdomen...... 8.99 6.79 1.40 17.18 090 S
49002... .................. A Reopening of abdomen........ 9.40 6.05 1.21 16.66 090 S
49010... .................. A Exploration behind abdomen.. 11.19 6.95 1.31 19.45 090 S
49020... .................. A Drain abdominal abscess..... 9.06 4.82 0.91 14.79 090 S
49040... .................. A Drain abdominal abscess..... 8.74 6.54 1.27 16.55 090 S
49060... .................. A Drain abdominal abscess..... 10.55 5.54 1.01 17.10 090 S
49080... .................. A Puncture, peritoneal cavity. 1.35 0.87 0.08 2.30 000 N
49081... .................. A Removal of abdominal fluid.. 1.26 0.75 0.07 2.08 000 N
[[Page 63241]]
49085... .................. A Remove abdomen foreign body. 7.91 3.46 0.67 12.04 090 S
49180... .................. A Biopsy, abdominal mass...... 1.49 1.82 0.20 3.51 000 N
49200... .................. A Removal of abdominal lesion. 9.19 8.38 1.70 19.27 090 S
49201... .................. A Removal of abdominal lesion. 13.60 12.10 2.50 28.20 090 S
49215... .................. A Excise sacral spine tumor... 21.05 8.50 1.59 31.14 090 S
49220... .................. A Multiple surgery, abdomen... 13.66 12.30 2.53 28.49 090 S
49250... .................. A Excision of umbilicus....... 7.42 4.52 0.96 12.90 090 S
49255... .................. A Removal of omentum.......... 4.04 *5.16 1.15 10.35 090 S
49400... .................. A Air injection into abdomen.. 1.88 1.12 0.17 3.17 000 S
49420... .................. A Insert abdominal drain...... 2.22 1.58 0.20 4.00 000 S
49421... .................. A Insert abdominal drain...... 4.89 4.14 0.81 9.84 090 S
49422... .................. A Remove perm cannula/catheter 5.85 4.14 0.81 10.80 010 S
49425... .................. A Insert abdomen-venous drain. 10.22 8.48 1.78 20.48 090 S
49426... .................. A Revise abdomen-venous shunt. 8.57 5.39 1.07 15.03 090 S
49427... .................. A Injection, abdominal shunt.. 0.89 0.49 0.03 1.41 000 N
49428... .................. A Ligation of shunt........... 1.98 1.04 0.24 3.26 010 S
49429... .................. A Removal of shunt............ 6.35 3.32 0.77 10.44 010 S
49495... .................. A Repair inguinal hernia, init 5.79 4.98 0.95 11.72 090 S
49496... .................. A Repair inguinal hernia, init 8.37 5.04 1.08 14.49 090 S
49500... .................. A Repair inguinal hernia...... 4.41 4.98 0.95 10.34 090 S
49501... .................. A Repair inguinal hernia, init 7.26 5.04 1.08 13.38 090 S
49505... .................. A Repair inguinal hernia...... 6.17 4.51 0.94 11.62 090 S
49507... .................. A Repair, inguinal hernia..... 7.40 5.04 1.08 13.52 090 S
49520... .................. A Rerepair inguinal hernia.... 7.87 5.22 1.11 14.20 090 S
49521... .................. A Repair inguinal hernia, rec. 9.43 5.04 1.08 15.55 090 S
49525... .................. A Repair inguinal hernia...... 6.97 5.55 1.16 13.68 090 S
49540... .................. A Repair lumbar hernia........ 7.91 5.20 1.12 14.23 090 S
49550... .................. A Repair femoral hernia....... 6.97 4.61 0.97 12.55 090 S
49553... .................. A Repair femoral hernia, init. 7.40 4.61 0.97 12.98 090 S
49555... .................. A Repair femoral hernia....... 7.29 6.07 1.26 14.62 090 S
49557... .................. A Repair femoral hernia, recur 8.73 6.07 1.26 16.06 090 S
49560... .................. A Repair abdominal hernia..... 9.48 5.65 1.19 16.32 090 S
49561... .................. A Repair incisional hernia.... 11.38 5.65 1.19 18.22 090 S
49565... .................. A Rerepair abdominal hernia... 9.48 6.41 1.35 17.24 090 S
49566... .................. A Repair incisional hernia.... 11.38 6.41 1.35 19.14 090 S
49568... .................. A Hernia repair w/mesh........ 4.89 2.56 0.59 8.04 ZZZ S
49570... .................. A Repair epigastric hernia.... 4.46 4.38 0.91 9.75 090 S
49572... .................. A Repair, epigastric hernia... 5.35 5.60 1.18 12.13 090 S
49580... .................. A Repair umbilical hernia..... 3.24 *4.15 0.94 8.33 090 S
49582... .................. A Repair umbilical hernia..... 5.13 4.61 0.94 10.68 090 S
49585... .................. A Repair umbilical hernia..... 4.95 4.41 0.91 10.27 090 S
49587... .................. A Repair umbilical hernia..... 5.93 4.41 0.91 11.25 090 S
49590... .................. A Repair abdominal hernia..... 6.55 5.63 1.22 13.40 090 S
49600... .................. A Repair umbilical lesion..... 9.48 5.26 0.77 15.51 090 S
49605... .................. A Repair umbilical lesion..... 21.92 8.57 1.77 32.26 090 S
49606... .................. A Repair umbilical lesion..... 17.93 8.31 0.96 27.20 090 S
49610... .................. A Repair umbilical lesion..... 9.83 5.48 1.27 16.58 090 S
49611... .................. A Repair umbilical lesion..... 8.25 9.00 0.58 17.83 090 S
49900... .................. A Repair of abdominal wall.... 4.54 3.66 0.75 8.95 090 S
49905... .................. A Omental flap................ 6.55 3.42 0.80 10.77 ZZZ S
49999... .................. C Abdomen surgery procedure... 0.00 0.00 0.00 0.00 YYY S
50010... .................. A Exploration of kidney....... 10.07 9.55 1.13 20.75 090 S
50020... .................. A Drainage of kidney abscess.. 12.41 6.80 0.85 20.06 090 S
50040... .................. A Drainage of kidney.......... 13.80 7.18 0.62 21.60 090 N
50045... .................. A Exploration of kidney....... 14.48 9.81 0.89 25.18 090 S
50060... .................. A Removal of kidney stone..... 18.00 12.25 1.21 31.46 090 S
50065... .................. A Incision of kidney.......... 19.62 13.93 1.35 34.90 090 S
50070... .................. A Incision of kidney.......... 19.15 12.87 1.35 33.37 090 S
50075... .................. A Removal of kidney stone..... 24.05 16.87 1.62 42.54 090 S
50080... .................. A Removal of kidney stone..... 13.98 12.20 1.15 27.33 090 S
50081... .................. A Removal of kidney stone..... 20.58 14.96 1.44 36.98 090 S
50100... .................. A Revise kidney blood vessels. 15.11 10.34 1.35 26.80 090 S
50120... .................. A Exploration of kidney....... 15.00 10.91 1.24 27.15 090 S
50125... .................. A Explore and drain kidney.... 15.61 10.95 1.06 27.62 090 S
50130... .................. A Removal of kidney stone..... 16.12 12.80 1.26 30.18 090 S
50135... .................. A Exploration of kidney....... 18.14 17.05 1.63 36.82 090 S
[[Page 63242]]
50200... .................. A Biopsy of kidney............ 2.63 2.61 0.22 5.46 000 N
50205... .................. A Biopsy of kidney............ 12.69 5.64 0.69 19.02 090 S
50220... .................. A Removal of kidney........... 15.98 13.31 1.43 30.72 090 S
50225... .................. A Removal of kidney........... 18.93 16.52 1.70 37.15 090 S
50230... .................. A Removal of kidney........... 20.56 18.40 1.84 40.80 090 S
50234... .................. A Removal of kidney & ureter.. 21.11 16.65 1.65 39.41 090 S
50236... .................. A Removal of kidney & ureter.. 23.33 17.74 1.74 42.81 090 S
50240... .................. A Partial removal of kidney... 20.24 16.00 1.70 37.94 090 S
50280... .................. A Removal of kidney lesion.... 14.63 10.86 1.16 26.65 090 S
50290... .................. A Removal of kidney lesion.... 13.69 8.87 1.19 23.75 090 S
50300... .................. X Removal of donor kidney..... 0.00 0.00 0.00 0.00 XXX 0
50320... .................. A Removal of donor kidney..... 21.22 16.49 2.40 40.11 090 S
50340... .................. A Removal of kidney........... 10.73 12.49 2.24 25.46 090 S
50360... .................. A Transplantation of kidney... 27.05 24.45 4.24 55.74 090 S
50365... .................. A Transplantation of kidney... 32.54 30.71 3.89 67.14 090 S
50370... .................. A Remove transplanted kidney.. 11.11 11.08 1.92 24.11 090 S
50380... .................. A Reimplantation of kidney.... 16.49 10.12 1.71 28.32 090 S
50390... .................. A Drainage of kidney lesion... 3.24 1.69 0.15 5.08 000 N
50392... .................. A Insert kidney drain......... 5.59 2.36 0.20 8.15 000 N
50393... .................. A Insert ureteral tube........ 6.88 3.01 0.26 10.15 000 N
50394... .................. A Injection for kidney x-ray.. 0.76 0.55 0.05 1.36 000 N
50395... .................. A Create passage to kidney.... 5.15 3.33 0.29 8.77 000 N
50396... .................. A Measure kidney pressure..... 2.09 0.50 0.05 2.64 000 N
50398... .................. A Change kidney tube.......... 1.46 0.53 0.05 2.04 000 S
50400... .................. A Revision of kidney/ureter... 18.07 13.66 1.36 33.09 090 S
50405... .................. A Revision of kidney/ureter... 22.45 17.29 1.74 41.48 090 S
50500... .................. A Repair of kidney wound...... 18.27 12.46 1.64 32.37 090 S
50520... .................. A Close kidney-skin fistula... 15.93 10.34 1.50 27.77 090 S
50525... .................. A Repair renal-abdomen fistula 20.59 12.61 1.99 35.19 090 S
50526... .................. A Repair renal-abdomen fistula 22.15 7.39 2.32 31.86 090 S
50540... .................. A Revision of horseshoe kidney 19.15 13.41 1.54 34.10 090 S
50551... .................. A Kidney endoscopy............ 5.60 2.19 0.21 8.00 000 S
50553... .................. A Kidney endoscopy............ 5.99 1.66 0.17 7.82 000 S
50555... .................. A Kidney endoscopy & biopsy... 6.53 4.70 0.45 11.68 000 S
50557... .................. A Kidney endoscopy & treatment 6.62 4.71 0.49 11.82 000 S
50559... .................. A Renal endoscopy; radiotracer 6.78 1.34 0.14 8.26 000 S
50561... .................. A Kidney endoscopy & treatment 7.59 5.12 0.49 13.20 000 S
50570... .................. A Kidney endoscopy............ 9.54 1.45 0.14 11.13 000 S
50572... .................. A Kidney endoscopy............ 10.35 7.25 0.75 18.35 000 S
50574... .................. A Kidney endoscopy & biopsy... 11.02 7.08 0.64 18.74 000 S
50575... .................. A Kidney endoscopy............ 13.98 9.93 0.97 24.88 000 S
50576... .................. A Kidney endoscopy & treatment 10.99 8.69 0.77 20.45 000 S
50578... .................. A Renal endoscopy; radiotracer 11.35 3.79 1.19 16.33 000 S
50580... .................. A Kidney endoscopy & treatment 11.86 3.58 0.35 15.79 000 S
50590... .................. A Fragmenting of kidney stone. 9.62 10.11 0.97 20.70 090 S
50600... .................. A Exploration of ureter....... 14.78 9.69 1.01 25.48 090 S
50605... .................. A Insert ureteral support..... 14.40 6.11 0.60 21.11 090 S
50610... .................. A Removal of ureter stone..... 14.86 11.77 1.17 27.80 090 S
50620... .................. A Removal of ureter stone..... 14.17 11.49 1.16 26.82 090 S
50630... .................. A Removal of ureter stone..... 13.95 12.71 1.25 27.91 090 S
50650... .................. A Removal of ureter........... 16.37 12.07 1.21 29.65 090 S
50660... .................. A Removal of ureter........... 18.44 12.49 1.53 32.46 090 S
50684... .................. A Injection for ureter x-ray.. 0.76 0.49 0.05 1.30 000 S
50686... .................. A Measure ureter pressure..... 1.51 0.37 0.04 1.92 000 S
50688... .................. A Change of ureter tube....... 1.14 0.39 0.04 1.57 010 S
50690... .................. A Injection for ureter x-ray.. 1.16 0.32 0.03 1.51 000 S
50700... .................. A Revision of ureter.......... 14.10 12.57 1.29 27.96 090 S
50715... .................. A Release of ureter........... 17.60 11.24 1.49 30.33 090 S
50722... .................. A Release of ureter........... 15.11 10.32 1.97 27.40 090 S
50725... .................. A Release/revise ureter....... 17.12 12.05 1.75 30.92 090 S
50727... .................. A Revise ureter............... 7.57 5.37 0.51 13.45 090 S
50728... .................. A Revise ureter............... 11.13 7.90 0.77 19.80 090 S
50740... .................. A Fusion of ureter & kidney... 17.12 13.03 1.88 32.03 090 S
50750... .................. A Fusion of ureter & kidney... 18.14 14.04 1.26 33.44 090 S
50760... .................. A Fusion of ureters........... 17.12 13.47 1.48 32.07 090 S
50770... .................. A Splicing of ureters......... 18.14 15.23 1.53 34.90 090 S
[[Page 63243]]
50780... .................. A Reimplant ureter in bladder. 17.12 13.78 1.46 32.36 090 S
50782... .................. A Reimplant ureter in bladder. 18.23 13.78 1.46 33.47 090 S
50783... .................. A Reimplant ureter in bladder. 19.17 13.78 1.46 34.41 090 S
50785... .................. A Reimplant ureter in bladder. 19.15 15.42 1.80 36.37 090 S
50800... .................. A Implant ureter in bowel..... 13.10 14.67 1.51 29.28 090 S
50810... .................. A Fusion of ureter & bowel.... 18.14 12.57 1.75 32.46 090 S
50815... .................. A Urine shunt to bowel........ 18.14 19.76 2.75 40.65 090 S
50820... .................. A Construct bowel bladder..... 20.15 18.97 2.50 41.62 090 S
50825... .................. A Construct bowel bladder..... 26.19 30.54 3.33 60.06 090 S
50830... .................. A Revise urine flow........... 29.29 20.93 2.27 52.49 090 S
50840... .................. A Replace ureter by bowel..... 18.14 13.32 1.35 32.81 090 S
50845... .................. A Appendico-vesicostomy....... 19.52 13.87 1.35 34.74 090 S
50860... .................. A Transplant ureter to skin... 13.99 10.92 1.16 26.07 090 S
50900... .................. A Repair of ureter............ 12.58 9.98 1.15 23.71 090 S
50920... .................. A Closure ureter/skin fistula. 13.22 9.52 0.99 23.73 090 S
50930... .................. A Closure ureter/bowel fistula 17.61 12.50 1.22 31.33 090 S
50940... .................. A Release of ureter........... 13.47 9.90 0.95 24.32 090 S
50951... .................. A Endoscopy of ureter......... 5.84 1.67 0.17 7.68 000 S
50953... .................. A Endoscopy of ureter......... 6.24 1.66 0.16 8.06 000 S
50955... .................. A Ureter endoscopy & biopsy... 6.75 2.55 0.25 9.55 000 S
50957... .................. A Ureter endoscopy & treatment 6.79 2.50 0.25 9.54 000 S
50959... .................. A Ureter endoscopy & tracer... 4.40 3.38 0.29 8.07 000 S
50961... .................. A Ureter endoscopy & treatment 6.05 2.62 0.26 8.93 000 S
50970... .................. A Ureter endoscopy............ 7.14 5.17 0.52 12.83 000 S
50972... .................. A Ureter endoscopy & catheter. 6.89 1.54 0.16 8.59 000 S
50974... .................. A Ureter endoscopy & biopsy... 9.17 7.01 0.65 16.83 000 S
50976... .................. A Ureter endoscopy & treatment 9.04 6.41 0.62 16.07 000 S
50978... .................. A Ureter endoscopy & tracer... 5.10 4.05 0.48 9.63 000 S
50980... .................. A Ureter endoscopy & treatment 6.85 3.13 0.30 10.28 000 S
51000... .................. A Drainage of bladder......... 0.78 0.48 0.05 1.31 000 S
51005... .................. A Drainage of bladder......... 1.02 0.46 0.04 1.52 000 S
51010... .................. A Drainage of bladder......... 2.54 0.97 0.11 3.62 010 S
51020... .................. A Incise & treat bladder...... 6.04 6.85 0.71 13.60 090 S
51030... .................. A Incise & treat bladder...... 6.04 4.53 0.43 11.00 090 S
51040... .................. A Incise & drain bladder...... 4.08 *5.23 0.75 10.06 090 S
51045... .................. A Incise bladder, drain ureter 6.04 4.96 0.50 11.50 090 S
51050... .................. A Removal of bladder stone.... 6.04 7.12 0.70 13.86 090 S
51060... .................. A Removal of ureter stone..... 8.05 *10.31 1.19 19.55 090 S
51065... .................. A Removal of ureter stone..... 8.05 7.08 0.71 15.84 090 S
51080... .................. A Drainage of bladder abscess. 5.41 5.18 0.57 11.16 090 S
51500... .................. A Removal of bladder cyst..... 9.54 6.86 1.21 17.61 090 S
51520... .................. A Removal of bladder lesion... 8.69 8.53 0.87 18.09 090 S
51525... .................. A Removal of bladder lesion... 12.78 10.67 1.06 24.51 090 S
51530... .................. A Removal of bladder lesion... 11.32 9.25 1.02 21.59 090 S
51535... .................. A Repair of ureter lesion..... 11.51 7.68 1.14 20.33 090 S
51550... .................. A Partial removal of bladder.. 14.34 10.71 1.17 26.22 090 S
51555... .................. A Partial removal of bladder.. 19.60 12.26 1.31 33.17 090 S
51565... .................. A Revise bladder & ureter(s).. 20.01 15.84 1.67 37.52 090 S
51570... .................. A Removal of bladder.......... 22.16 15.66 1.62 39.44 090 S
51575... .................. A Removal of bladder & nodes.. 27.93 22.87 2.25 53.05 090 S
51580... .................. A Remove bladder; revise tract 28.20 19.95 2.04 50.19 090 S
51585... .................. A Removal of bladder & nodes.. 32.22 25.12 2.42 59.76 090 S
51590... .................. A Remove bladder; revise tract 30.21 24.52 2.56 57.29 090 S
51595... .................. A Remove bladder; revise tract 34.25 33.80 3.34 71.39 090 S
51596... .................. A Remove bladder, create pouch 36.27 34.89 3.45 74.61 090 S
51597... .................. A Removal of pelvic structures 35.27 30.63 4.31 70.21 090 S
51600... .................. A Injection for bladder x-ray. 0.88 0.28 0.03 1.19 000 S
51605... .................. A Preparation for bladder xray 1.13 0.30 0.03 1.46 000 S
51610... .................. A Injection for bladder x-ray. 1.59 0.27 0.02 1.88 000 S
51700... .................. A Irrigation of bladder....... 0.88 0.22 0.02 1.12 000 S
51705... .................. A Change of bladder tube...... 0.99 0.38 0.04 1.41 010 S
51710... .................. A Change of bladder tube...... 1.46 0.57 0.06 2.09 010 S
51715... .................. A Endoscopic injection/implant 3.74 2.65 0.27 6.66 000 S
51720... .................. A Treatment of bladder lesion. 1.96 0.45 0.05 2.46 000 S
51725... .................. A Simple cystometrogram....... 1.51 1.01 0.11 2.63 000 S
51725... 26 A Simple cystometrogram....... 1.51 0.63 0.07 2.21 000 S
[[Page 63244]]
51725... TC A Simple cystometrogram....... 0.00 0.38 0.04 0.42 000 S
51726... .................. A Complex cystometrogram...... 1.71 1.29 0.13 3.13 000 S
51726... 26 A Complex cystometrogram...... 1.71 0.81 0.08 2.60 000 S
51726... TC A Complex cystometrogram...... 0.00 0.48 0.05 0.53 000 S
51736... .................. A Urine flow measurement...... 0.84 0.41 0.04 1.29 000 S
51736... 26 A Urine flow measurement...... 0.84 0.26 0.03 1.13 000 S
51736... TC A Urine flow measurement...... 0.00 0.15 0.01 0.16 000 S
51741... .................. A Electro-uroflowmetry, first. 1.57 0.56 0.06 2.19 000 S
51741... 26 A Electro-uroflowmetry, first. 1.57 0.35 0.04 1.96 000 S
51741... TC A Electro-uroflowmetry, first. 0.00 0.21 0.02 0.23 000 S
51772... .................. A Urethra pressure profile.... 1.61 0.94 0.11 2.66 000 S
51772... 26 A Urethra pressure profile.... 1.61 0.52 0.06 2.19 000 S
51772... TC A Urethra pressure profile.... 0.00 0.42 0.05 0.47 000 S
51784... .................. A Anal/urinary muscle study... 1.53 1.04 0.11 2.68 000 S
51784... 26 A Anal/urinary muscle study... 1.53 0.65 0.07 2.25 000 S
51784... TC A Anal/urinary muscle study... 0.00 0.39 0.04 0.43 000 S
51785... .................. A Anal/urinary muscle study... 1.53 1.04 0.11 2.68 000 S
51785... 26 A Anal/urinary muscle study... 1.53 0.65 0.07 2.25 000 S
51785... TC A Anal/urinary muscle study... 0.00 0.39 0.04 0.43 000 S
51792... .................. A Urinary reflex study........ 1.10 1.93 0.20 3.23 000 S
51792... 26 A Urinary reflex study........ 1.10 0.59 0.06 1.75 000 S
51792... TC A Urinary reflex study........ 0.00 1.34 0.14 1.48 000 S
51795... .................. A Urine voiding pressure study 1.53 1.44 0.16 3.13 000 S
51795... 26 A Urine voiding pressure study 1.53 0.57 0.06 2.16 000 S
51795... TC A Urine voiding pressure study 0.00 0.87 0.10 0.97 000 S
51797... .................. A Intraabdominal pressure test 1.60 0.96 0.10 2.66 000 S
51797... 26 A Intraabdominal pressure test 1.60 0.51 0.05 2.16 000 S
51797... TC A Intraabdominal pressure test 0.00 0.45 0.05 0.50 000 S
51800... .................. A Revision of bladder/urethra. 16.31 12.02 1.47 29.80 090 S
51820... .................. A Revision of urinary tract... 16.67 7.39 1.32 25.38 090 S
51840... .................. A Attach bladder/urethra...... 9.78 9.22 1.26 20.26 090 S
51841... .................. A Attach bladder/urethra...... 12.10 11.01 1.48 24.59 090 S
51845... .................. A Repair bladder neck......... 9.06 10.71 1.09 20.86 090 S
51860... .................. A Repair of bladder wound..... 11.17 7.62 0.91 19.70 090 S
51865... .................. A Repair of bladder wound..... 13.99 10.96 1.27 26.22 090 S
51880... .................. A Repair of bladder opening... 7.21 4.96 0.52 12.69 090 S
51900... .................. A Repair bladder/vagina lesion 11.67 11.65 1.41 24.73 090 S
51920... .................. A Close bladder-uterus fistula 10.57 7.51 0.73 18.81 090 S
51925... .................. A Hysterectomy/bladder repair. 14.10 10.07 2.33 26.50 090 S
51940... .................. A Correction of bladder defect 25.00 18.95 2.22 46.17 090 S
51960... .................. A Revision of bladder & bowel. 21.15 21.40 2.27 44.82 090 S
51980... .................. A Construct bladder opening... 10.43 7.46 0.75 18.64 090 S
52000... .................. A Cystoscopy.................. 2.01 1.33 0.14 3.48 000 S
52005... .................. A Cystoscopy & ureter catheter 2.37 2.20 0.22 4.79 000 S
52007... .................. A Cystoscopy and biopsy....... 3.02 2.82 0.28 6.12 000 S
52010... .................. A Cystoscopy & duct catheter.. 3.02 1.90 0.20 5.12 000 S
52204... .................. A Cystoscopy.................. 2.37 2.38 0.24 4.99 000 S
52214... .................. A Cystoscopy and treatment.... 3.71 2.80 0.28 6.79 000 S
52224... .................. A Cystoscopy and treatment.... 3.14 2.90 0.29 6.33 000 S
52234... .................. A Cystoscopy and treatment.... 4.63 4.71 0.45 9.79 000 S
52235... .................. A Cystoscopy and treatment.... 5.45 *6.97 0.81 13.23 000 S
52240... .................. A Cystoscopy and treatment.... 9.72 10.65 1.04 21.41 000 S
52250... .................. A Cystoscopy & radiotracer.... 4.50 2.86 0.29 7.65 000 S
52260... .................. A Cystoscopy & treatment...... 3.92 2.11 0.22 6.25 000 S
52265... .................. A Cystoscopy & treatment...... 2.94 1.35 0.14 4.43 000 S
52270... .................. A Cystoscopy & revise urethra. 3.84 3.47 0.35 7.66 000 S
52275... .................. A Cystoscopy & revise urethra. 4.70 3.42 0.34 8.46 000 S
52276... .................. A Cystoscopy and treatment.... 3.93 4.58 0.45 8.96 000 S
52277... .................. A Cystoscopy and treatment.... 6.17 4.82 0.47 11.46 000 S
52281... .................. A Cystoscopy and treatment.... 2.80 2.31 0.23 5.34 000 S
52283... .................. A Cystoscopy and treatment.... 3.74 1.51 0.15 5.40 000 S
52285... .................. A Cystoscopy and treatment.... 3.61 2.94 0.30 6.85 000 S
52290... .................. A Cystoscopy and treatment.... 4.59 2.34 0.24 7.17 000 S
52300... .................. A Cystoscopy and treatment.... 5.35 3.47 0.36 9.18 000 S
52305... .................. A Cystoscopy and treatment.... 5.31 3.50 0.35 9.16 000 S
52310... .................. A Cystoscopy and treatment.... 2.81 2.99 0.30 6.10 000 S
[[Page 63245]]
52315... .................. A Cystoscopy and treatment.... 5.21 4.07 0.40 9.68 000 S
52317... .................. A Remove bladder stone........ 6.72 6.19 0.59 13.50 000 S
52318... .................. A Remove bladder stone........ 9.19 7.88 0.77 17.84 000 S
52320... .................. A Cystoscopy and treatment.... 4.70 4.86 0.47 10.03 000 S
52325... .................. A Cystoscopy, stone removal... 6.16 7.01 0.68 13.85 000 S
52327... .................. A Cystoscopy, inject material. 5.19 3.69 0.36 9.24 000 S
52330... .................. A Cystoscopy and treatment.... 5.04 3.47 0.35 8.86 000 S
52332... .................. A Cystoscopy and treatment.... 2.83 3.21 0.32 6.36 000 S
52334... .................. A Create passage to kidney.... 4.83 3.33 0.34 8.50 000 S
52335... .................. A Endoscopy of urinary tract.. 5.86 4.69 0.45 11.00 000 S
52336... .................. A Cystoscopy, stone removal... 6.88 *8.81 0.99 16.68 000 S
52337... .................. A Cystoscopy, stone removal... 7.97 *10.21 1.08 19.26 000 S
52338... .................. A Cystoscopy and treatment.... 7.34 5.92 0.57 13.83 000 S
52339... .................. A Cystoscopy and treatment.... 8.82 5.92 0.57 15.31 000 S
52340... .................. A Cystoscopy and treatment.... 7.76 5.15 0.50 13.41 090 S
52450... .................. A Incision of prostate........ 7.05 4.99 0.49 12.53 090 S
52500... .................. A Revision of bladder neck.... 7.82 7.44 0.72 15.98 090 S
52510... .................. A Dilation prostatic urethra.. 6.04 7.64 0.74 14.42 090 S
52601... .................. A Prostatectomy (TURP)........ 11.51 11.87 1.16 24.54 090 S
52606... .................. A Control postop bleeding..... 7.51 3.32 0.33 11.16 090 S
52612... .................. A Prostatectomy, first stage.. 7.05 *9.03 0.99 17.07 090 S
52614... .................. A Prostatectomy, second stage. 6.04 7.09 0.68 13.81 090 S
52620... .................. A Remove residual prostate.... 6.04 5.33 0.51 11.88 090 S
52630... .................. A Remove prostate regrowth.... 6.55 *8.38 1.13 16.06 090 S
52640... .................. A Relieve bladder contracture. 6.04 6.43 0.62 13.09 090 S
52647... .................. A Laser surgery of prostate... 9.84 11.87 1.16 22.87 090 S
52648... .................. A Laser surgery of prostate... 10.69 11.87 1.16 23.72 090 S
52700... .................. A Drainage of prostate abscess 6.31 3.30 0.34 9.95 090 S
53000... .................. A Incision of urethra......... 2.01 1.76 0.17 3.94 010 S
53010... .................. A Incision of urethra......... 3.02 3.52 0.37 6.91 090 S
53020... .................. A Incision of urethra......... 1.77 0.82 0.09 2.68 000 S
53025... .................. A Incision of urethra......... 1.13 0.80 0.08 2.01 000 S
53040... .................. A Drainage of urethra abscess. 6.01 1.85 0.19 8.05 090 S
53060... .................. A Drainage of urethra abscess. 2.58 0.51 0.07 3.16 010 S
53080... .................. A Drainage of urinary leakage. 5.87 3.98 0.45 10.30 090 S
53085... .................. A Drainage of urinary leakage. 9.67 6.75 0.70 17.12 090 S
53200... .................. A Biopsy of urethra........... 2.59 1.10 0.12 3.81 000 S
53210... .................. A Removal of urethra.......... 11.71 6.64 0.67 19.02 090 S
53215... .................. A Removal of urethra.......... 14.59 10.00 0.96 25.55 090 S
53220... .................. A Treatment of urethra lesion. 6.58 4.77 0.49 11.84 090 S
53230... .................. A Removal of urethra lesion... 9.04 7.93 0.79 17.76 090 S
53235... .................. A Removal of urethra lesion... 9.60 5.02 0.49 15.11 090 N
53240... .................. A Surgery for urethra pouch... 6.03 4.33 0.45 10.81 090 S
53250... .................. A Removal of urethra gland.... 5.69 4.05 0.40 10.14 090 S
53260... .................. A Treatment of urethra lesion. 2.93 1.12 0.16 4.21 010 S
53265... .................. A Treatment of urethra lesion. 3.07 1.88 0.22 5.17 010 S
53270... .................. A Removal of urethra gland.... 2.93 0.84 0.18 3.95 010 S
53275... .................. A Repair of urethra defect.... 4.37 2.37 0.25 6.99 010 S
53400... .................. A Revise urethra, 1st stage... 11.79 7.47 0.76 20.02 090 S
53405... .................. A Revise urethra, 2nd stage... 13.70 10.38 1.21 25.29 090 S
53410... .................. A Reconstruction of urethra... 15.59 8.56 0.84 24.99 090 S
53415... .................. A Reconstruction of urethra... 18.50 11.87 1.15 31.52 090 S
53420... .................. A Reconstruct urethra, stage 1 13.28 10.88 1.05 25.21 090 S
53425... .................. A Reconstruct urethra, stage 2 15.18 9.25 0.88 25.31 090 S
53430... .................. A Reconstruction of urethra... 15.54 7.16 0.76 23.46 090 S
53440... .................. A Correct bladder function.... 11.49 13.14 1.39 26.02 090 S
53442... .................. A Remove perineal prosthesis.. 7.67 5.84 0.67 14.18 090 S
53443... .................. A Reconstruction of urethra... 18.98 10.03 1.07 30.08 090 S
53445... .................. A Correct urine flow control.. 13.15 *16.83 2.03 32.01 090 S
53447... .................. A Remove artificial sphincter. 12.37 9.16 0.89 22.42 090 S
53449... .................. A Correct artificial sphincter 9.16 8.41 0.82 18.39 090 S
53450... .................. A Revision of urethra......... 5.72 2.74 0.27 8.73 090 S
53460... .................. A Revision of urethra......... 6.70 2.44 0.25 9.39 090 S
53502... .................. A Repair of urethra injury.... 7.21 4.97 0.56 12.74 090 S
53505... .................. A Repair of urethra injury.... 7.21 5.18 0.51 12.90 090 S
53510... .................. A Repair of urethra injury.... 9.57 6.98 0.66 17.21 090 S
[[Page 63246]]
53515... .................. A Repair of urethra injury.... 12.71 9.03 0.88 22.62 090 S
53520... .................. A Repair of urethra defect.... 8.21 5.89 0.56 14.66 090 S
53600... .................. A Dilate urethra stricture.... 1.21 0.33 0.03 1.57 000 S
53601... .................. A Dilate urethra stricture.... 0.98 0.29 0.03 1.30 000 S
53605... .................. A Dilate urethra stricture.... 1.28 0.46 0.05 1.79 000 S
53620... .................. A Dilate urethra stricture.... 1.62 0.47 0.05 2.14 000 S
53621... .................. A Dilate urethra stricture.... 1.35 0.38 0.04 1.77 000 S
53640... .................. A Relieve bladder retention... 1.59 0.57 0.06 2.22 000 S
53660... .................. A Dilation of urethra......... 0.71 0.28 0.03 1.02 000 S
53661... .................. A Dilation of urethra......... 0.72 0.25 0.03 1.00 000 S
53665... .................. A Dilation of urethra......... 0.76 0.36 0.04 1.16 000 S
53670... .................. A Insert urinary catheter..... 0.50 0.22 0.02 0.74 000 S
53675... .................. A Insert urinary catheter..... 1.47 0.47 0.05 1.99 000 S
53899... .................. C Urology surgery procedure... 0.00 0.00 0.00 0.00 YYY S
54000... .................. A Slitting of prepuce......... 1.49 0.63 0.07 2.19 010 S
54001... .................. A Slitting of prepuce......... 2.14 0.84 0.09 3.07 010 S
54015... .................. A Drain penis lesion.......... 5.16 0.83 0.09 6.08 010 S
54050... .................. A Destruction, penis lesion(s) 1.19 0.38 0.03 1.60 010 S
54055... .................. A Destruction, penis lesion(s) 1.19 0.61 0.06 1.86 010 S
54056... .................. A Cryosurgery, penis lesion(s) 1.19 0.53 0.04 1.76 010 S
54057... .................. A Laser surg, penis lesion(s). 1.19 *1.52 0.21 2.92 010 S
54060... .................. A Excision of penis lesion(s). 1.88 1.17 0.12 3.17 010 S
54065... .................. A Destruction, penis lesion(s) 2.37 2.47 0.25 5.09 010 S
54100... .................. A Biopsy of penis............. 1.90 0.65 0.07 2.62 000 S
54105... .................. A Biopsy of penis............. 3.45 1.01 0.11 4.57 010 S
54110... .................. A Treatment of penis lesion... 9.66 6.03 0.61 16.30 090 S
54111... .................. A Treat penis lesion, graft... 13.03 9.18 0.97 23.18 090 S
54112... .................. A Treat penis lesion, graft... 15.14 10.84 1.14 27.12 090 S
54115... .................. A Treatment of penis lesion... 5.68 4.18 0.44 10.30 090 S
54120... .................. A Partial removal of penis.... 9.24 6.47 0.62 16.33 090 S
54125... .................. A Removal of penis............ 12.80 11.56 1.17 25.53 090 S
54130... .................. A Remove penis & nodes........ 18.92 14.66 1.32 34.90 090 S
54135... .................. A Remove penis & nodes........ 25.01 17.75 1.74 44.50 090 S
54150... .................. A Circumcision................ 1.78 0.54 0.05 2.37 010 S
54152... .................. A Circumcision................ 2.26 1.82 0.20 4.28 010 S
54160... .................. A Circumcision................ 2.43 1.66 0.21 4.30 010 S
54161... .................. A Circumcision................ 3.22 2.17 0.23 5.62 010 S
54200... .................. A Treatment of penis lesion... 1.01 0.32 0.03 1.36 010 S
54205... .................. A Treatment of penis lesion... 7.20 5.11 0.50 12.81 090 S
54220... .................. A Treatment of penis lesion... 2.42 1.58 0.17 4.17 000 S
54230... .................. A Prepare penis study......... 1.34 1.34 0.13 2.81 000 S
54231... .................. A Dynamic cavernosometry...... 2.04 1.44 0.14 3.62 000 S
54235... .................. A Penile injection............ 1.19 0.43 0.04 1.66 000 S
54240... .................. A Penis study................. 1.31 0.99 0.12 2.42 000 S
54240... 26 A Penis study................. 1.31 0.51 0.06 1.88 000 S
54240... TC A Penis study................. 0.00 0.48 0.06 0.54 000 S
54250... .................. A Penis study................. 2.22 0.80 0.08 3.10 000 S
54250... 26 A Penis study................. 2.22 0.50 0.05 2.77 000 S
54250... TC A Penis study................. 0.00 0.30 0.03 0.33 000 S
54300... .................. A Revision of penis........... 10.05 6.88 0.87 17.80 090 S
54304... .................. A Revision of penis........... 12.13 8.66 0.90 21.69 090 S
54308... .................. A Reconstruction of urethra... 11.58 5.84 0.74 18.16 090 S
54312... .................. A Reconstruction of urethra... 13.16 9.37 0.91 23.44 090 S
54316... .................. A Reconstruction of urethra... 15.97 11.34 1.12 28.43 090 S
54318... .................. A Reconstruction of urethra... 10.47 7.53 1.11 19.11 090 S
54322... .................. A Reconstruction of urethra... 12.34 7.61 0.74 20.69 090 S
54324... .................. A Reconstruction of urethra... 15.46 10.98 1.08 27.52 090 S
54326... .................. A Reconstruction of urethra... 14.81 10.51 1.03 26.35 090 S
54328... .................. A Revise penis, urethra....... 14.80 10.72 1.24 26.76 090 S
54332... .................. A Revise penis, urethra....... 16.17 12.52 1.13 29.82 090 S
54336... .................. A Revise penis, urethra....... 18.95 18.79 1.40 39.14 090 S
54340... .................. A Secondary urethral surgery.. 8.55 6.07 0.59 15.21 090 S
54344... .................. A Secondary urethral surgery.. 15.22 16.61 1.10 32.93 090 S
54348... .................. A Secondary urethral surgery.. 16.37 11.62 1.14 29.13 090 S
54352... .................. A Reconstruct urethra, penis.. 23.84 16.18 1.49 41.51 090 S
54360... .................. A Penis plastic surgery....... 11.39 7.02 0.73 19.14 090 S
[[Page 63247]]
54380... .................. A Repair penis................ 12.59 9.42 0.75 22.76 090 S
54385... .................. A Repair penis................ 14.75 10.46 0.89 26.10 090 S
54390... .................. A Repair penis and bladder.... 20.97 13.57 1.58 36.12 090 S
54400... .................. A Insert semi-rigid prosthesis 8.58 *10.99 1.27 20.84 090 S
54401... .................. A Insert self-contd prosthesis 9.67 *12.38 1.73 23.78 090 S
54402... .................. A Remove penis prosthesis..... 8.67 6.00 0.58 15.25 090 S
54405... .................. A Insert multi-comp prosthesis 12.63 *16.17 2.10 30.90 090 S
54407... .................. A Remove multi-comp prosthesis 12.61 11.22 1.10 24.93 090 S
54409... .................. A Revise penis prosthesis..... 11.53 8.97 0.87 21.37 090 S
54420... .................. A Revision of penis........... 10.75 7.74 0.87 19.36 090 S
54430... .................. A Revision of penis........... 9.55 6.99 0.69 17.23 090 S
54435... .................. A Revision of penis........... 5.63 4.15 0.39 10.17 090 S
54440... .................. C Repair of penis............. 0.00 0.00 0.00 0.00 090 S
54450... .................. A Preputial stretching........ 1.12 0.68 0.07 1.87 000 S
54500... .................. A Biopsy of testis............ 1.31 0.44 0.05 1.80 000 S
54505... .................. A Biopsy of testis............ 3.41 1.86 0.22 5.49 010 S
54510... .................. A Removal of testis lesion.... 5.24 3.03 0.38 8.65 090 S
54520... .................. A Removal of testis........... 4.93 5.31 0.52 10.76 090 S
54530... .................. A Removal of testis........... 8.04 7.32 0.77 16.13 090 S
54535... .................. A Extensive testis surgery.... 11.43 8.54 1.02 20.99 090 S
54550... .................. A Exploration for testis...... 7.36 5.25 0.61 13.22 090 S
54560... .................. A Exploration for testis...... 10.46 7.23 0.81 18.50 090 S
54600... .................. A Reduce testis torsion....... 6.59 4.62 0.48 11.69 090 S
54620... .................. A Suspension of testis........ 4.69 3.32 0.33 8.34 010 S
54640... .................. A Suspension of testis........ 6.55 7.82 0.91 15.28 090 S
54650... .................. A Orchiopexy (Fowler-Stephens) 10.93 7.82 0.91 19.66 090 S
54660... .................. A Revision of testis.......... 4.80 3.40 0.34 8.54 090 S
54670... .................. A Repair testis injury........ 6.06 4.30 0.43 10.79 090 S
54680... .................. A Relocation of testis(es).... 11.53 8.19 0.80 20.52 090 S
54700... .................. A Drainage of scrotum......... 3.38 0.90 0.11 4.39 010 S
54800... .................. A Biopsy of epididymis........ 2.33 1.97 0.19 4.49 000 S
54820... .................. A Exploration of epididymis... 4.72 2.62 0.29 7.63 090 S
54830... .................. A Remove epididymis lesion.... 5.07 3.51 0.39 8.97 090 S
54840... .................. A Remove epididymis lesion.... 5.01 4.84 0.48 10.33 090 S
54860... .................. A Removal of epididymis....... 6.01 5.17 0.50 11.68 090 S
54861... .................. A Removal of epididymis....... 8.54 7.30 0.72 16.56 090 S
54900... .................. A Fusion of spermatic ducts... 12.61 8.95 0.87 22.43 090 S
54901... .................. A Fusion of spermatic ducts... 17.30 12.29 1.20 30.79 090 S
55000... .................. A Drainage of hydrocele....... 1.43 0.40 0.04 1.87 000 S
55040... .................. A Removal of hydrocele........ 5.15 4.88 0.55 10.58 090 S
55041... .................. A Removal of hydroceles....... 7.38 7.47 0.81 15.66 090 S
55060... .................. A Repair of hydrocele......... 5.21 4.13 0.50 9.84 090 S
55100... .................. A Drainage of scrotum abscess. 2.03 0.63 0.07 2.73 010 S
55110... .................. A Explore scrotum............. 5.28 3.48 0.37 9.13 090 S
55120... .................. A Removal of scrotum lesion... 4.78 1.79 0.21 6.78 090 S
55150... .................. A Removal of scrotum.......... 6.62 5.45 0.57 12.64 090 S
55175... .................. A Revision of scrotum......... 4.93 4.49 0.48 9.90 090 S
55180... .................. A Revision of scrotum......... 10.07 6.83 0.82 17.72 090 S
55200... .................. A Incision of sperm duct...... 4.14 1.97 0.20 6.31 090 S
55250... .................. A Removal of sperm duct(s).... 3.21 2.63 0.28 6.12 090 S
55300... .................. A Preparation, sperm duct x- 3.51 2.71 0.27 6.49 000 S
ray.
55400... .................. A Repair of sperm duct........ 8.25 6.56 0.62 15.43 090 S
55450... .................. A Ligation of sperm duct...... 3.91 2.61 0.32 6.84 010 S
55500... .................. A Removal of hydrocele........ 5.28 4.32 0.50 10.10 090 S
55520... .................. A Removal of sperm cord lesion 5.72 3.12 0.51 9.35 090 S
55530... .................. A Revise spermatic cord veins. 5.45 5.20 0.60 11.25 090 S
55535... .................. A Revise spermatic cord veins. 6.25 4.40 0.45 11.10 090 S
55540... .................. A Revise hernia & sperm veins. 7.25 4.54 0.91 12.70 090 S
55600... .................. A Incise sperm duct pouch..... 6.07 4.31 0.55 10.93 090 S
55605... .................. A Incise sperm duct pouch..... 7.60 5.60 0.59 13.79 090 S
55650... .................. A Remove sperm duct pouch..... 11.26 7.22 0.76 19.24 090 S
55680... .................. A Remove sperm pouch lesion... 4.82 4.43 0.38 9.63 090 S
55700... .................. A Biopsy of prostate.......... 1.57 1.50 0.15 3.22 000 S
55705... .................. A Biopsy of prostate.......... 4.41 3.37 0.34 8.12 010 S
55720... .................. A Drainage of prostate abscess 7.54 3.51 0.37 11.42 090 S
55725... .................. A Drainage of prostate abscess 7.70 5.62 0.54 13.86 090 S
[[Page 63248]]
55801... .................. A Removal of prostate......... 16.25 12.76 1.44 30.45 090 S
55810... .................. A Extensive prostate surgery.. 21.21 17.88 1.77 40.86 090 S
55812... .................. A Extensive prostate surgery.. 25.65 17.68 1.94 45.27 090 S
55815... .................. A Extensive prostate surgery.. 28.47 25.20 2.42 56.09 090 S
55821... .................. A Removal of prostate......... 13.00 13.59 1.35 27.94 090 S
55831... .................. A Removal of prostate......... 14.30 14.56 1.44 30.30 090 S
55840... .................. A Extensive prostate surgery.. 21.21 16.60 1.61 39.42 090 S
55842... .................. A Extensive prostate surgery.. 22.70 19.16 1.88 43.74 090 S
55845... .................. A Extensive prostate surgery.. 26.73 25.10 2.44 54.27 090 S
55859... .................. A Percut/needle insert, pros.. 8.29 5.89 0.58 14.76 090 S
55860... .................. A Surgical exposure, prostate. 13.33 7.13 0.70 21.16 090 S
55862... .................. A Extensive prostate surgery.. 17.09 11.69 1.20 29.98 090 S
55865... .................. A Extensive prostate surgery.. 21.65 24.52 2.39 48.56 090 S
55870... .................. A Electroejaculation.......... 2.58 1.83 0.18 4.59 000 N
55899... .................. C Genital surgery procedure... 0.00 0.00 0.00 0.00 YYY S
55970... .................. N Sex transformation, M to F.. 0.00 0.00 0.00 0.00 XXX 0
55980... .................. N Sex transformation, F to M.. 0.00 0.00 0.00 0.00 XXX 0
56300... .................. A Pelvis laparoscopy, dx...... 3.58 *4.58 1.03 9.19 010 S
56301... .................. A Laparoscopy; tubal cautery.. 3.68 *4.71 1.28 9.67 010 S
56302... .................. A Laparoscopy; tubal block.... 4.11 *5.26 1.32 10.69 010 S
56303... .................. A Laparoscopy; excise lesions. 5.69 5.53 1.16 12.38 010 S
56304... .................. A Laparoscopy; lysis.......... 4.37 *5.60 1.20 11.17 010 S
56305... .................. A Pelvic laparoscopy; biopsy.. 3.80 *4.87 0.95 9.62 010 S
56306... .................. A Laparoscopy; aspiration..... 3.80 *4.87 1.18 9.85 010 S
56307... .................. A Laparoscopy; remove adnexa.. 5.60 *7.16 1.60 14.36 010 S
56308... .................. A Laparoscopy; hysterectomy... 13.87 9.39 2.07 25.33 010 S
56309... .................. A Laparoscopy; remove myoma... 5.60 4.76 1.03 11.39 010 S
56311... .................. A Laparoscopic lymph node biop 8.93 6.38 1.47 16.78 010 S
56312... .................. A Laparoscopic lymphadenectomy 12.06 8.56 0.84 21.46 010 S
56313... .................. A Laparoscopic lymphadenectomy 14.00 10.01 2.31 26.32 010 S
56315... .................. A Laparoscopic appendectomy... 6.06 4.89 1.01 11.96 090 S
56316... .................. A Laparoscopic hernia repair.. 6.17 4.51 0.94 11.62 090 S
56317... .................. A Laparoscopic hernia repair.. 7.87 5.22 1.11 14.20 090 S
56320... .................. A Laparoscopy, spermatic veins 6.25 4.40 0.45 11.10 090 S
56322... .................. A Laparoscopy, vagus nerves... 9.70 5.07 1.18 15.95 090 S
56323... .................. A Laparoscopy, vagus nerves... 11.65 6.09 1.41 19.15 090 S
56324... .................. A Laparoscopy, cholecystoenter 11.90 9.16 1.93 22.99 090 S
56340... .................. A Laparoscopic cholecystectomy 10.68 7.99 1.74 20.41 090 S
56341... .................. A Laparoscopic cholecystectomy 11.53 8.43 1.84 21.80 090 S
56342... .................. A Laparoscopic cholecystectomy 13.86 9.37 2.00 25.23 090 S
56343... .................. A Laparoscopic salpingostomy.. 6.96 5.28 1.11 13.35 090 S
56344... .................. A Laparoscopic fimbrioplasty.. 7.16 5.11 1.19 13.46 090 S
56350... .................. A Hysteroscopy; diagnostic.... 2.39 1.99 0.44 4.82 000 S
56351... .................. A Hysteroscopy; biopsy........ 2.85 1.99 0.44 5.28 000 S
56352... .................. A Hysteroscopy; lysis......... 3.14 3.77 0.85 7.76 000 S
56353... .................. A Hysteroscopy; resect septum. 3.51 3.77 0.85 8.13 000 S
56354... .................. A Hysteroscopy; remove myoma.. 3.85 *4.93 1.30 10.08 000 S
56355... .................. A Hysteroscopy; remove impact. 3.09 1.99 0.44 5.52 000 S
56356... .................. A Hysteroscopy; ablation...... 3.43 *4.39 1.49 9.31 000 S
56360... .................. A Peritoneoscopy.............. 4.04 3.80 0.43 8.27 000 S
56361... .................. A Peritoneoscopy w/biopsy..... 4.32 4.93 0.49 9.74 000 S
56362... .................. A Peritoneoscopy w/cholangio.. 4.89 2.77 0.19 7.85 000 S
56363... .................. A Peritoneoscopy w/biopsy..... 5.18 3.93 0.45 9.56 000 S
56399... .................. C Laparoscopy procedure....... 0.00 0.00 0.00 0.00 YYY S
56405... .................. A I & D of vulva/perineum..... 1.39 0.76 0.15 2.30 010 S
56420... .................. A Drainage of gland abscess... 1.34 0.80 0.13 2.27 010 S
56440... .................. A Surgery for vulva lesion.... 2.79 2.63 0.52 5.94 010 S
56441... .................. A Lysis of labial lesion(s)... 1.92 1.65 0.30 3.87 010 S
56501... .................. A Destruction, vulva lesion(s) 1.48 0.54 0.11 2.13 010 S
56515... .................. A Destruction, vulva lesion(s) 1.85 *2.36 0.66 4.87 010 S
56605... .................. A Biopsy of vulva/perineum.... 0.86 0.68 0.15 1.69 000 S
56606... .................. A Biopsy of vulva/perineum.... 0.43 0.35 0.08 0.86 000 S
56620... .................. A Partial removal of vulva.... 6.67 6.47 1.40 14.54 090 S
56625... .................. A Complete removal of vulva... 7.41 *9.52 2.13 19.06 090 S
56630... .................. A Extensive vulva surgery..... 10.47 *13.46 3.28 27.21 090 S
56631... .................. A Extensive vulva surgery..... 14.57 *18.70 4.51 37.78 090 S
[[Page 63249]]
56632... .................. A Extensive vulva surgery..... 18.66 *21.32 4.51 44.49 090 S
56633... .................. A Extensive vulva surgery..... 12.15 *15.97 3.28 31.40 090 S
56634... .................. A Extensive vulva surgery..... 16.25 *21.21 4.51 41.97 090 S
56637... .................. A Extensive vulva surgery..... 20.34 21.42 4.51 46.27 090 S
56640... .................. A Extensive vulva surgery..... 20.09 19.95 4.36 44.40 090 S
56700... .................. A Partial removal of hymen.... 2.42 1.82 0.35 4.59 010 S
56720... .................. A Incision of hymen........... 0.68 0.48 0.11 1.27 000 S
56740... .................. A Remove vagina gland lesion.. 3.60 2.87 0.55 7.02 010 S
56800... .................. A Repair of vagina............ 3.73 2.92 0.57 7.22 010 S
56805... .................. A Repair clitoris............. 15.49 11.75 1.37 28.61 090 S
56810... .................. A Repair of perineum.......... 3.97 2.62 0.51 7.10 010 S
57000... .................. A Exploration of vagina....... 2.92 2.03 0.35 5.30 010 S
57010... .................. A Drainage of pelvic abscess.. 5.41 2.65 0.51 8.57 090 S
57020... .................. A Drainage of pelvic fluid.... 1.50 0.65 0.14 2.29 000 S
57061... .................. A Destruction vagina lesion(s) 1.20 0.82 0.17 2.19 010 S
57065... .................. A Destruction vagina lesion(s) 2.56 *3.28 0.74 6.58 010 S
57100... .................. A Biopsy of vagina............ 0.97 0.62 0.13 1.72 000 S
57105... .................. A Biopsy of vagina............ 1.64 1.57 0.33 3.54 010 S
57108... .................. A Partial removal of vagina... 5.69 5.28 1.10 12.07 090 S
57110... .................. A Removal of vagina........... 13.48 7.88 1.76 23.12 090 S
57120... .................. A Closure of vagina........... 6.73 6.99 1.51 15.23 090 S
57130... .................. A Remove vagina lesion........ 2.40 2.62 0.55 5.57 010 S
57135... .................. A Remove vagina lesion........ 2.64 1.93 0.38 4.95 010 S
57150... .................. A Treat vagina infection...... 0.94 0.19 0.04 1.17 000 S
57160... .................. A Insertion of pessary........ 0.89 0.25 0.05 1.19 000 S
57170... .................. A Fitting of diaphragm/cap.... 0.91 0.32 0.06 1.29 000 S
57180... .................. A Treat vaginal bleeding...... 1.53 0.55 0.11 2.19 010 S
57200... .................. A Repair of vagina............ 3.68 2.71 0.60 6.99 090 S
57210... .................. A Repair vagina/perineum...... 4.73 3.27 0.65 8.65 090 S
57220... .................. A Revision of urethra......... 3.87 4.44 0.80 9.11 090 S
57230... .................. A Repair of urethral lesion... 5.07 3.84 0.64 9.55 090 S
57240... .................. A Repair bladder & vagina..... 5.39 *6.90 1.60 13.89 090 S
57250... .................. A Repair rectum & vagina...... 4.96 *6.36 1.69 13.01 090 S
57260... .................. A Repair of vagina............ 7.59 8.65 1.88 18.12 090 S
57265... .................. A Extensive repair of vagina.. 7.36 *9.42 2.11 18.89 090 S
57268... .................. A Repair of bowel bulge....... 6.14 7.02 1.50 14.66 090 S
57270... .................. A Repair of bowel pouch....... 7.36 6.83 1.44 15.63 090 S
57280... .................. A Suspension of vagina........ 8.35 8.53 1.85 18.73 090 S
57282... .................. A Repair of vaginal prolapse.. 8.06 8.72 1.89 18.67 090 S
57284... .................. A Repair paravaginal defect... 12.10 8.59 0.84 21.53 090 S
57288... .................. A Repair bladder defect....... 12.34 10.72 1.36 24.42 090 S
57289... .................. A Repair bladder & vagina..... 6.40 *8.19 1.13 15.72 090 S
57291... .................. A Construction of vagina...... 7.46 5.35 1.19 14.00 090 S
57292... .................. A Construct vagina with graft. 12.34 6.55 1.38 20.27 090 S
57300... .................. A Repair rectum-vagina fistula 6.81 7.91 1.66 16.38 090 S
57305... .................. A Repair rectum-vagina fistula 8.69 7.55 1.56 17.80 090 S
57307... .................. A Fistula repair & colostomy.. 10.05 6.11 1.28 17.44 090 S
57310... .................. A Repair urethrovaginal lesion 6.10 4.32 0.48 10.90 090 S
57311... .................. A Repair urethrovaginal lesion 7.23 5.58 0.41 13.22 090 S
57320... .................. A Repair bladder-vagina lesion 7.33 *9.38 1.35 18.06 090 S
57330... .................. A Repair bladder-vagina lesion 11.67 8.29 0.81 20.77 090 S
57335... .................. A Repair vagina............... 9.11 6.91 0.81 16.83 090 S
57400... .................. A Dilation of vagina.......... 0.83 0.33 0.06 1.22 000 S
57410... .................. A Pelvic examination.......... 0.59 0.36 0.05 1.00 000 S
57415... .................. A Removal vaginal foreign body 0.91 0.36 0.05 1.32 010 S
57452... .................. A Examination of vagina....... 0.99 0.65 0.14 1.78 000 S
57454... .................. A Vagina examination & biopsy. 1.27 1.21 0.26 2.74 000 S
57460... .................. A Cervix excision............. 2.83 2.02 0.46 5.31 000 S
57500... .................. A Biopsy of cervix............ 0.97 0.57 0.12 1.66 000 S
57505... .................. A Endocervical curettage...... 1.09 0.63 0.13 1.85 010 S
57510... .................. A Cauterization of cervix..... 1.85 0.52 0.09 2.46 010 S
57511... .................. A Cryocautery of cervix....... 1.85 0.85 0.17 2.87 010 S
57513... .................. A Laser surgery of cervix..... 1.85 *2.36 0.67 4.88 010 S
57520... .................. A Conization of cervix........ 3.96 3.45 0.73 8.14 090 S
57522... .................. A Conization of cervix........ 3.26 3.45 0.73 7.44 090 S
57530... .................. A Removal of cervix........... 4.42 3.61 0.78 8.81 090 S
[[Page 63250]]
57540... .................. A Removal of residual cervix.. 6.01 6.74 1.51 14.26 090 S
57545... .................. A Remove cervix, repair pelvis 6.63 4.58 1.03 12.24 090 S
57550... .................. A Removal of residual cervix.. 4.91 *6.28 1.54 12.73 090 S
57555... .................. A Remove cervix, repair vagina 8.14 10.10 2.17 20.41 090 S
57556... .................. A Remove cervix, repair bowel. 7.56 9.44 1.92 18.92 090 S
57700... .................. A Revision of cervix.......... 3.30 2.39 0.34 6.03 090 S
57720... .................. A Revision of cervix.......... 3.87 2.76 0.50 7.13 090 S
57800... .................. A Dilation of cervical canal.. 0.77 0.48 0.10 1.35 000 S
57820... .................. A D&C of residual cervix...... 1.62 *2.08 0.46 4.16 010 S
58100... .................. A Biopsy of uterus lining..... 0.71 0.66 0.14 1.51 000 S
58120... .................. A Dilation and curettage (D&C) 2.45 2.70 0.56 5.71 010 S
58140... .................. A Removal of uterus lesion.... 7.61 8.33 1.71 17.65 090 S
58145... .................. A Removal of uterus lesion.... 7.36 8.24 1.54 17.14 090 S
58150... .................. A Total hysterectomy.......... 13.00 9.57 2.08 24.65 090 S
58152... .................. A Total hysterectomy.......... 14.10 11.99 2.59 28.68 090 S
58180... .................. A Partial hysterectomy........ 9.06 9.76 2.11 20.93 090 S
58200... .................. A Extensive hysterectomy...... 20.34 12.98 2.80 36.12 090 S
58210... .................. A Extensive hysterectomy...... 23.97 17.77 3.87 45.61 090 S
58240... .................. A Removal of pelvis contents.. 28.79 28.73 6.15 63.67 090 S
58260... .................. A Vaginal hysterectomy........ 11.39 9.39 2.07 22.85 090 S
58262... .................. A Vaginal hysterectomy........ 13.06 9.39 2.07 24.52 090 S
58263... .................. A Vaginal hysterectomy........ 14.27 10.32 2.22 26.81 090 S
58267... .................. A Hysterectomy & vagina repair 13.94 11.53 2.46 27.93 090 S
58270... .................. A Hysterectomy & vagina repair 12.60 10.32 2.22 25.14 090 S
58275... .................. A Hysterectomy, revise vagina. 13.99 11.02 2.32 27.33 090 S
58280... .................. A Hysterectomy, revise vagina. 14.35 10.50 2.30 27.15 090 S
58285... .................. A Extensive hysterectomy...... 17.45 11.60 2.70 31.75 090 S
58300... .................. N Insert intrauterine device.. #1.01 0.77 0.13 1.91 XXX 0
58301... .................. A Remove intrauterine device.. 0.73 0.45 0.08 1.26 000 S
58321... .................. A Artificial insemination..... 0.92 0.71 0.15 1.78 000 S
58322... .................. A Artificial insemination..... 1.10 0.71 0.15 1.96 000 S
58323... .................. A Sperm washing............... 0.23 0.16 0.04 0.43 000 S
58340... .................. A Inject for uterus/tube x-ray 0.88 0.57 0.08 1.53 000 S
58345... .................. A Reopen fallopian tube....... 4.61 3.49 0.41 8.51 010 S
58350... .................. A Reopen fallopian tube....... 0.96 0.69 0.16 1.81 010 S
58400... .................. A Suspension of uterus........ 5.66 5.64 1.16 12.46 090 S
58410... .................. A Suspension of uterus........ 6.78 5.53 0.84 13.15 090 S
58520... .................. A Repair of ruptured uterus... 6.35 4.24 0.99 11.58 090 S
58540... .................. A Revision of uterus.......... 8.58 6.13 1.42 16.13 090 S
58600... .................. A Division of fallopian tube.. 3.74 *4.79 1.38 9.91 090 S
58605... .................. A Division of fallopian tube.. 3.29 *4.21 1.01 8.51 090 S
58611... .................. A Ligate oviduct(s)........... 0.63 0.47 0.10 1.20 ZZZ S
58615... .................. A Occlude fallopian tube(s)... 3.85 2.91 0.35 7.11 010 S
58700... .................. A Removal of fallopian tube... 5.92 6.33 1.31 13.56 090 S
58720... .................. A Removal of ovary/tube(s).... 6.20 7.50 1.63 15.33 090 S
58740... .................. A Revise fallopian tube(s).... 5.28 *6.76 1.88 13.92 090 S
58750... .................. A Repair oviduct.............. 8.82 6.31 1.46 16.59 090 S
58752... .................. A Revise ovarian tube(s)...... 7.94 6.74 0.93 15.61 090 S
58760... .................. A Remove tubal obstruction.... 7.16 5.11 1.19 13.46 090 S
58770... .................. A Create new tubal opening.... 6.96 5.28 1.11 13.35 090 S
58800... .................. A Drainage of ovarian cyst(s). 3.77 2.68 0.53 6.98 090 S
58805... .................. A Drainage of ovarian cyst(s). 5.44 6.38 1.36 13.18 090 S
58820... .................. A Drainage of ovarian abscess. 3.96 2.76 0.49 7.21 090 S
58822... .................. A Drainage of ovarian abscess. 6.18 3.55 0.81 10.54 090 S
58825... .................. A Transposition, ovary(s)..... 5.63 4.03 0.93 10.59 090 S
58900... .................. A Biopsy of ovary(s).......... 5.49 5.19 1.07 11.75 090 S
58920... .................. A Partial removal of ovary(s). 6.28 6.78 1.41 14.47 090 S
58925... .................. A Removal of ovarian cyst(s).. 6.40 6.56 1.38 14.34 090 S
58940... .................. A Removal of ovary(s)......... 6.54 6.49 1.33 14.36 090 S
58943... .................. A Removal of ovary(s)......... 17.49 12.11 2.63 32.23 090 S
58950... .................. A Resect ovarian malignancy... 14.10 11.24 2.38 27.72 090 S
58951... .................. A Resect ovarian malignancy... 20.34 18.34 3.93 42.61 090 S
58952... .................. A Resect ovarian malignancy... 21.35 18.11 3.92 43.38 090 S
58960... .................. A Exploration of abdomen...... 10.14 *12.98 2.95 26.07 090 S
58970... .................. A Retrieval of oocyte......... 3.53 2.52 0.58 6.63 000 N
58972... .................. D Fertilization of oocyte..... 0.00 0.00 0.00 0.00 000 N
[[Page 63251]]
58974... .................. C Transfer of embryo.......... 0.00 0.00 0.00 0.00 000 N
58976... .................. A Transfer of embryo.......... 3.83 2.73 0.63 7.19 000 N
58999... .................. C Genital surgery procedure... 0.00 0.00 0.00 0.00 YYY S
59000... .................. A Amniocentesis............... 1.30 0.97 0.18 2.45 000 S
59012... .................. A Fetal cord puncture, 3.45 2.62 0.31 6.38 000 S
prenatal.
59015... .................. A Chorion biopsy.............. 2.20 1.20 0.10 3.50 000 S
59020... .................. A Fetal contract stress test.. 0.66 *1.35 0.29 2.30 000 S
59020... 26 A Fetal contract stress test.. 0.66 *0.85 0.19 1.70 000 S
59020... TC A Fetal contract stress test.. 0.00 0.50 0.10 0.60 000 S
59025... .................. A Fetal non-stress test....... 0.53 0.61 0.12 1.26 000 S
59025... 26 A Fetal non-stress test....... 0.53 0.39 0.08 1.00 000 S
59025... TC A Fetal non-stress test....... 0.00 0.22 0.04 0.26 000 S
59030... .................. A Fetal scalp blood sample.... 1.99 1.58 0.21 3.78 000 S
59050... .................. A Fetal monitor w/report...... 0.89 0.81 0.15 1.85 XXX S
59051... .................. A Fetal monitor/interpret only 0.74 0.81 0.15 1.70 XXX N
59100... .................. A Remove uterus lesion........ 5.96 4.14 0.96 11.06 090 S
59120... .................. A Treat ectopic pregnancy..... 7.11 7.86 1.50 16.47 090 S
59121... .................. A Treat ectopic pregnancy..... 6.99 5.38 1.07 13.44 090 S
59130... .................. A Treat ectopic pregnancy..... 7.88 5.96 0.70 14.54 090 S
59135... .................. A Treat ectopic pregnancy..... 13.00 9.85 1.15 24.00 090 S
59136... .................. A Treat ectopic pregnancy..... 8.69 6.22 1.44 16.35 090 S
59140... .................. A Treat ectopic pregnancy..... 5.09 4.66 0.29 10.04 090 S
59150... .................. A Treat ectopic pregnancy..... 6.34 4.53 1.05 11.92 090 S
59151... .................. A Treat ectopic pregnancy..... 7.24 8.61 0.64 16.49 090 S
59160... .................. A D&C after delivery.......... 2.66 2.93 0.52 6.11 010 S
59200... .................. A Insert cervical dilator..... 0.79 0.54 0.11 1.44 000 S
59300... .................. A Episiotomy or vaginal repair 2.41 0.99 0.10 3.50 000 S
59320... .................. A Revision of cervix.......... 2.48 1.78 0.41 4.67 000 S
59325... .................. A Revision of cervix.......... 4.07 2.89 0.29 7.25 000 S
59350... .................. A Repair of uterus............ 4.95 3.54 0.82 9.31 000 S
59400... .................. A Obstetrical care............ 20.99 14.99 3.47 39.45 MMM S
59409... .................. A Obstetrical care............ 13.28 9.48 2.20 24.96 MMM S
59410... .................. A Obstetrical care............ 14.44 10.31 2.39 27.14 MMM S
59412... .................. A Antepartum manipulation..... 1.71 1.22 0.29 3.22 MMM S
59414... .................. A Deliver placenta............ 1.61 1.15 0.27 3.03 MMM S
59425... .................. A Antepartum care only........ 4.04 2.88 0.66 7.58 MMM S
59426... .................. A Antepartum care only........ 6.91 4.94 1.14 12.99 MMM S
59430... .................. A Care after delivery......... 2.01 0.38 0.07 2.46 MMM S
59510... .................. A Cesarean delivery........... 23.67 16.90 3.92 44.49 MMM S
59514... .................. A Cesarean delivery only...... 15.39 10.99 2.55 28.93 MMM S
59515... .................. A Cesarean delivery........... 16.55 11.82 2.73 31.10 MMM S
59525... .................. A Remove uterus after cesarean 8.54 3.81 0.88 13.23 MMM S
59610... .................. A Vbac delivery............... 22.55 14.99 3.47 41.01 MMM S
59612... .................. A Vbac delivery only.......... 14.84 9.48 2.20 26.52 MMM S
59614... .................. A Vbac care after delivery.... 15.96 10.31 2.39 28.66 MMM S
59618... .................. A Attempted vbac delivery..... 25.23 16.90 3.92 46.05 MMM S
59620... .................. A Attempted vbac delivery only 16.95 10.99 2.55 30.49 MMM S
59622... .................. A Attempted vbac after care... 18.11 11.82 2.73 32.66 MMM S
59812... .................. A Treatment of miscarriage.... 3.10 3.61 0.77 7.48 090 S
59820... .................. A Care of miscarriage......... 3.73 3.75 0.77 8.25 090 S
59821... .................. A Treatment of miscarriage.... 4.26 2.72 0.62 7.60 090 S
59830... .................. A Treat uterus infection...... 5.96 4.53 0.52 11.01 090 S
59840... .................. A Abortion.................... 2.91 3.22 0.69 6.82 010 S
59841... .................. A Abortion.................... 3.24 3.75 0.76 7.75 010 S
59850... .................. A Abortion.................... 5.46 4.00 0.85 10.31 090 S
59851... .................. A Abortion.................... 5.62 4.28 0.88 10.78 090 S
59852... .................. A Abortion.................... 7.70 5.51 1.27 14.48 090 S
59855... .................. A Abortion.................... 5.80 4.14 0.96 10.90 090 S
59856... .................. A Abortion.................... 7.16 5.11 1.19 13.46 090 S
59857... .................. A Abortion.................... 8.71 6.22 1.44 16.37 090 S
59870... .................. A Evacuate mole of uterus..... 4.08 2.91 0.67 7.66 090 S
59899... .................. C Maternity care procedure.... 0.00 0.00 0.00 0.00 YYY S
60000... .................. A Drain thyroid/tongue cyst... 1.71 0.60 0.09 2.40 010 N
60001... .................. A Aspirate/inject thyriod cyst 0.97 1.05 0.12 2.14 000 N
60100... .................. A Biopsy of thyroid........... 0.97 1.05 0.12 2.14 000 N
60200... .................. A Remove thyroid lesion....... 8.83 6.02 1.04 15.89 090 S
[[Page 63252]]
60210... .................. A Partial excision thyroid.... 10.51 8.68 1.65 20.84 090 S
60212... .................. A Parital thyroid excision.... 15.48 9.04 1.74 26.26 090 S
60220... .................. A Partial removal of thyroid.. 9.86 8.54 1.61 20.01 090 S
60225... .................. A Partial removal of thyroid.. 11.65 10.49 1.92 24.06 090 S
60240... .................. A Removal of thyroid.......... 15.66 10.58 1.96 28.20 090 S
60252... .................. A Removal of thyroid.......... 15.40 13.65 2.55 31.60 090 S
60254... .................. A Extensive thyroid surgery... 16.68 19.21 3.08 38.97 090 S
60260... .................. A Repeat thyroid surgery...... 14.49 3.14 0.34 17.97 090 S
60270... .................. A Removal of thyroid.......... 16.44 13.97 2.54 32.95 090 S
60271... .................. A Removal of thyroid.......... 14.16 12.14 2.25 28.55 090 S
60280... .................. A Remove thyroid duct lesion.. 5.55 *7.10 1.11 13.76 090 S
60281... .................. A Remove thyroid duct lesion.. 8.00 5.04 0.95 13.99 090 S
60500... .................. A Explore parathyroid glands.. 15.40 11.36 2.31 29.07 090 S
60502... .................. A Re-explore parathyroids..... 19.25 11.39 2.33 32.97 090 S
60505... .................. A Explore parathyroid glands.. 19.93 13.14 2.56 35.63 090 S
60512... .................. A Autotransplant, parathyroid. 4.45 2.32 0.54 7.31 ZZZ S
60520... .................. A Removal of thymus gland..... 15.82 13.54 2.46 31.82 090 S
60521... .................. A Removal thymus gland........ 17.80 13.54 2.46 33.80 090 S
60522... .................. A Removal of thymus gland..... 21.76 13.54 2.46 37.76 090 S
60540... .................. A Explore adrenal gland....... 15.72 12.05 2.08 29.85 090 S
60545... .................. A Explore adrenal gland....... 18.51 14.27 2.34 35.12 090 S
60600... .................. A Remove carotid body lesion.. 16.13 11.46 1.88 29.47 090 S
60605... .................. A Remove carotid body lesion.. 18.20 10.71 2.21 31.12 090 S
60699... .................. C Endocrine surgery procedure. 0.00 0.00 0.00 0.00 YYY S
61000... .................. A Remove cranial cavity fluid. 1.58 1.07 0.17 2.82 000 S
61001... .................. A Remove cranial cavity fluid. 1.49 0.88 0.17 2.54 000 S
61020... .................. A Remove brain cavity fluid... 1.51 1.26 0.20 2.97 000 S
61026... .................. A Injection into brain canal.. 1.69 2.03 0.22 3.94 000 N
61050... .................. A Remove brain canal fluid.... 1.51 1.23 0.15 2.89 000 N
61055... .................. A Injection into brain canal.. 2.10 1.88 0.19 4.17 000 N
61070... .................. A Brain canal shunt procedure. 0.89 0.49 0.03 1.41 000 N
61105... .................. A Drill skull for examination. 8.19 6.89 1.24 16.32 090 S
61106... .................. A Drill skull for exam/surgery 7.35 6.15 1.15 14.65 ZZZ S
61107... .................. A Drill skull for implantation 4.35 *5.57 1.26 11.18 000 S
61108... .................. A Drill skull for drainage.... 10.80 12.05 2.22 25.07 090 S
61120... .................. A Pierce skull for examination 9.31 5.95 1.08 16.34 090 S
61130... .................. A Pierce skull, exam/surgery.. 6.37 4.95 0.96 12.28 ZZZ S
61140... .................. A Pierce skull for biopsy..... 14.84 14.13 2.56 31.53 090 S
61150... .................. A Pierce skull for drainage... 16.37 14.65 2.63 33.65 090 S
61151... .................. A Pierce skull for drainage... 11.40 2.13 0.37 13.90 090 S
61154... .................. A Pierce skull, remove clot... 13.67 *17.50 3.27 34.44 090 S
61156... .................. A Pierce skull for drainage... 15.23 16.19 3.05 34.47 090 S
61210... .................. A Pierce skull; implant device 4.72 *6.04 1.53 12.29 000 S
61215... .................. A Insert brain-fluid device... 10.05 9.00 1.63 20.68 090 S
61250... .................. A Pierce skull & explore...... 11.03 8.03 1.44 20.50 090 S
61253... .................. A Pierce skull & explore...... 13.00 9.62 1.69 24.31 090 S
61304... .................. A Open skull for exploration.. 20.63 26.03 4.78 51.44 090 S
61305... .................. A Open skull for exploration.. 24.77 29.11 5.05 58.93 090 S
61312... .................. A Open skull for drainage..... 20.54 24.13 4.46 49.13 090 S
61313... .................. A Open skull for drainage..... 20.54 24.04 4.38 48.96 090 S
61314... .................. A Open skull for drainage..... 22.78 25.62 4.68 53.08 090 S
61315... .................. A Open skull for drainage..... 25.91 24.41 4.47 54.79 090 S
61320... .................. A Open skull for drainage..... 23.90 18.70 3.41 46.01 090 S
61321... .................. A Open skull for drainage..... 26.66 19.83 3.54 50.03 090 S
61330... .................. A Decompress eye socket....... 15.65 12.97 1.22 29.84 090 S
61332... .................. A Explore/biopsy eye socket... 26.08 20.72 2.76 49.56 090 S
61333... .................. A Explore orbit; remove lesion 26.75 20.46 3.26 50.47 090 S
61334... .................. A Explore orbit; remove object 17.07 14.65 1.82 33.54 090 S
61340... .................. A Relieve cranial pressure.... 11.56 *14.80 2.54 28.90 090 S
61343... .................. A Incise skull, pressure 27.87 30.05 5.28 63.20 090 S
relief.
