[Federal Register Volume 61, Number 227 (Friday, November 22, 1996)]
[Rules and Regulations]
[Pages 59490-59716]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-29558]
[[Page 59489]]
_______________________________________________________________________
Part II
Department of Health and Human Services
_______________________________________________________________________
Health Care Financing Administration
_______________________________________________________________________
42 CFR Parts 410 and 415
Medicare Program; Revisions to Payment Policies and Five-Year Review of
and Adjustments to the Relative Value Units Under the Physician Fee
Schedule for Calendar Year 1997, Final Rule; Physician Fee Schedule
Update for Calendar Year 1997 and Physician Volume Performance Standard
Rates of Increase for Federal Fiscal Year 1997, Notice
Federal Register / Vol. 61, No. 227 / Friday, November 22, 1996 /
Rules and Regulations
[[Page 59490]]
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
42 CFR Parts 410 and 415
[BPD-852-FC]
RIN 0938-AH40
Medicare Program; Revisions to Payment Policies and Five-Year
Review of and Adjustments to the Relative Value Units Under the
Physician Fee Schedule for Calendar Year 1997
AGENCY: Health Care Financing Administration (HCFA), HHS.
ACTION: Final rule with comment period.
-----------------------------------------------------------------------
SUMMARY: This final rule makes several policy changes affecting
Medicare payment for physician services, including payment for
diagnostic services and transportation in connection with furnishing
diagnostic tests. The final rule also makes changes in geographic
payment areas (localities) and changes in the procedure status codes
for a variety of services. Since we established the physician fee
schedule on January 1, 1992, our experience indicates that some of our
policies may need to be reconsidered. This final rule is intended to
correct several inequities in physician payment.
This final rule also makes changes to work relative value units
(RVUs) affecting payment for physician services. Section
1848(c)(2)(B)(i) of the Social Security Act requires that we review all
work 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 completed the 5-year review of work RVUs that
will be effective for services furnished beginning January 1, 1997. In
addition, we are finalizing the 1996 interim RVUs and are issuing
interim RVUs for new and revised procedure codes for 1997.
DATES: Effective Date: This rule is effective January 1, 1997, as
provided by the Medicare statute. Ordinarily, 5 U.S.C. section 801
requires that agencies submit major rules to Congress 60 days before
the rules are scheduled to become effective. However, the 104th
Congress adjourned on October 4, 1996, and the 105th Congress is not
scheduled to convene until January 7, 1997. The Department has
concluded that, in this instance, a further delay in this rule's
effective date in order to satisfy section 801 would not serve the
law's intent, since Congress will not be in session during this period,
and such delay in the effective date established by the