61345... .................. A Relieve cranial pressure.... 25.36 19.18 3.45 47.99 090 S
61440... .................. A Incise skull for surgery.... 24.79 20.75 3.00 48.54 090 S
61450... .................. A Incise skull for surgery.... 24.29 20.43 3.43 48.15 090 S
61458... .................. A Incise skull for brain wound 25.97 27.28 4.87 58.12 090 S
61460... .................. A Incise skull for surgery.... 26.75 25.05 3.98 55.78 090 S
61470... .................. A Incise skull for surgery.... 20.79 13.86 2.53 37.18 090 S
[[Page 63253]]
61480... .................. A Incise skull for surgery.... 16.77 15.07 1.78 33.62 090 S
61490... .................. A Incise skull for surgery.... 15.63 11.72 2.16 29.51 090 S
61500... .................. A Removal of skull lesion..... 16.93 20.07 3.58 40.58 090 S
61501... .................. A Remove infected skull bone.. 13.59 *17.40 3.33 34.32 090 S
61510... .................. A Removal of brain lesion..... 23.39 27.04 4.90 55.33 090 S
61512... .................. A Remove brain lining lesion.. 24.26 29.02 5.28 58.56 090 S
61514... .................. A Removal of brain abscess.... 23.49 25.52 4.74 53.75 090 S
61516... .................. A Removal of brain lesion..... 22.84 26.48 4.57 53.89 090 S
61518... .................. A Removal of brain lesion..... 32.27 30.02 5.46 67.75 090 S
61519... .................. A Remove brain lining lesion.. 33.84 31.22 5.77 70.83 090 S
61520... .................. A Removal of brain lesion..... 38.35 33.85 5.89 78.09 090 S
61521... .................. A Removal of brain lesion..... 39.48 32.97 5.85 78.30 090 S
61522... .................. A Removal of brain abscess.... 27.55 19.96 3.79 51.30 090 S
61524... .................. A Removal of brain lesion..... 26.02 27.45 5.15 58.62 090 S
61526... .................. A Removal of brain lesion..... 29.71 34.01 4.79 68.51 090 S
61530... .................. A Removal of brain lesion..... 42.35 34.01 4.79 81.15 090 S
61531... .................. A Implant brain electrodes.... 20.50 14.98 1.75 37.23 090 S
61533... .................. A Implant brain electrodes.... 23.41 17.02 3.33 43.76 090 S
61534... .................. A Removal of brain lesion..... 19.13 6.38 2.01 27.52 090 S
61535... .................. A Remove brain electrodes..... 10.23 7.66 1.25 19.14 090 S
61536... .................. A Removal of brain lesion..... 29.43 21.96 3.99 55.38 090 S
61538... .................. A Removal of brain tissue..... 28.05 29.08 4.97 62.10 090 S
61539... .................. A Removal of brain tissue..... 30.05 22.96 4.07 57.08 090 S
61541... .................. A Incision of brain tissue.... 26.95 19.80 3.78 50.53 090 S
61542... .................. A Removal of brain tissue..... 27.39 19.91 3.90 51.20 090 S
61543... .................. A Removal of brain tissue..... 20.62 17.24 2.49 40.35 090 S
61544... .................. A Remove & treat brain lesion. 23.71 28.19 2.11 54.01 090 S
61545... .................. A Excision of brain tumor..... 34.50 25.66 4.80 64.96 090 S
61546... .................. A Removal of pituitary gland.. 29.33 27.01 4.78 61.12 090 S
61548... .................. A Removal of pituitary gland.. 20.15 24.78 4.03 48.96 090 S
61550... .................. A Release of skull seams...... 14.24 11.81 1.11 27.16 090 S
61552... .................. A Release of skull seams...... 19.02 13.83 2.70 35.55 090 S
61556... .................. A Incise skull/sutures........ 21.35 15.53 3.04 39.92 090 S
61557... .................. A Incise skull/sutures........ 21.47 15.62 3.05 40.14 090 S
61558... .................. A Excision of skull/sutures... 24.41 17.74 3.47 45.62 090 S
61559... .................. A Excision of skull/sutures... 31.65 23.01 4.50 59.16 090 S
61563... .................. A Excision of skull tumor..... 25.87 18.81 3.68 48.36 090 S
61564... .................. A Excision of skull tumor..... 32.64 23.73 4.64 61.01 090 S
61570... .................. A Remove brain foreign body... 22.89 16.49 3.06 42.44 090 S
61571... .................. A Incise skull for brain wound 24.55 18.32 3.21 46.08 090 S
61575... .................. A Skull base/brainstem surgery 32.33 32.99 5.05 70.37 090 S
61576... .................. A Skull base/brainstem surgery 33.82 28.23 3.91 65.96 090 S
61580... .................. A Craniofacial approach, skull 28.90 21.01 4.10 54.01 090 S
61581... .................. A Craniofacial approach, skull 32.80 23.84 4.66 61.30 090 S
61582... .................. A Craniofacial approach, skull 29.77 21.65 4.22 55.64 090 S
61583... .................. A Craniofacial approach, skull 33.97 24.70 4.83 63.50 090 S
61584... .................. A Orbitocranial approach/skull 32.89 23.91 4.68 61.48 090 S
61585... .................. A Orbitocranial approach/skull 36.80 26.75 5.23 68.78 090 S
61590... .................. A Infratemporal approach/skull 40.02 29.10 5.68 74.80 090 S
61591... .................. A Infratemporal approach/skull 41.97 30.52 5.96 78.45 090 S
61592... .................. A Orbitocranial approach/skull 38.07 27.68 5.41 71.16 090 S
61595... .................. A Transtemporal approach/skull 28.12 20.44 4.00 52.56 090 S
61596... .................. A Transcochlear approach/skull 34.17 24.84 4.86 63.87 090 S
61597... .................. A Transcondylar approach/skull 36.12 26.26 5.13 67.51 090 S
61598... .................. A Transpetrosal approach/skull 31.83 23.13 4.52 59.48 090 S
61600... .................. A Resect/excise cranial lesion 24.41 17.74 3.46 45.61 090 S
61601... .................. A Resect/excise cranial lesion 26.16 19.03 3.72 48.91 090 S
61605... .................. A Resect/excise cranial lesion 27.62 20.09 3.93 51.64 090 S
61606... .................. A Resect/excise cranial lesion 37.00 26.90 5.25 69.15 090 S
61607... .................. A Resect/excise cranial lesion 34.56 25.13 4.91 64.60 090 S
61608... .................. A Resect/excise cranial lesion 40.21 29.24 5.71 75.16 090 S
61609... .................. A Transect, artery, sinus..... 9.89 7.19 1.40 18.48 ZZZ S
61610... .................. A Transect, artery, sinus..... 29.67 21.57 4.21 55.45 ZZZ S
61611... .................. A Transect, artery, sinus..... 7.42 5.39 1.06 13.87 ZZZ S
61612... .................. A Transect, artery, sinus..... 27.88 20.27 3.96 52.11 ZZZ S
61613... .................. A Remove aneurysm, sinus...... 39.43 28.67 5.61 73.71 090 S
[[Page 63254]]
61615... .................. A Resect/excise lesion, skull. 30.36 22.07 4.31 56.74 090 S
61616... .................. A Resect/excise lesion, skull. 41.29 30.03 5.86 77.18 090 S
61618... .................. A Repair dura................. 15.62 11.35 2.22 29.19 090 S
61619... .................. A Repair dura................. 19.52 14.19 2.77 36.48 090 S
61624... .................. A Occlusion/embolization cath. 20.15 15.28 1.79 37.22 000 N
61626... .................. A Occlusion/embolization cath. 16.62 12.60 1.47 30.69 000 N
61680... .................. A Intracranial vessel surgery. 36.45 31.06 5.79 73.30 090 S
61682... .................. A Intracranial vessel surgery. 42.21 35.31 6.36 83.88 090 S
61684... .................. A Intracranial vessel surgery. 39.25 29.76 3.47 72.48 090 S
61686... .................. A Intracranial vessel surgery. 47.45 35.98 4.20 87.63 090 S
61690... .................. A Intracranial vessel surgery. 33.82 27.46 4.09 65.37 090 S
61692... .................. A Intracranial vessel surgery. 37.96 28.79 3.36 70.11 090 S
61700... .................. A Inner skull vessel surgery.. 34.83 31.69 5.67 72.19 090 S
61702... .................. A Inner skull vessel surgery.. 39.20 36.31 6.61 82.12 090 S
61703... .................. A Clamp neck artery........... 16.27 12.21 2.24 30.72 090 S
61705... .................. A Revise circulation to head.. 34.49 30.41 5.25 70.15 090 S
61708... .................. A Revise circulation to head.. 33.59 25.20 2.32 61.11 090 S
61710... .................. A Revise circulation to head.. 28.14 16.63 1.75 46.52 090 S
61711... .................. A Fusion of skull arteries.... 34.62 33.04 6.20 73.86 090 S
61712... .................. A Skull or spine microsurgery. 3.49 *4.47 0.93 8.89 ZZZ S
61720... .................. A Incise skull/brain surgery.. 15.85 *20.29 4.05 40.19 090 S
61735... .................. A Incise skull/brain surgery.. 17.08 12.96 1.51 31.55 090 S
61750... .................. A Incise skull; brain biopsy.. 10.03 *13.54 4.31 27.88 090 S
61751... .................. A Brain biopsy with cat scan.. 15.18 *19.43 4.44 39.05 090 S
61760... .................. A Implant brain electrodes.... 24.83 14.98 1.75 41.56 090 S
61770... .................. A Incise skull for treatment.. 15.14 *19.38 3.43 37.95 090 S
61790... .................. A Treat trigeminal nerve...... 10.31 *13.19 3.03 26.53 090 S
61791... .................. A Treat trigeminal tract...... 7.29 *9.77 3.16 20.22 090 S
61793... .................. A Focus radiation beam........ 16.70 21.35 1.96 40.01 090 S
61795... .................. A Brain surgery using computer 4.04 *5.24 1.55 10.83 000 S
61850... .................. A Implant neuroelectrodes..... 15.98 11.63 2.26 29.87 090 S
61855... .................. A Implant neuroelectrodes..... 12.94 10.39 1.47 24.80 090 S
61860... .................. A Implant neuroelectrodes..... 11.20 8.14 1.59 20.93 090 S
61865... .................. A Implant neuroelectrodes..... 21.70 15.78 3.09 40.57 090 S
61870... .................. A Implant neuroelectrodes..... 5.77 4.19 0.82 10.78 090 S
61875... .................. A Implant neuroelectrodes..... 9.20 6.69 1.31 17.20 090 S
61880... .................. A Revise/remove neuroelectrode 5.72 4.79 0.66 11.17 090 S
61885... .................. A Implant neuroreceiver....... 2.35 1.96 0.29 4.60 090 S
61888... .................. A Revise/remove neuroreceiver. 3.10 2.25 0.44 5.79 010 S
62000... .................. A Repair of skull fracture.... 11.26 5.73 0.95 17.94 090 S
62005... .................. A Repair of skull fracture.... 14.84 11.08 1.97 27.89 090 S
62010... .................. A Treatment of head injury.... 18.43 19.20 3.39 41.02 090 S
62100... .................. A Repair brain fluid leakage.. 20.78 21.62 3.72 46.12 090 S
62115... .................. A Reduction of skull defect... 20.50 15.51 1.82 37.83 090 S
62116... .................. A Reduction of skull defect... 22.45 16.98 1.99 41.42 090 S
62117... .................. A Reduction of skull defect... 25.38 19.20 2.25 46.83 090 S
62120... .................. A Repair skull cavity lesion.. 22.34 16.90 1.98 41.22 090 S
62121... .................. A Incise skull repair......... 20.25 17.51 3.41 41.17 090 S
62140... .................. A Repair of skull defect...... 12.63 13.43 2.39 28.45 090 S
62141... .................. A Repair of skull defect...... 13.90 17.73 3.28 34.91 090 S
62142... .................. A Remove skull plate/flap..... 9.91 *12.69 2.64 25.24 090 S
62143... .................. A Replace skull plate/flap.... 12.11 9.17 1.65 22.93 090 S
62145... .................. A Repair of skull & brain..... 17.68 13.16 2.29 33.13 090 S
62146... .................. A Repair of skull with graft.. 15.11 10.99 2.15 28.25 090 S
62147... .................. A Repair of skull with graft.. 18.14 13.17 2.57 33.88 090 S
62180... .................. A Establish brain cavity shunt 12.72 14.21 2.70 29.63 090 S
62190... .................. A Establish brain cavity shunt 10.13 *12.97 3.21 26.31 090 S
62192... .................. A Establish brain cavity shunt 11.31 *14.48 2.74 28.53 090 S
62194... .................. A Replace/irrigate catheter... 2.81 1.88 0.29 4.98 010 N
62200... .................. A Establish brain cavity shunt 13.24 *16.95 3.09 33.28 090 S
62201... .................. A Establish brain cavity shunt 12.10 8.78 1.72 22.60 090 S
62220... .................. A Establish brain cavity shunt 12.06 *15.43 3.12 30.61 090 S
62223... .................. A Establish brain cavity shunt 12.81 *16.40 3.02 32.23 090 S
62225... .................. A Replace/irrigate catheter... 4.71 4.80 0.58 10.09 090 S
62230... .................. A Replace/revise brain shunt.. 9.71 9.83 1.82 21.36 090 S
62256... .................. A Remove brain cavity shunt... 5.90 6.38 1.17 13.45 090 S
[[Page 63255]]
62258... .................. A Replace brain cavity shunt.. 13.60 14.78 2.55 30.93 090 S
62268... .................. A Drain spinal cord cyst...... 3.87 2.98 0.36 7.21 000 N
62269... .................. A Needle biopsy spinal cord... 4.07 1.75 0.28 6.10 000 N
62270... .................. A Spinal fluid tap, diagnostic 1.13 0.71 0.06 1.90 000 N
62272... .................. A Drain spinal fluid.......... 1.35 1.01 0.12 2.48 000 N
62273... .................. A Treat lumbar spine lesion... 2.15 1.12 0.26 3.53 000 N
62274... .................. A Inject spinal anesthetic.... 1.78 0.74 0.17 2.69 000 N
62275... .................. A Inject spinal anesthetic.... 1.79 0.59 0.19 2.57 000 N
62276... .................. A Inject spinal anesthetic.... 2.04 1.23 0.23 3.50 000 N
62277... .................. A Inject spinal anesthetic.... 2.15 0.84 0.23 3.22 000 N
62278... .................. A Inject spinal anesthetic.... 1.51 0.98 0.26 2.75 000 N
62279... .................. A Inject spinal anesthetic.... 1.58 0.82 0.24 2.64 000 N
62280... .................. A Treat spinal cord lesion.... 2.58 0.71 0.14 3.43 010 N
62281... .................. A Treat spinal cord lesion.... 2.61 0.87 0.28 3.76 010 N
62282... .................. A Treat spinal canal lesion... 2.28 1.70 0.40 4.38 010 N
62284... .................. A Injection for myelogram..... 1.54 *1.98 0.34 3.86 000 S
62287... .................. A Percutaneous diskectomy..... 4.13 *6.96 2.65 13.74 090 S
62288... .................. A Injection into spinal canal. 1.74 1.12 0.24 3.10 000 N
62289... .................. A Injection into spinal canal. 1.64 1.07 0.29 3.00 000 N
62290... .................. A Inject for spine disk x-ray. 3.58 1.86 0.24 5.68 000 N
62291... .................. A Inject for spine disk x-ray. 2.91 1.78 0.39 5.08 000 N
62292... .................. A Injection into disk lesion.. 7.00 *8.96 2.13 18.09 090 S
62294... .................. A Injection into spinal artery 8.05 5.84 0.68 14.57 090 S
62298... .................. A Injection into spinal canal. 2.20 1.04 0.13 3.37 000 N
62350... .................. A Implant spinal catheter..... 6.25 3.49 1.02 10.76 090 S
62351... .................. A Implant spinal catheter..... 9.25 5.16 1.50 15.91 090 S
62355... .................. A Remove spinal canal catheter 4.80 3.49 0.68 8.97 090 S
62360... .................. A Insert spine infusion device 2.00 1.12 0.33 3.45 090 S
62361... .................. A Implant spine infusion pump. 4.80 2.68 0.78 8.26 090 S
62362... .................. A Implant spine infusion pump. 6.29 3.51 1.02 10.82 090 S
62365... .................. A Remove spine infusion device 4.77 3.47 0.68 8.92 090 S
62367... .................. C Analyze spine infusion pump. 0.00 0.00 0.00 0.00 XXX N
62367... 26 A Analyze spine infusion pump. 0.48 0.35 0.07 0.90 XXX N
62367... TC C Analyze spine infusion pump. 0.00 0.00 0.00 0.00 XXX N
62368... .................. C Analyze spine infusion pump. 0.00 0.00 0.00 0.00 XXX N
62368... 26 A Analyze spine infusion pump. 0.75 0.55 0.11 1.41 XXX N
62368... TC C Analyze spine infusion pump. 0.00 0.00 0.00 0.00 XXX N
63001... .................. A Removal of spinal lamina.... 14.50 *18.55 3.42 36.47 090 S
63003... .................. A Removal of spinal lamina.... 14.63 17.93 3.23 35.79 090 S
63005... .................. A Removal of spinal lamina.... 13.53 *17.32 3.10 33.95 090 S
63011... .................. A Removal of spinal lamina.... 11.11 9.99 1.87 22.97 090 S
63012... .................. A Removal of spinal lamina.... 14.21 18.07 3.15 35.43 090 S
63015... .................. A Removal of spinal lamina.... 16.59 *21.23 4.18 42.00 090 S
63016... .................. A Removal of spinal lamina.... 17.43 *22.30 4.11 43.84 090 S
63017... .................. A Removal of spinal lamina.... 15.85 *20.29 4.00 40.14 090 S
63020... .................. A Neck spine disk surgery..... 12.53 *16.04 3.38 31.95 090 S
63030... .................. A Low back disk surgery....... 12.11 *15.50 2.81 30.42 090 S
63035... .................. A Added spinal disk surgery... 3.15 *4.04 0.76 7.95 ZZZ S
63040... .................. A Neck spine disk surgery..... 17.56 *22.48 4.30 44.34 090 S
63042... .................. A Low back disk surgery....... 17.27 *22.10 4.38 43.75 090 S
63045... .................. A Removal of spinal lamina.... 15.31 *19.59 4.38 39.28 090 S
63046... .................. A Removal of spinal lamina.... 14.61 *18.70 4.58 37.89 090 S
63047... .................. A Removal of spinal lamina.... 12.76 *16.33 4.48 33.57 090 S
63048... .................. A Removal of spinal lamina.... 3.26 *4.17 1.03 8.46 ZZZ S
63055... .................. A Decompress spinal cord...... 20.67 23.73 4.18 48.58 090 S
63056... .................. A Decompress spinal cord...... 19.11 21.84 3.76 44.71 090 S
63057... .................. A Decompress spinal cord...... 3.00 *3.84 0.85 7.69 ZZZ S
63064... .................. A Decompress spinal cord...... 23.23 23.83 4.09 51.15 090 S
63066... .................. A Decompress spinal cord...... 3.26 2.48 0.45 6.19 ZZZ S
63075... .................. A Neck spine disk surgery..... 19.77 17.57 3.21 40.55 090 S
63076... .................. A Neck spine disk surgery..... 4.05 *5.19 0.97 10.21 ZZZ S
63077... .................. A Spine disk surgery, thorax.. 20.25 18.42 3.17 41.84 090 S
63078... .................. A Spine disk surgery, thorax.. 3.28 2.61 0.45 6.34 ZZZ S
63081... .................. A Removal of vertebral body... 22.08 26.26 4.50 52.84 090 S
63082... .................. A Removal of vertebral body... 4.37 *5.60 1.22 11.19 ZZZ S
63085... .................. A Removal of vertebral body... 25.07 27.39 4.69 57.15 090 S
[[Page 63256]]
63086... .................. A Removal of vertebral body... 3.19 *4.08 1.07 8.34 ZZZ S
63087... .................. A Removal of vertebral body... 27.56 28.25 4.85 60.66 090 S
63088... .................. A Removal of vertebral body... 4.33 *5.55 1.18 11.06 ZZZ S
63090... .................. A Removal of vertebral body... 26.20 29.22 4.92 60.34 090 S
63091... .................. A Removal of vertebral body... 3.03 2.73 0.46 6.22 ZZZ S
63170... .................. A Incise spinal cord tract(s). 18.18 18.88 3.28 40.34 090 S
63172... .................. A Drainage of spinal cyst..... 16.19 *20.72 4.26 41.17 090 S
63173... .................. A Drainage of spinal cyst..... 20.40 15.47 1.81 37.68 090 S
63180... .................. A Revise spinal cord ligaments 16.75 11.61 2.05 30.41 090 S
63182... .................. A Revise spinal cord ligaments 18.91 16.44 2.21 37.56 090 S
63185... .................. A Incise spinal column/nerves. 13.85 15.55 2.93 32.33 090 S
63190... .................. A Incise spinal column/nerves. 16.26 *20.81 3.91 40.98 090 S
63191... .................. A Incise spinal column/nerves. 16.42 13.04 2.21 31.67 090 S
63194... .................. A Incise spinal column & cord. 17.53 13.02 2.33 32.88 090 S
63195... .................. A Incise spinal column & cord. 17.16 13.86 2.11 33.13 090 S
63196... .................. A Incise spinal column & cord. 20.57 15.59 1.83 37.99 090 S
63197... .................. A Incise spinal column & cord. 19.38 14.36 2.62 36.36 090 S
63198... .................. A Incise spinal column & cord. 22.45 16.32 3.19 41.96 090 S
63199... .................. A Incise spinal column & cord. 23.89 21.40 2.61 47.90 090 S
63200... .................. A Release of spinal cord...... 17.66 12.49 1.83 31.98 090 S
63250... .................. A Revise spinal cord vessels.. 38.67 27.99 5.22 71.88 090 S
63251... .................. A Revise spinal cord vessels.. 38.86 22.74 4.32 65.92 090 S
63252... .................. A Revise spinal cord vessels.. 38.85 28.25 5.52 72.62 090 S
63265... .................. A Excise intraspinal lesion... 20.04 22.01 3.90 45.95 090 S
63266... .................. A Excise intraspinal lesion... 20.65 24.76 4.43 49.84 090 S
63267... .................. A Excise intraspinal lesion... 16.70 *21.38 4.20 42.28 090 S
63268... .................. A Excise intraspinal lesion... 17.27 12.56 2.46 32.29 090 S
63270... .................. A Excise intraspinal lesion... 24.84 18.14 3.42 46.40 090 S
63271... .................. A Excise intraspinal lesion... 24.96 26.60 4.79 56.35 090 S
63272... .................. A Excise intraspinal lesion... 23.69 23.15 4.26 51.10 090 S
63273... .................. A Excise intraspinal lesion... 22.66 17.56 3.12 43.34 090 S
63275... .................. A Biopsy/excise spinal tumor.. 22.05 27.82 5.09 54.96 090 S
63276... .................. A Biopsy/excise spinal tumor.. 21.76 25.31 4.62 51.69 090 S
63277... .................. A Biopsy/excise spinal tumor.. 19.51 23.75 4.25 47.51 090 S
63278... .................. A Biopsy/excise spinal tumor.. 19.24 23.34 4.32 46.90 090 S
63280... .................. A Biopsy/excise spinal tumor.. 26.72 28.08 4.99 59.79 090 S
63281... .................. A Biopsy/excise spinal tumor.. 26.42 27.67 4.96 59.05 090 S
63282... .................. A Biopsy/excise spinal tumor.. 24.96 24.11 4.44 53.51 090 S
63283... .................. A Biopsy/excise spinal tumor.. 23.57 18.77 3.44 45.78 090 S
63285... .................. A Biopsy/excise spinal tumor.. 34.24 24.49 4.49 63.22 090 S
63286... .................. A Biopsy/excise spinal tumor.. 33.94 28.76 4.92 67.62 090 S
63287... .................. A Biopsy/excise spinal tumor.. 34.43 25.72 4.53 64.68 090 S
63290... .................. A Biopsy/excise spinal tumor.. 35.04 27.16 4.65 66.85 090 S
63300... .................. A Removal of vertebral body... 22.78 17.27 2.02 42.07 090 S
63301... .................. A Removal of vertebral body... 25.08 18.45 3.58 47.11 090 S
63302... .................. A Removal of vertebral body... 25.60 21.36 3.02 49.98 090 S
63303... .................. A Removal of vertebral body... 28.47 18.50 3.39 50.36 090 S
63304... .................. A Removal of vertebral body... 28.10 21.31 2.49 51.90 090 S
63305... .................. A Removal of vertebral body... 29.42 22.49 3.75 55.66 090 S
63306... .................. A Removal of vertebral body... 30.01 22.76 2.65 55.42 090 S
63307... .................. A Removal of vertebral body... 29.42 24.42 2.98 56.82 090 S
63308... .................. A Removal of vertebral body... 5.25 4.05 0.73 10.03 ZZZ S
63600... .................. A Remove spinal cord lesion... 13.08 10.70 2.63 26.41 090 N
63610... .................. A Stimulation of spinal cord.. 8.73 6.73 2.06 17.52 000 N
63615... .................. A Remove lesion of spinal cord 15.40 11.55 2.03 28.98 090 S
63650... .................. A Implant neuroelectrodes..... 5.99 *7.67 2.13 15.79 090 S
63655... .................. A Implant neuroelectrodes..... 8.95 *11.93 3.64 24.52 090 S
63660... .................. A Revise/remove neuroelectrode 5.54 *7.09 1.56 14.19 090 S
63685... .................. A Implant neuroreceiver....... 6.29 7.40 1.46 15.15 090 S
63688... .................. A Revise/remove neuroreceiver. 4.77 *6.10 1.26 12.13 090 S
63690... .................. A Analysis of neuroreceiver... 0.45 *0.58 0.12 1.15 XXX N
63691... .................. A Analysis of neuroreceiver... 0.65 0.41 0.11 1.17 XXX N
63700... .................. A Repair of spinal herniation. 15.62 11.35 2.22 29.19 090 S
63702... .................. A Repair of spinal herniation. 17.57 12.78 2.49 32.84 090 S
63704... .................. A Repair of spinal herniation. 19.52 14.19 2.77 36.48 090 S
63706... .................. A Repair of spinal herniation. 22.45 16.33 3.18 41.96 090 S
[[Page 63257]]
63707... .................. A Repair spinal fluid leakage. 10.14 *12.98 2.56 25.68 090 S
63709... .................. A Repair spinal fluid leakage. 13.26 *16.97 3.30 33.53 090 S
63710... .................. A Graft repair of spine defect 13.01 9.75 1.58 24.34 090 S
63740... .................. A Install spinal shunt........ 10.43 *13.35 2.99 26.77 090 S
63741... .................. A Install spinal shunt........ 7.13 *9.13 2.39 18.65 090 S
63744... .................. A Revision of spinal shunt.... 6.83 8.15 1.68 16.66 090 S
63746... .................. A Removal of spinal shunt..... 5.60 5.52 1.08 12.20 090 S
63750... .................. D Insert spinal canal catheter 0.00 0.00 0.00 0.00 090 S
63780... .................. D Insert spinal canal catheter 0.00 0.00 0.00 0.00 090 N
64400... .................. A Injection for nerve block... 1.11 0.48 0.05 1.64 000 N
64402... .................. A Injection for nerve block... 1.25 0.62 0.09 1.96 000 S
64405... .................. A Injection for nerve block... 1.32 0.64 0.07 2.03 000 N
64408... .................. A Injection for nerve block... 1.41 1.04 0.11 2.56 000 N
64410... .................. A Injection for nerve block... 1.43 0.71 0.15 2.29 000 N
64412... .................. A Injection for nerve block... 1.18 0.62 0.08 1.88 000 N
64413... .................. A Injection for nerve block... 1.40 0.74 0.08 2.22 000 N
64415... .................. A Injection for nerve block... 1.48 0.26 0.07 1.81 000 N
64417... .................. A Injection for nerve block... 1.44 0.63 0.15 2.22 000 N
64418... .................. A Injection for nerve block... 1.32 0.85 0.10 2.27 000 N
64420... .................. A Injection for nerve block... 1.18 0.64 0.07 1.89 000 N
64421... .................. A Injection for nerve block... 1.68 0.83 0.17 2.68 000 N
64425... .................. A Injection for nerve block... 1.75 0.57 0.10 2.42 000 N
64430... .................. A Injection for nerve block... 1.46 0.70 0.12 2.28 000 S
64435... .................. A Injection for nerve block... 1.45 0.47 0.09 2.01 000 S
64440... .................. A Injection for nerve block... 1.34 0.79 0.09 2.22 000 N
64441... .................. A Injection for nerve block... 1.79 1.01 0.12 2.92 000 N
64442... .................. A Injection for nerve block... 1.41 1.19 0.16 2.76 000 N
64443... .................. A Injection for nerve block... 1.35 0.63 0.12 2.10 ZZZ N
64445... .................. A Injection for nerve block... 1.48 0.49 0.06 2.03 000 N
64450... .................. A Injection for nerve block... 1.27 0.53 0.05 1.85 000 S
64505... .................. A Injection for nerve block... 1.36 0.62 0.06 2.04 000 N
64508... .................. A Injection for nerve block... 1.12 1.04 0.08 2.24 000 N
64510... .................. A Injection for nerve block... 1.22 0.71 0.18 2.11 000 N
64520... .................. A Injection for nerve block... 1.35 0.72 0.17 2.24 000 N
64530... .................. A Injection for nerve block... 1.58 1.17 0.28 3.03 000 N
64550... .................. A Apply neurostimulator....... 0.18 0.44 0.04 0.66 000 N
64553... .................. A Implant neuroelectrodes..... 2.26 1.02 0.10 3.38 010 N
64555... .................. A Implant neuroelectrodes..... 2.22 0.42 0.10 2.74 010 N
64560... .................. A Implant neuroelectrodes..... 2.31 1.45 0.24 4.00 010 S
64565... .................. A Implant neuroelectrodes..... 1.71 0.76 0.08 2.55 010 N
64573... .................. A Implant neuroelectrodes..... 4.35 3.16 0.61 8.12 090 S
64575... .................. A Implant neuroelectrodes..... 4.27 3.07 0.40 7.74 090 S
64577... .................. A Implant neuroelectrodes..... 4.54 2.76 0.45 7.75 090 S
64580... .................. A Implant neuroelectrodes..... 4.04 2.91 0.20 7.15 090 S
64585... .................. A Revise/remove neuroelectrode 2.01 0.97 0.09 3.07 010 S
64590... .................. A Implant neuroreceiver....... 2.35 1.84 0.35 4.54 010 S
64595... .................. A Revise/remove neuroreceiver. 1.68 1.12 0.21 3.01 010 S
64600... .................. A Injection treatment of nerve 3.40 1.69 0.17 5.26 010 N
64605... .................. A Injection treatment of nerve 5.56 1.56 0.33 7.45 010 N
64610... .................. A Injection treatment of nerve 7.11 7.26 1.35 15.72 010 N
64612... .................. A Destroy nerve, face muscle.. 1.91 1.45 0.17 3.53 010 S
64613... .................. A Destroy nerve, spine muscle. 1.91 1.45 0.17 3.53 010 S
64620... .................. A Injection treatment of nerve 2.79 1.00 0.19 3.98 010 N
64622... .................. A Injection treatment of nerve 2.95 1.82 0.35 5.12 010 N
64623... .................. A Injection treatment of nerve 0.99 0.85 0.17 2.01 ZZZ N
64630... .................. A Injection treatment of nerve 2.95 1.74 0.38 5.07 010 N
64640... .................. A Injection treatment of nerve 2.49 0.92 0.09 3.50 010 N
64680... .................. A Injection treatment of nerve 2.57 1.55 0.41 4.53 010 N
64702... .................. A Revise finger/toe nerve..... 4.02 4.22 0.70 8.94 090 S
64704... .................. A Revise hand/foot nerve...... 4.44 5.38 0.74 10.56 090 S
64708... .................. A Revise arm/leg nerve........ 5.71 *7.31 1.26 14.28 090 S
64712... .................. A Revision of sciatic nerve... 7.18 *9.19 1.68 18.05 090 S
64713... .................. A Revision of arm nerve(s).... 10.34 9.40 1.72 21.46 090 S
64714... .................. A Revise low back nerve(s).... 9.87 6.13 1.41 17.41 090 S
64716... .................. A Revision of cranial nerve... 5.80 4.83 0.67 11.30 090 S
64718... .................. A Revise ulnar nerve at elbow. 5.48 6.72 1.13 13.33 090 S
[[Page 63258]]
64719... .................. A Revise ulnar nerve at wrist. 4.72 4.95 0.85 10.52 090 S
64721... .................. A Carpal tunnel surgery....... 3.99 4.90 0.83 9.72 090 S
64722... .................. A Relieve pressure on nerve(s) 4.46 *5.71 1.11 11.28 090 S
64726... .................. A Release foot/toe nerve...... 3.97 0.72 0.07 4.76 090 S
64727... .................. A Internal nerve revision..... 3.10 3.24 0.55 6.89 ZZZ S
64732... .................. A Incision of brow nerve...... 4.15 4.31 0.72 9.18 090 S
64734... .................. A Incision of cheek nerve..... 4.62 4.61 0.67 9.90 090 S
64736... .................. A Incision of chin nerve...... 4.40 4.46 0.42 9.28 090 S
64738... .................. A Incision of jaw nerve....... 5.42 5.07 0.61 11.10 090 S
64740... .................. A Incision of tongue nerve.... 5.28 5.18 0.62 11.08 090 S
64742... .................. A Incision of facial nerve.... 5.91 5.00 0.44 11.35 090 S
64744... .................. A Incise nerve, back of head.. 4.87 6.10 1.10 12.07 090 S
64746... .................. A Incise diaphragm nerve...... 5.62 3.77 0.77 10.16 090 S
64752... .................. A Incision of vagus nerve..... 6.64 3.93 0.85 11.42 090 S
64755... .................. A Incision of stomach nerves.. 13.10 10.47 2.27 25.84 090 S
64760... .................. A Incision of vagus nerve..... 6.54 6.65 1.50 14.69 090 S
64761... .................. A Incision of pelvis nerve.... 6.10 4.66 0.50 11.26 090 S
64763... .................. A Incise hip/thigh nerve...... 6.72 4.80 0.92 12.44 090 S
64766... .................. A Incise hip/thigh nerve...... 8.31 6.67 1.20 16.18 090 S
64771... .................. A Sever cranial nerve......... 6.99 6.42 0.73 14.14 090 S
64772... .................. A Incision of spinal nerve.... 6.79 6.77 1.30 14.86 090 S
64774... .................. A Remove skin nerve lesion.... 4.86 2.74 0.45 8.05 090 S
64776... .................. A Remove digit nerve lesion... 4.86 2.78 0.41 8.05 090 S
64778... .................. A Added digit nerve surgery... 3.11 2.73 0.43 6.27 ZZZ S
64782... .................. A Remove limb nerve lesion.... 5.81 4.70 0.46 10.97 090 S
64783... .................. A Added limb nerve surgery.... 3.72 3.26 0.47 7.45 ZZZ S
64784... .................. A Remove nerve lesion......... 9.46 5.64 0.96 16.06 090 S
64786... .................. A Remove sciatic nerve lesion. 15.10 12.66 2.14 29.90 090 S
64787... .................. A Implant nerve end........... 4.30 3.47 0.60 8.37 ZZZ S
64788... .................. A Remove skin nerve lesion.... 4.30 3.63 0.50 8.43 090 S
64790... .................. A Removal of nerve lesion..... 10.95 7.11 1.22 19.28 090 S
64792... .................. A Removal of nerve lesion..... 14.40 8.99 1.66 25.05 090 S
64795... .................. A Biopsy of nerve............. 3.01 2.38 0.39 5.78 000 S
64802... .................. A Remove sympathetic nerves... 8.22 5.40 1.10 14.72 090 S
64804... .................. A Remove sympathetic nerves... 13.65 12.77 2.44 28.86 090 S
64809... .................. A Remove sympathetic nerves... 12.79 10.55 2.04 25.38 090 S
64818... .................. A Remove sympathetic nerves... 9.42 8.57 1.72 19.71 090 S
64820... .................. A Remove sympathetic nerves... 10.00 7.27 1.42 18.69 090 S
64830... .................. A Microrepair of nerve........ 3.10 2.01 0.38 5.49 ZZZ S
64831... .................. A Repair of digit nerve....... 8.84 3.38 0.56 12.78 090 S
64832... .................. A Repair additional nerve..... 5.66 1.40 0.24 7.30 ZZZ S
64834... .................. A Repair of hand or foot nerve 9.77 3.50 0.56 13.83 090 S
64835... .................. A Repair of hand or foot nerve 10.47 5.96 1.03 17.46 090 S
64836... .................. A Repair of hand or foot nerve 10.47 6.70 1.22 18.39 090 S
64837... .................. A Repair additional nerve..... 6.26 4.45 0.85 11.56 ZZZ S
64840... .................. A Repair of leg nerve......... 12.43 10.35 0.53 23.31 090 S
64856... .................. A Repair/transpose nerve...... 12.81 8.21 1.46 22.48 090 S
64857... .................. A Repair arm/leg nerve........ 13.43 9.53 1.54 24.50 090 S
64858... .................. A Repair sciatic nerve........ 15.43 10.98 2.11 28.52 090 S
64859... .................. A Additional nerve surgery.... 4.26 3.50 0.58 8.34 ZZZ S
64861... .................. A Repair of arm nerves........ 17.94 13.42 1.38 32.74 090 S
64862... .................. A Repair of low back nerves... 18.14 21.56 1.61 41.31 090 S
64864... .................. A Repair of facial nerve...... 11.87 7.86 1.16 20.89 090 S
64865... .................. A Repair of facial nerve...... 14.70 12.34 1.50 28.54 090 S
64866... .................. A Fusion of facial/other nerve 14.94 11.19 1.84 27.97 090 S
64868... .................. A Fusion of facial/other nerve 13.36 11.19 1.47 26.02 090 S
64870... .................. A Fusion of facial/other nerve 15.19 13.91 1.70 30.80 090 S
64872... .................. A Subsequent repair of nerve.. 1.99 1.44 0.29 3.72 ZZZ S
64874... .................. A Repair & revise nerve....... 2.98 2.17 0.43 5.58 ZZZ S
64876... .................. A Repair nerve; shorten bone.. 3.38 2.46 0.48 6.32 ZZZ N
64885... .................. A Nerve graft, head or neck... 16.73 12.69 1.48 30.90 090 S
64886... .................. A Nerve graft, head or neck... 19.95 15.13 1.77 36.85 090 S
64890... .................. A Nerve graft, hand or foot... 14.35 12.26 2.12 28.73 090 S
64891... .................. A Nerve graft, hand or foot... 15.21 10.42 1.73 27.36 090 S
64892... .................. A Nerve graft, arm or leg..... 13.85 11.04 1.69 26.58 090 S
64893... .................. A Nerve graft, arm or leg..... 14.61 13.93 2.27 30.81 090 S
[[Page 63259]]
64895... .................. A Nerve graft, hand or foot... 18.39 13.16 2.55 34.10 090 S
64896... .................. A Nerve graft, hand or foot... 19.38 17.53 1.90 38.81 090 S
64897... .................. A Nerve graft, arm or leg..... 17.38 12.63 2.47 32.48 090 S
64898... .................. A Nerve graft, arm or leg..... 18.39 14.40 2.35 35.14 090 S
64901... .................. A Additional nerve graft...... 10.22 10.16 0.87 21.25 ZZZ S
64902... .................. A Additional nerve graft...... 11.83 11.92 0.99 24.74 ZZZ S
64905... .................. A Nerve pedicle transfer...... 13.22 9.40 0.70 23.32 090 S
64907... .................. A Nerve pedicle transfer...... 17.90 13.02 2.55 33.47 090 S
64999... .................. C Nervous system surgery...... 0.00 0.00 0.00 0.00 YYY N
65091... .................. A Revise eye.................. 6.10 *7.81 0.45 14.36 090 S
65093... .................. A Revise eye with implant..... 6.47 *8.28 0.52 15.27 090 S
65101... .................. A Removal of eye.............. 6.52 *8.35 0.47 15.34 090 S
65103... .................. A Remove eye/insert implant... 7.06 *9.04 0.50 16.60 090 S
65105... .................. A Remove eye/attach implant... 7.82 *10.01 0.55 18.38 090 S
65110... .................. A Removal of eye.............. 13.18 15.99 1.14 30.31 090 S
65112... .................. A Remove eye, revise socket... 15.44 12.16 1.09 28.69 090 S
65114... .................. A Remove eye, revise socket... 16.59 13.07 1.65 31.31 090 S
65125... .................. A Revise ocular implant....... 2.97 2.47 0.13 5.57 090 S
65130... .................. A Insert ocular implant....... 6.75 *8.64 0.50 15.89 090 S
65135... .................. A Insert ocular implant....... 6.93 5.42 0.35 12.70 090 S
65140... .................. A Attach ocular implant....... 7.46 6.22 0.33 14.01 090 S
65150... .................. A Revise ocular implant....... 5.97 *7.64 0.56 14.17 090 S
65155... .................. A Reinsert ocular implant..... 8.21 *10.50 0.90 19.61 090 S
65175... .................. A Removal of ocular implant... 5.93 7.49 0.40 13.82 090 S
65205... .................. A Remove foreign body from eye 0.78 0.37 0.02 1.17 000 S
65210... .................. A Remove foreign body from eye 0.84 0.46 0.03 1.33 000 S
65220... .................. A Remove foreign body from eye 0.71 0.52 0.04 1.27 000 N
65222... .................. A Remove foreign body from eye 0.93 0.57 0.03 1.53 000 S
65235... .................. A Remove foreign body from eye 7.12 5.61 0.30 13.03 090 S
65260... .................. A Remove foreign body from eye 10.35 8.63 0.45 19.43 090 S
65265... .................. A Remove foreign body from eye 12.04 10.04 0.51 22.59 090 S
65270... .................. A Repair of eye wound......... 1.85 1.17 0.07 3.09 010 S
65272... .................. A Repair of eye wound......... 3.57 1.64 0.10 5.31 090 S
65273... .................. A Repair of eye wound......... 3.89 3.22 0.21 7.32 090 S
65275... .................. A Repair of eye wound......... 5.04 0.66 0.04 5.74 090 S
65280... .................. A Repair of eye wound......... 7.10 *9.09 0.49 16.68 090 S
65285... .................. A Repair of eye wound......... 12.06 12.26 0.64 24.96 090 S
65286... .................. A Repair of eye wound......... 5.16 4.79 0.25 10.20 090 S
65290... .................. A Repair of eye socket wound.. 5.06 6.20 0.37 11.63 090 S
65400... .................. A Removal of eye lesion....... 5.61 6.46 0.35 12.42 090 S
65410... .................. A Biopsy of cornea............ 1.47 1.59 0.11 3.17 000 S
65420... .................. A Removal of eye lesion....... 3.97 4.28 0.23 8.48 090 S
65426... .................. A Removal of eye lesion....... 5.05 *6.47 0.38 11.90 090 S
65430... .................. A Corneal smear............... 0.87 0.54 0.03 1.44 000 S
65435... .................. A Curette/treat cornea........ 0.92 0.77 0.04 1.73 000 S
65436... .................. A Curette/treat cornea........ 3.99 1.53 0.08 5.60 090 S
65450... .................. A Treatment of corneal lesion. 3.07 3.28 0.17 6.52 090 S
65600... .................. A Revision of cornea.......... 3.15 2.62 0.14 5.91 090 S
65710... .................. A Corneal transplant.......... 9.52 *12.44 1.13 23.09 090 S
65730... .................. A Corneal transplant.......... 11.83 *15.14 1.29 28.26 090 S
65750... .................. A Corneal transplant.......... 12.58 *16.10 1.33 30.01 090 S
65755... .................. A Corneal transplant.......... 12.58 *16.10 1.39 30.07 090 S
65760... .................. N Revision of cornea.......... 0.00 0.00 0.00 0.00 XXX 0
65765... .................. N Revision of cornea.......... 0.00 0.00 0.00 0.00 XXX 0
65767... .................. N Corneal tissue transplant... 0.00 0.00 0.00 0.00 XXX 0
65770... .................. A Revise cornea with implant.. 16.56 13.81 0.71 31.08 090 S
65771... .................. N Radial keratotomy........... 0.00 0.00 0.00 0.00 XXX 0
65772... .................. A Correction of astigmatism... 4.04 *5.16 0.31 9.51 090 S
65775... .................. A Correction of astigmatism... 5.44 *6.96 0.50 12.90 090 S
65800... .................. A Drainage of eye............. 1.91 1.72 0.10 3.73 000 S
65805... .................. A Drainage of eye............. 1.91 1.81 0.10 3.82 000 S
65810... .................. A Drainage of eye............. 4.57 5.45 0.30 10.32 090 S
65815... .................. A Drainage of eye............. 4.75 4.49 0.24 9.48 090 S
65820... .................. A Relieve inner eye pressure.. 7.60 9.54 0.51 17.65 090 S
65850... .................. A Incision of eye............. 10.18 *13.03 0.69 23.90 090 S
65855... .................. A Laser surgery of eye........ 4.65 *6.01 0.52 11.18 090 S
[[Page 63260]]
65860... .................. A Incise inner eye adhesions.. 3.37 *4.31 0.37 8.05 090 S
65865... .................. A Incise inner eye adhesions.. 5.42 *6.93 0.41 12.76 090 S
65870... .................. A Incise inner eye adhesions.. 5.92 5.86 0.31 12.09 090 S
65875... .................. A Incise inner eye adhesions.. 6.14 6.28 0.34 12.76 090 S
65880... .................. A Incise inner eye adhesions.. 6.69 6.85 0.37 13.91 090 S
65900... .................. A Remove eye lesion........... 10.43 7.91 0.92 19.26 090 S
65920... .................. A Remove implant from eye..... 7.90 8.36 0.44 16.70 090 S
65930... .................. A Remove blood clot from eye.. 7.03 7.68 0.41 15.12 090 S
66020... .................. A Injection treatment of eye.. 1.54 *1.98 0.14 3.66 010 S
66030... .................. A Injection treatment of eye.. 1.20 0.54 0.03 1.77 010 S
66130... .................. A Remove eye lesion........... 7.54 5.28 0.28 13.10 090 S
66150... .................. A Glaucoma surgery............ 7.60 *9.72 0.59 17.91 090 S
66155... .................. A Glaucoma surgery............ 7.48 *9.57 0.50 17.55 090 S
66160... .................. A Glaucoma surgery............ 9.47 10.77 0.55 20.79 090 S
66165... .................. A Glaucoma surgery............ 7.31 *9.36 0.57 17.24 090 S
66170... .................. A Glaucoma surgery............ 11.31 12.15 0.63 24.09 090 S
66172... .................. A Incision of eye............. 13.67 12.15 0.63 26.45 090 S
66180... .................. A Implant eye shunt........... 12.63 *16.17 1.03 29.83 090 S
66185... .................. A Revise eye shunt............ 7.69 *9.85 0.58 18.12 090 S
66220... .................. A Repair eye lesion........... 7.32 5.95 0.34 13.61 090 S
66225... .................. A Repair/graft eye lesion..... 10.55 *13.51 0.86 24.92 090 S
66250... .................. A Follow-up surgery of eye.... 5.63 *7.20 0.38 13.21 090 S
66500... .................. A Incision of iris............ 3.58 *4.58 0.27 8.43 090 S
66505... .................. A Incision of iris............ 3.93 3.27 0.17 7.37 090 S
66600... .................. A Remove iris and lesion...... 8.23 9.36 0.51 18.10 090 S
66605... .................. A Removal of iris............. 12.34 11.87 0.67 24.88 090 S
66625... .................. A Removal of iris............. 4.95 *6.33 0.48 11.76 090 S
66630... .................. A Removal of iris............. 5.81 *7.43 0.45 13.69 090 S
66635... .................. A Removal of iris............. 5.90 *7.56 0.49 13.95 090 S
66680... .................. A Repair iris and ciliary body 5.14 6.42 0.35 11.91 090 S
66682... .................. A Repair iris and ciliary body 5.86 7.33 0.38 13.57 090 S
66700... .................. A Destruction, ciliary body... 4.55 *5.83 0.35 10.73 090 S
66710... .................. A Destruction, ciliary body... 4.55 *5.83 0.41 10.79 090 S
66720... .................. A Destruction, ciliary body... 4.55 *5.83 0.38 10.76 090 S
66740... .................. A Destruction, ciliary body... 4.55 *5.83 0.39 10.77 090 S
66761... .................. A Revision of iris............ 3.77 *5.10 0.47 9.34 090 S
66762... .................. A Revision of iris............ 4.33 *5.92 0.55 10.80 090 S
66770... .................. A Removal of inner eye lesion. 4.88 *6.24 0.45 11.57 090 S
66820... .................. A Incision, secondary cataract 3.76 *4.81 0.29 8.86 090 S
66821... .................. A After cataract laser surgery 2.78 *3.81 0.37 6.96 090 S
66825... .................. A Reposition intraocular lens. 7.73 7.33 0.38 15.44 090 S
66830... .................. A Removal of lens lesion...... 7.80 7.67 0.40 15.87 090 S
66840... .................. A Removal of lens material.... 7.51 *9.61 0.54 17.66 090 S
66850... .................. A Removal of lens material.... 8.66 *11.09 0.70 20.45 090 S
66852... .................. A Removal of lens material.... 9.52 *12.19 0.90 22.61 090 S
66920... .................. A Extraction of lens.......... 8.46 *10.82 0.60 19.88 090 S
66930... .................. A Extraction of lens.......... 9.73 10.49 0.57 20.79 090 S
66940... .................. A Extraction of lens.......... 8.48 *10.85 0.62 19.95 090 S
66983... .................. A Remove cataract, insert lens 8.54 *10.94 0.95 20.43 090 S
66984... .................. A Remove cataract, insert lens 9.89 *12.66 0.94 23.49 090 S
66985... .................. A Insert lens prosthesis...... 7.89 *10.10 0.63 18.62 090 S
66986... .................. A Exchange lens prosthesis.... 11.78 12.20 0.63 24.61 090 S
66999... .................. C Eye surgery procedure....... 0.00 0.00 0.00 0.00 YYY S
67005... .................. A Partial removal of eye fluid 6.63 *10.28 1.13 18.04 090 S
67010... .................. A Partial removal of eye fluid 6.67 *9.98 1.04 17.69 090 S
67015... .................. A Release of eye fluid........ 6.69 6.45 0.35 13.49 090 S
67025... .................. A Replace eye fluid........... 6.44 6.75 0.36 13.55 090 S
67028... .................. A Injection eye drug.......... 2.52 *3.22 0.18 5.92 000 S
67030... .................. A Incise inner eye strands.... 4.44 *5.75 0.50 10.69 090 S
67031... .................. A Laser surgery, eye strands.. 3.42 *6.15 0.75 10.32 090 S
67036... .................. A Removal of inner eye fluid.. 11.33 *15.67 1.49 28.49 090 S
67038... .................. A Strip retinal membrane...... 20.20 *25.85 1.80 47.85 090 S
67039... .................. A Laser treatment of retina... 13.60 *18.22 1.68 33.50 090 S
67040... .................. A Laser treatment of retina... 16.26 *20.81 1.75 38.82 090 S
67101... .................. A Repair, detached retina..... 7.02 *8.99 0.66 16.67 090 S
67105... .................. A Repair, detached retina..... 7.06 *9.14 0.80 17.00 090 S
[[Page 63261]]
67107... .................. A Repair, detached retina..... 13.99 *17.91 1.10 33.00 090 S
67108... .................. A Repair, detached retina..... 19.90 *25.47 1.76 47.13 090 S
67109... .................. D Repair, detached retina..... 0.00 0.00 0.00 0.00 090 S
67110... .................. A Repair, detached retina..... 8.14 *10.60 0.97 19.71 090 S
67112... .................. A Re-repair, detached retina.. 16.15 16.51 0.86 33.52 090 S
67115... .................. A Release, encircling material 4.64 *5.93 0.44 11.01 090 S
67120... .................. A Remove eye implant material. 5.63 7.15 0.38 13.16 090 S
67121... .................. A Remove eye implant material. 10.17 9.42 0.49 20.08 090 S
67141... .................. A Treatment of retina......... 4.90 *6.27 0.48 11.65 090 S
67145... .................. A Treatment of retina......... 5.07 *6.50 0.49 12.06 090 S
67208... .................. A Treatment of retinal lesion. 6.40 *8.19 0.52 15.11 090 S
67210... .................. A Treatment of retinal lesion. 9.48 9.02 0.47 18.97 090 S
67218... .................. A Treatment of retinal lesion. 12.73 13.31 0.70 26.74 090 S
67227... .................. A Treatment of retinal lesion. 6.28 *8.04 0.51 14.83 090 S
67228... .................. A Treatment of retinal lesion. 12.39 9.39 0.48 22.26 090 S
67250... .................. A Reinforce eye wall.......... 8.36 6.99 0.40 15.75 090 S
67255... .................. A Reinforce/graft eye wall.... 8.39 *10.73 0.87 19.99 090 S
67299... .................. C Eye surgery procedure....... 0.00 0.00 0.00 0.00 YYY S
67311... .................. A Revise eye muscle........... 6.30 *8.06 0.47 14.83 090 S
67312... .................. A Revise two eye muscles...... 7.55 *9.66 0.53 17.74 090 S
67314... .................. A Revise eye muscle........... 7.12 *9.12 0.58 16.82 090 S
67316... .................. A Revise two eye muscles...... 8.02 *10.27 0.67 18.96 090 S
67318... .................. A Revise eye muscle(s)........ 7.45 6.21 0.33 13.99 090 S
67320... .................. A Revise eye muscle(s)........ 8.26 *10.57 0.69 19.52 090 S
67331... .................. A Eye surgery follow-up....... 7.72 *9.89 0.54 18.15 090 S
67332... .................. A Rerevise eye muscles........ 8.59 *11.00 0.58 20.17 090 S
67334... .................. A Revise eye muscle w/suture.. 7.56 6.30 0.33 14.19 090 S
67335... .................. A Eye suture during surgery... 2.49 *3.89 0.43 6.81 ZZZ S
67340... .................. A Revise eye muscle........... 9.45 7.88 0.41 17.74 090 S
67343... .................. A Release eye tissue.......... 7.00 5.83 0.31 13.14 090 S
67345... .................. A Destroy nerve of eye muscle. 2.91 2.22 0.26 5.39 010 S
67350... .................. A Biopsy eye muscle........... 2.87 2.39 0.13 5.39 000 S
67399... .................. C Eye muscle surgery procedure 0.00 0.00 0.00 0.00 YYY S
67400... .................. A Explore/biopsy eye socket... 9.20 10.91 0.62 20.73 090 S
67405... .................. A Explore/drain eye socket.... 7.42 *9.49 0.67 17.58 090 S
67412... .................. A Explore/treat eye socket.... 9.14 *11.70 0.67 21.51 090 S
67413... .................. A Explore/treat eye socket.... 9.75 8.09 0.57 18.41 090 S
67414... .................. A Explore/decompress eye 10.07 8.39 0.44 18.90 090 S
socket.
67415... .................. A Aspiration orbital contents. 1.76 2.02 0.12 3.90 000 S
67420... .................. A Explore/treat eye socket.... 13.36 16.78 1.11 31.25 090 S
67430... .................. A Explore/treat eye socket.... 12.79 10.65 0.54 23.98 090 S
67440... .................. A Explore/drain eye socket.... 12.43 *15.91 0.97 29.31 090 S
67445... .................. A Explore/decompress eye 13.36 11.13 0.57 25.06 090 S
socket.
67450... .................. A Explore/biopsy eye socket... 12.80 15.29 0.87 28.96 090 S
67500... .................. A Inject/treat eye socket..... 0.79 0.73 0.06 1.58 000 S
67505... .................. A Inject/treat eye socket..... 0.82 1.04 0.06 1.92 000 S
67515... .................. A Inject/treat eye socket..... 0.61 0.56 0.03 1.20 000 S
67550... .................. A Insert eye socket implant... 9.69 9.62 0.70 20.01 090 S
67560... .................. A Revise eye socket implant... 10.10 8.30 0.48 18.88 090 S
67570... .................. A Decompress optic nerve...... 12.52 7.56 0.39 20.47 090 S
67599... .................. C Orbit surgery procedure..... 0.00 0.00 0.00 0.00 YYY S
67700... .................. A Drainage of eyelid abscess.. 1.30 0.49 0.03 1.82 010 S
67710... .................. A Incision of eyelid.......... 0.97 1.01 0.06 2.04 010 S
67715... .................. A Incision of eyelid fold..... 1.17 *1.49 0.09 2.75 010 S
67800... .................. A Remove eyelid lesion........ 1.35 0.94 0.05 2.34 010 S
67801... .................. A Remove eyelid lesions....... 1.85 1.39 0.08 3.32 010 S
67805... .................. A Remove eyelid lesions....... 2.17 1.38 0.08 3.63 010 S
67808... .................. A Remove eyelid lesion(s)..... 3.55 2.13 0.13 5.81 090 S
67810... .................. A Biopsy of eyelid............ 1.48 0.81 0.05 2.34 000 S
67820... .................. A Revise eyelashes............ 0.89 0.38 0.02 1.29 000 S
67825... .................. A Revise eyelashes............ 1.33 0.90 0.05 2.28 010 S
67830... .................. A Revise eyelashes............ 1.65 *2.12 0.17 3.94 010 S
67835... .................. A Revise eyelashes............ 5.41 *6.92 0.45 12.78 090 S
67840... .................. A Remove eyelid lesion........ 1.99 1.22 0.07 3.28 010 S
67850... .................. A Treat eyelid lesion......... 1.64 0.82 0.05 2.51 010 S
67875... .................. A Closure of eyelid by suture. 1.35 *1.72 0.13 3.20 000 S
[[Page 63262]]
67880... .................. A Revision of eyelid.......... 3.55 3.94 0.23 7.72 090 S
67882... .................. A Revision of eyelid.......... 4.77 *6.10 0.37 11.24 090 S
67900... .................. A Repair brow defect.......... 4.54 3.78 0.20 8.52 090 S
67901... .................. A Repair eyelid defect........ 6.82 *8.73 0.64 16.19 090 S
67902... .................. A Repair eyelid defect........ 6.88 *8.81 0.72 16.41 090 S
67903... .................. A Repair eyelid defect........ 6.22 *7.96 0.73 14.91 090 S
67904... .................. A Repair eyelid defect........ 5.96 *7.64 0.71 14.31 090 S
67906... .................. A Repair eyelid defect........ 6.64 5.46 0.36 12.46 090 S
67908... .................. A Repair eyelid defect........ 4.95 *6.34 0.54 11.83 090 S
67909... .................. A Revise eyelid defect........ 5.22 *6.69 0.48 12.39 090 S
67911... .................. A Revise eyelid defect........ 5.09 *6.58 0.79 12.46 090 S
67914... .................. A Repair eyelid defect........ 3.60 *4.61 0.39 8.60 090 S
67915... .................. A Repair eyelid defect........ 3.10 1.25 0.07 4.42 090 S
67916... .................. A Repair eyelid defect........ 5.13 6.50 0.38 12.01 090 S
67917... .................. A Repair eyelid defect........ 5.84 *7.48 0.47 13.79 090 S
67921... .................. A Repair eyelid defect........ 3.32 3.82 0.20 7.34 090 S
67922... .................. A Repair eyelid defect........ 2.98 1.19 0.07 4.24 090 S
67923... .................. A Repair eyelid defect........ 5.70 6.88 0.38 12.96 090 S
67924... .................. A Repair eyelid defect........ 5.64 *7.22 0.43 13.29 090 S
67930... .................. A Repair eyelid wound......... 3.56 1.27 0.08 4.91 010 S
67935... .................. A Repair eyelid wound......... 6.07 3.79 0.24 10.10 090 S
67938... .................. A Remove eyelid foreign body.. 1.28 0.52 0.03 1.83 010 S
67950... .................. A Revision of eyelid.......... 5.64 *7.22 0.45 13.31 090 S
67961... .................. A Revision of eyelid.......... 5.51 *7.05 0.50 13.06 090 S
67966... .................. A Revision of eyelid.......... 6.39 *8.18 0.66 15.23 090 S
67971... .................. A Reconstruction of eyelid.... 9.56 10.68 0.64 20.88 090 S
67973... .................. A Reconstruction of eyelid.... 12.59 13.54 0.91 27.04 090 S
67974... .................. A Reconstruction of eyelid.... 12.56 14.07 0.87 27.50 090 S
67975... .................. A Reconstruction of eyelid.... 8.90 4.15 0.24 13.29 090 S
67999... .................. C Revision of eyelid.......... 0.00 0.00 0.00 0.00 YYY S
68020... .................. A Incise/drain eyelid lining.. 1.32 0.51 0.03 1.86 010 S
68040... .................. A Treatment of eyelid lesions. 0.85 0.45 0.02 1.32 000 S
68100... .................. A Biopsy of eyelid lining..... 1.35 0.99 0.06 2.40 000 S
68110... .................. A Remove eyelid lining lesion. 1.72 1.24 0.07 3.03 010 S
68115... .................. A Remove eyelid lining lesion. 2.31 1.93 0.11 4.35 010 S
68130... .................. A Remove eyelid lining lesion. 4.75 4.09 0.22 9.06 090 S
68135... .................. A Remove eyelid lining lesion. 1.79 0.74 0.04 2.57 010 S
68200... .................. A Treat eyelid by injection... 0.49 0.52 0.03 1.04 000 S
68320... .................. A Revise/graft eyelid lining.. 4.97 *6.37 0.42 11.76 090 S
68325... .................. A Revise/graft eyelid lining.. 6.96 *8.91 0.62 16.49 090 S
68326... .................. A Revise/graft eyelid lining.. 6.75 8.62 0.49 15.86 090 S
68328... .................. A Revise/graft eyelid lining.. 7.78 *9.96 0.82 18.56 090 S
68330... .................. A Revise eyelid lining........ 4.53 *5.80 0.35 10.68 090 S
68335... .................. A Revise/graft eyelid lining.. 6.79 *8.69 0.68 16.16 090 S
68340... .................. A Separate eyelid adhesions... 3.92 3.14 0.17 7.23 090 S
68360... .................. A Revise eyelid lining........ 4.12 *5.28 0.33 9.73 090 S
68362... .................. A Revise eyelid lining........ 6.94 8.01 0.42 15.37 090 S
68399... .................. C Eyelid lining surgery....... 0.00 0.00 0.00 0.00 YYY S
68400... .................. A Incise/drain tear gland..... 1.64 1.00 0.06 2.70 010 S
68420... .................. A Incise/drain tear sac....... 2.25 1.02 0.06 3.33 010 S
68440... .................. A Incise tear duct opening.... 0.89 0.76 0.04 1.69 010 S
68500... .................. A Removal of tear gland....... 10.47 7.61 0.75 18.83 090 S
68505... .................. A Partial removal tear gland.. 10.39 8.69 0.49 19.57 090 S
68510... .................. A Biopsy of tear gland........ 4.61 3.69 0.28 8.58 000 S
68520... .................. A Removal of tear sac......... 7.11 *9.10 0.51 16.72 090 S
68525... .................. A Biopsy of tear sac.......... 4.43 3.68 0.23 8.34 000 S
68530... .................. A Clearance of tear duct...... 3.61 2.85 0.17 6.63 010 S
68540... .................. A Remove tear gland lesion.... 10.10 8.31 0.50 18.91 090 S
68550... .................. A Remove tear gland lesion.... 12.66 11.34 0.74 24.74 090 S
68700... .................. A Repair tear ducts........... 6.20 2.69 0.15 9.04 090 S
68705... .................. A Revise tear duct opening.... 2.01 1.02 0.05 3.08 010 S
68720... .................. A Create tear sac drain....... 7.68 *9.84 0.74 18.26 090 S
68745... .................. A Create tear duct drain...... 8.23 6.56 0.45 15.24 090 S
68750... .................. A Create tear duct drain...... 8.21 *10.50 0.83 19.54 090 S
68760... .................. A Close tear duct opening..... 1.68 0.92 0.04 2.64 010 S
68761... .................. A Close tear duct opening..... 1.31 0.92 0.04 2.27 010 S
[[Page 63263]]
68770... .................. A Close tear system fistula... 6.62 4.24 0.23 11.09 090 S
68800... .................. A Dilate tear duct opening(s). 1.11 0.42 0.02 1.55 010 S
68820... .................. A Explore tear duct system.... 1.47 0.55 0.03 2.05 010 S
68825... .................. A Explore tear duct system.... 1.53 1.49 0.09 3.11 010 S
68830... .................. A Reopen tear duct channel.... 2.12 1.93 0.10 4.15 010 S
68840... .................. A Explore/irrigate tear ducts. 1.22 0.49 0.03 1.74 010 S
68850... .................. A Injection for tear sac x-ray 0.80 0.51 0.04 1.35 000 S
68899... .................. C Tear duct system surgery.... 0.00 0.00 0.00 0.00 YYY S
69000... .................. A Drain external ear lesion... 1.40 0.35 0.03 1.78 010 S
69005... .................. A Drain external ear lesion... 2.06 1.16 0.13 3.35 010 S
69020... .................. A Drain outer ear canal lesion 1.43 0.45 0.04 1.92 010 S
69090... .................. N Pierce earlobes............. 0.00 0.00 0.00 0.00 XXX 0
69100... .................. A Biopsy of external ear...... 0.76 0.66 0.07 1.49 000 S
69105... .................. A Biopsy of external ear canal 0.85 0.80 0.09 1.74 000 S
69110... .................. A Partial removal external ear 3.34 2.63 0.37 6.34 090 S
69120... .................. A Removal of external ear..... 3.95 0.78 0.07 4.80 090 S
69140... .................. A Remove ear canal lesion(s).. 7.68 8.00 0.88 16.56 090 S
69145... .................. A Remove ear canal lesion(s).. 2.54 2.51 0.28 5.33 090 S
69150... .................. A Extensive ear canal surgery. 13.01 10.46 1.25 24.72 090 S
69155... .................. A Extensive ear/neck surgery.. 17.03 15.92 1.61 34.56 090 S
69200... .................. A Clear outer ear canal....... 0.77 0.42 0.04 1.23 000 N
69205... .................. A Clear outer ear canal....... 1.15 1.07 0.11 2.33 010 S
69210... .................. A Remove impacted ear wax..... 0.61 0.23 0.02 0.86 000 N
69220... .................. A Clean out mastoid cavity.... 0.83 0.50 0.05 1.38 000 S
69222... .................. A Clean out mastoid cavity.... 1.35 0.74 0.08 2.17 010 S
69300... .................. R Revise external ear......... 6.36 5.30 0.28 11.94 YYY S
69310... .................. A Rebuild outer ear canal..... 10.59 9.84 1.08 21.51 090 S
69320... .................. A Rebuild outer ear canal..... 16.60 14.65 1.66 32.91 090 S
69399... .................. C Outer ear surgery procedure. 0.00 0.00 0.00 0.00 YYY S
69400... .................. A Inflate middle ear canal.... 0.83 0.45 0.05 1.33 000 S
69401... .................. A Inflate middle ear canal.... 0.63 0.25 0.03 0.91 000 S
69405... .................. A Catheterize middle ear canal 2.58 0.48 0.04 3.10 010 S
69410... .................. A Inset middle ear baffle..... 0.33 0.60 0.07 1.00 000 S
69420... .................. A Incision of eardrum......... 1.28 0.69 0.08 2.05 010 S
69421... .................. A Incision of eardrum......... 1.68 1.14 0.13 2.95 010 S
69424... .................. A Remove ventilating tube..... 0.85 0.60 0.06 1.51 000 S
69433... .................. A Create eardrum opening...... 1.47 1.33 0.15 2.95 010 S
69436... .................. A Create eardrum opening...... 1.91 2.13 0.23 4.27 010 S
69440... .................. A Exploration of middle ear... 7.31 8.69 0.93 16.93 090 S
69450... .................. A Eardrum revision............ 5.44 *6.96 1.15 13.55 090 S
69501... .................. A Mastoidectomy............... 8.81 10.90 1.17 20.88 090 S
69502... .................. A Mastoidectomy............... 11.96 13.36 1.45 26.77 090 S
69505... .................. A Remove mastoid structures... 12.57 *16.09 1.79 30.45 090 S
69511... .................. A Extensive mastoid surgery... 13.10 *16.77 1.84 31.71 090 S
69530... .................. A Extensive mastoid surgery... 18.04 16.71 1.72 36.47 090 S
69535... .................. A Remove part of temporal bone 34.50 25.27 2.85 62.62 090 S
69540... .................. A Remove ear lesion........... 1.15 1.27 0.14 2.56 010 S
69550... .................. A Remove ear lesion........... 10.70 *13.70 2.00 26.40 090 S
69552... .................. A Remove ear lesion........... 18.84 16.73 1.86 37.43 090 S
69554... .................. A Remove ear lesion........... 25.78 22.87 2.63 51.28 090 S
69601... .................. A Mastoid surgery revision.... 12.79 14.02 1.55 28.36 090 S
69602... .................. A Mastoid surgery revision.... 13.16 16.27 1.75 31.18 090 S
69603... .................. A Mastoid surgery revision.... 13.60 17.34 1.88 32.82 090 S
69604... .................. A Mastoid surgery revision.... 13.60 *17.41 2.70 33.71 090 S
69605... .................. A Mastoid surgery revision.... 18.04 14.95 1.86 34.85 090 S
69610... .................. A Repair of eardrum........... 4.38 0.93 0.10 5.41 010 S
69620... .................. A Repair of eardrum........... 5.74 *7.34 1.16 14.24 090 S
69631... .................. A Repair eardrum structures... 9.55 *12.22 1.61 23.38 090 S
69632... .................. A Rebuild eardrum structures.. 12.41 *15.88 1.73 30.02 090 S
69633... .................. A Rebuild eardrum structures.. 11.76 *15.05 1.78 28.59 090 S
69635... .................. A Repair eardrum structures... 13.02 *16.65 1.91 31.58 090 S
69636... .................. A Rebuild eardrum structures.. 14.88 *19.05 2.11 36.04 090 S
69637... .................. A Rebuild eardrum structures.. 14.77 *18.90 2.22 35.89 090 S
69641... .................. A Revise middle ear & mastoid. 12.29 *15.73 1.87 29.89 090 S
69642... .................. A Revise middle ear & mastoid. 16.37 20.62 2.21 39.20 090 S
69643... .................. A Revise middle ear & mastoid. 14.81 *18.95 2.51 36.27 090 S
[[Page 63264]]
69644... .................. A Revise middle ear & mastoid. 16.46 *21.07 2.70 40.23 090 S
69645... .................. A Revise middle ear & mastoid. 15.80 *20.23 2.51 38.54 090 S
69646... .................. A Revise middle ear & mastoid. 17.35 21.97 2.40 41.72 090 S
69650... .................. A Release middle ear bone..... 9.40 *12.03 1.33 22.76 090 S
69660... .................. A Revise middle ear bone...... 11.64 *14.90 1.82 28.36 090 S
69661... .................. A Revise middle ear bone...... 15.32 18.44 1.93 35.69 090 S
69662... .................. A Revise middle ear bone...... 15.04 18.02 1.94 35.00 090 S
69666... .................. A Repair middle ear structures 9.38 *12.00 1.77 23.15 090 S
69667... .................. A Repair middle ear structures 9.39 *12.02 1.66 23.07 090 S
69670... .................. A Remove mastoid air cells.... 11.05 10.18 1.08 22.31 090 S
69676... .................. A Remove middle ear nerve..... 9.23 8.53 0.86 18.62 090 S
69700... .................. A Close mastoid fistula....... 7.97 7.86 0.84 16.67 090 S
69710... .................. N Implant/replace hearing aid. 0.00 0.00 0.00 0.00 XXX 0
69711... .................. A Remove/repair hearing aid... 10.13 8.44 0.44 19.01 090 S
69720... .................. A Release facial nerve........ 13.80 *17.66 2.27 33.73 090 S
69725... .................. A Release facial nerve........ 18.98 14.65 1.51 35.14 090 S
69740... .................. A Repair facial nerve......... 15.39 11.83 1.69 28.91 090 S
69745... .................. A Repair facial nerve......... 16.10 15.95 1.53 33.58 090 S
69799... .................. C Middle ear surgery procedure 0.00 0.00 0.00 0.00 YYY S
69801... .................. A Incise inner ear............ 8.19 *10.48 1.84 20.51 090 S
69802... .................. A Incise inner ear............ 12.44 11.24 1.22 24.90 090 S
69805... .................. A Explore inner ear........... 10.27 *13.14 2.00 25.41 090 S
69806... .................. A Explore inner ear........... 11.82 *15.13 2.54 29.49 090 S
69820... .................. A Establish inner ear window.. 10.14 8.85 1.00 19.99 090 S
69840... .................. A Revise inner ear window..... 10.06 8.49 0.51 19.06 090 S
69905... .................. A Remove inner ear............ 10.70 *13.70 2.07 26.47 090 S
69910... .................. A Remove inner ear & mastoid.. 13.10 *16.77 2.34 32.21 090 S
69915... .................. A Incise inner ear nerve...... 19.89 17.71 2.02 39.62 090 S
69930... .................. A Implant cochlear device..... 14.00 *18.56 3.34 35.90 090 S
69949... .................. C Inner ear surgery procedure. 0.00 0.00 0.00 0.00 YYY S
69950... .................. A Incise inner ear nerve...... 21.15 17.99 2.31 41.45 090 S
69955... .................. A Release facial nerve........ 22.12 20.28 2.25 44.65 090 S
69960... .................. A Release inner ear canal..... 19.75 17.85 1.93 39.53 090 S
69970... .................. A Remove inner ear lesion..... 22.30 19.69 2.26 44.25 090 S
69979... .................. C Temporal bone surgery....... 0.00 0.00 0.00 0.00 YYY S
70010... .................. A Contrast x-ray of brain..... 1.19 4.65 0.34 6.18 XXX N
70010... 26 A Contrast x-ray of brain..... 1.19 0.52 0.08 1.79 XXX N
70010... TC A Contrast x-ray of brain..... 0.00 4.13 0.26 4.39 XXX N
70015... .................. A Contrast x-ray of brain..... 1.19 1.81 0.17 3.17 XXX N
70015... 26 A Contrast x-ray of brain..... 1.19 0.52 0.08 1.79 XXX N
70015... TC A Contrast x-ray of brain..... 0.00 1.29 0.09 1.38 XXX N
70030... .................. A X-ray eye for foreign body.. 0.17 0.48 0.04 0.69 XXX N
70030... 26 A X-ray eye for foreign body.. 0.17 0.08 0.01 0.26 XXX N
70030... TC A X-ray eye for foreign body.. 0.00 0.40 0.03 0.43 XXX N
70100... .................. A X-ray exam of jaw........... 0.18 0.59 0.04 0.81 XXX N
70100... 26 A X-ray exam of jaw........... 0.18 0.09 0.01 0.28 XXX N
70100... TC A X-ray exam of jaw........... 0.00 0.50 0.03 0.53 XXX N
70110... .................. A X-ray exam of jaw........... 0.25 0.71 0.06 1.02 XXX N
70110... 26 A X-ray exam of jaw........... 0.25 0.12 0.02 0.39 XXX N
70110... TC A X-ray exam of jaw........... 0.00 0.59 0.04 0.63 XXX N
70120... .................. A X-ray exam of mastoids...... 0.18 0.68 0.05 0.91 XXX N
70120... 26 A X-ray exam of mastoids...... 0.18 0.09 0.01 0.28 XXX N
70120... TC A X-ray exam of mastoids...... 0.00 0.59 0.04 0.63 XXX N
70130... .................. A X-ray exam of mastoids...... 0.34 0.91 0.07 1.32 XXX N
70130... 26 A X-ray exam of mastoids...... 0.34 0.16 0.02 0.52 XXX N
70130... TC A X-ray exam of mastoids...... 0.00 0.75 0.05 0.80 XXX N
70134... .................. A X-ray exam of middle ear.... 0.34 0.86 0.07 1.27 XXX N
70134... 26 A X-ray exam of middle ear.... 0.34 0.16 0.02 0.52 XXX N
70134... TC A X-ray exam of middle ear.... 0.00 0.70 0.05 0.75 XXX N
70140... .................. A X-ray exam of facial bones.. 0.19 0.68 0.05 0.92 XXX N
70140... 26 A X-ray exam of facial bones.. 0.19 0.09 0.01 0.29 XXX N
70140... TC A X-ray exam of facial bones.. 0.00 0.59 0.04 0.63 XXX N
70150... .................. A X-ray exam of facial bones.. 0.26 0.87 0.07 1.20 XXX N
70150... 26 A X-ray exam of facial bones.. 0.26 0.12 0.02 0.40 XXX N
70150... TC A X-ray exam of facial bones.. 0.00 0.75 0.05 0.80 XXX N
70160... .................. A X-ray exam of nasal bones... 0.17 0.58 0.04 0.79 XXX N
[[Page 63265]]
70160... 26 A X-ray exam of nasal bones... 0.17 0.08 0.01 0.26 XXX N
70160... TC A X-ray exam of nasal bones... 0.00 0.50 0.03 0.53 XXX N
70170... .................. A X-ray exam of tear duct..... 0.30 1.04 0.08 1.42 XXX N
70170... 26 A X-ray exam of tear duct..... 0.30 0.14 0.02 0.46 XXX N
70170... TC A X-ray exam of tear duct..... 0.00 0.90 0.06 0.96 XXX N
70190... .................. A X-ray exam of eye sockets... 0.21 0.69 0.05 0.95 XXX N
70190... 26 A X-ray exam of eye sockets... 0.21 0.10 0.01 0.32 XXX N
70190... TC A X-ray exam of eye sockets... 0.00 0.59 0.04 0.63 XXX N
70200... .................. A X-ray exam of eye sockets... 0.28 0.88 0.07 1.23 XXX N
70200... 26 A X-ray exam of eye sockets... 0.28 0.13 0.02 0.43 XXX N
70200... TC A X-ray exam of eye sockets... 0.00 0.75 0.05 0.80 XXX N
70210... .................. A X-ray exam of sinuses....... 0.17 0.67 0.05 0.89 XXX N
70210... 26 A X-ray exam of sinuses....... 0.17 0.08 0.01 0.26 XXX N
70210... TC A X-ray exam of sinuses....... 0.00 0.59 0.04 0.63 XXX N
70220... .................. A X-ray exam of sinuses....... 0.25 0.87 0.07 1.19 XXX N
70220... 26 A X-ray exam of sinuses....... 0.25 0.12 0.02 0.39 XXX N
70220... TC A X-ray exam of sinuses....... 0.00 0.75 0.05 0.80 XXX N
70240... .................. A X-ray exam pituitary saddle. 0.19 0.49 0.04 0.72 XXX N
70240... 26 A X-ray exam pituitary saddle. 0.19 0.09 0.01 0.29 XXX N
70240... TC A X-ray exam pituitary saddle. 0.00 0.40 0.03 0.43 XXX N
70250... .................. A X-ray exam of skull......... 0.24 0.70 0.06 1.00 XXX N
70250... 26 A X-ray exam of skull......... 0.24 0.11 0.02 0.37 XXX N
70250... TC A X-ray exam of skull......... 0.00 0.59 0.04 0.63 XXX N
70260... .................. A X-ray exam of skull......... 0.34 1.01 0.08 1.43 XXX N
70260... 26 A X-ray exam of skull......... 0.34 0.16 0.02 0.52 XXX N
70260... TC A X-ray exam of skull......... 0.00 0.85 0.06 0.91 XXX N
70300... .................. A X-ray exam of teeth......... 0.10 0.30 0.03 0.43 XXX N
70300... 26 A X-ray exam of teeth......... 0.10 0.05 0.01 0.16 XXX N
70300... TC A X-ray exam of teeth......... 0.00 0.25 0.02 0.27 XXX N
70310... .................. A X-ray exam of teeth......... 0.16 0.47 0.04 0.67 XXX N
70310... 26 A X-ray exam of teeth......... 0.16 0.07 0.01 0.24 XXX N
70310... TC A X-ray exam of teeth......... 0.00 0.40 0.03 0.43 XXX N
70320... .................. A Full mouth x-ray of teeth... 0.22 0.85 0.07 1.14 XXX N
70320... 26 A Full mouth x-ray of teeth... 0.22 0.10 0.02 0.34 XXX N
70320... TC A Full mouth x-ray of teeth... 0.00 0.75 0.05 0.80 XXX N
70328... .................. A X-ray exam of jaw joint..... 0.18 0.56 0.04 0.78 XXX N
70328... 26 A X-ray exam of jaw joint..... 0.18 0.09 0.01 0.28 XXX N
70328... TC A X-ray exam of jaw joint..... 0.00 0.47 0.03 0.50 XXX N
70330... .................. A X-ray exam of jaw joints.... 0.24 0.91 0.07 1.22 XXX N
70330... 26 A X-ray exam of jaw joints.... 0.24 0.11 0.02 0.37 XXX N
70330... TC A X-ray exam of jaw joints.... 0.00 0.80 0.05 0.85 XXX N
70332... .................. A X-ray exam of jaw joint..... 0.54 2.25 0.17 2.96 XXX N
70332... 26 A X-ray exam of jaw joint..... 0.54 0.25 0.04 0.83 XXX N
70332... TC A X-ray exam of jaw joint..... 0.00 2.00 0.13 2.13 XXX N
70336... .................. A Magnetic image jaw joint.... 0.95 11.11 0.73 12.79 XXX N
70336... 26 A Magnetic image jaw joint.... 0.95 0.43 0.06 1.44 XXX N
70336... TC A Magnetic image jaw joint.... 0.00 10.68 0.67 11.35 XXX N
70350... .................. A X-ray head for orthodontia.. 0.17 0.44 0.03 0.64 XXX N
70350... 26 A X-ray head for orthodontia.. 0.17 0.08 0.01 0.26 XXX N
70350... TC A X-ray head for orthodontia.. 0.00 0.36 0.02 0.38 XXX N
70355... .................. A Panoramic x-ray of jaws..... 0.20 0.63 0.05 0.88 XXX N
70355... 26 A Panoramic x-ray of jaws..... 0.20 0.09 0.01 0.30 XXX N
70355... TC A Panoramic x-ray of jaws..... 0.00 0.54 0.04 0.58 XXX N
70360... .................. A X-ray exam of neck.......... 0.17 0.48 0.04 0.69 XXX N
70360... 26 A X-ray exam of neck.......... 0.17 0.08 0.01 0.26 XXX N
70360... TC A X-ray exam of neck.......... 0.00 0.40 0.03 0.43 XXX N
70370... .................. A Throat x-ray & fluoroscopy.. 0.32 1.39 0.10 1.81 XXX N
70370... 26 A Throat x-ray & fluoroscopy.. 0.32 0.15 0.02 0.49 XXX N
70370... TC A Throat x-ray & fluoroscopy.. 0.00 1.24 0.08 1.32 XXX N
70371... .................. A Speech evaluation, complex.. 0.84 2.38 0.19 3.41 XXX N
70371... 26 A Speech evaluation, complex.. 0.84 0.38 0.06 1.28 XXX N
70371... TC A Speech evaluation, complex.. 0.00 2.00 0.13 2.13 XXX N
70373... .................. A Contrast x-ray of larynx.... 0.44 1.90 0.14 2.48 XXX N
70373... 26 A Contrast x-ray of larynx.... 0.44 0.20 0.03 0.67 XXX N
70373... TC A Contrast x-ray of larynx.... 0.00 1.70 0.11 1.81 XXX N
70380... .................. A X-ray exam of salivary gland 0.17 0.72 0.05 0.94 XXX N
[[Page 63266]]
70380... 26 A X-ray exam of salivary gland 0.17 0.08 0.01 0.26 XXX N
70380... TC A X-ray exam of salivary gland 0.00 0.64 0.04 0.68 XXX N
70390... .................. A X-ray exam of salivary duct. 0.38 1.87 0.14 2.39 XXX N
70390... 26 A X-ray exam of salivary duct. 0.38 0.17 0.03 0.58 XXX N
70390... TC A X-ray exam of salivary duct. 0.00 1.70 0.11 1.81 XXX N
70450... .................. A CAT scan of head or brain... 0.85 4.88 0.35 6.08 XXX N
70450... 26 A CAT scan of head or brain... 0.85 0.38 0.06 1.29 XXX N
70450... TC A CAT scan of head or brain... 0.00 4.50 0.29 4.79 XXX N
70460... .................. A Contrast CAT scan of head... 1.13 5.89 0.43 7.45 XXX N
70460... 26 A Contrast CAT scan of head... 1.13 0.50 0.08 1.71 XXX N
70460... TC A Contrast CAT scan of head... 0.00 5.39 0.35 5.74 XXX N
70470... .................. A Contrast CAT scans of head.. 1.27 7.30 0.52 9.09 XXX N
70470... 26 A Contrast CAT scans of head.. 1.27 0.56 0.09 1.92 XXX N
70470... TC A Contrast CAT scans of head.. 0.00 6.74 0.43 7.17 XXX N
70480... .................. A CAT scan of skull........... 1.28 5.07 0.38 6.73 XXX N
70480... 26 A CAT scan of skull........... 1.28 0.57 0.09 1.94 XXX N
70480... TC A CAT scan of skull........... 0.00 4.50 0.29 4.79 XXX N
70481... .................. A Contrast CAT scan of skull.. 1.38 6.00 0.44 7.82 XXX N
70481... 26 A Contrast CAT scan of skull.. 1.38 0.61 0.09 2.08 XXX N
70481... TC A Contrast CAT scan of skull.. 0.00 5.39 0.35 5.74 XXX N
70482... .................. A Contrast CAT scans of skull. 1.45 7.38 0.53 9.36 XXX N
70482... 26 A Contrast CAT scans of skull. 1.45 0.64 0.10 2.19 XXX N
70482... TC A Contrast CAT scans of skull. 0.00 6.74 0.43 7.17 XXX N
70486... .................. A CAT scan of face, jaw....... 1.14 5.00 0.37 6.51 XXX N
70486... 26 A CAT scan of face, jaw....... 1.14 0.50 0.08 1.72 XXX N
70486... TC A CAT scan of face, jaw....... 0.00 4.50 0.29 4.79 XXX N
70487... .................. A Contrast CAT scan, face/jaw. 1.30 5.96 0.44 7.70 XXX N
70487... 26 A Contrast CAT scan, face/jaw. 1.30 0.57 0.09 1.96 XXX N
70487... TC A Contrast CAT scan, face/jaw. 0.00 5.39 0.35 5.74 XXX N
70488... .................. A Contrast CAT scans face/jaw. 1.42 7.37 0.53 9.32 XXX N
70488... 26 A Contrast CAT scans face/jaw. 1.42 0.63 0.10 2.15 XXX N
70488... TC A Contrast CAT scans face/jaw. 0.00 6.74 0.43 7.17 XXX N
70490... .................. A CAT scan of neck tissue..... 1.28 5.07 0.38 6.73 XXX N
70490... 26 A CAT scan of neck tissue..... 1.28 0.57 0.09 1.94 XXX N
70490... TC A CAT scan of neck tissue..... 0.00 4.50 0.29 4.79 XXX N
70491... .................. A Contrast CAT of neck tissue. 1.38 6.00 0.44 7.82 XXX N
70491... 26 A Contrast CAT of neck tissue. 1.38 0.61 0.09 2.08 XXX N
70491... TC A Contrast CAT of neck tissue. 0.00 5.39 0.35 5.74 XXX N
70492... .................. A Contrast CAT of neck tissue. 1.45 7.38 0.53 9.36 XXX N
70492... 26 A Contrast CAT of neck tissue. 1.45 0.64 0.10 2.19 XXX N
70492... TC A Contrast CAT of neck tissue. 0.00 6.74 0.43 7.17 XXX N
70540... .................. A Magnetic image, face, neck.. 1.48 11.34 0.77 13.59 XXX N
70540... 26 A Magnetic image, face, neck.. 1.48 0.66 0.10 2.24 XXX N
70540... TC A Magnetic image, face, neck.. 0.00 10.68 0.67 11.35 XXX N
70541... .................. R Magnetic image, head (MRA).. 1.81 11.34 0.77 13.92 XXX N
70541... 26 R Magnetic image, head (MRA).. 1.81 0.66 0.10 2.57 XXX N
70541... TC R Magnetic image, head (MRA).. 0.00 10.68 0.67 11.35 XXX N
70551... .................. A Magnetic image, brain (MRI). 1.48 11.34 0.77 13.59 XXX N
70551... 26 A Magnetic image, brain (MRI). 1.48 0.66 0.10 2.24 XXX N
70551... TC A Magnetic image, brain (MRI). 0.00 10.68 0.67 11.35 XXX N
70552... .................. A Magnetic image, brain (MRI). 1.78 13.61 0.93 16.32 XXX N
70552... 26 A Magnetic image, brain (MRI). 1.78 0.80 0.12 2.70 XXX N
70552... TC A Magnetic image, brain (MRI). 0.00 12.81 0.81 13.62 XXX N
70553... .................. A Magnetic image, brain....... 2.36 24.79 1.65 28.80 XXX N
70553... 26 A Magnetic image, brain....... 2.36 1.07 0.16 3.59 XXX N
70553... TC A Magnetic image, brain....... 0.00 23.72 1.49 25.21 XXX N
71010... .................. A Chest x-ray................. 0.18 0.53 0.04 0.75 XXX N
71010... 26 A Chest x-ray................. 0.18 0.08 0.01 0.27 XXX N
71010... TC A Chest x-ray................. 0.00 0.45 0.03 0.48 XXX N
71015... .................. A X-ray exam of chest......... 0.21 0.60 0.04 0.85 XXX N
71015... 26 A X-ray exam of chest......... 0.21 0.10 0.01 0.32 XXX N
71015... TC A X-ray exam of chest......... 0.00 0.50 0.03 0.53 XXX N
71020... .................. A Chest x-ray................. 0.22 0.69 0.05 0.96 XXX N
71020... 26 A Chest x-ray................. 0.22 0.10 0.01 0.33 XXX N
71020... TC A Chest x-ray................. 0.00 0.59 0.04 0.63 XXX N
71021... .................. A Chest x-ray................. 0.27 0.82 0.07 1.16 XXX N
[[Page 63267]]
71021... 26 A Chest x-ray................. 0.27 0.12 0.02 0.41 XXX N
71021... TC A Chest x-ray................. 0.00 0.70 0.05 0.75 XXX N
71022... .................. A Chest x-ray................. 0.31 0.84 0.07 1.22 XXX N
71022... 26 A Chest x-ray................. 0.31 0.14 0.02 0.47 XXX N
71022... TC A Chest x-ray................. 0.00 0.70 0.05 0.75 XXX N
71023... .................. A Chest x-ray and fluoroscopy. 0.38 0.92 0.08 1.38 XXX N
71023... 26 A Chest x-ray and fluoroscopy. 0.38 0.17 0.03 0.58 XXX N
71023... TC A Chest x-ray and fluoroscopy. 0.00 0.75 0.05 0.80 XXX N
71030... .................. A Chest x-ray................. 0.31 0.89 0.07 1.27 XXX N
71030... 26 A Chest x-ray................. 0.31 0.14 0.02 0.47 XXX N
71030... TC A Chest x-ray................. 0.00 0.75 0.05 0.80 XXX N
71034... .................. A Chest x-ray & fluoroscopy... 0.46 1.58 0.12 2.16 XXX N
71034... 26 A Chest x-ray & fluoroscopy... 0.46 0.21 0.03 0.70 XXX N
71034... TC A Chest x-ray & fluoroscopy... 0.00 1.37 0.09 1.46 XXX N
71035... .................. A Chest x-ray................. 0.18 0.58 0.04 0.80 XXX N
71035... 26 A Chest x-ray................. 0.18 0.08 0.01 0.27 XXX N
71035... TC A Chest x-ray................. 0.00 0.50 0.03 0.53 XXX N
71036... .................. A X-ray guidance for biopsy... 0.54 1.75 0.14 2.43 XXX N
71036... 26 A X-ray guidance for biopsy... 0.54 0.25 0.04 0.83 XXX N
71036... TC A X-ray guidance for biopsy... 0.00 1.50 0.10 1.60 XXX N
71038... .................. A X-ray guidance for biopsy... 0.54 1.85 0.15 2.54 XXX N
71038... 26 A X-ray guidance for biopsy... 0.54 0.25 0.04 0.83 XXX N
71038... TC A X-ray guidance for biopsy... 0.00 1.60 0.11 1.71 XXX N
71040... .................. A Contrast x-ray of bronchi... 0.58 1.66 0.13 2.37 XXX N
71040... 26 A Contrast x-ray of bronchi... 0.58 0.27 0.04 0.89 XXX N
71040... TC A Contrast x-ray of bronchi... 0.00 1.39 0.09 1.48 XXX N
71060... .................. A Contrast x-ray of bronchi... 0.74 2.44 0.19 3.37 XXX N
71060... 26 A Contrast x-ray of bronchi... 0.74 0.34 0.05 1.13 XXX N
71060... TC A Contrast x-ray of bronchi... 0.00 2.10 0.14 2.24 XXX N
71090... .................. A X-ray & pacemaker insertion. 0.54 1.85 0.15 2.54 XXX N
71090... 26 A X-ray & pacemaker insertion. 0.54 0.25 0.04 0.83 XXX N
71090... TC A X-ray & pacemaker insertion. 0.00 1.60 0.11 1.71 XXX N
71100... .................. A X-ray exam of ribs.......... 0.22 0.64 0.06 0.92 XXX N
71100... 26 A X-ray exam of ribs.......... 0.22 0.10 0.02 0.34 XXX N
71100... TC A X-ray exam of ribs.......... 0.00 0.54 0.04 0.58 XXX N
71101... .................. A X-ray exam of ribs, chest... 0.27 0.77 0.06 1.10 XXX N
71101... 26 A X-ray exam of ribs, chest... 0.27 0.13 0.02 0.42 XXX N
71101... TC A X-ray exam of ribs, chest... 0.00 0.64 0.04 0.68 XXX N
71110... .................. A X-ray exam of ribs.......... 0.27 0.88 0.07 1.22 XXX N
71110... 26 A X-ray exam of ribs.......... 0.27 0.13 0.02 0.42 XXX N
71110... TC A X-ray exam of ribs.......... 0.00 0.75 0.05 0.80 XXX N
71111... .................. A X-ray exam of ribs, chest... 0.32 1.00 0.08 1.40 XXX N
71111... 26 A X-ray exam of ribs, chest... 0.32 0.15 0.02 0.49 XXX N
71111... TC A X-ray exam of ribs, chest... 0.00 0.85 0.06 0.91 XXX N
71120... .................. A X-ray exam of breastbone.... 0.20 0.71 0.05 0.96 XXX N
71120... 26 A X-ray exam of breastbone.... 0.20 0.09 0.01 0.30 XXX N
71120... TC A X-ray exam of breastbone.... 0.00 0.62 0.04 0.66 XXX N
71130... .................. A X-ray exam of breastbone.... 0.22 0.77 0.05 1.04 XXX N
71130... 26 A X-ray exam of breastbone.... 0.22 0.10 0.01 0.33 XXX N
71130... TC A X-ray exam of breastbone.... 0.00 0.67 0.04 0.71 XXX N
71250... .................. A Cat scan of chest........... 1.16 6.14 0.44 7.74 XXX N
71250... 26 A Cat scan of chest........... 1.16 0.51 0.08 1.75 XXX N
71250... TC A Cat scan of chest........... 0.00 5.63 0.36 5.99 XXX N
71260... .................. A Contrast CAT scan of chest.. 1.24 7.29 0.51 9.04 XXX N
71260... 26 A Contrast CAT scan of chest.. 1.24 0.55 0.08 1.87 XXX N
71260... TC A Contrast CAT scan of chest.. 0.00 6.74 0.43 7.17 XXX N
71270... .................. A Contrast CAT scans of chest. 1.38 9.04 0.61 11.03 XXX N
71270... 26 A Contrast CAT scans of chest. 1.38 0.61 0.09 2.08 XXX N
71270... TC A Contrast CAT scans of chest. 0.00 8.43 0.52 8.95 XXX N
71550... .................. A Magnetic image, chest....... 1.60 11.40 0.78 13.78 XXX N
71550... 26 A Magnetic image, chest....... 1.60 0.72 0.11 2.43 XXX N
71550... TC A Magnetic image, chest....... 0.00 10.68 0.67 11.35 XXX N
71555... .................. N Magnetic imaging/chest (MRA) #1.81 11.40 0.78 13.99 XXX 0
71555... 26 N Magnetic imaging/chest (MRA) #1.81 0.72 0.11 2.64 XXX 0
71555... TC N Magnetic imaging/chest (MRA) #0.00 10.68 0.67 11.35 XXX 0
72010... .................. A X-ray exam of spine......... 0.45 1.18 0.09 1.72 XXX N
[[Page 63268]]
72010... 26 A X-ray exam of spine......... 0.45 0.20 0.03 0.68 XXX N
72010... TC A X-ray exam of spine......... 0.00 0.98 0.06 1.04 XXX N
72020... .................. A X-ray exam of spine......... 0.15 0.47 0.04 0.66 XXX N
72020... 26 A X-ray exam of spine......... 0.15 0.07 0.01 0.23 XXX N
72020... TC A X-ray exam of spine......... 0.00 0.40 0.03 0.43 XXX N
72040... .................. A X-ray exam of neck spine.... 0.22 0.67 0.05 0.94 XXX N
72040... 26 A X-ray exam of neck spine.... 0.22 0.10 0.01 0.33 XXX N
72040... TC A X-ray exam of neck spine.... 0.00 0.57 0.04 0.61 XXX N
72050... .................. A X-ray exam of neck spine.... 0.31 0.99 0.08 1.38 XXX N
72050... 26 A X-ray exam of neck spine.... 0.31 0.14 0.02 0.47 XXX N
72050... TC A X-ray exam of neck spine.... 0.00 0.85 0.06 0.91 XXX N
72052... .................. A X-ray exam of neck spine.... 0.36 1.25 0.09 1.70 XXX N
72052... 26 A X-ray exam of neck spine.... 0.36 0.17 0.02 0.55 XXX N
72052... TC A X-ray exam of neck spine.... 0.00 1.08 0.07 1.15 XXX N
72069... .................. A X-ray exam of trunk spine... 0.22 0.57 0.04 0.83 XXX N
72069... 26 A X-ray exam of trunk spine... 0.22 0.10 0.01 0.33 XXX N
72069... TC A X-ray exam of trunk spine... 0.00 0.47 0.03 0.50 XXX N
72070... .................. A X-ray exam of thorax spine.. 0.22 0.72 0.05 0.99 XXX N
72070... 26 A X-ray exam of thorax spine.. 0.22 0.10 0.01 0.33 XXX N
72070... TC A X-ray exam of thorax spine.. 0.00 0.62 0.04 0.66 XXX N
72072... .................. A X-ray exam of thoracic spine 0.22 0.80 0.06 1.08 XXX N
72072... 26 A X-ray exam of thoracic spine 0.22 0.10 0.01 0.33 XXX N
72072... TC A X-ray exam of thoracic spine 0.00 0.70 0.05 0.75 XXX N
72074... .................. A X-ray exam of thoracic spine 0.22 0.97 0.07 1.26 XXX N
72074... 26 A X-ray exam of thoracic spine 0.22 0.10 0.01 0.33 XXX N
72074... TC A X-ray exam of thoracic spine 0.00 0.87 0.06 0.93 XXX N
72080... .................. A X-ray exam of trunk spine... 0.22 0.74 0.05 1.01 XXX N
72080... 26 A X-ray exam of trunk spine... 0.22 0.10 0.01 0.33 XXX N
72080... TC A X-ray exam of trunk spine... 0.00 0.64 0.04 0.68 XXX N
72090... .................. A X-ray exam of trunk spine... 0.28 0.77 0.06 1.11 XXX N
72090... 26 A X-ray exam of trunk spine... 0.28 0.13 0.02 0.43 XXX N
72090... TC A X-ray exam of trunk spine... 0.00 0.64 0.04 0.68 XXX N
72100... .................. A X-ray exam of lower spine... 0.22 0.74 0.05 1.01 XXX N
72100... 26 A X-ray exam of lower spine... 0.22 0.10 0.01 0.33 XXX N
72100... TC A X-ray exam of lower spine... 0.00 0.64 0.04 0.68 XXX N
72110... .................. A X-ray exam of lower spine... 0.31 1.01 0.08 1.40 XXX N
72110... 26 A X-ray exam of lower spine... 0.31 0.14 0.02 0.47 XXX N
72110... TC A X-ray exam of lower spine... 0.00 0.87 0.06 0.93 XXX N
72114... .................. A X-ray exam of lower spine... 0.36 1.30 0.09 1.75 XXX N
72114... 26 A X-ray exam of lower spine... 0.36 0.17 0.02 0.55 XXX N
72114... TC A X-ray exam of lower spine... 0.00 1.13 0.07 1.20 XXX N
72120... .................. A X-ray exam of lower spine... 0.22 0.95 0.07 1.24 XXX N
72120... 26 A X-ray exam of lower spine... 0.22 0.10 0.01 0.33 XXX N
72120... TC A X-ray exam of lower spine... 0.00 0.85 0.06 0.91 XXX N
72125... .................. A CAT scan of neck spine...... 1.16 6.14 0.44 7.74 XXX N
72125... 26 A CAT scan of neck spine...... 1.16 0.51 0.08 1.75 XXX N
72125... TC A CAT scan of neck spine...... 0.00 5.63 0.36 5.99 XXX N
72126... .................. A Contrast CAT scan of neck... 1.22 7.27 0.51 9.00 XXX N
72126... 26 A Contrast CAT scan of neck... 1.22 0.53 0.08 1.83 XXX N
72126... TC A Contrast CAT scan of neck... 0.00 6.74 0.43 7.17 XXX N
72127... .................. A Contrast CAT scans of neck.. 1.27 8.99 0.61 10.87 XXX N
72127... 26 A Contrast CAT scans of neck.. 1.27 0.56 0.09 1.92 XXX N
72127... TC A Contrast CAT scans of neck.. 0.00 8.43 0.52 8.95 XXX N
72128... .................. A CAT scan of thorax spine.... 1.16 6.14 0.44 7.74 XXX N
72128... 26 A CAT scan of thorax spine.... 1.16 0.51 0.08 1.75 XXX N
72128... TC A CAT scan of thorax spine.... 0.00 5.63 0.36 5.99 XXX N
72129... .................. A Contrast CAT scan of thorax. 1.22 7.27 0.51 9.00 XXX N
72129... 26 A Contrast CAT scan of thorax. 1.22 0.53 0.08 1.83 XXX N
72129... TC A Contrast CAT scan of thorax. 0.00 6.74 0.43 7.17 XXX N
72130... .................. A Contrast CAT scans of thorax 1.27 8.99 0.61 10.87 XXX N
72130... 26 A Contrast CAT scans of thorax 1.27 0.56 0.09 1.92 XXX N
72130... TC A Contrast CAT scans of thorax 0.00 8.43 0.52 8.95 XXX N
72131... .................. A CAT scan of lower spine..... 1.16 6.14 0.44 7.74 XXX N
72131... 26 A CAT scan of lower spine..... 1.16 0.51 0.08 1.75 XXX N
72131... TC A CAT scan of lower spine..... 0.00 5.63 0.36 5.99 XXX N
72132... .................. A Contrast CAT of lower spine. 1.22 7.27 0.51 9.00 XXX N
[[Page 63269]]
72132... 26 A Contrast CAT of lower spine. 1.22 0.53 0.08 1.83 XXX N
72132... TC A Contrast CAT of lower spine. 0.00 6.74 0.43 7.17 XXX N
72133... .................. A Contrast CAT scans,low spine 1.27 8.99 0.61 10.87 XXX N
72133... 26 A Contrast CAT scans,low spine 1.27 0.56 0.09 1.92 XXX N
72133... TC A Contrast CAT scans,low spine 0.00 8.43 0.52 8.95 XXX N
72141... .................. A Magnetic image, neck spine.. 1.60 11.40 0.78 13.78 XXX N
72141... 26 A Magnetic image, neck spine.. 1.60 0.72 0.11 2.43 XXX N
72141... TC A Magnetic image, neck spine.. 0.00 10.68 0.67 11.35 XXX N
72142... .................. A Magnetic image, neck spine.. 1.92 13.67 0.94 16.53 XXX N
72142... 26 A Magnetic image, neck spine.. 1.92 0.86 0.13 2.91 XXX N
72142... TC A Magnetic image, neck spine.. 0.00 12.81 0.81 13.62 XXX N
72146... .................. A Magnetic image, chest spine. 1.60 12.58 0.85 15.03 XXX N
72146... 26 A Magnetic image, chest spine. 1.60 0.72 0.11 2.43 XXX N
72146... TC A Magnetic image, chest spine. 0.00 11.86 0.74 12.60 XXX N
72147... .................. A Magnetic image, chest spine. 1.92 13.67 0.94 16.53 XXX N
72147... 26 A Magnetic image, chest spine. 1.92 0.86 0.13 2.91 XXX N
72147... TC A Magnetic image, chest spine. 0.00 12.81 0.81 13.62 XXX N
72148... .................. A Magnetic image, lumbar spine 1.48 12.52 0.84 14.84 XXX N
72148... 26 A Magnetic image, lumbar spine 1.48 0.66 0.10 2.24 XXX N
72148... TC A Magnetic image, lumbar spine 0.00 11.86 0.74 12.60 XXX N
72149... .................. A Magnetic image, lumbar spine 1.78 13.61 0.93 16.32 XXX N
72149... 26 A Magnetic image, lumbar spine 1.78 0.80 0.12 2.70 XXX N
72149... TC A Magnetic image, lumbar spine 0.00 12.81 0.81 13.62 XXX N
72156... .................. A Magnetic image, neck spine.. 2.57 24.87 1.66 29.10 XXX N
72156... 26 A Magnetic image, neck spine.. 2.57 1.15 0.17 3.89 XXX N
72156... TC A Magnetic image, neck spine.. 0.00 23.72 1.49 25.21 XXX N
72157... .................. A Magnetic image, chest spine. 2.57 24.87 1.66 29.10 XXX N
72157... 26 A Magnetic image, chest spine. 2.57 1.15 0.17 3.89 XXX N
72157... TC A Magnetic image, chest spine. 0.00 23.72 1.49 25.21 XXX N
72158... .................. A Magnetic image, lumbar spine 2.36 24.79 1.65 28.80 XXX N
72158... 26 A Magnetic image, lumbar spine 2.36 1.07 0.16 3.59 XXX N
72158... TC A Magnetic image, lumbar spine 0.00 23.72 1.49 25.21 XXX N
72159... .................. N Magnetic imaging/spine (MRA) #1.80 12.52 0.84 15.16 XXX 0
72159... 26 N Magnetic imaging/spine (MRA) #1.80 0.66 0.10 2.56 XXX 0
72159... TC N Magnetic imaging/spine (MRA) #0.00 11.86 0.74 12.60 XXX 0
72170... .................. A X-ray exam of pelvis........ 0.17 0.57 0.04 0.78 XXX N
72170... 26 A X-ray exam of pelvis........ 0.17 0.07 0.01 0.25 XXX N
72170... TC A X-ray exam of pelvis........ 0.00 0.50 0.03 0.53 XXX N
72190... .................. A X-ray exam of pelvis........ 0.21 0.74 0.05 1.00 XXX N
72190... 26 A X-ray exam of pelvis........ 0.21 0.10 0.01 0.32 XXX N
72190... TC A X-ray exam of pelvis........ 0.00 0.64 0.04 0.68 XXX N
72192... .................. A CAT scan of pelvis.......... 1.09 6.11 0.43 7.63 XXX N
72192... 26 A CAT scan of pelvis.......... 1.09 0.48 0.07 1.64 XXX N
72192... TC A CAT scan of pelvis.......... 0.00 5.63 0.36 5.99 XXX N
72193... .................. A Contrast CAT scan of pelvis. 1.16 7.03 0.49 8.68 XXX N
72193... 26 A Contrast CAT scan of pelvis. 1.16 0.51 0.08 1.75 XXX N
72193... TC A Contrast CAT scan of pelvis. 0.00 6.52 0.41 6.93 XXX N
72194... .................. A Contrast CAT scans of pelvis 1.22 8.62 0.58 10.42 XXX N
72194... 26 A Contrast CAT scans of pelvis 1.22 0.53 0.08 1.83 XXX N
72194... TC A Contrast CAT scans of pelvis 0.00 8.09 0.50 8.59 XXX N
72196... .................. A Magnetic image, pelvis...... 1.60 11.40 0.78 13.78 XXX N
72196... 26 A Magnetic image, pelvis...... 1.60 0.72 0.11 2.43 XXX N
72196... TC A Magnetic image, pelvis...... 0.00 10.68 0.67 11.35 XXX N
72198... .................. N Magnetic imaging/pelvis(MRA) #1.80 11.40 0.78 13.98 XXX 0
72198... 26 N Magnetic imaging/pelvis(MRA) #1.80 0.72 0.11 2.63 XXX 0
72198... TC N Magnetic imaging/pelvis(MRA) #0.00 10.68 0.67 11.35 XXX 0
72200... .................. A X-ray exam sacroiliac joints 0.17 0.58 0.04 0.79 XXX N
72200... 26 A X-ray exam sacroiliac joints 0.17 0.08 0.01 0.26 XXX N
72200... TC A X-ray exam sacroiliac joints 0.00 0.50 0.03 0.53 XXX N
72202... .................. A X-ray exam sacroiliac joints 0.19 0.68 0.05 0.92 XXX N
72202... 26 A X-ray exam sacroiliac joints 0.19 0.09 0.01 0.29 XXX N
72202... TC A X-ray exam sacroiliac joints 0.00 0.59 0.04 0.63 XXX N
72220... .................. A X-ray exam of tailbone...... 0.17 0.62 0.05 0.84 XXX N
72220... 26 A X-ray exam of tailbone...... 0.17 0.08 0.01 0.26 XXX N
72220... TC A X-ray exam of tailbone...... 0.00 0.54 0.04 0.58 XXX N
72240... .................. A Contrast x-ray of neck spine 0.91 4.93 0.35 6.19 XXX N
[[Page 63270]]
72240... 26 A Contrast x-ray of neck spine 0.91 0.41 0.06 1.38 XXX N
72240... TC A Contrast x-ray of neck spine 0.00 4.52 0.29 4.81 XXX N
72255... .................. A Contrast x-ray thorax spine. 0.91 4.54 0.32 5.77 XXX N
72255... 26 A Contrast x-ray thorax spine. 0.91 0.41 0.06 1.38 XXX N
72255... TC A Contrast x-ray thorax spine. 0.00 4.13 0.26 4.39 XXX N
72265... .................. A Contrast x-ray lower spine.. 0.83 4.26 0.31 5.40 XXX N
72265... 26 A Contrast x-ray lower spine.. 0.83 0.38 0.06 1.27 XXX N
72265... TC A Contrast x-ray lower spine.. 0.00 3.88 0.25 4.13 XXX N
72270... .................. A Contrast x-ray of spine..... 1.33 6.40 0.46 8.19 XXX N
72270... 26 A Contrast x-ray of spine..... 1.33 0.59 0.09 2.01 XXX N
72270... TC A Contrast x-ray of spine..... 0.00 5.81 0.37 6.18 XXX N
72285... .................. A X-ray of neck spine disk.... 0.83 8.37 0.56 9.76 XXX N
72285... 26 A X-ray of neck spine disk.... 0.83 0.38 0.06 1.27 XXX N
72285... TC A X-ray of neck spine disk.... 0.00 7.99 0.50 8.49 XXX N
72295... .................. A X-ray of lower spine disk... 0.83 7.87 0.52 9.22 XXX N
72295... 26 A X-ray of lower spine disk... 0.83 0.38 0.06 1.27 XXX N
72295... TC A X-ray of lower spine disk... 0.00 7.49 0.46 7.95 XXX N
73000... .................. A X-ray exam of collarbone.... 0.16 0.57 0.04 0.77 XXX N
73000... 26 A X-ray exam of collarbone.... 0.16 0.07 0.01 0.24 XXX N
73000... TC A X-ray exam of collarbone.... 0.00 0.50 0.03 0.53 XXX N
73010... .................. A X-ray exam of shoulder blade 0.17 0.58 0.04 0.79 XXX N
73010... 26 A X-ray exam of shoulder blade 0.17 0.08 0.01 0.26 XXX N
73010... TC A X-ray exam of shoulder blade 0.00 0.50 0.03 0.53 XXX N
73020... .................. A X-ray exam of shoulder...... 0.15 0.52 0.04 0.71 XXX N
73020... 26 A X-ray exam of shoulder...... 0.15 0.07 0.01 0.23 XXX N
73020... .................. A Contrast CAT scans of leg... 1.22 7.61 0.53 9.36 XXX N
73020... 26 A Contrast CAT scans of leg... 1.22 0.53 0.08 1.83 XXX N
73020... TC A X-ray exam of shoulder...... 0.00 0.45 0.03 0.48 XXX N
73030... .................. A X-ray exam of shoulder...... 0.18 0.62 0.05 0.85 XXX N
73030... 26 A X-ray exam of shoulder...... 0.18 0.08 0.01 0.27 XXX N
73030... TC A X-ray exam of shoulder...... 0.00 0.54 0.04 0.58 XXX N
73040... .................. A Contrast x-ray of shoulder.. 0.54 2.25 0.17 2.96 XXX N
73040... 26 A Contrast x-ray of shoulder.. 0.54 0.25 0.04 0.83 XXX N
73040... TC A Contrast x-ray of shoulder.. 0.00 2.00 0.13 2.13 XXX N
73050... .................. A X-ray exam of shoulders..... 0.20 0.73 0.05 0.98 XXX N
73050... 26 A X-ray exam of shoulders..... 0.20 0.09 0.01 0.30 XXX N
73050... TC A X-ray exam of shoulders..... 0.00 0.64 0.04 0.68 XXX N
73060... .................. A X-ray exam of humerus....... 0.17 0.62 0.05 0.84 XXX N
73060... 26 A X-ray exam of humerus....... 0.17 0.08 0.01 0.26 XXX N
73060... TC A X-ray exam of humerus....... 0.00 0.54 0.04 0.58 XXX N
73070... .................. A X-ray exam of elbow......... 0.15 0.57 0.04 0.76 XXX N
73070... 26 A X-ray exam of elbow......... 0.15 0.07 0.01 0.23 XXX N
73070... TC A X-ray exam of elbow......... 0.00 0.50 0.03 0.53 XXX N
73080... .................. A X-ray exam of elbow......... 0.17 0.62 0.05 0.84 XXX N
73080... 26 A X-ray exam of elbow......... 0.17 0.08 0.01 0.26 XXX N
73080... TC A X-ray exam of elbow......... 0.00 0.54 0.04 0.58 XXX N
73085... .................. A Contrast x-ray of elbow..... 0.54 2.25 0.17 2.96 XXX N
73085... 26 A Contrast x-ray of elbow..... 0.54 0.25 0.04 0.83 XXX N
73085... TC A Contrast x-ray of elbow..... 0.00 2.00 0.13 2.13 XXX N
73090... .................. A X-ray exam of forearm....... 0.16 0.57 0.04 0.77 XXX N
73090... 26 A X-ray exam of forearm....... 0.16 0.07 0.01 0.24 XXX N
73090... TC A X-ray exam of forearm....... 0.00 0.50 0.03 0.53 XXX N
73092... .................. A X-ray exam of arm, infant... 0.16 0.54 0.04 0.74 XXX N
73092... 26 A X-ray exam of arm, infant... 0.16 0.07 0.01 0.24 XXX N
73092... TC A X-ray exam of arm, infant... 0.00 0.47 0.03 0.50 XXX N
73100... .................. A X-ray exam of wrist......... 0.16 0.54 0.04 0.74 XXX N
73100... 26 A X-ray exam of wrist......... 0.16 0.07 0.01 0.24 XXX N
73100... TC A X-ray exam of wrist......... 0.00 0.47 0.03 0.50 XXX N
73110... .................. A X-ray exam of wrist......... 0.17 0.59 0.04 0.80 XXX N
73110... 26 A X-ray exam of wrist......... 0.17 0.08 0.01 0.26 XXX N
73110... TC A X-ray exam of wrist......... 0.00 0.51 0.03 0.54 XXX N
73115... .................. A Contrast x-ray of wrist..... 0.54 1.75 0.14 2.43 XXX N
73115... 26 A Contrast x-ray of wrist..... 0.54 0.25 0.04 0.83 XXX N
73115... TC A Contrast x-ray of wrist..... 0.00 1.50 0.10 1.60 XXX N
73120... .................. A X-ray exam of hand.......... 0.16 0.54 0.04 0.74 XXX N
73120... 26 A X-ray exam of hand.......... 0.16 0.07 0.01 0.24 XXX N
[[Page 63271]]
73120... TC A X-ray exam of hand.......... 0.00 0.47 0.03 0.50 XXX N
73130... .................. A X-ray exam of hand.......... 0.17 0.59 0.04 0.80 XXX N
73130... 26 A X-ray exam of hand.......... 0.17 0.08 0.01 0.26 XXX N
73130... TC A X-ray exam of hand.......... 0.00 0.51 0.03 0.54 XXX N
73140... .................. A X-ray exam of finger(s)..... 0.13 0.46 0.04 0.63 XXX N
73140... 26 A X-ray exam of finger(s)..... 0.13 0.06 0.01 0.20 XXX N
73140... TC A X-ray exam of finger(s)..... 0.00 0.40 0.03 0.43 XXX N
73200... .................. A CAT scan of arm............. 1.09 5.21 0.37 6.67 XXX N
73200... 26 A CAT scan of arm............. 1.09 0.48 0.07 1.64 XXX N
73200... TC A CAT scan of arm............. 0.00 4.73 0.30 5.03 XXX N
73201... .................. A Contrast CAT scan of arm.... 1.16 6.14 0.44 7.74 XXX N
73201... 26 A Contrast CAT scan of arm.... 1.16 0.51 0.08 1.75 XXX N
73201... TC A Contrast CAT scan of arm.... 0.00 5.63 0.36 5.99 XXX N
73202... .................. A Contrast CAT scans of arm... 1.22 7.61 0.53 9.36 XXX N
73202... 26 A Contrast CAT scans of arm... 1.22 0.53 0.08 1.83 XXX N
73202... TC A Contrast CAT scans of arm... 0.00 7.08 0.45 7.53 XXX N
73220... .................. A Magnetic image, arm, hand... 1.48 11.34 0.77 13.59 XXX N
73220... 26 A Magnetic image, arm, hand... 1.48 0.66 0.10 2.24 XXX N
73220... TC A Magnetic image, arm, hand... 0.00 10.68 0.67 11.35 XXX N
73221... .................. A Magnetic image, joint of arm 0.95 11.11 0.73 12.79 XXX N
73221... 26 A Magnetic image, joint of arm 0.95 0.43 0.06 1.44 XXX N
73221... TC A Magnetic image, joint of arm 0.00 10.68 0.67 11.35 XXX N
73225... .................. N Magnetic imaging/upper (MRA) #1.73 11.34 0.77 13.84 XXX 0
73225... 26 N Magnetic imaging/upper (MRA) #1.73 0.66 0.10 2.49 XXX 0
73225... TC N Magnetic imaging/upper (MRA) #0.00 10.68 0.67 11.35 XXX 0
73500... .................. A X-ray exam of hip........... 0.17 0.53 0.04 0.74 XXX N
73500... 26 A X-ray exam of hip........... 0.17 0.08 0.01 0.26 XXX N
73500... TC A X-ray exam of hip........... 0.00 0.45 0.03 0.48 XXX N
73510... .................. A X-ray exam of hip........... 0.21 0.64 0.05 0.90 XXX N
73510... 26 A X-ray exam of hip........... 0.21 0.10 0.01 0.32 XXX N
73510... TC A X-ray exam of hip........... 0.00 0.54 0.04 0.58 XXX N
73520... .................. A X-ray exam of hips.......... 0.26 0.76 0.06 1.08 XXX N
73520... 26 A X-ray exam of hips.......... 0.26 0.12 0.02 0.40 XXX N
73520... TC A X-ray exam of hips.......... 0.00 0.64 0.04 0.68 XXX N
73525... .................. A Contrast x-ray of hip....... 0.54 2.25 0.17 2.96 XXX N
73525... 26 A Contrast x-ray of hip....... 0.54 0.25 0.04 0.83 XXX N
73525... TC A Contrast x-ray of hip....... 0.00 2.00 0.13 2.13 XXX N
73530... .................. A X-ray exam of hip........... 0.29 0.63 0.05 0.97 XXX N
73530... 26 A X-ray exam of hip........... 0.29 0.13 0.02 0.44 XXX N
73530... TC A X-ray exam of hip........... 0.00 0.50 0.03 0.53 XXX N
73540... .................. A X-ray exam of pelvis & hips. 0.20 0.64 0.05 0.89 XXX N
73540... 26 A X-ray exam of pelvis & hips. 0.20 0.10 0.01 0.31 XXX N
73540... TC A X-ray exam of pelvis & hips. 0.00 0.54 0.04 0.58 XXX N
73550... .................. A X-ray exam of thigh......... 0.17 0.62 0.05 0.84 XXX N
73550... 26 A X-ray exam of thigh......... 0.17 0.08 0.01 0.26 XXX N
73550... TC A X-ray exam of thigh......... 0.00 0.54 0.04 0.58 XXX N
73560... .................. A X-ray exam of knee.......... 0.17 0.57 0.04 0.78 XXX N
73560... 26 A X-ray exam of knee.......... 0.17 0.07 0.01 0.25 XXX N
73560... TC A X-ray exam of knee.......... 0.00 0.50 0.03 0.53 XXX N
73562... .................. A X-ray exam of knee.......... 0.18 0.63 0.05 0.86 XXX N
73562... 26 A X-ray exam of knee.......... 0.18 0.09 0.01 0.28 XXX N
73562... TC A X-ray exam of knee.......... 0.00 0.54 0.04 0.58 XXX N
73564... .................. A X-ray exam of knee.......... 0.22 0.69 0.06 0.97 XXX N
73564... 26 A X-ray exam of knee.......... 0.22 0.10 0.02 0.34 XXX N
73564... TC A X-ray exam of knee.......... 0.00 0.59 0.04 0.63 XXX N
73565... .................. A X-ray exam of knee.......... 0.17 0.54 0.04 0.75 XXX N
73565... 26 A X-ray exam of knee.......... 0.17 0.07 0.01 0.25 XXX N
73565... TC A X-ray exam of knee.......... 0.00 0.47 0.03 0.50 XXX N
73580... .................. A Contrast x-ray of knee joint 0.54 2.75 0.21 3.50 XXX N
73580... 26 A Contrast x-ray of knee joint 0.54 0.25 0.04 0.83 XXX N
73580... TC A Contrast x-ray of knee joint 0.00 2.50 0.17 2.67 XXX N
73590... .................. A X-ray exam of lower leg..... 0.17 0.57 0.04 0.78 XXX N
73590... 26 A X-ray exam of lower leg..... 0.17 0.07 0.01 0.25 XXX N
73590... TC A X-ray exam of lower leg..... 0.00 0.50 0.03 0.53 XXX N
73592... .................. A X-ray exam of leg, infant... 0.16 0.54 0.04 0.74 XXX N
73592... 26 A X-ray exam of leg, infant... 0.16 0.07 0.01 0.24 XXX N
[[Page 63272]]
73592... TC A X-ray exam of leg, infant... 0.00 0.47 0.03 0.50 XXX N
73600... .................. A X-ray exam of ankle......... 0.16 0.54 0.04 0.74 XXX N
73600... 26 A X-ray exam of ankle......... 0.16 0.07 0.01 0.24 XXX N
73600... TC A X-ray exam of ankle......... 0.00 0.47 0.03 0.50 XXX N
73610... .................. A X-ray exam of ankle......... 0.17 0.59 0.04 0.80 XXX N
73610... 26 A X-ray exam of ankle......... 0.17 0.08 0.01 0.26 XXX N
73610... TC A X-ray exam of ankle......... 0.00 0.51 0.03 0.54 XXX N
73615... .................. A Contrast x-ray of ankle..... 0.54 2.25 0.17 2.96 XXX N
73615... 26 A Contrast x-ray of ankle..... 0.54 0.25 0.04 0.83 XXX N
73615... TC A Contrast x-ray of ankle..... 0.00 2.00 0.13 2.13 XXX N
73620... .................. A X-ray exam of foot.......... 0.16 0.54 0.04 0.74 XXX N
73620... 26 A X-ray exam of foot.......... 0.16 0.07 0.01 0.24 XXX N
73620... TC A X-ray exam of foot.......... 0.00 0.47 0.03 0.50 XXX N
73630... .................. A X-ray exam of foot.......... 0.17 0.59 0.04 0.80 XXX N
73630... 26 A X-ray exam of foot.......... 0.17 0.08 0.01 0.26 XXX N
73630... TC A X-ray exam of foot.......... 0.00 0.51 0.03 0.54 XXX N
73650... .................. A X-ray exam of heel.......... 0.16 0.52 0.04 0.72 XXX N
73650... 26 A X-ray exam of heel.......... 0.16 0.07 0.01 0.24 XXX N
73650... TC A X-ray exam of heel.......... 0.00 0.45 0.03 0.48 XXX N
73660... .................. A X-ray exam of toe(s)........ 0.13 0.46 0.04 0.63 XXX N
73660... 26 A X-ray exam of toe(s)........ 0.13 0.06 0.01 0.20 XXX N
73660... TC A X-ray exam of toe(s)........ 0.00 0.40 0.03 0.43 XXX N
73700... .................. A CAT scan of leg............. 1.09 5.21 0.37 6.67 XXX N
73700... 26 A CAT scan of leg............. 1.09 0.48 0.07 1.64 XXX N
73700... TC A CAT scan of leg............. 0.00 4.73 0.30 5.03 XXX N
73701... .................. A Contrast CAT scan of leg.... 1.16 6.14 0.44 7.74 XXX N
73701... 26 A Contrast CAT scan of leg.... 1.16 0.51 0.08 1.75 XXX N
73701... TC A Contrast CAT scan of leg.... 0.00 5.63 0.36 5.99 XXX N
73702... .................. A Contrast CAT scans of leg... 1.22 7.61 0.53 9.36 XXX N
73702... 26 A Contrast CAT scans of leg... 1.22 0.53 0.08 1.83 XXX N
73702... TC A Contrast CAT scans of leg... 0.00 7.08 0.45 7.53 XXX N
73720... .................. A Magnetic image, leg, foot... 1.48 11.34 0.77 13.59 XXX N
73720... 26 A Magnetic image, leg, foot... 1.48 0.66 0.10 2.24 XXX N
73720... TC A Magnetic image, leg, foot... 0.00 10.68 0.67 11.35 XXX N
73721... .................. A Magnetic image, joint of leg 0.95 11.11 0.73 12.79 XXX N
73721... 26 A Magnetic image, joint of leg 0.95 0.43 0.06 1.44 XXX N
73721... TC A Magnetic image, joint of leg 0.00 10.68 0.67 11.35 XXX N
73725... .................. N Magnetic imaging/lower (MRA) #1.82 11.34 0.77 13.93 XXX 0
73725... 26 N Magnetic imaging/lower (MRA) #1.82 0.66 0.10 2.58 XXX 0
73725... TC N Magnetic imaging/lower (MRA) #0.00 10.68 0.67 11.35 XXX 0
74000... .................. A X-ray exam of abdomen....... 0.18 0.58 0.04 0.80 XXX N
74000... 26 A X-ray exam of abdomen....... 0.18 0.08 0.01 0.27 XXX N
74000... TC A X-ray exam of abdomen....... 0.00 0.50 0.03 0.53 XXX N
74010... .................. A X-ray exam of abdomen....... 0.23 0.65 0.06 0.94 XXX N
74010... 26 A X-ray exam of abdomen....... 0.23 0.11 0.02 0.36 XXX N
74010... TC A X-ray exam of abdomen....... 0.00 0.54 0.04 0.58 XXX N
74020... .................. A X-ray exam of abdomen....... 0.27 0.72 0.06 1.05 XXX N
74020... 26 A X-ray exam of abdomen....... 0.27 0.13 0.02 0.42 XXX N
74020... TC A X-ray exam of abdomen....... 0.00 0.59 0.04 0.63 XXX N
74022... .................. A X-ray exam series, abdomen.. 0.32 0.85 0.07 1.24 XXX N
74022... 26 A X-ray exam series, abdomen.. 0.32 0.15 0.02 0.49 XXX N
74022... TC A X-ray exam series, abdomen.. 0.00 0.70 0.05 0.75 XXX N
74150... .................. A CAT scan of abdomen......... 1.19 5.91 0.43 7.53 XXX N
74150... 26 A CAT scan of abdomen......... 1.19 0.52 0.08 1.79 XXX N
74150... TC A CAT scan of abdomen......... 0.00 5.39 0.35 5.74 XXX N
74160... .................. A Contrast CAT scan of abdomen 1.27 7.08 0.50 8.85 XXX N
74160... 26 A Contrast CAT scan of abdomen 1.27 0.56 0.09 1.92 XXX N
74160... TC A Contrast CAT scan of abdomen 0.00 6.52 0.41 6.93 XXX N
74170... .................. A Contrast CAT scans, abdomen. 1.40 8.71 0.60 10.71 XXX N
74170... 26 A Contrast CAT scans, abdomen. 1.40 0.62 0.10 2.12 XXX N
74170... TC A Contrast CAT scans, abdomen. 0.00 8.09 0.50 8.59 XXX N
74181... .................. A Magnetic image, abdomen 1.60 11.40 0.78 13.78 XXX N
(MRI).
74181... 26 A Magnetic image, abdomen 1.60 0.72 0.11 2.43 XXX N
(MRI).
74181... TC A Magnetic image, abdomen 0.00 10.68 0.67 11.35 XXX N
(MRI).
74185... .................. N Magnetic image/abdomen (MRA) #1.80 11.40 0.78 13.98 XXX 0
74185... 26 N Magnetic image/abdomen (MRA) #1.80 0.72 0.11 2.63 XXX 0
[[Page 63273]]
74185... TC N Magnetic image/abdomen (MRA) #0.00 10.68 0.67 11.35 XXX 0
74190... .................. A X-ray exam of peritoneum.... 0.48 1.37 0.10 1.95 XXX N
74190... 26 A X-ray exam of peritoneum.... 0.48 0.13 0.02 0.63 XXX N
74190... TC A X-ray exam of peritoneum.... 0.00 1.24 0.08 1.32 XXX N
74210... .................. A Contrast xray exam of throat 0.36 1.29 0.09 1.74 XXX N
74210... 26 A Contrast xray exam of throat 0.36 0.16 0.02 0.54 XXX N
74210... TC A Contrast xray exam of throat 0.00 1.13 0.07 1.20 XXX N
74220... .................. A Contrast xray exam, 0.46 1.34 0.10 1.90 XXX N
esophagus.
74220... 26 A Contrast xray exam, 0.46 0.21 0.03 0.70 XXX N
esophagus.
74220... TC A Contrast xray exam, 0.00 1.13 0.07 1.20 XXX N
esophagus.
74230... .................. A Cinema xray throat/esophagus 0.53 1.49 0.12 2.14 XXX N
74230... 26 A Cinema xray throat/esophagus 0.53 0.25 0.04 0.82 XXX N
74230... TC A Cinema xray throat/esophagus 0.00 1.24 0.08 1.32 XXX N
74235... .................. A Remove esophagus obstruction 1.19 3.02 0.25 4.46 XXX N
74235... 26 A Remove esophagus obstruction 1.19 0.52 0.08 1.79 XXX N
74235... TC A Remove esophagus obstruction 0.00 2.50 0.17 2.67 XXX N
74240... .................. A X-ray exam upper GI tract... 0.69 1.71 0.14 2.54 XXX N
74240... 26 A X-ray exam upper GI tract... 0.69 0.32 0.05 1.06 XXX N
74240... TC A X-ray exam upper GI tract... 0.00 1.39 0.09 1.48 XXX N
74241... .................. A X-ray exam upper GI tract... 0.69 1.74 0.14 2.57 XXX N
74241... 26 A X-ray exam upper GI tract... 0.69 0.32 0.05 1.06 XXX N
74241... TC A X-ray exam upper GI tract... 0.00 1.42 0.09 1.51 XXX N
74245... .................. A X-ray exam upper GI tract... 0.91 2.68 0.21 3.80 XXX N
74245... 26 A X-ray exam upper GI tract... 0.91 0.41 0.06 1.38 XXX N
74245... TC A X-ray exam upper GI tract... 0.00 2.27 0.15 2.42 XXX N
74246... .................. A Contrast xray upper GI tract 0.69 1.89 0.15 2.73 XXX N
74246... 26 A Contrast xray upper GI tract 0.69 0.32 0.05 1.06 XXX N
74246... TC A Contrast xray upper GI tract 0.00 1.57 0.10 1.67 XXX N
74247... .................. A Contrast xray upper GI tract 0.69 1.92 0.16 2.77 XXX N
74247... 26 A Contrast xray upper GI tract 0.69 0.32 0.05 1.06 XXX N
74247... TC A Contrast xray upper GI tract 0.00 1.60 0.11 1.71 XXX N
74249... .................. A Contrast xray upper GI tract 0.91 2.86 0.22 3.99 XXX N
74249... 26 A Contrast xray upper GI tract 0.91 0.41 0.06 1.38 XXX N
74249... TC A Contrast xray upper GI tract 0.00 2.45 0.16 2.61 XXX N
74250... .................. A X-ray exam of small bowel... 0.47 1.45 0.11 2.03 XXX N
74250... 26 A X-ray exam of small bowel... 0.47 0.21 0.03 0.71 XXX N
74250... TC A X-ray exam of small bowel... 0.00 1.24 0.08 1.32 XXX N
74251... .................. A X-ray exam of small bowel... 0.69 1.45 0.11 2.25 XXX N
74251... 26 A X-ray exam of small bowel... 0.69 0.21 0.03 0.93 XXX N
74251... TC A X-ray exam of small bowel... 0.00 1.24 0.08 1.32 XXX N
74260... .................. A X-ray exam of small bowel... 0.50 1.65 0.12 2.27 XXX N
74260... 26 A X-ray exam of small bowel... 0.50 0.23 0.03 0.76 XXX N
74260... TC A X-ray exam of small bowel... 0.00 1.42 0.09 1.51 XXX N
74270... .................. A Contrast x-ray exam of colon 0.69 1.94 0.16 2.79 XXX N
74270... 26 A Contrast x-ray exam of colon 0.69 0.32 0.05 1.06 XXX N
74270... TC A Contrast x-ray exam of colon 0.00 1.62 0.11 1.73 XXX N
74280... .................. A Contrast x-ray exam of colon 0.99 2.58 0.21 3.78 XXX N
74280... 26 A Contrast x-ray exam of colon 0.99 0.45 0.07 1.51 XXX N
74280... TC A Contrast x-ray exam of colon 0.00 2.13 0.14 2.27 XXX N
74283... .................. A Contrast x-ray exam of colon 2.02 3.34 0.30 5.66 XXX N
74283... 26 A Contrast x-ray exam of colon 2.02 0.90 0.14 3.06 XXX N
74283... TC A Contrast x-ray exam of colon 0.00 2.44 0.16 2.60 XXX N
74290... .................. A Contrast x-ray, gallbladder. 0.32 0.85 0.07 1.24 XXX N
74290... 26 A Contrast x-ray, gallbladder. 0.32 0.15 0.02 0.49 XXX N
74290... TC A Contrast x-ray, gallbladder. 0.00 0.70 0.05 0.75 XXX N
74291... .................. A Contrast x-rays, gallbladder 0.20 0.49 0.04 0.73 XXX N
74291... 26 A Contrast x-rays, gallbladder 0.20 0.09 0.01 0.30 XXX N
74291... TC A Contrast x-rays, gallbladder 0.00 0.40 0.03 0.43 XXX N
74300... .................. C X-ray bile ducts, pancreas.. 0.00 0.00 0.00 0.00 XXX N
74300... 26 A X-ray bile ducts, pancreas.. 0.36 0.17 0.02 0.55 XXX N
74300... TC C X-ray bile ducts, pancreas.. 0.00 0.00 0.00 0.00 XXX N
74301... .................. C Additional x-rays at surgery 0.00 0.00 0.00 0.00 XXX N
74301... 26 A Additional x-rays at surgery 0.21 0.10 0.01 0.32 XXX N
74301... TC C Additional x-rays at surgery 0.00 0.00 0.00 0.00 XXX N
74305... .................. A X-ray bile ducts, pancreas.. 0.42 0.94 0.08 1.44 XXX N
74305... 26 A X-ray bile ducts, pancreas.. 0.42 0.19 0.03 0.64 XXX N
[[Page 63274]]
74305... TC A X-ray bile ducts, pancreas.. 0.00 0.75 0.05 0.80 XXX N
74320... .................. A Contrast x-ray of bile ducts 0.54 3.25 0.23 4.02 XXX N
74320... 26 A Contrast x-ray of bile ducts 0.54 0.25 0.04 0.83 XXX N
74320... TC A Contrast x-ray of bile ducts 0.00 3.00 0.19 3.19 XXX N
74327... .................. A X-ray for bile stone removal 0.70 2.00 0.16 2.86 XXX N
74327... 26 A X-ray for bile stone removal 0.70 0.32 0.05 1.07 XXX N
74327... TC A X-ray for bile stone removal 0.00 1.68 0.11 1.79 XXX N
74328... .................. A Xray for bile duct endoscopy 0.70 3.32 0.24 4.26 XXX N
74328... 26 A Xray for bile duct endoscopy 0.70 0.32 0.05 1.07 XXX N
74328... TC A Xray for bile duct endoscopy 0.00 3.00 0.19 3.19 XXX N
74329... .................. A X-ray for pancreas endoscopy 0.70 3.32 0.24 4.26 XXX N
74329... 26 A X-ray for pancreas endoscopy 0.70 0.32 0.05 1.07 XXX N
74329... TC A X-ray for pancreas endoscopy 0.00 3.00 0.19 3.19 XXX N
74330... .................. A Xray, bile/pancreas 0.70 3.32 0.24 4.26 XXX N
endoscopy.
74330... 26 A Xray, bile/pancreas 0.70 0.32 0.05 1.07 XXX N
endoscopy.
74330... TC A Xray, bile/pancreas 0.00 3.00 0.19 3.19 XXX N
endoscopy.
74340... .................. A X-ray guide for GI tube..... 0.54 2.75 0.21 3.50 XXX N
74340... 26 A X-ray guide for GI tube..... 0.54 0.25 0.04 0.83 XXX N
74340... TC A X-ray guide for GI tube..... 0.00 2.50 0.17 2.67 XXX N
74350... .................. A X-ray guide, stomach tube... 0.76 3.35 0.24 4.35 XXX N
74350... 26 A X-ray guide, stomach tube... 0.76 0.35 0.05 1.16 XXX N
74350... TC A X-ray guide, stomach tube... 0.00 3.00 0.19 3.19 XXX N
74355... .................. A X-ray guide, intestinal tube 0.76 2.85 0.22 3.83 XXX N
74355... 26 A X-ray guide, intestinal tube 0.76 0.35 0.05 1.16 XXX N
74355... TC A X-ray guide, intestinal tube 0.00 2.50 0.17 2.67 XXX N
74360... .................. A X-ray guide, GI dilation.... 0.54 3.25 0.23 4.02 XXX N
74360... 26 A X-ray guide, GI dilation.... 0.54 0.25 0.04 0.83 XXX N
74360... TC A X-ray guide, GI dilation.... 0.00 3.00 0.19 3.19 XXX N
74363... .................. A X-ray, bile duct dilation... 0.88 6.21 0.43 7.52 XXX N
74363... 26 A X-ray, bile duct dilation... 0.88 0.40 0.06 1.34 XXX N
74363... TC A X-ray, bile duct dilation... 0.00 5.81 0.37 6.18 XXX N
74400... .................. A Contrast x-ray urinary tract 0.49 1.82 0.14 2.45 XXX N
74400... 26 A Contrast x-ray urinary tract 0.49 0.22 0.03 0.74 XXX N
74400... TC A Contrast x-ray urinary tract 0.00 1.60 0.11 1.71 XXX N
74405... .................. A Contrast x-ray urinary tract 0.49 2.11 0.16 2.76 XXX N
74405... 26 A Contrast x-ray urinary tract 0.49 0.22 0.03 0.74 XXX N
74405... TC A Contrast x-ray urinary tract 0.00 1.89 0.13 2.02 XXX N
74410... .................. A Contrast x-ray urinary tract 0.49 2.08 0.15 2.72 XXX N
74410... 26 A Contrast x-ray urinary tract 0.49 0.22 0.03 0.74 XXX N
74410... TC A Contrast x-ray urinary tract 0.00 1.86 0.12 1.98 XXX N
74415... .................. A Contrast x-ray urinary tract 0.49 2.24 0.16 2.89 XXX N
74415... 26 A Contrast x-ray urinary tract 0.49 0.22 0.03 0.74 XXX N
74415... TC A Contrast x-ray urinary tract 0.00 2.02 0.13 2.15 XXX N
74420... .................. A Contrast x-ray urinary tract 0.36 2.66 0.19 3.21 XXX N
74420... 26 A Contrast x-ray urinary tract 0.36 0.16 0.02 0.54 XXX N
74420... TC A Contrast x-ray urinary tract 0.00 2.50 0.17 2.67 XXX N
74425... .................. A Contrast x-ray urinary tract 0.36 1.40 0.10 1.86 XXX N
74425... 26 A Contrast x-ray urinary tract 0.36 0.16 0.02 0.54 XXX N
74425... TC A Contrast x-ray urinary tract 0.00 1.24 0.08 1.32 XXX N
74430... .................. A Contrast x-ray of bladder... 0.32 1.15 0.09 1.56 XXX N
74430... 26 A Contrast x-ray of bladder... 0.32 0.15 0.02 0.49 XXX N
74430... TC A Contrast x-ray of bladder... 0.00 1.00 0.07 1.07 XXX N
74440... .................. A Xray exam male genital tract 0.38 1.25 0.10 1.73 XXX N
74440... 26 A Xray exam male genital tract 0.38 0.17 0.03 0.58 XXX N
74440... TC A Xray exam male genital tract 0.00 1.08 0.07 1.15 XXX N
74445... .................. A X-ray exam of penis......... 1.14 1.58 0.15 2.87 XXX N
74445... 26 A X-ray exam of penis......... 1.14 0.50 0.08 1.72 XXX N
74445... TC A X-ray exam of penis......... 0.00 1.08 0.07 1.15 XXX N
74450... .................. A X-ray exam urethra/bladder.. 0.33 1.54 0.11 1.98 XXX N
74450... 26 A X-ray exam urethra/bladder.. 0.33 0.15 0.02 0.50 XXX N
74450... TC A X-ray exam urethra/bladder.. 0.00 1.39 0.09 1.48 XXX N
74455... .................. A X-ray exam urethra/bladder.. 0.33 1.65 0.12 2.10 XXX N
74455... 26 A X-ray exam urethra/bladder.. 0.33 0.15 0.02 0.50 XXX N
74455... TC A X-ray exam urethra/bladder.. 0.00 1.50 0.10 1.60 XXX N
74470... .................. A X-ray exam of kidney lesion. 0.54 1.44 0.12 2.10 XXX N
74470... 26 A X-ray exam of kidney lesion. 0.54 0.25 0.04 0.83 XXX N
[[Page 63275]]
74470... TC A X-ray exam of kidney lesion. 0.00 1.19 0.08 1.27 XXX N
74475... .................. A Xray control catheter insert 0.54 4.13 0.29 4.96 XXX N
74475... 26 A Xray control catheter insert 0.54 0.25 0.04 0.83 XXX N
74475... TC A Xray control catheter insert 0.00 3.88 0.25 4.13 XXX N
74480... .................. A Xray control catheter insert 0.54 4.13 0.29 4.96 XXX N
74480... 26 A Xray control catheter insert 0.54 0.25 0.04 0.83 XXX N
74480... TC A Xray control catheter insert 0.00 3.88 0.25 4.13 XXX N
74485... .................. A X-ray guide, GU dilation.... 0.54 3.25 0.23 4.02 XXX N
74485... 26 A X-ray guide, GU dilation.... 0.54 0.25 0.04 0.83 XXX N
74485... TC A X-ray guide, GU dilation.... 0.00 3.00 0.19 3.19 XXX N
74710... .................. A X-ray measurement of pelvis. 0.34 1.16 0.09 1.59 XXX N
74710... 26 A X-ray measurement of pelvis. 0.34 0.16 0.02 0.52 XXX N
74710... TC A X-ray measurement of pelvis. 0.00 1.00 0.07 1.07 XXX N
74740... .................. A X-ray female genital tract.. 0.38 1.41 0.11 1.90 XXX N
74740... 26 A X-ray female genital tract.. 0.38 0.17 0.03 0.58 XXX N
74740... TC A X-ray female genital tract.. 0.00 1.24 0.08 1.32 XXX N
74742... .................. A X-ray fallopian tube........ 0.61 3.25 0.23 4.09 XXX N
74742... 26 A X-ray fallopian tube........ 0.61 0.25 0.04 0.90 XXX N
74742... TC A X-ray fallopian tube........ 0.00 3.00 0.19 3.19 XXX N
74775... .................. A X-ray exam of perineum...... 0.62 1.68 0.13 2.43 XXX N
74775... 26 A X-ray exam of perineum...... 0.62 0.29 0.04 0.95 XXX N
74775... TC A X-ray exam of perineum...... 0.00 1.39 0.09 1.48 XXX N
75552... .................. A Magnetic image, myocardium.. 1.60 11.40 0.78 13.78 XXX N
75552... 26 A Magnetic image, myocardium.. 1.60 0.72 0.11 2.43 XXX N
75552... TC A Magnetic image, myocardium.. 0.00 10.68 0.67 11.35 XXX N
75553... .................. A Magnetic image, myocardium.. 2.00 11.40 0.78 14.18 XXX N
75553... 26 A Magnetic image, myocardium.. 2.00 0.72 0.11 2.83 XXX N
75553... TC A Magnetic image, myocardium.. 0.00 10.68 0.67 11.35 XXX N
75554... .................. A Cardiac MRI/function........ 1.83 11.40 0.78 14.01 XXX N
75554... 26 A Cardiac MRI/function........ 1.83 0.72 0.11 2.66 XXX N
75554... TC A Cardiac MRI/function........ 0.00 10.68 0.67 11.35 XXX N
75555... .................. A Cardiac MRI/limited study... 1.74 11.40 0.78 13.92 XXX N
75555... 26 A Cardiac MRI/limited study... 1.74 0.72 0.11 2.57 XXX N
75555... TC A Cardiac MRI/limited study... 0.00 10.68 0.67 11.35 XXX N
75556... .................. N Cardiac MRI/flow mapping.... 0.00 0.00 0.00 0.00 XXX 0
75600... .................. A Contrast x-ray exam of aorta 0.49 12.23 0.78 13.50 XXX N
75600... 26 A Contrast x-ray exam of aorta 0.49 0.22 0.03 0.74 XXX N
75600... TC A Contrast x-ray exam of aorta 0.00 12.01 0.75 12.76 XXX N
75605... .................. A Contrast x-ray exam of aorta 1.14 12.51 0.83 14.48 XXX N
75605... 26 A Contrast x-ray exam of aorta 1.14 0.50 0.08 1.72 XXX N
75605... TC A Contrast x-ray exam of aorta 0.00 12.01 0.75 12.76 XXX N
75625... .................. A Contrast x-ray exam of aorta 1.14 12.51 0.83 14.48 XXX N
75625... 26 A Contrast x-ray exam of aorta 1.14 0.50 0.08 1.72 XXX N
75625... TC A Contrast x-ray exam of aorta 0.00 12.01 0.75 12.76 XXX N
75630... .................. A X-ray aorta, leg arteries... 1.31 13.09 0.88 15.28 XXX N
75630... 26 A X-ray aorta, leg arteries... 1.31 0.58 0.09 1.98 XXX N
75630... TC A X-ray aorta, leg arteries... 0.00 12.51 0.79 13.30 XXX N
75650... .................. A Artery x-rays, head & neck.. 1.49 12.67 0.85 15.01 XXX N
75650... 26 A Artery x-rays, head & neck.. 1.49 0.66 0.10 2.25 XXX N
75650... TC A Artery x-rays, head & neck.. 0.00 12.01 0.75 12.76 XXX N
75658... .................. A X-ray exam of arm arteries.. 1.31 12.59 0.84 14.74 XXX N
75658... 26 A X-ray exam of arm arteries.. 1.31 0.58 0.09 1.98 XXX N
75658... TC A X-ray exam of arm arteries.. 0.00 12.01 0.75 12.76 XXX N
75660... .................. A Artery x-rays, head & neck.. 1.31 12.59 0.84 14.74 XXX N
75660... 26 A Artery x-rays, head & neck.. 1.31 0.58 0.09 1.98 XXX N
75660... TC A Artery x-rays, head & neck.. 0.00 12.01 0.75 12.76 XXX N
75662... .................. A Artery x-rays, head & neck.. 1.66 12.75 0.86 15.27 XXX N
75662... 26 A Artery x-rays, head & neck.. 1.66 0.74 0.11 2.51 XXX N
75662... TC A Artery x-rays, head & neck.. 0.00 12.01 0.75 12.76 XXX N
75665... .................. A Artery x-rays, head & neck.. 1.31 12.59 0.84 14.74 XXX N
75665... 26 A Artery x-rays, head & neck.. 1.31 0.58 0.09 1.98 XXX N
75665... TC A Artery x-rays, head & neck.. 0.00 12.01 0.75 12.76 XXX N
75671... .................. A Artery x-rays, head & neck.. 1.66 12.75 0.86 15.27 XXX N
75671... 26 A Artery x-rays, head & neck.. 1.66 0.74 0.11 2.51 XXX N
75671... TC A Artery x-rays, head & neck.. 0.00 12.01 0.75 12.76 XXX N
75676... .................. A Artery x-rays, neck......... 1.31 12.59 0.84 14.74 XXX N
[[Page 63276]]
75676... 26 A Artery x-rays, neck......... 1.31 0.58 0.09 1.98 XXX N
75676... TC A Artery x-rays, neck......... 0.00 12.01 0.75 12.76 XXX N
75680... .................. A Artery x-rays, neck......... 1.66 12.75 0.86 15.27 XXX N
75680... 26 A Artery x-rays, neck......... 1.66 0.74 0.11 2.51 XXX N
75680... TC A Artery x-rays, neck......... 0.00 12.01 0.75 12.76 XXX N
75685... .................. A Artery x-rays, spine........ 1.31 12.59 0.84 14.74 XXX N
75685... 26 A Artery x-rays, spine........ 1.31 0.58 0.09 1.98 XXX N
75685... TC A Artery x-rays, spine........ 0.00 12.01 0.75 12.76 XXX N
75705... .................. A Artery x-rays, spine........ 2.18 12.99 0.90 16.07 XXX N
75705... 26 A Artery x-rays, spine........ 2.18 0.98 0.15 3.31 XXX N
75705... TC A Artery x-rays, spine........ 0.00 12.01 0.75 12.76 XXX N
75710... .................. A Artery x-rays, arm/leg...... 1.14 12.51 0.83 14.48 XXX N
75710... 26 A Artery x-rays, arm/leg...... 1.14 0.50 0.08 1.72 XXX N
75710... TC A Artery x-rays, arm/leg...... 0.00 12.01 0.75 12.76 XXX N
75716... .................. A Artery x-rays, arms/legs.... 1.31 12.59 0.84 14.74 XXX N
75716... 26 A Artery x-rays, arms/legs.... 1.31 0.58 0.09 1.98 XXX N
75716... TC A Artery x-rays, arms/legs.... 0.00 12.01 0.75 12.76 XXX N
75722... .................. A Artery x-rays, kidney....... 1.14 12.51 0.83 14.48 XXX N
75722... 26 A Artery x-rays, kidney....... 1.14 0.50 0.08 1.72 XXX N
75722... TC A Artery x-rays, kidney....... 0.00 12.01 0.75 12.76 XXX N
75724... .................. A Artery x-rays, kidneys...... 1.49 12.67 0.85 15.01 XXX N
75724... 26 A Artery x-rays, kidneys...... 1.49 0.66 0.10 2.25 XXX N
75724... TC A Artery x-rays, kidneys...... 0.00 12.01 0.75 12.76 XXX N
75726... .................. A Artery x-rays, abdomen...... 1.14 12.51 0.83 14.48 XXX N
75726... 26 A Artery x-rays, abdomen...... 1.14 0.50 0.08 1.72 XXX N
75726... TC A Artery x-rays, abdomen...... 0.00 12.01 0.75 12.76 XXX N
75731... .................. A Artery x-rays, adrenal gland 1.14 12.51 0.83 14.48 XXX N
75731... 26 A Artery x-rays, adrenal gland 1.14 0.50 0.08 1.72 XXX N
75731... TC A Artery x-rays, adrenal gland 0.00 12.01 0.75 12.76 XXX N
75733... .................. A Artery x-rays, adrenal 1.31 12.59 0.84 14.74 XXX N
glands.
75733... 26 A Artery x-rays, adrenal 1.31 0.58 0.09 1.98 XXX N
glands.
75733... TC A Artery x-rays, adrenal 0.00 12.01 0.75 12.76 XXX N
glands.
75736... .................. A Artery x-rays, pelvis....... 1.14 12.51 0.83 14.48 XXX N
75736... 26 A Artery x-rays, pelvis....... 1.14 0.50 0.08 1.72 XXX N
75736... TC A Artery x-rays, pelvis....... 0.00 12.01 0.75 12.76 XXX N
75741... .................. A Artery x-rays, lung......... 1.31 12.59 0.84 14.74 XXX N
75741... 26 A Artery x-rays, lung......... 1.31 0.58 0.09 1.98 XXX N
75741... TC A Artery x-rays, lung......... 0.00 12.01 0.75 12.76 XXX N
75743... .................. A Artery x-rays, lungs........ 1.66 12.75 0.86 15.27 XXX N
75743... 26 A Artery x-rays, lungs........ 1.66 0.74 0.11 2.51 XXX N
75743... TC A Artery x-rays, lungs........ 0.00 12.01 0.75 12.76 XXX N
75746... .................. A Artery x-rays, lung......... 1.14 12.51 0.83 14.48 XXX N
75746... 26 A Artery x-rays, lung......... 1.14 0.50 0.08 1.72 XXX N
75746... TC A Artery x-rays, lung......... 0.00 12.01 0.75 12.76 XXX N
75756... .................. A Artery x-rays, chest........ 1.14 12.51 0.83 14.48 XXX N
75756... 26 A Artery x-rays, chest........ 1.14 0.50 0.08 1.72 XXX N
75756... TC A Artery x-rays, chest........ 0.00 12.01 0.75 12.76 XXX N
75774... .................. A Artery x-ray, each vessel... 0.36 12.17 0.77 13.30 XXX N
75774... 26 A Artery x-ray, each vessel... 0.36 0.16 0.02 0.54 XXX N
75774... TC A Artery x-ray, each vessel... 0.00 12.01 0.75 12.76 XXX N
75790... .................. A Visualize A-V shunt......... 1.84 2.12 0.21 4.17 XXX N
75790... 26 A Visualize A-V shunt......... 1.84 0.83 0.12 2.79 XXX N
75790... TC A Visualize A-V shunt......... 0.00 1.29 0.09 1.38 XXX N
75801... .................. A Lymph vessel x-ray, arm/leg. 0.81 5.53 0.38 6.72 XXX N
75801... 26 A Lymph vessel x-ray, arm/leg. 0.81 0.37 0.05 1.23 XXX N
75801... TC A Lymph vessel x-ray, arm/leg. 0.00 5.16 0.33 5.49 XXX N
75803... .................. A Lymph vessel x-ray, arms/ 1.17 5.67 0.41 7.25 XXX N
legs.
75803... 26 A Lymph vessel x-ray, arms/ 1.17 0.51 0.08 1.76 XXX N
legs.
75803... TC A Lymph vessel x-ray, arms/ 0.00 5.16 0.33 5.49 XXX N
legs.
75805... .................. A Lymph vessel x-ray, trunk... 0.81 6.18 0.42 7.41 XXX N
75805... 26 A Lymph vessel x-ray, trunk... 0.81 0.37 0.05 1.23 XXX N
75805... TC A Lymph vessel x-ray, trunk... 0.00 5.81 0.37 6.18 XXX N
75807... .................. A Lymph vessel x-ray, trunk... 1.17 6.32 0.45 7.94 XXX N
75807... 26 A Lymph vessel x-ray, trunk... 1.17 0.51 0.08 1.76 XXX N
75807... TC A Lymph vessel x-ray, trunk... 0.00 5.81 0.37 6.18 XXX N
75809... .................. A Nonvascular shunt, x-ray.... 0.47 0.94 0.08 1.49 XXX N
[[Page 63277]]
75809... 26 A Nonvascular shunt, x-ray.... 0.47 0.19 0.03 0.69 XXX N
75809... TC A Nonvascular shunt, x-ray.... 0.00 0.75 0.05 0.80 XXX N
75810... .................. A Vein x-ray, spleen/liver.... 1.14 12.51 0.83 14.48 XXX N
75810... 26 A Vein x-ray, spleen/liver.... 1.14 0.50 0.08 1.72 XXX N
75810... TC A Vein x-ray, spleen/liver.... 0.00 12.01 0.75 12.76 XXX N
75820... .................. A Vein x-ray, arm/leg......... 0.70 1.22 0.11 2.03 XXX N
75820... 26 A Vein x-ray, arm/leg......... 0.70 0.32 0.05 1.07 XXX N
75820... TC A Vein x-ray, arm/leg......... 0.00 0.90 0.06 0.96 XXX N
75822... .................. A Vein x-ray, arms/legs....... 1.06 1.88 0.16 3.10 XXX N
75822... 26 A Vein x-ray, arms/legs....... 1.06 0.47 0.07 1.60 XXX N
75822... TC A Vein x-ray, arms/legs....... 0.00 1.41 0.09 1.50 XXX N
75825... .................. A Vein x-ray, trunk........... 1.14 12.51 0.83 14.48 XXX N
75825... 26 A Vein x-ray, trunk........... 1.14 0.50 0.08 1.72 XXX N
75825... TC A Vein x-ray, trunk........... 0.00 12.01 0.75 12.76 XXX N
75827... .................. A Vein x-ray, chest........... 1.14 12.51 0.83 14.48 XXX N
75827... 26 A Vein x-ray, chest........... 1.14 0.50 0.08 1.72 XXX N
75827... TC A Vein x-ray, chest........... 0.00 12.01 0.75 12.76 XXX N
75831... .................. A Vein x-ray, kidney.......... 1.14 12.51 0.83 14.48 XXX N
75831... 26 A Vein x-ray, kidney.......... 1.14 0.50 0.08 1.72 XXX N
75831... TC A Vein x-ray, kidney.......... 0.00 12.01 0.75 12.76 XXX N
75833... .................. A Vein x-ray, kidneys......... 1.49 12.67 0.85 15.01 XXX N
75833... 26 A Vein x-ray, kidneys......... 1.49 0.66 0.10 2.25 XXX N
75833... TC A Vein x-ray, kidneys......... 0.00 12.01 0.75 12.76 XXX N
75840... .................. A Vein x-ray, adrenal gland... 1.14 12.51 0.83 14.48 XXX N
75840... 26 A Vein x-ray, adrenal gland... 1.14 0.50 0.08 1.72 XXX N
75840... TC A Vein x-ray, adrenal gland... 0.00 12.01 0.75 12.76 XXX N
75842... .................. A Vein x-ray, adrenal glands.. 1.49 12.67 0.85 15.01 XXX N
75842... 26 A Vein x-ray, adrenal glands.. 1.49 0.66 0.10 2.25 XXX N
75842... TC A Vein x-ray, adrenal glands.. 0.00 12.01 0.75 12.76 XXX N
75860... .................. A Vein x-ray, neck............ 1.14 12.51 0.83 14.48 XXX N
75860... 26 A Vein x-ray, neck............ 1.14 0.50 0.08 1.72 XXX N
75860... TC A Vein x-ray, neck............ 0.00 12.01 0.75 12.76 XXX N
75870... .................. A Vein x-ray, skull........... 1.14 12.51 0.83 14.48 XXX N
75870... 26 A Vein x-ray, skull........... 1.14 0.50 0.08 1.72 XXX N
75870... TC A Vein x-ray, skull........... 0.00 12.01 0.75 12.76 XXX N
75872... .................. A Vein x-ray, skull........... 1.14 12.51 0.83 14.48 XXX N
75872... 26 A Vein x-ray, skull........... 1.14 0.50 0.08 1.72 XXX N
75872... TC A Vein x-ray, skull........... 0.00 12.01 0.75 12.76 XXX N
75880... .................. A Vein x-ray, eye socket...... 0.70 1.22 0.11 2.03 XXX N
75880... 26 A Vein x-ray, eye socket...... 0.70 0.32 0.05 1.07 XXX N
75880... TC A Vein x-ray, eye socket...... 0.00 0.90 0.06 0.96 XXX N
75885... .................. A Vein x-ray, liver........... 1.44 12.65 0.85 14.94 XXX N
75885... 26 A Vein x-ray, liver........... 1.44 0.64 0.10 2.18 XXX N
75885... TC A Vein x-ray, liver........... 0.00 12.01 0.75 12.76 XXX N
75887... .................. A Vein x-ray, liver........... 1.44 12.65 0.85 14.94 XXX N
75887... 26 A Vein x-ray, liver........... 1.44 0.64 0.10 2.18 XXX N
75887... TC A Vein x-ray, liver........... 0.00 12.01 0.75 12.76 XXX N
75889... .................. A Vein x-ray, liver........... 1.14 12.51 0.83 14.48 XXX N
75889... 26 A Vein x-ray, liver........... 1.14 0.50 0.08 1.72 XXX N
75889... TC A Vein x-ray, liver........... 0.00 12.01 0.75 12.76 XXX N
75891... .................. A Vein x-ray, liver........... 1.14 12.51 0.83 14.48 XXX N
75891... 26 A Vein x-ray, liver........... 1.14 0.50 0.08 1.72 XXX N
75891... TC A Vein x-ray, liver........... 0.00 12.01 0.75 12.76 XXX N
75893... .................. A Venous sampling by catheter. 0.54 12.26 0.79 13.59 XXX N
75893... 26 A Venous sampling by catheter. 0.54 0.25 0.04 0.83 XXX N
75893... TC A Venous sampling by catheter. 0.00 12.01 0.75 12.76 XXX N
75894... .................. A X-rays, transcatheter 1.31 23.58 1.53 26.42 XXX N
therapy.
75894... 26 A X-rays, transcatheter 1.31 0.58 0.09 1.98 XXX N
therapy.
75894... TC A X-rays, transcatheter 0.00 23.00 1.44 24.44 XXX N
therapy.
75896... .................. A X-rays, transcatheter 1.31 20.58 1.34 23.23 XXX N
therapy.
75896... 26 A X-rays, transcatheter 1.31 0.58 0.09 1.98 XXX N
therapy.
75896... TC A X-rays, transcatheter 0.00 20.00 1.25 21.25 XXX N
therapy.
75898... .................. A Follow-up angiogram......... 1.65 1.74 0.18 3.57 XXX N
75898... 26 A Follow-up angiogram......... 1.65 0.74 0.11 2.50 XXX N
75898... TC A Follow-up angiogram......... 0.00 1.00 0.07 1.07 XXX N
75900... .................. A Arterial catheter exchange.. 0.49 20.22 1.29 22.00 XXX N
[[Page 63278]]
75900... 26 A Arterial catheter exchange.. 0.49 0.23 0.03 0.75 XXX N
75900... TC A Arterial catheter exchange.. 0.00 19.99 1.26 21.25 XXX N
75940... .................. A X-ray placement, vein filter 0.54 12.26 0.79 13.59 XXX N
75940... 26 A X-ray placement, vein filter 0.54 0.25 0.04 0.83 XXX N
75940... TC A X-ray placement, vein filter 0.00 12.01 0.75 12.76 XXX N
75960... .................. A Transcatheter intro, stent.. 0.82 14.57 0.94 16.33 XXX N
75960... 26 A Transcatheter intro, stent.. 0.82 0.37 0.06 1.25 XXX N
75960... TC A Transcatheter intro, stent.. 0.00 14.20 0.88 15.08 XXX N
75961... .................. A Retrieval, broken catheter.. 4.25 11.91 0.90 17.06 XXX N
75961... 26 A Retrieval, broken catheter.. 4.25 1.90 0.28 6.43 XXX N
75961... TC A Retrieval, broken catheter.. 0.00 10.01 0.62 10.63 XXX N
75962... .................. A Repair arterial blockage.... 0.54 15.25 0.98 16.77 XXX N
75962... 26 A Repair arterial blockage.... 0.54 0.25 0.04 0.83 XXX N
75962... TC A Repair arterial blockage.... 0.00 15.00 0.94 15.94 XXX N
75964... .................. A Repair artery blockage, each 0.36 8.16 0.52 9.04 XXX N
75964... 26 A Repair artery blockage, each 0.36 0.16 0.02 0.54 XXX N
75964... TC A Repair artery blockage, each 0.00 8.00 0.50 8.50 XXX N
75966... .................. A Repair arterial blockage.... 1.31 15.58 1.03 17.92 XXX N
75966... 26 A Repair arterial blockage.... 1.31 0.58 0.09 1.98 XXX N
75966... TC A Repair arterial blockage.... 0.00 15.00 0.94 15.94 XXX N
75968... .................. A Repair artery blockage, each 0.36 8.16 0.52 9.04 XXX N
75968... 26 A Repair artery blockage, each 0.36 0.16 0.02 0.54 XXX N
75968... TC A Repair artery blockage, each 0.00 8.00 0.50 8.50 XXX N
75970... .................. A Vascular biopsy............. 0.83 11.38 0.75 12.96 XXX N
75970... 26 A Vascular biopsy............. 0.83 0.38 0.06 1.27 XXX N
75970... TC A Vascular biopsy............. 0.00 11.00 0.69 11.69 XXX N
75978... .................. A Repair venous blockage...... 0.54 15.48 0.98 17.00 XXX N
75978... 26 A Repair venous blockage...... 0.54 0.48 0.04 1.06 XXX N
75978... TC A Repair venous blockage...... 0.00 15.00 0.94 15.94 XXX N
75980... .................. A Contrast x-ray exam bile 1.44 5.80 0.43 7.67 XXX N
duct.
75980... 26 A Contrast x-ray exam bile 1.44 0.64 0.10 2.18 XXX N
duct.
75980... TC A Contrast x-ray exam bile 0.00 5.16 0.33 5.49 XXX N
duct.
75982... .................. A Contrast x-ray exam bile 1.44 6.45 0.47 8.36 XXX N
duct.
75982... 26 A Contrast x-ray exam bile 1.44 0.64 0.10 2.18 XXX N
duct.
75982... TC A Contrast x-ray exam bile 0.00 5.81 0.37 6.18 XXX N
duct.
75984... .................. A X-ray control catheter 0.72 2.19 0.17 3.08 XXX N
change.
75984... 26 A X-ray control catheter 0.72 0.33 0.05 1.10 XXX N
change.
75984... TC A X-ray control catheter 0.00 1.86 0.12 1.98 XXX N
change.
75989... .................. A Abscess drainage under x-ray 1.19 3.52 0.27 4.98 XXX N
75989... 26 A Abscess drainage under x-ray 1.19 0.52 0.08 1.79 XXX N
75989... TC A Abscess drainage under x-ray 0.00 3.00 0.19 3.19 XXX N
75992... .................. A Atherectomy, x-ray exam..... 0.54 15.25 0.98 16.77 XXX N
75992... 26 A Atherectomy, x-ray exam..... 0.54 0.25 0.04 0.83 XXX N
75992... TC A Atherectomy, x-ray exam..... 0.00 15.00 0.94 15.94 XXX N
75993... .................. A Atherectomy, x-ray exam..... 0.36 8.16 0.52 9.04 XXX N
75993... 26 A Atherectomy, x-ray exam..... 0.36 0.16 0.02 0.54 XXX N
75993... TC A Atherectomy, x-ray exam..... 0.00 8.00 0.50 8.50 XXX N
75994... .................. A Atherectomy, x-ray exam..... 1.31 15.58 1.03 17.92 XXX N
75994... 26 A Atherectomy, x-ray exam..... 1.31 0.58 0.09 1.98 XXX N
75994... TC A Atherectomy, x-ray exam..... 0.00 15.00 0.94 15.94 XXX N
75995... .................. A Atherectomy, x-ray exam..... 1.31 15.58 1.03 17.92 XXX N
75995... 26 A Atherectomy, x-ray exam..... 1.31 0.58 0.09 1.98 XXX N
75995... TC A Atherectomy, x-ray exam..... 0.00 15.00 0.94 15.94 XXX N
75996... .................. A Atherectomy, x-ray exam..... 0.36 8.16 0.52 9.04 XXX N
75996... 26 A Atherectomy, x-ray exam..... 0.36 0.16 0.02 0.54 XXX N
75996... TC A Atherectomy, x-ray exam..... 0.00 8.00 0.50 8.50 XXX N
76000... .................. A Fluoroscope examination..... 0.17 1.31 0.09 1.57 XXX N
76000... 26 A Fluoroscope examination..... 0.17 0.07 0.01 0.25 XXX N
76000... TC A Fluoroscope examination..... 0.00 1.24 0.08 1.32 XXX N
76001... .................. A Fluoroscope exam, extensive. 0.67 2.81 0.22 3.70 XXX N
76001... 26 A Fluoroscope exam, extensive. 0.67 0.31 0.05 1.03 XXX N
76001... TC A Fluoroscope exam, extensive. 0.00 2.50 0.17 2.67 XXX N
76003... .................. A Needle localization by x-ray 0.54 1.49 0.12 2.15 XXX N
76003... 26 A Needle localization by x-ray 0.54 0.25 0.04 0.83 XXX N
76003... TC A Needle localization by x-ray 0.00 1.24 0.08 1.32 XXX N
76010... .................. A X-ray, nose to rectum....... 0.18 0.58 0.04 0.80 XXX N
[[Page 63279]]
76010... 26 A X-ray, nose to rectum....... 0.18 0.08 0.01 0.27 XXX N
76010... TC A X-ray, nose to rectum....... 0.00 0.50 0.03 0.53 XXX N
76020... .................. A X-rays for bone age......... 0.19 0.59 0.04 0.82 XXX N
76020... 26 A X-rays for bone age......... 0.19 0.09 0.01 0.29 XXX N
76020... TC A X-rays for bone age......... 0.00 0.50 0.03 0.53 XXX N
76040... .................. A X-rays, bone evaluation..... 0.27 0.88 0.07 1.22 XXX N
76040... 26 A X-rays, bone evaluation..... 0.27 0.13 0.02 0.42 XXX N
76040... TC A X-rays, bone evaluation..... 0.00 0.75 0.05 0.80 XXX N
76061... .................. A X-rays, bone survey......... 0.45 1.15 0.09 1.69 XXX N
76061... 26 A X-rays, bone survey......... 0.45 0.20 0.03 0.68 XXX N
76061... TC A X-rays, bone survey......... 0.00 0.95 0.06 1.01 XXX N
76062... .................. A X-rays, bone survey......... 0.54 1.62 0.13 2.29 XXX N
76062... 26 A X-rays, bone survey......... 0.54 0.25 0.04 0.83 XXX N
76062... TC A X-rays, bone survey......... 0.00 1.37 0.09 1.46 XXX N
76065... .................. A X-rays, bone evaluation..... 0.28 0.83 0.07 1.18 XXX N
76065... 26 A X-rays, bone evaluation..... 0.28 0.13 0.02 0.43 XXX N
76065... TC A X-rays, bone evaluation..... 0.00 0.70 0.05 0.75 XXX N
76066... .................. A Joint(s) survey, single film 0.31 1.20 0.09 1.60 XXX N
76066... 26 A Joint(s) survey, single film 0.31 0.14 0.02 0.47 XXX N
76066... TC A Joint(s) survey, single film 0.00 1.06 0.07 1.13 XXX N
76070... .................. A CT scan, bone density study. 0.25 2.93 0.20 3.38 XXX N
76070... 26 A CT scan, bone density study. 0.25 0.12 0.02 0.39 XXX N
76070... TC A CT scan, bone density study. 0.00 2.81 0.18 2.99 XXX N
76075... .................. A Dual energy x-ray study..... 0.30 3.07 0.21 3.58 XXX N
76075... 26 A Dual energy x-ray study..... 0.30 0.12 0.02 0.44 XXX N
76075... TC A Dual energy x-ray study..... 0.00 2.95 0.19 3.14 XXX N
76080... .................. A X-ray exam of fistula....... 0.54 1.25 0.11 1.90 XXX N
76080... 26 A X-ray exam of fistula....... 0.54 0.25 0.04 0.83 XXX N
76080... TC A X-ray exam of fistula....... 0.00 1.00 0.07 1.07 XXX N
76086... .................. A X-ray of mammary duct....... 0.36 2.67 0.19 3.22 XXX N
76086... 26 A X-ray of mammary duct....... 0.36 0.17 0.02 0.55 XXX N
76086... TC A X-ray of mammary duct....... 0.00 2.50 0.17 2.67 XXX N
76088... .................. A X-ray of mammary ducts...... 0.45 3.69 0.25 4.39 XXX N
76088... 26 A X-ray of mammary ducts...... 0.45 0.20 0.03 0.68 XXX N
76088... TC A X-ray of mammary ducts...... 0.00 3.49 0.22 3.71 XXX N
76090... .................. A Mammogram, one breast....... 0.25 1.12 0.09 1.46 XXX N
76090... 26 A Mammogram, one breast....... 0.25 0.12 0.02 0.39 XXX N
76090... TC A Mammogram, one breast....... 0.00 1.00 0.07 1.07 XXX N
76091... .................. A Mammogram, both breasts..... 0.41 1.42 0.11 1.94 XXX N
76091... 26 A Mammogram, both breasts..... 0.41 0.18 0.03 0.62 XXX N
76091... TC A Mammogram, both breasts..... 0.00 1.24 0.08 1.32 XXX N
76092... .................. X Mammogram, screening........ 0.00 0.00 0.00 0.00 XXX 0
76093... .................. A Magnetic image, breast...... 1.63 17.52 1.16 20.31 XXX N
76093... 26 A Magnetic image, breast...... 1.63 0.72 0.11 2.46 XXX N
76093... TC A Magnetic image, breast...... 0.00 16.80 1.05 17.85 XXX N
76094... .................. A Magnetic image, both breasts 1.63 23.51 1.53 26.67 XXX N
76094... 26 A Magnetic image, both breasts 1.63 0.72 0.11 2.46 XXX N
76094... TC A Magnetic image, both breasts 0.00 22.79 1.42 24.21 XXX N
76095... .................. A Stereotactic breast biopsy.. 1.59 7.54 0.54 9.67 XXX N
76095... 26 A Stereotactic breast biopsy.. 1.59 0.71 0.11 2.41 XXX N
76095... TC A Stereotactic breast biopsy.. 0.00 6.83 0.43 7.26 XXX N
76096... .................. A X-ray of needle wire, breast 0.56 1.50 0.12 2.18 XXX N
76096... 26 A X-ray of needle wire, breast 0.56 0.26 0.04 0.86 XXX N
76096... TC A X-ray of needle wire, breast 0.00 1.24 0.08 1.32 XXX N
76098... .................. A X-ray exam, breast specimen. 0.16 0.47 0.04 0.67 XXX N
76098... 26 A X-ray exam, breast specimen. 0.16 0.07 0.01 0.24 XXX N
76098... TC A X-ray exam, breast specimen. 0.00 0.40 0.03 0.43 XXX N
76100... .................. A X-ray exam of body section.. 0.58 1.46 0.12 2.16 XXX N
76100... 26 A X-ray exam of body section.. 0.58 0.27 0.04 0.89 XXX N
76100... TC A X-ray exam of body section.. 0.00 1.19 0.08 1.27 XXX N
76101... .................. A Complex body section x-ray.. 0.58 1.62 0.13 2.33 XXX N
76101... 26 A Complex body section x-ray.. 0.58 0.27 0.04 0.89 XXX N
76101... TC A Complex body section x-ray.. 0.00 1.35 0.09 1.44 XXX N
76102... .................. A Complex body section x-rays. 0.58 1.92 0.15 2.65 XXX N
76102... 26 A Complex body section x-rays. 0.58 0.27 0.04 0.89 XXX N
76102... TC A Complex body section x-rays. 0.00 1.65 0.11 1.76 XXX N
[[Page 63280]]
76120... .................. A Cinematic x-rays............ 0.38 1.17 0.10 1.65 XXX N
76120... 26 A Cinematic x-rays............ 0.38 0.17 0.03 0.58 XXX N
76120... TC A Cinematic x-rays............ 0.00 1.00 0.07 1.07 XXX N
76125... .................. A Cinematic x-rays............ 0.27 0.87 0.07 1.21 XXX N
76125... 26 A Cinematic x-rays............ 0.27 0.12 0.02 0.41 XXX N
76125... TC A Cinematic x-rays............ 0.00 0.75 0.05 0.80 XXX N
76140... .................. G X-ray consultation.......... 0.00 0.00 0.00 0.00 XXX 0
76150... .................. A X-ray exam, dry process..... 0.00 0.40 0.03 0.43 XXX N
76350... .................. C Special x-ray contrast study 0.00 0.00 0.00 0.00 XXX N
76355... .................. A CAT scan for localization... 1.21 8.40 0.57 10.18 XXX N
76355... 26 A CAT scan for localization... 1.21 0.53 0.08 1.82 XXX N
76355... TC A CAT scan for localization... 0.00 7.87 0.49 8.36 XXX N
76360... .................. A CAT scan for needle biopsy.. 1.16 8.37 0.57 10.10 XXX N
76360... 26 A CAT scan for needle biopsy.. 1.16 0.50 0.08 1.74 XXX N
76360... TC A CAT scan for needle biopsy.. 0.00 7.87 0.49 8.36 XXX N
76365... .................. A CAT scan for cyst aspiration 1.16 8.37 0.57 10.10 XXX N
76365... 26 A CAT scan for cyst aspiration 1.16 0.50 0.08 1.74 XXX N
76365... TC A CAT scan for cyst aspiration 0.00 7.87 0.49 8.36 XXX N
76370... .................. A CAT scan for therapy guide.. 0.85 3.19 0.24 4.28 XXX N
76370... 26 A CAT scan for therapy guide.. 0.85 0.38 0.06 1.29 XXX N
76370... TC A CAT scan for therapy guide.. 0.00 2.81 0.18 2.99 XXX N
76375... .................. A CAT scans, other planes..... 0.16 3.44 0.22 3.82 XXX N
76375... 26 A CAT scans, other planes..... 0.16 0.07 0.01 0.24 XXX N
76375... TC A CAT scans, other planes..... 0.00 3.37 0.21 3.58 XXX N
76380... .................. A CAT scan follow-up study.... 0.98 3.78 0.28 5.04 XXX N
76380... 26 A CAT scan follow-up study.... 0.98 0.44 0.07 1.49 XXX N
76380... TC A CAT scan follow-up study.... 0.00 3.34 0.21 3.55 XXX N
76400... .................. A Magnetic image, bone marrow. 1.60 11.40 0.78 13.78 XXX N
76400... 26 A Magnetic image, bone marrow. 1.60 0.72 0.11 2.43 XXX N
76400... TC A Magnetic image, bone marrow. 0.00 10.68 0.67 11.35 XXX N
76499... .................. C Radiographic procedure...... 0.00 0.00 0.00 0.00 XXX N
76499... 26 C Radiographic procedure...... 0.00 0.00 0.00 0.00 XXX N
76499... TC C Radiographic procedure...... 0.00 0.00 0.00 0.00 XXX N
76506... .................. A Echo exam of head........... 0.63 1.64 0.13 2.40 XXX N
76506... 26 A Echo exam of head........... 0.63 0.29 0.04 0.96 XXX N
76506... TC A Echo exam of head........... 0.00 1.35 0.09 1.44 XXX N
76511... .................. A Echo exam of eye............ 0.94 1.44 0.12 2.50 XXX N
76511... 26 A Echo exam of eye............ 0.94 0.25 0.04 1.23 XXX N
76511... TC A Echo exam of eye............ 0.00 1.19 0.08 1.27 XXX N
76512... .................. A Echo exam of eye............ 0.66 1.75 0.15 2.56 XXX N
76512... 26 A Echo exam of eye............ 0.66 0.30 0.05 1.01 XXX N
76512... TC A Echo exam of eye............ 0.00 1.45 0.10 1.55 XXX N
76513... .................. A Echo exam of eye, water bath 0.66 1.75 0.15 2.56 XXX N
76513... 26 A Echo exam of eye, water bath 0.66 0.30 0.05 1.01 XXX N
76513... TC A Echo exam of eye, water bath 0.00 1.45 0.10 1.55 XXX N
76516... .................. A Echo exam of eye............ 0.54 1.44 0.12 2.10 XXX N
76516... 26 A Echo exam of eye............ 0.54 0.25 0.04 0.83 XXX N
76516... TC A Echo exam of eye............ 0.00 1.19 0.08 1.27 XXX N
76519... .................. A Echo exam of eye............ 0.54 1.44 0.12 2.10 XXX N
76519... 26 A Echo exam of eye............ 0.54 0.25 0.04 0.83 XXX N
76519... TC A Echo exam of eye............ 0.00 1.19 0.08 1.27 XXX N
76529... .................. A Echo exam of eye............ 0.57 1.56 0.13 2.26 XXX N
76529... 26 A Echo exam of eye............ 0.57 0.26 0.04 0.87 XXX N
76529... TC A Echo exam of eye............ 0.00 1.30 0.09 1.39 XXX N
76536... .................. A Echo exam of head and neck.. 0.56 1.61 0.13 2.30 XXX N
76536... 26 A Echo exam of head and neck.. 0.56 0.26 0.04 0.86 XXX N
76536... TC A Echo exam of head and neck.. 0.00 1.35 0.09 1.44 XXX N
76604... .................. A Echo exam of chest.......... 0.55 1.50 0.12 2.17 XXX N
76604... 26 A Echo exam of chest.......... 0.55 0.26 0.04 0.85 XXX N
76604... TC A Echo exam of chest.......... 0.00 1.24 0.08 1.32 XXX N
76645... .................. A Echo exam of breast......... 0.54 1.25 0.11 1.90 XXX N
76645... 26 A Echo exam of breast......... 0.54 0.25 0.04 0.83 XXX N
76645... TC A Echo exam of breast......... 0.00 1.00 0.07 1.07 XXX N
76700... .................. A Echo exam of abdomen........ 0.81 2.25 0.17 3.23 XXX N
76700... 26 A Echo exam of abdomen........ 0.81 0.37 0.05 1.23 XXX N
76700... TC A Echo exam of abdomen........ 0.00 1.88 0.12 2.00 XXX N
[[Page 63281]]
76705... .................. A Echo exam of abdomen........ 0.59 1.62 0.13 2.34 XXX N
76705... 26 A Echo exam of abdomen........ 0.59 0.27 0.04 0.90 XXX N
76705... TC A Echo exam of abdomen........ 0.00 1.35 0.09 1.44 XXX N
76770... .................. A Echo exam abdomen back wall. 0.74 2.22 0.17 3.13 XXX N
76770... 26 A Echo exam abdomen back wall. 0.74 0.34 0.05 1.13 XXX N
76770... TC A Echo exam abdomen back wall. 0.00 1.88 0.12 2.00 XXX N
76775... .................. A Echo exam abdomen back wall. 0.58 1.62 0.13 2.33 XXX N
76775... 26 A Echo exam abdomen back wall. 0.58 0.27 0.04 0.89 XXX N
76775... TC A Echo exam abdomen back wall. 0.00 1.35 0.09 1.44 XXX N
76778... .................. A Echo exam kidney transplant. 0.74 2.22 0.17 3.13 XXX N
76778... 26 A Echo exam kidney transplant. 0.74 0.34 0.05 1.13 XXX N
76778... TC A Echo exam kidney transplant. 0.00 1.88 0.12 2.00 XXX N
76800... .................. A Echo exam spinal canal...... 1.13 1.85 0.17 3.15 XXX N
76800... 26 A Echo exam spinal canal...... 1.13 0.50 0.08 1.71 XXX N
76800... TC A Echo exam spinal canal...... 0.00 1.35 0.09 1.44 XXX N
76805... .................. A Echo exam of pregnant uterus 0.99 2.45 0.20 3.64 XXX N
76805... 26 A Echo exam of pregnant uterus 0.99 0.45 0.07 1.51 XXX N
76805... TC A Echo exam of pregnant uterus 0.00 2.00 0.13 2.13 XXX N
76810... .................. A Echo exam of pregnant uterus 1.97 4.88 0.38 7.23 XXX N
76810... 26 A Echo exam of pregnant uterus 1.97 0.88 0.13 2.98 XXX N
76810... TC A Echo exam of pregnant uterus 0.00 4.00 0.25 4.25 XXX N
76815... .................. A Echo exam of pregnant uterus 0.65 1.65 0.13 2.43 XXX N
76815... 26 A Echo exam of pregnant uterus 0.65 0.30 0.04 0.99 XXX N
76815... TC A Echo exam of pregnant uterus 0.00 1.35 0.09 1.44 XXX N
76816... .................. A Echo exam followup or repeat 0.57 1.32 0.11 2.00 XXX N
76816... 26 A Echo exam followup or repeat 0.57 0.26 0.04 0.87 XXX N
76816... TC A Echo exam followup or repeat 0.00 1.06 0.07 1.13 XXX N
76818... .................. A Fetal biophysical profile... 0.77 1.89 0.15 2.81 XXX N
76818... 26 A Fetal biophysical profile... 0.77 0.35 0.05 1.17 XXX N
76818... TC A Fetal biophysical profile... 0.00 1.54 0.10 1.64 XXX N
76825... .................. A Echo exam of fetal heart.... 0.98 2.23 0.17 3.38 XXX N
76825... 26 A Echo exam of fetal heart.... 0.98 0.35 0.05 1.38 XXX N
76825... TC A Echo exam of fetal heart.... 0.00 1.88 0.12 2.00 XXX N
76826... .................. A Echo exam of fetal heart.... 0.83 1.35 0.10 2.28 XXX N
76826... 26 A Echo exam of fetal heart.... 0.83 0.68 0.05 1.56 XXX N
76826... TC A Echo exam of fetal heart.... 0.00 0.67 0.05 0.72 XXX N
76827... .................. A Echo exam of fetal heart.... 0.58 2.33 0.18 3.09 XXX N
76827... 26 A Echo exam of fetal heart.... 0.58 0.69 0.05 1.32 XXX N
76827... TC A Echo exam of fetal heart.... 0.00 1.64 0.13 1.77 XXX N
76828... .................. A Echo exam of fetal heart.... 0.56 1.34 0.11 2.01 XXX N
76828... 26 A Echo exam of fetal heart.... 0.56 0.28 0.02 0.86 XXX N
76828... TC A Echo exam of fetal heart.... 0.00 1.06 0.09 1.15 XXX N
76830... .................. A Echo exam, transvaginal..... 0.69 1.77 0.15 2.61 XXX N
76830... 26 A Echo exam, transvaginal..... 0.69 0.32 0.05 1.06 XXX N
76830... TC A Echo exam, transvaginal..... 0.00 1.45 0.10 1.55 XXX N
76856... .................. A Echo exam of pelvis......... 0.69 1.77 0.15 2.61 XXX N
76856... 26 A Echo exam of pelvis......... 0.69 0.32 0.05 1.06 XXX N
76856... TC A Echo exam of pelvis......... 0.00 1.45 0.10 1.55 XXX N
76857... .................. A Echo exam of pelvis......... 0.38 1.17 0.10 1.65 XXX N
76857... 26 A Echo exam of pelvis......... 0.38 0.17 0.03 0.58 XXX N
76857... TC A Echo exam of pelvis......... 0.00 1.00 0.07 1.07 XXX N
76870... .................. A Echo exam of scrotum........ 0.64 1.74 0.14 2.52 XXX N
76870... 26 A Echo exam of scrotum........ 0.64 0.29 0.04 0.97 XXX N
76870... TC A Echo exam of scrotum........ 0.00 1.45 0.10 1.55 XXX N
76872... .................. A Echo exam, transrectal...... 0.69 1.77 0.15 2.61 XXX N
76872... 26 A Echo exam, transrectal...... 0.69 0.32 0.05 1.06 XXX N
76872... TC A Echo exam, transrectal...... 0.00 1.45 0.10 1.55 XXX N
76880... .................. A Echo exam of extremity...... 0.59 1.62 0.13 2.34 XXX N
76880... 26 A Echo exam of extremity...... 0.59 0.27 0.04 0.90 XXX N
76880... TC A Echo exam of extremity...... 0.00 1.35 0.09 1.44 XXX N
76930... .................. A Echo guide for heart sac tap 0.67 1.76 0.15 2.58 XXX N
76930... 26 A Echo guide for heart sac tap 0.67 0.31 0.05 1.03 XXX N
76930... TC A Echo guide for heart sac tap 0.00 1.45 0.10 1.55 XXX N
76932... .................. A Echo guide for heart biopsy. 0.67 1.76 0.15 2.58 XXX N
76932... 26 A Echo guide for heart biopsy. 0.67 0.31 0.05 1.03 XXX N
76932... TC A Echo guide for heart biopsy. 0.00 1.45 0.10 1.55 XXX N
[[Page 63282]]
76934... .................. A Echo guide for chest tap.... 0.67 1.76 0.15 2.58 XXX N
76934... 26 A Echo guide for chest tap.... 0.67 0.31 0.05 1.03 XXX N
76934... TC A Echo guide for chest tap.... 0.00 1.45 0.10 1.55 XXX N
76936... .................. A Echo guide for artery repair 1.99 7.24 0.48 9.71 XXX N
76936... 26 A Echo guide for artery repair 1.99 1.24 0.10 3.33 XXX N
76936... TC A Echo guide for artery repair 0.00 6.00 0.38 6.38 XXX N
76938... .................. A Echo exam for drainage...... 0.67 1.76 0.15 2.58 XXX N
76938... 26 A Echo exam for drainage...... 0.67 0.31 0.05 1.03 XXX N
76938... TC A Echo exam for drainage...... 0.00 1.45 0.10 1.55 XXX N
76941... .................. A Echo guide for transfusion.. 1.34 2.07 0.19 3.60 XXX N
76941... 26 A Echo guide for transfusion.. 1.34 0.61 0.10 2.05 XXX N
76941... TC A Echo guide for transfusion.. 0.00 1.46 0.09 1.55 XXX N
76942... .................. A Echo guide for biopsy....... 0.67 1.76 0.15 2.58 XXX N
76942... 26 A Echo guide for biopsy....... 0.67 0.31 0.05 1.03 XXX N
76942... TC A Echo guide for biopsy....... 0.00 1.45 0.10 1.55 XXX N
76945... .................. A Echo guide, villus sampling. 0.67 2.07 0.19 2.93 XXX N
76945... 26 A Echo guide, villus sampling. 0.67 0.61 0.10 1.38 XXX N
76945... TC A Echo guide, villus sampling. 0.00 1.46 0.09 1.55 XXX N
76946... .................. A Echo guide for amniocentesis 0.38 1.62 0.13 2.13 XXX N
76946... 26 A Echo guide for amniocentesis 0.38 0.17 0.03 0.58 XXX N
76946... TC A Echo guide for amniocentesis 0.00 1.45 0.10 1.55 XXX N
76948... .................. A Echo guide, ova aspiration.. 0.38 1.62 0.13 2.13 XXX N
76948... 26 A Echo guide, ova aspiration.. 0.38 0.17 0.03 0.58 XXX N
76948... TC A Echo guide, ova aspiration.. 0.00 1.45 0.10 1.55 XXX N
76950... .................. A Echo guidance radiotherapy.. 0.58 1.51 0.12 2.21 XXX N
76950... 26 A Echo guidance radiotherapy.. 0.58 0.27 0.04 0.89 XXX N
76950... TC A Echo guidance radiotherapy.. 0.00 1.24 0.08 1.32 XXX N
76960... .................. A Echo guidance radiotherapy.. 0.58 1.51 0.12 2.21 XXX N
76960... 26 A Echo guidance radiotherapy.. 0.58 0.27 0.04 0.89 XXX N
76960... TC A Echo guidance radiotherapy.. 0.00 1.24 0.08 1.32 XXX N
76965... .................. A Echo guidance radiotherapy.. 1.34 7.38 0.52 9.24 XXX N
76965... 26 A Echo guidance radiotherapy.. 1.34 2.07 0.19 3.60 XXX N
76965... TC A Echo guidance radiotherapy.. 0.00 5.31 0.33 5.64 XXX N
76970... .................. A Ultrasound exam follow-up... 0.40 1.18 0.10 1.68 XXX N
76970... 26 A Ultrasound exam follow-up... 0.40 0.18 0.03 0.61 XXX N
76970... TC A Ultrasound exam follow-up... 0.00 1.00 0.07 1.07 XXX N
76975... .................. A GI endoscopic ultrasound.... 0.81 1.79 0.15 2.75 XXX N
76975... 26 A GI endoscopic ultrasound.... 0.81 0.34 0.05 1.20 XXX N
76975... TC A GI endoscopic ultrasound.... 0.00 1.45 0.10 1.55 XXX N
76986... .................. A Echo exam at surgery........ 1.20 3.03 0.25 4.48 XXX N
76986... 26 A Echo exam at surgery........ 1.20 0.53 0.08 1.81 XXX N
76986... TC A Echo exam at surgery........ 0.00 2.50 0.17 2.67 XXX N
76999... .................. C Echo examination procedure.. 0.00 0.00 0.00 0.00 XXX N
76999... 26 C Echo examination procedure.. 0.00 0.00 0.00 0.00 XXX N
76999... TC C Echo examination procedure.. 0.00 0.00 0.00 0.00 XXX N
77261... .................. A Radiation therapy planning.. 1.39 0.62 0.09 2.10 XXX N
77262... .................. A Radiation therapy planning.. 2.11 0.94 0.14 3.19 XXX N
77263... .................. A Radiation therapy planning.. 3.14 1.40 0.20 4.74 XXX N
77280... .................. A Set radiation therapy field. 0.70 3.63 0.26 4.59 XXX N
77280... 26 A Set radiation therapy field. 0.70 0.32 0.05 1.07 XXX N
77280... TC A Set radiation therapy field. 0.00 3.31 0.21 3.52 XXX N
77285... .................. A Set radiation therapy field. 1.05 5.77 0.41 7.23 XXX N
77285... 26 A Set radiation therapy field. 1.05 0.46 0.07 1.58 XXX N
77285... TC A Set radiation therapy field. 0.00 5.31 0.34 5.65 XXX N
77290... .................. A Set radiation therapy field. 1.56 6.90 0.50 8.96 XXX N
77290... 26 A Set radiation therapy field. 1.56 0.70 0.11 2.37 XXX N
77290... TC A Set radiation therapy field. 0.00 6.20 0.39 6.59 XXX N
77295... .................. A Set radiation therapy field. 4.57 28.68 1.93 35.18 XXX N
77295... 26 A Set radiation therapy field. 4.57 2.06 0.23 6.86 XXX N
77295... TC A Set radiation therapy field. 0.00 26.62 1.70 28.32 XXX N
77299... .................. C Radiation therapy planning.. 0.00 0.00 0.00 0.00 XXX N
77299... 26 C Radiation therapy planning.. 0.00 0.00 0.00 0.00 XXX N
77299... TC C Radiation therapy planning.. 0.00 0.00 0.00 0.00 XXX N
77300... .................. A Radiation therapy dose plan. 0.62 1.56 0.12 2.30 XXX N
77300... 26 A Radiation therapy dose plan. 0.62 0.28 0.04 0.94 XXX N
77300... TC A Radiation therapy dose plan. 0.00 1.28 0.08 1.36 XXX N
[[Page 63283]]
77305... .................. A Radiation therapy dose plan. 0.70 2.09 0.17 2.96 XXX N
77305... 26 A Radiation therapy dose plan. 0.70 0.32 0.05 1.07 XXX N
77305... TC A Radiation therapy dose plan. 0.00 1.77 0.12 1.89 XXX N
77310... .................. A Radiation therapy dose plan. 1.05 2.68 0.22 3.95 XXX N
77310... 26 A Radiation therapy dose plan. 1.05 0.46 0.07 1.58 XXX N
77310... TC A Radiation therapy dose plan. 0.00 2.22 0.15 2.37 XXX N
77315... .................. A Radiation therapy dose plan. 1.56 3.23 0.28 5.07 XXX N
77315... 26 A Radiation therapy dose plan. 1.56 0.70 0.11 2.37 XXX N
77315... TC A Radiation therapy dose plan. 0.00 2.53 0.17 2.70 XXX N
77321... .................. A Radiation therapy port plan. 0.95 4.28 0.30 5.53 XXX N
77321... 26 A Radiation therapy port plan. 0.95 0.43 0.06 1.44 XXX N
77321... TC A Radiation therapy port plan. 0.00 3.85 0.24 4.09 XXX N
77326... .................. A Radiation therapy dose plan. 0.93 2.67 0.21 3.81 XXX N
77326... 26 A Radiation therapy dose plan. 0.93 0.42 0.06 1.41 XXX N
77326... TC A Radiation therapy dose plan. 0.00 2.25 0.15 2.40 XXX N
77327... .................. A Radiation therapy dose plan. 1.39 3.93 0.30 5.62 XXX N
77327... 26 A Radiation therapy dose plan. 1.39 0.62 0.09 2.10 XXX N
77327... TC A Radiation therapy dose plan. 0.00 3.31 0.21 3.52 XXX N
77328... .................. A Radiation therapy dose plan. 2.09 5.66 0.44 8.19 XXX N
77328... 26 A Radiation therapy dose plan. 2.09 0.93 0.14 3.16 XXX N
77328... TC A Radiation therapy dose plan. 0.00 4.73 0.30 5.03 XXX N
77331... .................. A Special radiation dosimetry. 0.87 0.87 0.09 1.83 XXX N
77331... 26 A Special radiation dosimetry. 0.87 0.39 0.06 1.32 XXX N
77331... TC A Special radiation dosimetry. 0.00 0.48 0.03 0.51 XXX N
77332... .................. A Radiation treatment aid(s).. 0.54 1.53 0.12 2.19 XXX N
77332... 26 A Radiation treatment aid(s).. 0.54 0.25 0.04 0.83 XXX N
77332... TC A Radiation treatment aid(s).. 0.00 1.28 0.08 1.36 XXX N
77333... .................. A Radiation treatment aid(s).. 0.84 2.19 0.18 3.21 XXX N
77333... 26 A Radiation treatment aid(s).. 0.84 0.38 0.06 1.28 XXX N
77333... TC A Radiation treatment aid(s).. 0.00 1.81 0.12 1.93 XXX N
77334... .................. A Radiation treatment aid(s).. 1.24 3.64 0.27 5.15 XXX N
77334... 26 A Radiation treatment aid(s).. 1.24 0.54 0.08 1.86 XXX N
77334... TC A Radiation treatment aid(s).. 0.00 3.10 0.19 3.29 XXX N
77336... .................. A Radiation physics consult... 0.00 2.84 0.18 3.02 XXX N
77370... .................. A Radiation physics consult... 0.00 3.33 0.21 3.54 XXX N
77399... .................. C External radiation dosimetry 0.00 0.00 0.00 0.00 XXX N
77399... 26 C External radiation dosimetry 0.00 0.00 0.00 0.00 XXX N
77399... TC C External radiation dosimetry 0.00 0.00 0.00 0.00 XXX N
77401... .................. A Radiation treatment delivery 0.00 1.69 0.11 1.80 XXX N
77402... .................. A Radiation treatment delivery 0.00 1.69 0.11 1.80 XXX N
77403... .................. A Radiation treatment delivery 0.00 1.69 0.11 1.80 XXX N
77404... .................. A Radiation treatment delivery 0.00 1.69 0.11 1.80 XXX N
77406... .................. A Radiation treatment delivery 0.00 1.69 0.11 1.80 XXX N
77407... .................. A Radiation treatment delivery 0.00 1.99 0.13 2.12 XXX N
77408... .................. A Radiation treatment delivery 0.00 1.99 0.13 2.12 XXX N
77409... .................. A Radiation treatment delivery 0.00 1.99 0.13 2.12 XXX N
77411... .................. A Radiation treatment delivery 0.00 1.99 0.13 2.12 XXX N
77412... .................. A Radiation treatment delivery 0.00 2.22 0.15 2.37 XXX N
77413... .................. A Radiation treatment delivery 0.00 2.22 0.15 2.37 XXX N
77414... .................. A Radiation treatment delivery 0.00 2.22 0.15 2.37 XXX N
77416... .................. A Radiation treatment delivery 0.00 2.22 0.15 2.37 XXX N
77417... .................. A Radiology port film(s)...... 0.00 0.56 0.04 0.60 XXX N
77419... .................. A Weekly radiation therapy.... 3.60 1.61 0.23 5.44 XXX N
77420... .................. A Weekly radiation therapy.... 1.61 0.72 0.11 2.44 XXX N
77425... .................. A Weekly radiation therapy.... 2.44 1.10 0.17 3.71 XXX N
77430... .................. A Weekly radiation therapy.... 3.60 1.61 0.23 5.44 XXX N
77431... .................. A Radiation therapy management 1.81 0.81 0.12 2.74 XXX N
77432... .................. A Stereotactic radiation trmt. 7.93 4.94 0.40 13.27 XXX N
77470... .................. A Special radiation treatment. 2.09 11.55 0.80 14.44 XXX N
77470... 26 A Special radiation treatment. 2.09 0.93 0.14 3.16 XXX N
77470... TC A Special radiation treatment. 0.00 10.62 0.66 11.28 XXX N
77499... .................. C Radiation therapy management 0.00 0.00 0.00 0.00 XXX N
77499... 26 C Radiation therapy management 0.00 0.00 0.00 0.00 XXX N
77499... TC C Radiation therapy management 0.00 0.00 0.00 0.00 XXX N
77600... .................. A Hyperthermia treatment...... 1.56 3.60 0.29 5.45 ZZZ N
77600... 26 A Hyperthermia treatment...... 1.56 0.70 0.11 2.37 ZZZ N
[[Page 63284]]
77600... TC A Hyperthermia treatment...... 0.00 2.90 0.18 3.08 ZZZ N
77605... .................. A Hyperthermia treatment...... 2.09 4.80 0.39 7.28 ZZZ N
77605... 26 A Hyperthermia treatment...... 2.09 0.93 0.14 3.16 ZZZ N
77605... TC A Hyperthermia treatment...... 0.00 3.87 0.25 4.12 ZZZ N
77610... .................. A Hyperthermia treatment...... 1.56 3.60 0.29 5.45 ZZZ N
77610... 26 A Hyperthermia treatment...... 1.56 0.70 0.11 2.37 ZZZ N
77610... TC A Hyperthermia treatment...... 0.00 2.90 0.18 3.08 ZZZ N
77615... .................. A Hyperthermia treatment...... 2.09 4.80 0.39 7.28 ZZZ N
77615... 26 A Hyperthermia treatment...... 2.09 0.93 0.14 3.16 ZZZ N
77615... TC A Hyperthermia treatment...... 0.00 3.87 0.25 4.12 ZZZ N
77620... .................. A Hyperthermia treatment...... 1.56 3.60 0.29 5.45 ZZZ N
77620... 26 A Hyperthermia treatment...... 1.56 0.70 0.11 2.37 ZZZ N
77620... TC A Hyperthermia treatment...... 0.00 2.90 0.18 3.08 ZZZ N
77750... .................. A Infuse radioactive materials 4.59 3.32 0.38 8.29 090 N
77750... 26 A Infuse radioactive materials 4.59 2.05 0.30 6.94 090 N
77750... TC A Infuse radioactive materials 0.00 1.27 0.08 1.35 090 N
77761... .................. A Radioelement application.... 3.56 3.98 0.39 7.93 090 N
77761... 26 A Radioelement application.... 3.56 1.59 0.23 5.38 090 N
77761... TC A Radioelement application.... 0.00 2.39 0.16 2.55 090 N
77762... .................. A Radioelement application.... 5.35 5.83 0.57 11.75 090 N
77762... 26 A Radioelement application.... 5.35 2.39 0.35 8.09 090 N
77762... TC A Radioelement application.... 0.00 3.44 0.22 3.66 090 N
77763... .................. A Radioelement application.... 8.01 7.86 0.77 16.64 090 N
77763... 26 A Radioelement application.... 8.01 3.58 0.50 12.09 090 N
77763... TC A Radioelement application.... 0.00 4.28 0.27 4.55 090 N
77776... .................. A Radioelement application.... 4.66 4.16 0.45 9.27 XXX N
77776... 26 A Radioelement application.... 4.66 2.09 0.31 7.06 XXX N
77776... TC A Radioelement application.... 0.00 2.07 0.14 2.21 XXX N
77777... .................. A Radioelement application.... 6.99 7.17 0.71 14.87 090 N
77777... 26 A Radioelement application.... 6.99 3.13 0.45 10.57 090 N
77777... TC A Radioelement application.... 0.00 4.04 0.26 4.30 090 N
77778... .................. A Radioelement application.... 10.46 9.58 0.98 21.02 090 N
77778... 26 A Radioelement application.... 10.46 4.69 0.67 15.82 090 N
77778... TC A Radioelement application.... 0.00 4.89 0.31 5.20 090 N
77781... .................. A High intensity brachytherapy 1.55 20.04 1.32 22.91 090 N
77781... 26 A High intensity brachytherapy 1.55 0.69 0.11 2.35 090 N
77781... TC A High intensity brachytherapy 0.00 19.35 1.21 20.56 090 N
77782... .................. A High intensity brachytherapy 2.33 20.40 1.37 24.10 090 N
77782... 26 A High intensity brachytherapy 2.33 1.05 0.16 3.54 090 N
77782... TC A High intensity brachytherapy 0.00 19.35 1.21 20.56 090 N
77783... .................. A High intensity brachytherapy 3.49 20.90 1.44 25.83 090 N
77783... 26 A High intensity brachytherapy 3.49 1.55 0.23 5.27 090 N
77783... TC A High intensity brachytherapy 0.00 19.35 1.21 20.56 090 N
77784... .................. A High intensity brachytherapy 5.24 21.69 1.56 28.49 090 N
77784... 26 A High intensity brachytherapy 5.24 2.34 0.35 7.93 090 N
77784... TC A High intensity brachytherapy 0.00 19.35 1.21 20.56 090 N
77789... .................. A Radioelement application.... 1.05 0.89 0.10 2.04 090 N
77789... 26 A Radioelement application.... 1.05 0.46 0.07 1.58 090 N
77789... TC A Radioelement application.... 0.00 0.43 0.03 0.46 090 N
77790... .................. A Radioelement handling....... 1.05 0.94 0.10 2.09 XXX N
77790... 26 A Radioelement handling....... 1.05 0.46 0.07 1.58 XXX N
77790... TC A Radioelement handling....... 0.00 0.48 0.03 0.51 XXX N
77799... .................. C Radium/radioisotope therapy. 0.00 0.00 0.00 0.00 XXX N
77799... 26 C Radium/radioisotope therapy. 0.00 0.00 0.00 0.00 XXX N
77799... TC C Radium/radioisotope therapy. 0.00 0.00 0.00 0.00 XXX N
78000... .................. A Thyroid, single uptake...... 0.19 1.01 0.07 1.27 XXX N
78000... 26 A Thyroid, single uptake...... 0.19 0.09 0.01 0.29 XXX N
78000... TC A Thyroid, single uptake...... 0.00 0.92 0.06 0.98 XXX N
78001... .................. A Thyroid, multiple uptakes... 0.26 1.36 0.10 1.72 XXX N
78001... 26 A Thyroid, multiple uptakes... 0.26 0.12 0.02 0.40 XXX N
78001... TC A Thyroid, multiple uptakes... 0.00 1.24 0.08 1.32 XXX N
78003... .................. A Thyroid suppress/stimul..... 0.33 1.07 0.08 1.48 XXX N
78003... 26 A Thyroid suppress/stimul..... 0.33 0.15 0.02 0.50 XXX N
78003... TC A Thyroid suppress/stimul..... 0.00 0.92 0.06 0.98 XXX N
78006... .................. A Thyroid, imaging with uptake 0.49 2.49 0.18 3.16 XXX N
78006... 26 A Thyroid, imaging with uptake 0.49 0.22 0.03 0.74 XXX N
[[Page 63285]]
78006... TC A Thyroid, imaging with uptake 0.00 2.27 0.15 2.42 XXX N
78007... .................. A Thyroid, image, mult uptakes 0.50 2.68 0.19 3.37 XXX N
78007... 26 A Thyroid, image, mult uptakes 0.50 0.23 0.03 0.76 XXX N
78007... TC A Thyroid, image, mult uptakes 0.00 2.45 0.16 2.61 XXX N
78010... .................. A Thyroid imaging............. 0.39 1.90 0.14 2.43 XXX N
78010... 26 A Thyroid imaging............. 0.39 0.17 0.03 0.59 XXX N
78010... TC A Thyroid imaging............. 0.00 1.73 0.11 1.84 XXX N
78011... .................. A Thyroid imaging with flow... 0.45 2.50 0.18 3.13 XXX N
78011... 26 A Thyroid imaging with flow... 0.45 0.21 0.03 0.69 XXX N
78011... TC A Thyroid imaging with flow... 0.00 2.29 0.15 2.44 XXX N
78015... .................. A Thyroid met imaging......... 0.67 2.76 0.21 3.64 XXX N
78015... 26 A Thyroid met imaging......... 0.67 0.31 0.05 1.03 XXX N
78015... TC A Thyroid met imaging......... 0.00 2.45 0.16 2.61 XXX N
78016... .................. A Thyroid met imaging/studies. 0.82 3.70 0.27 4.79 XXX N
78016... 26 A Thyroid met imaging/studies. 0.82 0.38 0.06 1.26 XXX N
78016... TC A Thyroid met imaging/studies. 0.00 3.32 0.21 3.53 XXX N
78017... .................. A Thyroid met imaging, mult... 0.87 3.94 0.28 5.09 XXX N
78017... 26 A Thyroid met imaging, mult... 0.87 0.39 0.06 1.32 XXX N
78017... TC A Thyroid met imaging, mult... 0.00 3.55 0.22 3.77 XXX N
78018... .................. A Thyroid, met imaging, body.. 0.95 5.60 0.39 6.94 XXX N
78018... 26 A Thyroid, met imaging, body.. 0.95 0.43 0.06 1.44 XXX N
78018... TC A Thyroid, met imaging, body.. 0.00 5.17 0.33 5.50 XXX N
78070... .................. A Parathyroid nuclear imaging. 0.51 1.96 0.15 2.62 XXX N
78070... 26 A Parathyroid nuclear imaging. 0.51 0.23 0.04 0.78 XXX N
78070... TC A Parathyroid nuclear imaging. 0.00 1.73 0.11 1.84 XXX N
78075... .................. A Adrenal nuclear imaging..... 0.74 5.51 0.38 6.63 XXX N
78075... 26 A Adrenal nuclear imaging..... 0.74 0.34 0.05 1.13 XXX N
78075... TC A Adrenal nuclear imaging..... 0.00 5.17 0.33 5.50 XXX N
78099... .................. C Endocrine nuclear procedure. 0.00 0.00 0.00 0.00 XXX N
78099... 26 C Endocrine nuclear procedure. 0.00 0.00 0.00 0.00 XXX N
78099... TC C Endocrine nuclear procedure. 0.00 0.00 0.00 0.00 XXX N
78102... .................. A Bone marrow imaging, ltd.... 0.55 2.19 0.17 2.91 XXX N
78102... 26 A Bone marrow imaging, ltd.... 0.55 0.25 0.04 0.84 XXX N
78102... TC A Bone marrow imaging, ltd.... 0.00 1.94 0.13 2.07 XXX N
78103... .................. A Bone marrow imaging, mult... 0.75 3.36 0.24 4.35 XXX N
78103... 26 A Bone marrow imaging, mult... 0.75 0.34 0.05 1.14 XXX N
78103... TC A Bone marrow imaging, mult... 0.00 3.02 0.19 3.21 XXX N
78104... .................. A Bone marrow imaging, body... 0.80 4.25 0.30 5.35 XXX N
78104... 26 A Bone marrow imaging, body... 0.80 0.37 0.05 1.22 XXX N
78104... TC A Bone marrow imaging, body... 0.00 3.88 0.25 4.13 XXX N
78110... .................. A Plasma volume, single....... 0.19 0.99 0.07 1.25 XXX N
78110... 26 A Plasma volume, single....... 0.19 0.09 0.01 0.29 XXX N
78110... TC A Plasma volume, single....... 0.00 0.90 0.06 0.96 XXX N
78111... .................. A Plasma volume, multiple..... 0.22 2.55 0.18 2.95 XXX N
78111... 26 A Plasma volume, multiple..... 0.22 0.10 0.02 0.34 XXX N
78111... TC A Plasma volume, multiple..... 0.00 2.45 0.16 2.61 XXX N
78120... .................. A Red cell mass, single....... 0.23 1.76 0.13 2.12 XXX N
78120... 26 A Red cell mass, single....... 0.23 0.11 0.02 0.36 XXX N
78120... TC A Red cell mass, single....... 0.00 1.65 0.11 1.76 XXX N
78121... .................. A Red cell mass, multiple..... 0.32 2.92 0.19 3.43 XXX N
78121... 26 A Red cell mass, multiple..... 0.32 0.15 0.02 0.49 XXX N
78121... TC A Red cell mass, multiple..... 0.00 2.77 0.17 2.94 XXX N
78122... .................. A Blood volume................ 0.45 4.59 0.31 5.35 XXX N
78122... 26 A Blood volume................ 0.45 0.20 0.03 0.68 XXX N
78122... TC A Blood volume................ 0.00 4.39 0.28 4.67 XXX N
78130... .................. A Red cell survival study..... 0.61 3.00 0.21 3.82 XXX N
78130... 26 A Red cell survival study..... 0.61 0.28 0.04 0.93 XXX N
78130... TC A Red cell survival study..... 0.00 2.72 0.17 2.89 XXX N
78135... .................. A Red cell survival kinetics.. 0.64 4.93 0.34 5.91 XXX N
78135... 26 A Red cell survival kinetics.. 0.64 0.29 0.04 0.97 XXX N
78135... TC A Red cell survival kinetics.. 0.00 4.64 0.30 4.94 XXX N
78140... .................. A Red cell sequestration...... 0.61 4.03 0.28 4.92 XXX N
78140... 26 A Red cell sequestration...... 0.61 0.28 0.04 0.93 XXX N
78140... TC A Red cell sequestration...... 0.00 3.75 0.24 3.99 XXX N
78160... .................. A Plasma iron turnover........ 0.33 3.64 0.24 4.21 XXX N
78160... 26 A Plasma iron turnover........ 0.33 0.15 0.02 0.50 XXX N
[[Page 63286]]
78160... TC A Plasma iron turnover........ 0.00 3.49 0.22 3.71 XXX N
78162... .................. A Iron absorption exam........ 0.45 3.25 0.22 3.92 XXX N
78162... 26 A Iron absorption exam........ 0.45 0.20 0.03 0.68 XXX N
78162... TC A Iron absorption exam........ 0.00 3.05 0.19 3.24 XXX N
78170... .................. A Red cell iron utilization... 0.41 5.24 0.35 6.00 XXX N
78170... 26 A Red cell iron utilization... 0.41 0.18 0.03 0.62 XXX N
78170... TC A Red cell iron utilization... 0.00 5.06 0.32 5.38 XXX N
78172... .................. C Total body iron estimation.. 0.00 0.00 0.00 0.00 XXX N
78172... 26 A Total body iron estimation.. 0.53 0.25 0.04 0.82 XXX N
78172... TC C Total body iron estimation.. 0.00 0.00 0.00 0.00 XXX N
78185... .................. A Spleen imaging.............. 0.40 2.43 0.18 3.01 XXX N
78185... 26 A Spleen imaging.............. 0.40 0.18 0.03 0.61 XXX N
78185... TC A Spleen imaging.............. 0.00 2.25 0.15 2.40 XXX N
78190... .................. A Platelet survival, kinetics. 1.09 5.93 0.42 7.44 XXX N
78190... 26 A Platelet survival, kinetics. 1.09 0.48 0.07 1.64 XXX N
78190... TC A Platelet survival, kinetics. 0.00 5.45 0.35 5.80 XXX N
78191... .................. A Platelet survival........... 0.61 7.27 0.48 8.36 XXX N
78191... 26 A Platelet survival........... 0.61 0.28 0.04 0.93 XXX N
78191... TC A Platelet survival........... 0.00 6.99 0.44 7.43 XXX N
78195... .................. A Lymph system imaging........ 0.70 4.20 0.30 5.20 XXX N
78195... 26 A Lymph system imaging........ 0.70 0.32 0.05 1.07 XXX N
78195... TC A Lymph system imaging........ 0.00 3.88 0.25 4.13 XXX N
78199... .................. C Blood/lymph nuclear exam.... 0.00 0.00 0.00 0.00 XXX N
78199... 26 C Blood/lymph nuclear exam.... 0.00 0.00 0.00 0.00 XXX N
78199... TC C Blood/lymph nuclear exam.... 0.00 0.00 0.00 0.00 XXX N
78201... .................. A Liver imaging............... 0.44 2.44 0.18 3.06 XXX N
78201... 26 A Liver imaging............... 0.44 0.19 0.03 0.66 XXX N
78201... TC A Liver imaging............... 0.00 2.25 0.15 2.40 XXX N
78202... .................. A Liver imaging with flow..... 0.51 2.98 0.21 3.70 XXX N
78202... 26 A Liver imaging with flow..... 0.51 0.23 0.04 0.78 XXX N
78202... TC A Liver imaging with flow..... 0.00 2.75 0.17 2.92 XXX N
78205... .................. A Liver imaging (3D).......... 0.71 5.96 0.41 7.08 XXX N
78205... 26 A Liver imaging (3D).......... 0.71 0.33 0.05 1.09 XXX N
78205... TC A Liver imaging (3D).......... 0.00 5.63 0.36 5.99 XXX N
78215... .................. A Liver and spleen imaging.... 0.49 3.02 0.20 3.71 XXX N
78215... 26 A Liver and spleen imaging.... 0.49 0.22 0.03 0.74 XXX N
78215... TC A Liver and spleen imaging.... 0.00 2.80 0.17 2.97 XXX N
78216... .................. A Liver & spleen image, flow.. 0.57 3.58 0.25 4.40 XXX N
78216... 26 A Liver & spleen image, flow.. 0.57 0.26 0.04 0.87 XXX N
78216... TC A Liver & spleen image, flow.. 0.00 3.32 0.21 3.53 XXX N
78220... .................. A Liver function study........ 0.49 3.77 0.25 4.51 XXX N
78220... 26 A Liver function study........ 0.49 0.22 0.03 0.74 XXX N
78220... TC A Liver function study........ 0.00 3.55 0.22 3.77 XXX N
78223... .................. A Hepatobiliary imaging....... 0.84 3.87 0.28 4.99 XXX N
78223... 26 A Hepatobiliary imaging....... 0.84 0.38 0.06 1.28 XXX N
78223... TC A Hepatobiliary imaging....... 0.00 3.49 0.22 3.71 XXX N
78230... .................. A Salivary gland imaging...... 0.45 2.28 0.17 2.90 XXX N
78230... 26 A Salivary gland imaging...... 0.45 0.21 0.03 0.69 XXX N
78230... TC A Salivary gland imaging...... 0.00 2.07 0.14 2.21 XXX N
78231... .................. A Serial salivary imaging..... 0.52 3.26 0.23 4.01 XXX N
78231... 26 A Serial salivary imaging..... 0.52 0.24 0.04 0.80 XXX N
78231... TC A Serial salivary imaging..... 0.00 3.02 0.19 3.21 XXX N
78232... .................. A Salivary gland function exam 0.47 3.59 0.24 4.30 XXX N
78232... 26 A Salivary gland function exam 0.47 0.22 0.03 0.72 XXX N
78232... TC A Salivary gland function exam 0.00 3.37 0.21 3.58 XXX N
78258... .................. A Esophageal motility study... 0.74 3.09 0.22 4.05 XXX N
78258... 26 A Esophageal motility study... 0.74 0.34 0.05 1.13 XXX N
78258... TC A Esophageal motility study... 0.00 2.75 0.17 2.92 XXX N
78261... .................. A Gastric mucosa imaging...... 0.69 4.23 0.30 5.22 XXX N
78261... 26 A Gastric mucosa imaging...... 0.69 0.32 0.05 1.06 XXX N
78261... TC A Gastric mucosa imaging...... 0.00 3.91 0.25 4.16 XXX N
78262... .................. A Gastroesophageal reflux exam 0.68 4.36 0.31 5.35 XXX N
78262... 26 A Gastroesophageal reflux exam 0.68 0.31 0.05 1.04 XXX N
78262... TC A Gastroesophageal reflux exam 0.00 4.05 0.26 4.31 XXX N
78264... .................. A Gastric emptying study...... 0.78 4.29 0.30 5.37 XXX N
78264... 26 A Gastric emptying study...... 0.78 0.36 0.05 1.19 XXX N
[[Page 63287]]
78264... TC A Gastric emptying study...... 0.00 3.93 0.25 4.18 XXX N
78270... .................. A Vit B-12 absorption exam.... 0.20 1.57 0.11 1.88 XXX N
78270... 26 A Vit B-12 absorption exam.... 0.20 0.10 0.01 0.31 XXX N
78270... TC A Vit B-12 absorption exam.... 0.00 1.47 0.10 1.57 XXX N
78271... .................. A Vit B-12 absorp exam, IF.... 0.20 1.67 0.11 1.98 XXX N
78271... 26 A Vit B-12 absorp exam, IF.... 0.20 0.10 0.01 0.31 XXX N
78271... TC A Vit B-12 absorp exam, IF.... 0.00 1.57 0.10 1.67 XXX N
78272... .................. A Vit B-12 absorp, combined... 0.27 2.34 0.17 2.78 XXX N
78272... 26 A Vit B-12 absorp, combined... 0.27 0.13 0.02 0.42 XXX N
78272... TC A Vit B-12 absorp, combined... 0.00 2.21 0.15 2.36 XXX N
78278... .................. A Acute GI blood loss imaging. 0.99 5.09 0.37 6.45 XXX N
78278... 26 A Acute GI blood loss imaging. 0.99 0.45 0.07 1.51 XXX N
78278... TC A Acute GI blood loss imaging. 0.00 4.64 0.30 4.94 XXX N
78282... .................. C GI protein loss exam........ 0.00 0.00 0.00 0.00 XXX N
78282... 26 A GI protein loss exam........ 0.38 0.17 0.03 0.58 XXX N
78282... TC C GI protein loss exam........ 0.00 0.00 0.00 0.00 XXX N
78290... .................. A Meckel's divert exam........ 0.68 3.21 0.23 4.12 XXX N
78290... 26 A Meckel's divert exam........ 0.68 0.31 0.05 1.04 XXX N
78290... TC A Meckel's divert exam........ 0.00 2.90 0.18 3.08 XXX N
78291... .................. A Leveen/shunt patency exam... 0.88 3.31 0.24 4.43 XXX N
78291... 26 A Leveen/shunt patency exam... 0.88 0.39 0.06 1.33 XXX N
78291... TC A Leveen/shunt patency exam... 0.00 2.92 0.18 3.10 XXX N
78299... .................. C GI nuclear procedure........ 0.00 0.00 0.00 0.00 XXX N
78299... 26 C GI nuclear procedure........ 0.00 0.00 0.00 0.00 XXX N
78299... TC C GI nuclear procedure........ 0.00 0.00 0.00 0.00 XXX N
78300... .................. A Bone imaging, limited area.. 0.62 2.66 0.20 3.48 XXX N
78300... 26 A Bone imaging, limited area.. 0.62 0.29 0.04 0.95 XXX N
78300... TC A Bone imaging, limited area.. 0.00 2.37 0.16 2.53 XXX N
78305... .................. A Bone imaging, multiple areas 0.83 3.87 0.28 4.98 XXX N
78305... 26 A Bone imaging, multiple areas 0.83 0.38 0.06 1.27 XXX N
78305... TC A Bone imaging, multiple areas 0.00 3.49 0.22 3.71 XXX N
78306... .................. A Bone imaging, whole body.... 0.86 4.46 0.32 5.64 XXX N
78306... 26 A Bone imaging, whole body.... 0.86 0.39 0.06 1.31 XXX N
78306... TC A Bone imaging, whole body.... 0.00 4.07 0.26 4.33 XXX N
78315... .................. A Bone imaging, 3 phase....... 1.02 5.00 0.36 6.38 XXX N
78315... 26 A Bone imaging, 3 phase....... 1.02 0.45 0.07 1.54 XXX N
78315... TC A Bone imaging, 3 phase....... 0.00 4.55 0.29 4.84 XXX N
78320... .................. A Bone imaging (3D)........... 1.04 6.09 0.43 7.56 XXX N
78320... 26 A Bone imaging (3D)........... 1.04 0.46 0.07 1.57 XXX N
78320... TC A Bone imaging (3D)........... 0.00 5.63 0.36 5.99 XXX N
78350... .................. A Bone mineral, single photon. 0.22 0.82 0.07 1.11 XXX N
78350... 26 A Bone mineral, single photon. 0.22 0.10 0.02 0.34 XXX N
78350... TC A Bone mineral, single photon. 0.00 0.72 0.05 0.77 XXX N
78351... .................. N Bone mineral, dual photon... #0.30 0.19 0.02 0.51 XXX 0
78399... .................. C Musculoskeletal nuclear exam 0.00 0.00 0.00 0.00 XXX N
78399... 26 C Musculoskeletal nuclear exam 0.00 0.00 0.00 0.00 XXX N
78399... TC C Musculoskeletal nuclear exam 0.00 0.00 0.00 0.00 XXX N
78414... .................. C Non-imaging heart function.. 0.00 0.00 0.00 0.00 XXX N
78414... 26 A Non-imaging heart function.. 0.45 0.20 0.03 0.68 XXX N
78414... TC C Non-imaging heart function.. 0.00 0.00 0.00 0.00 XXX N
78428... .................. A Cardiac shunt imaging....... 0.78 2.51 0.19 3.48 XXX N
78428... 26 A Cardiac shunt imaging....... 0.78 0.36 0.05 1.19 XXX N
78428... TC A Cardiac shunt imaging....... 0.00 2.15 0.14 2.29 XXX N
78445... .................. A Vascular flow imaging....... 0.49 2.01 0.15 2.65 XXX N
78445... 26 A Vascular flow imaging....... 0.49 0.24 0.04 0.77 XXX N
78445... TC A Vascular flow imaging....... 0.00 1.77 0.11 1.88 XXX N
78455... .................. A Venous thrombosis study..... 0.73 4.13 0.29 5.15 XXX N
78455... 26 A Venous thrombosis study..... 0.73 0.33 0.05 1.11 XXX N
78455... TC A Venous thrombosis study..... 0.00 3.80 0.24 4.04 XXX N
78457... .................. A Venous thrombosis imaging... 0.77 2.88 0.22 3.87 XXX N
78457... 26 A Venous thrombosis imaging... 0.77 0.35 0.05 1.17 XXX N
78457... TC A Venous thrombosis imaging... 0.00 2.53 0.17 2.70 XXX N
78458... .................. A Ven thrombosis images, bilat 0.90 4.23 0.30 5.43 XXX N
78458... 26 A Ven thrombosis images, bilat 0.90 0.40 0.06 1.36 XXX N
78458... TC A Ven thrombosis images, bilat 0.00 3.83 0.24 4.07 XXX N
78459... .................. G Heart muscle imaging (PET).. 0.00 0.00 0.00 0.00 XXX 0
[[Page 63288]]
78459... 26 G Heart muscle imaging (PET).. #1.88 1.34 0.10 3.32 XXX 0
78459... TC G Heart muscle imaging (PET).. 0.00 0.00 0.00 0.00 XXX 0
78460... .................. A Heart muscle blood single... 0.86 2.64 0.21 3.71 XXX N
78460... 26 A Heart muscle blood single... 0.86 0.39 0.06 1.31 XXX N
78460... TC A Heart muscle blood single... 0.00 2.25 0.15 2.40 XXX N
78461... .................. A Heart muscle blood multiple. 1.23 5.04 0.37 6.64 XXX N
78461... 26 A Heart muscle blood multiple. 1.23 0.54 0.08 1.85 XXX N
78461... TC A Heart muscle blood multiple. 0.00 4.50 0.29 4.79 XXX N
78464... .................. A Heart image (3D) single..... 1.09 7.22 0.50 8.81 XXX N
78464... 26 A Heart image (3D) single..... 1.09 0.48 0.07 1.64 XXX N
78464... TC A Heart image (3D) single..... 0.00 6.74 0.43 7.17 XXX N
78465... .................. A Heart image (3D) multiple... 1.46 11.89 0.80 14.15 XXX N
78465... 26 A Heart image (3D) multiple... 1.46 0.65 0.10 2.21 XXX N
78465... TC A Heart image (3D) multiple... 0.00 11.24 0.70 11.94 XXX N
78466... .................. A Heart infarct image......... 0.69 2.82 0.22 3.73 XXX N
78466... 26 A Heart infarct image......... 0.69 0.32 0.05 1.06 XXX N
78466... TC A Heart infarct image......... 0.00 2.50 0.17 2.67 XXX N
78468... .................. A Heart infarct image, EF..... 0.80 3.85 0.27 4.92 XXX N
78468... 26 A Heart infarct image, EF..... 0.80 0.36 0.05 1.21 XXX N
78468... TC A Heart infarct image, EF..... 0.00 3.49 0.22 3.71 XXX N
78469... .................. A Heart infarct image (3D).... 0.92 5.39 0.38 6.69 XXX N
78469... 26 A Heart infarct image (3D).... 0.92 0.41 0.06 1.39 XXX N
78469... TC A Heart infarct image (3D).... 0.00 4.98 0.32 5.30 XXX N
78472... .................. A Gated heart, resting........ 0.98 5.69 0.41 7.08 XXX N
78472... 26 A Gated heart, resting........ 0.98 0.44 0.07 1.49 XXX N
78472... TC A Gated heart, resting........ 0.00 5.25 0.34 5.59 XXX N
78473... .................. A Gated heart, multiple....... 1.47 8.52 0.59 10.58 XXX N
78473... 26 A Gated heart, multiple....... 1.47 0.65 0.10 2.22 XXX N
78473... TC A Gated heart, multiple....... 0.00 7.87 0.49 8.36 XXX N
78478... .................. A Heart wall motion (add-on).. 0.62 1.76 0.14 2.52 XXX N
78478... 26 A Heart wall motion (add-on).. 0.62 0.28 0.04 0.94 XXX N
78478... TC A Heart wall motion (add-on).. 0.00 1.48 0.10 1.58 XXX N
78480... .................. A Heart function, (add-on).... 0.62 1.76 0.14 2.52 XXX N
78480... 26 A Heart function, (add-on).... 0.62 0.28 0.04 0.94 XXX N
78480... TC A Heart function, (add-on).... 0.00 1.48 0.10 1.58 XXX N
78481... .................. A Heart first pass single..... 0.98 5.42 0.39 6.79 XXX N
78481... 26 A Heart first pass single..... 0.98 0.44 0.07 1.49 XXX N
78481... TC A Heart first pass single..... 0.00 4.98 0.32 5.30 XXX N
78483... .................. A Heart first pass multiple... 1.47 8.15 0.57 10.19 XXX N
78483... 26 A Heart first pass multiple... 1.47 0.65 0.10 2.22 XXX N
78483... TC A Heart first pass multiple... 0.00 7.50 0.47 7.97 XXX N
78499... .................. C Cardiovascular nuclear exam. 0.00 0.00 0.00 0.00 XXX N
78499... 26 C Cardiovascular nuclear exam. 0.00 0.00 0.00 0.00 XXX N
78499... TC C Cardiovascular nuclear exam. 0.00 0.00 0.00 0.00 XXX N
78580... .................. A Lung perfusion imaging...... 0.74 3.61 0.26 4.61 XXX N
78580... 26 A Lung perfusion imaging...... 0.74 0.34 0.05 1.13 XXX N
78580... TC A Lung perfusion imaging...... 0.00 3.27 0.21 3.48 XXX N
78584... .................. A Lung V/Q image single breath 0.99 3.50 0.26 4.75 XXX N
78584... 26 A Lung V/Q image single breath 0.99 0.45 0.07 1.51 XXX N
78584... TC A Lung V/Q image single breath 0.00 3.05 0.19 3.24 XXX N
78585... .................. A Lung V/Q imaging............ 1.09 5.85 0.41 7.35 XXX N
78585... 26 A Lung V/Q imaging............ 1.09 0.48 0.07 1.64 XXX N
78585... TC A Lung V/Q imaging............ 0.00 5.37 0.34 5.71 XXX N
78586... .................. A Aerosol lung image, single.. 0.40 2.65 0.19 3.24 XXX N
78586... 26 A Aerosol lung image, single.. 0.40 0.18 0.03 0.61 XXX N
78586... TC A Aerosol lung image, single.. 0.00 2.47 0.16 2.63 XXX N
78587... .................. A Aerosol lung image, multiple 0.49 2.89 0.20 3.58 XXX N
78587... 26 A Aerosol lung image, multiple 0.49 0.22 0.03 0.74 XXX N
78587... TC A Aerosol lung image, multiple 0.00 2.67 0.17 2.84 XXX N
78591... .................. A Vent image, 1 breath, 1 proj 0.40 2.90 0.20 3.50 XXX N
78591... 26 A Vent image, 1 breath, 1 proj 0.40 0.18 0.03 0.61 XXX N
78591... TC A Vent image, 1 breath, 1 proj 0.00 2.72 0.17 2.89 XXX N
78593... .................. A Vent image, 1 proj, gas..... 0.49 3.51 0.24 4.24 XXX N
78593... 26 A Vent image, 1 proj, gas..... 0.49 0.22 0.03 0.74 XXX N
78593... TC A Vent image, 1 proj, gas..... 0.00 3.29 0.21 3.50 XXX N
78594... .................. A Vent image, mult proj, gas.. 0.53 5.00 0.34 5.87 XXX N
[[Page 63289]]
78594... 26 A Vent image, mult proj, gas.. 0.53 0.25 0.04 0.82 XXX N
78594... TC A Vent image, mult proj, gas.. 0.00 4.75 0.30 5.05 XXX N
78596... .................. A Lung differential function.. 1.27 7.30 0.52 9.09 XXX N
78596... 26 A Lung differential function.. 1.27 0.56 0.09 1.92 XXX N
78596... TC A Lung differential function.. 0.00 6.74 0.43 7.17 XXX N
78599... .................. C Respiratory nuclear exam.... 0.00 0.00 0.00 0.00 XXX N
78599... 26 C Respiratory nuclear exam.... 0.00 0.00 0.00 0.00 XXX N
78599... TC C Respiratory nuclear exam.... 0.00 0.00 0.00 0.00 XXX N
78600... .................. A Brain imaging, ltd static... 0.44 2.95 0.20 3.59 XXX N
78600... 26 A Brain imaging, ltd static... 0.44 0.20 0.03 0.67 XXX N
78600... TC A Brain imaging, ltd static... 0.00 2.75 0.17 2.92 XXX N
78601... .................. A Brain ltd imaging & flow.... 0.51 3.48 0.24 4.23 XXX N
78601... 26 A Brain ltd imaging & flow.... 0.51 0.24 0.04 0.79 XXX N
78601... TC A Brain ltd imaging & flow.... 0.00 3.24 0.20 3.44 XXX N
78605... .................. A Brain imaging, complete..... 0.53 3.49 0.24 4.26 XXX N
78605... 26 A Brain imaging, complete..... 0.53 0.25 0.04 0.82 XXX N
78605... TC A Brain imaging, complete..... 0.00 3.24 0.20 3.44 XXX N
78606... .................. A Brain imaging comp & flow... 0.64 3.98 0.27 4.89 XXX N
78606... 26 A Brain imaging comp & flow... 0.64 0.29 0.04 0.97 XXX N
78606... TC A Brain imaging comp & flow... 0.00 3.69 0.23 3.92 XXX N
78607... .................. A Brain imaging (3D).......... 1.23 6.79 0.47 8.49 XXX N
78607... 26 A Brain imaging (3D).......... 1.23 0.54 0.08 1.85 XXX N
78607... TC A Brain imaging (3D).......... 0.00 6.25 0.39 6.64 XXX N
78608... .................. N Brain imaging (PET)......... 0.00 0.00 0.00 0.00 XXX 0
78609... .................. N Brain imaging (PET)......... 0.00 0.00 0.00 0.00 XXX 0
78610... .................. A Brain flow imaging only..... 0.30 1.64 0.12 2.06 XXX N
78610... 26 A Brain flow imaging only..... 0.30 0.14 0.02 0.46 XXX N
78610... TC A Brain flow imaging only..... 0.00 1.50 0.10 1.60 XXX N
78615... .................. A Cerebral blood flow imaging. 0.42 3.86 0.26 4.54 XXX N
78615... 26 A Cerebral blood flow imaging. 0.42 0.19 0.03 0.64 XXX N
78615... TC A Cerebral blood flow imaging. 0.00 3.67 0.23 3.90 XXX N
78630... .................. A Cerebrospinal fluid scan.... 0.68 5.11 0.36 6.15 XXX N
78630... 26 A Cerebrospinal fluid scan.... 0.68 0.31 0.05 1.04 XXX N
78630... TC A Cerebrospinal fluid scan.... 0.00 4.80 0.31 5.11 XXX N
78635... .................. A CSF ventriculography........ 0.61 2.70 0.20 3.51 XXX N
78635... 26 A CSF ventriculography........ 0.61 0.28 0.04 0.93 XXX N
78635... TC A CSF ventriculography........ 0.00 2.42 0.16 2.58 XXX N
78645... .................. A CSF shunt evaluation........ 0.57 3.53 0.25 4.35 XXX N
78645... 26 A CSF shunt evaluation........ 0.57 0.26 0.04 0.87 XXX N
78645... TC A CSF shunt evaluation........ 0.00 3.27 0.21 3.48 XXX N
78647... .................. A Cerebrospinal fluid scan.... 0.90 6.04 0.42 7.36 XXX N
78647... 26 A Cerebrospinal fluid scan.... 0.90 0.41 0.06 1.37 XXX N
78647... TC A Cerebrospinal fluid scan.... 0.00 5.63 0.36 5.99 XXX N
78650... .................. A CSF leakage imaging......... 0.61 4.70 0.32 5.63 XXX N
78650... 26 A CSF leakage imaging......... 0.61 0.28 0.04 0.93 XXX N
78650... TC A CSF leakage imaging......... 0.00 4.42 0.28 4.70 XXX N
78655... .................. D Nuclear exam of eye lesion.. 0.00 0.00 0.00 0.00 XXX N
78655... 26 D Nuclear exam of eye lesion.. 0.00 0.00 0.00 0.00 XXX N
78655... TC D Nuclear exam of eye lesion.. 0.00 0.00 0.00 0.00 XXX N
78660... .................. A Nuclear exam of tear flow... 0.53 2.27 0.17 2.97 XXX N
78660... 26 A Nuclear exam of tear flow... 0.53 0.25 0.04 0.82 XXX N
78660... TC A Nuclear exam of tear flow... 0.00 2.02 0.13 2.15 XXX N
78699... .................. C Nervous system nuclear exam. 0.00 0.00 0.00 0.00 XXX N
78699... 26 C Nervous system nuclear exam. 0.00 0.00 0.00 0.00 XXX N
78699... TC C Nervous system nuclear exam. 0.00 0.00 0.00 0.00 XXX N
78700... .................. A Kidney imaging, static...... 0.45 3.10 0.21 3.76 XXX N
78700... 26 A Kidney imaging, static...... 0.45 0.20 0.03 0.68 XXX N
78700... TC A Kidney imaging, static...... 0.00 2.90 0.18 3.08 XXX N
78701... .................. A Kidney imaging with flow.... 0.49 3.61 0.24 4.34 XXX N
78701... 26 A Kidney imaging with flow.... 0.49 0.22 0.03 0.74 XXX N
78701... TC A Kidney imaging with flow.... 0.00 3.39 0.21 3.60 XXX N
78704... .................. A Imaging renogram............ 0.74 4.11 0.29 5.14 XXX N
78704... 26 A Imaging renogram............ 0.74 0.34 0.05 1.13 XXX N
78704... TC A Imaging renogram............ 0.00 3.77 0.24 4.01 XXX N
78707... .................. A Kidney flow & function image 0.94 4.68 0.33 5.95 XXX N
78707... 26 A Kidney flow & function image 0.94 0.42 0.06 1.42 XXX N
[[Page 63290]]
78707... TC A Kidney flow & function image 0.00 4.26 0.27 4.53 XXX N
78710... .................. A Kidney imaging (3D)......... 0.66 5.93 0.41 7.00 XXX N
78710... 26 A Kidney imaging (3D)......... 0.66 0.30 0.05 1.01 XXX N
78710... TC A Kidney imaging (3D)......... 0.00 5.63 0.36 5.99 XXX N
78715... .................. A Renal vascular flow exam.... 0.30 1.64 0.12 2.06 XXX N
78715... 26 A Renal vascular flow exam.... 0.30 0.14 0.02 0.46 XXX N
78715... TC A Renal vascular flow exam.... 0.00 1.50 0.10 1.60 XXX N
78725... .................. A Kidney function study....... 0.38 1.87 0.14 2.39 XXX N
78725... 26 A Kidney function study....... 0.38 0.17 0.03 0.58 XXX N
78725... TC A Kidney function study....... 0.00 1.70 0.11 1.81 XXX N
78726... .................. A Kidney function w/intervent. 0.87 3.21 0.24 4.32 XXX N
78726... 26 A Kidney function w/intervent. 0.87 0.39 0.06 1.32 XXX N
78726... TC A Kidney function w/intervent. 0.00 2.82 0.18 3.00 XXX N
78727... .................. A Kidney transplant evaluation 0.99 4.25 0.31 5.55 XXX N
78727... 26 A Kidney transplant evaluation 0.99 0.45 0.07 1.51 XXX N
78727... TC A Kidney transplant evaluation 0.00 3.80 0.24 4.04 XXX N
78730... .................. A Urinary bladder retention... 0.36 1.55 0.11 2.02 XXX N
78730... 26 A Urinary bladder retention... 0.36 0.16 0.02 0.54 XXX N
78730... TC A Urinary bladder retention... 0.00 1.39 0.09 1.48 XXX N
78740... .................. A Ureteral reflux study....... 0.57 2.28 0.17 3.02 XXX N
78740... 26 A Ureteral reflux study....... 0.57 0.26 0.04 0.87 XXX N
78740... TC A Ureteral reflux study....... 0.00 2.02 0.13 2.15 XXX N
78760... .................. A Testicular imaging.......... 0.66 2.85 0.21 3.72 XXX N
78760... 26 A Testicular imaging.......... 0.66 0.30 0.04 1.00 XXX N
78760... TC A Testicular imaging.......... 0.00 2.55 0.17 2.72 XXX N
78761... .................. A Testicular imaging & flow... 0.71 3.38 0.24 4.33 XXX N
78761... 26 A Testicular imaging & flow... 0.71 0.33 0.05 1.09 XXX N
78761... TC A Testicular imaging & flow... 0.00 3.05 0.19 3.24 XXX N
78799... .................. C Genitourinary nuclear exam.. 0.00 0.00 0.00 0.00 XXX N
78799... 26 C Genitourinary nuclear exam.. 0.00 0.00 0.00 0.00 XXX N
78799... TC C Genitourinary nuclear exam.. 0.00 0.00 0.00 0.00 XXX N
78800... .................. A Tumor imaging, limited area. 0.66 3.54 0.24 4.44 XXX N
78800... 26 A Tumor imaging, limited area. 0.66 0.30 0.04 1.00 XXX N
78800... TC A Tumor imaging, limited area. 0.00 3.24 0.20 3.44 XXX N
78801... .................. A Tumor imaging, mult areas... 0.79 4.39 0.31 5.49 XXX N
78801... 26 A Tumor imaging, mult areas... 0.79 0.36 0.05 1.20 XXX N
78801... TC A Tumor imaging, mult areas... 0.00 4.03 0.26 4.29 XXX N
78802... .................. A Tumor imaging, whole body... 0.86 5.66 0.40 6.92 XXX N
78802... 26 A Tumor imaging, whole body... 0.86 0.39 0.06 1.31 XXX N
78802... TC A Tumor imaging, whole body... 0.00 5.27 0.34 5.61 XXX N
78803... .................. A Tumor imaging (3D).......... 1.09 6.73 0.46 8.28 XXX N
78803... 26 A Tumor imaging (3D).......... 1.09 0.48 0.07 1.64 XXX N
78803... TC A Tumor imaging (3D).......... 0.00 6.25 0.39 6.64 XXX N
78805... .................. A Abscess imaging, ltd area... 0.73 3.57 0.25 4.55 XXX N
78805... 26 A Abscess imaging, ltd area... 0.73 0.33 0.05 1.11 XXX N
78805... TC A Abscess imaging, ltd area... 0.00 3.24 0.20 3.44 XXX N
78806... .................. A Abscess imaging, whole body. 0.86 6.51 0.45 7.82 XXX N
78806... 26 A Abscess imaging, whole body. 0.86 0.38 0.06 1.30 XXX N
78806... TC A Abscess imaging, whole body. 0.00 6.13 0.39 6.52 XXX N
78807... .................. A Nuclear localization/abscess 1.09 6.73 0.46 8.28 XXX N
78807... 26 A Nuclear localization/abscess 1.09 0.48 0.07 1.64 XXX N
78807... TC A Nuclear localization/abscess 0.00 6.25 0.39 6.64 XXX N
78810... .................. N Tumor imaging (PET)......... 0.00 0.00 0.00 0.00 XXX 0
78810... 26 N Tumor imaging (PET)......... #1.93 1.37 0.10 3.40 XXX 0
78810... TC N Tumor imaging (PET)......... 0.00 0.00 0.00 0.00 XXX 0
78890... .................. B Nuclear medicine data proc.. #0.05 1.26 0.08 1.39 XXX 0
78890... 26 B Nuclear medicine data proc.. #0.05 0.02 0.00 0.07 XXX 0
78890... TC B Nuclear medicine data proc.. #0.00 1.24 0.08 1.32 XXX 0
78891... .................. B Nuclear med data proc....... #0.10 2.55 0.18 2.83 XXX 0
78891... 26 B Nuclear med data proc....... #0.10 0.05 0.01 0.16 XXX 0
78891... TC B Nuclear med data proc....... #0.00 2.50 0.17 2.67 XXX 0
78990... .................. G Provide diag radionuclide(s) 0.00 0.00 0.00 0.00 XXX 0
78999... .................. C Nuclear diagnostic exam..... 0.00 0.00 0.00 0.00 XXX N
78999... 26 C Nuclear diagnostic exam..... 0.00 0.00 0.00 0.00 XXX N
78999... TC C Nuclear diagnostic exam..... 0.00 0.00 0.00 0.00 XXX N
79000... .................. A Intial hyperthyroid therapy. 1.80 3.31 0.29 5.40 XXX N
[[Page 63291]]
79000... 26 A Intial hyperthyroid therapy. 1.80 0.81 0.12 2.73 XXX N
79000... TC A Intial hyperthyroid therapy. 0.00 2.50 0.17 2.67 XXX N
79001... .................. A Repeat hyperthyroid therapy. 1.05 1.70 0.15 2.90 XXX N
79001... 26 A Repeat hyperthyroid therapy. 1.05 0.46 0.07 1.58 XXX N
79001... TC A Repeat hyperthyroid therapy. 0.00 1.24 0.08 1.32 XXX N
79020... .................. A Thyroid ablation............ 1.81 3.31 0.29 5.41 XXX N
79020... 26 A Thyroid ablation............ 1.81 0.81 0.12 2.74 XXX N
79020... TC A Thyroid ablation............ 0.00 2.50 0.17 2.67 XXX N
79030... .................. A Thyroid ablation, carcinoma. 2.10 3.44 0.31 5.85 XXX N
79030... 26 A Thyroid ablation, carcinoma. 2.10 0.94 0.14 3.18 XXX N
79030... TC A Thyroid ablation, carcinoma. 0.00 2.50 0.17 2.67 XXX N
79035... .................. A Thyroid metastatic therapy.. 2.52 3.63 0.34 6.49 XXX N
79035... 26 A Thyroid metastatic therapy.. 2.52 1.13 0.17 3.82 XXX N
79035... TC A Thyroid metastatic therapy.. 0.00 2.50 0.17 2.67 XXX N
79100... .................. A Hematopoetic nuclear therapy 1.32 3.08 0.26 4.66 XXX N
79100... 26 A Hematopoetic nuclear therapy 1.32 0.58 0.09 1.99 XXX N
79100... TC A Hematopoetic nuclear therapy 0.00 2.50 0.17 2.67 XXX N
79200... .................. A Intracavitary nuc treatment. 1.99 3.39 0.31 5.69 XXX N
79200... 26 A Intracavitary nuc treatment. 1.99 0.89 0.14 3.02 XXX N
79200... TC A Intracavitary nuc treatment. 0.00 2.50 0.17 2.67 XXX N
79300... .................. C Interstitial nuclear therapy 0.00 0.00 0.00 0.00 XXX N
79300... 26 A Interstitial nuclear therapy 1.60 0.71 0.11 2.42 XXX N
79300... TC C Interstitial nuclear therapy 0.00 0.00 0.00 0.00 XXX N
79400... .................. A Nonhemato nuclear therapy... 1.96 3.37 0.30 5.63 XXX N
79400... 26 A Nonhemato nuclear therapy... 1.96 0.87 0.13 2.96 XXX N
79400... TC A Nonhemato nuclear therapy... 0.00 2.50 0.17 2.67 XXX N
79420... .................. C Intravascular nuc therapy... 0.00 0.00 0.00 0.00 XXX N
79420... 26 A Intravascular nuc therapy... 1.51 0.67 0.10 2.28 XXX N
79420... TC C Intravascular nuc therapy... 0.00 0.00 0.00 0.00 XXX N
79440... .................. A Nuclear joint therapy....... 1.99 3.39 0.31 5.69 XXX N
79440... 26 A Nuclear joint therapy....... 1.99 0.89 0.14 3.02 XXX N
79440... TC A Nuclear joint therapy....... 0.00 2.50 0.17 2.67 XXX N
79900... .................. C Provide ther radiopharm(s).. 0.00 0.00 0.00 0.00 XXX N
79999... .................. C Nuclear medicine therapy.... 0.00 0.00 0.00 0.00 XXX N
79999... 26 C Nuclear medicine therapy.... 0.00 0.00 0.00 0.00 XXX N
79999... TC C Nuclear medicine therapy.... 0.00 0.00 0.00 0.00 XXX N
80002... .................. X 1-2 clinical chem tests..... 0.00 0.00 0.00 0.00 XXX 0
80003... .................. X 3 clinical chemistry tests.. 0.00 0.00 0.00 0.00 XXX 0
80004... .................. X 4 clinical chemistry tests.. 0.00 0.00 0.00 0.00 XXX 0
80005... .................. X 5 clinical chemistry tests.. 0.00 0.00 0.00 0.00 XXX 0
80006... .................. X 6 clinical chemistry tests.. 0.00 0.00 0.00 0.00 XXX 0
80007... .................. X 7 clinical chemistry tests.. 0.00 0.00 0.00 0.00 XXX 0
80008... .................. X 8 clinical chemistry tests.. 0.00 0.00 0.00 0.00 XXX 0
80009... .................. X 9 clinical chemistry tests.. 0.00 0.00 0.00 0.00 XXX 0
80010... .................. X 10 clinical chemistry tests. 0.00 0.00 0.00 0.00 XXX 0
80011... .................. X 11 clinical chemistry tests. 0.00 0.00 0.00 0.00 XXX 0
80012... .................. X 12 clinical chemistry tests. 0.00 0.00 0.00 0.00 XXX 0
80016... .................. X 13-16 blood/urine tests..... 0.00 0.00 0.00 0.00 XXX 0
80018... .................. X 17-18 blood/urine tests..... 0.00 0.00 0.00 0.00 XXX 0
80019... .................. X 19 blood/urine tests........ 0.00 0.00 0.00 0.00 XXX 0
80050... .................. X General health panel........ 0.00 0.00 0.00 0.00 XXX 0
80055... .................. X Obstetric panel............. 0.00 0.00 0.00 0.00 XXX 0
80058... .................. X Hepatic function panel...... 0.00 0.00 0.00 0.00 XXX 0
80059... .................. X Hepatitis panel............. 0.00 0.00 0.00 0.00 XXX 0
80061... .................. X Lipid panel................. 0.00 0.00 0.00 0.00 XXX 0
80072... .................. X Arthritis panel............. 0.00 0.00 0.00 0.00 XXX 0
80090... .................. X Torch antibody panel........ 0.00 0.00 0.00 0.00 XXX 0
80091... .................. X Thyroid panel............... 0.00 0.00 0.00 0.00 XXX 0
80092... .................. X Thyroid panel w/TSH......... 0.00 0.00 0.00 0.00 XXX 0
80100... .................. X Drug screen................. 0.00 0.00 0.00 0.00 XXX 0
80101... .................. X Drug screen................. 0.00 0.00 0.00 0.00 XXX 0
80102... .................. X Drug confirmation........... 0.00 0.00 0.00 0.00 XXX 0
80103... .................. X Drug analysis, tissue prep.. 0.00 0.00 0.00 0.00 XXX 0
80150... .................. X Assay of amikacin........... 0.00 0.00 0.00 0.00 XXX 0
80152... .................. X Assay of amitriptyline...... 0.00 0.00 0.00 0.00 XXX 0
80154... .................. X Assay of benzodiazepines.... 0.00 0.00 0.00 0.00 XXX 0
[[Page 63292]]
80156... .................. X Assay carbamazepine......... 0.00 0.00 0.00 0.00 XXX 0
80158... .................. X Assay of cyclosporine....... 0.00 0.00 0.00 0.00 XXX 0
80160... .................. X Assay of desipramine........ 0.00 0.00 0.00 0.00 XXX 0
80162... .................. X Assay for digoxin........... 0.00 0.00 0.00 0.00 XXX 0
80164... .................. X Assay, dipropylacetic acid.. 0.00 0.00 0.00 0.00 XXX 0
80166... .................. X Assay of doxepin............ 0.00 0.00 0.00 0.00 XXX 0
80168... .................. X Assay of ethosuximide....... 0.00 0.00 0.00 0.00 XXX 0
80170... .................. X Gentamicin.................. 0.00 0.00 0.00 0.00 XXX 0
80172... .................. X Assay for gold.............. 0.00 0.00 0.00 0.00 XXX 0
80174... .................. X Assay of imipramine......... 0.00 0.00 0.00 0.00 XXX 0
80176... .................. X Assay for lidocaine......... 0.00 0.00 0.00 0.00 XXX 0
80178... .................. X Assay for lithium........... 0.00 0.00 0.00 0.00 XXX 0
80182... .................. X Assay for nortriptyline..... 0.00 0.00 0.00 0.00 XXX 0
80184... .................. X Assay for phenobarbital..... 0.00 0.00 0.00 0.00 XXX 0
80185... .................. X Assay for phenytoin......... 0.00 0.00 0.00 0.00 XXX 0
80186... .................. X Assay for phenytoin, free... 0.00 0.00 0.00 0.00 XXX 0
80188... .................. X Assay for primidone......... 0.00 0.00 0.00 0.00 XXX 0
80190... .................. X Assay for procainamide...... 0.00 0.00 0.00 0.00 XXX 0
80192... .................. X Assay for procainamide...... 0.00 0.00 0.00 0.00 XXX 0
80194... .................. X Assay for quinidine......... 0.00 0.00 0.00 0.00 XXX 0
80196... .................. X Assay for salicylate........ 0.00 0.00 0.00 0.00 XXX 0
80198... .................. X Assay for theophylline...... 0.00 0.00 0.00 0.00 XXX 0
80200... .................. X Assay for tobramycin........ 0.00 0.00 0.00 0.00 XXX 0
80202... .................. X Assay for vancomycin........ 0.00 0.00 0.00 0.00 XXX 0
80299... .................. X Quantitative assay, drug.... 0.00 0.00 0.00 0.00 XXX 0
80400... .................. X Acth stimulation panel...... 0.00 0.00 0.00 0.00 XXX 0
80402... .................. X Acth stimulation panel...... 0.00 0.00 0.00 0.00 XXX 0
80406... .................. X Acth stimulation panel...... 0.00 0.00 0.00 0.00 XXX 0
80408... .................. X Aldosterone suppression eval 0.00 0.00 0.00 0.00 XXX 0
80410... .................. X Calcitonin stimul panel..... 0.00 0.00 0.00 0.00 XXX 0
80412... .................. X CRH stimulation panel....... 0.00 0.00 0.00 0.00 XXX 0
80414... .................. X Testosterone response....... 0.00 0.00 0.00 0.00 XXX 0
80415... .................. X Estradiol response panel.... 0.00 0.00 0.00 0.00 XXX 0
80416... .................. X Renin stimulation panel..... 0.00 0.00 0.00 0.00 XXX 0
80417... .................. X Renin stimulation panel..... 0.00 0.00 0.00 0.00 XXX 0
80418... .................. X Pituitary evaluation panel.. 0.00 0.00 0.00 0.00 XXX 0
80420... .................. X Dexamethasone panel......... 0.00 0.00 0.00 0.00 XXX 0
80422... .................. X Glucagon tolerance panel.... 0.00 0.00 0.00 0.00 XXX 0
80424... .................. X Glucagon tolerance panel.... 0.00 0.00 0.00 0.00 XXX 0
80426... .................. X Gonadotropin hormone panel.. 0.00 0.00 0.00 0.00 XXX 0
80428... .................. X Growth hormone panel........ 0.00 0.00 0.00 0.00 XXX 0
80430... .................. X Growth hormone panel........ 0.00 0.00 0.00 0.00 XXX 0
80432... .................. X Insulin suppression panel... 0.00 0.00 0.00 0.00 XXX 0
80434... .................. X Insulin tolerance panel..... 0.00 0.00 0.00 0.00 XXX 0
80435... .................. X Insulin tolerance panel..... 0.00 0.00 0.00 0.00 XXX 0
80436... .................. X Metyrapone panel............ 0.00 0.00 0.00 0.00 XXX 0
80438... .................. X TRH stimulation panel....... 0.00 0.00 0.00 0.00 XXX 0
80439... .................. X TRH stimulation panel....... 0.00 0.00 0.00 0.00 XXX 0
80440... .................. X TRH stimulation panel....... 0.00 0.00 0.00 0.00 XXX 0
80500... .................. A Lab pathology consultation.. 0.37 0.20 0.01 0.58 XXX N
80502... .................. A Lab pathology consultation.. 1.33 0.33 0.02 1.68 XXX N
81000... .................. X Urinalysis, nonauto, w/scope 0.00 0.00 0.00 0.00 XXX 0
81001... .................. X Urinalysis, auto, w/scope... 0.00 0.00 0.00 0.00 XXX 0
81002... .................. X Urinalysis nonauto w/o scope 0.00 0.00 0.00 0.00 XXX 0
81003... .................. X Urinalysis, auto, w/o scope. 0.00 0.00 0.00 0.00 XXX 0
81005... .................. X Urinalysis.................. 0.00 0.00 0.00 0.00 XXX 0
81007... .................. X Urine screen for bacteria... 0.00 0.00 0.00 0.00 XXX 0
81015... .................. X Microscopic exam of urine... 0.00 0.00 0.00 0.00 XXX 0
81020... .................. X Urinalysis, glass test...... 0.00 0.00 0.00 0.00 XXX 0
81025... .................. X Urine pregnancy test........ 0.00 0.00 0.00 0.00 XXX 0
81050... .................. X Urinalysis, volume measure.. 0.00 0.00 0.00 0.00 XXX 0
81099... .................. X Urinalysis test procedure... 0.00 0.00 0.00 0.00 XXX 0
82000... .................. X Assay blood acetaldehyde.... 0.00 0.00 0.00 0.00 XXX 0
82003... .................. X Assay acetaminophen......... 0.00 0.00 0.00 0.00 XXX 0
82009... .................. X Test for acetone/ketones.... 0.00 0.00 0.00 0.00 XXX 0
82010... .................. X Acetone assay............... 0.00 0.00 0.00 0.00 XXX 0
[[Page 63293]]
82013... .................. X Acetylcholinesterase assay.. 0.00 0.00 0.00 0.00 XXX 0
82024... .................. X ACTH........................ 0.00 0.00 0.00 0.00 XXX 0
82030... .................. X ADP & AMP................... 0.00 0.00 0.00 0.00 XXX 0
82040... .................. X Assay serum albumin......... 0.00 0.00 0.00 0.00 XXX 0
82042... .................. X Assay urine albumin......... 0.00 0.00 0.00 0.00 XXX 0
82043... .................. X Microalbumin, quantitative.. 0.00 0.00 0.00 0.00 XXX 0
82044... .................. X Microalbumin, semiquant..... 0.00 0.00 0.00 0.00 XXX 0
82055... .................. X Assay ethanol............... 0.00 0.00 0.00 0.00 XXX 0
82075... .................. X Assay breath ethanol........ 0.00 0.00 0.00 0.00 XXX 0
82085... .................. X Assay of aldolase........... 0.00 0.00 0.00 0.00 XXX 0
82088... .................. X Aldosterone................. 0.00 0.00 0.00 0.00 XXX 0
82101... .................. X Assay of urine alkaloids.... 0.00 0.00 0.00 0.00 XXX 0
82103... .................. X Alpha-1-antitrypsin, total.. 0.00 0.00 0.00 0.00 XXX 0
82104... .................. X Alpha-1-antitrypsin, pheno.. 0.00 0.00 0.00 0.00 XXX 0
82105... .................. X Alpha-fetoprotein, serum.... 0.00 0.00 0.00 0.00 XXX 0
82106... .................. X Alpha-fetoprotein, amniotic. 0.00 0.00 0.00 0.00 XXX 0
82108... .................. X Assay, aluminum............. 0.00 0.00 0.00 0.00 XXX 0
82128... .................. X Test for amino acids........ 0.00 0.00 0.00 0.00 XXX 0
82130... .................. X Amino acids analysis........ 0.00 0.00 0.00 0.00 XXX 0
82131... .................. X Amino acids................. 0.00 0.00 0.00 0.00 XXX 0
82135... .................. X Assay, aminolevulinic acid.. 0.00 0.00 0.00 0.00 XXX 0
82140... .................. X Assay of ammonia............ 0.00 0.00 0.00 0.00 XXX 0
82143... .................. X Amniotic fluid scan......... 0.00 0.00 0.00 0.00 XXX 0
82145... .................. X Assay of amphetamines....... 0.00 0.00 0.00 0.00 XXX 0
82150... .................. X Assay of amylase............ 0.00 0.00 0.00 0.00 XXX 0
82154... .................. X Androstanediol glucuronide.. 0.00 0.00 0.00 0.00 XXX 0
82157... .................. X Assay of androstenedione.... 0.00 0.00 0.00 0.00 XXX 0
82160... .................. X Androsterone assay.......... 0.00 0.00 0.00 0.00 XXX 0
82163... .................. X Assay of angiotensin II..... 0.00 0.00 0.00 0.00 XXX 0
82164... .................. X Angiotensin I enzyme test... 0.00 0.00 0.00 0.00 XXX 0
82172... .................. X Apolipoprotein.............. 0.00 0.00 0.00 0.00 XXX 0
82175... .................. X Assay of arsenic............ 0.00 0.00 0.00 0.00 XXX 0
82180... .................. X Assay of ascorbic acid...... 0.00 0.00 0.00 0.00 XXX 0
82190... .................. X Atomic absorption........... 0.00 0.00 0.00 0.00 XXX 0
82205... .................. X Assay of barbiturates....... 0.00 0.00 0.00 0.00 XXX 0
82232... .................. X Beta-2 protein.............. 0.00 0.00 0.00 0.00 XXX 0
82239... .................. X Bile acids, total........... 0.00 0.00 0.00 0.00 XXX 0
82240... .................. X Bile acids, cholylglycine... 0.00 0.00 0.00 0.00 XXX 0
82250... .................. X Assay bilirubin............. 0.00 0.00 0.00 0.00 XXX 0
82251... .................. X Assay bilirubin............. 0.00 0.00 0.00 0.00 XXX 0
82252... .................. X Fecal bilirubin test........ 0.00 0.00 0.00 0.00 XXX 0
82270... .................. X Test feces for blood........ 0.00 0.00 0.00 0.00 XXX 0
82273... .................. X Test for blood, other source 0.00 0.00 0.00 0.00 XXX 0
82286... .................. X Assay of bradykinin......... 0.00 0.00 0.00 0.00 XXX 0
82300... .................. X Assay cadmium............... 0.00 0.00 0.00 0.00 XXX 0
82306... .................. X Assay of vitamin D.......... 0.00 0.00 0.00 0.00 XXX 0
82307... .................. X Assay of vitamin D.......... 0.00 0.00 0.00 0.00 XXX 0
82308... .................. X Assay of calcitonin......... 0.00 0.00 0.00 0.00 XXX 0
82310... .................. X Assay calcium............... 0.00 0.00 0.00 0.00 XXX 0
82330... .................. X Assay calcium............... 0.00 0.00 0.00 0.00 XXX 0
82331... .................. X Calcium infusion test....... 0.00 0.00 0.00 0.00 XXX 0
82340... .................. X Assay calcium in urine...... 0.00 0.00 0.00 0.00 XXX 0
82355... .................. X Calculus (stone) analysis... 0.00 0.00 0.00 0.00 XXX 0
82360... .................. X Calculus (stone) assay...... 0.00 0.00 0.00 0.00 XXX 0
82365... .................. X Calculus (stone) assay...... 0.00 0.00 0.00 0.00 XXX 0
82370... .................. X X-ray assay, calculus 0.00 0.00 0.00 0.00 XXX 0
(stone).
82374... .................. X Assay blood carbon dioxide.. 0.00 0.00 0.00 0.00 XXX 0
82375... .................. X Assay blood carbon monoxide. 0.00 0.00 0.00 0.00 XXX 0
82376... .................. X Test for carbon monoxide.... 0.00 0.00 0.00 0.00 XXX 0
82378... .................. X Carcinoembryonic antigen.... 0.00 0.00 0.00 0.00 XXX 0
82380... .................. X Assay carotene.............. 0.00 0.00 0.00 0.00 XXX 0
82382... .................. X Assay urine catecholamines.. 0.00 0.00 0.00 0.00 XXX 0
82383... .................. X Assay blood catecholamines.. 0.00 0.00 0.00 0.00 XXX 0
82384... .................. X Assay three catecholamines.. 0.00 0.00 0.00 0.00 XXX 0
82387... .................. X Cathepsin-D................. 0.00 0.00 0.00 0.00 XXX 0
82390... .................. X Assay ceruloplasmin......... 0.00 0.00 0.00 0.00 XXX 0
[[Page 63294]]
82397... .................. X Chemiluminescent assay...... 0.00 0.00 0.00 0.00 XXX 0
82415... .................. X Assay chloramphenicol....... 0.00 0.00 0.00 0.00 XXX 0
82435... .................. X Assay blood chloride........ 0.00 0.00 0.00 0.00 XXX 0
82436... .................. X Assay urine chloride........ 0.00 0.00 0.00 0.00 XXX 0
82438... .................. X Assay other fluid chlorides. 0.00 0.00 0.00 0.00 XXX 0
82441... .................. X Test for chlorohydrocarbons. 0.00 0.00 0.00 0.00 XXX 0
82465... .................. X Assay serum cholesterol..... 0.00 0.00 0.00 0.00 XXX 0
82480... .................. X Assay serum cholinesterase.. 0.00 0.00 0.00 0.00 XXX 0
82482... .................. X Assay rbc cholinesterase.... 0.00 0.00 0.00 0.00 XXX 0
82485... .................. X Assay chondroitin sulfate... 0.00 0.00 0.00 0.00 XXX 0
82486... .................. X Gas/liquid chromatography... 0.00 0.00 0.00 0.00 XXX 0
82487... .................. X Paper chromatography........ 0.00 0.00 0.00 0.00 XXX 0
82488... .................. X Paper chromatography........ 0.00 0.00 0.00 0.00 XXX 0
82489... .................. X Thin layer chromatography... 0.00 0.00 0.00 0.00 XXX 0
82491... .................. X Chromotography, quantitative 0.00 0.00 0.00 0.00 XXX 0
82495... .................. X Assay chromium.............. 0.00 0.00 0.00 0.00 XXX 0
82507... .................. X Assay citrate............... 0.00 0.00 0.00 0.00 XXX 0
82520... .................. X Assay for cocaine........... 0.00 0.00 0.00 0.00 XXX 0
82525... .................. X Assay copper................ 0.00 0.00 0.00 0.00 XXX 0
82528... .................. X Assay corticosterone........ 0.00 0.00 0.00 0.00 XXX 0
82530... .................. X Cortisol, free.............. 0.00 0.00 0.00 0.00 XXX 0
82533... .................. X Total cortisol.............. 0.00 0.00 0.00 0.00 XXX 0
82540... .................. X Assay creatine.............. 0.00 0.00 0.00 0.00 XXX 0
82550... .................. X Assay CK (CPK).............. 0.00 0.00 0.00 0.00 XXX 0
82552... .................. X Assay CPK in blood.......... 0.00 0.00 0.00 0.00 XXX 0
82553... .................. X Creatine, MB fraction....... 0.00 0.00 0.00 0.00 XXX 0
82554... .................. X Creatine, isoforms.......... 0.00 0.00 0.00 0.00 XXX 0
82565... .................. X Assay creatinine............ 0.00 0.00 0.00 0.00 XXX 0
82570... .................. X Assay urine creatinine...... 0.00 0.00 0.00 0.00 XXX 0
82575... .................. X Creatinine clearance test... 0.00 0.00 0.00 0.00 XXX 0
82585... .................. X Assay cryofibrinogen........ 0.00 0.00 0.00 0.00 XXX 0
82595... .................. X Assay cryoglobulin.......... 0.00 0.00 0.00 0.00 XXX 0
82600... .................. X Assay cyanide............... 0.00 0.00 0.00 0.00 XXX 0
82607... .................. X Vitamin B-12................ 0.00 0.00 0.00 0.00 XXX 0
82608... .................. X B-12 binding capacity....... 0.00 0.00 0.00 0.00 XXX 0
82615... .................. X Test for urine cystines..... 0.00 0.00 0.00 0.00 XXX 0
82626... .................. X Dehydroepiandrosterone...... 0.00 0.00 0.00 0.00 XXX 0
82627... .................. X Dehydroepiandrosterone...... 0.00 0.00 0.00 0.00 XXX 0
82633... .................. X Desoxycorticosterone........ 0.00 0.00 0.00 0.00 XXX 0
82634... .................. X Deoxycortisol............... 0.00 0.00 0.00 0.00 XXX 0
82638... .................. X Assay dibucaine number...... 0.00 0.00 0.00 0.00 XXX 0
82646... .................. X Assay of dihydrocodeinone... 0.00 0.00 0.00 0.00 XXX 0
82649... .................. X Assay of dihydromorphinone.. 0.00 0.00 0.00 0.00 XXX 0
82651... .................. X Dihydrotestosterone assay... 0.00 0.00 0.00 0.00 XXX 0
82652... .................. X Assay, dihydroxyvitamin D... 0.00 0.00 0.00 0.00 XXX 0
82654... .................. X Assay of dimethadione....... 0.00 0.00 0.00 0.00 XXX 0
82664... .................. X Electrophoretic test........ 0.00 0.00 0.00 0.00 XXX 0
82666... .................. X Epiandrosterone assay....... 0.00 0.00 0.00 0.00 XXX 0
82668... .................. X Erythropoietin.............. 0.00 0.00 0.00 0.00 XXX 0
82670... .................. X Estradiol................... 0.00 0.00 0.00 0.00 XXX 0
82671... .................. X Estrogen assay.............. 0.00 0.00 0.00 0.00 XXX 0
82672... .................. X Estrogen assay.............. 0.00 0.00 0.00 0.00 XXX 0
82677... .................. X Estriol..................... 0.00 0.00 0.00 0.00 XXX 0
82679... .................. X Estrone..................... 0.00 0.00 0.00 0.00 XXX 0
82690... .................. X Ethchlorvynol............... 0.00 0.00 0.00 0.00 XXX 0
82693... .................. X Ethylene glycol............. 0.00 0.00 0.00 0.00 XXX 0
82696... .................. X Etiocholanolone............. 0.00 0.00 0.00 0.00 XXX 0
82705... .................. X Fats/lipids, feces, 0.00 0.00 0.00 0.00 XXX 0
qualitative.
82710... .................. X Fats/lipids, feces, 0.00 0.00 0.00 0.00 XXX 0
quantitative.
82715... .................. X Fecal fat assay............. 0.00 0.00 0.00 0.00 XXX 0
82725... .................. X Assay blood fatty acids..... 0.00 0.00 0.00 0.00 XXX 0
82728... .................. X Assay ferritin.............. 0.00 0.00 0.00 0.00 XXX 0
82735... .................. X Assay fluoride.............. 0.00 0.00 0.00 0.00 XXX 0
82742... .................. X Assay of flurazepam......... 0.00 0.00 0.00 0.00 XXX 0
82746... .................. X Blood folic acid serum...... 0.00 0.00 0.00 0.00 XXX 0
82747... .................. X Folic acid, RBC............. 0.00 0.00 0.00 0.00 XXX 0
[[Page 63295]]
82757... .................. X Assay semen fructose........ 0.00 0.00 0.00 0.00 XXX 0
82759... .................. X RBC galactokinase assay..... 0.00 0.00 0.00 0.00 XXX 0
82760... .................. X Assay galactose............. 0.00 0.00 0.00 0.00 XXX 0
82775... .................. X Assay galactose transferase. 0.00 0.00 0.00 0.00 XXX 0
82776... .................. X Galactose transferase test.. 0.00 0.00 0.00 0.00 XXX 0
82784... .................. X Assay gammaglobulin IgM..... 0.00 0.00 0.00 0.00 XXX 0
82785... .................. X Assay, gammaglobulin IgE.... 0.00 0.00 0.00 0.00 XXX 0
82787... .................. X IgG1, 2, 3 and 4............ 0.00 0.00 0.00 0.00 XXX 0
82800... .................. X Blood pH.................... 0.00 0.00 0.00 0.00 XXX 0
82803... .................. X Blood gases: pH, pO2 & pCO2. 0.00 0.00 0.00 0.00 XXX 0
82805... .................. X Blood gases W/O2 saturation. 0.00 0.00 0.00 0.00 XXX 0
82810... .................. X Blood gases, O2 sat only.... 0.00 0.00 0.00 0.00 XXX 0
82820... .................. X Hemoglobin-oxygen affinity.. 0.00 0.00 0.00 0.00 XXX 0
82926... .................. X Assay gastric acid.......... 0.00 0.00 0.00 0.00 XXX 0
82928... .................. X Assay gastric acid.......... 0.00 0.00 0.00 0.00 XXX 0
82938... .................. X Gastrin test................ 0.00 0.00 0.00 0.00 XXX 0
82941... .................. X Assay of gastrin............ 0.00 0.00 0.00 0.00 XXX 0
82943... .................. X Assay of glucagon........... 0.00 0.00 0.00 0.00 XXX 0
82946... .................. X Glucagon tolerance test..... 0.00 0.00 0.00 0.00 XXX 0
82947... .................. X Assay quantitative, glucose. 0.00 0.00 0.00 0.00 XXX 0
82948... .................. X Reagent strip/blood glucose. 0.00 0.00 0.00 0.00 XXX 0
82950... .................. X Glucose test................ 0.00 0.00 0.00 0.00 XXX 0
82951... .................. X Glucose tolerance test (GTT) 0.00 0.00 0.00 0.00 XXX 0
82952... .................. X GTT-added samples........... 0.00 0.00 0.00 0.00 XXX 0
82953... .................. X Glucose-tolbutamide test.... 0.00 0.00 0.00 0.00 XXX 0
82955... .................. X Assay G6PD enzyme........... 0.00 0.00 0.00 0.00 XXX 0
82960... .................. X Test for G6PD enzyme........ 0.00 0.00 0.00 0.00 XXX 0
82962... .................. X Glucose blood test.......... 0.00 0.00 0.00 0.00 XXX 0
82963... .................. X Glucosidase assay........... 0.00 0.00 0.00 0.00 XXX 0
82965... .................. X Assay GDH enzyme............ 0.00 0.00 0.00 0.00 XXX 0
82975... .................. X Assay glutamine............. 0.00 0.00 0.00 0.00 XXX 0
82977... .................. X Assay of GGT................ 0.00 0.00 0.00 0.00 XXX 0
82978... .................. X Glutathione assay........... 0.00 0.00 0.00 0.00 XXX 0
82979... .................. X Assay RBC glutathione enzyme 0.00 0.00 0.00 0.00 XXX 0
82980... .................. X Assay of glutethimide....... 0.00 0.00 0.00 0.00 XXX 0
82985... .................. X Glycated protein............ 0.00 0.00 0.00 0.00 XXX 0
83001... .................. X Gonadotropin (FSH).......... 0.00 0.00 0.00 0.00 XXX 0
83002... .................. X Gonadotropin (LH)........... 0.00 0.00 0.00 0.00 XXX 0
83003... .................. X Assay growth hormone (HGH).. 0.00 0.00 0.00 0.00 XXX 0
83008... .................. X Assay guanosine............. 0.00 0.00 0.00 0.00 XXX 0
83010... .................. X Quant assay haptoglobin..... 0.00 0.00 0.00 0.00 XXX 0
83012... .................. X Assay haptoglobins.......... 0.00 0.00 0.00 0.00 XXX 0
83015... .................. X Heavy metal screen.......... 0.00 0.00 0.00 0.00 XXX 0
83018... .................. X Quantitative screen, metals. 0.00 0.00 0.00 0.00 XXX 0
83020... .................. X Assay hemoglobin............ 0.00 0.00 0.00 0.00 XXX 0
83020... 26 A Assay hemoglobin............ 0.37 0.20 0.01 0.58 XXX N
83026... .................. X Hemoglobin, copper sulfate.. 0.00 0.00 0.00 0.00 XXX 0
83030... .................. X Fetal hemoglobin assay...... 0.00 0.00 0.00 0.00 XXX 0
83033... .................. X Fetal fecal hemoglobin assay 0.00 0.00 0.00 0.00 XXX 0
83036... .................. X Glycated hemoglobin test.... 0.00 0.00 0.00 0.00 XXX 0
83045... .................. X Blood methemoglobin test.... 0.00 0.00 0.00 0.00 XXX 0
83050... .................. X Blood methemoglobin assay... 0.00 0.00 0.00 0.00 XXX 0
83051... .................. X Assay plasma hemoglobin..... 0.00 0.00 0.00 0.00 XXX 0
83055... .................. X Blood sulfhemoglobin test... 0.00 0.00 0.00 0.00 XXX 0
83060... .................. X Blood sulfhemoglobin assay.. 0.00 0.00 0.00 0.00 XXX 0
83065... .................. X Hemoglobin heat assay....... 0.00 0.00 0.00 0.00 XXX 0
83068... .................. X Hemoglobin stability screen. 0.00 0.00 0.00 0.00 XXX 0
83069... .................. X Assay urine hemoglobin...... 0.00 0.00 0.00 0.00 XXX 0
83070... .................. X Qualt assay hemosiderin..... 0.00 0.00 0.00 0.00 XXX 0
83071... .................. X Quant assay of hemosiderin.. 0.00 0.00 0.00 0.00 XXX 0
83088... .................. X Assay histamine............. 0.00 0.00 0.00 0.00 XXX 0
83150... .................. X Assay for HVA............... 0.00 0.00 0.00 0.00 XXX 0
83491... .................. X Assay of corticosteroids.... 0.00 0.00 0.00 0.00 XXX 0
83497... .................. X Assay 5-HIAA................ 0.00 0.00 0.00 0.00 XXX 0
83498... .................. X Assay of progesterone....... 0.00 0.00 0.00 0.00 XXX 0
83499... .................. X Assay of progesterone....... 0.00 0.00 0.00 0.00 XXX 0
[[Page 63296]]
83500... .................. X Assay free hydroxyproline... 0.00 0.00 0.00 0.00 XXX 0
83505... .................. X Assay total hydroxyproline.. 0.00 0.00 0.00 0.00 XXX 0
83516... .................. X Immunoassay, non antibody... 0.00 0.00 0.00 0.00 XXX 0
83518... .................. X Immunoassay, dipstick....... 0.00 0.00 0.00 0.00 XXX 0
83519... .................. X Immunoassay nonantibody..... 0.00 0.00 0.00 0.00 XXX 0
83520... .................. X Immunoassay, RIA............ 0.00 0.00 0.00 0.00 XXX 0
83525... .................. X Assay of insulin............ 0.00 0.00 0.00 0.00 XXX 0
83527... .................. X Assay of insulin............ 0.00 0.00 0.00 0.00 XXX 0
83528... .................. X Assay intrinsic factor...... 0.00 0.00 0.00 0.00 XXX 0
83540... .................. X Assay iron.................. 0.00 0.00 0.00 0.00 XXX 0
83550... .................. X Iron binding test........... 0.00 0.00 0.00 0.00 XXX 0
83570... .................. X Assay IDH enzyme............ 0.00 0.00 0.00 0.00 XXX 0
83582... .................. X Assay ketogenic steroids.... 0.00 0.00 0.00 0.00 XXX 0
83586... .................. X Assay 17-(17-KS)ketosteroids 0.00 0.00 0.00 0.00 XXX 0
83593... .................. X Fractionation ketosteroids.. 0.00 0.00 0.00 0.00 XXX 0
83605... .................. X Lactic acid assay........... 0.00 0.00 0.00 0.00 XXX 0
83615... .................. X Lactate (LD) (LDH) enzyme... 0.00 0.00 0.00 0.00 XXX 0
83625... .................. X Assay LDH enzymes........... 0.00 0.00 0.00 0.00 XXX 0
83632... .................. X Placental lactogen.......... 0.00 0.00 0.00 0.00 XXX 0
83633... .................. X Test urine for lactose...... 0.00 0.00 0.00 0.00 XXX 0
83634... .................. X Assay urine for lactose..... 0.00 0.00 0.00 0.00 XXX 0
83655... .................. X Assay for lead.............. 0.00 0.00 0.00 0.00 XXX 0
83661... .................. X Assay L/S ratio............. 0.00 0.00 0.00 0.00 XXX 0
83662... .................. X L/S ratio, foam stability... 0.00 0.00 0.00 0.00 XXX 0
83670... .................. X Assay LAP enzyme............ 0.00 0.00 0.00 0.00 XXX 0
83690... .................. X Assay lipase................ 0.00 0.00 0.00 0.00 XXX 0
83715... .................. X Assay blood lipoproteins.... 0.00 0.00 0.00 0.00 XXX 0
83717... .................. X Assay blood lipoproteins.... 0.00 0.00 0.00 0.00 XXX 0
83718... .................. X Blood lipoprotein assay..... 0.00 0.00 0.00 0.00 XXX 0
83719... .................. X Blood lipoprotein assay..... 0.00 0.00 0.00 0.00 XXX 0
83721... .................. X Blood lipoprotein assay..... 0.00 0.00 0.00 0.00 XXX 0
83727... .................. X LRH hormone assay........... 0.00 0.00 0.00 0.00 XXX 0
83735... .................. X Assay magnesium............. 0.00 0.00 0.00 0.00 XXX 0
83775... .................. X Assay of md enzyme.......... 0.00 0.00 0.00 0.00 XXX 0
83785... .................. X Assay of manganese.......... 0.00 0.00 0.00 0.00 XXX 0
83805... .................. X Assay of meprobamate........ 0.00 0.00 0.00 0.00 XXX 0
83825... .................. X Assay mercury............... 0.00 0.00 0.00 0.00 XXX 0
83835... .................. X Assay metanephrines......... 0.00 0.00 0.00 0.00 XXX 0
83840... .................. X Assay methadone............. 0.00 0.00 0.00 0.00 XXX 0
83857... .................. X Assay methemalbumin......... 0.00 0.00 0.00 0.00 XXX 0
83858... .................. X Assay methsuximide.......... 0.00 0.00 0.00 0.00 XXX 0
83864... .................. X Mucopolysaccharides......... 0.00 0.00 0.00 0.00 XXX 0
83866... .................. X Mucopolysaccharides screen.. 0.00 0.00 0.00 0.00 XXX 0
83872... .................. X Assay synovial fluid mucin.. 0.00 0.00 0.00 0.00 XXX 0
83873... .................. X Assay, CSF protein.......... 0.00 0.00 0.00 0.00 XXX 0
83874... .................. X Myoglobin................... 0.00 0.00 0.00 0.00 XXX 0
83883... .................. X Nephelometry, not specified. 0.00 0.00 0.00 0.00 XXX 0
83885... .................. X Assay for nickel............ 0.00 0.00 0.00 0.00 XXX 0
83887... .................. X Assay nicotine.............. 0.00 0.00 0.00 0.00 XXX 0
83890... .................. X Molecular diagnostics....... 0.00 0.00 0.00 0.00 XXX 0
83892... .................. X Molecular diagnostics....... 0.00 0.00 0.00 0.00 XXX 0
83894... .................. X Molecular diagnostics....... 0.00 0.00 0.00 0.00 XXX 0
83896... .................. X Molecular diagnostics....... 0.00 0.00 0.00 0.00 XXX 0
83898... .................. X Molecular diagnostics....... 0.00 0.00 0.00 0.00 XXX 0
83912... .................. X Genetic examination......... 0.00 0.00 0.00 0.00 XXX 0
83912... 26 A Genetic examination......... 0.37 0.20 0.01 0.58 XXX N
83915... .................. X Assay nucleotidase.......... 0.00 0.00 0.00 0.00 XXX 0
83916... .................. X Oligoclonal bands........... 0.00 0.00 0.00 0.00 XXX 0
83918... .................. X Assay organic acids......... 0.00 0.00 0.00 0.00 XXX 0
83925... .................. X Opiates..................... 0.00 0.00 0.00 0.00 XXX 0
83930... .................. X Assay blood osmolality...... 0.00 0.00 0.00 0.00 XXX 0
83935... .................. X Assay urine osmolality...... 0.00 0.00 0.00 0.00 XXX 0
83937... .................. X Assay for osteocalcin....... 0.00 0.00 0.00 0.00 XXX 0
83945... .................. X Assay oxalate............... 0.00 0.00 0.00 0.00 XXX 0
83970... .................. X Assay of parathormone....... 0.00 0.00 0.00 0.00 XXX 0
83986... .................. X Assay body fluid acidity.... 0.00 0.00 0.00 0.00 XXX 0
[[Page 63297]]
83992... .................. X Assay for phencyclidine..... 0.00 0.00 0.00 0.00 XXX 0
84022... .................. X Assay of phenothiazine...... 0.00 0.00 0.00 0.00 XXX 0
84030... .................. X Assay blood PKU............. 0.00 0.00 0.00 0.00 XXX 0
84035... .................. X Assay phenylketones......... 0.00 0.00 0.00 0.00 XXX 0
84060... .................. X Assay acid phosphatase...... 0.00 0.00 0.00 0.00 XXX 0
84061... .................. X Phosphatase, forensic exam.. 0.00 0.00 0.00 0.00 XXX 0
84066... .................. X Assay prostate phosphatase.. 0.00 0.00 0.00 0.00 XXX 0
84075... .................. X Assay alkaline phosphatase.. 0.00 0.00 0.00 0.00 XXX 0
84078... .................. X Assay alkaline phosphatase.. 0.00 0.00 0.00 0.00 XXX 0
84080... .................. X Assay alkaline phosphatases. 0.00 0.00 0.00 0.00 XXX 0
84081... .................. X Amniotic fluid enzyme test.. 0.00 0.00 0.00 0.00 XXX 0
84085... .................. X Assay RBC PG6D enzyme....... 0.00 0.00 0.00 0.00 XXX 0
84087... .................. X Assay phosphohexose enzymes. 0.00 0.00 0.00 0.00 XXX 0
84100... .................. X Assay phosphorus............ 0.00 0.00 0.00 0.00 XXX 0
84105... .................. X Assay urine phosphorus...... 0.00 0.00 0.00 0.00 XXX 0
84106... .................. X Test for porphobilinogen.... 0.00 0.00 0.00 0.00 XXX 0
84110... .................. X Assay porphobilinogen....... 0.00 0.00 0.00 0.00 XXX 0
84119... .................. X Test urine for porphyrins... 0.00 0.00 0.00 0.00 XXX 0
84120... .................. X Assay urine porphyrins...... 0.00 0.00 0.00 0.00 XXX 0
84126... .................. X Assay feces porphyrins...... 0.00 0.00 0.00 0.00 XXX 0
84127... .................. X Porphyrins, feces........... 0.00 0.00 0.00 0.00 XXX 0
84132... .................. X Assay serum potassium....... 0.00 0.00 0.00 0.00 XXX 0
84133... .................. X Assay urine potassium....... 0.00 0.00 0.00 0.00 XXX 0
84134... .................. X Prealbumin.................. 0.00 0.00 0.00 0.00 XXX 0
84135... .................. X Assay pregnanediol.......... 0.00 0.00 0.00 0.00 XXX 0
84138... .................. X Assay pregnanetriol......... 0.00 0.00 0.00 0.00 XXX 0
84140... .................. X Assay for pregnenolone...... 0.00 0.00 0.00 0.00 XXX 0
84143... .................. X Assay/17-hydroxypregnenolone 0.00 0.00 0.00 0.00 XXX 0
84144... .................. X Assay progesterone.......... 0.00 0.00 0.00 0.00 XXX 0
84146... .................. X Assay for prolactin......... 0.00 0.00 0.00 0.00 XXX 0
84150... .................. X Assay of prostaglandin...... 0.00 0.00 0.00 0.00 XXX 0
84153... .................. X Prostate specific antigen... 0.00 0.00 0.00 0.00 XXX 0
84155... .................. X Assay protein............... 0.00 0.00 0.00 0.00 XXX 0
84160... .................. X Assay serum protein......... 0.00 0.00 0.00 0.00 XXX 0
84165... .................. X Assay serum proteins........ 0.00 0.00 0.00 0.00 XXX 0
84165... 26 A Assay serum proteins........ 0.37 0.20 0.01 0.58 XXX N
84181... .................. X Western blot test........... 0.00 0.00 0.00 0.00 XXX 0
84181... 26 A Western blot test........... 0.37 0.20 0.01 0.58 XXX N
84182... .................. X Protein, western blot test.. 0.00 0.00 0.00 0.00 XXX 0
84182... 26 A Protein, western blot test.. 0.37 0.20 0.01 0.58 XXX N
84202... .................. X Assay RBC protoporphyrin.... 0.00 0.00 0.00 0.00 XXX 0
84203... .................. X Test RBC protoporphyrin..... 0.00 0.00 0.00 0.00 XXX 0
84206... .................. X Assay of proinsulin......... 0.00 0.00 0.00 0.00 XXX 0
84207... .................. X Assay vitamin B-6........... 0.00 0.00 0.00 0.00 XXX 0
84210... .................. X Assay pyruvate.............. 0.00 0.00 0.00 0.00 XXX 0
84220... .................. X Assay pyruvate kinase....... 0.00 0.00 0.00 0.00 XXX 0
84228... .................. X Assay quinine............... 0.00 0.00 0.00 0.00 XXX 0
84233... .................. X Assay estrogen.............. 0.00 0.00 0.00 0.00 XXX 0
84234... .................. X Assay progesterone.......... 0.00 0.00 0.00 0.00 XXX 0
84235... .................. X Assay endocrine hormone..... 0.00 0.00 0.00 0.00 XXX 0
84238... .................. X Assay non-endocrine receptor 0.00 0.00 0.00 0.00 XXX 0
84244... .................. X Assay of renin.............. 0.00 0.00 0.00 0.00 XXX 0
84252... .................. X Assay vitamin B-2........... 0.00 0.00 0.00 0.00 XXX 0
84255... .................. X Assay selenium.............. 0.00 0.00 0.00 0.00 XXX 0
84260... .................. X Assay serotonin............. 0.00 0.00 0.00 0.00 XXX 0
84270... .................. X Sex hormone globulin (SHBG). 0.00 0.00 0.00 0.00 XXX 0
84275... .................. X Assay sialic acid........... 0.00 0.00 0.00 0.00 XXX 0
84285... .................. X Assay silica................ 0.00 0.00 0.00 0.00 XXX 0
84295... .................. X Assay serum sodium.......... 0.00 0.00 0.00 0.00 XXX 0
84300... .................. X Assay urine sodium.......... 0.00 0.00 0.00 0.00 XXX 0
84305... .................. X Somatomedin................. 0.00 0.00 0.00 0.00 XXX 0
84307... .................. X Somatostatin................ 0.00 0.00 0.00 0.00 XXX 0
84311... .................. X Spectrophotometry........... 0.00 0.00 0.00 0.00 XXX 0
84315... .................. X Body fluid specific gravity. 0.00 0.00 0.00 0.00 XXX 0
84375... .................. X Chromatogram assay, sugars.. 0.00 0.00 0.00 0.00 XXX 0
84392... .................. X Assay urine sulfate......... 0.00 0.00 0.00 0.00 XXX 0
[[Page 63298]]
84402... .................. X Testosterone................ 0.00 0.00 0.00 0.00 XXX 0
84403... .................. X Assay total testosterone.... 0.00 0.00 0.00 0.00 XXX 0
84425... .................. X Assay vitamin B-1........... 0.00 0.00 0.00 0.00 XXX 0
84430... .................. X Assay thiocyanate........... 0.00 0.00 0.00 0.00 XXX 0
84432... .................. X Thyroglobulin............... 0.00 0.00 0.00 0.00 XXX 0
84436... .................. X Assay, total thyroxine...... 0.00 0.00 0.00 0.00 XXX 0
84437... .................. X Assay neonatal thyroxine.... 0.00 0.00 0.00 0.00 XXX 0
84439... .................. X Assay, free thyroxine....... 0.00 0.00 0.00 0.00 XXX 0
84442... .................. X Thyroid activity (TBG) assay 0.00 0.00 0.00 0.00 XXX 0
84443... .................. X Assay thyroid stim hormone.. 0.00 0.00 0.00 0.00 XXX 0
84445... .................. X Thyroid immunoglobulins TSI. 0.00 0.00 0.00 0.00 XXX 0
84446... .................. X Assay vitamin E............. 0.00 0.00 0.00 0.00 XXX 0
84449... .................. X Assay for transcortin....... 0.00 0.00 0.00 0.00 XXX 0
84450... .................. X Transferase (AST) (SGOT).... 0.00 0.00 0.00 0.00 XXX 0
84460... .................. X Alanine amino (ALT) (SGPT).. 0.00 0.00 0.00 0.00 XXX 0
84466... .................. X Transferrin................. 0.00 0.00 0.00 0.00 XXX 0
84478... .................. X Assay triglycerides......... 0.00 0.00 0.00 0.00 XXX 0
84479... .................. X Assay triiodothyronine (T-3) 0.00 0.00 0.00 0.00 XXX 0
84480... .................. X Total assay, TT-3........... 0.00 0.00 0.00 0.00 XXX 0
84481... .................. X Free assay (FT-3)........... 0.00 0.00 0.00 0.00 XXX 0
84482... .................. X T3 reverse.................. 0.00 0.00 0.00 0.00 XXX 0
84485... .................. X Assay duodenal fluid trypsin 0.00 0.00 0.00 0.00 XXX 0
84488... .................. X Test feces for trypsin...... 0.00 0.00 0.00 0.00 XXX 0
84490... .................. X Assay feces for trypsin..... 0.00 0.00 0.00 0.00 XXX 0
84510... .................. X Assay tyrosine.............. 0.00 0.00 0.00 0.00 XXX 0
84520... .................. X Assay urea nitrogen......... 0.00 0.00 0.00 0.00 XXX 0
84525... .................. X Urea nitrogen semi-quant.... 0.00 0.00 0.00 0.00 XXX 0
84540... .................. X Assay urine urea-N.......... 0.00 0.00 0.00 0.00 XXX 0
84545... .................. X Urea-N clearance test....... 0.00 0.00 0.00 0.00 XXX 0
84550... .................. X Assay blood uric acid....... 0.00 0.00 0.00 0.00 XXX 0
84560... .................. X Assay urine uric acid....... 0.00 0.00 0.00 0.00 XXX 0
84577... .................. X Assay feces urobilinogen.... 0.00 0.00 0.00 0.00 XXX 0
84578... .................. X Test urine urobilinogen..... 0.00 0.00 0.00 0.00 XXX 0
84580... .................. X Assay urine urobilinogen.... 0.00 0.00 0.00 0.00 XXX 0
84583... .................. X Assay urine urobilinogen.... 0.00 0.00 0.00 0.00 XXX 0
84585... .................. X Assay urine VMA............. 0.00 0.00 0.00 0.00 XXX 0
84586... .................. X VIP assay................... 0.00 0.00 0.00 0.00 XXX 0
84588... .................. X Assay vasopressin........... 0.00 0.00 0.00 0.00 XXX 0
84590... .................. X Assay vitamin-A............. 0.00 0.00 0.00 0.00 XXX 0
84597... .................. X Assay vitamin-K............. 0.00 0.00 0.00 0.00 XXX 0
84600... .................. X Assay for volatiles......... 0.00 0.00 0.00 0.00 XXX 0
84620... .................. X Xylose tolerance test....... 0.00 0.00 0.00 0.00 XXX 0
84630... .................. X Assay zinc.................. 0.00 0.00 0.00 0.00 XXX 0
84681... .................. X Assay C-peptide............. 0.00 0.00 0.00 0.00 XXX 0
84702... .................. X Chorionic gonadotropin test. 0.00 0.00 0.00 0.00 XXX 0
84703... .................. X Chorionic gonadotropin assay 0.00 0.00 0.00 0.00 XXX 0
84830... .................. X Ovulation tests............. 0.00 0.00 0.00 0.00 XXX 0
84999... .................. X Clinical chemistry test..... 0.00 0.00 0.00 0.00 XXX 0
85002... .................. X Bleeding time test.......... 0.00 0.00 0.00 0.00 XXX 0
85007... .................. X Differential WBC count...... 0.00 0.00 0.00 0.00 XXX 0
85008... .................. X Nondifferential WBC count... 0.00 0.00 0.00 0.00 XXX 0
85009... .................. X Differential WBC count...... 0.00 0.00 0.00 0.00 XXX 0
85013... .................. X Hematocrit.................. 0.00 0.00 0.00 0.00 XXX 0
85014... .................. X Hematocrit.................. 0.00 0.00 0.00 0.00 XXX 0
85018... .................. X Hemoglobin.................. 0.00 0.00 0.00 0.00 XXX 0
85021... .................. X Automated hemogram.......... 0.00 0.00 0.00 0.00 XXX 0
85022... .................. X Automated hemogram.......... 0.00 0.00 0.00 0.00 XXX 0
85023... .................. X Automated hemogram.......... 0.00 0.00 0.00 0.00 XXX 0
85024... .................. X Automated hemogram.......... 0.00 0.00 0.00 0.00 XXX 0
85025... .................. X Automated hemogram.......... 0.00 0.00 0.00 0.00 XXX 0
85027... .................. X Automated hemogram.......... 0.00 0.00 0.00 0.00 XXX 0
85029... .................. X Automated hemogram.......... 0.00 0.00 0.00 0.00 XXX 0
85030... .................. X Automated hemogram.......... 0.00 0.00 0.00 0.00 XXX 0
85031... .................. X Manual hemogram, complete 0.00 0.00 0.00 0.00 XXX 0
cbc.
85041... .................. X Red blood cell (RBC) count.. 0.00 0.00 0.00 0.00 XXX 0
85044... .................. X Reticulocyte count.......... 0.00 0.00 0.00 0.00 XXX 0
[[Page 63299]]
85045... .................. X Reticulocyte count.......... 0.00 0.00 0.00 0.00 XXX 0
85048... .................. X White blood cell (WBC) count 0.00 0.00 0.00 0.00 XXX 0
85060... .................. A Blood smear interpretation.. 0.45 0.22 0.02 0.69 XXX N
85095... .................. A Bone marrow aspiration...... 1.08 0.67 0.05 1.80 XXX N
85097... .................. A Bone marrow interpretation.. 0.94 0.48 0.04 1.46 XXX N
85102... .................. A Bone marrow biopsy.......... 1.37 0.80 0.05 2.22 XXX N
85130... .................. X Chromogenic substrate assay. 0.00 0.00 0.00 0.00 XXX 0
85170... .................. X Blood clot retraction....... 0.00 0.00 0.00 0.00 XXX 0
85175... .................. X Blood clot lysis time....... 0.00 0.00 0.00 0.00 XXX 0
85210... .................. X Blood clot factor II test... 0.00 0.00 0.00 0.00 XXX 0
85220... .................. X Blood clot factor V test.... 0.00 0.00 0.00 0.00 XXX 0
85230... .................. X Blood clot factor VII test.. 0.00 0.00 0.00 0.00 XXX 0
85240... .................. X Blood clot factor VIII test. 0.00 0.00 0.00 0.00 XXX 0
85244... .................. X Blood clot factor VIII test. 0.00 0.00 0.00 0.00 XXX 0
85245... .................. X Blood clot factor VIII test. 0.00 0.00 0.00 0.00 XXX 0
85246... .................. X Blood clot factor VIII test. 0.00 0.00 0.00 0.00 XXX 0
85247... .................. X Blood clot factor VIII test. 0.00 0.00 0.00 0.00 XXX 0
85250... .................. X Blood clot factor IX test... 0.00 0.00 0.00 0.00 XXX 0
85260... .................. X Blood clot factor X test.... 0.00 0.00 0.00 0.00 XXX 0
85270... .................. X Blood clot factor XI test... 0.00 0.00 0.00 0.00 XXX 0
85280... .................. X Blood clot factor XII test.. 0.00 0.00 0.00 0.00 XXX 0
85290... .................. X Blood clot factor XIII test. 0.00 0.00 0.00 0.00 XXX 0
85291... .................. X Blood clot factor XIII test. 0.00 0.00 0.00 0.00 XXX 0
85292... .................. X Blood clot factor assay..... 0.00 0.00 0.00 0.00 XXX 0
85293... .................. X Blood clot factor assay..... 0.00 0.00 0.00 0.00 XXX 0
85300... .................. X Antithrombin III test....... 0.00 0.00 0.00 0.00 XXX 0
85301... .................. X Antithrombin III test....... 0.00 0.00 0.00 0.00 XXX 0
85302... .................. X Blood clot inhibitor antigen 0.00 0.00 0.00 0.00 XXX 0
85303... .................. X Blood clot inhibitor test... 0.00 0.00 0.00 0.00 XXX 0
85305... .................. X Blood clot inhibitor assay.. 0.00 0.00 0.00 0.00 XXX 0
85306... .................. X Blood clot inhibitor test... 0.00 0.00 0.00 0.00 XXX 0
85335... .................. X Factor inhibitor test....... 0.00 0.00 0.00 0.00 XXX 0
85337... .................. X Thrombomodulin.............. 0.00 0.00 0.00 0.00 XXX 0
85345... .................. X Coagulation time............ 0.00 0.00 0.00 0.00 XXX 0
85347... .................. X Coagulation time............ 0.00 0.00 0.00 0.00 XXX 0
85348... .................. X Coagulation time............ 0.00 0.00 0.00 0.00 XXX 0
85360... .................. X Euglobulin lysis............ 0.00 0.00 0.00 0.00 XXX 0
85362... .................. X Fibrin degradation products. 0.00 0.00 0.00 0.00 XXX 0
85366... .................. X Fibrinogen test............. 0.00 0.00 0.00 0.00 XXX 0
85370... .................. X Fibrinogen test............. 0.00 0.00 0.00 0.00 XXX 0
85378... .................. X Fibrin degradation.......... 0.00 0.00 0.00 0.00 XXX 0
85379... .................. X Fibrin degradation.......... 0.00 0.00 0.00 0.00 XXX 0
85384... .................. X Fibrinogen.................. 0.00 0.00 0.00 0.00 XXX 0
85385... .................. X Fibrinogen.................. 0.00 0.00 0.00 0.00 XXX 0
85390... .................. X Fibrinolysins screen........ 0.00 0.00 0.00 0.00 XXX 0
85390... 26 A Fibrinolysins screen........ 0.37 0.20 0.01 0.58 XXX N
85400... .................. X Fibrinolytic plasmin........ 0.00 0.00 0.00 0.00 XXX 0
85410... .................. X Fibrinolytic antiplasmin.... 0.00 0.00 0.00 0.00 XXX 0
85415... .................. X Fibrinolytic plasminogen.... 0.00 0.00 0.00 0.00 XXX 0
85420... .................. X Fibrinolytic plasminogen.... 0.00 0.00 0.00 0.00 XXX 0
85421... .................. X Fibrinolytic plasminogen.... 0.00 0.00 0.00 0.00 XXX 0
85441... .................. X Heinz bodies; direct........ 0.00 0.00 0.00 0.00 XXX 0
85445... .................. X Heinz bodies; induced....... 0.00 0.00 0.00 0.00 XXX 0
85460... .................. X Hemoglobin, fetal........... 0.00 0.00 0.00 0.00 XXX 0
85461... .................. X Hemoglobin, fetal........... 0.00 0.00 0.00 0.00 XXX 0
85475... .................. X Hemolysin................... 0.00 0.00 0.00 0.00 XXX 0
85520... .................. X Heparin assay............... 0.00 0.00 0.00 0.00 XXX 0
85525... .................. X Heparin..................... 0.00 0.00 0.00 0.00 XXX 0
85530... .................. X Heparin-protamine tolerance. 0.00 0.00 0.00 0.00 XXX 0
85535... .................. X Iron stain, blood cells..... 0.00 0.00 0.00 0.00 XXX 0
85540... .................. X Wbc alkaline phosphatase.... 0.00 0.00 0.00 0.00 XXX 0
85547... .................. X RBC mechanical fragility.... 0.00 0.00 0.00 0.00 XXX 0
85549... .................. X Muramidase.................. 0.00 0.00 0.00 0.00 XXX 0
85555... .................. X RBC osmotic fragility....... 0.00 0.00 0.00 0.00 XXX 0
85557... .................. X RBC osmotic fragility....... 0.00 0.00 0.00 0.00 XXX 0
85576... .................. X Blood platelet aggregation.. 0.00 0.00 0.00 0.00 XXX 0
[[Page 63300]]
85576... 26 A Blood platelet aggregation.. 0.37 0.20 0.01 0.58 XXX N
85585... .................. X Blood platelet estimation... 0.00 0.00 0.00 0.00 XXX 0
85590... .................. X Platelet manual count....... 0.00 0.00 0.00 0.00 XXX 0
85595... .................. X Platelet count, automated... 0.00 0.00 0.00 0.00 XXX 0
85597... .................. X Platelet neutralization..... 0.00 0.00 0.00 0.00 XXX 0
85610... .................. X Prothrombin time............ 0.00 0.00 0.00 0.00 XXX 0
85611... .................. X Prothrombin test............ 0.00 0.00 0.00 0.00 XXX 0
85612... .................. X Viper venom prothrombin time 0.00 0.00 0.00 0.00 XXX 0
85613... .................. X Russell viper venom, diluted 0.00 0.00 0.00 0.00 XXX 0
85635... .................. X Reptilase test.............. 0.00 0.00 0.00 0.00 XXX 0
85651... .................. X RBC sed rate, nonauto....... 0.00 0.00 0.00 0.00 XXX 0
85652... .................. X RBC sed rate, auto.......... 0.00 0.00 0.00 0.00 XXX 0
85660... .................. X RBC sickle cell test........ 0.00 0.00 0.00 0.00 XXX 0
85670... .................. X Thrombin time, plasma....... 0.00 0.00 0.00 0.00 XXX 0
85675... .................. X Thrombin time, titer........ 0.00 0.00 0.00 0.00 XXX 0
85705... .................. X Thromboplastin inhibition... 0.00 0.00 0.00 0.00 XXX 0
85730... .................. X Thromboplastin time, partial 0.00 0.00 0.00 0.00 XXX 0
85732... .................. X Thromboplastin time, partial 0.00 0.00 0.00 0.00 XXX 0
85810... .................. X Blood viscosity examination. 0.00 0.00 0.00 0.00 XXX 0
85999... .................. X Hematology procedure........ 0.00 0.00 0.00 0.00 XXX 0
86000... .................. X Agglutinins; febrile........ 0.00 0.00 0.00 0.00 XXX 0
86003... .................. X Allergen specific IgE....... 0.00 0.00 0.00 0.00 XXX 0
86005... .................. X Allergen specific IgE....... 0.00 0.00 0.00 0.00 XXX 0
86021... .................. X WBC antibody identification. 0.00 0.00 0.00 0.00 XXX 0
86022... .................. X Platelet antibodies......... 0.00 0.00 0.00 0.00 XXX 0
86023... .................. X Immunoglobulin assay........ 0.00 0.00 0.00 0.00 XXX 0
86038... .................. X Antinuclear antibodies...... 0.00 0.00 0.00 0.00 XXX 0
86039... .................. X Antinuclear antibodies (ANA) 0.00 0.00 0.00 0.00 XXX 0
86060... .................. X Antistreptolysin O titer.... 0.00 0.00 0.00 0.00 XXX 0
86063... .................. X Antistreptolysin O screen... 0.00 0.00 0.00 0.00 XXX 0
86077... .................. A Physician blood bank service 0.37 0.30 0.02 0.69 XXX N
86078... .................. A Physician blood bank service 0.94 0.34 0.02 1.30 XXX N
86079... .................. A Physician blood bank service 0.37 0.33 0.02 0.72 XXX N
86140... .................. X C-reactive protein.......... 0.00 0.00 0.00 0.00 XXX 0
86147... .................. X Cardiolipin antibody........ 0.00 0.00 0.00 0.00 XXX 0
86155... .................. X Chemotaxis assay............ 0.00 0.00 0.00 0.00 XXX 0
86156... .................. X Cold agglutinin screen...... 0.00 0.00 0.00 0.00 XXX 0
86157... .................. X Cold agglutinin, titer...... 0.00 0.00 0.00 0.00 XXX 0
86160... .................. X Complement, antigen......... 0.00 0.00 0.00 0.00 XXX 0
86161... .................. X Complement/function activity 0.00 0.00 0.00 0.00 XXX 0
86162... .................. X Complement, total (CH50).... 0.00 0.00 0.00 0.00 XXX 0
86171... .................. X Complement fixation, each... 0.00 0.00 0.00 0.00 XXX 0
86185... .................. X Counterimmunoelectrophoresis 0.00 0.00 0.00 0.00 XXX 0
86215... .................. X Deoxyribonuclease, antibody. 0.00 0.00 0.00 0.00 XXX 0
86225... .................. X DNA antibody................ 0.00 0.00 0.00 0.00 XXX 0
86226... .................. X DNA antibody, single strand. 0.00 0.00 0.00 0.00 XXX 0
86235... .................. X Nuclear antigen antibody.... 0.00 0.00 0.00 0.00 XXX 0
86243... .................. X Fc receptor................. 0.00 0.00 0.00 0.00 XXX 0
86255... .................. X Fluorescent antibody; screen 0.00 0.00 0.00 0.00 XXX 0
86255... 26 A Fluorescent antibody; screen 0.37 0.20 0.01 0.58 XXX N
86256... .................. X Fluorescent antibody; titer. 0.00 0.00 0.00 0.00 XXX 0
86256... 26 A Fluorescent antibody; titer. 0.37 0.20 0.01 0.58 XXX N
86277... .................. X Growth hormone antibody..... 0.00 0.00 0.00 0.00 XXX 0
86280... .................. X Hemagglutination inhibition. 0.00 0.00 0.00 0.00 XXX 0
86287... .................. X Hepatitis B (HBsAg)......... 0.00 0.00 0.00 0.00 XXX 0
86289... .................. X Hepatitis BC antibody test.. 0.00 0.00 0.00 0.00 XXX 0
86290... .................. X Hepatitis BC antibody test.. 0.00 0.00 0.00 0.00 XXX 0
86291... .................. X Hepatitis BS antibody test.. 0.00 0.00 0.00 0.00 XXX 0
86293... .................. X Hepatitis Be antibody test.. 0.00 0.00 0.00 0.00 XXX 0
86295... .................. X Hepatitis Be antibody test.. 0.00 0.00 0.00 0.00 XXX 0
86296... .................. X Hepatitis A antibody test... 0.00 0.00 0.00 0.00 XXX 0
86299... .................. X Hepatitis A antibody test... 0.00 0.00 0.00 0.00 XXX 0
86302... .................. X Hepatitis C antibody........ 0.00 0.00 0.00 0.00 XXX 0
86303... .................. X Hepatitis C antibody........ 0.00 0.00 0.00 0.00 XXX 0
86306... .................. X Hepatitis, delta agent...... 0.00 0.00 0.00 0.00 XXX 0
86308... .................. X Heterophile antibodies...... 0.00 0.00 0.00 0.00 XXX 0
[[Page 63301]]
86309... .................. X Heterophile antibodies...... 0.00 0.00 0.00 0.00 XXX 0
86310... .................. X Heterophile antibodies...... 0.00 0.00 0.00 0.00 XXX 0
86311... .................. X HIV antigen test............ 0.00 0.00 0.00 0.00 XXX 0
86313... .................. X Immunoassay, infectious 0.00 0.00 0.00 0.00 XXX 0
agent.
86315... .................. X Immunoassay, infectious 0.00 0.00 0.00 0.00 XXX 0
agent.
86316... .................. X Immunoassay, tumor antigen.. 0.00 0.00 0.00 0.00 XXX 0
86317... .................. X Immunoassay, infectious 0.00 0.00 0.00 0.00 XXX 0
agent.
86318... .................. X Immunoassay, infectious 0.00 0.00 0.00 0.00 XXX 0
agent.
86320... .................. X Serum immunoelectrophoresis. 0.00 0.00 0.00 0.00 XXX 0
86320... 26 A Serum immunoelectrophoresis. 0.37 0.20 0.01 0.58 XXX N
86325... .................. X Other immunoelectrophoresis. 0.00 0.00 0.00 0.00 XXX 0
86325... 26 A Other immunoelectrophoresis. 0.37 0.20 0.01 0.58 XXX N
86327... .................. X Immunoelectrophoresis assay. 0.00 0.00 0.00 0.00 XXX 0
86327... 26 A Immunoelectrophoresis assay. 0.37 0.20 0.01 0.58 XXX N
86329... .................. X Immunodiffusion............. 0.00 0.00 0.00 0.00 XXX 0
86331... .................. X Immunodiffusion ouchterlony. 0.00 0.00 0.00 0.00 XXX 0
86332... .................. X Immune complex assay........ 0.00 0.00 0.00 0.00 XXX 0
86334... .................. X Immunofixation procedure.... 0.00 0.00 0.00 0.00 XXX 0
86334... 26 A Immunofixation procedure.... 0.37 0.20 0.01 0.58 XXX N
86337... .................. X Insulin antibodies.......... 0.00 0.00 0.00 0.00 XXX 0
86340... .................. X Intrinsic factor antibody... 0.00 0.00 0.00 0.00 XXX 0
86341... .................. X Islet cell antibody......... 0.00 0.00 0.00 0.00 XXX 0
86343... .................. X Leukocyte histamine release. 0.00 0.00 0.00 0.00 XXX 0
86344... .................. X Leukocyte phagocytosis...... 0.00 0.00 0.00 0.00 XXX 0
86353... .................. X Lymphocyte transformation... 0.00 0.00 0.00 0.00 XXX 0
86359... .................. X T cells, total count........ 0.00 0.00 0.00 0.00 XXX 0
86360... .................. X T cell ratio................ 0.00 0.00 0.00 0.00 XXX 0
86376... .................. X Microsomal antibody......... 0.00 0.00 0.00 0.00 XXX 0
86378... .................. X Migration inhibitory factor. 0.00 0.00 0.00 0.00 XXX 0
86382... .................. X Neutralization test, viral.. 0.00 0.00 0.00 0.00 XXX 0
86384... .................. X Nitroblue tetrazolium dye... 0.00 0.00 0.00 0.00 XXX 0
86403... .................. X Particle agglutination test. 0.00 0.00 0.00 0.00 XXX 0
86406... .................. X Particle agglutination test. 0.00 0.00 0.00 0.00 XXX 0
86430... .................. X Rheumatoid factor test...... 0.00 0.00 0.00 0.00 XXX 0
86431... .................. X Rheumatoid factor, quant.... 0.00 0.00 0.00 0.00 XXX 0
86485... .................. C Skin test, candida.......... 0.00 0.00 0.00 0.00 XXX N
86490... .................. A Coccidioidomycosis skin test 0.00 0.28 0.02 0.30 XXX N
86510... .................. A Histoplasmosis skin test.... 0.00 0.30 0.02 0.32 XXX N
86580... .................. A TB intradermal test......... 0.00 0.24 0.02 0.26 XXX N
86585... .................. A TB tine test................ 0.00 0.19 0.01 0.20 XXX N
86586... .................. C Skin test, unlisted......... 0.00 0.00 0.00 0.00 XXX N
86588... .................. X Streptocollus, direct screen 0.00 0.00 0.00 0.00 XXX 0
86590... .................. X Streptokinase, antibody..... 0.00 0.00 0.00 0.00 XXX 0
86592... .................. X Blood serology, qualitative. 0.00 0.00 0.00 0.00 XXX 0
86593... .................. X Blood serology, quantitative 0.00 0.00 0.00 0.00 XXX 0
86602... .................. X Antinomyces antibody........ 0.00 0.00 0.00 0.00 XXX 0
86603... .................. X Adenovirus, antibody........ 0.00 0.00 0.00 0.00 XXX 0
86606... .................. X Aspergillus antibody........ 0.00 0.00 0.00 0.00 XXX 0
86609... .................. X Bacterium, antibody......... 0.00 0.00 0.00 0.00 XXX 0
86612... .................. X Blastomyces, antibody....... 0.00 0.00 0.00 0.00 XXX 0
86615... .................. X Bordetella antibody......... 0.00 0.00 0.00 0.00 XXX 0
86617... .................. X Lyme disease antibody....... 0.00 0.00 0.00 0.00 XXX 0
86618... .................. X Lyme disease antibody....... 0.00 0.00 0.00 0.00 XXX 0
86619... .................. X Borrelia antibody........... 0.00 0.00 0.00 0.00 XXX 0
86622... .................. X Brucella, antibody.......... 0.00 0.00 0.00 0.00 XXX 0
86625... .................. X Campylobacter, antibody..... 0.00 0.00 0.00 0.00 XXX 0
86628... .................. X Candida, antibody........... 0.00 0.00 0.00 0.00 XXX 0
86631... .................. X Chlamydia, antibody......... 0.00 0.00 0.00 0.00 XXX 0
86632... .................. X Chlamydia, IgM, antibody.... 0.00 0.00 0.00 0.00 XXX 0
86635... .................. X Coccidioides, antibody...... 0.00 0.00 0.00 0.00 XXX 0
86638... .................. X Q fever antibody............ 0.00 0.00 0.00 0.00 XXX 0
86641... .................. X Cryptococcus antibody....... 0.00 0.00 0.00 0.00 XXX 0
86644... .................. X CMV antibody................ 0.00 0.00 0.00 0.00 XXX 0
86645... .................. X CMV antibody, IgM........... 0.00 0.00 0.00 0.00 XXX 0
86648... .................. X Diphtheria antibody......... 0.00 0.00 0.00 0.00 XXX 0
86651... .................. X Encephalitis, antibody...... 0.00 0.00 0.00 0.00 XXX 0
[[Page 63302]]
86652... .................. X Encephalitis, antibody...... 0.00 0.00 0.00 0.00 XXX 0
86653... .................. X Encephalitis, antibody...... 0.00 0.00 0.00 0.00 XXX 0
86654... .................. X Encephalitis, antibody...... 0.00 0.00 0.00 0.00 XXX 0
86658... .................. X Enterovirus, antibody....... 0.00 0.00 0.00 0.00 XXX 0
86663... .................. X Epstein-barr, antibody...... 0.00 0.00 0.00 0.00 XXX 0
86664... .................. X Epstein-barr, antibody...... 0.00 0.00 0.00 0.00 XXX 0
86665... .................. X Epstein-barr, antibody...... 0.00 0.00 0.00 0.00 XXX 0
86668... .................. X Francisella tularensis...... 0.00 0.00 0.00 0.00 XXX 0
86671... .................. X Fungus, antibody............ 0.00 0.00 0.00 0.00 XXX 0
86674... .................. X Giardia lamblia............. 0.00 0.00 0.00 0.00 XXX 0
86677... .................. X Helicobacter pylori......... 0.00 0.00 0.00 0.00 XXX 0
86682... .................. X Helminth, antibody.......... 0.00 0.00 0.00 0.00 XXX 0
86684... .................. X Hemophilus influenza........ 0.00 0.00 0.00 0.00 XXX 0
86687... .................. X HTLV I...................... 0.00 0.00 0.00 0.00 XXX 0
86688... .................. X HTLV-II..................... 0.00 0.00 0.00 0.00 XXX 0
86689... .................. X HTLV/HIV confirmatory test.. 0.00 0.00 0.00 0.00 XXX 0
86692... .................. X Hepatitis, delta agent...... 0.00 0.00 0.00 0.00 XXX 0
86694... .................. X Herpes simplex test......... 0.00 0.00 0.00 0.00 XXX 0
86695... .................. X Herpes simplex test......... 0.00 0.00 0.00 0.00 XXX 0
86698... .................. X Histoplasma................. 0.00 0.00 0.00 0.00 XXX 0
86701... .................. X HIV-1....................... 0.00 0.00 0.00 0.00 XXX 0
86702... .................. X HIV-2....................... 0.00 0.00 0.00 0.00 XXX 0
86703... .................. X HIV-1/HIV-2, single assay... 0.00 0.00 0.00 0.00 XXX 0
86710... .................. X Influenza virus............. 0.00 0.00 0.00 0.00 XXX 0
86713... .................. X Legionella.................. 0.00 0.00 0.00 0.00 XXX 0
86717... .................. X Leishmania.................. 0.00 0.00 0.00 0.00 XXX 0
86720... .................. X Leptospira.................. 0.00 0.00 0.00 0.00 XXX 0
86723... .................. X Listeria monocytogenes...... 0.00 0.00 0.00 0.00 XXX 0
86727... .................. X Lymph choriomeningitis...... 0.00 0.00 0.00 0.00 XXX 0
86729... .................. X Lympho venereum............. 0.00 0.00 0.00 0.00 XXX 0
86732... .................. X Mucormycosis................ 0.00 0.00 0.00 0.00 XXX 0
86735... .................. X Mumps....................... 0.00 0.00 0.00 0.00 XXX 0
86738... .................. X Mycoplasma.................. 0.00 0.00 0.00 0.00 XXX 0
86741... .................. X Neisseria meningitidis...... 0.00 0.00 0.00 0.00 XXX 0
86744... .................. X Nocardia.................... 0.00 0.00 0.00 0.00 XXX 0
86747... .................. X Parvovirus.................. 0.00 0.00 0.00 0.00 XXX 0
86750... .................. X Malaria..................... 0.00 0.00 0.00 0.00 XXX 0
86753... .................. X Protozoa, not elsewhere..... 0.00 0.00 0.00 0.00 XXX 0
86756... .................. X Respiratory virus........... 0.00 0.00 0.00 0.00 XXX 0
86759... .................. X Rotavirus................... 0.00 0.00 0.00 0.00 XXX 0
86762... .................. X Rubella..................... 0.00 0.00 0.00 0.00 XXX 0
86765... .................. X Rubeola..................... 0.00 0.00 0.00 0.00 XXX 0
86768... .................. X Salmonella.................. 0.00 0.00 0.00 0.00 XXX 0
86771... .................. X Shigella.................... 0.00 0.00 0.00 0.00 XXX 0
86774... .................. X Tetanus..................... 0.00 0.00 0.00 0.00 XXX 0
86777... .................. X Toxoplasma.................. 0.00 0.00 0.00 0.00 XXX 0
86778... .................. X Toxoplasma, IgM............. 0.00 0.00 0.00 0.00 XXX 0
86781... .................. X Treponema pallidum confirm.. 0.00 0.00 0.00 0.00 XXX 0
86784... .................. X Trichinella................. 0.00 0.00 0.00 0.00 XXX 0
86787... .................. X Varicella-zoster............ 0.00 0.00 0.00 0.00 XXX 0
86790... .................. X Virus, not specified........ 0.00 0.00 0.00 0.00 XXX 0
86793... .................. X Yersinia.................... 0.00 0.00 0.00 0.00 XXX 0
86800... .................. X Thyroglobulin antibody...... 0.00 0.00 0.00 0.00 XXX 0
86805... .................. X Lymphocytotoxicity assay.... 0.00 0.00 0.00 0.00 XXX 0
86806... .................. X Lymphocytotoxicity assay.... 0.00 0.00 0.00 0.00 XXX 0
86807... .................. X Cytotoxic antibody screening 0.00 0.00 0.00 0.00 XXX 0
86808... .................. X Cytotoxic antibody screening 0.00 0.00 0.00 0.00 XXX 0
86812... .................. X HLA typing, A, B, or C...... 0.00 0.00 0.00 0.00 XXX 0
86813... .................. X HLA typing, A, B, or C...... 0.00 0.00 0.00 0.00 XXX 0
86816... .................. X HLA typing, DR/DQ........... 0.00 0.00 0.00 0.00 XXX 0
86817... .................. X HLA typing, DR/DQ........... 0.00 0.00 0.00 0.00 XXX 0
86821... .................. X Lymphocyte culture, mixed... 0.00 0.00 0.00 0.00 XXX 0
86822... .................. X Lymphocyte culture, primed.. 0.00 0.00 0.00 0.00 XXX 0
86849... .................. X Immunology procedure........ 0.00 0.00 0.00 0.00 XXX 0
86850... .................. X RBC antibody screen......... 0.00 0.00 0.00 0.00 XXX 0
86860... .................. X RBC antibody elution........ 0.00 0.00 0.00 0.00 XXX 0
[[Page 63303]]
86870... .................. X RBC antibody identification. 0.00 0.00 0.00 0.00 XXX 0
86880... .................. X Coombs test................. 0.00 0.00 0.00 0.00 XXX 0
86885... .................. X Coombs test................. 0.00 0.00 0.00 0.00 XXX 0
86886... .................. X Coombs test................. 0.00 0.00 0.00 0.00 XXX 0
86890... .................. X Autologous blood process.... 0.00 0.00 0.00 0.00 XXX 0
86891... .................. X Autologous blood, op salvage 0.00 0.00 0.00 0.00 XXX 0
86900... .................. X Blood typing, ABO........... 0.00 0.00 0.00 0.00 XXX 0
86901... .................. X Blood typing, Rh (D)........ 0.00 0.00 0.00 0.00 XXX 0
86903... .................. X Blood typing, antigen screen 0.00 0.00 0.00 0.00 XXX 0
86904... .................. X Blood typing, patient serum. 0.00 0.00 0.00 0.00 XXX 0
86905... .................. X Blood typing, RBC antigens.. 0.00 0.00 0.00 0.00 XXX 0
86906... .................. X Blood typing, Rh phenotype.. 0.00 0.00 0.00 0.00 XXX 0
86910... .................. N Blood typing, paternity test 0.00 0.00 0.00 0.00 XXX 0
86911... .................. N Blood typing, antigen system 0.00 0.00 0.00 0.00 XXX 0
86915... .................. X Bone marrow................. 0.00 0.00 0.00 0.00 XXX 0
86920... .................. X Compatibility test.......... 0.00 0.00 0.00 0.00 XXX 0
86921... .................. X Compatibility test.......... 0.00 0.00 0.00 0.00 XXX 0
86922... .................. X Compatibility test.......... 0.00 0.00 0.00 0.00 XXX 0
86927... .................. X Plasma, fresh frozen........ 0.00 0.00 0.00 0.00 XXX 0
86930... .................. X Frozen blood prep........... 0.00 0.00 0.00 0.00 XXX 0
86931... .................. X Frozen blood thaw........... 0.00 0.00 0.00 0.00 XXX 0
86932... .................. X Frozen blood, freeze/thaw... 0.00 0.00 0.00 0.00 XXX 0
86940... .................. X Hemolysins/agglutinins auto. 0.00 0.00 0.00 0.00 XXX 0
86941... .................. X Hemolysins/agglutinins...... 0.00 0.00 0.00 0.00 XXX 0
86945... .................. X Blood product/irradiation... 0.00 0.00 0.00 0.00 XXX 0
86950... .................. X Leukacyte transfusion....... 0.00 0.00 0.00 0.00 XXX 0
86965... .................. X Pooling blood platelets..... 0.00 0.00 0.00 0.00 XXX 0
86970... .................. X RBC pretreatment............ 0.00 0.00 0.00 0.00 XXX 0
86971... .................. X RBC pretreatment............ 0.00 0.00 0.00 0.00 XXX 0
86972... .................. X RBC pretreatment............ 0.00 0.00 0.00 0.00 XXX 0
86975... .................. X RBC pretreatment, serum..... 0.00 0.00 0.00 0.00 XXX 0
86976... .................. X RBC pretreatment, serum..... 0.00 0.00 0.00 0.00 XXX 0
86977... .................. X RBC pretreatment, serum..... 0.00 0.00 0.00 0.00 XXX 0
86978... .................. X RBC pretreatment, serum..... 0.00 0.00 0.00 0.00 XXX 0
86985... .................. X Split blood or products..... 0.00 0.00 0.00 0.00 XXX 0
86999... .................. X Transfusion procedure....... 0.00 0.00 0.00 0.00 XXX 0
87001... .................. X Small animal inoculation.... 0.00 0.00 0.00 0.00 XXX 0
87003... .................. X Small animal inoculation.... 0.00 0.00 0.00 0.00 XXX 0
87015... .................. X Specimen concentration...... 0.00 0.00 0.00 0.00 XXX 0
87040... .................. X Blood culture for bacteria.. 0.00 0.00 0.00 0.00 XXX 0
87045... .................. X Stool culture for bacteria.. 0.00 0.00 0.00 0.00 XXX 0
87060... .................. X Nose/throat culture, 0.00 0.00 0.00 0.00 XXX 0
bacteria.
87070... .................. X Culture specimen, bacteria.. 0.00 0.00 0.00 0.00 XXX 0
87072... .................. X Culture of specimen by kit.. 0.00 0.00 0.00 0.00 XXX 0
87075... .................. X Culture specimen, bacteria.. 0.00 0.00 0.00 0.00 XXX 0
87076... .................. X Bacteria identification..... 0.00 0.00 0.00 0.00 XXX 0
87081... .................. X Bacteria culture screen..... 0.00 0.00 0.00 0.00 XXX 0
87082... .................. X Culture of specimen by kit.. 0.00 0.00 0.00 0.00 XXX 0
87083... .................. X Culture of specimen by kit.. 0.00 0.00 0.00 0.00 XXX 0
87084... .................. X Culture of specimen by kit.. 0.00 0.00 0.00 0.00 XXX 0
87085... .................. X Culture of specimen by kit.. 0.00 0.00 0.00 0.00 XXX 0
87086... .................. X Urine culture, colony count. 0.00 0.00 0.00 0.00 XXX 0
87087... .................. X Urine bacteria culture...... 0.00 0.00 0.00 0.00 XXX 0
87088... .................. X Urine bacteria culture...... 0.00 0.00 0.00 0.00 XXX 0
87101... .................. X Skin fungus culture......... 0.00 0.00 0.00 0.00 XXX 0
87102... .................. X Fungus isolation culture.... 0.00 0.00 0.00 0.00 XXX 0
87103... .................. X Blood fungus culture........ 0.00 0.00 0.00 0.00 XXX 0
87106... .................. X Fungus identification....... 0.00 0.00 0.00 0.00 XXX 0
87109... .................. X Mycoplasma culture.......... 0.00 0.00 0.00 0.00 XXX 0
87110... .................. X Culture, chlamydia.......... 0.00 0.00 0.00 0.00 XXX 0
87116... .................. X Mycobacteria culture........ 0.00 0.00 0.00 0.00 XXX 0
87117... .................. X Mycobacteria culture........ 0.00 0.00 0.00 0.00 XXX 0
87118... .................. X Mycobacteria identification. 0.00 0.00 0.00 0.00 XXX 0
87140... .................. X Culture typing, fluorescent. 0.00 0.00 0.00 0.00 XXX 0
87143... .................. X Culture typing, GLC method.. 0.00 0.00 0.00 0.00 XXX 0
87145... .................. X Culture typing, phage method 0.00 0.00 0.00 0.00 XXX 0
[[Page 63304]]
87147... .................. X Culture typing, serologic... 0.00 0.00 0.00 0.00 XXX 0
87151... .................. X Culture typing, serologic... 0.00 0.00 0.00 0.00 XXX 0
87155... .................. X Culture typing, precipitin.. 0.00 0.00 0.00 0.00 XXX 0
87158... .................. X Culture typing, added method 0.00 0.00 0.00 0.00 XXX 0
87163... .................. X Special microbiology culture 0.00 0.00 0.00 0.00 XXX 0
87164... .................. X Dark field examination...... 0.00 0.00 0.00 0.00 XXX 0
87164... 26 A Dark field examination...... 0.37 0.20 0.01 0.58 XXX N
87166... .................. X Dark field examination...... 0.00 0.00 0.00 0.00 XXX 0
87174... .................. X Endotoxin, bacterial........ 0.00 0.00 0.00 0.00 XXX 0
87175... .................. X Assay, endotoxin, bacterial. 0.00 0.00 0.00 0.00 XXX 0
87176... .................. X Endotoxin, bacterial........ 0.00 0.00 0.00 0.00 XXX 0
87177... .................. X Ova and parasites smears.... 0.00 0.00 0.00 0.00 XXX 0
87178... .................. X Microbe identification...... 0.00 0.00 0.00 0.00 XXX 0
87179... .................. X Microbe identification...... 0.00 0.00 0.00 0.00 XXX 0
87181... .................. X Antibiotic sensitivity, each 0.00 0.00 0.00 0.00 XXX 0
87184... .................. X Antibiotic sensitivity, each 0.00 0.00 0.00 0.00 XXX 0
87186... .................. X Antibiotic sensitivity, MIC. 0.00 0.00 0.00 0.00 XXX 0
87187... .................. X Antibiotic sensitivity, MBC. 0.00 0.00 0.00 0.00 XXX 0
87188... .................. X Antibiotic sensitivity, each 0.00 0.00 0.00 0.00 XXX 0
87190... .................. X TB antibiotic sensitivity... 0.00 0.00 0.00 0.00 XXX 0
87192... .................. X Antibiotic sensitivity, each 0.00 0.00 0.00 0.00 XXX 0
87197... .................. X Bactericidal level, serum... 0.00 0.00 0.00 0.00 XXX 0
87205... .................. X Smear, stain & interpret.... 0.00 0.00 0.00 0.00 XXX 0
87206... .................. X Smear, stain & interpret.... 0.00 0.00 0.00 0.00 XXX 0
87207... .................. X Smear, stain & interpret.... 0.00 0.00 0.00 0.00 XXX 0
87207... 26 A Smear, stain & interpret.... 0.37 0.20 0.01 0.58 XXX N
87208... .................. X Smear, stain & interpret.... 0.00 0.00 0.00 0.00 XXX 0
87210... .................. X Smear, stain & interpret.... 0.00 0.00 0.00 0.00 XXX 0
87211... .................. X Smear, stain & interpret.... 0.00 0.00 0.00 0.00 XXX 0
87220... .................. X Tissue exam for fungi....... 0.00 0.00 0.00 0.00 XXX 0
87230... .................. X Assay, toxin or antitoxin... 0.00 0.00 0.00 0.00 XXX 0
87250... .................. X Virus inoculation for test.. 0.00 0.00 0.00 0.00 XXX 0
87252... .................. X Virus inoculation for test.. 0.00 0.00 0.00 0.00 XXX 0
87253... .................. X Virus inoculation for test.. 0.00 0.00 0.00 0.00 XXX 0
87999... .................. X Microbiology procedure...... 0.00 0.00 0.00 0.00 XXX 0
88000... .................. N Autopsy (necropsy), gross... 0.00 0.00 0.00 0.00 XXX 0
88005... .................. N Autopsy (necropsy), gross... 0.00 0.00 0.00 0.00 XXX 0
88007... .................. N Autopsy (necropsy), gross... 0.00 0.00 0.00 0.00 XXX 0
88012... .................. N Autopsy (necropsy), gross... 0.00 0.00 0.00 0.00 XXX 0
88014... .................. N Autopsy (necropsy), gross... 0.00 0.00 0.00 0.00 XXX 0
88016... .................. N Autopsy (necropsy), gross... 0.00 0.00 0.00 0.00 XXX 0
88020... .................. N Autopsy (necropsy), complete 0.00 0.00 0.00 0.00 XXX 0
88025... .................. N Autopsy (necropsy), complete 0.00 0.00 0.00 0.00 XXX 0
88027... .................. N Autopsy (necropsy), complete 0.00 0.00 0.00 0.00 XXX 0
88028... .................. N Autopsy (necropsy), complete 0.00 0.00 0.00 0.00 XXX 0
88029... .................. N Autopsy (necropsy), complete 0.00 0.00 0.00 0.00 XXX 0
88036... .................. N Limited autopsy............. 0.00 0.00 0.00 0.00 XXX 0
88037... .................. N Limited autopsy............. 0.00 0.00 0.00 0.00 XXX 0
88040... .................. N Forensic autopsy (necropsy). 0.00 0.00 0.00 0.00 XXX 0
88045... .................. N Coroner's autopsy (necropsy) 0.00 0.00 0.00 0.00 XXX 0
88099... .................. N Necropsy (autopsy) procedure 0.00 0.00 0.00 0.00 XXX 0
88104... .................. A Microscopic exam of cells... 0.56 0.44 0.04 1.04 XXX N
88104... 26 A Microscopic exam of cells... 0.56 0.23 0.02 0.81 XXX N
88104... TC A Microscopic exam of cells... 0.00 0.21 0.02 0.23 XXX N
88106... .................. A Microscopic exam of cells... 0.56 0.37 0.03 0.96 XXX N
88106... 26 A Microscopic exam of cells... 0.56 0.20 0.01 0.77 XXX N
88106... TC A Microscopic exam of cells... 0.00 0.17 0.02 0.19 XXX N
88107... .................. A Microscopic exam of cells... 0.76 0.47 0.04 1.27 XXX N
88107... 26 A Microscopic exam of cells... 0.76 0.24 0.02 1.02 XXX N
88107... TC A Microscopic exam of cells... 0.00 0.23 0.02 0.25 XXX N
88108... .................. A Cytopathology............... 0.56 0.47 0.04 1.07 XXX N
88108... 26 A Cytopathology............... 0.56 0.24 0.02 0.82 XXX N
88108... TC A Cytopathology............... 0.00 0.23 0.02 0.25 XXX N
88125... .................. A Forensic cytopathology...... 0.26 0.11 0.00 0.37 XXX N
88125... 26 A Forensic cytopathology...... 0.26 0.07 0.00 0.33 XXX N
88125... TC A Forensic cytopathology...... 0.00 0.04 0.00 0.04 XXX N
[[Page 63305]]
88130... .................. X Sex chromatin identification 0.00 0.00 0.00 0.00 XXX 0
88140... .................. X Sex chromatin identification 0.00 0.00 0.00 0.00 XXX 0
88150... .................. X Cytopathology, pap smear.... 0.00 0.00 0.00 0.00 XXX 0
88151... .................. X Cytopathology interpretation 0.00 0.00 0.00 0.00 XXX 0
88151... 26 A Cytopathology interpretation 0.42 0.32 0.04 0.78 XXX N
88155... .................. X Cytopathology, pap smear.... 0.00 0.00 0.00 0.00 XXX 0
88156... .................. X TBS smear (bethesda system). 0.00 0.00 0.00 0.00 XXX 0
88157... .................. X TBS smear (bethesda system). 0.00 0.00 0.00 0.00 XXX 0
88157... 26 A TBS smear (bethesda system). 0.42 0.32 0.04 0.78 XXX N
88160... .................. A Cytopathology............... 0.50 0.33 0.03 0.86 XXX N
88160... 26 A Cytopathology............... 0.50 0.17 0.01 0.68 XXX N
88160... TC A Cytopathology............... 0.00 0.16 0.02 0.18 XXX N
88161... .................. A Cytopathology............... 0.50 0.39 0.03 0.92 XXX N
88161... 26 A Cytopathology............... 0.50 0.20 0.01 0.71 XXX N
88161... TC A Cytopathology............... 0.00 0.19 0.02 0.21 XXX N
88162... .................. A Cytopathology, extensive.... 0.76 0.79 0.05 1.60 XXX N
88162... 26 A Cytopathology, extensive.... 0.76 0.41 0.03 1.20 XXX N
88162... TC A Cytopathology, extensive.... 0.00 0.38 0.02 0.40 XXX N
88170... .................. A Fine needle aspiration...... 0.50 0.99 0.09 1.58 XXX N
88170... 26 A Fine needle aspiration...... 0.50 0.52 0.05 1.07 XXX N
88170... TC A Fine needle aspiration...... 0.00 0.47 0.04 0.51 XXX N
88171... .................. A Fine needle aspiration...... 1.05 1.35 0.09 2.49 XXX N
88171... 26 A Fine needle aspiration...... 1.05 0.71 0.05 1.81 XXX N
88171... TC A Fine needle aspiration...... 0.00 0.64 0.04 0.68 XXX N
88172... .................. A Evaluation of smear......... 0.60 0.71 0.05 1.36 XXX N
88172... 26 A Evaluation of smear......... 0.60 0.36 0.03 0.99 XXX N
88172... TC A Evaluation of smear......... 0.00 0.35 0.02 0.37 XXX N
88173... .................. A Interpretation of smear..... 1.08 0.87 0.05 2.00 XXX N
88173... 26 A Interpretation of smear..... 1.08 0.45 0.03 1.56 XXX N
88173... TC A Interpretation of smear..... 0.00 0.42 0.02 0.44 XXX N
88180... .................. A Cell marker study........... 0.36 0.33 0.03 0.72 XXX N
88180... 26 A Cell marker study........... 0.36 0.17 0.01 0.54 XXX N
88180... TC A Cell marker study........... 0.00 0.16 0.02 0.18 XXX N
88182... .................. A Cell marker study........... 0.77 0.89 0.07 1.73 XXX N
88182... 26 A Cell marker study........... 0.77 0.45 0.03 1.25 XXX N
88182... TC A Cell marker study........... 0.00 0.44 0.04 0.48 XXX N
88199... .................. C Cytopathology procedure..... 0.00 0.00 0.00 0.00 XXX N
88199... 26 C Cytopathology procedure..... 0.00 0.00 0.00 0.00 XXX N
88199... TC C Cytopathology procedure..... 0.00 0.00 0.00 0.00 XXX N
88230... .................. X Tissue culture, lymphocyte.. 0.00 0.00 0.00 0.00 XXX 0
88233... .................. X Tissue culture, skin/biopsy. 0.00 0.00 0.00 0.00 XXX 0
88235... .................. X Tissue culture, placenta.... 0.00 0.00 0.00 0.00 XXX 0
88237... .................. X Tissue culture, bone marrow. 0.00 0.00 0.00 0.00 XXX 0
88239... .................. X Tissue culture, other....... 0.00 0.00 0.00 0.00 XXX 0
88245... .................. X Chromosome analysis......... 0.00 0.00 0.00 0.00 XXX 0
88248... .................. X Chromosome analysis......... 0.00 0.00 0.00 0.00 XXX 0
88250... .................. X Chromosome analysis......... 0.00 0.00 0.00 0.00 XXX 0
88260... .................. X Chromosome analysis: 5 cells 0.00 0.00 0.00 0.00 XXX 0
88261... .................. X Chromosome analysis: 5 cells 0.00 0.00 0.00 0.00 XXX 0
88262... .................. X Chromosome count: 15-20 0.00 0.00 0.00 0.00 XXX 0
cells.
88263... .................. X Chromosome analysis: 45 0.00 0.00 0.00 0.00 XXX 0
cells.
88267... .................. X Chromosome analysis: placent 0.00 0.00 0.00 0.00 XXX 0
88269... .................. X Chromosome analysis: 0.00 0.00 0.00 0.00 XXX 0
amniotic.
88280... .................. X Chromosome karyotype study.. 0.00 0.00 0.00 0.00 XXX 0
88283... .................. X Chromosome banding study.... 0.00 0.00 0.00 0.00 XXX 0
88285... .................. X Chromosome count: additional 0.00 0.00 0.00 0.00 XXX 0
88289... .................. X Chromosome study: additional 0.00 0.00 0.00 0.00 XXX 0
88299... .................. C Cytogenetic study........... 0.00 0.00 0.00 0.00 XXX N
88300... .................. A Surg path, gross............ 0.08 *0.20 0.01 0.29 XXX N
88300... 26 A Surg path, gross............ 0.08 *0.10 0.01 0.19 XXX N
88300... TC A Surg path, gross............ 0.00 0.10 0.00 0.10 XXX N
88302... .................. A Tissue exam by pathologist.. 0.13 *0.40 0.04 0.57 XXX N
88302... 26 A Tissue exam by pathologist.. 0.13 *0.17 0.02 0.32 XXX N
88302... TC A Tissue exam by pathologist.. 0.00 0.23 0.02 0.25 XXX N
88304... .................. A Tissue exam by pathologist.. 0.22 *0.61 0.04 0.87 XXX N
88304... 26 A Tissue exam by pathologist.. 0.22 *0.28 0.02 0.52 XXX N
[[Page 63306]]
88304... TC A Tissue exam by pathologist.. 0.00 0.33 0.02 0.35 XXX N
88305... .................. A Tissue exam by pathologist.. 0.75 1.03 0.08 1.86 XXX N
88305... 26 A Tissue exam by pathologist.. 0.75 0.53 0.04 1.32 XXX N
88305... TC A Tissue exam by pathologist.. 0.00 0.50 0.04 0.54 XXX N
88307... .................. A Tissue exam by pathologist.. 1.59 1.52 0.12 3.23 XXX N
88307... 26 A Tissue exam by pathologist.. 1.59 0.78 0.06 2.43 XXX N
88307... TC A Tissue exam by pathologist.. 0.00 0.74 0.06 0.80 XXX N
88309... .................. A Tissue exam by pathologist.. 2.28 1.92 0.13 4.33 XXX N
88309... 26 A Tissue exam by pathologist.. 2.28 0.99 0.07 3.34 XXX N
88309... TC A Tissue exam by pathologist.. 0.00 0.93 0.06 0.99 XXX N
88311... .................. A Decalcify tissue............ 0.24 0.21 0.01 0.46 XXX N
88311... 26 A Decalcify tissue............ 0.24 0.11 0.01 0.36 XXX N
88311... TC A Decalcify tissue............ 0.00 0.10 0.00 0.10 XXX N
88312... .................. A Special stains.............. 0.54 0.26 0.01 0.81 XXX N
88312... 26 A Special stains.............. 0.54 0.14 0.01 0.69 XXX N
88312... TC A Special stains.............. 0.00 0.12 0.00 0.12 XXX N
88313... .................. A Special stains.............. 0.24 0.21 0.01 0.46 XXX N
88313... 26 A Special stains.............. 0.24 0.11 0.01 0.36 XXX N
88313... TC A Special stains.............. 0.00 0.10 0.00 0.10 XXX N
88314... .................. A Histochemical stain......... 0.45 0.62 0.04 1.11 XXX N
88314... 26 A Histochemical stain......... 0.45 0.35 0.02 0.82 XXX N
88314... TC A Histochemical stain......... 0.00 0.27 0.02 0.29 XXX N
88318... .................. A Chemical histochemistry..... 0.42 0.24 0.01 0.67 XXX N
88318... 26 A Chemical histochemistry..... 0.42 0.12 0.01 0.55 XXX N
88318... TC A Chemical histochemistry..... 0.00 0.12 0.00 0.12 XXX N
88319... .................. A Enzyme histochemistry....... 0.53 0.49 0.04 1.06 XXX N
88319... 26 A Enzyme histochemistry....... 0.53 0.26 0.02 0.81 XXX N
88319... TC A Enzyme histochemistry....... 0.00 0.23 0.02 0.25 XXX N
88321... .................. A Microslide consultation..... 1.30 0.41 0.03 1.74 XXX N
88323... .................. A Microslide consultation..... 1.35 0.72 0.05 2.12 XXX N
88323... 26 A Microslide consultation..... 1.35 0.39 0.03 1.77 XXX N
88323... TC A Microslide consultation..... 0.00 0.33 0.02 0.35 XXX N
88325... .................. A Comprehensive review of data 2.22 0.47 0.04 2.73 XXX N
88329... .................. A Pathology consult in surgery 0.67 0.37 0.03 1.07 XXX N
88331... .................. A Pathology consult in surgery 1.19 1.10 0.08 2.37 XXX N
88331... 26 A Pathology consult in surgery 1.19 0.56 0.04 1.79 XXX N
88331... TC A Pathology consult in surgery 0.00 0.54 0.04 0.58 XXX N
88332... .................. A Pathology consult in surgery 0.59 0.56 0.04 1.19 XXX N
88332... 26 A Pathology consult in surgery 0.59 0.29 0.02 0.90 XXX N
88332... TC A Pathology consult in surgery 0.00 0.27 0.02 0.29 XXX N
88342... .................. A Immunocytochemistry......... 0.85 0.64 0.04 1.53 XXX N
88342... 26 A Immunocytochemistry......... 0.85 0.33 0.02 1.20 XXX N
88342... TC A Immunocytochemistry......... 0.00 0.31 0.02 0.33 XXX N
88346... .................. A Immunofluorescent study..... 0.86 0.58 0.04 1.48 XXX N
88346... 26 A Immunofluorescent study..... 0.86 0.31 0.02 1.19 XXX N
88346... TC A Immunofluorescent study..... 0.00 0.27 0.02 0.29 XXX N
88347... .................. A Immunofluorescent study..... 0.86 0.42 0.04 1.32 XXX N
88347... 26 A Immunofluorescent study..... 0.86 0.15 0.02 1.03 XXX N
88347... TC A Immunofluorescent study..... 0.00 0.27 0.02 0.29 XXX N
88348... .................. A Electron microscopy......... 1.51 2.28 0.16 3.95 XXX N
88348... 26 A Electron microscopy......... 1.51 1.19 0.08 2.78 XXX N
88348... TC A Electron microscopy......... 0.00 1.09 0.08 1.17 XXX N
88349... .................. A Scanning electron microscopy 0.76 1.55 0.12 2.43 XXX N
88349... 26 A Scanning electron microscopy 0.76 0.79 0.06 1.61 XXX N
88349... TC A Scanning electron microscopy 0.00 0.76 0.06 0.82 XXX N
88355... .................. A Analysis, skeletal muscle... 1.85 1.74 0.13 3.72 XXX N
88355... 26 A Analysis, skeletal muscle... 1.85 0.92 0.07 2.84 XXX N
88355... TC A Analysis, skeletal muscle... 0.00 0.82 0.06 0.88 XXX N
88356... .................. A Analysis, nerve............. 3.02 2.66 0.18 5.86 XXX N
88356... 26 A Analysis, nerve............. 3.02 1.39 0.10 4.51 XXX N
88356... TC A Analysis, nerve............. 0.00 1.27 0.08 1.35 XXX N
88358... .................. A Analysis, tumor............. 2.82 2.32 0.16 5.30 XXX N
88358... 26 A Analysis, tumor............. 2.82 1.16 0.08 4.06 XXX N
88358... TC A Analysis, tumor............. 0.00 1.16 0.08 1.24 XXX N
88362... .................. A Nerve teasing preparations.. 2.17 1.97 0.13 4.27 XXX N
88362... 26 A Nerve teasing preparations.. 2.17 1.00 0.07 3.24 XXX N
[[Page 63307]]
88362... TC A Nerve teasing preparations.. 0.00 0.97 0.06 1.03 XXX N
88365... .................. A Tissue hybridization........ 0.93 0.75 0.05 1.73 XXX N
88365... 26 A Tissue hybridization........ 0.93 0.38 0.03 1.34 XXX N
88365... TC A Tissue hybridization........ 0.00 0.37 0.02 0.39 XXX N
88371... .................. X Protein, western blot tissue 0.00 0.00 0.00 0.00 XXX 0
88371... 26 A Protein, western blot tissue 0.37 0.20 0.01 0.58 XXX N
88372... .................. X Protein analysis w/probe.... 0.00 0.00 0.00 0.00 XXX 0
88372... 26 A Protein analysis w/probe.... 0.37 0.20 0.01 0.58 XXX N
88399... .................. C Surgical pathology procedure 0.00 0.00 0.00 0.00 XXX N
88399... 26 C Surgical pathology procedure 0.00 0.00 0.00 0.00 XXX N
88399... TC C Surgical pathology procedure 0.00 0.00 0.00 0.00 XXX N
89050... .................. X Body fluid cell count....... 0.00 0.00 0.00 0.00 XXX 0
89051... .................. X Body fluid cell count....... 0.00 0.00 0.00 0.00 XXX 0
89060... .................. X Exam, synovial fluid 0.00 0.00 0.00 0.00 XXX 0
crystals.
89060... 26 A Exam, synovial fluid 0.37 0.20 0.01 0.58 XXX N
crystals.
89100... .................. A Sample intestinal contents.. 0.60 0.42 0.03 1.05 XXX N
89105... .................. A Sample intestinal contents.. 0.50 0.39 0.03 0.92 XXX N
89125... .................. X Specimen fat stain.......... 0.00 0.00 0.00 0.00 XXX 0
89130... .................. A Sample stomach contents..... 0.45 0.41 0.03 0.89 XXX N
89132... .................. A Sample stomach contents..... 0.19 0.19 0.02 0.40 XXX N
89135... .................. A Sample stomach contents..... 0.79 0.58 0.04 1.41 XXX N
89136... .................. A Sample stomach contents..... 0.21 0.22 0.02 0.45 XXX N
89140... .................. A Sample stomach contents..... 0.94 0.81 0.07 1.82 XXX N
89141... .................. A Sample stomach contents..... 0.85 0.73 0.06 1.64 XXX N
89160... .................. X Exam feces for meat fibers.. 0.00 0.00 0.00 0.00 XXX 0
89190... .................. X Nasal smear for eosinophils. 0.00 0.00 0.00 0.00 XXX 0
89250... .................. X Fertilization of oocyte..... 0.00 0.00 0.00 0.00 XXX 0
89300... .................. X Semen analysis.............. 0.00 0.00 0.00 0.00 XXX 0
89310... .................. X Semen analysis.............. 0.00 0.00 0.00 0.00 XXX 0
89320... .................. X Semen analysis.............. 0.00 0.00 0.00 0.00 XXX 0
89325... .................. X Sperm antibody test......... 0.00 0.00 0.00 0.00 XXX 0
89329... .................. X Sperm evaluation test....... 0.00 0.00 0.00 0.00 XXX 0
89330... .................. X Evaluation, cervical mucus.. 0.00 0.00 0.00 0.00 XXX 0
89350... .................. A Sputum specimen collection.. 0.00 0.39 0.03 0.42 XXX N
89355... .................. X Exam feces for starch....... 0.00 0.00 0.00 0.00 XXX 0
89360... .................. A Collect sweat for test...... 0.00 0.43 0.03 0.46 XXX N
89365... .................. X Water load test............. 0.00 0.00 0.00 0.00 XXX 0
89399... .................. C Pathology lab procedure..... 0.00 0.00 0.00 0.00 XXX N
89399... 26 C Pathology lab procedure..... 0.00 0.00 0.00 0.00 XXX N
89399... TC C Pathology lab procedure..... 0.00 0.00 0.00 0.00 XXX N
90700... .................. E DTaP immunization........... 0.00 0.00 0.00 0.00 XXX 0
90701... .................. E DTP immunization............ 0.00 0.00 0.00 0.00 XXX 0
90702... .................. E DT immunization............. 0.00 0.00 0.00 0.00 XXX 0
90703... .................. E Tetanus immunization........ 0.00 0.00 0.00 0.00 XXX 0
90704... .................. E Mumps immunization.......... 0.00 0.00 0.00 0.00 XXX 0
90705... .................. E Measles immunization........ 0.00 0.00 0.00 0.00 XXX 0
90706... .................. E Rubella immunization........ 0.00 0.00 0.00 0.00 XXX 0
90707... .................. E MMR virus immunization...... 0.00 0.00 0.00 0.00 XXX 0
90708... .................. E Measles-rubella immunization 0.00 0.00 0.00 0.00 XXX 0
90709... .................. E Rubella & mumps immunization 0.00 0.00 0.00 0.00 XXX 0
90710... .................. E Combined vaccine............ 0.00 0.00 0.00 0.00 XXX 0
90711... .................. E Combined vaccine............ 0.00 0.00 0.00 0.00 XXX 0
90712... .................. E Oral poliovirus immunization 0.00 0.00 0.00 0.00 XXX 0
90713... .................. E Poliomyelitis immunization.. 0.00 0.00 0.00 0.00 XXX 0
90714... .................. E Typhoid immunization........ 0.00 0.00 0.00 0.00 XXX 0
90716... .................. E Chicken pox vaccine......... 0.00 0.00 0.00 0.00 XXX 0
90717... .................. E Yellow fever immunization... 0.00 0.00 0.00 0.00 XXX 0
90718... .................. E Td immunization............. 0.00 0.00 0.00 0.00 XXX 0
90719... .................. E Diphtheria immunization..... 0.00 0.00 0.00 0.00 XXX 0
90720... .................. E DTP/HIB vaccine............. 0.00 0.00 0.00 0.00 XXX 0
90721... .................. E Dtap/hib vaccine............ 0.00 0.00 0.00 0.00 XXX 0
90724... .................. X Influenza immunization...... 0.00 0.00 0.00 0.00 XXX 0
90725... .................. E Cholera immunization........ 0.00 0.00 0.00 0.00 XXX 0
90726... .................. E Rabies immunization......... 0.00 0.00 0.00 0.00 XXX 0
90727... .................. E Plague immunization......... 0.00 0.00 0.00 0.00 XXX 0
90728... .................. E BCG immunization............ 0.00 0.00 0.00 0.00 XXX 0
[[Page 63308]]
90730... .................. E Hepatitis A vaccine......... 0.00 0.00 0.00 0.00 XXX 0
90731... .................. D Hepatitis B immunization.... 0.00 0.00 0.00 0.00 XXX 0
90732... .................. X Pneumococcal immunization... 0.00 0.00 0.00 0.00 XXX 0
90733... .................. E Meningococcal immunization.. 0.00 0.00 0.00 0.00 XXX 0
90735... .................. E Encephalitis virus vaccine.. 0.00 0.00 0.00 0.00 XXX 0
90737... .................. E Influenza B immunization.... 0.00 0.00 0.00 0.00 XXX 0
90741... .................. E Passive immunization, ISG... 0.00 0.00 0.00 0.00 XXX 0
90742... .................. E Special passive immunization 0.00 0.00 0.00 0.00 XXX 0
90744... .................. X Hepatitis B vaccine, under 0.00 0.00 0.00 0.00 XXX 0
11.
90745... .................. X Hepatitis B vaccine, 11-19.. 0.00 0.00 0.00 0.00 XXX 0
90746... .................. X Hepatitis B vaccine, over 20 0.00 0.00 0.00 0.00 XXX 0
90747... .................. X Hepatitis B vaccine, ill pat 0.00 0.00 0.00 0.00 XXX 0
90749... .................. C Immunization procedure...... 0.00 0.00 0.00 0.00 XXX N
90780... .................. A IV infusion therapy, 1 hour. 0.00 1.06 0.08 1.14 XXX N
90781... .................. A IV infusion, additional hour 0.00 0.53 0.04 0.57 XXX N
90782... .................. T Injection (SC)/(IM)......... 0.00 0.10 0.01 0.11 XXX N
90783... .................. T Injection (IA).............. 0.00 0.39 0.03 0.42 XXX N
90784... .................. T Injection (IV).............. 0.00 0.45 0.04 0.49 XXX N
90788... .................. T Injection of antibiotic..... 0.00 0.11 0.01 0.12 XXX N
90799... .................. C Therapeutic/diag injection.. 0.00 0.00 0.00 0.00 XXX N
90801... .................. A Psychiatric interview....... 2.21 0.67 0.09 2.97 XXX N
90820... .................. A Diagnostic interview........ 2.27 0.38 0.05 2.70 XXX N
90825... .................. B Evaluation of tests/records. #0.97 0.31 0.04 1.32 XXX 0
90830... .................. D Psychological testing....... 0.00 0.00 0.00 0.00 XXX N
90835... .................. A Special interview........... 2.84 0.50 0.07 3.41 XXX N
90841... .................. G Psychotherapy............... 0.00 0.00 0.00 0.00 XXX 0
90842... .................. A Psychotherapy, 75-80 min.... 2.76 1.05 0.15 3.96 XXX N
90843... .................. A Psychotherapy, 20-30 min.... 1.11 0.35 0.05 1.51 XXX N
90844... .................. A Psychotherapy, 45-50 min.... 1.73 0.54 0.08 2.35 XXX N
90845... .................. A Medical psychoanalysis...... 1.79 0.41 0.05 2.25 XXX N
90846... .................. R Special family therapy...... 1.83 0.62 0.08 2.53 XXX N
90847... .................. R Special family therapy...... 2.21 0.58 0.08 2.87 XXX N
90849... .................. R Special family therapy...... 0.59 0.26 0.03 0.88 XXX N
90853... .................. A Special group therapy....... 0.43 0.26 0.03 0.72 XXX N
90855... .................. A Individual psychotherapy.... 1.82 0.59 0.09 2.50 XXX N
90857... .................. A Special group therapy....... 0.43 0.15 0.02 0.60 XXX N
90862... .................. A Medication management....... 0.95 0.37 0.05 1.37 XXX N
90870... .................. A Electroconvulsive therapy... 1.88 0.55 0.08 2.51 000 N
90871... .................. A Electroconvulsive therapy... 2.72 0.83 0.13 3.68 000 N
90880... .................. A Medical hypnotherapy........ 2.19 0.64 0.07 2.90 XXX N
90882... .................. N Environmental manipulation.. 0.00 0.00 0.00 0.00 XXX 0
90887... .................. B Consultation with family.... #1.48 0.33 0.04 1.85 XXX 0
90889... .................. B Preparation of report....... 0.00 0.00 0.00 0.00 XXX 0
90899... .................. C Psychiatric service/therapy. 0.00 0.00 0.00 0.00 XXX N
90900... .................. A Biofeedback, electromyogram. 0.89 0.90 0.08 1.87 000 N
90902... .................. A Biofeedback, nerve impulse.. 0.89 0.63 0.05 1.57 000 N
90904... .................. A Biofeedback, blood pressure. 0.89 0.35 0.03 1.27 000 N
90906... .................. A Biofeedback, blood flow..... 0.89 1.60 0.11 2.60 000 N
90908... .................. A Biofeedback, brain waves.... 0.89 0.86 0.06 1.81 000 N
90910... .................. A Biofeedback, oculogram...... 0.89 0.67 0.10 1.66 000 N
90911... .................. A Anorectal biofeedback....... 2.15 1.13 0.27 3.55 000 N
90915... .................. A Biofeedback, unspecified.... 0.89 0.76 0.06 1.71 000 N
90918... .................. A ESRD related services, month 11.18 2.19 0.14 13.51 XXX P
90919... .................. A ESRD related services, month 8.54 2.19 0.14 10.87 XXX P
90920... .................. A ESRD related services, month 7.27 2.19 0.14 9.60 XXX P
90921... .................. A ESRD related services, month 4.47 2.19 0.14 6.80 XXX P
90922... .................. A ESRD related services, day.. 0.37 0.07 0.01 0.45 XXX P
90923... .................. A Esrd related services, day.. 0.28 0.07 0.01 0.36 XXX P
90924... .................. A Esrd related services, day.. 0.24 0.07 0.01 0.32 XXX P
90925... .................. A Esrd related services, day.. 0.15 0.07 0.01 0.23 XXX P
90935... .................. A Hemodialysis, one evaluation 1.22 1.49 0.10 2.81 000 N
90937... .................. A Hemodialysis, repeated eval. 2.11 *2.65 0.18 4.94 000 N
90945... .................. A Dialysis, one evaluation.... 1.28 1.27 0.08 2.63 000 N
90947... .................. A Dialysis, repeated eval..... 2.16 2.09 0.14 4.39 000 N
90989... .................. X Dialysis training/complete.. 0.00 0.00 0.00 0.00 XXX 0
90993... .................. X Dialysis training/incomplete 0.00 0.00 0.00 0.00 XXX 0
[[Page 63309]]
90997... .................. A Hemoperfusion............... 1.84 *2.35 0.16 4.35 000 N
90999... .................. C Dialysis procedure.......... 0.00 0.00 0.00 0.00 XXX N
91000... .................. A Esophageal intubation....... 0.99 0.66 0.06 1.71 000 N
91000... 26 A Esophageal intubation....... 0.99 0.59 0.05 1.63 000 N
91000... TC A Esophageal intubation....... 0.00 0.07 0.01 0.08 000 N
91010... .................. A Esophagus motility study.... 1.65 2.28 0.17 4.10 000 N
91010... 26 A Esophagus motility study.... 1.65 1.50 0.11 3.26 000 N
91010... TC A Esophagus motility study.... 0.00 0.78 0.06 0.84 000 N
91011... .................. A Esophagus motility study.... 1.98 2.66 0.18 4.82 000 N
91011... 26 A Esophagus motility study.... 1.98 1.68 0.11 3.77 000 N
91011... TC A Esophagus motility study.... 0.00 0.98 0.07 1.05 000 N
91012... .................. A Esophagus motility study.... 1.92 3.12 0.23 5.27 000 N
91012... 26 A Esophagus motility study.... 1.92 2.02 0.15 4.09 000 N
91012... TC A Esophagus motility study.... 0.00 1.10 0.08 1.18 000 N
91020... .................. A Esophagogastric study....... 1.89 2.50 0.18 4.57 000 N
91020... 26 A Esophagogastric study....... 1.89 1.77 0.12 3.78 000 N
91020... TC A Esophagogastric study....... 0.00 0.73 0.06 0.79 000 N
91030... .................. A Acid perfusion of esophagus. 1.20 0.56 0.05 1.81 000 N
91030... 26 A Acid perfusion of esophagus. 1.20 0.35 0.03 1.58 000 N
91030... TC A Acid perfusion of esophagus. 0.00 0.21 0.02 0.23 000 N
91032... .................. A Esophagus, acid reflux test. 1.59 1.96 0.16 3.71 000 N
91032... 26 A Esophagus, acid reflux test. 1.59 1.25 0.10 2.94 000 N
91032... TC A Esophagus, acid reflux test. 0.00 0.71 0.06 0.77 000 N
91033... .................. A Prolonged acid reflux test.. 1.71 2.97 0.25 4.93 000 N
91033... 26 A Prolonged acid reflux test.. 1.71 1.69 0.14 3.54 000 N
91033... TC A Prolonged acid reflux test.. 0.00 1.28 0.11 1.39 000 N
91052... .................. A Gastric analysis test....... 1.71 0.82 0.07 2.60 000 N
91052... 26 A Gastric analysis test....... 1.71 0.50 0.04 2.25 000 N
91052... TC A Gastric analysis test....... 0.00 0.32 0.03 0.35 000 N
91055... .................. A Gastric intubation for smear 1.28 0.80 0.06 2.14 000 N
91055... 26 A Gastric intubation for smear 1.28 0.51 0.04 1.83 000 N
91055... TC A Gastric intubation for smear 0.00 0.29 0.02 0.31 000 N
91060... .................. A Gastric saline load test.... 0.45 0.71 0.06 1.22 000 N
91060... 26 A Gastric saline load test.... 0.45 0.50 0.04 0.99 000 N
91060... TC A Gastric saline load test.... 0.00 0.21 0.02 0.23 000 N
91065... .................. A Breath hydrogen test........ 0.45 0.83 0.05 1.33 000 N
91065... 26 A Breath hydrogen test........ 0.45 0.49 0.03 0.97 000 N
91065... TC A Breath hydrogen test........ 0.00 0.34 0.02 0.36 000 N
91100... .................. A Pass intestine bleeding tube 1.08 0.56 0.05 1.69 000 N
91105... .................. A Gastric intubation treatment 0.37 *0.46 0.04 0.87 000 N
91122... .................. A Anal pressure record........ 1.77 1.73 0.22 3.72 000 S
91122... 26 A Anal pressure record........ 1.77 1.06 0.13 2.96 000 S
91122... TC A Anal pressure record........ 0.00 0.67 0.09 0.76 000 S
91299... .................. C Gastroenterology procedure.. 0.00 0.00 0.00 0.00 XXX N
91299... 26 C Gastroenterology procedure.. 0.00 0.00 0.00 0.00 XXX N
91299... TC C Gastroenterology procedure.. 0.00 0.00 0.00 0.00 XXX N
92002... .................. A Eye exam, new patient....... 1.01 0.49 0.02 1.52 XXX P
92004... .................. A Eye exam, new patient....... 1.61 0.57 0.02 2.20 XXX P
92012... .................. A Eye exam established pt..... 0.82 0.44 0.02 1.28 XXX N
92014... .................. A Eye exam & treatment........ 1.06 0.54 0.02 1.62 XXX N
92015... .................. N Refraction.................. #0.38 0.32 0.02 0.72 XXX 0
92018... .................. A New eye exam & treatment.... 1.51 0.47 0.03 2.01 XXX N
92019... .................. A Eye exam & treatment........ 1.31 0.47 0.03 1.81 XXX N
92020... .................. A Special eye evaluation...... 0.37 0.29 0.01 0.67 XXX N
92060... .................. A Special eye evaluation...... 0.50 0.39 0.02 0.91 XXX N
92060... 26 A Special eye evaluation...... 0.50 0.21 0.01 0.72 XXX N
92060... TC A Special eye evaluation...... 0.00 0.18 0.01 0.19 XXX N
92065... .................. A Orthoptic/pleoptic training. 0.37 0.36 0.01 0.74 XXX N
92065... 26 A Orthoptic/pleoptic training. 0.37 0.20 0.01 0.58 XXX N
92065... TC A Orthoptic/pleoptic training. 0.00 0.16 0.00 0.16 XXX N
92070... .................. A Fitting of contact lens..... 0.70 1.20 0.06 1.96 XXX N
92081... .................. A Visual field examination(s). 0.36 0.32 0.01 0.69 XXX N
92081... 26 A Visual field examination(s). 0.36 0.17 0.01 0.54 XXX N
92081... TC A Visual field examination(s). 0.00 0.15 0.00 0.15 XXX N
92082... .................. A Visual field examination(s). 0.44 0.49 0.02 0.95 XXX N
92082... 26 A Visual field examination(s). 0.44 0.30 0.01 0.75 XXX N
[[Page 63310]]
92082... TC A Visual field examination(s). 0.00 0.19 0.01 0.20 XXX N
92083... .................. A Visual field examination(s). 0.50 0.83 0.04 1.37 XXX N
92083... 26 A Visual field examination(s). 0.50 0.55 0.03 1.08 XXX N
92083... TC A Visual field examination(s). 0.00 0.28 0.01 0.29 XXX N
92100... .................. A Serial tonometry exam(s).... 0.92 0.25 0.01 1.18 XXX N
92120... .................. A Tonography & eye evaluation. 0.81 0.31 0.02 1.14 XXX N
92130... .................. A Water provocation tonography 0.81 0.49 0.02 1.32 XXX N
92140... .................. A Glaucoma provocative tests.. 0.50 0.30 0.01 0.81 XXX N
92225... .................. A Special eye exam, initial... 0.58 0.45 0.02 1.05 XXX N
92226... .................. A Special eye exam, subsequent 0.50 0.40 0.02 0.92 XXX N
92230... .................. A Eye exam with photos........ 0.60 0.69 0.04 1.33 XXX N
92235... .................. A Eye exam with photos........ 0.81 1.58 0.09 2.48 XXX N
92235... 26 A Eye exam with photos........ 0.81 0.59 0.03 1.43 XXX N
92235... TC A Eye exam with photos........ 0.00 0.99 0.06 1.05 XXX N
92250... .................. A Eye exam with photos........ 0.44 0.42 0.02 0.88 XXX N
92250... 26 A Eye exam with photos........ 0.44 0.25 0.01 0.70 XXX N
92250... TC A Eye exam with photos........ 0.00 0.17 0.01 0.18 XXX N
92260... .................. A Ophthalmoscopy/dynamometry.. 0.50 0.54 0.03 1.07 XXX N
92265... .................. A Eye muscle evaluation....... 0.81 0.29 0.02 1.12 XXX N
92265... 26 A Eye muscle evaluation....... 0.81 0.07 0.00 0.88 XXX N
92265... TC A Eye muscle evaluation....... 0.00 0.22 0.02 0.24 XXX N
92270... .................. A Electro-oculography......... 0.81 0.67 0.05 1.53 XXX N
92270... 26 A Electro-oculography......... 0.81 0.37 0.03 1.21 XXX N
92270... TC A Electro-oculography......... 0.00 0.30 0.02 0.32 XXX N
92275... .................. A Electroretinography......... 1.01 0.90 0.05 1.96 XXX N
92275... 26 A Electroretinography......... 1.01 0.51 0.03 1.55 XXX N
92275... TC A Electroretinography......... 0.00 0.39 0.02 0.41 XXX N
92280... .................. D Special eye evaluation...... 0.00 0.00 0.00 0.00 XXX N
92280... 26 D Special eye evaluation...... 0.00 0.00 0.00 0.00 XXX N
92280... TC D Special eye evaluation...... 0.00 0.00 0.00 0.00 XXX N
92283... .................. A Color vision examination.... 0.26 0.29 0.01 0.56 XXX N
92283... 26 A Color vision examination.... 0.26 0.17 0.01 0.44 XXX N
92283... TC A Color vision examination.... 0.00 0.12 0.00 0.12 XXX N
92284... .................. A Dark adaptation eye exam.... 0.37 0.45 0.02 0.84 XXX N
92284... 26 A Dark adaptation eye exam.... 0.37 0.28 0.01 0.66 XXX N
92284... TC A Dark adaptation eye exam.... 0.00 0.17 0.01 0.18 XXX N
92285... .................. A Eye photography............. 0.20 0.29 0.01 0.50 XXX N
92285... 26 A Eye photography............. 0.20 0.18 0.01 0.39 XXX N
92285... TC A Eye photography............. 0.00 0.11 0.00 0.11 XXX N
92286... .................. A Internal eye photography.... 0.66 1.22 0.07 1.95 XXX N
92286... 26 A Internal eye photography.... 0.66 0.83 0.05 1.54 XXX N
92286... TC A Internal eye photography.... 0.00 0.39 0.02 0.41 XXX N
92287... .................. A Internal eye photography.... 0.81 1.52 0.08 2.41 XXX N
92310... .................. N Contact lens fitting........ #1.17 1.32 0.00 2.49 XXX 0
92311... .................. A Contact lens fitting........ 1.08 0.90 0.03 2.01 XXX N
92312... .................. A Contact lens fitting........ 1.26 1.16 0.03 2.45 XXX N
92313... .................. A Contact lens fitting........ 0.92 0.88 0.03 1.83 XXX N
92314... .................. N Prescription of contact lens #0.69 0.78 0.00 1.47 XXX 0
92315... .................. A Prescription of contact lens 0.45 0.66 0.03 1.14 XXX N
92316... .................. A Prescription of contact lens 0.68 0.95 0.04 1.67 XXX N
92317... .................. A Prescription of contact lens 0.45 0.39 0.02 0.86 XXX N
92325... .................. A Modification of contact lens 0.00 0.38 0.01 0.39 XXX N
92326... .................. A Replacement of contact lens. 0.00 1.56 0.06 1.62 XXX N
92330... .................. A Fitting of artificial eye... 1.08 1.13 0.09 2.30 XXX N
92335... .................. A Fitting of artificial eye... 0.45 1.97 0.11 2.53 XXX N
92340... .................. N Fitting of spectacles....... #0.37 0.42 0.00 0.79 XXX 0
92341... .................. N Fitting of spectacles....... #0.47 0.53 0.00 1.00 XXX 0
92342... .................. N Fitting of spectacles....... #0.53 0.60 0.00 1.13 XXX 0
92352... .................. B Special spectacles fitting.. #0.37 0.30 0.01 0.68 XXX 0
92353... .................. B Special spectacles fitting.. #0.50 0.40 0.01 0.91 XXX 0
92354... .................. B Special spectacles fitting.. #0.00 8.44 0.10 8.54 XXX 0
92355... .................. B Special spectacles fitting.. #0.00 4.13 0.01 4.14 XXX 0
92358... .................. B Eye prosthesis service...... #0.00 0.92 0.05 0.97 XXX 0
92370... .................. N Repair & adjust spectacles.. #0.32 0.36 0.00 0.68 XXX 0
92371... .................. B Repair & adjust spectacles.. #0.00 0.59 0.02 0.61 XXX 0
92390... .................. N Supply of spectacles........ 0.00 0.00 0.00 0.00 XXX 0
[[Page 63311]]
92391... .................. N Supply of contact lenses.... 0.00 0.00 0.00 0.00 XXX 0
92392... .................. G Supply of low vision aids... #0.00 3.85 0.02 3.87 XXX 0
92393... .................. G Supply of artificial eye.... #0.00 11.96 0.67 12.63 XXX 0
92395... .................. G Supply of spectacles........ #0.00 1.31 0.10 1.41 XXX 0
92396... .................. G Supply of contact lenses.... #0.00 2.19 0.08 2.27 XXX 0
92499... .................. C Eye service or procedure.... 0.00 0.00 0.00 0.00 XXX N
92499... 26 C Eye service or procedure.... 0.00 0.00 0.00 0.00 XXX N
92499... TC C Eye service or procedure.... 0.00 0.00 0.00 0.00 XXX N
92502... .................. A Ear and throat examination.. 1.51 1.12 0.12 2.75 000 N
92504... .................. A Ear microscopy examination.. 0.18 0.26 0.02 0.46 XXX N
92506... .................. A Speech & hearing evaluation. 0.86 0.52 0.05 1.43 XXX N
92507... .................. A Speech/hearing therapy...... 0.52 0.33 0.03 0.88 XXX N
92508... .................. A Speech/hearing therapy...... 0.26 0.18 0.02 0.46 XXX N
92510... .................. A Rehab for ear implant....... 1.50 1.36 0.15 3.01 XXX N
92511... .................. A Nasopharyngoscopy........... 0.84 0.85 0.09 1.78 000 S
92512... .................. A Nasal function studies...... 0.55 0.47 0.05 1.07 XXX N
92516... .................. A Facial nerve function test.. 0.43 0.39 0.04 0.86 XXX N
92520... .................. A Laryngeal function studies.. 0.76 0.53 0.05 1.34 XXX N
92525... .................. A Oral function evaluation.... 1.13 1.02 0.11 2.26 XXX N
92526... .................. A Oral function therapy....... 0.52 0.47 0.05 1.04 XXX N
92531... .................. B Spontaneous nystagmus study. 0.00 0.00 0.00 0.00 XXX 0
92532... .................. B Positional nystagmus study.. 0.00 0.00 0.00 0.00 XXX 0
92533... .................. B Caloric vestibular test..... 0.00 0.00 0.00 0.00 XXX 0
92534... .................. B Optokinetic nystagmus....... 0.00 0.00 0.00 0.00 XXX 0
92541... .................. A Spontaneous nystagmus test.. 0.40 0.67 0.07 1.14 XXX N
92541... 26 A Spontaneous nystagmus test.. 0.40 0.45 0.05 0.90 XXX N
92541... TC A Spontaneous nystagmus test.. 0.00 0.22 0.02 0.24 XXX N
92542... .................. A Positional nystagmus test... 0.33 0.61 0.07 1.01 XXX N
92542... 26 A Positional nystagmus test... 0.33 0.36 0.04 0.73 XXX N
92542... TC A Positional nystagmus test... 0.00 0.25 0.03 0.28 XXX N
92543... .................. A Caloric vestibular test..... 0.38 0.82 0.09 1.29 XXX N
92543... 26 A Caloric vestibular test..... 0.38 0.42 0.05 0.85 XXX N
92543... TC A Caloric vestibular test..... 0.00 0.40 0.04 0.44 XXX N
92544... .................. A Optokinetic nystagmus test.. 0.26 0.47 0.05 0.78 XXX N
92544... 26 A Optokinetic nystagmus test.. 0.26 0.27 0.03 0.56 XXX N
92544... TC A Optokinetic nystagmus test.. 0.00 0.20 0.02 0.22 XXX N
92545... .................. A Oscillating tracking test... 0.23 0.40 0.04 0.67 XXX N
92545... 26 A Oscillating tracking test... 0.23 0.20 0.02 0.45 XXX N
92545... TC A Oscillating tracking test... 0.00 0.20 0.02 0.22 XXX N
92546... .................. A Sinusoidal rotational test.. 0.29 0.53 0.05 0.87 XXX N
92546... 26 A Sinusoidal rotational test.. 0.29 0.30 0.03 0.62 XXX N
92546... TC A Sinusoidal rotational test.. 0.00 0.23 0.02 0.25 XXX N
92547... .................. A Supplemental electrical test 0.00 0.53 0.06 0.59 XXX N
92551... .................. N Pure tone hearing test, air. 0.00 0.00 0.00 0.00 XXX 0
92552... .................. A Pure tone audiometry, air... 0.00 0.42 0.04 0.46 XXX N
92553... .................. A Audiometry, air & bone...... 0.00 0.63 0.07 0.70 XXX N
92555... .................. A Speech threshold audiometry. 0.00 0.36 0.04 0.40 XXX N
92556... .................. A Speech audiometry, complete. 0.00 0.54 0.06 0.60 XXX N
92557... .................. A Comprehensive hearing test.. 0.00 1.13 0.13 1.26 XXX N
92559... .................. N Group audiometric testing... 0.00 0.00 0.00 0.00 XXX 0
92560... .................. N Bekesy audiometry, screen... 0.00 0.00 0.00 0.00 XXX 0
92561... .................. A Bekesy audiometry, diagnosis 0.00 0.68 0.07 0.75 XXX N
92562... .................. A Loudness balance test....... 0.00 0.39 0.04 0.43 XXX N
92563... .................. A Tone decay hearing test..... 0.00 0.36 0.04 0.40 XXX N
92564... .................. A Sisi hearing test........... 0.00 0.45 0.05 0.50 XXX N
92565... .................. A Stenger test, pure tone..... 0.00 0.38 0.04 0.42 XXX N
92567... .................. A Tympanometry................ 0.00 0.50 0.06 0.56 XXX N
92568... .................. A Acoustic reflex testing..... 0.00 0.36 0.04 0.40 XXX N
92569... .................. A Acoustic reflex decay test.. 0.00 0.39 0.04 0.43 XXX N
92571... .................. A Filtered speech hearing test 0.00 0.37 0.04 0.41 XXX N
92572... .................. A Staggered spondaic word test 0.00 0.08 0.01 0.09 XXX N
92573... .................. A Lombard test................ 0.00 0.33 0.04 0.37 XXX N
92574... .................. D Swinging story test......... 0.00 0.00 0.00 0.00 XXX N
92575... .................. A Sensorineural acuity test... 0.00 0.29 0.03 0.32 XXX N
92576... .................. A Synthetic sentence test..... 0.00 0.42 0.05 0.47 XXX N
92577... .................. A Stenger test, speech........ 0.00 0.68 0.08 0.76 XXX N
[[Page 63312]]
92578... .................. D Delayed auditory feedback... 0.00 0.00 0.00 0.00 XXX N
92579... .................. A Visual audiometry (vra)..... 0.00 0.69 0.07 0.76 XXX N
92580... .................. D Electrodermal audiometry.... 0.00 0.00 0.00 0.00 XXX N
92582... .................. A Conditioning play audiometry 0.00 0.69 0.07 0.76 XXX N
92583... .................. A Select picture audiometry... 0.00 0.85 0.09 0.94 XXX N
92584... .................. A Electrocochleography........ 0.00 2.36 0.25 2.61 XXX N
92585... .................. A Auditory evoked potential... 0.50 3.25 0.31 4.06 XXX N
92585... 26 A Auditory evoked potential... 0.50 1.49 0.14 2.13 XXX N
92585... TC A Auditory evoked potential... 0.00 1.76 0.17 1.93 XXX N
92587... .................. A Evoked auditory test........ 0.13 1.35 0.13 1.61 XXX N
92587... 26 A Evoked auditory test........ 0.13 0.11 0.01 0.25 XXX N
92587... TC A Evoked auditory test........ 0.00 1.24 0.12 1.36 XXX N
92588... .................. A Evoked auditory test........ 0.36 1.70 0.16 2.22 XXX N
92588... 26 A Evoked auditory test........ 0.36 0.30 0.02 0.68 XXX N
92588... TC A Evoked auditory test........ 0.00 1.40 0.14 1.54 XXX N
92589... .................. A Auditory function test(s)... 0.00 0.51 0.06 0.57 XXX N
92590... .................. N Hearing aid exam, one ear... 0.00 0.00 0.00 0.00 XXX 0
92591... .................. N Hearing aid exam, both ears. 0.00 0.00 0.00 0.00 XXX 0
92592... .................. N Hearing aid check, one ear.. 0.00 0.00 0.00 0.00 XXX 0
92593... .................. N Hearing aid check, both ears 0.00 0.00 0.00 0.00 XXX 0
92594... .................. N Electro hearing aid test, 0.00 0.00 0.00 0.00 XXX 0
one.
92595... .................. N Electro hearingaid test, 0.00 0.00 0.00 0.00 XXX 0
both.
92596... .................. A Ear protector evaluation.... 0.00 0.56 0.06 0.62 XXX N
92597... .................. A Oral speech device eval..... 1.11 1.01 0.11 2.23 XXX N
92598... .................. A Modify oral speech device... 0.73 0.66 0.07 1.46 XXX N
92599... .................. C ENT procedure/service....... 0.00 0.00 0.00 0.00 XXX N
92599... 26 C ENT procedure/service....... 0.00 0.00 0.00 0.00 XXX N
92599... TC C ENT procedure/service....... 0.00 0.00 0.00 0.00 XXX N
92950... .................. A Heart/lung resuscitation 3.80 2.27 0.17 6.24 000 N
(CPR).
92953... .................. A Temporary external pacing... 0.23 *0.66 0.15 1.04 000 N
92960... .................. A Heart electroconversion..... 2.25 1.88 0.16 4.29 000 N
92970... .................. A Cardioassist, internal...... 3.52 3.47 0.41 7.40 000 N
92971... .................. A Cardioassist, external...... 1.77 1.11 0.08 2.96 000 N
92975... .................. A Dissolve clot, heart vessel. 7.25 5.71 0.42 13.38 000 N
92977... .................. A Dissolve clot, heart vessel. 0.00 7.68 0.54 8.22 XXX N
92980... .................. A Insert intracoronary stent.. 14.84 16.41 1.22 32.47 000 N
92981... .................. A Insert intracoronary stent.. 4.17 *5.42 0.44 10.03 ZZZ N
92982... .................. A Coronary artery dilation.... 10.98 *14.05 1.22 26.25 000 N
92984... .................. A Coronary artery dilation.... 2.97 *3.80 0.44 7.21 ZZZ N
92986... .................. A Revision of aortic valve.... 20.34 12.04 0.90 33.28 090 N
92987... .................. A Revision of mitral valve.... 20.69 12.20 0.91 33.80 090 N
92990... .................. A Revision of pulmonary valve. 16.22 9.59 0.71 26.52 090 N
92992... .................. C Revision of heart chamber... 0.00 0.00 0.00 0.00 090 S
92993... .................. C Revision of heart chamber... 0.00 0.00 0.00 0.00 090 S
92995... .................. A Coronary atherectomy........ 12.09 *15.47 1.22 28.78 000 N
92996... .................. A Coronary atherectomy........ 3.26 *4.17 0.44 7.87 ZZZ N
93000... .................. A Electrocardiogram, complete. 0.17 0.59 0.04 0.80 XXX N
93005... .................. A Electrocardiogram, tracing.. 0.00 0.43 0.03 0.46 XXX N
93010... .................. A Electrocardiogram report.... 0.17 0.16 0.01 0.34 XXX N
93012... .................. A Transmission of ecg......... 0.00 2.25 0.22 2.47 XXX N
93014... .................. A Report on transmitted ecg... 0.52 0.40 0.05 0.97 XXX N
93015... .................. A Cardiovascular stress test.. 0.75 2.37 0.18 3.30 XXX N
93016... .................. A Cardiovascular stress test.. 0.45 0.39 0.03 0.87 XXX N
93017... .................. A Cardiovascular stress test.. 0.00 1.60 0.12 1.72 XXX N
93018... .................. A Cardiovascular stress test.. 0.30 0.38 0.03 0.71 XXX N
93024... .................. A Cardiac drug stress test.... 1.17 *2.56 0.23 3.96 XXX N
93024... 26 A Cardiac drug stress test.... 1.17 *1.49 0.14 2.80 XXX N
93024... TC A Cardiac drug stress test.... 0.00 1.07 0.09 1.16 XXX N
93040... .................. A Rhythm ECG with report...... 0.16 0.26 0.02 0.44 XXX N
93041... .................. A Rhythm ECG, tracing......... 0.00 0.14 0.01 0.15 XXX N
93042... .................. A Rhythm ECG, report.......... 0.16 0.12 0.01 0.29 XXX N
93201... .................. A Phonocardiogram & ECG lead.. 0.42 1.03 0.09 1.54 XXX N
93202... .................. A Phonocardiogram & ECG lead.. 0.00 0.75 0.07 0.82 XXX N
93204... .................. A Phonocardiogram & ECG lead.. 0.42 0.28 0.02 0.72 XXX N
93205... .................. A Special phonocardiogram..... 0.46 0.88 0.07 1.41 XXX N
93208... .................. A Special phonocardiogram..... 0.00 0.33 0.03 0.36 XXX N
[[Page 63313]]
93209... .................. A Special phonocardiogram..... 0.46 0.55 0.04 1.05 XXX N
93210... .................. A Intracardiac phonocardiogram 0.92 1.73 0.13 2.78 XXX N
93210... 26 A Intracardiac phonocardiogram 0.92 0.82 0.06 1.80 XXX N
93210... TC A Intracardiac phonocardiogram 0.00 0.91 0.07 0.98 XXX N
93220... .................. A Vectorcardiogram............ 0.26 *0.91 0.07 1.24 XXX N
93221... .................. A Vectorcardiogram tracing.... 0.00 0.58 0.04 0.62 XXX N
93222... .................. A Vectorcardiogram report..... 0.26 *0.33 0.03 0.62 XXX N
93224... .................. A ECG monitor/report, 24 hrs.. 0.52 *3.93 0.31 4.76 XXX N
93225... .................. A ECG monitor/record, 24 hrs.. 0.00 1.18 0.09 1.27 XXX N
93226... .................. A ECG monitor/report, 24 hrs.. 0.00 2.08 0.16 2.24 XXX N
93227... .................. A ECG monitor/review, 24 hrs.. 0.52 *0.67 0.06 1.25 XXX N
93230... .................. A ECG monitor/report, 24 hrs.. 0.52 *4.19 0.34 5.05 XXX N
93231... .................. A ECG monitor/record, 24 hrs.. 0.00 1.45 0.11 1.56 XXX N
93232... .................. A ECG monitor/report, 24 hrs.. 0.00 2.07 0.15 2.22 XXX N
93233... .................. A ECG monitor/review, 24 hrs.. 0.52 *0.67 0.08 1.27 XXX N
93235... .................. A ECG monitor/report, 24 hrs.. 0.45 *3.07 0.23 3.75 XXX N
93236... .................. A ECG monitor/report, 24 hrs.. 0.00 2.50 0.17 2.67 XXX N
93237... .................. A ECG monitor/review, 24 hrs.. 0.45 *0.57 0.06 1.08 XXX N
93268... .................. A ECG record/review........... 0.52 3.83 0.36 4.71 XXX N
93270... .................. A ECG recording............... 0.00 1.18 0.09 1.27 XXX N
93271... .................. A ECG/monitoring and analysis. 0.00 2.25 0.22 2.47 XXX N
93272... .................. A ECG/review, interpret only.. 0.52 0.40 0.05 0.97 XXX N
93278... .................. A ECG/signal-averaged......... 0.35 *1.55 0.18 2.08 XXX N
93278... 26 A ECG/signal-averaged......... 0.35 *0.45 0.06 0.86 XXX N
93278... TC A ECG/signal-averaged......... 0.00 1.10 0.12 1.22 XXX N
93307... .................. A Echo exam of heart.......... 0.78 *4.68 0.36 5.82 XXX N
93307... 26 A Echo exam of heart.......... 0.78 *1.00 0.09 1.87 XXX N
93307... TC A Echo exam of heart.......... 0.00 3.68 0.27 3.95 XXX N
93308... .................. A Echo exam of heart.......... 0.53 2.53 0.19 3.25 XXX N
93308... 26 A Echo exam of heart.......... 0.53 0.68 0.05 1.26 XXX N
93308... TC A Echo exam of heart.......... 0.00 1.85 0.14 1.99 XXX N
93312... .................. A Echo exam of heart.......... 1.57 4.95 0.45 6.97 XXX N
93312... 26 A Echo exam of heart.......... 1.57 1.35 0.12 3.04 XXX N
93312... TC A Echo exam of heart.......... 0.00 3.60 0.33 3.93 XXX N
93313... .................. A Echo exam of heart.......... 0.95 0.67 0.06 1.68 XXX N
93314... .................. A Echo exam of heart.......... 0.95 4.27 0.39 5.61 XXX N
93314... 26 A Echo exam of heart.......... 0.95 0.67 0.06 1.68 XXX N
93314... TC A Echo exam of heart.......... 0.00 3.60 0.33 3.93 XXX N
93320... .................. A Doppler echo exam, heart.... 0.38 *2.11 0.18 2.67 XXX N
93320... 26 A Doppler echo exam, heart.... 0.38 *0.48 0.05 0.91 XXX N
93320... TC A Doppler echo exam, heart.... 0.00 1.63 0.13 1.76 XXX N
93321... .................. A Doppler echo exam, heart.... 0.15 *1.25 0.11 1.51 XXX N
93321... 26 A Doppler echo exam, heart.... 0.15 *0.19 0.02 0.36 XXX N
93321... TC A Doppler echo exam, heart.... 0.00 1.06 0.09 1.15 XXX N
93325... .................. A Doppler color flow.......... 0.07 2.80 0.25 3.12 XXX N
93325... 26 A Doppler color flow.......... 0.07 0.04 0.01 0.12 XXX N
93325... TC A Doppler color flow.......... 0.00 2.76 0.24 3.00 XXX N
93350... .................. A Echo exam of heart.......... 0.78 *3.63 0.24 4.65 XXX N
93350... 26 A Echo exam of heart.......... 0.78 *1.95 0.10 2.83 XXX N
93350... TC A Echo exam of heart.......... 0.00 1.68 0.14 1.82 XXX N
93501... .................. A Right heart catheterization. 3.02 19.72 1.54 24.28 000 N
93501... 26 A Right heart catheterization. 3.02 3.61 0.34 6.97 000 N
93501... TC A Right heart catheterization. 0.00 16.11 1.20 17.31 000 N
93503... .................. A Insert/place heart catheter. 2.43 2.37 0.36 5.16 000 N
93505... .................. A Biopsy of heart lining...... 4.56 4.92 0.46 9.94 000 N
93505... 26 A Biopsy of heart lining...... 4.56 3.03 0.28 7.87 000 N
93505... TC A Biopsy of heart lining...... 0.00 1.89 0.18 2.07 000 N
93510... .................. A Left heart catheterization.. 4.33 38.28 2.86 45.47 000 N
93510... 26 A Left heart catheterization.. 4.33 3.06 0.23 7.62 000 N
93510... TC A Left heart catheterization.. 0.00 35.22 2.63 37.85 000 N
93511... .................. A Left heart catheterization.. 5.03 36.91 2.76 44.70 000 N
93511... 26 A Left heart catheterization.. 5.03 2.62 0.20 7.85 000 N
93511... TC A Left heart catheterization.. 0.00 34.29 2.56 36.85 000 N
93514... .................. A Left heart catheterization.. 7.05 38.84 2.94 48.83 000 S
93514... 26 A Left heart catheterization.. 7.05 4.55 0.38 11.98 000 S
93514... TC A Left heart catheterization.. 0.00 34.29 2.56 36.85 000 S
[[Page 63314]]
93524... .................. A Left heart catheterization.. 6.95 49.45 3.69 60.09 000 N
93524... 26 A Left heart catheterization.. 6.95 4.65 0.34 11.94 000 N
93524... TC A Left heart catheterization.. 0.00 44.80 3.35 48.15 000 N
93526... .................. A Rt & Lt heart catheters..... 5.99 51.48 3.83 61.30 000 N
93526... 26 A Rt & Lt heart catheters..... 5.99 5.45 0.39 11.83 000 N
93526... TC A Rt & Lt heart catheters..... 0.00 46.03 3.44 49.47 000 N
93527... .................. A Rt & Lt heart catheters..... 7.28 51.94 3.85 63.07 000 N
93527... 26 A Rt & Lt heart catheters..... 7.28 7.14 0.50 14.92 000 N
93527... TC A Rt & Lt heart catheters..... 0.00 44.80 3.35 48.15 000 N
93528... .................. A Rt & Lt heart catheters..... 9.00 49.23 3.68 61.91 000 N
93528... 26 A Rt & Lt heart catheters..... 9.00 4.43 0.33 13.76 000 N
93528... TC A Rt & Lt heart catheters..... 0.00 44.80 3.35 48.15 000 N
93529... .................. A Rt, Lt heart catheterization 4.80 47.73 3.57 56.10 000 N
93529... 26 A Rt, Lt heart catheterization 4.80 2.93 0.22 7.95 000 N
93529... TC A Rt, Lt heart catheterization 0.00 44.80 3.35 48.15 000 N
93536... .................. A Insert circulation assi..... 4.85 *6.20 0.71 11.76 000 N
93539... .................. A Injection, cardiac cath..... 0.29 *0.88 0.20 1.37 000 N
93540... .................. A Injection, cardiac cath..... 0.43 *0.88 0.20 1.51 000 N
93541... .................. A Injection for lung angiogram 0.29 *0.73 0.16 1.18 000 N
93542... .................. A Injection for heart x-rays.. 0.29 *0.72 0.16 1.17 000 N
93543... .................. A Injection for heart x-rays.. 0.29 *0.57 0.11 0.97 000 N
93544... .................. A Injection for aortography... 0.29 *0.57 0.11 0.97 000 N
93545... .................. A Injection for coronary xrays 0.29 *1.03 0.24 1.56 000 N
93555... .................. A Imaging, cardiac cath....... 0.81 6.25 0.42 7.48 XXX N
93555... 26 A Imaging, cardiac cath....... 0.81 0.27 0.04 1.12 XXX N
93555... TC A Imaging, cardiac cath....... 0.00 5.98 0.38 6.36 XXX N
93556... .................. A Imaging, cardiac cath....... 0.83 9.88 0.65 11.36 XXX N
93556... 26 A Imaging, cardiac cath....... 0.83 0.45 0.07 1.35 XXX N
93556... TC A Imaging, cardiac cath....... 0.00 9.43 0.58 10.01 XXX N
93561... .................. A Cardiac output measurement.. 1.15 1.25 0.16 2.56 000 N
93561... 26 A Cardiac output measurement.. 1.15 0.75 0.09 1.99 000 N
93561... TC A Cardiac output measurement.. 0.00 0.50 0.07 0.57 000 N
93562... .................. A Cardiac output measurement.. 0.37 *0.76 0.10 1.23 000 N
93562... 26 A Cardiac output measurement.. 0.37 *0.46 0.06 0.89 000 N
93562... TC A Cardiac output measurement.. 0.00 0.30 0.04 0.34 000 N
93600... .................. A Bundle of His recording..... 2.12 *4.57 0.38 7.07 000 N
93600... 26 A Bundle of His recording..... 2.12 *2.71 0.24 5.07 000 N
93600... TC A Bundle of His recording..... 0.00 1.86 0.14 2.00 000 N
93602... .................. A Intra-atrial recording...... 2.12 2.83 0.22 5.17 000 N
93602... 26 A Intra-atrial recording...... 2.12 1.77 0.14 4.03 000 N
93602... TC A Intra-atrial recording...... 0.00 1.06 0.08 1.14 000 N
93603... .................. A Right ventricular recording. 2.12 3.79 0.28 6.19 000 N
93603... 26 A Right ventricular recording. 2.12 2.19 0.16 4.47 000 N
93603... TC A Right ventricular recording. 0.00 1.60 0.12 1.72 000 N
93607... .................. A Right ventricular recording. 3.26 3.63 0.28 7.17 000 N
93607... 26 A Right ventricular recording. 3.26 2.21 0.17 5.64 000 N
93607... TC A Right ventricular recording. 0.00 1.42 0.11 1.53 000 N
93609... .................. A Mapping of tachycardia...... 10.07 6.43 0.47 16.97 000 N
93609... 26 A Mapping of tachycardia...... 10.07 3.84 0.28 14.19 000 N
93609... TC A Mapping of tachycardia...... 0.00 2.59 0.19 2.78 000 N
93610... .................. A Intra-atrial pacing......... 3.02 3.60 0.27 6.89 000 N
93610... 26 A Intra-atrial pacing......... 3.02 2.31 0.17 5.50 000 N
93610... TC A Intra-atrial pacing......... 0.00 1.29 0.10 1.39 000 N
93612... .................. A Intraventricular pacing..... 3.02 3.88 0.29 7.19 000 N
93612... 26 A Intraventricular pacing..... 3.02 2.34 0.17 5.53 000 N
93612... TC A Intraventricular pacing..... 0.00 1.54 0.12 1.66 000 N
93615... .................. A Esophageal recording........ 0.99 0.65 0.04 1.68 000 N
93615... 26 A Esophageal recording........ 0.99 0.35 0.02 1.36 000 N
93615... TC A Esophageal recording........ 0.00 0.30 0.02 0.32 000 N
93616... .................. A Esophageal recording........ 1.49 1.66 0.10 3.25 000 N
93616... 26 A Esophageal recording........ 1.49 1.36 0.08 2.93 000 N
93616... TC A Esophageal recording........ 0.00 0.30 0.02 0.32 000 N
93618... .................. A Heart rhythm pacing......... 4.26 *9.24 0.72 14.22 000 N
93618... 26 A Heart rhythm pacing......... 4.26 *5.46 0.44 10.16 000 N
93618... TC A Heart rhythm pacing......... 0.00 3.78 0.28 4.06 000 N
93619... .................. A Electrophysiology evaluation 7.32 *16.71 1.40 25.43 000 N
[[Page 63315]]
93619... 26 A Electrophysiology evaluation 7.32 *9.37 0.86 17.55 000 N
93619... TC A Electrophysiology evaluation 0.00 7.34 0.54 7.88 000 N
93620... .................. A Electrophysiology evaluation 11.59 22.07 1.55 35.21 000 N
93620... 26 A Electrophysiology evaluation 11.59 13.53 0.95 26.07 000 N
93620... TC A Electrophysiology evaluation 0.00 8.54 0.60 9.14 000 N
93621... .................. C Electrophysiology evaluation 0.00 0.00 0.00 0.00 000 N
93621... 26 A Electrophysiology evaluation 12.66 14.94 1.11 28.71 000 N
93621... TC C Electrophysiology evaluation 0.00 0.00 0.00 0.00 000 N
93622... .................. C Electrophysiology evaluation 0.00 0.00 0.00 0.00 000 N
93622... 26 A Electrophysiology evaluation 12.74 14.74 1.07 28.55 000 N
93622... TC C Electrophysiology evaluation 0.00 0.00 0.00 0.00 000 N
93623... .................. C Stimulation, pacing heart... 0.00 0.00 0.00 0.00 000 N
93623... 26 A Stimulation, pacing heart... 2.85 2.78 0.20 5.83 000 N
93623... TC C Stimulation, pacing heart... 0.00 0.00 0.00 0.00 000 N
93624... .................. A Electrophysiologic study.... 4.81 4.88 0.35 10.04 000 N
93624... 26 A Electrophysiologic study.... 4.81 2.99 0.21 8.01 000 N
93624... TC A Electrophysiologic study.... 0.00 1.89 0.14 2.03 000 N
93631... .................. A Heart pacing, mapping....... 7.60 11.62 1.37 20.59 000 N
93631... 26 A Heart pacing, mapping....... 7.60 5.76 0.67 14.03 000 N
93631... TC A Heart pacing, mapping....... 0.00 5.86 0.70 6.56 000 N
93640... .................. A Evaluation heart device..... 3.52 *11.51 1.09 16.12 000 N
93640... 26 A Evaluation heart device..... 3.52 *4.67 0.61 8.80 000 N
93640... TC A Evaluation heart device..... 0.00 6.84 0.48 7.32 000 N
93641... .................. A Electrophysiology evaluation 5.93 *13.85 1.09 20.87 000 N
93641... 26 A Electrophysiology evaluation 5.93 *7.01 0.61 13.55 000 N
93641... TC A Electrophysiology evaluation 0.00 6.84 0.48 7.32 000 N
93642... .................. A Electrophysiology evaluation 4.89 *13.09 1.09 19.07 000 N
93642... 26 A Electrophysiology evaluation 4.89 *6.25 0.61 11.75 000 N
93642... TC A Electrophysiology evaluation 0.00 6.84 0.48 7.32 000 N
93650... .................. A Ablate heart dysrhythm focus 10.51 *13.46 1.34 25.31 000 N
93651... .................. A Ablate heart dysrhythm focus 16.25 17.83 1.34 35.42 000 N
93652... .................. A Ablate heart dysrhythm focus 17.68 17.83 1.34 36.85 000 N
93660... .................. C Tilt table evaluation....... 0.00 0.00 0.00 0.00 000 N
93660... 26 A Tilt table evaluation....... 1.89 1.44 0.17 3.50 000 N
93660... TC C Tilt table evaluation....... 0.00 0.00 0.00 0.00 000 N
93720... .................. A Total body plethysmography.. 0.17 *0.89 0.10 1.16 XXX N
93721... .................. A Plethysmography tracing..... 0.00 0.67 0.07 0.74 XXX N
93722... .................. A Plethysmography report...... 0.17 *0.22 0.03 0.42 XXX N
93724... .................. A Analyze pacemaker system.... 4.89 6.66 0.50 12.05 000 N
93724... 26 A Analyze pacemaker system.... 4.89 2.88 0.22 7.99 000 N
93724... TC A Analyze pacemaker system.... 0.00 3.78 0.28 4.06 000 N
93731... .................. A Analyze pacemaker system.... 0.45 0.79 0.07 1.31 XXX N
93731... 26 A Analyze pacemaker system.... 0.45 0.32 0.03 0.80 XXX N
93731... TC A Analyze pacemaker system.... 0.00 0.47 0.04 0.51 XXX N
93732... .................. A Analyze pacemaker system.... 0.92 0.91 0.08 1.91 XXX N
93732... 26 A Analyze pacemaker system.... 0.92 0.42 0.04 1.38 XXX N
93732... TC A Analyze pacemaker system.... 0.00 0.49 0.04 0.53 XXX N
93733... .................. A Telephone analysis, 0.17 *0.91 0.08 1.16 XXX N
pacemaker.
93733... 26 A Telephone analysis, 0.17 *0.22 0.02 0.41 XXX N
pacemaker.
93733... TC A Telephone analysis, 0.00 0.69 0.06 0.75 XXX N
pacemaker.
93734... .................. A Analyze pacemaker system.... 0.38 0.64 0.06 1.08 XXX N
93734... 26 A Analyze pacemaker system.... 0.38 0.31 0.03 0.72 XXX N
93734... TC A Analyze pacemaker system.... 0.00 0.33 0.03 0.36 XXX N
93735... .................. A Analyze pacemaker system.... 0.74 0.85 0.08 1.67 XXX N
93735... 26 A Analyze pacemaker system.... 0.74 0.43 0.04 1.21 XXX N
93735... TC A Analyze pacemaker system.... 0.00 0.42 0.04 0.46 XXX N
93736... .................. A Telephone analysis, 0.15 *0.79 0.09 1.03 XXX N
pacemaker.
93736... 26 A Telephone analysis, 0.15 *0.19 0.03 0.37 XXX N
pacemaker.
93736... TC A Telephone analysis, 0.00 0.60 0.06 0.66 XXX N
pacemaker.
93737... .................. A Analyze cardio/defibrillator 0.45 0.74 0.06 1.25 XXX N
93737... 26 A Analyze cardio/defibrillator 0.45 0.27 0.02 0.74 XXX N
93737... TC A Analyze cardio/defibrillator 0.00 0.47 0.04 0.51 XXX N
93738... .................. A Analyze cardio/defibrillator 0.92 0.88 0.07 1.87 XXX N
93738... 26 A Analyze cardio/defibrillator 0.92 0.39 0.03 1.34 XXX N
93738... TC A Analyze cardio/defibrillator 0.00 0.49 0.04 0.53 XXX N
93740... .................. A Temperature gradient studies 0.16 0.45 0.04 0.65 XXX N
[[Page 63316]]
93740... 26 A Temperature gradient studies 0.16 0.30 0.03 0.49 XXX N
93740... TC A Temperature gradient studies 0.00 0.15 0.01 0.16 XXX N
93760... .................. N Cephalic thermogram......... 0.00 0.00 0.00 0.00 XXX 0
93762... .................. N Peripheral thermogram....... 0.00 0.00 0.00 0.00 XXX 0
93770... .................. A Measure venous pressure..... 0.16 0.20 0.02 0.38 XXX N
93770... 26 A Measure venous pressure..... 0.16 0.17 0.02 0.35 XXX N
93770... TC A Measure venous pressure..... 0.00 0.03 0.00 0.03 XXX N
93784... .................. N Ambulatory BP monitoring.... 0.00 0.00 0.00 0.00 XXX 0
93786... .................. N Ambulatory BP recording..... 0.00 0.00 0.00 0.00 XXX 0
93788... .................. N Ambulatory BP analysis...... 0.00 0.00 0.00 0.00 XXX 0
93790... .................. N Review/report BP recording.. 0.00 0.00 0.00 0.00 XXX 0
93797... .................. A Cardiac rehab............... 0.18 0.30 0.02 0.50 000 N
93798... .................. A Cardiac rehab/monitor....... 0.28 0.47 0.04 0.79 000 N
93799... .................. C Cardiovascular procedure.... 0.00 0.00 0.00 0.00 XXX N
93799... 26 C Cardiovascular procedure.... 0.00 0.00 0.00 0.00 XXX N
93799... TC C Cardiovascular procedure.... 0.00 0.00 0.00 0.00 XXX N
93875... .................. A Extracranial study.......... 0.22 *1.36 0.18 1.76 XXX N
93875... 26 A Extracranial study.......... 0.22 *0.31 0.06 0.59 XXX N
93875... TC A Extracranial study.......... 0.00 1.05 0.12 1.17 XXX N
93880... .................. A Extracranial study.......... 0.60 3.94 0.44 4.98 XXX N
93880... 26 A Extracranial study.......... 0.60 0.39 0.04 1.03 XXX N
93880... TC A Extracranial study.......... 0.00 3.55 0.40 3.95 XXX N
93882... .................. A Extracranial study.......... 0.40 2.62 0.29 3.31 XXX N
93882... 26 A Extracranial study.......... 0.40 0.26 0.03 0.69 XXX N
93882... TC A Extracranial study.......... 0.00 2.36 0.26 2.62 XXX N
93886... .................. A Intracranial study.......... 0.94 4.44 0.50 5.88 XXX N
93886... 26 A Intracranial study.......... 0.94 0.42 0.05 1.41 XXX N
93886... TC A Intracranial study.......... 0.00 4.02 0.45 4.47 XXX N
93888... .................. A Intracranial study.......... 0.62 2.96 0.34 3.92 XXX N
93888... 26 A Intracranial study.......... 0.62 0.28 0.03 0.93 XXX N
93888... TC A Intracranial study.......... 0.00 2.68 0.31 2.99 XXX N
93922... .................. A Extremity study............. 0.25 *1.38 0.19 1.82 XXX N
93922... 26 A Extremity study............. 0.25 *0.28 0.05 0.58 XXX N
93922... TC A Extremity study............. 0.00 1.10 0.14 1.24 XXX N
93923... .................. A Extremity study............. 0.45 *2.59 0.35 3.39 XXX N
93923... 26 A Extremity study............. 0.45 *0.51 0.09 1.05 XXX N
93923... TC A Extremity study............. 0.00 2.08 0.26 2.34 XXX N
93924... .................. A Extremity study............. 0.50 *2.83 0.39 3.72 XXX N
93924... 26 A Extremity study............. 0.50 *0.57 0.10 1.17 XXX N
93924... TC A Extremity study............. 0.00 2.26 0.29 2.55 XXX N
93925... .................. A Lower extremity study....... 0.58 3.96 0.44 4.98 XXX N
93925... 26 A Lower extremity study....... 0.58 0.39 0.04 1.01 XXX N
93925... TC A Lower extremity study....... 0.00 3.57 0.40 3.97 XXX N
93926... .................. A Lower extremity study....... 0.39 2.64 0.30 3.33 XXX N
93926... 26 A Lower extremity study....... 0.39 0.26 0.03 0.68 XXX N
93926... TC A Lower extremity study....... 0.00 2.38 0.27 2.65 XXX N
93930... .................. A Upper extremity study....... 0.46 4.18 0.47 5.11 XXX N
93930... 26 A Upper extremity study....... 0.46 0.39 0.05 0.90 XXX N
93930... TC A Upper extremity study....... 0.00 3.79 0.42 4.21 XXX N
93931... .................. A Upper extremity study....... 0.31 2.78 0.31 3.40 XXX N
93931... 26 A Upper extremity study....... 0.31 0.26 0.03 0.60 XXX N
93931... TC A Upper extremity study....... 0.00 2.52 0.28 2.80 XXX N
93965... .................. A Extremity study............. 0.35 *1.49 0.19 2.03 XXX N
93965... 26 A Extremity study............. 0.35 *0.45 0.06 0.86 XXX N
93965... TC A Extremity study............. 0.00 1.04 0.13 1.17 XXX N
93970... .................. A Extremity study............. 0.68 4.33 0.51 5.52 XXX N
93970... 26 A Extremity study............. 0.68 0.40 0.05 1.13 XXX N
93970... TC A Extremity study............. 0.00 3.93 0.46 4.39 XXX N
93971... .................. A Extremity study............. 0.45 2.89 0.34 3.68 XXX N
93971... 26 A Extremity study............. 0.45 0.27 0.03 0.75 XXX N
93971... TC A Extremity study............. 0.00 2.62 0.31 2.93 XXX N
93975... .................. A Vascular study.............. 1.80 4.90 0.55 7.25 XXX N
93975... 26 A Vascular study.............. 1.80 0.42 0.05 2.27 XXX N
93975... TC A Vascular study.............. 0.00 4.48 0.50 4.98 XXX N
93976... .................. A Vascular study.............. 1.21 3.27 0.37 4.85 XXX N
93976... 26 A Vascular study.............. 1.21 0.28 0.03 1.52 XXX N
[[Page 63317]]
93976... TC A Vascular study.............. 0.00 2.99 0.34 3.33 XXX N
93978... .................. A Vascular study.............. 0.65 4.06 0.47 5.18 XXX N
93978... 26 A Vascular study.............. 0.65 0.39 0.05 1.09 XXX N
93978... TC A Vascular study.............. 0.00 3.67 0.42 4.09 XXX N
93979... .................. A Vascular study.............. 0.44 2.70 0.31 3.45 XXX N
93979... 26 A Vascular study.............. 0.44 0.26 0.03 0.73 XXX N
93979... TC A Vascular study.............. 0.00 2.44 0.28 2.72 XXX N
93980... .................. A Penile vascular study....... 1.82 4.15 0.45 6.42 XXX N
93980... 26 A Penile vascular study....... 1.82 0.82 0.07 2.71 XXX N
93980... TC A Penile vascular study....... 0.00 3.33 0.38 3.71 XXX N
93981... .................. A Penile vascular study....... 0.64 3.47 0.39 4.50 XXX N
93981... 26 A Penile vascular study....... 0.64 0.40 0.03 1.07 XXX N
93981... TC A Penile vascular study....... 0.00 3.07 0.36 3.43 XXX N
93990... .................. A Doppler flow testing........ 0.25 2.57 0.29 3.11 XXX N
93990... 26 A Doppler flow testing........ 0.25 0.19 0.02 0.46 XXX N
93990... TC A Doppler flow testing........ 0.00 2.38 0.27 2.65 XXX N
94010... .................. A Breathing capacity test..... 0.17 0.68 0.05 0.90 XXX N
94010... 26 A Breathing capacity test..... 0.17 0.28 0.02 0.47 XXX N
94010... TC A Breathing capacity test..... 0.00 0.40 0.03 0.43 XXX N
94060... .................. A Evaluation of wheezing...... 0.31 1.27 0.09 1.67 XXX N
94060... 26 A Evaluation of wheezing...... 0.31 0.38 0.03 0.72 XXX N
94060... TC A Evaluation of wheezing...... 0.00 0.89 0.06 0.95 XXX N
94070... .................. A Evaluation of wheezing...... 0.60 1.77 0.13 2.50 XXX N
94070... 26 A Evaluation of wheezing...... 0.60 0.38 0.03 1.01 XXX N
94070... TC A Evaluation of wheezing...... 0.00 1.39 0.10 1.49 XXX N
94150... .................. A Vital capacity test......... 0.11 0.20 0.02 0.33 XXX N
94150... 26 A Vital capacity test......... 0.11 0.12 0.01 0.24 XXX N
94150... TC A Vital capacity test......... 0.00 0.08 0.01 0.09 XXX N
94160... .................. A Vital capacity screening.... 0.18 0.37 0.02 0.57 XXX N
94160... 26 A Vital capacity screening.... 0.18 0.19 0.01 0.38 XXX N
94160... TC A Vital capacity screening.... 0.00 0.18 0.01 0.19 XXX N
94200... .................. A Lung function test (MBC/MVV) 0.11 *0.38 0.03 0.52 XXX N
94200... 26 A Lung function test (MBC/MVV) 0.11 *0.14 0.01 0.26 XXX N
94200... TC A Lung function test (MBC/MVV) 0.00 0.24 0.02 0.26 XXX N
94240... .................. A Residual lung capacity...... 0.26 0.88 0.07 1.21 XXX N
94240... 26 A Residual lung capacity...... 0.26 0.23 0.02 0.51 XXX N
94240... TC A Residual lung capacity...... 0.00 0.65 0.05 0.70 XXX N
94250... .................. A Expired gas collection...... 0.11 *0.27 0.02 0.40 XXX N
94250... 26 A Expired gas collection...... 0.11 *0.14 0.01 0.26 XXX N
94250... TC A Expired gas collection...... 0.00 0.13 0.01 0.14 XXX N
94260... .................. A Thoracic gas volume......... 0.13 *0.69 0.06 0.88 XXX N
94260... 26 A Thoracic gas volume......... 0.13 *0.17 0.02 0.32 XXX N
94260... TC A Thoracic gas volume......... 0.00 0.52 0.04 0.56 XXX N
94350... .................. A Lung nitrogen washout curve. 0.26 0.73 0.05 1.04 XXX N
94350... 26 A Lung nitrogen washout curve. 0.26 0.21 0.01 0.48 XXX N
94350... TC A Lung nitrogen washout curve. 0.00 0.52 0.04 0.56 XXX N
94360... .................. A Measure airflow resistance.. 0.26 1.11 0.07 1.44 XXX N
94360... 26 A Measure airflow resistance.. 0.26 0.19 0.01 0.46 XXX N
94360... TC A Measure airflow resistance.. 0.00 0.92 0.06 0.98 XXX N
94370... .................. A Breath airway closing volume 0.26 0.40 0.03 0.69 XXX N
94370... 26 A Breath airway closing volume 0.26 0.14 0.01 0.41 XXX N
94370... TC A Breath airway closing volume 0.00 0.26 0.02 0.28 XXX N
94375... .................. A Respiratory flow volume loop 0.31 0.67 0.04 1.02 XXX N
94375... 26 A Respiratory flow volume loop 0.31 0.21 0.01 0.53 XXX N
94375... TC A Respiratory flow volume loop 0.00 0.46 0.03 0.49 XXX N
94400... .................. A CO2 breathing response curve 0.40 0.77 0.19 1.36 XXX N
94400... 26 A CO2 breathing response curve 0.40 0.47 0.13 1.00 XXX N
94400... TC A CO2 breathing response curve 0.00 0.30 0.06 0.36 XXX N
94450... .................. A Hypoxia response curve...... 0.40 0.61 0.05 1.06 XXX N
94450... 26 A Hypoxia response curve...... 0.40 0.24 0.02 0.66 XXX N
94450... TC A Hypoxia response curve...... 0.00 0.37 0.03 0.40 XXX N
94620... .................. A Pulmonary stress testing.... 0.88 2.05 0.15 3.08 XXX N
94620... 26 A Pulmonary stress testing.... 0.88 0.70 0.05 1.63 XXX N
94620... TC A Pulmonary stress testing.... 0.00 1.35 0.10 1.45 XXX N
94640... .................. A Airway inhalation treatment. 0.00 0.39 0.03 0.42 XXX N
94642... .................. C Aerosol inhalation treatment 0.00 0.00 0.00 0.00 XXX N
[[Page 63318]]
94650... .................. A Pressure breathing (IPPB)... 0.00 0.37 0.03 0.40 XXX N
94651... .................. A Pressure breathing (IPPB)... 0.00 0.36 0.03 0.39 XXX N
94652... .................. A Pressure breathing (IPPB)... 0.00 0.41 0.08 0.49 XXX N
94656... .................. A Initial ventilator mgmt..... 1.22 1.13 0.12 2.47 XXX N
94657... .................. A Cont. ventilator............ 0.83 0.62 0.05 1.50 XXX N
94660... .................. A Pos airway pressure, CPAP... 0.76 0.71 0.06 1.53 XXX N
94662... .................. A Neg pressure ventilation, 0.76 0.30 0.02 1.08 XXX N
cnp.
94664... .................. A Aerosol or vapor inhalations 0.00 0.50 0.04 0.54 XXX N
94665... .................. A Aerosol or vapor inhalations 0.00 0.46 0.05 0.51 XXX N
94667... .................. A Chest wall manipulation..... 0.00 0.55 0.05 0.60 XXX N
94668... .................. A Chest wall manipulation..... 0.00 0.34 0.03 0.37 XXX N
94680... .................. A Exhaled air analysis: O2.... 0.26 0.82 0.10 1.18 XXX N
94680... 26 A Exhaled air analysis: O2.... 0.26 0.33 0.03 0.62 XXX N
94680... TC A Exhaled air analysis: O2.... 0.00 0.49 0.07 0.56 XXX N
94681... .................. A Exhaled air analysis: O2, 0.20 *1.58 0.17 1.95 XXX N
CO2.
94681... 26 A Exhaled air analysis: O2, 0.20 *0.26 0.04 0.50 XXX N
CO2.
94681... TC A Exhaled air analysis: O2, 0.00 1.32 0.13 1.45 XXX N
CO2.
94690... .................. A Exhaled air analysis........ 0.07 0.56 0.04 0.67 XXX N
94690... 26 A Exhaled air analysis........ 0.07 0.05 0.00 0.12 XXX N
94690... TC A Exhaled air analysis........ 0.00 0.51 0.04 0.55 XXX N
94720... .................. A Monoxide diffusing capacity. 0.26 1.03 0.08 1.37 XXX N
94720... 26 A Monoxide diffusing capacity. 0.26 0.23 0.02 0.51 XXX N
94720... TC A Monoxide diffusing capacity. 0.00 0.80 0.06 0.86 XXX N
94725... .................. A Membrane diffusion capacity. 0.26 1.84 0.14 2.24 XXX N
94725... 26 A Membrane diffusion capacity. 0.26 0.18 0.01 0.45 XXX N
94725... TC A Membrane diffusion capacity. 0.00 1.66 0.13 1.79 XXX N
94750... .................. A Pulmonary compliance study.. 0.23 0.83 0.06 1.12 XXX N
94750... 26 A Pulmonary compliance study.. 0.23 0.28 0.02 0.53 XXX N
94750... TC A Pulmonary compliance study.. 0.00 0.55 0.04 0.59 XXX N
94760... .................. A Measure blood oxygen level.. 0.00 0.25 0.02 0.27 XXX N
94761... .................. A Measure blood oxygen level.. 0.00 0.64 0.06 0.70 XXX N
94762... .................. A Measure blood oxygen level.. 0.00 1.08 0.10 1.18 XXX N
94770... .................. A Exhaled carbon dioxide test. 0.20 0.40 0.11 0.71 XXX N
94770... 26 A Exhaled carbon dioxide test. 0.20 0.11 0.03 0.34 XXX N
94770... TC A Exhaled carbon dioxide test. 0.00 0.29 0.08 0.37 XXX N
94772... .................. C Breath recording, infant.... 0.00 0.00 0.00 0.00 XXX N
94772... 26 C Breath recording, infant.... 0.00 0.00 0.00 0.00 XXX N
94772... TC C Breath recording, infant.... 0.00 0.00 0.00 0.00 XXX N
94799... .................. C Pulmonary service/procedure. 0.00 0.00 0.00 0.00 XXX N
94799... 26 C Pulmonary service/procedure. 0.00 0.00 0.00 0.00 XXX N
94799... TC C Pulmonary service/procedure. 0.00 0.00 0.00 0.00 XXX N
95004... .................. A Allergy skin tests.......... 0.00 0.09 0.01 0.10 XXX N
95010... .................. A Sensitivity skin tests...... 0.15 0.11 0.01 0.27 XXX N
95015... .................. A Sensitivity skin tests...... 0.15 0.11 0.01 0.27 XXX N
95024... .................. A Allergy skin tests.......... 0.00 0.14 0.01 0.15 XXX N
95027... .................. A Skin end point titration.... 0.00 0.14 0.01 0.15 XXX N
95028... .................. A Allergy skin tests.......... 0.00 0.22 0.01 0.23 XXX N
95044... .................. A Allergy patch tests......... 0.00 0.19 0.01 0.20 XXX N
95052... .................. A Photo patch test............ 0.00 0.24 0.01 0.25 XXX N
95056... .................. A Photosensitivity tests...... 0.00 0.17 0.01 0.18 XXX N
95060... .................. A Eye allergy tests........... 0.00 0.33 0.02 0.35 XXX N
95065... .................. A Nose allergy test........... 0.00 0.19 0.01 0.20 XXX N
95070... .................. A Bronchial allergy tests..... 0.00 2.17 0.02 2.19 XXX N
95071... .................. A Bronchial allergy tests..... 0.00 2.78 0.02 2.80 XXX N
95075... .................. A Ingestion challenge test.... 0.95 1.97 0.02 2.94 XXX N
95078... .................. A Provocative testing......... 0.00 0.24 0.02 0.26 XXX N
95115... .................. A Immunotherapy, one injection 0.00 0.37 0.02 0.39 000 N
95117... .................. A Immunotherapy injections.... 0.00 0.48 0.02 0.50 000 N
95120... .................. G Immunotherapy, one injection 0.00 0.00 0.00 0.00 XXX 0
95125... .................. G Immunotherapy, many antigens 0.00 0.00 0.00 0.00 XXX 0
95130... .................. G Immunotherapy, insect venom. 0.00 0.00 0.00 0.00 XXX 0
95131... .................. G Immunotherapy, insect venoms 0.00 0.00 0.00 0.00 XXX 0
95132... .................. G Immunotherapy, insect venoms 0.00 0.00 0.00 0.00 XXX 0
95133... .................. G Immunotherapy, insect venoms 0.00 0.00 0.00 0.00 XXX 0
95134... .................. G Immunotherapy, insect venoms 0.00 0.00 0.00 0.00 XXX 0
95144... .................. A Antigen therapy services.... 0.06 0.13 0.01 0.20 000 N
[[Page 63319]]
95145... .................. A Antigen therapy services.... 0.06 0.34 0.03 0.43 000 N
95146... .................. A Antigen therapy services.... 0.06 0.61 0.03 0.70 000 N
95147... .................. A Antigen therapy services.... 0.06 0.91 0.03 1.00 000 N
95148... .................. A Antigen therapy services.... 0.06 0.91 0.03 1.00 000 N
95149... .................. A Antigen therapy services.... 0.06 1.14 0.03 1.23 000 N
95165... .................. A Antigen therapy services.... 0.06 0.10 0.01 0.17 000 N
95170... .................. A Antigen therapy services.... 0.06 0.35 0.03 0.44 000 N
95180... .................. A Rapid desensitization....... 2.01 0.14 0.01 2.16 000 N
95199... .................. C Allergy immunology services. 0.00 0.00 0.00 0.00 000 N
95805... .................. A Multiple sleep latency test. 1.88 5.51 0.45 7.84 XXX N
95805... 26 A Multiple sleep latency test. 1.88 0.56 0.07 2.51 XXX N
95805... TC A Multiple sleep latency test. 0.00 4.95 0.38 5.33 XXX N
95807... .................. A Sleep study................. 1.66 8.75 0.67 11.08 XXX N
95807... 26 A Sleep study................. 1.66 2.45 0.19 4.30 XXX N
95807... TC A Sleep study................. 0.00 6.30 0.48 6.78 XXX N
95808... .................. A Polysomnography, 1-3........ 2.65 8.75 0.67 12.07 XXX N
95808... 26 A Polysomnography, 1-3........ 2.65 2.45 0.19 5.29 XXX N
95808... TC A Polysomnography, 1-3........ 0.00 6.30 0.48 6.78 XXX N
95810... .................. A Polysomnography, 4 or more.. 3.53 8.75 0.67 12.95 XXX N
95810... 26 A Polysomnography, 4 or more.. 3.53 2.45 0.19 6.17 XXX N
95810... TC A Polysomnography, 4 or more.. 0.00 6.30 0.48 6.78 XXX N
95812... .................. A Electroencephalogram (EEG).. 1.08 1.85 0.15 3.08 XXX N
95812... 26 A Electroencephalogram (EEG).. 1.08 0.50 0.04 1.62 XXX N
95812... TC A Electroencephalogram (EEG).. 0.00 1.35 0.11 1.46 XXX N
95813... .................. A Electroencephalogram (EEG).. 1.73 1.85 0.15 3.73 XXX N
95813... 26 A Electroencephalogram (EEG).. 1.73 0.50 0.04 2.27 XXX N
95813... TC A Electroencephalogram (EEG).. 0.00 1.35 0.11 1.46 XXX N
95816... .................. A Electroencephalogram (EEG).. 1.08 1.54 0.13 2.75 XXX N
95816... 26 A Electroencephalogram (EEG).. 1.08 0.28 0.03 1.39 XXX N
95816... TC A Electroencephalogram (EEG).. 0.00 1.26 0.10 1.36 XXX N
95819... .................. A Electroencephalogram (EEG).. 1.08 1.80 0.14 3.02 XXX N
95819... 26 A Electroencephalogram (EEG).. 1.08 0.50 0.04 1.62 XXX N
95819... TC A Electroencephalogram (EEG).. 0.00 1.30 0.10 1.40 XXX N
95822... .................. A Sleep electroencephalogram.. 1.08 2.28 0.18 3.54 XXX N
95822... 26 A Sleep electroencephalogram.. 1.08 0.56 0.04 1.68 XXX N
95822... TC A Sleep electroencephalogram.. 0.00 1.72 0.14 1.86 XXX N
95824... .................. A Electroencephalography...... 0.74 0.98 0.07 1.79 XXX N
95824... 26 A Electroencephalography...... 0.74 0.58 0.04 1.36 XXX N
95824... TC A Electroencephalography...... 0.00 0.40 0.03 0.43 XXX N
95827... .................. A Night electroencephalogram.. 1.08 3.06 0.24 4.38 XXX N
95827... 26 A Night electroencephalogram.. 1.08 0.88 0.07 2.03 XXX N
95827... TC A Night electroencephalogram.. 0.00 2.18 0.17 2.35 XXX N
95829... .................. A Surgery electrocorticogram.. 6.21 0.59 0.05 6.85 XXX N
95829... 26 A Surgery electrocorticogram.. 6.21 0.45 0.03 6.69 XXX N
95829... TC A Surgery electrocorticogram.. 0.00 0.14 0.02 0.16 XXX N
95830... .................. A Insert electrodes for EEG... 1.70 0.78 0.07 2.55 XXX N
95831... .................. A Limb muscle testing, manual. 0.28 0.29 0.03 0.60 XXX N
95832... .................. A Hand muscle testing, manual. 0.29 0.25 0.02 0.56 XXX N
95833... .................. A Body muscle testing, manual. 0.47 0.38 0.05 0.90 XXX N
95834... .................. A Body muscle testing, manual. 0.60 0.61 0.06 1.27 XXX N
95851... .................. A Range of motion measurements 0.28 0.24 0.02 0.54 XXX N
95852... .................. A Range of motion measurements 0.19 0.15 0.02 0.36 XXX N
95857... .................. A Tensilon test............... 0.53 0.50 0.04 1.07 XXX N
95858... .................. A Tensilon test & myogram..... 1.56 1.02 0.09 2.67 XXX N
95858... 26 A Tensilon test & myogram..... 1.56 0.64 0.05 2.25 XXX N
95858... TC A Tensilon test & myogram..... 0.00 0.38 0.04 0.42 XXX N
95860... .................. A Muscle test, one limb....... 0.96 1.09 0.09 2.14 XXX N
95860... 26 A Muscle test, one limb....... 0.96 0.73 0.06 1.75 XXX N
95860... TC A Muscle test, one limb....... 0.00 0.36 0.03 0.39 XXX N
95861... .................. A Muscle test, two limbs...... 1.54 1.97 0.16 3.67 XXX N
95861... 26 A Muscle test, two limbs...... 1.54 1.27 0.10 2.91 XXX N
95861... TC A Muscle test, two limbs...... 0.00 0.70 0.06 0.76 XXX N
95863... .................. A Muscle test, 3 limbs........ 1.87 2.30 0.18 4.35 XXX N
95863... 26 A Muscle test, 3 limbs........ 1.87 1.41 0.11 3.39 XXX N
95863... TC A Muscle test, 3 limbs........ 0.00 0.89 0.07 0.96 XXX N
95864... .................. A Muscle test, 4 limbs........ 1.99 3.45 0.27 5.71 XXX N
[[Page 63320]]
95864... 26 A Muscle test, 4 limbs........ 1.99 1.75 0.14 3.88 XXX N
95864... TC A Muscle test, 4 limbs........ 0.00 1.70 0.13 1.83 XXX N
95867... .................. A Muscle test, head or neck... 0.62 1.13 0.09 1.84 XXX N
95867... 26 A Muscle test, head or neck... 0.62 0.58 0.05 1.25 XXX N
95867... TC A Muscle test, head or neck... 0.00 0.55 0.04 0.59 XXX N
95868... .................. A Muscle test, head or neck... 1.50 1.92 0.15 3.57 XXX N
95868... 26 A Muscle test, head or neck... 1.50 1.26 0.10 2.86 XXX N
95868... TC A Muscle test, head or neck... 0.00 0.66 0.05 0.71 XXX N
95869... .................. A Muscle test, limited........ 0.37 0.53 0.05 0.95 XXX N
95869... 26 A Muscle test, limited........ 0.37 0.33 0.03 0.73 XXX N
95869... TC A Muscle test, limited........ 0.00 0.20 0.02 0.22 XXX N
95872... .................. A Muscle test, one fiber...... 1.50 1.25 0.11 2.86 XXX N
95872... 26 A Muscle test, one fiber...... 1.50 0.68 0.06 2.24 XXX N
95872... TC A Muscle test, one fiber...... 0.00 0.57 0.05 0.62 XXX N
95875... .................. A Limb exercise test.......... 1.34 0.60 0.10 2.04 XXX N
95875... 26 A Limb exercise test.......... 1.34 0.22 0.04 1.60 XXX N
95875... TC A Limb exercise test.......... 0.00 0.38 0.06 0.44 XXX N
95880... .................. D Cerebral aphasia testing.... 0.00 0.00 0.00 0.00 XXX N
95881... .................. D Cerebral developmental test. 0.00 0.00 0.00 0.00 XXX N
95882... .................. D Cognitive function testing.. 0.00 0.00 0.00 0.00 XXX N
95883... .................. D Neuropsychological testing.. 0.00 0.00 0.00 0.00 XXX N
95900... .................. A Motor nerve conduction test. 0.42 0.62 0.05 1.09 XXX N
95900... 26 A Motor nerve conduction test. 0.42 0.35 0.03 0.80 XXX N
95900... TC A Motor nerve conduction test. 0.00 0.27 0.02 0.29 XXX N
95903... .................. A Motor nerve conduction test. 0.60 0.59 0.05 1.24 XXX N
95903... 26 A Motor nerve conduction test. 0.60 0.35 0.03 0.98 XXX N
95903... TC A Motor nerve conduction test. 0.00 0.24 0.02 0.26 XXX N
95904... .................. A Sense nerve conduction test. 0.34 0.55 0.05 0.94 XXX N
95904... 26 A Sense nerve conduction test. 0.34 0.34 0.03 0.71 XXX N
95904... TC A Sense nerve conduction test. 0.00 0.21 0.02 0.23 XXX N
95920... .................. A Intraoperative nerve testing 2.11 2.67 0.20 4.98 XXX N
95920... 26 A Intraoperative nerve testing 2.11 1.43 0.12 3.66 XXX N
95920... TC A Intraoperative nerve testing 0.00 1.24 0.08 1.32 XXX N
95925... .................. A Somatosensory testing....... 0.54 1.51 0.12 2.17 XXX N
95925... 26 A Somatosensory testing....... 0.54 0.64 0.05 1.23 XXX N
95925... TC A Somatosensory testing....... 0.00 0.87 0.07 0.94 XXX N
95926... .................. A Somatosensory testing....... 0.54 1.51 0.12 2.17 XXX N
95926... 26 A Somatosensory testing....... 0.54 0.64 0.05 1.23 XXX N
95926... TC A Somatosensory testing....... 0.00 0.87 0.07 0.94 XXX N
95927... .................. A Somatosensory testing....... 0.54 1.51 0.12 2.17 XXX N
95927... 26 A Somatosensory testing....... 0.54 0.64 0.05 1.23 XXX N
95927... TC A Somatosensory testing....... 0.00 0.87 0.07 0.94 XXX N
95930... .................. A Visual evoked potential test 0.35 0.83 0.05 1.23 XXX N
95930... 26 A Visual evoked potential test 0.35 0.58 0.04 0.97 XXX N
95930... TC A Visual evoked potential test 0.00 0.25 0.01 0.26 XXX N
95933... .................. A Blink reflex test........... 0.59 1.25 0.10 1.94 XXX N
95933... 26 A Blink reflex test........... 0.59 0.50 0.04 1.13 XXX N
95933... TC A Blink reflex test........... 0.00 0.75 0.06 0.81 XXX N
95934... .................. A `H' reflex test............. 0.51 0.54 0.05 1.10 XXX N
95934... 26 A `H' reflex test............. 0.51 0.34 0.03 0.88 XXX N
95934... TC A `H' reflex test............. 0.00 0.20 0.02 0.22 XXX N
95935... .................. D `H' or `F' reflex study..... 0.00 0.00 0.00 0.00 XXX N
95935... 26 D `H' or `F' reflex study..... 0.00 0.00 0.00 0.00 XXX N
95935... TC D `H' or `F' reflex study..... 0.00 0.00 0.00 0.00 XXX N
95936... .................. A `H' reflex test............. 0.55 0.54 0.05 1.14 XXX N
95936... 26 A `H' reflex test............. 0.55 0.34 0.03 0.92 XXX N
95936... TC A `H' reflex test............. 0.00 0.20 0.02 0.22 XXX N
95937... .................. A Neuromuscular junction test. 0.60 0.77 0.07 1.44 XXX N
95937... 26 A Neuromuscular junction test. 0.60 0.45 0.04 1.09 XXX N
95937... TC A Neuromuscular junction test. 0.00 0.32 0.03 0.35 XXX N
95950... .................. A Ambulatory eeg monitoring... 1.51 7.25 0.60 9.36 XXX N
95950... 26 A Ambulatory eeg monitoring... 1.51 1.21 0.10 2.82 XXX N
95950... TC A Ambulatory eeg monitoring... 0.00 6.04 0.50 6.54 XXX N
95951... .................. A EEG monitoring/videorecord.. 3.80 8.83 0.64 13.27 XXX N
95951... 26 A EEG monitoring/videorecord.. 3.80 1.50 0.11 5.41 XXX N
95951... TC A EEG monitoring/videorecord.. 0.00 7.33 0.53 7.86 XXX N
[[Page 63321]]
95953... .................. A EEG monitoring/computer..... 3.08 7.25 0.60 10.93 XXX N
95953... 26 A EEG monitoring/computer..... 3.08 1.21 0.10 4.39 XXX N
95953... TC A EEG monitoring/computer..... 0.00 6.04 0.50 6.54 XXX N
95954... .................. A EEG monitoring/giving drugs. 2.45 2.32 0.28 5.05 XXX N
95954... 26 A EEG monitoring/giving drugs. 2.45 1.87 0.22 4.54 XXX N
95954... TC A EEG monitoring/giving drugs. 0.00 0.45 0.06 0.51 XXX N
95955... .................. A EEG during surgery.......... 1.01 2.90 0.30 4.21 XXX N
95955... 26 A EEG during surgery.......... 1.01 1.03 0.11 2.15 XXX N
95955... TC A EEG during surgery.......... 0.00 1.87 0.19 2.06 XXX N
95956... .................. A EEG monitoring/cable/radio.. 3.08 7.54 0.61 11.23 XXX N
95956... 26 A EEG monitoring/cable/radio.. 3.08 1.50 0.11 4.69 XXX N
95956... TC A EEG monitoring/cable/radio.. 0.00 6.04 0.50 6.54 XXX N
95957... .................. A EEG digital analysis........ 1.98 2.25 0.18 4.41 XXX N
95957... 26 A EEG digital analysis........ 1.98 0.63 0.05 2.66 XXX N
95957... TC A EEG digital analysis........ 0.00 1.62 0.13 1.75 XXX N
95958... .................. A EEG monitoring/function test 4.25 4.89 0.52 9.66 XXX N
95958... 26 A EEG monitoring/function test 4.25 3.23 0.38 7.86 XXX N
95958... TC A EEG monitoring/function test 0.00 1.66 0.14 1.80 XXX N
95961... .................. A Electrode stimulation, brain 2.97 2.67 0.20 5.84 XXX N
95961... 26 A Electrode stimulation, brain 2.97 1.43 0.12 4.52 XXX N
95961... TC A Electrode stimulation, brain 0.00 1.24 0.08 1.32 XXX N
95962... .................. A Electrode stimulation, brain 3.21 2.67 0.20 6.08 XXX N
95962... 26 A Electrode stimulation, brain 3.21 1.43 0.12 4.76 XXX N
95962... TC A Electrode stimulation, brain 0.00 1.24 0.08 1.32 XXX N
95999... .................. C Neurological procedure...... 0.00 0.00 0.00 0.00 XXX N
96100... .................. A Psychological testing....... 0.00 1.68 0.20 1.88 XXX N
96105... .................. A Assessment of aphasia....... 0.00 1.68 0.20 1.88 XXX N
96110... .................. C Developmental test, lim..... 0.00 0.00 0.00 0.00 XXX N
96111... .................. A Developmental test, extend.. 0.00 1.68 0.20 1.88 XXX N
96115... .................. A Neurobehavior status exam... 0.00 1.68 0.20 1.88 XXX N
96117... .................. A Neuropsych test battery..... 0.00 1.68 0.20 1.88 XXX N
96400... .................. A Chemotherapy, (SC)/(IM)..... 0.00 0.13 0.01 0.14 XXX N
96405... .................. A Intralesional chemo admin... 0.52 0.38 0.03 0.93 000 S
96406... .................. A Intralesional chemo admin... 0.80 0.56 0.04 1.40 000 S
96408... .................. A Chemotherapy, push technique 0.00 0.92 0.06 0.98 XXX N
96410... .................. A Chemotherapy, infusion 0.00 1.47 0.09 1.56 XXX N
method.
96412... .................. A Chemotherapy, infusion 0.00 1.10 0.08 1.18 XXX N
method.
96414... .................. A Chemotherapy, infusion 0.00 1.27 0.09 1.36 XXX N
method.
96420... .................. A Chemotherapy, push technique 0.00 1.19 0.09 1.28 XXX N
96422... .................. A Chemotherapy, infusion 0.00 1.17 0.09 1.26 XXX N
method.
96423... .................. A Chemotherapy, infusion 0.00 0.46 0.03 0.49 XXX N
method.
96425... .................. A Chemotherapy, infusion 0.00 1.36 0.09 1.45 XXX N
method.
96440... .................. A Chemotherapy, intracavitary. 2.37 0.81 0.06 3.24 000 N
96445... .................. A Chemotherapy, intracavitary. 2.20 0.98 0.09 3.27 000 N
96450... .................. A Chemotherapy, into CNS...... 1.89 0.87 0.06 2.82 000 N
96520... .................. A Pump refilling, maintenance. 0.00 0.85 0.06 0.91 XXX N
96530... .................. A Pump refilling, maintenance. 0.00 1.01 0.07 1.08 XXX N
96542... .................. A Chemotherapy injection...... 1.42 1.09 0.13 2.64 XXX N
96545... .................. B Provide chemotherapy agent.. 0.00 0.00 0.00 0.00 XXX 0
96549... .................. C Chemotherapy, unspecified... 0.00 0.00 0.00 0.00 XXX N
96900... .................. A Ultraviolet light therapy... 0.00 0.38 0.03 0.41 XXX N
96910... .................. A Photochemotherapy with UV-B. 0.00 0.55 0.04 0.59 XXX N
96912... .................. A Photochemotherapy with UV-A. 0.00 0.63 0.05 0.68 XXX N
96913... .................. A Photochemotherapy, UV-A or B 0.00 1.29 0.10 1.39 XXX N
96999... .................. C Dermatological procedure.... 0.00 0.00 0.00 0.00 XXX N
97010... .................. A Hot or cold packs therapy... 0.11 0.21 0.02 0.34 XXX N
97012... .................. A Mechanical traction therapy. 0.25 0.19 0.02 0.46 XXX N
97014... .................. A Electric stimulation therapy 0.18 0.20 0.02 0.40 XXX N
97016... .................. A Vasopneumatic device therapy 0.18 0.25 0.02 0.45 XXX N
97018... .................. A Paraffin bath therapy....... 0.11 0.24 0.03 0.38 XXX N
97020... .................. A Microwave therapy........... 0.11 0.20 0.02 0.33 XXX N
97022... .................. A Whirlpool therapy........... 0.25 0.19 0.02 0.46 XXX N
97024... .................. A Diathermy treatment......... 0.11 0.21 0.02 0.34 XXX N
97026... .................. A Infrared therapy............ 0.11 0.19 0.02 0.32 XXX N
97028... .................. A Ultraviolet therapy......... 0.20 0.19 0.01 0.40 XXX N
97032... .................. A Electrical stimulation...... 0.25 0.14 0.01 0.40 XXX N
[[Page 63322]]
97033... .................. A Electric current therapy.... 0.26 0.14 0.02 0.42 XXX N
97034... .................. A Contrast bath therapy....... 0.21 0.10 0.01 0.32 XXX N
97035... .................. A Ultrasound therapy.......... 0.21 0.11 0.01 0.33 XXX N
97036... .................. A Hydrotherapy................ 0.38 0.21 0.02 0.61 XXX N
97039... .................. A Physical therapy treatment.. 0.29 0.24 0.03 0.56 XXX N
97110... .................. A Therapeutic exercises....... 0.45 0.13 0.02 0.60 XXX N
97112... .................. A Neuromuscular reeducation... 0.45 0.13 0.01 0.59 XXX N
97113... .................. A Aquatic therapy/exercises... 0.44 0.20 0.02 0.66 XXX N
97116... .................. A Gait training therapy....... 0.40 0.11 0.01 0.52 XXX N
97122... .................. A Manual traction therapy..... 0.45 0.11 0.01 0.57 XXX N
97124... .................. A Massage therapy............. 0.35 0.11 0.01 0.47 XXX N
97139... .................. A Physical medicine procedure. 0.21 0.16 0.02 0.39 XXX N
97150... .................. A Group therapeutic procedures 0.27 0.20 0.02 0.49 XXX N
97250... .................. A Myofascial release.......... 0.45 0.35 0.04 0.84 000 N
97260... .................. A Regional manipulation....... 0.19 0.20 0.02 0.41 000 N
97261... .................. A Supplemental manipulations.. 0.12 0.11 0.01 0.24 000 N
97265... .................. A Joint mobilization.......... 0.45 0.35 0.04 0.84 XXX N
97500... .................. A Orthotics training.......... 0.31 0.27 0.04 0.62 XXX N
97501... .................. A Supplemental training....... 0.17 0.15 0.02 0.34 XXX N
97520... .................. A Prosthetic training......... 0.37 0.30 0.04 0.71 XXX N
97521... .................. A Supplemental training....... 0.22 0.17 0.02 0.41 XXX N
97530... .................. A Therapeutic activities...... 0.44 0.17 0.02 0.63 XXX N
97535... .................. A Self care mngment training.. 0.33 0.17 0.02 0.52 XXX N
97537... .................. A Community/work reintegration 0.33 0.17 0.02 0.52 XXX N
97540... .................. D Training for daily living... 0.00 0.00 0.00 0.00 XXX N
97541... .................. D Supplemental training....... 0.00 0.00 0.00 0.00 XXX N
97542... .................. A Wheelchair mngement training 0.25 0.17 0.02 0.44 XXX N
97545... .................. R Work hardening.............. 0.00 0.00 0.00 0.00 XXX N
97546... .................. R Work hardening.............. 0.00 0.00 0.00 0.00 XXX N
97700... .................. D Training checkout........... 0.00 0.00 0.00 0.00 XXX N
97701... .................. D Supplemental checkout....... 0.00 0.00 0.00 0.00 XXX N
97703... .................. A Prosthetic checkout......... 0.25 0.18 0.03 0.46 XXX N
97750... .................. A Physical performance test... 0.45 0.24 0.03 0.72 XXX N
97770... .................. A Cognitive skills development 0.44 0.28 0.03 0.75 XXX N
97799... .................. C Physical medicine procedure. 0.00 0.00 0.00 0.00 XXX N
98925... .................. A Osteopathic manipulation.... 0.45 0.25 0.02 0.72 000 N
98926... .................. A Osteopathic manipulation.... 0.65 0.40 0.03 1.08 000 N
98927... .................. A Osteopathic manipulation.... 0.87 0.38 0.03 1.28 000 N
98928... .................. A Osteopathic manipulation.... 1.03 0.42 0.04 1.49 000 N
98929... .................. A Osteopathic manipulation.... 1.19 0.39 0.03 1.61 000 N
99000... .................. B Specimen handling........... 0.00 0.00 0.00 0.00 XXX 0
99001... .................. B Specimen handling........... 0.00 0.00 0.00 0.00 XXX 0
99002... .................. B Device handling............. 0.00 0.00 0.00 0.00 XXX 0
99024... .................. B Post-op follow-up visit..... 0.00 0.00 0.00 0.00 XXX 0
99025... .................. B Initial surgical evaluation. 0.00 0.00 0.00 0.00 XXX 0
99050... .................. B Medical services after hrs.. 0.00 0.00 0.00 0.00 XXX 0
99052... .................. B Medical services at night... 0.00 0.00 0.00 0.00 XXX 0
99054... .................. B Medical services, unusual 0.00 0.00 0.00 0.00 XXX 0
hrs.
99056... .................. B Non-office medical services. 0.00 0.00 0.00 0.00 XXX 0
99058... .................. B Office emergency care....... 0.00 0.00 0.00 0.00 XXX 0
99070... .................. B Special supplies............ 0.00 0.00 0.00 0.00 XXX 0
99071... .................. B Patient education materials. 0.00 0.00 0.00 0.00 XXX 0
99075... .................. N Medical testimony........... 0.00 0.00 0.00 0.00 XXX 0
99078... .................. B Group health education...... 0.00 0.00 0.00 0.00 XXX 0
99080... .................. B Special reports or forms.... 0.00 0.00 0.00 0.00 XXX 0
99082... .................. C Unusual physician travel.... 0.00 0.00 0.00 0.00 XXX N
99090... .................. B Computer data analysis...... 0.00 0.00 0.00 0.00 XXX 0
99100... .................. B Special anesthesia service.. 0.00 0.00 0.00 0.00 XXX 0
99116... .................. B Anesthesia with hypothermia. 0.00 0.00 0.00 0.00 XXX 0
99135... .................. B Special anesthesia procedure 0.00 0.00 0.00 0.00 XXX 0
99140... .................. B Emergency anesthesia........ 0.00 0.00 0.00 0.00 XXX 0
99175... .................. A Induction of vomiting....... 0.00 1.33 0.10 1.43 XXX N
99178... .................. D Development evaluation tests 0.00 0.00 0.00 0.00 XXX N
99183... .................. A Hyperbaric oxygen therapy... 2.34 1.67 0.11 4.12 XXX N
99185... .................. A Regional hypothermia........ 0.00 0.61 0.04 0.65 XXX N
99186... .................. A Total body hypothermia...... 0.00 1.70 0.52 2.22 XXX N
[[Page 63323]]
99190... .................. X Special pump services....... 0.00 0.00 0.00 0.00 XXX 0
99191... .................. X Special pump services....... 0.00 0.00 0.00 0.00 XXX 0
99192... .................. X Special pump services....... 0.00 0.00 0.00 0.00 XXX 0
99195... .................. A Phlebotomy.................. 0.00 0.42 0.03 0.45 XXX N
99199... .................. C Special service or report... 0.00 0.00 0.00 0.00 XXX N
99201... .................. A Office/outpatient visit, new 0.38 0.37 0.04 0.79 XXX P
99202... .................. A Office/outpatient visit, new 0.75 0.45 0.05 1.25 XXX P
99203... .................. A Office/outpatient visit, new 1.14 0.52 0.06 1.72 XXX P
99204... .................. A Office/outpatient visit, new 1.71 0.78 0.08 2.57 XXX P
99205... .................. A Office/outpatient visit, new 2.28 0.85 0.09 3.22 XXX P
99211... .................. A Office/outpatient visit, est 0.17 0.19 0.02 0.38 XXX P
99212... .................. A Office/outpatient visit, est 0.38 0.28 0.02 0.68 XXX P
99213... .................. A Office/outpatient visit, est 0.55 0.38 0.03 0.96 XXX P
99214... .................. A Office/outpatient visit, est 0.94 0.50 0.04 1.48 XXX P
99215... .................. A Office/outpatient visit, est 1.51 0.76 0.07 2.34 XXX P
99217... .................. A Observation care discharge.. 1.09 0.52 0.04 1.65 XXX N
99218... .................. A Observation care............ 1.08 0.68 0.06 1.82 XXX N
99219... .................. A Observation care............ 1.75 1.05 0.09 2.89 XXX N
99220... .................. A Observation care............ 2.41 1.14 0.09 3.64 XXX N
99221... .................. A Initial hospital care....... 1.06 0.67 0.06 1.79 XXX N
99222... .................. A Initial hospital care....... 1.84 1.04 0.09 2.97 XXX N
99223... .................. A Initial hospital care....... 2.57 1.13 0.08 3.78 XXX N
99231... .................. A Subsequent hospital care.... 0.51 0.38 0.03 0.92 XXX N
99232... .................. A Subsequent hospital care.... 0.88 0.45 0.04 1.37 XXX N
99233... .................. A Subsequent hospital care.... 1.25 0.60 0.05 1.90 XXX N
99238... .................. A Hospital discharge day...... 1.06 0.51 0.04 1.61 XXX N
99239... .................. A Hospital discharge day...... 1.75 0.51 0.04 2.30 XXX N
99241... .................. A Office consultation......... 0.54 0.64 0.08 1.26 XXX N
99242... .................. A Office consultation......... 1.11 0.77 0.09 1.97 XXX N
99243... .................. A Office consultation......... 1.47 0.97 0.10 2.54 XXX N
99244... .................. A Office consultation......... 2.23 1.23 0.11 3.57 XXX N
99245... .................. A Office consultation......... 2.96 1.69 0.16 4.81 XXX N
99251... .................. A Initial inpatient consult... 0.54 0.67 0.08 1.29 XXX N
99252... .................. A Initial inpatient consult... 1.13 0.76 0.09 1.98 XXX N
99253... .................. A Initial inpatient consult... 1.56 0.95 0.10 2.61 XXX N
99254... .................. A Initial inpatient consult... 2.27 1.20 0.11 3.58 XXX N
99255... .................. A Initial inpatient consult... 3.14 1.57 0.14 4.85 XXX N
99261... .................. A Follow-up inpatient consult. 0.36 0.33 0.03 0.72 XXX N
99262... .................. A Follow-up inpatient consult. 0.74 0.46 0.04 1.24 XXX N
99263... .................. A Follow-up inpatient consult. 1.16 0.67 0.04 1.87 XXX N
99271... .................. A Confirmatory consultation... 0.45 *0.58 0.07 1.10 XXX N
99272... .................. A Confirmatory consultation... 0.84 0.71 0.09 1.64 XXX N
99273... .................. A Confirmatory consultation... 1.19 1.02 0.11 2.32 XXX N
99274... .................. A Confirmatory consultation... 1.73 1.22 0.11 3.06 XXX N
99275... .................. A Confirmatory consultation... 2.31 1.74 0.17 4.22 XXX N
99281... .................. A Emergency dept visit........ 0.28 0.28 0.01 0.57 XXX P
99282... .................. A Emergency dept visit........ 0.47 0.38 0.03 0.88 XXX P
99283... .................. A Emergency dept visit........ 1.07 0.49 0.04 1.60 XXX P
99284... .................. A Emergency dept visit........ 1.68 0.70 0.06 2.44 XXX P
99285... .................. A Emergency dept visit........ 2.63 1.13 0.08 3.84 XXX P
99288... .................. B Direct advanced life support 0.00 0.00 0.00 0.00 XXX 0
99291... .................. A Critical care, first hour... 3.64 1.43 0.11 5.18 XXX N
99292... .................. A Critical care, addl 30 min.. 1.84 0.63 0.04 2.51 XXX N
99295... .................. A Neonatal critical care...... 16.03 5.08 1.55 22.66 XXX N
99296... .................. A Neonatal critical care...... 7.40 2.46 0.77 10.63 XXX N
99297... .................. A Neonatal critical care...... 3.84 1.23 0.38 5.45 XXX N
99301... .................. A Nursing facility care....... 1.07 0.45 0.03 1.55 XXX P
99302... .................. A Nursing facility care....... 1.67 0.50 0.04 2.21 XXX P
99303... .................. A Nursing facility care....... 2.29 0.95 0.07 3.31 XXX P
99311... .................. A Nursing facility care, 0.54 0.34 0.03 0.91 XXX P
subseq.
99312... .................. A Nursing facility care, 0.89 0.41 0.03 1.33 XXX P
subseq.
99313... .................. A Nursing facility care, 1.19 0.46 0.04 1.69 XXX P
subseq.
99321... .................. A Rest home visit, new patient 0.71 0.37 0.03 1.11 XXX P
99322... .................. A Rest home visit, new patient 1.01 0.51 0.05 1.57 XXX P
99323... .................. A Rest home visit, new patient 1.28 0.73 0.06 2.07 XXX P
99331... .................. A Rest home visit, estab pat.. 0.60 0.28 0.02 0.90 XXX P
[[Page 63324]]
99332... .................. A Rest home visit, estab pat.. 0.80 0.36 0.03 1.19 XXX P
99333... .................. A Rest home visit, estab pat.. 1.00 0.44 0.02 1.46 XXX P
99341... .................. A Home visit, new patient..... 1.12 0.53 0.05 1.70 XXX P
99342... .................. A Home visit, new patient..... 1.58 0.60 0.05 2.23 XXX P
99343... .................. A Home visit, new patient..... 2.09 0.77 0.06 2.92 XXX P
99351... .................. A Home visit, estab patient... 0.83 0.45 0.04 1.32 XXX P
99352... .................. A Home visit, estab patient... 1.12 0.53 0.04 1.69 XXX P
99353... .................. A Home visit, estab patient... 1.48 0.61 0.05 2.14 XXX P
99354... .................. A Prolonged service, office... 1.51 0.76 0.07 2.34 XXX P
99355... .................. A Prolonged service, office... 1.51 0.76 0.07 2.34 XXX P
99356... .................. A Prolonged service, inpatient 1.44 0.85 0.08 2.37 XXX N
99357... .................. A Prolonged service, inpatient 1.44 0.85 0.08 2.37 XXX N
99358... .................. B Prolonged serv, w/o contact. 0.00 0.00 0.00 0.00 XXX 0
99359... .................. B Prolonged serv, w/o contact. 0.00 0.00 0.00 0.00 XXX 0
99360... .................. X Physician standby services.. 0.00 0.00 0.00 0.00 XXX 0
99361... .................. B Physician/team conference... 0.00 0.00 0.00 0.00 XXX 0
99362... .................. B Physician/team conference... 0.00 0.00 0.00 0.00 XXX 0
99371... .................. B Physician phone consultation 0.00 0.00 0.00 0.00 XXX 0
99372... .................. B Physician phone consultation 0.00 0.00 0.00 0.00 XXX 0
99373... .................. B Physician phone consultation 0.00 0.00 0.00 0.00 XXX 0
99375... .................. A Care plan oversight/30-60... 1.73 0.51 0.04 2.28 XXX P
99376... .................. B Care plan oversight/over 60. 0.00 0.00 0.00 0.00 XXX 0
99381... .................. N Preventive visit, new, #1.19 1.23 0.08 2.50 XXX 0
infant.
99382... .................. N Preventive visit, new, age 1- #1.36 1.41 0.09 2.86 XXX 0
4.
99383... .................. N Preventive visit, new, age 5- #1.36 1.41 0.09 2.86 XXX 0
11.
99384... .................. N Preventive visit, new, 12-17 #1.53 1.59 0.10 3.22 XXX 0
99385... .................. N Preventive visit, new, 18-39 #1.53 1.40 0.09 3.02 XXX 0
99386... .................. N Preventive visit, new, 40-64 #1.88 1.72 0.10 3.70 XXX 0
99387... .................. N Preventive visit, new, 65 & #2.06 1.88 0.11 4.05 XXX 0
over.
99391... .................. N Preventive visit, est, #1.02 1.06 0.07 2.15 XXX 0
infant.
99392... .................. N Preventive visit, est, age 1- #1.19 1.23 0.08 2.50 XXX 0
4.
99393... .................. N Preventive visit, est, age 5- #1.19 1.23 0.08 2.50 XXX 0
11.
99394... .................. N Preventive visit, est, 12-17 #1.36 1.41 0.09 2.86 XXX 0
99395... .................. N Preventive visit, est, 18-39 #1.36 1.25 0.08 2.69 XXX 0
99396... .................. N Preventive visit, est, 40-64 #1.53 1.40 0.09 3.02 XXX 0
99397... .................. N Preventive visit, est, 65 & #1.71 1.56 0.10 3.37 XXX 0
over.
99401... .................. N Preventive counseling, indiv #0.48 0.45 0.03 0.96 XXX 0
99402... .................. N Preventive counseling, indiv #0.98 0.89 0.05 1.92 XXX 0
99403... .................. N Preventive counseling, indiv #1.46 1.34 0.08 2.88 XXX 0
99404... .................. N Preventive counseling, indiv #1.95 1.78 0.11 3.84 XXX 0
99411... .................. N Preventive counseling, group #0.15 0.14 0.01 0.30 XXX 0
99412... .................. N Preventive counseling, group #0.25 0.23 0.01 0.49 XXX 0
99420... .................. N Health risk assessment test. 0.00 0.00 0.00 0.00 XXX 0
99429... .................. N Unlisted preventive service. 0.00 0.00 0.00 0.00 XXX 0
99431... .................. A Initial care, normal newborn 1.17 1.21 0.08 2.46 XXX N
99432... .................. A Newborn care not in hospital 1.26 1.31 0.08 2.65 XXX N
99433... .................. A Normal newborn care, 0.62 0.64 0.04 1.30 XXX N
hospital.
99435... .................. A Hospital NB discharge day... 1.50 1.55 0.10 3.15 XXX P
99440... .................. A Newborn resuscitation....... 2.93 3.04 0.19 6.16 XXX N
99450... .................. N Life/disability evaluation.. 0.00 0.00 0.00 0.00 XXX 0
99455... .................. R Disability examination...... 0.00 0.00 0.00 0.00 XXX N
99456... .................. R Disability examination...... 0.00 0.00 0.00 0.00 XXX N
99499... .................. C Unlisted E/M service........ 0.00 0.00 0.00 0.00 XXX N
A0021... .................. G Outside state ambulance serv 0.00 0.00 0.00 0.00 XXX 0
A0030... .................. X Air ambulance service....... 0.00 0.00 0.00 0.00 XXX 0
A0040... .................. X Helicopter ambulance service 0.00 0.00 0.00 0.00 XXX 0
A0050... .................. X Water amb service emergency. 0.00 0.00 0.00 0.00 XXX 0
A0080... .................. G Noninterest escort in non er 0.00 0.00 0.00 0.00 XXX 0
A0090... .................. G Interest escort in non er... 0.00 0.00 0.00 0.00 XXX 0
A0100... .................. G Nonemergency transport taxi. 0.00 0.00 0.00 0.00 XXX 0
A0110... .................. G Nonemergency transport bus.. 0.00 0.00 0.00 0.00 XXX 0
A0120... .................. G Noner transport mini-bus.... 0.00 0.00 0.00 0.00 XXX 0
A0130... .................. G Noner transport wheelch van. 0.00 0.00 0.00 0.00 XXX 0
A0140... .................. G Nonemergency transport air.. 0.00 0.00 0.00 0.00 XXX 0
A0160... .................. G Noner transport case worker. 0.00 0.00 0.00 0.00 XXX 0
A0170... .................. G Noner transport parking fees 0.00 0.00 0.00 0.00 XXX 0
[[Page 63325]]
A0180... .................. G Noner transport lodgng recip 0.00 0.00 0.00 0.00 XXX 0
A0190... .................. G Noner transport meals recip. 0.00 0.00 0.00 0.00 XXX 0
A0200... .................. G Noner transport lodgng escrt 0.00 0.00 0.00 0.00 XXX 0
A0210... .................. G Noner transport meals escort 0.00 0.00 0.00 0.00 XXX 0
A0225... .................. X Neonatal emergency transport 0.00 0.00 0.00 0.00 XXX 0
A0300... .................. X Ambulance basic non-emer all 0.00 0.00 0.00 0.00 XXX 0
A0302... .................. X Ambulance basic emergeny all 0.00 0.00 0.00 0.00 XXX 0
A0304... .................. X Amb adv non-er no serv all.. 0.00 0.00 0.00 0.00 XXX 0
A0306... .................. X Amb adv non-er spec serv all 0.00 0.00 0.00 0.00 XXX 0
A0308... .................. X Amb adv er no spec serv all. 0.00 0.00 0.00 0.00 XXX 0
A0310... .................. X Amb adv er spec serv all.... 0.00 0.00 0.00 0.00 XXX 0
A0320... .................. X Amb basic non-er + supplies. 0.00 0.00 0.00 0.00 XXX 0
A0322... .................. X Amb basic emerg + supplies.. 0.00 0.00 0.00 0.00 XXX 0
A0324... .................. X Adv non-er serv sep mileage. 0.00 0.00 0.00 0.00 XXX 0
A0326... .................. X Adv non-er no serv sep mile. 0.00 0.00 0.00 0.00 XXX 0
A0328... .................. X Adv er no serv sep mileage.. 0.00 0.00 0.00 0.00 XXX 0
A0330... .................. X Adv er spec serv sep mile... 0.00 0.00 0.00 0.00 XXX 0
A0340... .................. X Amb basic non-er + mileage.. 0.00 0.00 0.00 0.00 XXX 0
A0342... .................. X Ambul basic emer + mileage.. 0.00 0.00 0.00 0.00 XXX 0
A0344... .................. X Amb adv non-er no serv + 0.00 0.00 0.00 0.00 XXX 0
mile.
A0346... .................. X Amb adv non-er serv + mile.. 0.00 0.00 0.00 0.00 XXX 0
A0348... .................. X Adv emer no spec serv + mile 0.00 0.00 0.00 0.00 XXX 0
A0350... .................. X Adv emer spec serv + mileage 0.00 0.00 0.00 0.00 XXX 0
A0360... .................. X Basic non-er sep mile & supp 0.00 0.00 0.00 0.00 XXX 0
A0362... .................. X Basic emer sep mile & supply 0.00 0.00 0.00 0.00 XXX 0
A0364... .................. X Adv non-er no serv sep mi&su 0.00 0.00 0.00 0.00 XXX 0
A0366... .................. X Adv non-er serv sep mil&supp 0.00 0.00 0.00 0.00 XXX 0
A0368... .................. X Adv er no serv sep mile&supp 0.00 0.00 0.00 0.00 XXX 0
A0370... .................. X Adv er spec serv sep mi&supp 0.00 0.00 0.00 0.00 XXX 0
A0380... .................. X Basic life support mileage.. 0.00 0.00 0.00 0.00 XXX 0
A0382... .................. X Basic support routine suppls 0.00 0.00 0.00 0.00 XXX 0
A0384... .................. X Bls defibrillation supplies. 0.00 0.00 0.00 0.00 XXX 0
A0390... .................. X Advanced life support mileag 0.00 0.00 0.00 0.00 XXX 0
A0392... .................. X Als defibrillation supplies. 0.00 0.00 0.00 0.00 XXX 0
A0394... .................. X Als IV drug therapy supplies 0.00 0.00 0.00 0.00 XXX 0
A0396... .................. X Als esophageal intub suppls. 0.00 0.00 0.00 0.00 XXX 0
A0398... .................. X Als routine disposble suppls 0.00 0.00 0.00 0.00 XXX 0
A0420... .................. X Ambulance waiting 1/2 hr.... 0.00 0.00 0.00 0.00 XXX 0
A0422... .................. X Ambulance 02 life sustaining 0.00 0.00 0.00 0.00 XXX 0
A0424... .................. X Extra ambulance attendant... 0.00 0.00 0.00 0.00 XXX 0
A0888... .................. N Noncovered ambulance mileage 0.00 0.00 0.00 0.00 XXX 0
A0999... .................. X Unlisted ambulance service.. 0.00 0.00 0.00 0.00 XXX 0
A2000... .................. A Chiropractor manip of spine. 0.45 0.29 0.01 0.75 XXX N
A4190... .................. P Transparent film each....... 0.00 0.00 0.00 0.00 XXX 0
A4200... .................. P Gauze pad medicated/non-med. 0.00 0.00 0.00 0.00 XXX 0
A4202... .................. P Elastic gauze roll.......... 0.00 0.00 0.00 0.00 XXX 0
A4203... .................. P Non-elastic gauze roll...... 0.00 0.00 0.00 0.00 XXX 0
A4204... .................. P Absorptive dressing......... 0.00 0.00 0.00 0.00 XXX 0
A4205... .................. P Nonabsorptive dressing...... 0.00 0.00 0.00 0.00 XXX 0
A4206... .................. P 1 CC sterile syringe & 0.00 0.00 0.00 0.00 XXX 0
needle.
A4207... .................. P 2 CC sterile syringe & 0.00 0.00 0.00 0.00 XXX 0
needle.
A4208... .................. P 3 CC sterile syringe & 0.00 0.00 0.00 0.00 XXX 0
needle.
A4209... .................. P 5+ CC sterile syringe & 0.00 0.00 0.00 0.00 XXX 0
needle.
A4210... .................. N Nonneedle injection device.. 0.00 0.00 0.00 0.00 XXX 0
A4211... .................. P Supp for self-adm injections 0.00 0.00 0.00 0.00 XXX 0
A4212... .................. P Non coring needle or stylet. 0.00 0.00 0.00 0.00 XXX 0
A4213... .................. P 20+ CC syringe only......... 0.00 0.00 0.00 0.00 XXX 0
A4214... .................. P 30 CC sterile water/saline.. 0.00 0.00 0.00 0.00 XXX 0
A4215... .................. P Sterile needle.............. 0.00 0.00 0.00 0.00 XXX 0
A4220... .................. P Infusion pump refill kit.... 0.00 0.00 0.00 0.00 XXX 0
A4230... .................. N Infus insulin pump non 0.00 0.00 0.00 0.00 XXX 0
needle.
A4231... .................. N Infusion insulin pump needle 0.00 0.00 0.00 0.00 XXX 0
A4232... .................. N Syringe w/needle insulin 3cc 0.00 0.00 0.00 0.00 XXX 0
A4244... .................. P Alcohol or peroxide per pint 0.00 0.00 0.00 0.00 XXX 0
A4245... .................. P Alcohol wipes per box....... 0.00 0.00 0.00 0.00 XXX 0
A4246... .................. P Betadine/phisohex solution.. 0.00 0.00 0.00 0.00 XXX 0
[[Page 63326]]
A4247... .................. P Betadine/iodine swabs/wipes. 0.00 0.00 0.00 0.00 XXX 0
A4250... .................. R Urine reagent strips/tablets 0.00 0.00 0.00 0.00 XXX N
A4253... .................. P Blood glucose/reagent strips 0.00 0.00 0.00 0.00 XXX 0
A4254... .................. X Battery for glucose monitor. 0.00 0.00 0.00 0.00 XXX 0
A4256... .................. P Calibrator solution/chips... 0.00 0.00 0.00 0.00 XXX 0
A4258... .................. P Lancet device each.......... 0.00 0.00 0.00 0.00 XXX 0
A4259... .................. P Lancets per box............. 0.00 0.00 0.00 0.00 XXX 0
A4260... .................. N Levonorgestrel implant...... 0.00 0.00 0.00 0.00 XXX 0
A4262... .................. B Temporary tear duct plug.... 0.00 0.00 0.00 0.00 XXX 0
A4263... .................. A Permanent tear duct plug.... 0.00 0.95 0.00 0.95 XXX N
A4265... .................. P Paraffin.................... 0.00 0.00 0.00 0.00 XXX 0
A4270... .................. B Disposable endoscope sheath. 0.00 0.00 0.00 0.00 XXX 0
A4300... .................. A Cath impl vasc access portal 0.00 0.95 0.00 0.95 XXX N
A4301... .................. P Implantable access syst perc 0.00 0.00 0.00 0.00 XXX 0
A4305... .................. P Drug delivery system >=50 ML 0.00 0.00 0.00 0.00 XXX 0
A4306... .................. P Drug delivery system <=5 ML. 0.00 0.00 0.00 0.00 XXX 0
A4310... .................. P Insert tray w/o bag/cath.... 0.00 0.00 0.00 0.00 XXX 0
A4311... .................. P Catheter w/o bag 2-way latex 0.00 0.00 0.00 0.00 XXX 0
A4312... .................. P Cath w/o bag 2-way silicone. 0.00 0.00 0.00 0.00 XXX 0
A4313... .................. P Catheter w/bag 3-way........ 0.00 0.00 0.00 0.00 XXX 0
A4314... .................. P Cath w/drainage 2-way latex. 0.00 0.00 0.00 0.00 XXX 0
A4315... .................. P Cath w/drainage 2-way silcne 0.00 0.00 0.00 0.00 XXX 0
A4316... .................. P Cath w/drainage 3-way....... 0.00 0.00 0.00 0.00 XXX 0
A4320... .................. P Irrigation tray............. 0.00 0.00 0.00 0.00 XXX 0
A4322... .................. P Irrigation syringe.......... 0.00 0.00 0.00 0.00 XXX 0
A4323... .................. P Saline irrigation solution.. 0.00 0.00 0.00 0.00 XXX 0
A4326... .................. P Male external catheter...... 0.00 0.00 0.00 0.00 XXX 0
A4327... .................. P Fem urinary collect dev cup. 0.00 0.00 0.00 0.00 XXX 0
A4328... .................. P Fem urinary collect pouch... 0.00 0.00 0.00 0.00 XXX 0
A4329... .................. P External catheter start set. 0.00 0.00 0.00 0.00 XXX 0
A4330... .................. P Stool collection pouch...... 0.00 0.00 0.00 0.00 XXX 0
A4335... .................. P Incontinence supply......... 0.00 0.00 0.00 0.00 XXX 0
A4338... .................. P Indwelling catheter latex... 0.00 0.00 0.00 0.00 XXX 0
A4340... .................. P Indwelling catheter special. 0.00 0.00 0.00 0.00 XXX 0
A4344... .................. P Cath indw foley 2 way silicn 0.00 0.00 0.00 0.00 XXX 0
A4346... .................. P Cath indw foley 3 way....... 0.00 0.00 0.00 0.00 XXX 0
A4347... .................. P Male external catheter...... 0.00 0.00 0.00 0.00 XXX 0
A4351... .................. P Straight tip urine catheter. 0.00 0.00 0.00 0.00 XXX 0
A4352... .................. P Coude tip urinary catheter.. 0.00 0.00 0.00 0.00 XXX 0
A4354... .................. P Cath insertion tray w/bag... 0.00 0.00 0.00 0.00 XXX 0
A4355... .................. P Bladder irrigation tubing... 0.00 0.00 0.00 0.00 XXX 0
A4356... .................. P Ext ureth clmp or compr dvc. 0.00 0.00 0.00 0.00 XXX 0
A4357... .................. P Bedside drainage bag........ 0.00 0.00 0.00 0.00 XXX 0
A4358... .................. P Urinary leg bag............. 0.00 0.00 0.00 0.00 XXX 0
A4359... .................. P Urinary suspensory w/o leg 0.00 0.00 0.00 0.00 XXX 0
bag.
A4361... .................. P Ostomy face plate........... 0.00 0.00 0.00 0.00 XXX 0
A4362... .................. P Solid skin barrier.......... 0.00 0.00 0.00 0.00 XXX 0
A4363... .................. P Liquid skin barrier......... 0.00 0.00 0.00 0.00 XXX 0
A4364... .................. P Ostomy/cath adhesive........ 0.00 0.00 0.00 0.00 XXX 0
A4367... .................. P Ostomy belt................. 0.00 0.00 0.00 0.00 XXX 0
A4397... .................. P Irrigation supply sleeve.... 0.00 0.00 0.00 0.00 XXX 0
A4398... .................. P Irrigation supply bags...... 0.00 0.00 0.00 0.00 XXX 0
A4399... .................. P Irrigation supply cone/cathe 0.00 0.00 0.00 0.00 XXX 0
A4400... .................. P Ostomy irrigation set....... 0.00 0.00 0.00 0.00 XXX 0
A4402... .................. P Lubricant per ounce......... 0.00 0.00 0.00 0.00 XXX 0
A4404... .................. P Ostomy ring each............ 0.00 0.00 0.00 0.00 XXX 0
A4421... .................. P Ostomy supply misc.......... 0.00 0.00 0.00 0.00 XXX 0
A4454... .................. P Tape all types all sizes.... 0.00 0.00 0.00 0.00 XXX 0
A4455... .................. P Adhesive remover per ounce.. 0.00 0.00 0.00 0.00 XXX 0
A4460... .................. P Elastic compression bandage. 0.00 0.00 0.00 0.00 XXX 0
A4465... .................. P Non-elastic extremity binder 0.00 0.00 0.00 0.00 XXX 0
A4470... .................. P Gravlee jet washer.......... 0.00 0.00 0.00 0.00 XXX 0
A4480... .................. P Vabra aspirator............. 0.00 0.00 0.00 0.00 XXX 0
A4490... .................. N Above knee surgical stocking 0.00 0.00 0.00 0.00 XXX 0
A4495... .................. N Thigh length surg stocking.. 0.00 0.00 0.00 0.00 XXX 0
A4500... .................. N Below knee surgical stocking 0.00 0.00 0.00 0.00 XXX 0
[[Page 63327]]
A4510... .................. N Full length surg stocking... 0.00 0.00 0.00 0.00 XXX 0
A4550... .................. A Surgical trays.............. 0.00 0.95 0.00 0.95 XXX N
A4554... .................. N Disposable underpads........ 0.00 0.00 0.00 0.00 XXX 0
A4556... .................. P Electrodes.................. 0.00 0.00 0.00 0.00 XXX 0
A4557... .................. P Lead wires.................. 0.00 0.00 0.00 0.00 XXX 0
A4558... .................. P Conductive paste or gel..... 0.00 0.00 0.00 0.00 XXX 0
A4560... .................. X Pessary..................... 0.00 0.00 0.00 0.00 XXX 0
A4565... .................. X Slings...................... 0.00 0.00 0.00 0.00 XXX 0
A4570... .................. X Splint...................... 0.00 0.00 0.00 0.00 XXX 0
A4572... .................. X Rib belt.................... 0.00 0.00 0.00 0.00 XXX 0
A4575... .................. N Hyperbaric O2 chamber disps. 0.00 0.00 0.00 0.00 XXX 0
A4580... .................. X Cast supplies (plaster)..... 0.00 0.00 0.00 0.00 XXX 0
A4581... .................. X Risser jacket supplies...... 0.00 0.00 0.00 0.00 XXX 0
A4590... .................. X Special casting material.... 0.00 0.00 0.00 0.00 XXX 0
A4595... .................. X TENS suppl 2 lead per month. 0.00 0.00 0.00 0.00 XXX 0
A4610... .................. X Med supplies for use in DME. 0.00 0.00 0.00 0.00 XXX 0
A4611... .................. X Heavy duty battery.......... 0.00 0.00 0.00 0.00 XXX 0
A4612... .................. X Battery cables.............. 0.00 0.00 0.00 0.00 XXX 0
A4613... .................. X Battery charger............. 0.00 0.00 0.00 0.00 XXX 0
A4615... .................. X Cannula nasal............... 0.00 0.00 0.00 0.00 XXX 0
A4616... .................. X Tubing (oxygen) per foot.... 0.00 0.00 0.00 0.00 XXX 0
A4617... .................. X Mouth piece................. 0.00 0.00 0.00 0.00 XXX 0
A4618... .................. X Breathing circuits.......... 0.00 0.00 0.00 0.00 XXX 0
A4619... .................. X Face tent................... 0.00 0.00 0.00 0.00 XXX 0
A4620... .................. X Variable concentration mask. 0.00 0.00 0.00 0.00 XXX 0
A4621... .................. X Tracheotomy mask or collar.. 0.00 0.00 0.00 0.00 XXX 0
A4622... .................. X Tracheostomy or larngectomy. 0.00 0.00 0.00 0.00 XXX 0
A4623... .................. X Tracheostomy inner cannula.. 0.00 0.00 0.00 0.00 XXX 0
A4624... .................. X Tracheal suction tube....... 0.00 0.00 0.00 0.00 XXX 0
A4625... .................. X Trach care kit for new trach 0.00 0.00 0.00 0.00 XXX 0
A4626... .................. X Tracheostomy cleaning brush. 0.00 0.00 0.00 0.00 XXX 0
A4627... .................. X Spacer bag/reservoir........ 0.00 0.00 0.00 0.00 XXX 0
A4628... .................. X Oropharyngeal suction cath.. 0.00 0.00 0.00 0.00 XXX 0
A4629... .................. X Tracheostomy care kit....... 0.00 0.00 0.00 0.00 XXX 0
A4630... .................. X Repl bat t.e.n.s. own by pt. 0.00 0.00 0.00 0.00 XXX 0
A4631... .................. X Wheelchair battery.......... 0.00 0.00 0.00 0.00 XXX 0
A4635... .................. X Underarm crutch pad......... 0.00 0.00 0.00 0.00 XXX 0
A4636... .................. X Handgrip for cane etc....... 0.00 0.00 0.00 0.00 XXX 0
A4637... .................. X Repl tip cane/crutch/walker. 0.00 0.00 0.00 0.00 XXX 0
A4640... .................. X Alternating pressure pad.... 0.00 0.00 0.00 0.00 XXX 0
A4641... .................. E Diagnostic imaging agent.... 0.00 0.00 0.00 0.00 XXX 0
A4642... .................. E Satumomab pendetide per dose 0.00 0.00 0.00 0.00 XXX 0
A4643... .................. E High dose contrast MRI...... 0.00 0.00 0.00 0.00 XXX 0
A4644... .................. E Contrast 100-199 MGs iodine. 0.00 0.00 0.00 0.00 XXX 0
A4645... .................. E Contrast 200-299 MGs iodine. 0.00 0.00 0.00 0.00 XXX 0
A4646... .................. E Contrast 300-399 MGs iodine. 0.00 0.00 0.00 0.00 XXX 0
A4647... .................. B Supp- paramagnetic contr mat 0.00 0.00 0.00 0.00 XXX 0
A4649... .................. B Surgical supplies........... 0.00 0.00 0.00 0.00 XXX 0
A4650... .................. X Supp esrd centrifuge........ 0.00 0.00 0.00 0.00 XXX 0
A4655... .................. X Esrd syringe/needle......... 0.00 0.00 0.00 0.00 XXX 0
A4660... .................. X Esrd blood pressure device.. 0.00 0.00 0.00 0.00 XXX 0
A4663... .................. X Esrd blood pressure cuff.... 0.00 0.00 0.00 0.00 XXX 0
A4670... .................. N Auto blood pressure monitor. 0.00 0.00 0.00 0.00 XXX 0
A4680... .................. X Activated carbon filters.... 0.00 0.00 0.00 0.00 XXX 0
A4690... .................. X Dialyzers................... 0.00 0.00 0.00 0.00 XXX 0
A4700... .................. X Standard dialysate solution. 0.00 0.00 0.00 0.00 XXX 0
A4705... .................. X Bicarb dialysate solution... 0.00 0.00 0.00 0.00 XXX 0
A4712... .................. X Sterile water............... 0.00 0.00 0.00 0.00 XXX 0
A4714... .................. X Treated water for dialysis.. 0.00 0.00 0.00 0.00 XXX 0
A4730... .................. X Fistula cannulation set dial 0.00 0.00 0.00 0.00 XXX 0
A4735... .................. X Local/topical anesthetics... 0.00 0.00 0.00 0.00 XXX 0
A4740... .................. X Esrd shunt accessory........ 0.00 0.00 0.00 0.00 XXX 0
A4750... .................. X Arterial or venous tubing... 0.00 0.00 0.00 0.00 XXX 0
A4755... .................. X Arterial and venous tubing.. 0.00 0.00 0.00 0.00 XXX 0
A4760... .................. X Standard testing solution... 0.00 0.00 0.00 0.00 XXX 0
A4765... .................. X Dialysate concentrate....... 0.00 0.00 0.00 0.00 XXX 0
[[Page 63328]]
A4770... .................. X Blood testing supplies...... 0.00 0.00 0.00 0.00 XXX 0
A4771... .................. X Blood clotting time tube.... 0.00 0.00 0.00 0.00 XXX 0
A4772... .................. X Dextrostick/glucose strips.. 0.00 0.00 0.00 0.00 XXX 0
A4773... .................. X Hemostix.................... 0.00 0.00 0.00 0.00 XXX 0
A4774... .................. X Ammonia test paper.......... 0.00 0.00 0.00 0.00 XXX 0
A4780... .................. X Esrd sterilizing agent...... 0.00 0.00 0.00 0.00 XXX 0
A4790... .................. X Esrd cleansing agents....... 0.00 0.00 0.00 0.00 XXX 0
A4800... .................. X Heparin/antidote dialysis... 0.00 0.00 0.00 0.00 XXX 0
A4820... .................. X Supplies hemodialysis kit... 0.00 0.00 0.00 0.00 XXX 0
A4850... .................. X Rubber tipped hemostats..... 0.00 0.00 0.00 0.00 XXX 0
A4860... .................. X Disposable catheter caps.... 0.00 0.00 0.00 0.00 XXX 0
A4870... .................. X Plumbing/electrical work.... 0.00 0.00 0.00 0.00 XXX 0
A4880... .................. X Water storage tanks......... 0.00 0.00 0.00 0.00 XXX 0
A4890... .................. N Contracts/repair/maintenance 0.00 0.00 0.00 0.00 XXX 0
A4900... .................. X Capd supply kit............. 0.00 0.00 0.00 0.00 XXX 0
A4901... .................. X Ccpd supply kit............. 0.00 0.00 0.00 0.00 XXX 0
A4905... .................. X Ipd supply kit.............. 0.00 0.00 0.00 0.00 XXX 0
A4910... .................. X Esrd nonmedical supplies.... 0.00 0.00 0.00 0.00 XXX 0
A4912... .................. X Gomco drain bottle.......... 0.00 0.00 0.00 0.00 XXX 0
A4913... .................. X Esrd supply................. 0.00 0.00 0.00 0.00 XXX 0
A4914... .................. X Preparation kit............. 0.00 0.00 0.00 0.00 XXX 0
A4918... .................. X Venous pressure clamp....... 0.00 0.00 0.00 0.00 XXX 0
A4919... .................. X Supp dialysis dialyzer holde 0.00 0.00 0.00 0.00 XXX 0
A4920... .................. X Harvard pressure clamp...... 0.00 0.00 0.00 0.00 XXX 0
A4921... .................. X Measuring cylinder.......... 0.00 0.00 0.00 0.00 XXX 0
A4927... .................. X Gloves...................... 0.00 0.00 0.00 0.00 XXX 0
A5051... .................. P Pouch clsd w barr attached.. 0.00 0.00 0.00 0.00 XXX 0
A5052... .................. P Clsd ostomy pouch w/o barr.. 0.00 0.00 0.00 0.00 XXX 0
A5053... .................. P Clsd ostomy pouch faceplate. 0.00 0.00 0.00 0.00 XXX 0
A5054... .................. P Clsd ostomy pouch w/flange.. 0.00 0.00 0.00 0.00 XXX 0
A5055... .................. P Stoma cap................... 0.00 0.00 0.00 0.00 XXX 0
A5061... .................. P Pouch drainable w barrier at 0.00 0.00 0.00 0.00 XXX 0
A5062... .................. P Drnble ostomy pouch w/o barr 0.00 0.00 0.00 0.00 XXX 0
A5063... .................. P Drain ostomy pouch w/flange. 0.00 0.00 0.00 0.00 XXX 0
A5064... .................. P Drain ostomy pouch w/fceplte 0.00 0.00 0.00 0.00 XXX 0
A5065... .................. P Drain ostomy pouch on fcplte 0.00 0.00 0.00 0.00 XXX 0
A5071... .................. P Urinary pouch w/barrier..... 0.00 0.00 0.00 0.00 XXX 0
A5072... .................. P Urinary pouch w/o barrier... 0.00 0.00 0.00 0.00 XXX 0
A5073... .................. P Urinary pouch on barr w/flng 0.00 0.00 0.00 0.00 XXX 0
A5074... .................. P Urinary pouch w/faceplate... 0.00 0.00 0.00 0.00 XXX 0
A5075... .................. P Urinary pouch on faceplate.. 0.00 0.00 0.00 0.00 XXX 0
A5081... .................. P Continent stoma plug........ 0.00 0.00 0.00 0.00 XXX 0
A5082... .................. P Continent stoma catheter.... 0.00 0.00 0.00 0.00 XXX 0
A5093... .................. P Ostomy accessory convex inse 0.00 0.00 0.00 0.00 XXX 0
A5102... .................. P Bedside btle rigid/expanable 0.00 0.00 0.00 0.00 XXX 0
A5105... .................. P Urinary suspensory.......... 0.00 0.00 0.00 0.00 XXX 0
A5112... .................. P Urinary leg bag............. 0.00 0.00 0.00 0.00 XXX 0
A5113... .................. P Latex leg strap............. 0.00 0.00 0.00 0.00 XXX 0
A5114... .................. P Foam/fabric leg strap....... 0.00 0.00 0.00 0.00 XXX 0
A5119... .................. P Skin barrier wipes box pr 50 0.00 0.00 0.00 0.00 XXX 0
A5121... .................. P Solid skin barrier 6x6...... 0.00 0.00 0.00 0.00 XXX 0
A5122... .................. P Solid skin barrier 8x8...... 0.00 0.00 0.00 0.00 XXX 0
A5123... .................. P Skin barrier with flange.... 0.00 0.00 0.00 0.00 XXX 0
A5126... .................. P Adhesive disc/foam pad...... 0.00 0.00 0.00 0.00 XXX 0
A5131... .................. P Appliance cleaner........... 0.00 0.00 0.00 0.00 XXX 0
A5149... .................. P Incontinence/ostomy supply.. 0.00 0.00 0.00 0.00 XXX 0
A5500... .................. X Diab shoe for density insert 0.00 0.00 0.00 0.00 XXX 0
A5501... .................. X Diabetic custom molded shoe. 0.00 0.00 0.00 0.00 XXX 0
A5502... .................. X Diabetic shoe density insert 0.00 0.00 0.00 0.00 XXX 0
A5503... .................. X Diabetic shoe w/roller/rockr 0.00 0.00 0.00 0.00 XXX 0
A5504... .................. X Diabetic shoe with wedge.... 0.00 0.00 0.00 0.00 XXX 0
A5505... .................. X Diab shoe w/metatarsal bar.. 0.00 0.00 0.00 0.00 XXX 0
A5506... .................. X Diabetic shoe w/off set heel 0.00 0.00 0.00 0.00 XXX 0
A5507... .................. X Modification diabetic shoe.. 0.00 0.00 0.00 0.00 XXX 0
A6020... .................. P Collagen dressing cover ea.. 0.00 0.00 0.00 0.00 XXX 0
A9150... .................. E Misc/exper non-prescript dru 0.00 0.00 0.00 0.00 XXX 0
[[Page 63329]]
A9160... .................. N Podiatrist non-covered servi 0.00 0.00 0.00 0.00 XXX 0
A9170... .................. N Chiropractor non-covered ser 0.00 0.00 0.00 0.00 XXX 0
A9190... .................. N Misc/expe personal comfort i 0.00 0.00 0.00 0.00 XXX 0
A9270... .................. N Non-covered item or service. 0.00 0.00 0.00 0.00 XXX 0
A9300... .................. N Exercise equipment.......... 0.00 0.00 0.00 0.00 XXX 0
A9500... .................. E Technetium TC 99m sestamibi. 0.00 0.00 0.00 0.00 XXX 0
A9505... .................. E Thallous chloride TL 201/mci 0.00 0.00 0.00 0.00 XXX 0
D0110... .................. D Initial oral examination.... 0.00 0.00 0.00 0.00 YYY N
D0120... .................. N Periodic oral evaluation.... 0.00 0.00 0.00 0.00 XXX 0
D0130... .................. D Emergency oral examination.. 0.00 0.00 0.00 0.00 YYY N
D0140... .................. N Limit oral eval problm focus 0.00 0.00 0.00 0.00 XXX 0
D0150... .................. R Comprehensve oral evaluation 0.00 0.00 0.00 0.00 YYY N
D0160... .................. N Extensv oral eval prob focus 0.00 0.00 0.00 0.00 XXX 0
D0210... .................. G Intraor complete film series 0.00 0.00 0.00 0.00 XXX 0
D0220... .................. G Intraoral periapical first f 0.00 0.00 0.00 0.00 XXX 0
D0230... .................. G Intraoral periapical ea add. 0.00 0.00 0.00 0.00 XXX 0
D0240... .................. R Intraoral occlusal film..... 0.00 0.00 0.00 0.00 YYY N
D0250... .................. R Extraoral first film........ 0.00 0.00 0.00 0.00 YYY N
D0260... .................. R Extraoral ea additional film 0.00 0.00 0.00 0.00 YYY N
D0270... .................. R Dental bitewing single film. 0.00 0.00 0.00 0.00 YYY N
D0272... .................. R Dental bitewings two films.. 0.00 0.00 0.00 0.00 YYY N
D0274... .................. R Dental bitewings four films. 0.00 0.00 0.00 0.00 YYY N
D0290... .................. G Dental film skull/facial bon 0.00 0.00 0.00 0.00 XXX 0
D0310... .................. G Dental saliography.......... 0.00 0.00 0.00 0.00 XXX 0
D0320... .................. G Dental tmj arthrogram incl i 0.00 0.00 0.00 0.00 XXX 0
D0321... .................. G Dental other tmj films...... 0.00 0.00 0.00 0.00 XXX 0
D0322... .................. G Dental tomographic survey... 0.00 0.00 0.00 0.00 XXX 0
D0330... .................. G Dental panoramic film....... 0.00 0.00 0.00 0.00 XXX 0
D0340... .................. G Dental cephalometric film... 0.00 0.00 0.00 0.00 XXX 0
D0415... .................. N Bacteriologic study......... 0.00 0.00 0.00 0.00 XXX 0
D0425... .................. N Caries susceptibility test.. 0.00 0.00 0.00 0.00 XXX 0
D0460... .................. R Pulp vitality test.......... 0.00 0.00 0.00 0.00 YYY N
D0470... .................. N Diagnostic casts............ 0.00 0.00 0.00 0.00 XXX 0
D0471... .................. R Diagnostic photographs...... 0.00 0.00 0.00 0.00 YYY N
D0501... .................. R Histopathologic examinations 0.00 0.00 0.00 0.00 YYY N
D0502... .................. R Other oral pathology procedu 0.00 0.00 0.00 0.00 YYY N
D0999... .................. R Unspecified diagnostic proce 0.00 0.00 0.00 0.00 YYY N
D1110... .................. N Dental prophylaxis adult.... 0.00 0.00 0.00 0.00 XXX 0
D1120... .................. N Dental prophylaxis child.... 0.00 0.00 0.00 0.00 XXX 0
D1201... .................. N Topical fluor w prophy child 0.00 0.00 0.00 0.00 XXX 0
D1203... .................. N Topical fluor w/o prophy chi 0.00 0.00 0.00 0.00 XXX 0
D1204... .................. N Topical fluor w/o prophy adu 0.00 0.00 0.00 0.00 XXX 0
D1205... .................. N Topical fluoride w/ prophy a 0.00 0.00 0.00 0.00 XXX 0
D1310... .................. N Nutri counsel-control caries 0.00 0.00 0.00 0.00 XXX 0
D1320... .................. N Tobacco counseling.......... 0.00 0.00 0.00 0.00 XXX 0
D1330... .................. N Oral hygiene instruction.... 0.00 0.00 0.00 0.00 XXX 0
D1351... .................. N Dental sealant per tooth.... 0.00 0.00 0.00 0.00 XXX 0
D1510... .................. R Space maintainer fxd unilat. 0.00 0.00 0.00 0.00 YYY N
D1515... .................. R Fixed bilat space maintainer 0.00 0.00 0.00 0.00 YYY N
D1520... .................. R Remove unilat space maintain 0.00 0.00 0.00 0.00 YYY N
D1515... .................. R Fixed bilat space maintainer 0.00 0.00 0.00 0.00 YYY N
D1520... .................. R Remove unilat space maintain 0.00 0.00 0.00 0.00 YYY N
D1525... .................. R Remove bilat space maintain. 0.00 0.00 0.00 0.00 YYY N
D1550... .................. R Recement space maintainer... 0.00 0.00 0.00 0.00 YYY N
D2110... .................. N Amalgam one surface primary. 0.00 0.00 0.00 0.00 XXX 0
D2120... .................. N Amalgam two surfaces primary 0.00 0.00 0.00 0.00 XXX 0
D2130... .................. N Amalgam three surfaces prima 0.00 0.00 0.00 0.00 XXX 0
D2131... .................. N Amalgam four/more surf prima 0.00 0.00 0.00 0.00 XXX 0
D2140... .................. N Amalgam one surface permanen 0.00 0.00 0.00 0.00 XXX 0
D2150... .................. N Amalgam two surfaces permane 0.00 0.00 0.00 0.00 XXX 0
D2160... .................. N Amalgam three surfaces perma 0.00 0.00 0.00 0.00 XXX 0
D2161... .................. N Amalgam 4 or > surfaces perm 0.00 0.00 0.00 0.00 XXX 0
D2210... .................. N Silcate cement per restorat. 0.00 0.00 0.00 0.00 XXX 0
D2330... .................. N Resin one surface-anterior.. 0.00 0.00 0.00 0.00 XXX 0
D2331... .................. N Resin two surfaces-anterior. 0.00 0.00 0.00 0.00 XXX 0
D2332... .................. N Resin three surfaces-anterio 0.00 0.00 0.00 0.00 XXX 0
[[Page 63330]]
D2335... .................. N Resin 4/> surf or w incis an 0.00 0.00 0.00 0.00 XXX 0
D2336... .................. N Composite resin crown....... 0.00 0.00 0.00 0.00 XXX 0
D2380... .................. N Resin one surf poster primar 0.00 0.00 0.00 0.00 XXX 0
D2381... .................. N Resin two surf poster primar 0.00 0.00 0.00 0.00 XXX 0
D2382... .................. N Resin three/more surf post p 0.00 0.00 0.00 0.00 XXX 0
D2385... .................. N Resin one surf poster perman 0.00 0.00 0.00 0.00 XXX 0
D2386... .................. N Resin two surf poster perman 0.00 0.00 0.00 0.00 XXX 0
D2387... .................. N Resin three/more surf post p 0.00 0.00 0.00 0.00 XXX 0
D2410... .................. N Dental gold foil one surface 0.00 0.00 0.00 0.00 XXX 0
D2420... .................. N Dental gold foil two surface 0.00 0.00 0.00 0.00 XXX 0
D2430... .................. N Dental gold foil three surfa 0.00 0.00 0.00 0.00 XXX 0
D2510... .................. N Dental inlay metalic 1 surf. 0.00 0.00 0.00 0.00 XXX 0
D2520... .................. N Dental inlay metallic 2 surf 0.00 0.00 0.00 0.00 XXX 0
D2530... .................. N Dental inlay metl 3/more sur 0.00 0.00 0.00 0.00 XXX 0
D2540... .................. D Dental onlay metallic....... 0.00 0.00 0.00 0.00 YYY N
D2543... .................. N Dental onlay metallic 3 surf 0.00 0.00 0.00 0.00 XXX 0
D2544... .................. N Dental onlay metl 4/more sur 0.00 0.00 0.00 0.00 XXX 0
D2610... .................. N Inlay porcelain/ceramic 1 su 0.00 0.00 0.00 0.00 XXX 0
D2620... .................. N Inlay porcelain/ceramic 2 su 0.00 0.00 0.00 0.00 XXX 0
D2630... .................. N Dental onlay porc 3/more sur 0.00 0.00 0.00 0.00 XXX 0
D2640... .................. D Onlay w inlay porcelain/cera 0.00 0.00 0.00 0.00 YYY N
D2642... .................. N Dental onlay porcelin 2 surf 0.00 0.00 0.00 0.00 XXX 0
D2643... .................. N Dental onlay porcelin 3 surf 0.00 0.00 0.00 0.00 XXX 0
D2644... .................. N Dental onlay porc 4/more sur 0.00 0.00 0.00 0.00 XXX 0
D2650... .................. N Inlay composite/resin one su 0.00 0.00 0.00 0.00 XXX 0
D2651... .................. N Inlay composite/resin two su 0.00 0.00 0.00 0.00 XXX 0
D2652... .................. N Dental inlay resin 3/mre sur 0.00 0.00 0.00 0.00 XXX 0
D2660... .................. D Onlay w inlay composite/resi 0.00 0.00 0.00 0.00 YYY N
D2662... .................. N Dental onlay resin 2 surface 0.00 0.00 0.00 0.00 XXX 0
D2663... .................. N Dental onlay resin 3 surface 0.00 0.00 0.00 0.00 XXX 0
D2664... .................. N Dental onlay resin 4/mre sur 0.00 0.00 0.00 0.00 XXX 0
D2710... .................. N Crown resin laboratory...... 0.00 0.00 0.00 0.00 XXX 0
D2720... .................. N Crown resin w/ high noble me 0.00 0.00 0.00 0.00 XXX 0
D2721... .................. N Crown resin w/ base metal... 0.00 0.00 0.00 0.00 XXX 0
D2722... .................. N Crown resin w/ noble metal.. 0.00 0.00 0.00 0.00 XXX 0
D2740... .................. N Crown porcelain/ceramic subs 0.00 0.00 0.00 0.00 XXX 0
D2750... .................. N Crown porcelain w/ h noble m 0.00 0.00 0.00 0.00 XXX 0
D2751... .................. N Crown porcelain fused base m 0.00 0.00 0.00 0.00 XXX 0
D2752... .................. N Crown porcelain w/ noble met 0.00 0.00 0.00 0.00 XXX 0
D2790... .................. N Crown full cast high noble m 0.00 0.00 0.00 0.00 XXX 0
D2791... .................. N Crown full cast base metal.. 0.00 0.00 0.00 0.00 XXX 0
D2792... .................. N Crown full cast noble metal. 0.00 0.00 0.00 0.00 XXX 0
D2810... .................. N Crown 3/4 cast metallic..... 0.00 0.00 0.00 0.00 XXX 0
D2910... .................. N Dental recement inlay....... 0.00 0.00 0.00 0.00 XXX 0
D2920... .................. N Dental recement crown....... 0.00 0.00 0.00 0.00 XXX 0
D2930... .................. N Prefab stnlss steel crwn pri 0.00 0.00 0.00 0.00 XXX 0
D2931... .................. N Prefab stnlss steel crown pe 0.00 0.00 0.00 0.00 XXX 0
D2932... .................. N Prefabricated resin crown... 0.00 0.00 0.00 0.00 XXX 0
D2933... .................. N Prefab stainless steel crown 0.00 0.00 0.00 0.00 XXX 0
D2940... .................. N Dental sedative filling..... 0.00 0.00 0.00 0.00 XXX 0
D2950... .................. N Core build-up incl any pins. 0.00 0.00 0.00 0.00 XXX 0
D2951... .................. N Tooth pin retention......... 0.00 0.00 0.00 0.00 XXX 0
D2952... .................. N Post and core cast + crown.. 0.00 0.00 0.00 0.00 XXX 0
D2954... .................. N Prefab post/core + crown.... 0.00 0.00 0.00 0.00 XXX 0
D2955... .................. N Post removal................ 0.00 0.00 0.00 0.00 XXX 0
D2960... .................. N Laminate labial veneer...... 0.00 0.00 0.00 0.00 XXX 0
D2961... .................. N Lab labial veneer resin..... 0.00 0.00 0.00 0.00 XXX 0
D2962... .................. N Lab labial veneer porcelain. 0.00 0.00 0.00 0.00 XXX 0
D2970... .................. R Temporary- fractured tooth.. 0.00 0.00 0.00 0.00 YYY N
D2980... .................. N Crown repair................ 0.00 0.00 0.00 0.00 XXX 0
D2999... .................. R Dental unspec restorative pr 0.00 0.00 0.00 0.00 YYY N
D3110... .................. N Pulp cap direct............. 0.00 0.00 0.00 0.00 XXX 0
D3120... .................. N Pulp cap indirect........... 0.00 0.00 0.00 0.00 XXX 0
D3220... .................. N Therapeutic pulpotomy....... 0.00 0.00 0.00 0.00 XXX 0
D3230... .................. N Pulpal therapy anterior prim 0.00 0.00 0.00 0.00 XXX 0
D3240... .................. N Pulpal therapy posterior pri 0.00 0.00 0.00 0.00 XXX 0
[[Page 63331]]
D3310... .................. N Anterior.................... 0.00 0.00 0.00 0.00 XXX 0
D3320... .................. N Root canal therapy 2 canals. 0.00 0.00 0.00 0.00 XXX 0
D3330... .................. N Root canal therapy 3 canals. 0.00 0.00 0.00 0.00 XXX 0
D3346... .................. N Retreat root canal anterior. 0.00 0.00 0.00 0.00 XXX 0
D3347... .................. N Retreat root canal bicuspid. 0.00 0.00 0.00 0.00 XXX 0
D3348... .................. N Retreat root canal molar.... 0.00 0.00 0.00 0.00 XXX 0
D3351... .................. N Apexification/recalc initial 0.00 0.00 0.00 0.00 XXX 0
D3352... .................. N Apexification/recalc interim 0.00 0.00 0.00 0.00 XXX 0
D3353... .................. N Apexification/recalc final.. 0.00 0.00 0.00 0.00 XXX 0
D3410... .................. N Apicoect/perirad surg anter. 0.00 0.00 0.00 0.00 XXX 0
D3421... .................. N Root surgery bicuspid....... 0.00 0.00 0.00 0.00 XXX 0
D3425... .................. N Root surgery molar.......... 0.00 0.00 0.00 0.00 XXX 0
D3426... .................. N Root surgery ea add root.... 0.00 0.00 0.00 0.00 XXX 0
D3430... .................. N Retrograde filling.......... 0.00 0.00 0.00 0.00 XXX 0
D3450... .................. N Root amputation............. 0.00 0.00 0.00 0.00 XXX 0
D3460... .................. R Endodontic endosseous implan 0.00 0.00 0.00 0.00 YYY N
D3470... .................. N Intentional replantation.... 0.00 0.00 0.00 0.00 XXX 0
D3910... .................. N Isolation- tooth w rubb dam. 0.00 0.00 0.00 0.00 XXX 0
D3920... .................. N Tooth splitting............. 0.00 0.00 0.00 0.00 XXX 0
D3950... .................. N Canal prep/fitting of dowel. 0.00 0.00 0.00 0.00 XXX 0
D3960... .................. N Bleaching of discolored toot 0.00 0.00 0.00 0.00 XXX 0
D3999... .................. R Endodontic procedure........ 0.00 0.00 0.00 0.00 YYY N
D4210... .................. G Gingivectomy/plasty per quad 0.00 0.00 0.00 0.00 XXX 0
D4211... .................. G Gingivectomy/plasty per toot 0.00 0.00 0.00 0.00 XXX 0
D4220... .................. N Gingival curettage per quadr 0.00 0.00 0.00 0.00 XXX 0
D4240... .................. N Gingival flap proc w/ planin 0.00 0.00 0.00 0.00 XXX 0
D4249... .................. N Crown lengthen hard tissue.. 0.00 0.00 0.00 0.00 XXX 0
D4250... .................. R Mucogingival surg per quadra 0.00 0.00 0.00 0.00 YYY N
D4260... .................. R Osseous surgery per quadrant 0.00 0.00 0.00 0.00 YYY S
D4261... .................. D Bone replace graft single si 0.00 0.00 0.00 0.00 YYY S
D4262... .................. D Bone replace graft mult site 0.00 0.00 0.00 0.00 YYY N
D4263... .................. R Bone replce graft first site 0.00 0.00 0.00 0.00 YYY N
D4264... .................. R Bone replce graft each add.. 0.00 0.00 0.00 0.00 YYY N
D4266... .................. N Guided tiss regen resorble.. 0.00 0.00 0.00 0.00 XXX 0
D4267... .................. N Guided tiss regen nonresorb. 0.00 0.00 0.00 0.00 XXX 0
D4268... .................. D Guided tissue regeneration.. 0.00 0.00 0.00 0.00 YYY N
D4270... .................. R Pedicle soft tissue graft pr 0.00 0.00 0.00 0.00 YYY S
D4271... .................. R Free soft tissue graft proc. 0.00 0.00 0.00 0.00 YYY S
D4273... .................. R Subepithelial tissue graft.. 0.00 0.00 0.00 0.00 YYY N
D4274... .................. N Distal/proximal wedge proc.. 0.00 0.00 0.00 0.00 XXX 0
D4320... .................. N Provision splnt intracoronal 0.00 0.00 0.00 0.00 XXX 0
D4321... .................. N Provisional splint extracoro 0.00 0.00 0.00 0.00 XXX 0
D4341... .................. N Periodontal scaling & root.. 0.00 0.00 0.00 0.00 XXX 0
D4345... .................. D Periodontal scaling w/inflam 0.00 0.00 0.00 0.00 YYY N
D4355... .................. R Full mouth debridement...... 0.00 0.00 0.00 0.00 YYY N
D4381... .................. R Localized chemo delivery.... 0.00 0.00 0.00 0.00 YYY N
D4910... .................. N Periodontal maint procedures 0.00 0.00 0.00 0.00 XXX 0
D4920... .................. N Unscheduled dressing change. 0.00 0.00 0.00 0.00 XXX 0
D4999... .................. N Unspecified periodontal proc 0.00 0.00 0.00 0.00 XXX 0
D5110... .................. N Dentures complete maxillary. 0.00 0.00 0.00 0.00 XXX 0
D5120... .................. N Dentures complete mandible.. 0.00 0.00 0.00 0.00 XXX 0
D5130... .................. N Dentures immediat maxillary. 0.00 0.00 0.00 0.00 XXX 0
D5140... .................. N Dentures immediat mandible.. 0.00 0.00 0.00 0.00 XXX 0
D5211... .................. N Dentures maxill part resin.. 0.00 0.00 0.00 0.00 XXX 0
D5212... .................. N Dentures mand part resin.... 0.00 0.00 0.00 0.00 XXX 0
D5213... .................. N Dentures maxill part metal.. 0.00 0.00 0.00 0.00 XXX 0
D5214... .................. N Dentures mandibl part metal. 0.00 0.00 0.00 0.00 XXX 0
D5281... .................. N Removable partial denture... 0.00 0.00 0.00 0.00 XXX 0
D5410... .................. N Dentures adjust cmplt maxil. 0.00 0.00 0.00 0.00 XXX 0
D5411... .................. N Dentures adjust cmplt mand.. 0.00 0.00 0.00 0.00 XXX 0
D5421... .................. N Dentures adjust part maxill. 0.00 0.00 0.00 0.00 XXX 0
D5422... .................. N Dentures adjust part mandbl. 0.00 0.00 0.00 0.00 XXX 0
D5510... .................. N Dentur repr broken compl bas 0.00 0.00 0.00 0.00 XXX 0
D5520... .................. N Replace denture teeth complt 0.00 0.00 0.00 0.00 XXX 0
D5610... .................. N Dentures repair resin base.. 0.00 0.00 0.00 0.00 XXX 0
D5620... .................. N Rep part denture cast frame. 0.00 0.00 0.00 0.00 XXX 0
[[Page 63332]]
D5630... .................. N Rep partial denture clasp... 0.00 0.00 0.00 0.00 XXX 0
D5640... .................. N Replace part denture teeth.. 0.00 0.00 0.00 0.00 XXX 0
D5650... .................. N Add tooth to partial denture 0.00 0.00 0.00 0.00 XXX 0
D5660... .................. N Add clasp to partial denture 0.00 0.00 0.00 0.00 XXX 0
D5710... .................. N Dentures rebase cmplt maxil. 0.00 0.00 0.00 0.00 XXX 0
D5711... .................. N Dentures rebase cmplt mand.. 0.00 0.00 0.00 0.00 XXX 0
D5720... .................. N Dentures rebase part maxill. 0.00 0.00 0.00 0.00 XXX 0
D5721... .................. N Dentures rebase part mandbl. 0.00 0.00 0.00 0.00 XXX 0
D5730... .................. N Denture reln cmplt maxil ch. 0.00 0.00 0.00 0.00 XXX 0
D5731... .................. N Denture reln cmplt mand chr. 0.00 0.00 0.00 0.00 XXX 0
D5740... .................. N Denture reln part maxil chr. 0.00 0.00 0.00 0.00 XXX 0
D5741... .................. N Denture reln part mand chr.. 0.00 0.00 0.00 0.00 XXX 0
D5750... .................. N Denture reln cmplt max lab.. 0.00 0.00 0.00 0.00 XXX 0
D5751... .................. N Denture reln cmplt mand lab. 0.00 0.00 0.00 0.00 XXX 0
D5760... .................. N Denture reln part maxil lab. 0.00 0.00 0.00 0.00 XXX 0
D5761... .................. N Denture reln part mand lab.. 0.00 0.00 0.00 0.00 XXX 0
D5810... .................. N Denture interm cmplt maxill. 0.00 0.00 0.00 0.00 XXX 0
D5811... .................. N Denture interm cmplt mandbl. 0.00 0.00 0.00 0.00 XXX 0
D5820... .................. N Denture interm part maxill.. 0.00 0.00 0.00 0.00 XXX 0
D5821... .................. N Denture interm part mandbl.. 0.00 0.00 0.00 0.00 XXX 0
D5850... .................. N Denture tiss conditn maxill. 0.00 0.00 0.00 0.00 XXX 0
D5851... .................. N Denture tiss condtin mandbl. 0.00 0.00 0.00 0.00 XXX 0
D5860... .................. N Overdenture complete........ 0.00 0.00 0.00 0.00 XXX 0
D5861... .................. N Overdenture partial......... 0.00 0.00 0.00 0.00 XXX 0
D5862... .................. N Precision attachment........ 0.00 0.00 0.00 0.00 XXX 0
D5899... .................. N Removable prosthodontic proc 0.00 0.00 0.00 0.00 XXX 0
D5911... .................. R Facial moulage sectional.... 0.00 0.00 0.00 0.00 YYY N
D5912... .................. R Facial moulage complete..... 0.00 0.00 0.00 0.00 YYY N
D5913... .................. G Nasal prosthesis............ 0.00 0.00 0.00 0.00 XXX 0
D5914... .................. G Auricular prosthesis........ 0.00 0.00 0.00 0.00 XXX 0
D5915... .................. G Orbital prosthesis.......... 0.00 0.00 0.00 0.00 XXX 0
D5916... .................. G Ocular prosthesis........... 0.00 0.00 0.00 0.00 XXX 0
D5919... .................. G Facial prosthesis........... 0.00 0.00 0.00 0.00 XXX 0
D5922... .................. G Nasal septal prosthesis..... 0.00 0.00 0.00 0.00 XXX 0
D5923... .................. G Ocular prosthesis interim... 0.00 0.00 0.00 0.00 XXX 0
D5924... .................. G Cranial prosthesis.......... 0.00 0.00 0.00 0.00 XXX 0
D5925... .................. G Facial augmentation implant. 0.00 0.00 0.00 0.00 XXX 0
D5926... .................. G Replacement nasal prosthesis 0.00 0.00 0.00 0.00 XXX 0
D5927... .................. G Auricular replacement....... 0.00 0.00 0.00 0.00 XXX 0
D5928... .................. G Orbital replacement......... 0.00 0.00 0.00 0.00 XXX 0
D5929... .................. G Facial replacement.......... 0.00 0.00 0.00 0.00 XXX 0
D5931... .................. G Surgical obturator.......... 0.00 0.00 0.00 0.00 XXX 0
D5932... .................. G Postsurgical obturator...... 0.00 0.00 0.00 0.00 XXX 0
D5933... .................. G Refitting of obturator...... 0.00 0.00 0.00 0.00 XXX 0
D5934... .................. G Mandibular flange prosthesis 0.00 0.00 0.00 0.00 XXX 0
D5935... .................. G Mandibular denture prosth... 0.00 0.00 0.00 0.00 XXX 0
D5936... .................. G Temp obturator prosthesis... 0.00 0.00 0.00 0.00 XXX 0
D5937... .................. G Trismus appliance........... 0.00 0.00 0.00 0.00 XXX 0
D5951... .................. R Feeding aid................. 0.00 0.00 0.00 0.00 YYY N
D5952... .................. G Pediatric speech aid........ 0.00 0.00 0.00 0.00 XXX 0
D5953... .................. G Adult speech aid............ 0.00 0.00 0.00 0.00 XXX 0
D5954... .................. G Superimposed prosthesis..... 0.00 0.00 0.00 0.00 XXX 0
D5955... .................. G Palatal lift prosthesis..... 0.00 0.00 0.00 0.00 XXX 0
D5958... .................. G Intraoral con def inter plt. 0.00 0.00 0.00 0.00 XXX 0
D5959... .................. G Intraoral con def mod palat. 0.00 0.00 0.00 0.00 XXX 0
D5960... .................. G Modify speech aid prosthesis 0.00 0.00 0.00 0.00 XXX 0
D5982... .................. G Surgical stent.............. 0.00 0.00 0.00 0.00 XXX 0
D5983... .................. R Radiation applicator........ 0.00 0.00 0.00 0.00 YYY N
D5984... .................. R Radiation shield............ 0.00 0.00 0.00 0.00 YYY N
D5985... .................. R Radiation cone locator...... 0.00 0.00 0.00 0.00 YYY N
D5986... .................. N Fluoride applicator......... 0.00 0.00 0.00 0.00 XXX 0
D5987... .................. R Commissure splint........... 0.00 0.00 0.00 0.00 YYY N
D5988... .................. R Surgical splint............. 0.00 0.00 0.00 0.00 YYY N
D5999... .................. G Maxillofacial prosthesis.... 0.00 0.00 0.00 0.00 XXX 0
D6010... .................. G Odontics endosteal implant.. 0.00 0.00 0.00 0.00 XXX 0
D6020... .................. G Odontics abutment placement. 0.00 0.00 0.00 0.00 XXX 0
[[Page 63333]]
D6030... .................. D Prosthodont endosseous impl. 0.00 0.00 0.00 0.00 YYY N
D6040... .................. G Odontics eposteal implant... 0.00 0.00 0.00 0.00 XXX 0
D6050... .................. G Odontics transosteal implnt. 0.00 0.00 0.00 0.00 XXX 0
D6055... .................. G Implant connecting bar...... 0.00 0.00 0.00 0.00 XXX 0
D6080... .................. G Implant maintenance......... 0.00 0.00 0.00 0.00 XXX 0
D6090... .................. G Repair implant.............. 0.00 0.00 0.00 0.00 XXX 0
D6095... .................. G Odontics repr abutment...... 0.00 0.00 0.00 0.00 XXX 0
D6100... .................. G Removal of implant.......... 0.00 0.00 0.00 0.00 XXX 0
D6199... .................. G Implant procedure........... 0.00 0.00 0.00 0.00 XXX 0
D6210... .................. N Prosthodont high noble metal 0.00 0.00 0.00 0.00 XXX 0
D6211... .................. N Bridge base metal cast...... 0.00 0.00 0.00 0.00 XXX 0
D6212... .................. N Bridge noble metal cast..... 0.00 0.00 0.00 0.00 XXX 0
D6240... .................. N Bridge porcelain high noble. 0.00 0.00 0.00 0.00 XXX 0
D6241... .................. N Bridge porcelain base metal. 0.00 0.00 0.00 0.00 XXX 0
D6242... .................. N Bridge porcelain nobel metal 0.00 0.00 0.00 0.00 XXX 0
D6250... .................. N Bridge resin w/high noble... 0.00 0.00 0.00 0.00 XXX 0
D6251... .................. N Bridge resin base metal..... 0.00 0.00 0.00 0.00 XXX 0
D6252... .................. N Bridge resin w/noble metal.. 0.00 0.00 0.00 0.00 XXX 0
D6520... .................. N Dental retainer two surfaces 0.00 0.00 0.00 0.00 XXX 0
D6530... .................. N Retainer metallic 3+ surface 0.00 0.00 0.00 0.00 XXX 0
D6540... .................. D Retainer metallic cusps..... 0.00 0.00 0.00 0.00 YYY N
D6543... .................. N Dental retainr onlay 3 surf. 0.00 0.00 0.00 0.00 XXX 0
D6544... .................. N Dental retainr onlay 4/more. 0.00 0.00 0.00 0.00 XXX 0
D6545... .................. N Dental retainr cast metl.... 0.00 0.00 0.00 0.00 XXX 0
D6720... .................. N Retain crown resin w hi nble 0.00 0.00 0.00 0.00 XXX 0
D6721... .................. N Crown resin w/base metal.... 0.00 0.00 0.00 0.00 XXX 0
D6722... .................. N Crown resin w/noble metal... 0.00 0.00 0.00 0.00 XXX 0
D6750... .................. N Crown porcelain high noble.. 0.00 0.00 0.00 0.00 XXX 0
D6751... .................. N Crown porcelain base metal.. 0.00 0.00 0.00 0.00 XXX 0
D6752... .................. N Crown porcelain noble metal. 0.00 0.00 0.00 0.00 XXX 0
D6780... .................. N Crown 3/4 high noble metal.. 0.00 0.00 0.00 0.00 XXX 0
D6790... .................. N Crown full high noble metal. 0.00 0.00 0.00 0.00 XXX 0
D6791... .................. N Crown full base metal cast.. 0.00 0.00 0.00 0.00 XXX 0
D6792... .................. N Crown full noble metal cast. 0.00 0.00 0.00 0.00 XXX 0
D6920... .................. R Dental connector bar........ 0.00 0.00 0.00 0.00 YYY N
D6930... .................. N Dental recement bridge...... 0.00 0.00 0.00 0.00 XXX 0
D6940... .................. N Stress breaker.............. 0.00 0.00 0.00 0.00 XXX 0
D6950... .................. N Precision attachment........ 0.00 0.00 0.00 0.00 XXX 0
D6970... .................. N Post & core plus retainer... 0.00 0.00 0.00 0.00 XXX 0
D6971... .................. N Cast post bridge retainer... 0.00 0.00 0.00 0.00 XXX 0
D6972... .................. N Prefab post & core plus reta 0.00 0.00 0.00 0.00 XXX 0
D6973... .................. N Core build up for retainer.. 0.00 0.00 0.00 0.00 XXX 0
D6975... .................. N Coping metal................ 0.00 0.00 0.00 0.00 XXX 0
D6980... .................. N Bridge repair............... 0.00 0.00 0.00 0.00 XXX 0
D6999... .................. N Fixed prosthodontic proc.... 0.00 0.00 0.00 0.00 XXX 0
D7110... .................. R Oral surgery single tooth... 0.00 0.00 0.00 0.00 YYY S
D7120... .................. R Each add tooth extraction... 0.00 0.00 0.00 0.00 YYY S
D7130... .................. R Tooth root removal.......... 0.00 0.00 0.00 0.00 YYY S
D7210... .................. R Rem imp tooth w mucoper flp. 0.00 0.00 0.00 0.00 YYY S
D7220... .................. R Impact tooth remov soft tiss 0.00 0.00 0.00 0.00 YYY S
D7230... .................. R Impact tooth remov part bony 0.00 0.00 0.00 0.00 YYY S
D7240... .................. R Impact tooth remov comp bony 0.00 0.00 0.00 0.00 YYY S
D7241... .................. R Impact tooth rem bony w/comp 0.00 0.00 0.00 0.00 YYY S
D7250... .................. R Tooth root removal.......... 0.00 0.00 0.00 0.00 YYY S
D7260... .................. R Oral antral fistula closure. 0.00 0.00 0.00 0.00 YYY S
D7270... .................. N Tooth reimplantation........ 0.00 0.00 0.00 0.00 XXX 0
D7271... .................. D Tooth implantation.......... 0.00 0.00 0.00 0.00 YYY N
D7272... .................. N Tooth transplantation....... 0.00 0.00 0.00 0.00 XXX 0
D7280... .................. N Exposure impact tooth orthod 0.00 0.00 0.00 0.00 XXX 0
D7281... .................. N Exposure tooth aid eruption. 0.00 0.00 0.00 0.00 XXX 0
D7285... .................. G Biopsy of oral tissue hard.. 0.00 0.00 0.00 0.00 XXX 0
D7286... .................. G Biopsy of oral tissue soft.. 0.00 0.00 0.00 0.00 XXX 0
D7290... .................. N Repositioning of teeth...... 0.00 0.00 0.00 0.00 XXX 0
D7291... .................. R Transseptal fiberotomy...... 0.00 0.00 0.00 0.00 YYY N
D7310... .................. G Alveoplasty w/ extraction... 0.00 0.00 0.00 0.00 XXX 0
D7320... .................. G Alveoplasty w/o extraction.. 0.00 0.00 0.00 0.00 XXX 0
[[Page 63334]]
D7340... .................. G Vestibuloplasty ridge extens 0.00 0.00 0.00 0.00 XXX 0
D7350... .................. G Vestibuloplasty exten graft. 0.00 0.00 0.00 0.00 XXX 0
D7410... .................. G Rad exc lesion up to 1.25 cm 0.00 0.00 0.00 0.00 XXX 0
D7420... .................. G Lesion > 1.25 cm............ 0.00 0.00 0.00 0.00 XXX 0
D7430... .................. G Exc benign tumor to 1.25 cm. 0.00 0.00 0.00 0.00 XXX 0
D7431... .................. G Benign tumor exc > 1.25 cm.. 0.00 0.00 0.00 0.00 XXX 0
D7440... .................. G Malig tumor exc to 1.25 cm.. 0.00 0.00 0.00 0.00 XXX 0
D7441... .................. G Malig tumor > 1.25 cm....... 0.00 0.00 0.00 0.00 XXX 0
D7450... .................. G Rem odontogen cyst to 1.25cm 0.00 0.00 0.00 0.00 XXX 0
D7451... .................. G Rem odontogen cyst > 1.25 cm 0.00 0.00 0.00 0.00 XXX 0
D7460... .................. G Rem nonodonto cyst to 1.25cm 0.00 0.00 0.00 0.00 XXX 0
D7461... .................. G Rem nonodonto cyst > 1.25 cm 0.00 0.00 0.00 0.00 XXX 0
D7465... .................. G Lesion destruction.......... 0.00 0.00 0.00 0.00 XXX 0
D7470... .................. G Rem exostosis maxilla/mandib 0.00 0.00 0.00 0.00 XXX 0
D7480... .................. G Partial ostectomy........... 0.00 0.00 0.00 0.00 XXX 0
D7490... .................. G Mandible resection.......... 0.00 0.00 0.00 0.00 XXX 0
D7510... .................. G I&d absc intraoral soft tiss 0.00 0.00 0.00 0.00 XXX 0
D7520... .................. G I&d abscess extraoral....... 0.00 0.00 0.00 0.00 XXX 0
D7530... .................. G Removal fb skin/areolar tiss 0.00 0.00 0.00 0.00 XXX 0
D7540... .................. G Removal of fb reaction...... 0.00 0.00 0.00 0.00 XXX 0
D7550... .................. G Removal of sloughed off bone 0.00 0.00 0.00 0.00 XXX 0
D7560... .................. G Maxillary sinusotomy........ 0.00 0.00 0.00 0.00 XXX 0
D7610... .................. G Maxilla open reduct simple.. 0.00 0.00 0.00 0.00 XXX 0
D7620... .................. G Clsd reduct simpl maxilla fx 0.00 0.00 0.00 0.00 XXX 0
D7630... .................. G Open red simpl mandible fx.. 0.00 0.00 0.00 0.00 XXX 0
D7640... .................. G Clsd red simpl mandible fx.. 0.00 0.00 0.00 0.00 XXX 0
D7650... .................. G Open red simp malar/zygom fx 0.00 0.00 0.00 0.00 XXX 0
D7660... .................. G Clsd red simp malar/zygom fx 0.00 0.00 0.00 0.00 XXX 0
D7670... .................. G Open red simple alveolus fx. 0.00 0.00 0.00 0.00 XXX 0
D7680... .................. G Reduct simple facial bone fx 0.00 0.00 0.00 0.00 XXX 0
D7710... .................. G Maxilla open reduct compound 0.00 0.00 0.00 0.00 XXX 0
D7720... .................. G Clsd reduct compd maxilla fx 0.00 0.00 0.00 0.00 XXX 0
D7730... .................. G Open reduct compd mandble fx 0.00 0.00 0.00 0.00 XXX 0
D7740... .................. G Clsd reduct compd mandble fx 0.00 0.00 0.00 0.00 XXX 0
D7750... .................. G Open red comp malar/zygma fx 0.00 0.00 0.00 0.00 XXX 0
D7760... .................. G Clsd red comp malar/zygma fx 0.00 0.00 0.00 0.00 XXX 0
D7770... .................. G Open reduc compd alveolus fx 0.00 0.00 0.00 0.00 XXX 0
D7780... .................. G Reduct compnd facial bone fx 0.00 0.00 0.00 0.00 XXX 0
D7810... .................. G Tmj open reduct-dislocation. 0.00 0.00 0.00 0.00 XXX 0
D7820... .................. G Closed tmp manipulation..... 0.00 0.00 0.00 0.00 XXX 0
D7830... .................. G Tmj manipulation under anest 0.00 0.00 0.00 0.00 XXX 0
D7840... .................. G Removal of tmj condyle...... 0.00 0.00 0.00 0.00 XXX 0
D7850... .................. G Tmj meniscectomy............ 0.00 0.00 0.00 0.00 XXX 0
D7852... .................. G Tmj repair of joint disc.... 0.00 0.00 0.00 0.00 XXX 0
D7854... .................. G Tmj excisn of joint membrane 0.00 0.00 0.00 0.00 XXX 0
D7856... .................. G Tmj cutting of a muscle..... 0.00 0.00 0.00 0.00 XXX 0
D7858... .................. G Tmj reconstruction.......... 0.00 0.00 0.00 0.00 XXX 0
D7860... .................. G Tmj cutting into joint...... 0.00 0.00 0.00 0.00 XXX 0
D7865... .................. G Tmj reshaping components.... 0.00 0.00 0.00 0.00 XXX 0
D7870... .................. G Tmj aspiration joint fluid.. 0.00 0.00 0.00 0.00 XXX 0
D7872... .................. G Tmj diagnostic arthroscopy.. 0.00 0.00 0.00 0.00 XXX 0
D7873... .................. G Tmj arthroscopy lysis adhesn 0.00 0.00 0.00 0.00 XXX 0
D7874... .................. G Tmj arthroscopy disc reposit 0.00 0.00 0.00 0.00 XXX 0
D7875... .................. G Tmj arthroscopy synovectomy. 0.00 0.00 0.00 0.00 XXX 0
D7876... .................. G Tmj arthroscopy discectomy.. 0.00 0.00 0.00 0.00 XXX 0
D7877... .................. G Tmj arthroscopy debridement. 0.00 0.00 0.00 0.00 XXX 0
D7880... .................. G Occlusal orthotic appliance. 0.00 0.00 0.00 0.00 XXX 0
D7899... .................. G Tmj unspecified therapy..... 0.00 0.00 0.00 0.00 XXX 0
D7910... .................. G Dent sutur recent wnd to 5cm 0.00 0.00 0.00 0.00 XXX 0
D7911... .................. G Dental suture wound to 5 cm. 0.00 0.00 0.00 0.00 XXX 0
D7912... .................. G Suture complicate wnd > 5 cm 0.00 0.00 0.00 0.00 XXX 0
D7920... .................. G Dental skin graft........... 0.00 0.00 0.00 0.00 XXX 0
D7940... .................. R Reshaping bone orthognathic. 0.00 0.00 0.00 0.00 YYY S
D7941... .................. G Bone cutting ramus closed... 0.00 0.00 0.00 0.00 XXX 0
D7942... .................. G Bone cutting ramus open..... 0.00 0.00 0.00 0.00 XXX 0
D7943... .................. G Cutting ramus open w/graft.. 0.00 0.00 0.00 0.00 XXX 0
[[Page 63335]]
D7944... .................. G Bone cutting segmented...... 0.00 0.00 0.00 0.00 XXX 0
D7945... .................. G Bone cutting body mandible.. 0.00 0.00 0.00 0.00 XXX 0
D7946... .................. G Reconstruction maxilla total 0.00 0.00 0.00 0.00 XXX 0
D7947... .................. G Reconstruct maxilla segment. 0.00 0.00 0.00 0.00 XXX 0
D7948... .................. G Reconstruct midface no graft 0.00 0.00 0.00 0.00 XXX 0
D7949... .................. G Reconstruct midface w/graft. 0.00 0.00 0.00 0.00 XXX 0
D7950... .................. G Mandible graft.............. 0.00 0.00 0.00 0.00 XXX 0
D7955... .................. G Repair maxillofacial defects 0.00 0.00 0.00 0.00 XXX 0
D7960... .................. G Frenulectomy/frenulotomy.... 0.00 0.00 0.00 0.00 XXX 0
D7970... .................. G Excision hyperplastic tissue 0.00 0.00 0.00 0.00 XXX 0
D7971... .................. G Excision pericoronal gingiva 0.00 0.00 0.00 0.00 XXX 0
D7980... .................. G Sialolithotomy.............. 0.00 0.00 0.00 0.00 XXX 0
D7981... .................. G Excision of salivary gland.. 0.00 0.00 0.00 0.00 XXX 0
D7982... .................. G Sialodochoplasty............ 0.00 0.00 0.00 0.00 XXX 0
D7983... .................. G Closure of salivary fistula. 0.00 0.00 0.00 0.00 XXX 0
D7990... .................. G Emergency tracheotomy....... 0.00 0.00 0.00 0.00 XXX 0
D7991... .................. G Dental coronoidectomy....... 0.00 0.00 0.00 0.00 XXX 0
D7993... .................. D Implant facial bones........ 0.00 0.00 0.00 0.00 YYY N
D7994... .................. D Implant chin................ 0.00 0.00 0.00 0.00 YYY N
D7995... .................. G Synthetic graft facial bones 0.00 0.00 0.00 0.00 XXX 0
D7996... .................. G Implant mandible for augment 0.00 0.00 0.00 0.00 XXX 0
D7999... .................. G Oral surgery procedure...... 0.00 0.00 0.00 0.00 XXX 0
D8010... .................. N Limited dental tx primary... 0.00 0.00 0.00 0.00 XXX 0
D8020... .................. N Limited dental tx transition 0.00 0.00 0.00 0.00 XXX 0
D8030... .................. N Limited dental tx adolescent 0.00 0.00 0.00 0.00 XXX 0
D8040... .................. N Limited dental tx adult..... 0.00 0.00 0.00 0.00 XXX 0
D8050... .................. N Intercep dental tx primary.. 0.00 0.00 0.00 0.00 XXX 0
D8060... .................. N Intercep dental tx transitn. 0.00 0.00 0.00 0.00 XXX 0
D8070... .................. N Compre dental tx transition. 0.00 0.00 0.00 0.00 XXX 0
D8080... .................. N Compre dental tx adolescent. 0.00 0.00 0.00 0.00 XXX 0
D8090... .................. N Compre dental tx adult...... 0.00 0.00 0.00 0.00 XXX 0
D8110... .................. D Orthodontic rem appliance tx 0.00 0.00 0.00 0.00 YYY N
D8120... .................. D Fixed appliance therapy guid 0.00 0.00 0.00 0.00 YYY N
D8210... .................. N Orthodontic rem appliance tx 0.00 0.00 0.00 0.00 XXX 0
D8220... .................. N Fixed appliance therapy habt 0.00 0.00 0.00 0.00 XXX 0
D8360... .................. D Orthodontic rem appliance tx 0.00 0.00 0.00 0.00 YYY N
D8370... .................. D Fixed appliance interceptive 0.00 0.00 0.00 0.00 YYY N
D8460... .................. D Trans dentit class 1 maloccl 0.00 0.00 0.00 0.00 YYY N
D8470... .................. D Class ii malocclusion trnstn 0.00 0.00 0.00 0.00 YYY N
D8480... .................. D Class iii malocclusion trnst 0.00 0.00 0.00 0.00 YYY N
D8560... .................. D Class i tx atyp/ext skel cas 0.00 0.00 0.00 0.00 YYY N
D8570... .................. D Class ii malocclusion perman 0.00 0.00 0.00 0.00 YYY N
D8580... .................. D Class iii malocclusion permn 0.00 0.00 0.00 0.00 YYY N
D8650... .................. D Tx atypical/extend skel case 0.00 0.00 0.00 0.00 YYY N
D8660... .................. N Preorthodontic tx visit..... 0.00 0.00 0.00 0.00 XXX 0
D8670... .................. N Periodic orthodontc tx visit 0.00 0.00 0.00 0.00 XXX 0
D8680... .................. N Orthodontic retention....... 0.00 0.00 0.00 0.00 XXX 0
D8690... .................. N Orthodontic treatment....... 0.00 0.00 0.00 0.00 XXX 0
D8750... .................. D Post-treatment stabilization 0.00 0.00 0.00 0.00 YYY N
D8999... .................. N Orthodontic procedure....... 0.00 0.00 0.00 0.00 XXX 0
D9110... .................. R Tx dental pain minor proc... 0.00 0.00 0.00 0.00 YYY N
D9210... .................. G Dent anesthesia w/o surgery. 0.00 0.00 0.00 0.00 XXX 0
D9211... .................. G Regional block anesthesia... 0.00 0.00 0.00 0.00 XXX 0
D9212... .................. G Trigeminal block anesthesia. 0.00 0.00 0.00 0.00 XXX 0
D9215... .................. G Local anesthesia............ 0.00 0.00 0.00 0.00 XXX 0
D9220... .................. G General anesthesia.......... 0.00 0.00 0.00 0.00 XXX 0
D9221... .................. G General anesthesia ea ad 15m 0.00 0.00 0.00 0.00 XXX 0
D9230... .................. R Analgesia................... 0.00 0.00 0.00 0.00 YYY N
D9240... .................. G Intravenous sedation........ 0.00 0.00 0.00 0.00 XXX 0
D9310... .................. G Dental consultation......... 0.00 0.00 0.00 0.00 XXX 0
D9410... .................. G Dental house call........... 0.00 0.00 0.00 0.00 XXX 0
D9420... .................. G Hospital call............... 0.00 0.00 0.00 0.00 XXX 0
D9430... .................. G Office visit during hours... 0.00 0.00 0.00 0.00 XXX 0
D9440... .................. G Office visit after hours.... 0.00 0.00 0.00 0.00 XXX 0
D9610... .................. G Dent therapeutic drug inject 0.00 0.00 0.00 0.00 XXX 0
D9630... .................. R Other drugs/medicaments..... 0.00 0.00 0.00 0.00 YYY N
[[Page 63336]]
D9910... .................. N Dent appl desensitizing med. 0.00 0.00 0.00 0.00 XXX 0
D9920... .................. N Behavior management......... 0.00 0.00 0.00 0.00 XXX 0
D9930... .................. R Treatment of complications.. 0.00 0.00 0.00 0.00 YYY N
D9940... .................. R Dental occlusal guard....... 0.00 0.00 0.00 0.00 YYY N
D9941... .................. N Fabrication athletic guard.. 0.00 0.00 0.00 0.00 XXX 0
D9950... .................. R Occlusion analysis.......... 0.00 0.00 0.00 0.00 YYY N
D9951... .................. R Limited occlusal adjustment. 0.00 0.00 0.00 0.00 YYY N
D9952... .................. R Complete occlusal adjustment 0.00 0.00 0.00 0.00 YYY N
D9970... .................. N Enamel microabrasion........ 0.00 0.00 0.00 0.00 XXX 0
D9999... .................. G Adjunctive procedure........ 0.00 0.00 0.00 0.00 XXX 0
G0001... .................. X Drawing blood for specimen.. 0.00 0.00 0.00 0.00 XXX 0
G0002... .................. A Temporary urinary catheter.. 0.50 0.70 0.02 1.22 000 S
G0004... .................. A ECG transm phys review & int 0.52 7.31 0.65 8.48 XXX N
G0005... .................. A ECG 24 hour recording....... 0.00 1.18 0.09 1.27 XXX N
G0006... .................. A ECG transmission & analysis. 0.00 5.73 0.51 6.24 XXX N
G0007... .................. A ECG phy review & interpret.. 0.52 0.40 0.05 0.97 XXX N
G0008... .................. X Admin influenza virus vac... 0.00 0.00 0.00 0.00 XXX 0
G0009... .................. X Admin pneumococcal vaccine.. 0.00 0.00 0.00 0.00 XXX 0
G0010... .................. X Admin hepatitis b vaccine... 0.00 0.00 0.00 0.00 XXX 0
G0015... .................. A Post symptom ECG tracing.... 0.00 5.73 0.51 6.24 XXX N
G0016... .................. A Post symptom ECG md review.. 0.52 0.40 0.05 0.97 XXX N
G0020... .................. D Prepare face/oral prosthesis 0.00 0.00 0.00 0.00 010 S
G0021... .................. D Prepare orbital prosthesis.. 0.00 0.00 0.00 0.00 090 S
G0025... .................. A Collagen skin test kit...... 0.00 0.95 0.00 0.95 XXX N
G0026... .................. X Fecal leukocyte examination. 0.00 0.00 0.00 0.00 XXX 0
G0027... .................. X Semen analysis.............. 0.00 0.00 0.00 0.00 XXX 0
G0030... .................. C PET imaging prev PET single. 0.00 0.00 0.00 0.00 XXX N
G0030... 26 A PET imaging prev PET single. 1.09 0.48 0.07 1.64 XXX N
G0030... TC C PET imaging prev PET single. 0.00 0.00 0.00 0.00 XXX N
G0031... .................. C PET imaging prev PET multple 0.00 0.00 0.00 0.00 XXX N
G0031... 26 A PET imaging prev PET multple 1.46 0.65 0.10 2.21 XXX N
G0031... TC C PET imaging prev PET multple 0.00 0.00 0.00 0.00 XXX N
G0032... .................. C PET follow SPECT 78464 singl 0.00 0.00 0.00 0.00 XXX N
G0032... 26 A PET follow SPECT 78464 singl 1.09 0.48 0.07 1.64 XXX N
G0032... TC C PET follow SPECT 78464 singl 0.00 0.00 0.00 0.00 XXX N
G0033... .................. C PET follow SPECT 78464 mult. 0.00 0.00 0.00 0.00 XXX N
G0033... 26 A PET follow SPECT 78464 mult. 1.46 0.65 0.10 2.21 XXX N
G0033... TC C PET follow SPECT 78464 mult. 0.00 0.00 0.00 0.00 XXX N
G0034... .................. C PET follow SPECT 76865 singl 0.00 0.00 0.00 0.00 XXX N
G0034... 26 A PET follow SPECT 76865 singl 1.09 0.48 0.07 1.64 XXX N
G0034... TC C PET follow SPECT 76865 singl 0.00 0.00 0.00 0.00 XXX N
G0035... .................. C PET follow SPECT 78465 mult. 0.00 0.00 0.00 0.00 XXX N
G0035... 26 A PET follow SPECT 78465 mult. 1.46 0.65 0.10 2.21 XXX N
G0035... TC C PET follow SPECT 78465 mult. 0.00 0.00 0.00 0.00 XXX N
G0036... .................. C PET follow cornry angio sing 0.00 0.00 0.00 0.00 XXX N
G0036... 26 A PET follow cornry angio sing 1.09 0.48 0.07 1.64 XXX N
G0036... TC C PET follow cornry angio sing 0.00 0.00 0.00 0.00 XXX N
G0037... .................. C PET follow cornry angio mult 0.00 0.00 0.00 0.00 XXX N
G0037... 26 A PET follow cornry angio mult 1.46 0.65 0.10 2.21 XXX N
G0037... TC C PET follow cornry angio mult 0.00 0.00 0.00 0.00 XXX N
G0038... .................. C PET follow myocard perf sing 0.00 0.00 0.00 0.00 XXX N
G0038... 26 A PET follow myocard perf sing 1.09 0.48 0.07 1.64 XXX N
G0038... TC C PET follow myocard perf sing 0.00 0.00 0.00 0.00 XXX N
G0039... .................. C PET follow myocard perf mult 0.00 0.00 0.00 0.00 XXX N
G0039... 26 A PET follow myocard perf mult 1.46 0.65 0.10 2.21 XXX N
G0039... TC C PET follow myocard perf mult 0.00 0.00 0.00 0.00 XXX N
G0040... .................. C PET follow stress echo singl 0.00 0.00 0.00 0.00 XXX N
G0040... 26 A PET follow stress echo singl 1.09 0.48 0.07 1.64 XXX N
G0040... TC C PET follow stress echo singl 0.00 0.00 0.00 0.00 XXX N
G0041... .................. C PET follow stress echo mult. 0.00 0.00 0.00 0.00 XXX N
G0041... 26 A PET follow stress echo mult. 1.46 0.65 0.10 2.21 XXX N
G0041... TC C PET follow stress echo mult. 0.00 0.00 0.00 0.00 XXX N
G0042... .................. C PET follow ventriculogm sing 0.00 0.00 0.00 0.00 XXX N
G0042... 26 A PET follow ventriculogm sing 1.09 0.48 0.07 1.64 XXX N
G0042... TC C PET follow ventriculogm sing 0.00 0.00 0.00 0.00 XXX N
G0043... .................. C PET follow ventriculogm mult 0.00 0.00 0.00 0.00 XXX N
[[Page 63337]]
G0043... 26 A PET follow ventriculogm mult 1.46 0.65 0.10 2.21 XXX N
G0043... TC C PET follow ventriculogm mult 0.00 0.00 0.00 0.00 XXX N
G0044... .................. C PET following rest ECG singl 0.00 0.00 0.00 0.00 XXX N
G0044... 26 A PET following rest ECG singl 1.09 0.48 0.07 1.64 XXX N
G0044... TC C PET following rest ECG singl 0.00 0.00 0.00 0.00 XXX N
G0045... .................. C PET following rest ECG mult. 0.00 0.00 0.00 0.00 XXX N
G0045... 26 A PET following rest ECG mult. 1.46 0.65 0.10 2.21 XXX N
G0045... TC C PET following rest ECG mult. 0.00 0.00 0.00 0.00 XXX N
G0046... .................. C PET follow stress ECG singl. 0.00 0.00 0.00 0.00 XXX N
G0046... 26 A PET follow stress ECG singl. 1.09 0.48 0.07 1.64 XXX N
G0046... TC C PET follow stress ECG singl. 0.00 0.00 0.00 0.00 XXX N
G0047... .................. C PET follow stress ECG mult.. 0.00 0.00 0.00 0.00 XXX N
G0047... 26 A PET follow stress ECG mult.. 1.46 0.65 0.10 2.21 XXX N
G0047... TC C PET follow stress ECG mult.. 0.00 0.00 0.00 0.00 XXX N
G0050... .................. A Residual urine by ultrasound 0.00 0.81 0.05 0.86 XXX N
G0054... .................. X Blood cholesterol test...... 0.00 0.00 0.00 0.00 XXX 0
G0055... .................. X Glucose post dose measure... 0.00 0.00 0.00 0.00 XXX 0
G0056... .................. X Glucose tolerance 3 specimen 0.00 0.00 0.00 0.00 XXX 0
G0057... .................. X Glucose tolerance>3 specimen 0.00 0.00 0.00 0.00 XXX 0
G0058... .................. X Auto multichannel 20 tests.. 0.00 0.00 0.00 0.00 XXX 0
G0059... .................. X Auto multichannel 21 tests.. 0.00 0.00 0.00 0.00 XXX 0
G0060... .................. X Auto multichannel 22 tests.. 0.00 0.00 0.00 0.00 XXX 0
G0061... .................. N Lung volume reduction surg.. #17.62 15.81 3.01 36.44 XXX 0
H5300... .................. G Occupational therapy........ #0.32 0.24 0.03 0.59 XXX 0
J0110... .................. D Administration injection.... 0.00 0.00 0.00 0.00 XXX 0
J0120... .................. E Tetracyclin injection....... 0.00 0.00 0.00 0.00 XXX 0
J0150... .................. E Injection adenosine 6 MG.... 0.00 0.00 0.00 0.00 XXX 0
J0170... .................. E Adrenalin epinephrin inject. 0.00 0.00 0.00 0.00 XXX 0
J0190... .................. E Inj biperiden lactate/5 mg.. 0.00 0.00 0.00 0.00 XXX 0
J0205... .................. E Alglucerase injection....... 0.00 0.00 0.00 0.00 XXX 0
J0210... .................. E Methyldopate hcl injection.. 0.00 0.00 0.00 0.00 XXX 0
J0256... .................. E Alpha 1-proteinase 500 MG... 0.00 0.00 0.00 0.00 XXX 0
J0280... .................. E Aminophyllin 250 MG inj..... 0.00 0.00 0.00 0.00 XXX 0
J0290... .................. E Ampicillin 500 MG inj....... 0.00 0.00 0.00 0.00 XXX 0
J0295... .................. E Ampicillin sodium per 1.5 gm 0.00 0.00 0.00 0.00 XXX 0
J0300... .................. E Amobarbital 125 MG inj...... 0.00 0.00 0.00 0.00 XXX 0
J0330... .................. E Succinycholine chloride inj. 0.00 0.00 0.00 0.00 XXX 0
J0340... .................. E Nandrolon phenpropionate inj 0.00 0.00 0.00 0.00 XXX 0
J0350... .................. E Injection anistreplase 30 u. 0.00 0.00 0.00 0.00 XXX 0
J0360... .................. E Hydralazine hcl injection... 0.00 0.00 0.00 0.00 XXX 0
J0380... .................. E Inj metaraminol bitartrate.. 0.00 0.00 0.00 0.00 XXX 0
J0390... .................. E Chloroquine injection....... 0.00 0.00 0.00 0.00 XXX 0
J0400... .................. E Inj trimethaphan camsylate.. 0.00 0.00 0.00 0.00 XXX 0
J0460... .................. E Atropine sulfate injection.. 0.00 0.00 0.00 0.00 XXX 0
J0470... .................. E Dimecaprol injection........ 0.00 0.00 0.00 0.00 XXX 0
J0475... .................. E Baclofen 10 MG injection.... 0.00 0.00 0.00 0.00 XXX 0
J0500... .................. E Dicyclomine injection....... 0.00 0.00 0.00 0.00 XXX 0
J0510... .................. E Benzquinamide injection..... 0.00 0.00 0.00 0.00 XXX 0
J0515... .................. E Inj benztropine mesylate.... 0.00 0.00 0.00 0.00 XXX 0
J0520... .................. E Bethanechol chloride inject. 0.00 0.00 0.00 0.00 XXX 0
J0530... .................. E Penicillin g benzathine inj. 0.00 0.00 0.00 0.00 XXX 0
J0540... .................. E Penicillin g benzathine inj. 0.00 0.00 0.00 0.00 XXX 0
J0550... .................. E Penicillin g benzathine inj. 0.00 0.00 0.00 0.00 XXX 0
J0560... .................. E Penicillin g benzathine inj. 0.00 0.00 0.00 0.00 XXX 0
J0570... .................. E Penicillin g benzathine inj. 0.00 0.00 0.00 0.00 XXX 0
J0580... .................. E Penicillin g benzathine inj. 0.00 0.00 0.00 0.00 XXX 0
J0585... .................. E Botulinum toxin a per 100 u. 0.00 0.00 0.00 0.00 XXX 0
J0590... .................. E Ethylnorepinephrine hcl inj. 0.00 0.00 0.00 0.00 XXX 0
J0600... .................. E Edetate calcium disodium inj 0.00 0.00 0.00 0.00 XXX 0
J0610... .................. E Calcium gluconate injection. 0.00 0.00 0.00 0.00 XXX 0
J0620... .................. E Calcium glycer & lact/10 ML. 0.00 0.00 0.00 0.00 XXX 0
J0630... .................. E Calcitonin salmon injection. 0.00 0.00 0.00 0.00 XXX 0
J0635... .................. E Calcitriol injection........ 0.00 0.00 0.00 0.00 XXX 0
J0640... .................. E Leucovorin calcium injection 0.00 0.00 0.00 0.00 XXX 0
J0670... .................. E Inj mepivacaine HCL/10 ml... 0.00 0.00 0.00 0.00 XXX 0
J0680... .................. D Deslanoside injection....... 0.00 0.00 0.00 0.00 XXX 0
[[Page 63338]]
J0690... .................. E Cefazolin sodium injection.. 0.00 0.00 0.00 0.00 XXX 0
J0694... .................. E Cefoxitin sodium injection.. 0.00 0.00 0.00 0.00 XXX 0
J0695... .................. E Cefonocid sodium injection.. 0.00 0.00 0.00 0.00 XXX 0
J0696... .................. E Ceftriaxone sodium injection 0.00 0.00 0.00 0.00 XXX 0
J0697... .................. E Sterile cefuroxime injection 0.00 0.00 0.00 0.00 XXX 0
J0698... .................. E Cefotaxime sodium injection. 0.00 0.00 0.00 0.00 XXX 0
J0702... .................. E Betamethasone acet&sod phosp 0.00 0.00 0.00 0.00 XXX 0
J0704... .................. E Betamethasone sod phosp/4 MG 0.00 0.00 0.00 0.00 XXX 0
J0710... .................. E Cephapirin sodium injection. 0.00 0.00 0.00 0.00 XXX 0
J0713... .................. E Inj ceftazidime per 500 mg.. 0.00 0.00 0.00 0.00 XXX 0
J0715... .................. E Ceftizoxime sodium / 500 MG. 0.00 0.00 0.00 0.00 XXX 0
J0720... .................. E Chloramphenicol sodium injec 0.00 0.00 0.00 0.00 XXX 0
J0725... .................. E Chorionic gonadotropin/1000u 0.00 0.00 0.00 0.00 XXX 0
J0730... .................. E Chlorpheniramin maleate inj. 0.00 0.00 0.00 0.00 XXX 0
J0743... .................. E Cilastatin sodium injection. 0.00 0.00 0.00 0.00 XXX 0
J0745... .................. E Inj codeine phosphate /30 MG 0.00 0.00 0.00 0.00 XXX 0
J0760... .................. E Colchicine injection........ 0.00 0.00 0.00 0.00 XXX 0
J0770... .................. E Colistimethate sodium inj... 0.00 0.00 0.00 0.00 XXX 0
J0780... .................. E Prochlorperazine injection.. 0.00 0.00 0.00 0.00 XXX 0
J0800... .................. E Corticotropin injection..... 0.00 0.00 0.00 0.00 XXX 0
J0810... .................. E Cortisone injection......... 0.00 0.00 0.00 0.00 XXX 0
J0820... .................. D Cortigel 40 injection....... 0.00 0.00 0.00 0.00 XXX 0
J0835... .................. E Inj cosyntropin per 0.25 MG. 0.00 0.00 0.00 0.00 XXX 0
J0850... .................. E Cytomegalovirus imm IV /vial 0.00 0.00 0.00 0.00 XXX 0
J0895... .................. E Deferoxamine mesylate inj... 0.00 0.00 0.00 0.00 XXX 0
J0900... .................. E Testosterone enanthate inj.. 0.00 0.00 0.00 0.00 XXX 0
J0945... .................. E Brompheniramine maleate inj. 0.00 0.00 0.00 0.00 XXX 0
J0970... .................. E Estradiol valerate injection 0.00 0.00 0.00 0.00 XXX 0
J1000... .................. E Depo-estradiol cypionate inj 0.00 0.00 0.00 0.00 XXX 0
J1020... .................. E Methylprednisolone 20 MG inj 0.00 0.00 0.00 0.00 XXX 0
J1030... .................. E Methylprednisolone 40 MG inj 0.00 0.00 0.00 0.00 XXX 0
J1040... .................. E Methylprednisolone 80 MG inj 0.00 0.00 0.00 0.00 XXX 0
J1050... .................. E Medroxyprogesterone inj..... 0.00 0.00 0.00 0.00 XXX 0
J1055... .................. E Medrxyprogester acetate inj. 0.00 0.00 0.00 0.00 XXX 0
J1060... .................. E Testosterone cypionate 1 ML. 0.00 0.00 0.00 0.00 XXX 0
J1070... .................. E Testosterone cypionat 100 MG 0.00 0.00 0.00 0.00 XXX 0
J1080... .................. E Testosterone cypionat 200 MG 0.00 0.00 0.00 0.00 XXX 0
J1090... .................. E Testosterone cypionate 50 MG 0.00 0.00 0.00 0.00 XXX 0
J1095... .................. E Inj dexamethasone acetate... 0.00 0.00 0.00 0.00 XXX 0
J1100... .................. E Dexamethosone sodium phos... 0.00 0.00 0.00 0.00 XXX 0
J1110... .................. E Inj dihydroergotamine mesylt 0.00 0.00 0.00 0.00 XXX 0
J1120... .................. E Acetazolamid sodium injectio 0.00 0.00 0.00 0.00 XXX 0
J1160... .................. E Digoxin injection........... 0.00 0.00 0.00 0.00 XXX 0
J1165... .................. E Phenytoin sodium injection.. 0.00 0.00 0.00 0.00 XXX 0
J1170... .................. E Hydromorphone injection..... 0.00 0.00 0.00 0.00 XXX 0
J1180... .................. E Dyphylline injection........ 0.00 0.00 0.00 0.00 XXX 0
J1200... .................. E Diphenhydramine hcl injectio 0.00 0.00 0.00 0.00 XXX 0
J1205... .................. E Chlorothiazide sodium inj... 0.00 0.00 0.00 0.00 XXX 0
J1212... .................. E Dimethyl sulfoxide 50% 50 ML 0.00 0.00 0.00 0.00 XXX 0
J1230... .................. E Methadone injection......... 0.00 0.00 0.00 0.00 XXX 0
J1240... .................. E Dimenhydrinate injection.... 0.00 0.00 0.00 0.00 XXX 0
J1245... .................. E Dipyridamole injection...... 0.00 0.00 0.00 0.00 XXX 0
J1250... .................. E Inj dobutamine HCL/250 mg... 0.00 0.00 0.00 0.00 XXX 0
J1320... .................. E Amitriptyline injection..... 0.00 0.00 0.00 0.00 XXX 0
J1330... .................. E Ergonovine maleate injection 0.00 0.00 0.00 0.00 XXX 0
J1340... .................. D Aqueous/saline placebo inj.. 0.00 0.00 0.00 0.00 XXX 0
J1362... .................. E Erythromycin glucep / 250 MG 0.00 0.00 0.00 0.00 XXX 0
J1364... .................. E Erythro lactobionate /500 MG 0.00 0.00 0.00 0.00 XXX 0
J1380... .................. E Estradiol valerate 10 MG inj 0.00 0.00 0.00 0.00 XXX 0
J1390... .................. E Estradiol valerate 20 MG inj 0.00 0.00 0.00 0.00 XXX 0
J1410... .................. E Inj estrogen conjugate 25 MG 0.00 0.00 0.00 0.00 XXX 0
J1435... .................. E Injection estrone per 1 MG.. 0.00 0.00 0.00 0.00 XXX 0
J1436... .................. E Etidronate disodium inj..... 0.00 0.00 0.00 0.00 XXX 0
J1440... .................. E Filgrastim 300 mcg injeciton 0.00 0.00 0.00 0.00 XXX 0
J1441... .................. E Filgrastim 480 mcg injection 0.00 0.00 0.00 0.00 XXX 0
J1455... .................. E Foscarnet sodium injection.. 0.00 0.00 0.00 0.00 XXX 0
[[Page 63339]]
J1460... .................. E Gamma globulin 1 CC inj..... 0.00 0.00 0.00 0.00 XXX 0
J1470... .................. E Gamma globulin 2 CC inj..... 0.00 0.00 0.00 0.00 XXX 0
J1480... .................. E Gamma globulin 3 CC inj..... 0.00 0.00 0.00 0.00 XXX 0
J1490... .................. E Gamma globulin 4 CC inj..... 0.00 0.00 0.00 0.00 XXX 0
J1500... .................. E Gamma globulin 5 CC inj..... 0.00 0.00 0.00 0.00 XXX 0
J1510... .................. E Gamma globulin 6 CC inj..... 0.00 0.00 0.00 0.00 XXX 0
J1520... .................. E Gamma globulin 7 CC inj..... 0.00 0.00 0.00 0.00 XXX 0
J1530... .................. E Gamma globulin 8 CC inj..... 0.00 0.00 0.00 0.00 XXX 0
J1540... .................. E Gamma globulin 9 CC inj..... 0.00 0.00 0.00 0.00 XXX 0
J1550... .................. E Gamma globulin 10 CC inj.... 0.00 0.00 0.00 0.00 XXX 0
J1560... .................. E Gamma globulin > 10 CC inj.. 0.00 0.00 0.00 0.00 XXX 0
J1561... .................. E Immune globulin injection... 0.00 0.00 0.00 0.00 XXX 0
J1562... .................. E Immune globulin 10% /5 grams 0.00 0.00 0.00 0.00 XXX 0
J1570... .................. E Ganciclovir sodium injection 0.00 0.00 0.00 0.00 XXX 0
J1580... .................. E Garamycin gentamicin inj.... 0.00 0.00 0.00 0.00 XXX 0
J1600... .................. E Gold sodium thiomaleate inj. 0.00 0.00 0.00 0.00 XXX 0
J1610... .................. E Glucagon hydrochloride/1 MG. 0.00 0.00 0.00 0.00 XXX 0
J1620... .................. E Gonadorelin hydroch/ 100 mcg 0.00 0.00 0.00 0.00 XXX 0
J1625... .................. E Granisetron hydrochlor/1 MG. 0.00 0.00 0.00 0.00 XXX 0
J1630... .................. E Haloperidol injection....... 0.00 0.00 0.00 0.00 XXX 0
J1631... .................. E Haloperidol decanoate inj... 0.00 0.00 0.00 0.00 XXX 0
J1642... .................. E Inj heparin sodium per 10 u. 0.00 0.00 0.00 0.00 XXX 0
J1644... .................. E Inj heparin sodium per 1000u 0.00 0.00 0.00 0.00 XXX 0
J1650... .................. E Inj enoxaparin sodium 30 mg. 0.00 0.00 0.00 0.00 XXX 0
J1660... .................. D Histamine injection......... 0.00 0.00 0.00 0.00 XXX 0
J1670... .................. E Tetanus immune globulin inj. 0.00 0.00 0.00 0.00 XXX 0
J1690... .................. E Prednisolone tebutate inj... 0.00 0.00 0.00 0.00 XXX 0
J1700... .................. E Hydrocortisone acetate inj.. 0.00 0.00 0.00 0.00 XXX 0
J1710... .................. E Hydrocortisone sodium ph inj 0.00 0.00 0.00 0.00 XXX 0
J1720... .................. E Hydrocortisone sodium succ i 0.00 0.00 0.00 0.00 XXX 0
J1730... .................. E Diazoxide injection......... 0.00 0.00 0.00 0.00 XXX 0
J1739... .................. E Hydroxyprogesterone cap 125. 0.00 0.00 0.00 0.00 XXX 0
J1741... .................. E Hydroxyprogesterone cap 250. 0.00 0.00 0.00 0.00 XXX 0
J1760... .................. E Iron dextran 2 CC inj....... 0.00 0.00 0.00 0.00 XXX 0
J1770... .................. E Iron dextran 5 CC inj....... 0.00 0.00 0.00 0.00 XXX 0
J1780... .................. E Iron dextran 10 CC inj...... 0.00 0.00 0.00 0.00 XXX 0
J1785... .................. E Injection imiglucerase /unit 0.00 0.00 0.00 0.00 XXX 0
J1790... .................. E Droperidol injection........ 0.00 0.00 0.00 0.00 XXX 0
J1800... .................. E Propranolol injection....... 0.00 0.00 0.00 0.00 XXX 0
J1810... .................. E Droperidol/fentanyl inj..... 0.00 0.00 0.00 0.00 XXX 0
J1820... .................. E Insulin injection........... 0.00 0.00 0.00 0.00 XXX 0
J1830... .................. E Interferon beta-1b / .25 MG. 0.00 0.00 0.00 0.00 XXX 0
J1840... .................. E Kanamycin sulfate 500 MG inj 0.00 0.00 0.00 0.00 XXX 0
J1850... .................. E Kanamycin sulfate 75 MG inj. 0.00 0.00 0.00 0.00 XXX 0
J1885... .................. E Ketorolac tromethamine inj.. 0.00 0.00 0.00 0.00 XXX 0
J1890... .................. E Cephalothin sodium injection 0.00 0.00 0.00 0.00 XXX 0
J1910... .................. E Kutapressin injection....... 0.00 0.00 0.00 0.00 XXX 0
J1930... .................. E Propiomazine injection...... 0.00 0.00 0.00 0.00 XXX 0
J1940... .................. E Furosemide injection........ 0.00 0.00 0.00 0.00 XXX 0
J1950... .................. E Leuprolide acetate /3.75 MG. 0.00 0.00 0.00 0.00 XXX 0
J1955... .................. E Inj levocarnitine per 1 gm.. 0.00 0.00 0.00 0.00 XXX 0
J1960... .................. E Levorphanol tartrate inj.... 0.00 0.00 0.00 0.00 XXX 0
J1970... .................. E Methotrimeprazine injection. 0.00 0.00 0.00 0.00 XXX 0
J1980... .................. E Hyoscyamine sulfate inj..... 0.00 0.00 0.00 0.00 XXX 0
J1990... .................. E Chlordiazepoxide injection.. 0.00 0.00 0.00 0.00 XXX 0
J2000... .................. E Lidocaine injection......... 0.00 0.00 0.00 0.00 XXX 0
J2010... .................. E Lincomycin injection........ 0.00 0.00 0.00 0.00 XXX 0
J2050... .................. E Liver injection............. 0.00 0.00 0.00 0.00 XXX 0
J2060... .................. E Lorazepam injection......... 0.00 0.00 0.00 0.00 XXX 0
J2100... .................. D Luminal sodium injection.... 0.00 0.00 0.00 0.00 XXX 0
J2150... .................. E Mannitol injection.......... 0.00 0.00 0.00 0.00 XXX 0
J2175... .................. E Meperidine hydrochl /100 MG. 0.00 0.00 0.00 0.00 XXX 0
J2180... .................. E Meperidine/promethazine inj. 0.00 0.00 0.00 0.00 XXX 0
J2190... .................. D Mersalyl & theophylline inj. 0.00 0.00 0.00 0.00 XXX 0
J2210... .................. E Methylergonovin maleate inj. 0.00 0.00 0.00 0.00 XXX 0
J2240... .................. E Metocurine iodide injection. 0.00 0.00 0.00 0.00 XXX 0
[[Page 63340]]
J2250... .................. E Inj midazolam hydrochloride. 0.00 0.00 0.00 0.00 XXX 0
J2260... .................. E Inj milrinone lactate / 5 ML 0.00 0.00 0.00 0.00 XXX 0
J2270... .................. E Morphine sulfate injection.. 0.00 0.00 0.00 0.00 XXX 0
J2275... .................. E Morphine sulfate injection.. 0.00 0.00 0.00 0.00 XXX 0
J2300... .................. E Inj nalbuphine hydrochloride 0.00 0.00 0.00 0.00 XXX 0
J2310... .................. E Inj naloxone hydrochloride.. 0.00 0.00 0.00 0.00 XXX 0
J2320... .................. E Nandrolone decanoate 50 MG.. 0.00 0.00 0.00 0.00 XXX 0
J2321... .................. E Nandrolone decanoate 100 MG. 0.00 0.00 0.00 0.00 XXX 0
J2322... .................. E Nandrolone decanoate 200 MG. 0.00 0.00 0.00 0.00 XXX 0
J2330... .................. E Thiothixene injection....... 0.00 0.00 0.00 0.00 XXX 0
J2350... .................. E Niacinamide/niacin injection 0.00 0.00 0.00 0.00 XXX 0
J2360... .................. E Orphenadrine injection...... 0.00 0.00 0.00 0.00 XXX 0
J2370... .................. E Phenylephrine hcl injection. 0.00 0.00 0.00 0.00 XXX 0
J2400... .................. E Chloroprocaine hcl injection 0.00 0.00 0.00 0.00 XXX 0
J2405... .................. E Ondansetron hcl injection... 0.00 0.00 0.00 0.00 XXX 0
J2410... .................. E Oxymorphone hcl injection... 0.00 0.00 0.00 0.00 XXX 0
J2430... .................. E Pamidronate disodium /30 MG. 0.00 0.00 0.00 0.00 XXX 0
J2440... .................. E Papaverin hcl injection..... 0.00 0.00 0.00 0.00 XXX 0
J2460... .................. E Oxytetracycline injection... 0.00 0.00 0.00 0.00 XXX 0
J2480... .................. E Hydrochlorides of opium inj. 0.00 0.00 0.00 0.00 XXX 0
J2495... .................. D Tridihexethyl chloride inj.. 0.00 0.00 0.00 0.00 XXX 0
J2510... .................. E Penicillin g procaine inj... 0.00 0.00 0.00 0.00 XXX 0
J2512... .................. E Inj pentagastrin per 2 ML... 0.00 0.00 0.00 0.00 XXX 0
J2515... .................. E Pentobarbital sodium inj.... 0.00 0.00 0.00 0.00 XXX 0
J2540... .................. E Penicillin g potassium inj.. 0.00 0.00 0.00 0.00 XXX 0
J2545... .................. E Pentamidine isethionte/300mg 0.00 0.00 0.00 0.00 XXX 0
J2550... .................. E Promethazine hcl injection.. 0.00 0.00 0.00 0.00 XXX 0
J2560... .................. E Phenobarbital sodium inj.... 0.00 0.00 0.00 0.00 XXX 0
J2590... .................. E Oxytocin injection.......... 0.00 0.00 0.00 0.00 XXX 0
J2597... .................. E Inj desmopressin acetate.... 0.00 0.00 0.00 0.00 XXX 0
J2640... .................. E Prednisolone sodium ph inj.. 0.00 0.00 0.00 0.00 XXX 0
J2650... .................. E Prednisolone acetate inj.... 0.00 0.00 0.00 0.00 XXX 0
J2670... .................. E Totazoline hcl injection.... 0.00 0.00 0.00 0.00 XXX 0
J2675... .................. E Inj progesterone per 50 MG.. 0.00 0.00 0.00 0.00 XXX 0
J2680... .................. E Fluphenazine decanoate 25 MG 0.00 0.00 0.00 0.00 XXX 0
J2690... .................. E Procainamide hcl injection.. 0.00 0.00 0.00 0.00 XXX 0
J2700... .................. E Oxacillin sodium injection.. 0.00 0.00 0.00 0.00 XXX 0
J2710... .................. E Neostigmine methylslfte inj. 0.00 0.00 0.00 0.00 XXX 0
J2720... .................. E Inj protamine sulfate/10 MG. 0.00 0.00 0.00 0.00 XXX 0
J2725... .................. E Inj protirelin per 250 mcg.. 0.00 0.00 0.00 0.00 XXX 0
J2730... .................. E Pralidoxime chloride inj.... 0.00 0.00 0.00 0.00 XXX 0
J2760... .................. E Phentolaine mesylate inj.... 0.00 0.00 0.00 0.00 XXX 0
J2765... .................. E Metoclopramide hcl injection 0.00 0.00 0.00 0.00 XXX 0
J2790... .................. E Rho d immune globulin inj... 0.00 0.00 0.00 0.00 XXX 0
J2800... .................. E Methocarbamol injection..... 0.00 0.00 0.00 0.00 XXX 0
J2810... .................. E Inj theophylline per 40 MG.. 0.00 0.00 0.00 0.00 XXX 0
J2820... .................. E Sargramostim injection...... 0.00 0.00 0.00 0.00 XXX 0
J2860... .................. E Secobarbital sodium inj..... 0.00 0.00 0.00 0.00 XXX 0
J2910... .................. E Aurothioglucose injection... 0.00 0.00 0.00 0.00 XXX 0
J2912... .................. E Sodium chloride injection... 0.00 0.00 0.00 0.00 XXX 0
J2914... .................. D Sodium salicylate injection. 0.00 0.00 0.00 0.00 XXX 0
J2920... .................. E Methylprednisolone injection 0.00 0.00 0.00 0.00 XXX 0
J2930... .................. E Methylprednisolone injection 0.00 0.00 0.00 0.00 XXX 0
J2950... .................. E Promazine hcl injection..... 0.00 0.00 0.00 0.00 XXX 0
J2970... .................. E Methicillin sodium injection 0.00 0.00 0.00 0.00 XXX 0
J2995... .................. E Inj streptokinase /250000 IU 0.00 0.00 0.00 0.00 XXX 0
J2996... .................. E Alteplase recombinant inj... 0.00 0.00 0.00 0.00 XXX 0
J3000... .................. E Streptomycin injection...... 0.00 0.00 0.00 0.00 XXX 0
J3005... .................. E Strontium-89 chloride /10 ML 0.00 0.00 0.00 0.00 XXX 0
J3010... .................. E Fentanyl citrate injection.. 0.00 0.00 0.00 0.00 XXX 0
J3030... .................. E Sumatriptan succinate / 6 MG 0.00 0.00 0.00 0.00 XXX 0
J3070... .................. E Pentazocine hcl injection... 0.00 0.00 0.00 0.00 XXX 0
J3080... .................. E Chlorprothixene injection... 0.00 0.00 0.00 0.00 XXX 0
J3105... .................. E Terbutaline sulfate inj..... 0.00 0.00 0.00 0.00 XXX 0
J3120... .................. E Testosterone enanthate inj.. 0.00 0.00 0.00 0.00 XXX 0
J3130... .................. E Testosterone enanthate inj.. 0.00 0.00 0.00 0.00 XXX 0
[[Page 63341]]
J3140... .................. E Testosterone suspension inj. 0.00 0.00 0.00 0.00 XXX 0
J3150... .................. E Testosterone propionate inj. 0.00 0.00 0.00 0.00 XXX 0
J3230... .................. E Chlorpromazine hcl injection 0.00 0.00 0.00 0.00 XXX 0
J3240... .................. E Thyrotropin injection....... 0.00 0.00 0.00 0.00 XXX 0
J3250... .................. E Trimethobenzamide hcl inj... 0.00 0.00 0.00 0.00 XXX 0
J3260... .................. E Tobramycin sulfate injection 0.00 0.00 0.00 0.00 XXX 0
J3265... .................. E Injection torsemide 10 mg/ml 0.00 0.00 0.00 0.00 XXX 0
J3270... .................. E Imipramine hcl injection.... 0.00 0.00 0.00 0.00 XXX 0
J3280... .................. E Thiethylperazine maleate inj 0.00 0.00 0.00 0.00 XXX 0
J3301... .................. E Triamcinolone acetonide inj. 0.00 0.00 0.00 0.00 XXX 0
J3302... .................. E Triamcinolone diacetate inj. 0.00 0.00 0.00 0.00 XXX 0
J3303... .................. E Triamcinolone hexacetonl inj 0.00 0.00 0.00 0.00 XXX 0
J3305... .................. E Inj trimetrexate glucoronate 0.00 0.00 0.00 0.00 XXX 0
J3310... .................. E Perphenazine injection...... 0.00 0.00 0.00 0.00 XXX 0
J3320... .................. E Spectinomycin di-hcl inj.... 0.00 0.00 0.00 0.00 XXX 0
J3340... .................. D Cryptenamine acetate inj.... 0.00 0.00 0.00 0.00 XXX 0
J3350... .................. E Urea injection.............. 0.00 0.00 0.00 0.00 XXX 0
J3360... .................. E Diazepam injection.......... 0.00 0.00 0.00 0.00 XXX 0
J3364... .................. E Urokinase 5000 IU injection. 0.00 0.00 0.00 0.00 XXX 0
J3365... .................. E Urokinase 250,000 IU inj.... 0.00 0.00 0.00 0.00 XXX 0
J3370... .................. E Vancomycin hcl injection.... 0.00 0.00 0.00 0.00 XXX 0
J3380... .................. D Isoxsuprine hcl injection... 0.00 0.00 0.00 0.00 XXX 0
J3390... .................. E Methoxamine injection....... 0.00 0.00 0.00 0.00 XXX 0
J3400... .................. E Triflupromazine hcl inj..... 0.00 0.00 0.00 0.00 XXX 0
J3410... .................. E Hydroxyzine hcl injection... 0.00 0.00 0.00 0.00 XXX 0
J3420... .................. E Vitamin b12 injection....... 0.00 0.00 0.00 0.00 XXX 0
J3430... .................. E Vitamin k phytonadione inj.. 0.00 0.00 0.00 0.00 XXX 0
J3450... .................. E Mephentermine sulfate inj... 0.00 0.00 0.00 0.00 XXX 0
J3470... .................. E Hyaluronidase injection..... 0.00 0.00 0.00 0.00 XXX 0
J3475... .................. E Inj magnesium sulfate....... 0.00 0.00 0.00 0.00 XXX 0
J3480... .................. E Inj potassium chloride...... 0.00 0.00 0.00 0.00 XXX 0
J3490... .................. E Drugs unclassified injection 0.00 0.00 0.00 0.00 XXX 0
J3500... .................. D Vitamin therapy............. 0.00 0.00 0.00 0.00 XXX 0
J3520... .................. N Edetate disodium per 150 mg. 0.00 0.00 0.00 0.00 XXX 0
J3530... .................. E Nasal vaccine inhalation.... 0.00 0.00 0.00 0.00 XXX 0
J3535... .................. E Metered dose inhaler drug... 0.00 0.00 0.00 0.00 XXX 0
J3540... .................. D Autogenous blood extract.... 0.00 0.00 0.00 0.00 XXX 0
J3550... .................. D Intra-arterial oxygen inj... 0.00 0.00 0.00 0.00 XXX 0
J3560... .................. D Adrenal cortex extract...... 0.00 0.00 0.00 0.00 XXX 0
J3570... .................. N Laetrile amygdalin vit B17.. 0.00 0.00 0.00 0.00 XXX 0
J6015... .................. D Typhus immun/injection...... 0.00 0.00 0.00 0.00 XXX 0
J7030... .................. E Normal saline solution infus 0.00 0.00 0.00 0.00 XXX 0
J7040... .................. E Normal saline solution infus 0.00 0.00 0.00 0.00 XXX 0
J7042... .................. E 5% dextrose/normal saline... 0.00 0.00 0.00 0.00 XXX 0
J7050... .................. E Normal saline solution infus 0.00 0.00 0.00 0.00 XXX 0
J7051... .................. E Sterile saline/water........ 0.00 0.00 0.00 0.00 XXX 0
J7060... .................. E 5% dextrose/water........... 0.00 0.00 0.00 0.00 XXX 0
J7070... .................. E D5w infusion................ 0.00 0.00 0.00 0.00 XXX 0
J7080... .................. D 5% albumisol infusion....... 0.00 0.00 0.00 0.00 XXX 0
J7090... .................. D 25% albumisol infusion...... 0.00 0.00 0.00 0.00 XXX 0
J7100... .................. E Dextran 40 infusion......... 0.00 0.00 0.00 0.00 XXX 0
J7110... .................. E Dextran 75 infusion......... 0.00 0.00 0.00 0.00 XXX 0
J7120... .................. E Ringers lactate infusion.... 0.00 0.00 0.00 0.00 XXX 0
J7130... .................. E Hypertonic saline solution.. 0.00 0.00 0.00 0.00 XXX 0
J7140... .................. N Prescription oral drug...... 0.00 0.00 0.00 0.00 XXX 0
J7150... .................. N Prescription oral chemo drug 0.00 0.00 0.00 0.00 XXX 0
J7190... .................. X Factor viii................. 0.00 0.00 0.00 0.00 XXX 0
J7191... .................. X Factor VIII (porcine)....... 0.00 0.00 0.00 0.00 XXX 0
J7192... .................. X Factor viii recombinant..... 0.00 0.00 0.00 0.00 XXX 0
J7194... .................. X Factor ix complex........... 0.00 0.00 0.00 0.00 XXX 0
J7196... .................. X Othr hemophilia clot factors 0.00 0.00 0.00 0.00 XXX 0
J7197... .................. X Antithrombin iii injection.. 0.00 0.00 0.00 0.00 XXX 0
J7300... .................. N Intraut copper contraceptive 0.00 0.00 0.00 0.00 XXX 0
J7500... .................. X Azathiop po tab 50mg 100s ea 0.00 0.00 0.00 0.00 XXX 0
J7501... .................. X Azathioprine parenteral..... 0.00 0.00 0.00 0.00 XXX 0
J7502... .................. X Cyclosporine oral solution.. 0.00 0.00 0.00 0.00 XXX 0
[[Page 63342]]
J7503... .................. X Cyclosporine parenteral..... 0.00 0.00 0.00 0.00 XXX 0
J7504... .................. X Lymphocyte immune globulin.. 0.00 0.00 0.00 0.00 XXX 0
J7505... .................. X Monoclonal antibodies....... 0.00 0.00 0.00 0.00 XXX 0
J7506... .................. X Prednisone.................. 0.00 0.00 0.00 0.00 XXX 0
J7507... .................. E Tacrolimus oral per 1 MG.... 0.00 0.00 0.00 0.00 XXX 0
J7508... .................. E Tacrolimus oral per 5 MG.... 0.00 0.00 0.00 0.00 XXX 0
J7509... .................. X Methylprednisolone oral..... 0.00 0.00 0.00 0.00 XXX 0
J7510... .................. X Prednisolone oral per 5 mg.. 0.00 0.00 0.00 0.00 XXX 0
J7599... .................. X Immunosuppressive drug noc.. 0.00 0.00 0.00 0.00 XXX 0
J7610... .................. E Acetylcysteine 10% injection 0.00 0.00 0.00 0.00 XXX 0
J7615... .................. E Acetylcysteine 20% injection 0.00 0.00 0.00 0.00 XXX 0
J7620... .................. E Albuterol sulfate .083% inj. 0.00 0.00 0.00 0.00 XXX 0
J7625... .................. E Albuterol sulfate .5% inj... 0.00 0.00 0.00 0.00 XXX 0
J7627... .................. E Bitolterolmesylate inhal sol 0.00 0.00 0.00 0.00 XXX 0
J7630... .................. E Cromolyn sodium injection... 0.00 0.00 0.00 0.00 XXX 0
J7640... .................. E Epinephrine injection....... 0.00 0.00 0.00 0.00 XXX 0
J7645... .................. E Ipratropium bromide .02%/ml. 0.00 0.00 0.00 0.00 XXX 0
J7650... .................. E Isoetharine hcl .1% inj..... 0.00 0.00 0.00 0.00 XXX 0
J7651... .................. E Isoetharine hcl .125% inj... 0.00 0.00 0.00 0.00 XXX 0
J7652... .................. E Isoetharine hcl .167% inj... 0.00 0.00 0.00 0.00 XXX 0
J7653... .................. E Isoetharine hcl .2%/ inj.... 0.00 0.00 0.00 0.00 XXX 0
J7654... .................. E Isoetharine hcl .25% inj.... 0.00 0.00 0.00 0.00 XXX 0
J7655... .................. E Isoetharine hcl 1% inj...... 0.00 0.00 0.00 0.00 XXX 0
J7660... .................. E Isoproterenol hcl .5% inj... 0.00 0.00 0.00 0.00 XXX 0
J7665... .................. E Isoproterenol hcl 1% inj.... 0.00 0.00 0.00 0.00 XXX 0
J7670... .................. E Metaproterenol sulfate .4%.. 0.00 0.00 0.00 0.00 XXX 0
J7672... .................. E Metaproterenol sulfate .6%.. 0.00 0.00 0.00 0.00 XXX 0
J7675... .................. E Metaproterenol sulfate 5%... 0.00 0.00 0.00 0.00 XXX 0
J7699... .................. E Inhalation solution for DME. 0.00 0.00 0.00 0.00 XXX 0
J7799... .................. E Non-inhalation drug for DME. 0.00 0.00 0.00 0.00 XXX 0
J8499... .................. N Oral prescrip drug non chemo 0.00 0.00 0.00 0.00 XXX 0
J8530... .................. E Cyclophosphamide oral 25 MG. 0.00 0.00 0.00 0.00 XXX 0
J8560... .................. E Etoposide oral 50 MG........ 0.00 0.00 0.00 0.00 XXX 0
J8600... .................. E Melphalan oral 2 MG......... 0.00 0.00 0.00 0.00 XXX 0
J8610... .................. E Methotrexate oral 2.5 MG.... 0.00 0.00 0.00 0.00 XXX 0
J8999... .................. E Oral prescription drug chemo 0.00 0.00 0.00 0.00 XXX 0
J9000... .................. E Doxorubic hcl 10 MG vl chemo 0.00 0.00 0.00 0.00 XXX 0
J9010... .................. E Doxorubicin hcl 50 MG inj... 0.00 0.00 0.00 0.00 XXX 0
J9015... .................. E Aldesleukin/single use vial. 0.00 0.00 0.00 0.00 XXX 0
J9020... .................. E Asparaginase injection...... 0.00 0.00 0.00 0.00 XXX 0
J9031... .................. E Bcg live intravesical vac... 0.00 0.00 0.00 0.00 XXX 0
J9040... .................. E Bleomycin sulfate injection. 0.00 0.00 0.00 0.00 XXX 0
J9045... .................. E Carboplatin injection....... 0.00 0.00 0.00 0.00 XXX 0
J9050... .................. E Carmus bischl nitro inj..... 0.00 0.00 0.00 0.00 XXX 0
J9060... .................. E Cisplatin 10 MG injection... 0.00 0.00 0.00 0.00 XXX 0
J9062... .................. E Cisplatin 50 MG injection... 0.00 0.00 0.00 0.00 XXX 0
J9065... .................. E Inj cladribine per 1 MG..... 0.00 0.00 0.00 0.00 XXX 0
J9070... .................. E Cyclophosphamide 100 MG inj. 0.00 0.00 0.00 0.00 XXX 0
J9080... .................. E Cyclophosphamide 200 MG inj. 0.00 0.00 0.00 0.00 XXX 0
J9090... .................. E Cyclophosphamide 500 MG inj. 0.00 0.00 0.00 0.00 XXX 0
J9091... .................. E Cyclophosphamide 1.0 grm inj 0.00 0.00 0.00 0.00 XXX 0
J9092... .................. E Cyclophosphamide 2.0 grm inj 0.00 0.00 0.00 0.00 XXX 0
J9093... .................. E Cyclophosphamide lyophilized 0.00 0.00 0.00 0.00 XXX 0
J9094... .................. E Cyclophosphamide lyophilized 0.00 0.00 0.00 0.00 XXX 0
J9095... .................. E Cyclophosphamide lyophilized 0.00 0.00 0.00 0.00 XXX 0
J9096... .................. E Cyclophosphamide lyophilized 0.00 0.00 0.00 0.00 XXX 0
J9097... .................. E Cyclophosphamide lyophilized 0.00 0.00 0.00 0.00 XXX 0
J9100... .................. E Cytarabine hcl 100 MG inj... 0.00 0.00 0.00 0.00 XXX 0
J9110... .................. E Cytarabine hcl 500 MG inj... 0.00 0.00 0.00 0.00 XXX 0
J9120... .................. E Dactinomycin actinomycin d.. 0.00 0.00 0.00 0.00 XXX 0
J9130... .................. E Dacarbazine 10 MG inj....... 0.00 0.00 0.00 0.00 XXX 0
J9140... .................. E Dacarbazine 200 MG inj...... 0.00 0.00 0.00 0.00 XXX 0
J9150... .................. E Daunorubicin hcl injection.. 0.00 0.00 0.00 0.00 XXX 0
J9165... .................. E Diethylstilbestrol injection 0.00 0.00 0.00 0.00 XXX 0
J9181... .................. E Etoposide 10 MG inj......... 0.00 0.00 0.00 0.00 XXX 0
J9182... .................. E Etoposide 100 MG inj........ 0.00 0.00 0.00 0.00 XXX 0
[[Page 63343]]
J9185... .................. E Fludarabine phosphate inj... 0.00 0.00 0.00 0.00 XXX 0
J9190... .................. E Fluorouracil injection...... 0.00 0.00 0.00 0.00 XXX 0
J9200... .................. E Floxuridine injection....... 0.00 0.00 0.00 0.00 XXX 0
J9202... .................. E Goserelin acetate implant... 0.00 0.00 0.00 0.00 XXX 0
J9208... .................. E Ifosfomide injection........ 0.00 0.00 0.00 0.00 XXX 0
J9209... .................. E Mesna injection............. 0.00 0.00 0.00 0.00 XXX 0
J9211... .................. E Idarubicin hcl injection.... 0.00 0.00 0.00 0.00 XXX 0
J9213... .................. E Interferon alfa-2a inj...... 0.00 0.00 0.00 0.00 XXX 0
J9214... .................. E Interferon alfa-2b inj...... 0.00 0.00 0.00 0.00 XXX 0
J9215... .................. E Interferon alfa-n3 inj...... 0.00 0.00 0.00 0.00 XXX 0
J9216... .................. E Interferon gamma 1-b inj.... 0.00 0.00 0.00 0.00 XXX 0
J9217... .................. E Leuprolide acetate suspnsion 0.00 0.00 0.00 0.00 XXX 0
J9218... .................. E Leuprolide acetate injection 0.00 0.00 0.00 0.00 XXX 0
J9230... .................. E Mechlorethamine hcl inj..... 0.00 0.00 0.00 0.00 XXX 0
J9245... .................. E Inj melphalan hydrochl 50 MG 0.00 0.00 0.00 0.00 XXX 0
J9250... .................. E Methotrexate sodium inj..... 0.00 0.00 0.00 0.00 XXX 0
J9260... .................. E Methotrexate sodium inj..... 0.00 0.00 0.00 0.00 XXX 0
J9265... .................. E Paclitaxel injection........ 0.00 0.00 0.00 0.00 XXX 0
J9266... .................. E Pegaspargase/singl dose vial 0.00 0.00 0.00 0.00 XXX 0
J9268... .................. E Pentostatin injection....... 0.00 0.00 0.00 0.00 XXX 0
J9270... .................. E Plicamycin (mithramycin) inj 0.00 0.00 0.00 0.00 XXX 0
J9280... .................. E Mitomycin 5 MG inj.......... 0.00 0.00 0.00 0.00 XXX 0
J9290... .................. E Mitomycin 20 MG inj......... 0.00 0.00 0.00 0.00 XXX 0
J9291... .................. E Mitomycin 40 MG inj......... 0.00 0.00 0.00 0.00 XXX 0
J9293... .................. E Mitoxantrone hydrochl / 5 MG 0.00 0.00 0.00 0.00 XXX 0
J9295... .................. D Polyestradiol phosphate inj. 0.00 0.00 0.00 0.00 XXX 0
J9320... .................. E Streptozocin injection...... 0.00 0.00 0.00 0.00 XXX 0
J9340... .................. E Thiotepa injection.......... 0.00 0.00 0.00 0.00 XXX 0
J9360... .................. E Vinblastine sulfate inj..... 0.00 0.00 0.00 0.00 XXX 0
J9370... .................. E Vincristine sulfate 1 MG inj 0.00 0.00 0.00 0.00 XXX 0
J9375... .................. E Vincristine sulfate 2 MG inj 0.00 0.00 0.00 0.00 XXX 0
J9380... .................. E Vincristine sulfate 5 MG inj 0.00 0.00 0.00 0.00 XXX 0
J9390... .................. E Vinorelbine tartrate/10 mg.. 0.00 0.00 0.00 0.00 XXX 0
J9999... .................. E Chemotherapy drug........... 0.00 0.00 0.00 0.00 XXX 0
M0005... .................. G Off visit 2/more modalities. #0.76 0.31 0.03 1.10 XXX 0
M0006... .................. G One phys therapy modality... #0.50 0.15 0.02 0.67 XXX 0
M0007... .................. G Combined phys ther mod & tx. #1.01 0.35 0.04 1.40 XXX 0
M0008... .................. G Combined phys ther mod & tx. #0.50 0.11 0.01 0.62 XXX 0
M0064... .................. A Visit for drug monitoring... 0.37 0.19 0.03 0.59 XXX N
M0075... .................. N Cellular therapy............ 0.00 0.00 0.00 0.00 XXX 0
M0076... .................. N Prolotherapy................ 0.00 0.00 0.00 0.00 XXX 0
M0100... .................. N Intragastric hypothermia.... 0.00 0.00 0.00 0.00 XXX 0
M0101... .................. A Cutting or removal of corns. 0.37 0.35 0.03 0.75 XXX S
M0300... .................. N IV chelation therapy........ 0.00 0.00 0.00 0.00 XXX 0
M0301... .................. N Fabric wrapping of aneurysm. 0.00 0.00 0.00 0.00 XXX 0
M0302... .................. N Assessment of cardiac output 0.00 0.00 0.00 0.00 XXX 0
P2028... .................. X Cephalin floculation test... 0.00 0.00 0.00 0.00 XXX 0
P2029... .................. X Congo red blood test........ 0.00 0.00 0.00 0.00 XXX 0
P2031... .................. N Hair analysis............... 0.00 0.00 0.00 0.00 XXX 0
P2033... .................. X Blood thymol turbidity...... 0.00 0.00 0.00 0.00 XXX 0
P2038... .................. X Blood mucoprotein........... 0.00 0.00 0.00 0.00 XXX 0
P3000... .................. X Screen pap by tech w md supv 0.00 0.00 0.00 0.00 XXX 0
P3001... .................. X Screening pap smear by phys. 0.00 0.00 0.00 0.00 XXX 0
P3001... 26 A Screening pap smear by phys. 0.42 0.32 0.04 0.78 XXX N
P7001... .................. G Culture bacterial urine..... 0.00 0.00 0.00 0.00 XXX 0
P9010... .................. E Whole blood for transfusion. 0.00 0.00 0.00 0.00 XXX 0
P9011... .................. E Blood split unit............ 0.00 0.00 0.00 0.00 XXX 0
P9012... .................. E Cryoprecipitate each unit... 0.00 0.00 0.00 0.00 XXX 0
P9013... .................. E Unit/s blood fibrinogen..... 0.00 0.00 0.00 0.00 XXX 0
P9014... .................. E Gamma globulin 1 ML......... 0.00 0.00 0.00 0.00 XXX 0
P9015... .................. E Rh immune globulin 1 ML..... 0.00 0.00 0.00 0.00 XXX 0
P9016... .................. E Leukocyte poor blood, unit.. 0.00 0.00 0.00 0.00 XXX 0
P9017... .................. E One donor fresh frozn plasma 0.00 0.00 0.00 0.00 XXX 0
P9018... .................. E Plasma protein fract, unit.. 0.00 0.00 0.00 0.00 XXX 0
P9019... .................. E Platelet concentrate unit... 0.00 0.00 0.00 0.00 XXX 0
P9020... .................. E Platelet rich plasma unit... 0.00 0.00 0.00 0.00 XXX 0
[[Page 63344]]
P9021... .................. E Red blood cells unit........ 0.00 0.00 0.00 0.00 XXX 0
P9022... .................. E Washed red blood cells unit. 0.00 0.00 0.00 0.00 XXX 0
P9603... .................. X One-way allow prorated miles 0.00 0.00 0.00 0.00 XXX 0
P9604... .................. X One-way allow prorated trip. 0.00 0.00 0.00 0.00 XXX 0
P9605... .................. D Routine venipuncture........ 0.00 0.00 0.00 0.00 XXX 0
P9610... .................. X Urine specimen collect singl 0.00 0.00 0.00 0.00 XXX 0
P9615... .................. X Urine specimen collect mult. 0.00 0.00 0.00 0.00 XXX 0
Q0034... .................. X Admin of influenza vaccine.. 0.00 0.00 0.00 0.00 XXX 0
Q0035... .................. A Cardiokymography............ 0.17 0.49 0.04 0.70 XXX N
Q0035... 26 A Cardiokymography............ 0.17 0.12 0.01 0.30 XXX N
Q0035... TC A Cardiokymography............ 0.00 0.37 0.03 0.40 XXX N
Q0068... .................. A Extracorpeal plasmapheresis. 1.67 1.27 0.16 3.10 000 N
Q0091... .................. A Obtaining screen pap smear.. 0.37 0.28 0.03 0.68 XXX N
Q0092... .................. A Set up port xray equipment.. 0.00 0.30 0.01 0.31 XXX N
Q0103... .................. A Physical therapy evaluation. 1.01 0.35 0.11 1.47 XXX N
Q0104... .................. A Phys therapy re-evaluation.. 0.50 0.04 0.01 0.55 XXX N
Q0109... .................. A Occupational therapy eval... 1.01 0.35 0.11 1.47 XXX N
Q0110... .................. A Occupational therap re-eval. 0.50 0.04 0.01 0.55 XXX N
Q0111... .................. X Wet mounts/ w preparations.. 0.00 0.00 0.00 0.00 XXX 0
Q0112... .................. X Potassium hydroxide preps... 0.00 0.00 0.00 0.00 XXX 0
Q0113... .................. X Pinworm examinations........ 0.00 0.00 0.00 0.00 XXX 0
Q0114... .................. X Fern test................... 0.00 0.00 0.00 0.00 XXX 0
Q0115... .................. X Post-coital mucous exam..... 0.00 0.00 0.00 0.00 XXX 0
Q0116... .................. X Hemoglbn sngle analyte exam. 0.00 0.00 0.00 0.00 XXX 0
Q0132... .................. X Dispensing fee DME neb drug. 0.00 0.00 0.00 0.00 XXX 0
Q0136... .................. X Non esrd epoetin alpha inj.. 0.00 0.00 0.00 0.00 XXX 0
Q0137... .................. D Dexamethasone acetate 8MG/ML 0.00 0.00 0.00 0.00 XXX 0
Q0138... .................. D Dexamethasone acetat 16MG/ML 0.00 0.00 0.00 0.00 XXX 0
Q0139... .................. D Inj desmopressin acetat 4mcg 0.00 0.00 0.00 0.00 XXX N
Q0140... .................. D Inj potassium chloride, 2meg 0.00 0.00 0.00 0.00 XXX 0
Q0141... .................. D Inj magnesum sulfate, 500 mg 0.00 0.00 0.00 0.00 XXX N
Q0142... .................. D Sup thallous chloride tl 201 0.00 0.00 0.00 0.00 XXX N
Q0143... .................. D Sup technetium tc sestamibi. 0.00 0.00 0.00 0.00 XXX 0
Q9920... .................. E Epoetin with hct <= 20...... 0.00 0.00 0.00 0.00 XXX 0
Q9921... .................. E Epoetin with hct = 21....... 0.00 0.00 0.00 0.00 XXX 0
Q9922... .................. E Epoetin with hct = 22....... 0.00 0.00 0.00 0.00 XXX 0
Q9923... .................. E Epoetin with hct = 23....... 0.00 0.00 0.00 0.00 XXX 0
Q9924... .................. E Epoetin with hct = 24....... 0.00 0.00 0.00 0.00 XXX 0
Q9925... .................. E Epoetin with hct = 25....... 0.00 0.00 0.00 0.00 XXX 0
Q9926... .................. E Epoetin with hct = 26....... 0.00 0.00 0.00 0.00 XXX 0
Q9927... .................. E Epoetin with hct = 27....... 0.00 0.00 0.00 0.00 XXX 0
Q9928... .................. E Epoetin with hct = 28....... 0.00 0.00 0.00 0.00 XXX 0
Q9929... .................. E Epoetin with hct = 29....... 0.00 0.00 0.00 0.00 XXX 0
Q9930... .................. E Epoetin with hct = 30....... 0.00 0.00 0.00 0.00 XXX 0
Q9931... .................. E Epoetin with hct = 31....... 0.00 0.00 0.00 0.00 XXX 0
Q9932... .................. E Epoetin with hct = 32....... 0.00 0.00 0.00 0.00 XXX 0
Q9933... .................. E Epoetin with hct = 33....... 0.00 0.00 0.00 0.00 XXX 0
Q9934... .................. E Epoetin with hct = 34....... 0.00 0.00 0.00 0.00 XXX 0
Q9935... .................. E Epoetin with hct = 35....... 0.00 0.00 0.00 0.00 XXX 0
Q9936... .................. E Epoetin with hct = 36....... 0.00 0.00 0.00 0.00 XXX 0
Q9937... .................. E Epoetin with hct = 37....... 0.00 0.00 0.00 0.00 XXX 0
Q9938... .................. E Epoetin with hct = 38....... 0.00 0.00 0.00 0.00 XXX 0
Q9939... .................. E Epoetin with hct = 39....... 0.00 0.00 0.00 0.00 XXX 0
Q9940... .................. E Epoetin with hct >= 40...... 0.00 0.00 0.00 0.00 XXX 0
R0070... .................. C Transport portable x-ray.... 0.00 0.00 0.00 0.00 XXX N
R0075... .................. C Transport port x-ray multipl 0.00 0.00 0.00 0.00 XXX N
R0076... .................. C Transport portable EKG...... 0.00 0.00 0.00 0.00 XXX N
V2020... .................. X Vision svcs frames purchases 0.00 0.00 0.00 0.00 XXX 0
V2025... .................. N Eyeglasses delux frames..... 0.00 0.00 0.00 0.00 XXX 0
V2100... .................. X Lens spher single plano 4.00 0.00 0.00 0.00 0.00 XXX 0
V2101... .................. X Single visn sphere 4.12-7.00 0.00 0.00 0.00 0.00 XXX 0
V2102... .................. X Singl visn sphere 7.12-20.00 0.00 0.00 0.00 0.00 XXX 0
V2103... .................. X Spherocylindr 4.00d/12-2.00d 0.00 0.00 0.00 0.00 XXX 0
V2104... .................. X Spherocylindr 4.00d/2.12-4d. 0.00 0.00 0.00 0.00 XXX 0
V2105... .................. X Spherocylinder 4.00d/4.25-6d 0.00 0.00 0.00 0.00 XXX 0
V2106... .................. X Spherocylinder 4.00d/>6.00d. 0.00 0.00 0.00 0.00 XXX 0
[[Page 63345]]
V2107... .................. X Spherocylinder 4.25d/12-2d.. 0.00 0.00 0.00 0.00 XXX 0
V2108... .................. X Spherocylinder 4.25d/2.12-4d 0.00 0.00 0.00 0.00 XXX 0
V2109... .................. X Spherocylinder 4.25d/4.25-6d 0.00 0.00 0.00 0.00 XXX 0
V2110... .................. X Spherocylinder 4.25d/over 6d 0.00 0.00 0.00 0.00 XXX 0
V2111... .................. X Spherocylindr 7.25d/.25-2.25 0.00 0.00 0.00 0.00 XXX 0
V2112... .................. X Spherocylindr 7.25d/2.25-4d. 0.00 0.00 0.00 0.00 XXX 0
V2113... .................. X Spherocylindr 7.25d/4.25-6d. 0.00 0.00 0.00 0.00 XXX 0
V2114... .................. X Spherocylinder over 12.00d.. 0.00 0.00 0.00 0.00 XXX 0
V2115... .................. X Lens lenticular bifocal..... 0.00 0.00 0.00 0.00 XXX 0
V2116... .................. X Nonaspheric lens bifocal.... 0.00 0.00 0.00 0.00 XXX 0
V2117... .................. X Aspheric lens bifocal....... 0.00 0.00 0.00 0.00 XXX 0
V2118... .................. X Lens aniseikonic single..... 0.00 0.00 0.00 0.00 XXX 0
V2199... .................. X Lens single vision not oth c 0.00 0.00 0.00 0.00 XXX 0
V2200... .................. X Lens spher bifoc plano 4.00d 0.00 0.00 0.00 0.00 XXX 0
V2201... .................. X Lens sphere bifocal 4.12-7.0 0.00 0.00 0.00 0.00 XXX 0
V2202... .................. X Lens sphere bifocal 7.12-20. 0.00 0.00 0.00 0.00 XXX 0
V2203... .................. X Lens sphcyl bifocal 4.00d/.1 0.00 0.00 0.00 0.00 XXX 0
V2204... .................. X Lens sphcy bifocal 4.00d/2.1 0.00 0.00 0.00 0.00 XXX 0
V2205... .................. X Lens sphcy bifocal 4.00d/4.2 0.00 0.00 0.00 0.00 XXX 0
V2206... .................. X Lens sphcy bifocal 4.00d/ove 0.00 0.00 0.00 0.00 XXX 0
V2207... .................. X Lens sphcy bifocal 4.25-7d/. 0.00 0.00 0.00 0.00 XXX 0
V2208... .................. X Lens sphcy bifocal 4.25-7/2. 0.00 0.00 0.00 0.00 XXX 0
V2209... .................. X Lens sphcy bifocal 4.25-7/4. 0.00 0.00 0.00 0.00 XXX 0
V2210... .................. X Lens sphcy bifocal 4.25-7/ov 0.00 0.00 0.00 0.00 XXX 0
V2211... .................. X Lens sphcy bifo 7.25-12/.25- 0.00 0.00 0.00 0.00 XXX 0
V2212... .................. X Lens sphcyl bifo 7.25-12/2.2 0.00 0.00 0.00 0.00 XXX 0
V2213... .................. X Lens sphcyl bifo 7.25-12/4.2 0.00 0.00 0.00 0.00 XXX 0
V2214... .................. X Lens sphcyl bifocal over 12. 0.00 0.00 0.00 0.00 XXX 0
V2215... .................. X Lens lenticular bifocal..... 0.00 0.00 0.00 0.00 XXX 0
V2216... .................. X Lens lenticular nonaspheric. 0.00 0.00 0.00 0.00 XXX 0
V2217... .................. X Lens lenticular aspheric bif 0.00 0.00 0.00 0.00 XXX 0
V2218... .................. X Lens aniseikonic bifocal.... 0.00 0.00 0.00 0.00 XXX 0
V2219... .................. X Lens bifocal seg width over. 0.00 0.00 0.00 0.00 XXX 0
V2220... .................. X Lens bifocal add over 3.25d. 0.00 0.00 0.00 0.00 XXX 0
V2299... .................. X Lens bifocal speciality..... 0.00 0.00 0.00 0.00 XXX 0
V2300... .................. X Lens sphere trifocal 4.00d.. 0.00 0.00 0.00 0.00 XXX 0
V2301... .................. X Lens sphere trifocal 4.12-7. 0.00 0.00 0.00 0.00 XXX 0
V2302... .................. X Lens sphere trifocal 7.12-20 0.00 0.00 0.00 0.00 XXX 0
V2303... .................. X Lens sphcy trifocal 4.0/.12- 0.00 0.00 0.00 0.00 XXX 0
V2304... .................. X Lens sphcy trifocal 4.0/2.25 0.00 0.00 0.00 0.00 XXX 0
V2305... .................. X Lens sphcy trifocal 4.0/4.25 0.00 0.00 0.00 0.00 XXX 0
V2306... .................. X Lens sphcyl trifocal 4.00/>6 0.00 0.00 0.00 0.00 XXX 0
V2307... .................. X Lens sphcy trifocal 4.25-7/. 0.00 0.00 0.00 0.00 XXX 0
V2308... .................. X Lens sphc trifocal 4.25-7/2. 0.00 0.00 0.00 0.00 XXX 0
V2309... .................. X Lens sphc trifocal 4.25-7/4. 0.00 0.00 0.00 0.00 XXX 0
V2310... .................. X Lens sphc trifocal 4.25-7/>6 0.00 0.00 0.00 0.00 XXX 0
V2311... .................. X Lens sphc trifo 7.25-12/.25- 0.00 0.00 0.00 0.00 XXX 0
V2312... .................. X Lens sphc trifo 7.25-12/2.25 0.00 0.00 0.00 0.00 XXX 0
V2313... .................. X Lens sphc trifo 7.25-12/4.25 0.00 0.00 0.00 0.00 XXX 0
V2314... .................. X Lens sphcyl trifocal over 12 0.00 0.00 0.00 0.00 XXX 0
V2315... .................. X Lens lenticular trifocal.... 0.00 0.00 0.00 0.00 XXX 0
V2316... .................. X Lens lenticular nonaspheric. 0.00 0.00 0.00 0.00 XXX 0
V2317... .................. X Lens lenticular aspheric tri 0.00 0.00 0.00 0.00 XXX 0
V2318... .................. X Lens aniseikonic trifocal... 0.00 0.00 0.00 0.00 XXX 0
V2319... .................. X Lens trifocal seg width > 28 0.00 0.00 0.00 0.00 XXX 0
V2320... .................. X Lens trifocal add over 3.25d 0.00 0.00 0.00 0.00 XXX 0
V2399... .................. X Lens trifocal speciality.... 0.00 0.00 0.00 0.00 XXX 0
V2410... .................. X Lens variab asphericity sing 0.00 0.00 0.00 0.00 XXX 0
V2430... .................. X Lens variable asphericity bi 0.00 0.00 0.00 0.00 XXX 0
V2499... .................. X Variable asphericity lens... 0.00 0.00 0.00 0.00 XXX 0
V2500... .................. X Contact lens pmma spherical. 0.00 0.00 0.00 0.00 XXX 0
V2501... .................. X Cntct lens pmma-toric/prism. 0.00 0.00 0.00 0.00 XXX 0
V2502... .................. X Contact lens pmma bifocal... 0.00 0.00 0.00 0.00 XXX 0
V2503... .................. X Cntct lens pmma color vision 0.00 0.00 0.00 0.00 XXX 0
V2510... .................. X Cntct gas permeable sphericl 0.00 0.00 0.00 0.00 XXX 0
V2511... .................. X Cntct toric prism ballast... 0.00 0.00 0.00 0.00 XXX 0
[[Page 63346]]
V2512... .................. X Cntct lens gas permbl bifocl 0.00 0.00 0.00 0.00 XXX 0
V2513... .................. X Contact lens extended wear.. 0.00 0.00 0.00 0.00 XXX 0
V2520... .................. P Contact lens hydrophilic.... 0.00 0.00 0.00 0.00 XXX 0
V2521... .................. X Cntct lens hydrophilic toric 0.00 0.00 0.00 0.00 XXX 0
V2522... .................. X Cntct lens hydrophil bifocl. 0.00 0.00 0.00 0.00 XXX 0
V2523... .................. X Cntct lens hydrophil extend. 0.00 0.00 0.00 0.00 XXX 0
V2530... .................. X Contact lens gas impermeable 0.00 0.00 0.00 0.00 XXX 0
V2531... .................. X Contact lens gas permeable.. 0.00 0.00 0.00 0.00 XXX 0
V2599... .................. X Contact lens/es other type.. 0.00 0.00 0.00 0.00 XXX 0
V2600... .................. X Hand held low vision aids... 0.00 0.00 0.00 0.00 XXX 0
V2610... .................. X Single lens spectacle mount. 0.00 0.00 0.00 0.00 XXX 0
V2615... .................. X Telescop/othr compound lens. 0.00 0.00 0.00 0.00 XXX 0
V2623... .................. X Plastic eye prosth custom... 0.00 0.00 0.00 0.00 XXX 0
V2624... .................. X Polishing artifical eye..... 0.00 0.00 0.00 0.00 XXX 0
V2625... .................. X Enlargemnt of eye prosthesis 0.00 0.00 0.00 0.00 XXX 0
V2626... .................. X Reduction of eye prosthesis. 0.00 0.00 0.00 0.00 XXX 0
V2627... .................. X Scleral cover shell......... 0.00 0.00 0.00 0.00 XXX 0
V2628... .................. X Fabrication & fitting....... 0.00 0.00 0.00 0.00 XXX 0
V2629... .................. X Prosthetic eye other type... 0.00 0.00 0.00 0.00 XXX 0
V2630... .................. X Anter chamber intraocul lens 0.00 0.00 0.00 0.00 XXX 0
V2631... .................. X Iris support intraoclr lens. 0.00 0.00 0.00 0.00 XXX 0
V2632... .................. X Post chmbr intraocular lens. 0.00 0.00 0.00 0.00 XXX 0
V2700... .................. X Balance lens................ 0.00 0.00 0.00 0.00 XXX 0
V2710... .................. X Glass/plastic slab off prism 0.00 0.00 0.00 0.00 XXX 0
V2715... .................. X Prism lens/es............... 0.00 0.00 0.00 0.00 XXX 0
V2718... .................. X Fresnell prism press-on lens 0.00 0.00 0.00 0.00 XXX 0
V2730... .................. X Special base curve.......... 0.00 0.00 0.00 0.00 XXX 0
V2740... .................. X Rose tint plastic........... 0.00 0.00 0.00 0.00 XXX 0
V2741... .................. X Non-rose tint plastic....... 0.00 0.00 0.00 0.00 XXX 0
V2742... .................. X Rose tint glass............. 0.00 0.00 0.00 0.00 XXX 0
V2743... .................. X Non-rose tint glass......... 0.00 0.00 0.00 0.00 XXX 0
V2744... .................. X Tint photochromatic lens/es. 0.00 0.00 0.00 0.00 XXX 0
V2750... .................. X Anti-reflective coating..... 0.00 0.00 0.00 0.00 XXX 0
V2755... .................. X UV lens/es.................. 0.00 0.00 0.00 0.00 XXX 0
V2760... .................. X Scratch resistant coating... 0.00 0.00 0.00 0.00 XXX 0
V2770... .................. X Occluder lens/es............ 0.00 0.00 0.00 0.00 XXX 0
V2780... .................. X Oversize lens/es............ 0.00 0.00 0.00 0.00 XXX 0
V2781... .................. X Progressive lens per lens... 0.00 0.00 0.00 0.00 XXX 0
V2785... .................. X Corneal tissue processing... 0.00 0.00 0.00 0.00 XXX 0
V2799... .................. X Miscellaneous vision service 0.00 0.00 0.00 0.00 XXX 0
V5008... .................. N Hearing screening........... 0.00 0.00 0.00 0.00 XXX 0
V5010... .................. N Assessment for hearing aid.. 0.00 0.00 0.00 0.00 XXX 0
V5011... .................. N Hearing aid fitting/checking 0.00 0.00 0.00 0.00 XXX 0
V5014... .................. N Hearing aid repair/modifying 0.00 0.00 0.00 0.00 XXX 0
V5020... .................. N Conformity evaluation....... 0.00 0.00 0.00 0.00 XXX 0
V5030... .................. N Body-worn hearing aid air... 0.00 0.00 0.00 0.00 XXX 0
V5040... .................. N Body-worn hearing aid bone.. 0.00 0.00 0.00 0.00 XXX 0
V5050... .................. N Body-worn hearing aid in ear 0.00 0.00 0.00 0.00 XXX 0
V5060... .................. N Behind ear hearing aid...... 0.00 0.00 0.00 0.00 XXX 0
V5070... .................. N Glasses air conduction...... 0.00 0.00 0.00 0.00 XXX 0
V5080... .................. N Glasses bone conduction..... 0.00 0.00 0.00 0.00 XXX 0
V5090... .................. N Hearing aid dispensing fee.. 0.00 0.00 0.00 0.00 XXX 0
V5100... .................. N Body-worn bilat hearing aid. 0.00 0.00 0.00 0.00 XXX 0
V5110... .................. N Hearing aid dispensing fee.. 0.00 0.00 0.00 0.00 XXX 0
V5120... .................. N Body-worn binaur hearing aid 0.00 0.00 0.00 0.00 XXX 0
V5130... .................. N In ear binaural hearing aid. 0.00 0.00 0.00 0.00 XXX 0
V5140... .................. N Behind ear binaur hearing 0.00 0.00 0.00 0.00 XXX 0
aid.
V5150... .................. N Glasses binaural hearing aid 0.00 0.00 0.00 0.00 XXX 0
V5160... .................. N Dispensing fee binaural..... 0.00 0.00 0.00 0.00 XXX 0
V5170... .................. N Within ear cros hearing aid. 0.00 0.00 0.00 0.00 XXX 0
V5180... .................. N Behind ear cros hearing aid. 0.00 0.00 0.00 0.00 XXX 0
V5190... .................. N Glasses cros hearing aid.... 0.00 0.00 0.00 0.00 XXX 0
V5200... .................. N Cros hearing aid dispens fee 0.00 0.00 0.00 0.00 XXX 0
V5210... .................. N In ear bicros hearing aid... 0.00 0.00 0.00 0.00 XXX 0
V5220... .................. N Behind ear bicros hearing 0.00 0.00 0.00 0.00 XXX 0
aid.
V5230... .................. N Glasses bicros hearing aid.. 0.00 0.00 0.00 0.00 XXX 0
[[Page 63347]]
V5240... .................. N Dispensing fee bicros....... 0.00 0.00 0.00 0.00 XXX 0
V5299... .................. R Hearing service............. 0.00 0.00 0.00 0.00 XXX N
V5336... .................. N Repair communication device. 0.00 0.00 0.00 0.00 XXX 0
V5362... .................. R Speech screening............ 0.00 0.00 0.00 0.00 XXX N
V5363... .................. R Language screening.......... 0.00 0.00 0.00 0.00 XXX N
V5364... .................. R Dysphagia screening......... 0.00 0.00 0.00 0.00 XXX N
--------------------------------------------------------------------------------------------------------------------------------------------------------
Addendum C--Codes With Interim Relative Value Units
Addendum C lists the codes for which interim RVUs have been
established. Because these RVUs are interim, public comments on
these codes will be considered if they are received by 5 p.m.,
February 6, 1996. Any revisions to the interim RVUs will be
announced in a document to be published in 1996 that provides our
analysis of and responses to public comments. These revisions will
apply to services furnished beginning January 1, 1997.
Addendum C contains the following information:
1. CPT/HCPCS code. This is either a CPT or alphanumeric HCPCS
code for the service in question. CPT codes are listed first,
followed by alphanumeric HCPCS codes.
2. Modifier. A modifier is shown if there is TC (modifier TC)
and a PC (modifier -26) for the service. If there is a PC and a TC
for the service, Addendum C 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 PCs and
the TCs of the service.
3. Status indicator. This indicator shows whether the CPT/HCPCS
code is in the fee schedule and whether it is separately payable if
the service is covered. See Addendum B for a description of the
status indicators.
4. Description of the code. This is an abbreviated version of
the narrative description of the code.
5. Physician work RVUs. These are the interim RVUs for the
physician work for this service.
6. Practice expense RVUs. These are the interim RVUs for the
practice expense for the service.
7. Malpractice expense RVUs. These are the interim RVUs for the
malpractice expense for the service.
8. Total RVUs. This is the sum of the work, practice expense,
and malpractice expense RVUs.
9. Global period. This indicator shows the number of days in the
global period for the code (0, 10, or 90 days). See Addendum B for
explanations of the alpha codes.
10. Update. This column indicates whether the update for
surgical procedures, primary care services, or other nonsurgical
services applies to the CPT/HCPCS code in column 1. A ``0'' appears
in this field for codes that are deleted in 1996 or are not paid
under the physician fee schedule. A ``P'' in this column indicates
that the update and CF for primary care services applies to this
code. An ``N'' in this column indicates that the update and CF for
other nonsurgical services applies to this code. An ``S'' in this
column indicates that the separate update and CF for surgical
procedures applies.
Addendum C.--Codes With Interim RVUs
--------------------------------------------------------------------------------------------------------------------------------------------------------
Physician Practice
CPT/ MOD Status Description work RVUs expense Malpractice Total Global Update
HCPCS \2\ RVUs \3\ RVUs period
---\1\--------------------------------------------------------------------------------------------------------------------------------------------------
17110... .................. A Destruction of skin lesions. 0.55 0.40 0.03 0.98 010 S
20100... .................. A Explore wound, neck......... 9.50 4.97 1.16 15.63 010 S
20101... .................. A Explore wound, chest........ 3.00 1.57 0.37 4.94 010 S
20102... .................. A Explore wound, abdomen...... 3.68 1.92 0.45 6.05 010 S
20103... .................. A Explore wound, extremity.... 4.95 2.59 0.60 8.14 010 S
20930... .................. B Spinal bone allograft....... 0.00 0.00 0.00 0.00 XXX 0
20931... .................. A Spinal bone allograft....... 1.81 1.73 0.28 3.82 ZZZ S
20936... .................. B Spinal bone autograft....... 0.00 0.00 0.00 0.00 XXX 0
20937... .................. A Spinal bone autograft....... 2.79 2.66 0.44 5.89 ZZZ S
20938... .................. A Spinal bone autograft....... 3.02 2.88 0.47 6.37 ZZZ S
21076... .................. A Prepare face/oral prosthesis 12.54 16.77 1.35 30.66 010 S
21077... .................. A Prepare face/oral prosthesis 31.54 42.18 3.39 77.11 090 S
21141... .................. A Reconstruct midface, lefort. 16.92 14.34 1.68 32.94 090 S
21142... .................. A Reconstruct midface, lefort. 17.58 14.84 1.74 34.16 090 S
21143... .................. A Reconstruct midface, lefort. 18.30 15.40 1.81 35.51 090 S
21145... .................. A Reconstruct midface, lefort. 18.92 14.34 1.68 34.94 090 S
21146... .................. A Reconstruct midface, lefort. 19.58 14.84 1.74 36.16 090 S
21147... .................. A Reconstruct midface, lefort. 20.30 15.40 1.81 37.51 090 S
22100... .................. A Remove part of neck vertebra 9.05 7.64 1.09 17.78 090 S
22101... .................. A Remove part, thorax vertebra 9.00 8.01 1.38 18.39 090 S
22102... .................. A Remove part, lumbar vertebra 9.00 4.50 0.67 14.17 090 S
22103... .................. A Remove extra spine segment.. 2.34 2.23 0.37 4.94 ZZZ S
22110... .................. A Remove part of neck vertebra 11.59 9.72 1.64 22.95 090 S
22112... .................. A Remove part, thorax vertebra 11.59 9.90 1.63 23.12 090 S
22114... .................. A Remove part, lumbar vertebra 11.59 7.25 1.17 20.01 090 S
[[Page 63348]]
22116... .................. A Remove extra spine segment.. 2.32 2.21 0.36 4.89 ZZZ S
22210... .................. A Revision of neck spine...... 22.51 13.83 2.43 38.77 090 S
22212... .................. A Revision of thorax spine.... 18.14 17.29 2.83 38.26 090 S
22214... .................. A Revision of lumbar spine.... 18.14 15.11 2.68 35.93 090 S
22216... .................. A Revise, extra spine segment. 6.04 5.07 0.89 12.00 ZZZ S
22220... .................. A Revision of neck spine...... 20.15 16.64 2.63 39.42 090 S
22222... .................. A Revision of thorax spine.... 20.15 13.61 1.58 35.34 090 S
22224... .................. A Revision of lumbar spine.... 20.15 14.68 2.66 37.49 090 S
22226... .................. A Revise, extra spine segment. 6.04 5.07 0.89 12.00 ZZZ S
22305... .................. A Treat spine process fracture 1.86 *2.38 0.37 4.61 090 S
22310... .................. A Treat spine fracture........ 1.86 *2.52 0.69 5.07 090 S
22315... .................. A Treat spine fracture........ 8.36 5.51 0.86 14.73 090 S
22325... .................. A Repair of spine fracture.... 17.19 8.32 1.34 26.85 090 S
22326... .................. A Repair neck spine fracture.. 18.43 15.93 2.74 37.10 090 S
22327... .................. A Repair thorax spine fracture 17.56 15.95 2.35 35.86 090 S
22328... .................. A Repair each add spine fx.... 4.61 4.40 0.72 9.73 ZZZ S
22548... .................. A Neck spine fusion........... 24.08 22.74 3.82 50.64 090 S
22554... .................. A Neck spine fusion........... 17.24 19.81 3.52 40.57 090 S
22556... .................. A Thorax spine fusion......... 22.27 21.68 3.58 47.53 090 S
22558... .................. A Lumbar spine fusion......... 21.22 20.17 3.38 44.77 090 S
22585... .................. A Additional spinal fusion.... 5.53 5.40 0.93 11.86 ZZZ S
22590... .................. A Spine & skull spinal fusion. 19.50 21.57 3.44 44.51 090 S
22595... .................. A Neck spinal fusion.......... 18.19 22.46 3.87 44.52 090 S
22600... .................. A Neck spine fusion........... 14.74 19.36 3.32 37.42 090 S
22610... .................. A Thorax spine fusion......... 14.62 17.87 2.75 35.24 090 S
22612... .................. A Lumbar spine fusion......... 20.19 20.60 3.33 44.12 090 S
22614... .................. A Spine fusion, extra segment. 6.44 5.65 0.92 13.01 ZZZ S
22630... .................. A Lumbar spine fusion......... 20.03 18.44 3.15 41.62 090 S
22632... .................. A Spine fusion, extra segment. 5.23 4.99 0.82 11.04 ZZZ S
22800... .................. A Fusion of spine............. 16.92 *21.66 3.58 42.16 090 S
22802... .................. A Fusion of spine............. 29.74 28.32 4.61 62.67 090 S
22804... .................. A Fusion of spine............. 35.00 28.32 4.61 67.93 090 S
22808... .................. A Fusion of spine............. 25.00 18.41 3.15 46.56 090 S
22810... .................. A Fusion of spine............. 29.00 18.41 3.15 50.56 090 S
22812... .................. A Fusion of spine............. 31.00 25.93 4.24 61.17 090 S
22830... .................. A Exploration of spinal fusion 10.22 *13.07 2.18 25.47 090 S
22840... .................. A Insert spine fixation device 6.27 5.98 0.98 13.23 ZZZ S
22841... .................. B Insert spine fixation device 0.00 0.00 0.00 0.00 XXX 0
22842... .................. A Insert spine fixation device 7.19 6.86 1.12 15.17 ZZZ S
22843... .................. A Insert spine fixation device 8.97 8.55 1.40 18.92 ZZZ S
22844... .................. A Insert spine fixation device 10.96 10.45 1.71 23.12 ZZZ S
22845... .................. A Insert spine fixation device 5.98 5.70 0.93 12.61 ZZZ S
22846... .................. A Insert spine fixation device 8.28 7.90 1.29 17.47 ZZZ S
22847... .................. A Insert spine fixation device 9.20 8.77 1.44 19.41 ZZZ S
22848... .................. A Insert pelvic fixation 6.00 5.72 0.94 12.66 ZZZ S
device.
22851... .................. A Apply spine prosth device... 6.71 6.40 1.05 14.16 ZZZ S
32095... .................. A Biopsy through chest wall... 7.13 8.25 1.45 16.83 090 S
32501... .................. A Repair bronchus (add-on).... 4.69 4.31 0.70 9.70 ZZZ S
33253... .................. A Reconstruct atria........... 30.00 21.81 4.26 56.07 090 S
33924... .................. A Remove pulmonary shunt...... 5.50 4.00 0.78 10.28 ZZZ S
38231... .................. A Stem cell collection........ 1.50 1.37 0.08 2.95 000 N
38240... .................. A Bone marrow/stem transplant. 2.24 2.08 0.14 4.46 XXX N
38241... .................. A Bone marrow/stem transplant. 2.24 2.04 0.13 4.41 XXX N
47350... .................. A Repair liver wound.......... 11.29 7.46 1.49 20.24 090 S
47360... .................. A Repair liver wound.......... 15.34 10.93 2.18 28.45 090 S
47361... .................. A Repair liver wound.......... 28.00 14.64 3.41 46.05 090 S
47362... .................. A Repair liver wound.......... 10.00 5.23 1.22 16.45 090 S
49000... .................. A Exploration of abdomen...... 8.99 6.79 1.40 17.18 090 S
49002... .................. A Reopening of abdomen........ 9.40 6.05 1.21 16.66 090 S
49010... .................. A Exploration behind abdomen.. 11.19 6.95 1.31 19.45 090 S
55859... .................. A Percut/needle insert, pros.. 8.29 5.89 0.58 14.76 090 S
56343... .................. A Laparoscopic salpingostomy.. 6.96 5.28 1.11 13.35 090 S
56344... .................. A Laparoscopic fimbrioplasty.. 7.16 5.11 1.19 13.46 090 S
57284... .................. A Repair paravaginal defect... 12.10 8.59 0.84 21.53 090 S
59610... .................. A Vbac delivery............... 22.55 14.99 3.47 41.01 MMM S
59612... .................. A Vbac delivery only.......... 14.84 9.48 2.20 26.52 MMM S
[[Page 63349]]
59614... .................. A Vbac care after delivery.... 15.96 10.31 2.39 28.66 MMM S
59618... .................. A Attempted vbac delivery..... 25.23 16.90 3.92 46.05 MMM S
59620... .................. A Attempted vbac delivery only 16.95 10.99 2.55 30.49 MMM S
59622... .................. A Attempted vbac after care... 18.11 11.82 2.73 32.66 MMM S
62274... .................. A Inject spinal anesthetic.... 1.78 0.74 0.17 2.69 000 N
62288... .................. A Injection into spinal canal. 1.74 1.12 0.24 3.10 000 N
62350... .................. A Implant spinal catheter..... 6.25 3.49 1.02 10.76 090 S
62351... .................. A Implant spinal catheter..... 9.25 5.16 1.50 15.91 090 S
62355... .................. A Remove spinal canal catheter 4.80 3.49 0.68 8.97 090 S
62360... .................. A Insert spine infusion device 2.00 1.12 0.33 3.45 090 S
62361... .................. A Implant spine infusion pump. 4.80 2.68 0.78 8.26 090 S
62362... .................. A Implant spine infusion pump. 6.29 3.51 1.02 10.82 090 S
62365... .................. A Remove spine infusion device 4.77 3.47 0.68 8.92 090 S
62367... 26 A Analyze spine infusion pump. 0.48 0.35 0.07 0.90 XXX N
62368... 26 A Analyze spine infusion pump. 0.75 0.55 0.11 1.41 XXX N
67107... .................. A Repair detached retina...... 13.99 *17.91 1.10 33.00 090 S
67108... .................. A Repair detached retina...... 19.90 *25.47 1.76 47.13 090 S
67112... .................. A Re-repair detached retina... 16.15 16.51 0.86 33.52 090 S
76965... 26 A Echo guidance radiotherapy.. 1.34 2.07 0.19 3.60 XXX N
78459... 26 G Heart muscle imaging (PET).. #1.88 1.34 0.10 3.32 XXX 0
78810... 26 N Tumor imaging (PET)......... #1.93 1.37 0.10 3.40 XXX 0
92506... .................. A Speech & hearing evaluation. 0.86 0.52 0.05 1.43 XXX N
92507... .................. A Speech/hearing therapy...... 0.52 0.33 0.03 0.88 XXX N
92508... .................. A Speech/hearing therapy...... 0.26 0.18 0.02 0.46 XXX N
92510... .................. A Rehab for ear implant....... 1.50 1.36 0.15 3.01 XXX N
92516... .................. A Facial nerve function test.. 0.43 0.39 0.04 0.86 XXX N
92525... .................. A Oral function evaluation.... 1.13 1.02 0.11 2.26 XXX N
92526... .................. A Oral function therapy....... 0.52 0.47 0.05 1.04 XXX N
92546... 26 A Sinusoidal rotational test.. 0.29 0.30 0.03 0.62 XXX N
92579... .................. A Visual audiometry (vra)..... 0.00 0.69 0.07 0.76 XXX N
92597... .................. A Oral speech device eval..... 1.11 1.01 0.11 2.23 XXX N
92598... .................. A Modify oral speech device... 0.73 0.66 0.07 1.46 XXX N
92987... .................. A Revision of mitral valve.... 20.69 12.20 0.91 33.80 090 N
95872... 26 A Muscle test, one fiber...... 1.50 0.68 0.06 2.24 XXX N
95900... 26 A Motor nerve conduction test. 0.42 0.35 0.03 0.80 XXX N
95903... 26 A Motor nerve conduction test. 0.60 0.35 0.03 0.98 XXX N
95904... 26 A Sense nerve conduction test. 0.34 0.34 0.03 0.71 XXX N
95925... 26 A Somatosensory testing....... 0.54 0.64 0.05 1.23 XXX N
95926... 26 A Somatosensory testing....... 0.54 0.64 0.05 1.23 XXX N
95927... 26 A Somatosensory testing....... 0.54 0.64 0.05 1.23 XXX N
95930... 26 A Visual evoked potential test 0.35 0.58 0.04 0.97 XXX N
95934... 26 A `H' reflex test............. 0.51 0.34 0.03 0.88 XXX N
95936... 26 A `H' reflex test............. 0.55 0.34 0.03 0.92 XXX N
97010... .................. A Hot or cold packs therapy... 0.11 0.21 0.02 0.34 XXX N
97012... .................. A Mechanical traction therapy. 0.25 0.19 0.02 0.46 XXX N
97014... .................. A Electric stimulation therapy 0.18 0.20 0.02 0.40 XXX N
97016... .................. A Vasopneumatic device therapy 0.18 0.25 0.02 0.45 XXX N
97018... .................. A Paraffin bath therapy....... 0.11 0.24 0.03 0.38 XXX N
97020... .................. A Microwave therapy........... 0.11 0.20 0.02 0.33 XXX N
97022... .................. A Whirlpool therapy........... 0.25 0.19 0.02 0.46 XXX N
97024... .................. A Diathermy treatment......... 0.11 0.21 0.02 0.34 XXX N
97026... .................. A Infrared therapy............ 0.11 0.19 0.02 0.32 XXX N
97028... .................. A Ultraviolet therapy......... 0.20 0.19 0.01 0.40 XXX N
97032... .................. A Electrical stimulation...... 0.25 0.14 0.01 0.40 XXX N
97033... .................. A Electric current therapy.... 0.26 0.14 0.02 0.42 XXX N
97034... .................. A Contrast bath therapy....... 0.21 0.10 0.01 0.32 XXX N
97035... .................. A Ultrasound therapy.......... 0.21 0.11 0.01 0.33 XXX N
97036... .................. A Hydrotherapy................ 0.38 0.21 0.02 0.61 XXX N
97039... .................. A Physical therapy treatment.. 0.29 0.24 0.03 0.56 XXX N
97110... .................. A Therapeutic exercises....... 0.45 0.13 0.02 0.60 XXX N
97112... .................. A Neuromuscular reeducation... 0.45 0.13 0.01 0.59 XXX N
97113... .................. A Aquatic therapy/exercises... 0.44 0.20 0.02 0.66 XXX N
97116... .................. A Gait training therapy....... 0.40 0.11 0.01 0.52 XXX N
97122... .................. A Manual traction therapy..... 0.45 0.11 0.01 0.57 XXX N
97124... .................. A Massage therapy............. 0.35 0.11 0.01 0.47 XXX N
97139... .................. A Physical medicine procedure. 0.21 0.16 0.02 0.39 XXX N
[[Page 63350]]
97150... .................. A Group therapeutic procedures 0.27 0.20 0.02 0.49 XXX N
97250... .................. A Myofascial release.......... 0.45 0.35 0.04 0.84 000 N
97260... .................. A Regional manipulation....... 0.19 0.20 0.02 0.41 000 N
97261... .................. A Supplemental manipulations.. 0.12 0.11 0.01 0.24 000 N
97265... .................. A Joint mobilization.......... 0.45 0.35 0.04 0.84 XXX N
97500... .................. A Orthotics training.......... 0.31 0.27 0.04 0.62 XXX N
97501... .................. A Supplemental training....... 0.17 0.15 0.02 0.34 XXX N
97520... .................. A Prosthetic training......... 0.37 0.30 0.04 0.71 XXX N
97521... .................. A Supplemental training....... 0.22 0.17 0.02 0.41 XXX N
97530... .................. A Therapeutic activities...... 0.44 0.17 0.02 0.63 XXX N
97535... .................. A Self care mngment training.. 0.33 0.17 0.02 0.52 XXX N
97537... .................. A Community/work reintegration 0.33 0.17 0.02 0.52 XXX N
97542... .................. A Wheelchair mngement training 0.25 0.17 0.02 0.44 XXX N
97703... .................. A Prosthetic checkout......... 0.25 0.18 0.03 0.46 XXX N
97750... .................. A Physical performance test... 0.45 0.24 0.03 0.72 XXX N
97770... .................. A Cognitive skills development 0.44 0.28 0.03 0.75 XXX N
99238... .................. A Hospital discharge day...... 1.06 0.51 0.04 1.61 XXX N
99239... .................. A Hospital discharge day...... 1.75 0.51 0.04 2.30 XXX N
99435... .................. A Hospital NB discharge day... 1.50 1.55 0.10 3.15 XXX P
G0030... 26 A PET imaging prev PET single. 1.09 0.48 0.07 1.64 XXX N
G0031... 26 A PET imaging prev PET multple 1.46 0.65 0.10 2.21 XXX N
G0032... 26 A PET follow SPECT 78464 singl 1.09 0.48 0.07 1.64 XXX N
G0033... 26 A PET follow SPECT 78464 mult. 1.46 0.65 0.10 2.21 XXX N
G0034... 26 A PET follow SPECT 76865 singl 1.09 0.48 0.07 1.64 XXX N
G0035... 26 A PET follow SPECT 78465 mult. 1.46 0.65 0.10 2.21 XXX N
G0036... 26 A PET follow cornry angio sing 1.09 0.48 0.07 1.64 XXX N
G0037... 26 A PET follow cornry angio mult 1.46 0.65 0.10 2.21 XXX N
G0038... 26 A PET follow myocard perf sing 1.09 0.48 0.07 1.64 XXX N
G0039... 26 A PET follow myocard perf mult 1.46 0.65 0.10 2.21 XXX N
G0040... 26 A PET follow stress echo singl 1.09 0.48 0.07 1.64 XXX N
G0041... 26 A PET follow stress echo mult. 1.46 0.65 0.10 2.21 XXX N
G0042... 26 A PET follow ventriculogm sing 1.09 0.48 0.07 1.64 XXX N
G0043... 26 A PET follow ventriculogm mult 1.46 0.65 0.10 2.21 XXX N
G0044... 26 A PET following rest ECG singl 1.09 0.48 0.07 1.64 XXX N
G0045... 26 A PET following rest ECG mult. 1.46 0.65 0.10 2.21 XXX N
G0046... 26 A PET follow stress ECG singl. 1.09 0.48 0.07 1.64 XXX N
G0047... 26 A PET follow stress ECG mult.. 1.46 0.65 0.10 2.21 XXX N
--------------------------------------------------------------------------------------------------------------------------------------------------------
Addendum D.--1996 Geographic Practice Cost Indices by Medicare Carrier and Locality
----------------------------------------------------------------------------------------------------------------
Carrier Locality Practice
number number Locality name Work expense Malpractice
----------------------------------------------------------------------------------------------------------------
00510.. 05 Birmingham, AL........................................... 0.994 0.912 0.927
00510.. 04 Mobile, AL............................................... 0.975 0.858 0.927
00510.. 02 North Central AL......................................... 0.973 0.850 0.927
00510.. 01 Northwest AL............................................. 0.990 0.873 0.927
00510.. 06 Rest Of AL............................................... 0.964 0.818 0.927
00510.. 03 Southeast AL............................................. 0.970 0.858 0.927
01020.. 01 Alaska................................................... 1.064 1.155 1.617
01030.. 05 Flagstaff, AZ............................................ 0.971 0.936 1.321
01030.. 01 Phoenix, AZ.............................................. 1.004 0.963 1.321
01030.. 07 Prescott, AZ............................................. 0.971 0.912 1.321
01030.. 99 Rest Of AZ............................................... 0.989 0.948 1.321
01030.. 02 Tucson, AZ............................................... 0.978 0.942 1.321
01030.. 08 Yuma, AZ................................................. 0.984 0.925 1.321
00520.. 13 Arkansas................................................. 0.954 0.853 0.427
02050.. 26 Anaheim/Santa Ana, CA.................................... 1.037 1.205 0.752
00542.. 14 Bakersfield, CA.......................................... 1.023 0.992 0.686
00542.. 11 Fresno/Madera, CA........................................ 1.000 0.977 0.596
00542.. 13 Kings/Tulare, CA......................................... 0.987 0.954 0.596
02050.. 18 Los Angeles (1st Of 8)................................... 1.056 1.207 0.752
02050.. 19 Los Angeles (2nd Of 8)................................... 1.056 1.207 0.752
02050.. 20 Los Angeles (3rd Of 8)................................... 1.056 1.207 0.752
02050.. 21 Los Angeles (4th Of 8)................................... 1.056 1.207 0.752
[[Page 63351]]
02050.. 22 Los Angeles (5th Of 8)................................... 1.056 1.207 0.752
02050.. 23 Los Angeles (6th Of 8)................................... 1.056 1.207 0.752
02050.. 24 Los Angeles (7th Of 8)................................... 1.056 1.207 0.752
02050.. 25 Los Angeles (8th Of 8)................................... 1.056 1.207 0.752
00542.. 03 Marin/Napa/Solano, CA.................................... 1.015 1.180 0.596
00542.. 10 Merced/Surr.Cntys, CA.................................... 1.002 0.988 0.596
00542.. 12 Monterey/Santa Cruz, CA.................................. 1.008 1.143 0.596
00542.. 01 N. Coastal Cntys, CA..................................... 1.003 1.090 0.596
00542.. 02 Ne Rural, CA............................................. 0.982 0.953 0.596
00542.. 07 Oakland/Berkeley, CA..................................... 1.042 1.215 0.596
00542.. 27 Riverside, CA............................................ 1.011 1.059 0.667
00542.. 04 Sacramento/Surr. Cntys, CA............................... 1.020 1.069 0.596
00542.. 15 San Bernadino/E.Ctrl Cntys............................... 1.015 1.056 0.749
02050.. 28 San Diego/Imperial, CA................................... 1.017 1.077 0.618
00542.. 05 San Francisco, CA........................................ 1.068 1.330 0.596
00542.. 06 San Mateo, CA............................................ 1.049 1.300 0.596
02050.. 16 Santa Barbara, CA........................................ 1.016 1.119 0.686
00542.. 09 Santa Clara, CA.......................................... 1.064 1.289 0.596
00542.. 08 Stockton/Surr. Cntys., CA................................ 1.001 1.041 0.596
02050.. 17 Ventura, CA.............................................. 1.028 1.192 0.686
00824.. 01 Colorado................................................. 0.989 0.951 0.827
10230.. 04 Eastern CT............................................... 1.033 1.132 1.001
10230.. 01 Nw And N. Cntrl CT....................................... 1.049 1.159 1.001
10230.. 03 S. Cntrl CT.............................................. 1.056 1.226 1.001
10230.. 02 Sw CT.................................................... 1.055 1.275 1.001
00570.. 01 Delaware................................................. 1.021 1.032 0.792
00580.. 01 DC+MD/VA Suburbs......................................... 1.051 1.192 0.980
00590.. 03 Fort Lauderdale, FL...................................... 0.998 1.036 1.867
00590.. 04 Miami, FL................................................ 1.016 1.087 2.456
00590.. 02 N/Nc FL Cities........................................... 0.978 0.952 1.417
00590.. 01 Rest Of Florida.......................................... 0.971 0.914 1.417
01040.. 01 Atlanta, GA.............................................. 1.007 1.030 0.902
01040.. 04 Rest Of GA............................................... 0.965 0.856 0.902
01040.. 02 Small GA Cities 02....................................... 0.981 0.917 0.902
01040.. 03 Small GA Cities 03....................................... 0.966 0.884 0.902
01120.. 01 Hawaii/Guam.............................................. 0.999 1.220 0.921
05130.. 12 North Idaho.............................................. 0.957 0.864 0.588
05130.. 11 South Idaho.............................................. 0.963 0.887 0.588
00621.. 10 Champaign-Urbana, IL..................................... 0.952 0.884 1.008
00621.. 16 Chicago, IL.............................................. 1.028 1.080 1.382
00621.. 03 De Kalb, IL.............................................. 0.953 0.873 0.780
00621.. 11 Decatur, IL.............................................. 0.962 0.864 0.880
00621.. 12 East St. Louis, IL....................................... 0.988 0.929 1.202
00621.. 06 Kankakee, IL............................................. 0.959 0.881 0.901
00621.. 08 Normal, IL............................................... 0.969 0.893 0.731
00621.. 01 Northwest, IL............................................ 0.951 0.842 0.731
00621.. 05 Peoria, IL............................................... 0.980 0.906 0.731
00621.. 07 Quincy, IL............................................... 0.946 0.824 0.731
00621.. 04 Rock Island, IL.......................................... 0.972 0.858 0.731
00621.. 02 Rockford, IL............................................. 0.978 0.941 0.813
00621.. 13 Southeast IL............................................. 0.946 0.814 0.731
00621.. 14 Southern IL.............................................. 0.946 0.822 0.822
00621.. 09 Springfield, IL.......................................... 0.981 0.936 0.946
00621.. 15 Suburban Chicago, IL..................................... 1.007 1.093 1.159
00630.. 01 Metropolitan IN.......................................... 0.989 0.937 0.363
00630.. 03 Rest Of IN............................................... 0.973 0.872 0.346
00630.. 02 Urban IN................................................. 0.974 0.896 0.346
00640.. 00 Iowa..................................................... 0.960 0.877 0.679
00740.. 05 Kansas City, Kansas...................................... 0.989 0.949 1.191
00650.. 01 Rest Of Kansas........................................... 0.958 0.877 1.191
00740.. 04 Suburban Kansas City, Kans............................... 0.989 0.949 1.191
00660.. 01 Lexington & Louisville, KY............................... 0.989 0.904 0.819
00660.. 03 Rest Of Kentucky......................................... 0.957 0.821 0.819
00660.. 02 Sm Cities (City Limits), KY.............................. 0.960 0.850 0.819
00528.. 07 Alexandria, LA........................................... 0.958 0.864 0.911
00528.. 03 Baton Rouge, LA.......................................... 0.984 0.894 0.911
00528.. 06 Lafayette, LA............................................ 0.971 0.857 0.911
00528.. 04 Lake Charles, LA......................................... 0.974 0.901 0.911
[[Page 63352]]
00528.. 05 Monroe, LA............................................... 0.958 0.867 0.911
00528.. 01 New Orleans, LA.......................................... 0.999 0.946 0.997
00528.. 50 Rest Of LA............................................... 0.965 0.850 0.913
00528.. 02 Shreveport, LA........................................... 0.971 0.889 0.911
21200.. 02 Central Maine............................................ 0.961 0.929 0.759
21200.. 01 Northern Maine........................................... 0.964 0.920 0.759
21200.. 03 Southern Maine........................................... 0.980 1.034 0.759
00901.. 01 Baltimore/Surr. Cntys, MD................................ 1.021 1.036 1.115
00901.. 03 South & E. Shore MD...................................... 0.985 0.972 0.862
00901.. 02 Western MD............................................... 0.982 0.930 0.862
00700.. 02 MA Suburbs/Rural Cities.................................. 1.015 1.101 0.978
00700.. 01 Urban MA................................................. 1.030 1.167 0.978
00623.. 01 Detroit, MI.............................................. 1.043 1.038 3.051
00623.. 02 Michigan, Not Detroit.................................... 0.998 0.935 1.844
00720.. 00 Minnesota (Blue Shield).................................. 0.990 0.965 0.594
10240.. 00 Minnesota (Travelers).................................... 0.990 0.965 0.594
10250.. 01 Rest Of Mississippi...................................... 0.950 0.813 0.726
10250.. 02 Urban Mississippi........................................ 0.964 0.868 0.726
00740.. 03 K.C. (Jackson Cnty), MO.................................. 0.989 0.949 1.207
00740.. 02 N K.C. (Clay/Platte), MO................................. 0.989 0.949 1.204
11260.. 03 Rest Of MO............................................... 0.944 0.810 1.159
00740.. 06 Rural Nw Counties, MO.................................... 0.950 0.835 1.159
11260.. 02 Sm E. Cities, MO......................................... 0.940 0.809 1.159
00740.. 01 St Joseph, MO............................................ 0.952 0.850 1.159
11260.. 01 St. Louis/Lg E. Cities, MO............................... 0.983 0.921 1.193
00751.. 01 Montana.................................................. 0.952 0.864 0.756
00655.. 00 Nebraska................................................. 0.951 0.872 0.444
01290.. 03 Elko & Ely (Cities), NV.................................. 0.984 0.986 0.887
01290.. 01 Las Vegas, Et Al. (Cities), NV........................... 1.012 1.022 0.887
01290.. 02 Reno, Et Al. (Cities), NV................................ 0.997 1.049 0.887
01290.. 99 Rest Of Nevada........................................... 0.997 1.013 0.887
00780.. 40 New Hampshire............................................ 0.988 1.034 0.916
00860.. 02 Middle NJ................................................ 1.032 1.137 0.762
00860.. 01 Northern NJ.............................................. 1.059 1.215 0.762
00860.. 03 Southern NJ.............................................. 1.024 1.082 0.762
01360.. 05 New Mexico............................................... 0.975 0.903 0.792
00801.. 01 Buffalo/Surr. Cntys, NY.................................. 1.003 0.936 0.821
00803.. 01 Manhattan, NY............................................ 1.095 1.359 1.546
00801.. 03 N. Central Cities, NY.................................... 1.005 0.967 0.821
00803.. 02 Nyc Suburbs/Long I., NY.................................. 1.068 1.235 1.759
00803.. 03 Poughkpsie/N Nyc Suburbs, NY............................. 1.011 1.081 1.218
14330.. 04 Queens, NY............................................... 1.058 1.240 1.686
00801.. 04 Rest Of New York......................................... 0.989 0.937 0.821
00801.. 02 Rochester/Surr. Cntys, NY................................ 1.012 0.992 0.821
05535.. 00 North Carolina........................................... 0.971 0.918 0.435
00820.. 01 North Dakota............................................. 0.951 0.860 0.617
16360.. 00 Ohio..................................................... 0.991 0.940 1.049
01370.. 00 Oklahoma................................................. 0.970 0.882 0.481
01380.. 02 Eugene, et al. (Cities), OR.............................. 0.959 0.938 0.637
01380.. 01 Portland, et al. (Cities), OR............................ 0.997 1.000 0.637
01380.. 99 Rest Of Oregon........................................... 0.962 0.907 0.637
01380.. 03 Salem, et al. (Cities), OR............................... 0.965 0.929 0.637
01380.. 12 Sw Cities (City Limits), OR.............................. 0.967 0.954 0.637
00865.. 02 Lg PA Cities............................................. 1.006 1.002 0.936
00865.. 01 Philly/Pitt Med Shcls/Hosps, PA.......................... 1.027 1.040 1.213
00865.. 04 Rest Of PA............................................... 0.973 0.899 0.719
00865.. 03 Sm PA Cities............................................. 0.983 0.917 0.736
00973.. 20 Puerto Rico.............................................. 0.883 0.739 0.268
00870.. 01 Rhode Island............................................. 1.019 1.074 1.569
00880.. 01 South Carolina........................................... 0.976 0.899 0.361
00820.. 02 South Dakota............................................. 0.936 0.856 0.443
05440.. 35 Tennessee................................................ 0.976 0.899 0.524
00900.. 29 Abilene, TX.............................................. 0.960 0.851 0.827
00900.. 26 Amarillo, TX............................................. 0.975 0.883 0.827
00900.. 31 Austin, TX............................................... 0.987 0.986 0.827
00900.. 20 Beaumont, TX............................................. 0.993 0.893 1.428
00900.. 09 Brazoria, TX............................................. 0.993 0.966 1.428
00900.. 10 Brownsville, TX.......................................... 0.955 0.848 0.827
[[Page 63353]]
00900.. 24 Corpus Christi, TX....................................... 0.983 0.898 0.827
00900.. 11 Dallas, TX............................................... 1.012 1.012 0.893
00900.. 12 Denton, TX............................................... 0.968 0.952 0.827
00900.. 14 El Paso, TX.............................................. 0.973 0.893 0.893
00900.. 28 Fort Worth, TX........................................... 0.989 0.972 0.893
00900.. 15 Galveston, TX............................................ 0.989 0.966 1.428
00900.. 16 Grayson, TX.............................................. 0.959 0.874 0.827
00900.. 18 Houston, TX.............................................. 1.021 1.005 1.428
00900.. 33 Laredo, TX............................................... 0.957 0.851 0.827
00900.. 17 Longview, TX............................................. 0.973 0.863 0.827
00900.. 21 Lubbock, TX.............................................. 0.955 0.894 0.827
00900.. 19 McAllen, TX.............................................. 0.961 0.837 0.827
00900.. 23 Midland, TX.............................................. 0.991 0.900 0.827
00900.. 02 Northeast Rural TX....................................... 0.960 0.857 0.827
00900.. 13 Odessa, TX............................................... 0.991 0.900 0.827
00900.. 25 Orange, TX............................................... 0.993 0.893 0.827
00900.. 30 San Angelo, TX........................................... 0.948 0.844 0.827
00900.. 07 San Antonio, TX.......................................... 0.978 0.926 0.827
00900.. 03 Southeast Rural TX....................................... 0.963 0.872 0.889
00900.. 06 Temple, TX............................................... 0.968 0.884 0.827
00900.. 08 Texarkana, TX............................................ 0.955 0.872 0.827
00900.. 27 Tyler, TX................................................ 0.971 0.894 0.827
00900.. 32 Victoria, TX............................................. 0.983 0.868 0.827
00900.. 22 Waco, TX................................................. 0.966 0.877 0.827
00900.. 04 Western TX............................................... 0.956 0.818 0.827
00900.. 34 Wichita Falls, TX........................................ 0.950 0.857 0.827
00910.. 09 Utah..................................................... 0.978 0.891 0.644
00780.. 50 Vermont.................................................. 0.974 0.988 0.452
00973.. 50 Virgin Islands........................................... 0.966 0.978 1.023
10490.. 04 Rest Of VA............................................... 0.976 0.876 0.504
10490.. 01 Richmond & Charlottesville, VA........................... 1.004 0.991 0.511
10490.. 03 Sm Town/Industrial VA.................................... 0.974 0.897 0.517
10490.. 02 Tidewater & N VA Cntys................................... 0.990 0.965 0.530
01390.. 03 E Cntrl & Ne WA.......................................... 0.985 0.943 0.748
01390.. 02 Seattle (King Cnty), WA.................................. 1.006 1.077 0.748
01390.. 01 W & Se WA (Excl Seattle)................................. 0.982 0.968 0.748
16510.. 16 Charleston, WV........................................... 0.980 0.881 1.004
16510.. 18 Eastern Valley, WV....................................... 0.960 0.899 1.004
16510.. 19 Ohio River Valley, WV.................................... 0.959 0.833 1.004
16510.. 20 Southern Valley, WV...................................... 0.952 0.815 1.004
16510.. 17 Wheeling, WV............................................. 0.957 0.840 1.004
00951.. 13 Central WI............................................... 0.959 0.849 1.160
00951.. 40 Green Bay (Northeast), WI................................ 0.976 0.894 1.160
00951.. 54 Janesville (S Cntrl), WI................................. 0.966 0.895 1.160
00951.. 19 La Crosse (W Cntrl), WI.................................. 0.972 0.879 1.160
00951.. 15 Madison (Dane Cnty), WI.................................. 0.990 1.000 1.160
00951.. 46 Milwaukee Suburbs (Se), WI............................... 0.990 0.959 1.160
00951.. 04 Milwaukee, WI............................................ 1.001 0.978 1.160
00951.. 12 Northwest WI............................................. 0.961 0.850 1.160
00951.. 60 Oshkosh (E Cntrl), WI.................................... 0.973 0.886 1.160
00951.. 14 Southwest WI............................................. 0.959 0.850 1.160
00951.. 36 Wausau (N Cntrl), WI..................................... 0.962 0.866 1.160
00825.. 21 Wyoming.................................................. 0.968 0.881 0.811
----------------------------------------------------------------------------------------------------------------
Addendum E.--Procedure Codes Subject to the Site-of-Service
Differential
------------------------------------------------------------------------
CPT/
HCPCS # Description
------------------------------------------------------------------------
10040.. Acne surgery.
10060.. Drainage of skin abscess.
10061.. Drainage of skin abscess.
10080.. Drainage of pilonidal cyst.
10081.. Drainage of pilonidal cyst.
10120.. Remove foreign body.
10121.. Remove foreign body.
10140.. Drainage of hematoma/fluid.
10160.. Puncture drainage of lesion.
11000.. Surgical cleansing of skin.
11001.. Additional cleansing of skin.
11040.. Surgical cleansing, abrasion.
11041.. Surgical cleansing of skin.
* 11042 Cleansing of skin/tissue.
11050.. Trim skin lesion.
[[Page 63354]]
11051.. Trim 2 to 4 skin lesions.
11052.. Trim over 4 skin lesions.
11100.. Biopsy of skin lesion.
11101.. Biopsy, each added lesion.
11200.. Removal of skin tags.
11201.. Removal of added skin tags.
11300.. Shave skin lesion.
11301.. Shave skin lesion.
11302.. Shave skin lesion.
11303.. Shave skin lesion.
11305.. Shave skin lesion.
11306.. Shave skin lesion.
11307.. Shave skin lesion.
11308.. Shave skin lesion.
11310.. Shave skin lesion.
11311.. Shave skin lesion.
11312.. Shave skin lesion.
11313.. Shave skin lesion.
11400.. Removal of skin lesion.
11401.. Removal of skin lesion.
11402.. Removal of skin lesion.
11403.. Removal of skin lesion.
* 11404 Removal of skin lesion.
11420.. Removal of skin lesion.
11421.. Removal of skin lesion.
11422.. Removal of skin lesion.
11423.. Removal of skin lesion.
* 11424 Removal of skin lesion.
11440.. Removal of skin lesion.
11441.. Removal of skin lesion.
11442.. Removal of skin lesion.
11443.. Removal of skin lesion.
* 11444 Removal of skin lesion.
* 11446 Removal of skin lesion.
11600.. Removal of skin lesion.
11601.. Removal of skin lesion.
11602.. Removal of skin lesion.
11603.. Removal of skin lesion.
* 11604 Removal of skin lesion.
11620.. Removal of skin lesion.
11621.. Removal of skin lesion.
11622.. Removal of skin lesion.
11623.. Removal of skin lesion.
* 11624 Removal of skin lesion.
11640.. Removal of skin lesion.
11641.. Removal of skin lesion.
11642.. Removal of skin lesion.
11643.. Removal of skin lesion.
* 11644 Removal of skin lesion.
11700.. Scraping of 1-5 nails.
11701.. Scraping of additional nails.
11710.. Scraping of 1-5 nails.
11711.. Scraping of additional nails.
11730.. Removal of nail plate.
11731.. Removal of second nail plate.
11732.. Remove additional nail plate.
11740.. Drain blood from under nail.
11750.. Removal of nail bed.
11752.. Remove nail bed/finger tip.
11760.. Reconstruction of nail bed.
11762.. Reconstruction of nail bed.
11765.. Excision of nail fold, toe.
11900.. Injection into skin lesions.
11901.. Added skin lesion injections.
* 12021 Closure of split wound.
12031.. Layer closure of wound(s).
12032.. Layer closure of wound(s).
12041.. Layer closure of wound(s).
12042.. Layer closure of wound(s).
12051.. Layer closure of wound(s).
12052.. Layer closure of wound(s).
* 13100 Repair of wound or lesion.
* 13101 Repair of wound or lesion.
* 13120 Repair of wound or lesion.
* 13121 Repair of wound or lesion.
* 13131 Repair of wound or lesion.
* 13132 Repair of wound or lesion.
* 13151 Repair of wound or lesion.
* 13152 Repair of wound or lesion.
* 14000 Skin tissue rearrangement.
* 14040 Skin tissue rearrangement.
* 14041 Skin tissue rearrangement.
* 14061 Skin tissue rearrangement.
15780.. Abrasion treatment of skin.
15781.. Abrasion treatment of skin.
15782.. Abrasion treatment of skin.
15783.. Abrasion treatment of skin.
15786.. Abrasion treatment of lesion.
15787.. Abrasion, added skin lesions.
15851.. Removal of sutures.
15852.. Dressing change, not for burn.
16000.. Initial treatment of burn(s).
16010.. Treatment of burn(s).
16020.. Treatment of burn(s).
16025.. Treatment of burn(s).
17000.. Destroy benign/premal lesion.
17001.. Destruction of add'l lesions.
17002.. Destruction of add'l lesions.
17010.. Destruction skin lesion(s).
17100.. Destruction of skin lesion.
17101.. Destruction of 2nd lesion.
17102.. Destruction of add'l lesions.
17104.. Destruction of skin lesions.
17105.. Destruction of skin lesions.
17106.. Destruction of skin lesions.
17107.. Destruction of skin lesions.
17110.. Destruction of skin lesions.
17200.. Electrocautery of skin tags.
17201.. Electrocautery added lesions.
17250.. Chemical cautery, tissue.
17260.. Destruction of skin lesions.
17261.. Destruction of skin lesions.
17262.. Destruction of skin lesions.
17263.. Destruction of skin lesions.
17264.. Destruction of skin lesions.
17266.. Destruction of skin lesions.
17270.. Destruction of skin lesions.
17271.. Destruction of skin lesions.
17272.. Destruction of skin lesions.
17273.. Destruction of skin lesions.
17274.. Destruction of skin lesions.
17276.. Destruction of skin lesions.
17280.. Destruction of skin lesions.
17281.. Destruction of skin lesions.
17282.. Destruction of skin lesions.
17283.. Destruction of skin lesions.
17284.. Destruction of skin lesions.
17286.. Destruction of skin lesions.
17304.. Chemosurgery of skin lesion.
17305.. 2nd stage chemosurgery.
17306.. 3rd stage chemosurgery.
17307.. Followup skin lesion therapy.
17310.. Extensive skin chemosurgery.
17340.. Cryotherapy of skin.
17360.. Skin peel therapy.
19000.. Drainage of breast lesion.
19001.. Drain added breast lesion.
* 19100 Biopsy of breast.
20000.. Incision of abscess.
20500.. Injection of sinus tract.
20520.. Removal of foreign body.
20550.. Inj tendon/ligament/cyst.
20600.. Drain/inject joint/bursa.
20605.. Drain/inject joint/bursa.
20610.. Drain/inject joint/bursa.
20615.. Treatment of bone cyst.
* 20670 Removal of support implant.
20974.. Electrical bone stimulation.
* 21025 Excision of bone, lower jaw.
* 21026 Excision of facial bone(s).
21029.. Contour of face bone lesion.
21030.. Removal of face bone lesion.
21031.. Remove exostosis, mandible.
21032.. Remove exostosis, maxilla.
* 21040 Removal of jaw bone lesion.
* 21041 Removal of jaw bone lesion.
21079.. Prepare face/oral prosthesis.
21080.. Prepare face/oral prosthesis.
21081.. Prepare face/oral prosthesis.
21082.. Prepare face/oral prosthesis.
21083.. Prepare face/oral prosthesis.
21084.. Prepare face/oral prosthesis.
21085.. Prepare face/oral prosthesis.
21086.. Prepare face/oral prosthesis.
21087.. Prepare face/oral prosthesis.
21088.. Prepare face/oral prosthesis.
21089.. Prepare face/oral prosthesis.
21110.. Interdental fixation.
* 21210 Face bone graft.
* 21215 Lower jaw bone graft.
* 21248 Reconstruction of jaw.
* 21249 Reconstruction of jaw.
* 21485 Reset dislocated jaw.
* 21550 Biopsy of neck/chest.
* 21920 Biopsy soft tissue of back.
23031.. Drain shoulder bursa.
* 23330 Remove shoulder foreign body.
* 23620 Treat humerus fracture.
* 23931 Drainage of arm bursa.
* 24065 Biopsy arm/elbow soft tissue.
24200.. Removal of arm foreign body.
* 24362 Reconstruct elbow joint.
24650.. Treat radius fracture.
* 25065 Biopsy forearm soft tissues.
25500.. Treat fracture of radius.
25530.. Treat fracture of ulna.
25600.. Treat fracture radius/ulna.
25622.. Treat wrist bone fracture.
* 25624 Treat wrist bone fracture.
25630.. Treat wrist bone fracture.
* 25635 Treat wrist bone fracture.
25650.. Repair wrist bone fracture.
26010.. Drainage of finger abscess.
* 26070 Explore/treat hand joint.
* 26432 Repair finger tendon.
[[Page 63355]]
26600.. Treat metacarpal fracture.
* 26605 Treat metacarpal fracture.
26720.. Treat finger fracture, each.
26725.. Treat finger fracture, each.
26740.. Treat finger fracture, each.
* 27086 Remove hip foreign body.
* 27323 Biopsy thigh soft tissues.
* 27520 Treat kneecap fracture.
* 27604 Drain lower leg bursa.
* 27613 Biopsy lower leg soft tissue.
* 27760 Treatment of ankle fracture.
* 27780 Treatment of fibula fracture.
* 27786 Treatment of ankle fracture.
* 27788 Treatment of ankle fracture.
28001.. Drainage of bursa of foot.
* 28003 Treatment of foot infection.
28010.. Incision of toe tendon.
28011.. Incision of toe tendons.
28022.. Exploration of a foot joint.
28024.. Exploration of a toe joint.
28052.. Biopsy of foot joint lining.
28108.. Removal of toe lesions.
28124.. Partial removal of toe.
28126.. Partial removal of toe.
28153.. Partial removal of toe.
28160.. Partial removal of toe.
28190.. Removal of foot foreign body.
28220.. Release of foot tendon.
* 28222 Release of foot tendons.
28230.. Incision of foot tendon(s).
28232.. Incision of toe tendon.
28234.. Incision of foot tendon.
28270.. Release of foot contracture.
28272.. Release of toe joint, each.
* 28313 Repair of demormity of toe.
* 28400 Treatment of heal fracture.
28430.. Treatment of ankle fracture.
28450.. Treat midfoot fracture, each.
28455.. Treat midfoot fracture, each.
28470.. Treat metatarsal fracture.
28475.. Treat metatarsal fracture.
28490.. Treat big toe fracture.
28495.. Treat big toe fracture.
28510.. Treatment of toe fracture.
28515.. Treatment of toe fracture.
28530.. Treat sesamoid bone fracture.
28540.. Treat foot dislocation.
28570.. Treat foot dislocation.
28600.. Treat foot dislocation.
28630.. Treat toe dislocation.
* 28635 Treat toe dislocation.
* 28665 Treat toe dislocation.
29015.. Application of body cast.
29020.. Application of body cast.
29025.. Application of body cast.
29035.. Application of body cast.
29049.. Application of shoulder cast.
29065.. Application of long arm cast.
29075.. Application of forearm cast.
29085.. Apply hand/wrist cast.
29105.. Apply long arm splint.
29125.. Apply forearm splint.
29126.. Apply forearm splint.
29130.. Application of finger splint.
29131.. Application of finger splint.
29200.. Strapping of chest.
29220.. Strapping of low back.
29260.. Strapping of elbow or wrist.
29280.. Strapping of hand or finger.
29345.. Application of long leg cast.
29355.. Application of long leg cast.
29358.. Apply long leg cast brace.
29365.. Application of long leg cast.
29405.. Apply short leg cast.
29425.. Apply short leg cast.
29435.. Apply short leg cast.
29440.. Addition of walker to cast.
29450.. Application of leg cast.
29515.. Application of lower leg splint.
29520.. Strapping of hip.
29530.. Strapping of knee.
29540.. Strapping of ankle.
29550.. Strapping of toes.
29580.. Application of paste boot.
29590.. Application of foot splint.
29700.. Removal/revision of cast.
29705.. Removal/revision of cast.
29710.. Removal/revision of cast.
29715.. Removal/revision of cast.
29720.. Repair of body cast.
29730.. Windowing of cast.
29740.. Wedging of cast.
29750.. Wedging of clubfoot cast.
29850.. Knee arthroscopy/surgery.
30000.. Drainage of nose lesion.
30020.. Drainage of nose lesion.
30100.. Intranasal biopsy.
30110.. Removal of nose polyp(s).
* 30124 Removal of nose lesion.
30200.. Injection treatment of nose.
30210.. Nasal sinus therapy.
30220.. Insert nasal septal button.
30300.. Remove nasal foreign body.
* 30560 Release of nasal adhesions.
* 30580 Repair upper jaw fistula.
* 30801 Cauterization inner nose.
30901.. Control of nosebleed.
31000.. Irrigation maxillary sinus.
31002.. Irrigation sphenoid sinus.
* 31233 Nasal/sinus endoscopy, dx.
* 31235 Nasal/sinus endoscopy, dx.
* 31237 Nasal/sinus endoscopy, surg.
* 31238 Nasal/sinus endoscopy, surg.
31505.. Diagnostic laryngoscopy.
* 31525 Diagnostic laryngoscopy.
* 31570 Laryngoscopy with injection.
31575.. Diagnostic laryngoscopy.
31579.. Diagnostic laryngoscopy.
* 33011 Repeat drainage of heart sac.
36000.. Place needle in vein.
36400.. Drawing blood.
36405.. Drawing blood.
36406.. Drawing blood.
36410.. Drawing blood.
36430.. Blood transfusion service.
36450.. Exchange transfusion service.
36470.. Injection therapy of vein.
36471.. Injection therapy of veins.
36510.. Insertion of catheter, vein.
* 38300 Drainage lymph node lesion.
* 38505 Needle biopsy, lymph node(s).
40490.. Biopsy of lip.
40800.. Drainage of mouth lesion.
* 40801 Drainage of mouth lesion.
40804.. Removal foreign body, mouth.
40808.. Biopsy of mouth lesion.
40810.. Excision of mouth lesion.
40812.. Excise/repair mouth lesion.
* 40814 Excise/repair mouth lesion.
* 40816 Excision of mouth lesion.
* 40819 Excise lip or cheek fold.
* 40820 Treatment of mouth lesion.
* 41000 Drainage of mouth lesion.
* 41008 Drainage of mouth lesion.
41100.. Biopsy of tongue.
* 41105 Biopsy of tongue.
41108.. Biopsy of floor of mouth.
* 41110 Excision of tongue lesion.
* 41112 Excision of tongue lesion.
* 41113 Excision of tongue lesion.
* 41800 Drainage of gum lesion.
* 41806 Removal of foreign body, jawbone.
41825.. Excision of gum lesion.
41826.. Excision of gum lesion.
* 41827 Excision of gum lesion.
* 42000 Drainage mouth roof lesion.
42100.. Biopsy roof of mouth.
* 42104 Excision lesion, mouth roof.
* 42106 Excision lesion, mouth roof.
* 42107 Excision lesion, mouth roof.
* 42160 Treatment mouth roof lesion.
* 42300 Drainage of salivary gland.
* 42310 Drainage of salivary gland.
42330.. Removal of salivary stone.
* 42335 Removal of salivary stone.
* 42340 Removal of salivary stone.
42400.. Biopsy of salivary gland.
* 42405 Biopsy of salivary gland.
42650.. Dilation of salivary duct.
42660.. Dilation of salivary duct.
* 42700 Drainage of tonsil abscess.
42800.. Biopsy of throat.
45300.. Proctosigmoidoscopy.
45303.. Proctosigmoidoscopy.
* 45305 Proctosigmoidoscopy; biopsy.
* 45308 Proctosigmoidoscopy.
* 45309 Proctosigmoidoscopy.
45330.. Sigmoidoscopy, diagnostic.
45520.. Treatment of rectal prolapse.
* 46050 Incision of anal abscess.
46083.. Incise external hemorrhoid.
46221.. Ligation of hemorrhoid(s).
46230.. Removal of anal tabs.
46320.. Removal of hemorrhoid clot.
46500.. Injection into hemorrhoids.
46600.. Diagnostic anoscopy.
46604.. Anoscopy and dilation.
46606.. Anoscopy and biopsy.
* 46611 Anoscopy.
46614.. Anoscopy; control bleeding.
46615.. Anoscopy.
46900.. Destruction, anal lesion(s).
46910.. Destruction, anal lesion(s).
46916.. Cryosurgery, anal lesion(s).
46917.. Laser surgery, anal lesion(s).
[[Page 63356]]
46934.. Destruction of hemorrhoids.
46935.. Destruction of hemorrhoids.
46936.. Destruction of hemorrhoids.
46940.. Treatment of anal fissure.
46942.. Treatment of anal fissure.
46945.. Ligation of hemorrhoids.
46946.. Ligation of hemorrhoids.
51700.. Irrigation of bladder.
51705.. Change of bladder tube.
* 51710 Change of bladder tube.
51720.. Treatment of bladder lesion.
* 52000 Cystoscopy.
* 52010 Cystoscopy & duct catheter.
52265.. Cystoscopy & treatment.
* 52281 Cystoscopy & treatment.
* 52285 Cystoscopy & treatment.
53270.. Removal of urethra gland.
* 53420 Reconstruct urethra, stage 1.
53600.. Dilate urethra stricture.
53601.. Dilate urethra stricture.
53620.. Dilate urethra stricture.
53621.. Dilate urethra stricture.
53660.. Dilation of urethra.
53661.. Dilation of urethra.
53670.. Insert urinary catheter.
54050.. Destruction, penis lesion(s).
54055.. Destruction, penis lesion(s).
54056.. Cryosurgery, penis lesion(s).
* 54065 Destruction, penis lesion(s).
54200.. Treatment of penis lesion.
54230.. Prepare penis study.
54235.. Penile injection.
55000.. Drainage of hydrocele.
55250.. Removal of sperm duct(s).
* 55700 Biopsy of prostate.
* 56405 I & D of vulva/perineum.
56420.. Drainage of gland abscess.
56501.. Destruction, vulva lesion(s).
* 56605 Biopsy of vulva/perineum.
56606.. Biopsy of vulva/perineum.
57061.. Destruction vagina lesion(s).
57100.. Biopsy of vagina.
57150.. Treat vagina infection.
57160.. Insertion of pessary.
57170.. Fitting of diaphragm/cap.
* 57180 Treat vaginal bleeding.
57452.. Examination of vagina.
57454.. Vagina examination & biopsy.
57460.. Leep procedure.
57500.. Biopsy of cervix.
57505.. Endocervical curettage.
57510.. Cauterization of cervix.
57511.. Cryocautery of cervix.
* 57800 Dilation of cervical canal.
58100.. Biopsy of uterus lining.
58301.. Remove intrauterine device.
59200.. Insert cervical dilator.
59300.. Episiotomy or vaginal repair.
59425.. Antepartum care only.
59426.. Antepartum care only.
59430.. Care after delivery.
* 60000 Drain thyroid/tongue cyst.
60100.. Biopsy of thyroid.
61001.. Remove cranial cavity fluid.
* 61070 Brain canal shunt procedure.
63690.. Analysis of neuroreceiver.
63691.. Analysis of neuroreceiver.
64400.. Injection for nerve block.
64405.. Injection for nerve block.
64408.. Injection for nerve block.
64412.. Injection for nerve block.
64413.. Injection for nerve block.
64418.. Injection for nerve block.
64435.. Injection for nerve block.
64440.. Injection for nerve block.
64441.. Injection for nerve block.
64445.. Injection for nerve block.
64450.. Injection for nerve block.
64505.. Injection for nerve block.
64508.. Injection for nerve block.
64550.. Apply neurostimulator.
64553.. Implant neuroelectrodes.
64555.. Implant neuroelectrodes.
64560.. Implant neuroelectrodes.
64565.. Implant neuroelectrodes.
64612.. Destroy nerve, face muscle.
64613.. Destroy nerve, spine muscle.
65205.. Remove foreign body from eye.
65210.. Remove foreign body from eye.
65220.. Remove foreign body from eye.
65222.. Remove foreign body from eye.
65286.. Repair of eye wound.
65430.. Corneal smear.
65435.. Curette/treat cornea.
65436.. Curette/treat cornea.
65600.. Revision of cornea.
65772.. Correction of astigmatism.
* 65805 Drainage of eye.
65855.. Laser surgery of eye.
65860.. Incise inner eye adhesions.
* 66030 Injection treatment of eye.
66761.. Revision of iris.
* 66762 Revision of iris.
66770.. Removal of inner eye lesion.
* 67031 Laser surgery, eye strands.
* 67101 Repair detached retina.
* 67105 Repair detached retina.
* 67141 Treatment of retina.
67145.. Treatment of retina.
* 67208 Treatment of retinal lesion.
67210.. Treatment of retinal lesion.
67228.. Treatment of retinal lesion.
67345.. Destroy nerve of eye muscle.
67505.. Inject/treat eye socket.
67515.. Inject/treat eye socket.
67700.. Drainage of eyelid abscess.
67710.. Incision of eyelid.
67800.. Remove eyelid lesion.
67801.. Remove eyelid lesions.
67805.. Remove eyelid lesions.
67810.. Biopsy of eyelid.
67820.. Revise eyelashes.
67825.. Revise eyelashes.
67840.. Remove eyelid lesion.
67850.. Treat eyelid lesion.
67915.. Repair eyelid defect.
67922.. Repair eyelid defect.
67930.. Repair eyelid wound.
67938.. Remove eyelid foreign body.
68020.. Incise/drain eyelid lining.
68040.. Treatment of eyelid lesions.
68100.. Biopsy of eyelid lining.
68110.. Remove eyelid lining lesion.
68135.. Remove eyelid lining lesion.
68200.. Treat eyelid by injection.
68400.. Incise/drain tear gland.
68420.. Incise/drain tear sac.
68440.. Incise tear duct opening.
68530.. Clearance of tear duct.
68705.. Revise tear duct opening.
68760.. Close tear duct opening.
68761.. Close tear duct opening.
68770.. Close tear system fistula.
68800.. Dilate tear duct opening(s).
68820.. Explore tear duct system.
68830.. Reopen tear duct channel.
68840.. Explore/irrigate tear ducts.
69000.. Drain external ear lesion.
69005.. Drain external ear lesion.
69020.. Drain outer ear canal lesion.
69100.. Biopsy of external ear.
69105.. Biopsy of external ear canal.
69200.. Clear outer ear canal.
69210.. Remove impacted ear wax.
69220.. Clean out mastoid cavity.
69222.. Clean out mastoid cavity.
69400.. Inflate middle ear canal.
69401.. Inflate middle ear canal.
69405.. Catheterize middle ear canal.
69410.. Inset middle ear baffle.
69420.. Incision of eardrum.
* 69424 Remove ventilating tube.
69433.. Create eardrum opening.
69540.. Remove ear lesion.
69610.. Repair of eardrum.
92002.. Eye exam, new patient.
92004.. Eye exam, new patient.
92012.. Eye exam established pt.
92014.. Eye exam & treatment.
92019.. Eye exam & treatment.
92020.. Special eye evaluation.
92070.. Fitting of contact lens.
92100.. Serial tonometry exam(s).
92120.. Tonography & eye evaluation.
92130.. Water provocation tonography.
92140.. Glaucoma provocative tests.
92225.. Special eye exam, initial.
92226.. Special eye exam, subsequent.
92230.. Eye exam with photos.
92260.. Ophthalmoscopy/dynamometry.
92287.. Internal eye photography.
92311.. Contact lens fitting.
92312.. Contact lens fitting.
92313.. Contact lens fitting.
92315.. Prescription of contact lens.
92316.. Prescription of contact lens.
92317.. Prescription of contact lens.
92330.. Fitting of artificial eye.
92335.. Fitting of artificial eye.
92352.. Special spectacles fitting.
92353.. Special spectacles fitting.
92354.. Special spectacles fitting.
92371.. Repair & adjust spectacles.
92504.. Ear microscopy examination.
92506.. Speech & hearing evaluation.
[[Page 63357]]
92507.. Speech/hearing therapy.
92508.. Speech/hearing therapy.
92511.. Nasopharyngoscopy.
92512.. Nasal function studies.
92516.. Facial nerve function test.
92520.. Laryngeal function studies.
92565.. Stenger test, pure tone.
92571.. Filtered speech hearing test.
92575.. Sensorineural acuity test.
92576.. Synthetic sentence test.
92577.. Stenger test, speech.
92582.. Conditioning play audiometry.
93205.. Special phonocardiogram.
93221.. Vectorcardiogram tracing.
93721.. Plethysmography tracing.
93797.. Cardiac rehab.
93798.. Cardiac rehab/monitor.
95010.. Sensitivity skin tests.
95015.. Sensitivity skin tests.
95056.. Photosensitivity tests.
95065.. Nose allergy test.
95075.. Ingestion challenge test.
95144.. Antigen therapy services.
95145.. Antigen therapy services.
95146.. Antigen therapy services.
95147.. Antigen therapy services.
95148.. Antigen therapy services.
95149.. Antigen therapy services.
95165.. Antigen therapy services.
95170.. Antigen therapy services.
95180.. Rapid desensitization.
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.
95857.. Tensilon test.
96405.. Intralesional chemo admin.
96406.. Intralesional chemo admin.
96445.. Chemotherapy, intracavitary.
96450.. Chemotherapy, into cns.
96542.. Chemotherapy injection.
99201.. Office/outpatient visit, new.
99202.. Office/outpatient visit, new.
99203.. Office/outpatient visit, new.
99204.. Office/outpatient visit, new.
99205.. Office/outpatient visit, new.
99211.. Office/outpatient visit, est.
99212.. Office/outpatient visit, est.
99213.. Office/outpatient visit, est.
99214.. Office/outpatient visit, est.
99215.. Office/outpatient visit, est.
99241.. Office consultation.
99242.. Office consultation.
99243.. Office consultation.
99244.. Office consultation.
99245.. Office consultation.
99271.. Confirmatory consultation.
99272.. Confirmatory consultation.
99273.. Confirmatory consultation.
99274.. Confirmatory consultation.
99354.. Prolonged service, office.
99355.. Prolonged service, office.
A2000.. Chiropractor manip of spine.
G0020.. Prepare face/oral prosthesis.
G0021.. Prepare face/oral prosthesis.
H5300.. Occupational therapy.
M0101.. Cutting/remove corns/calluses.
------------------------------------------------------------------------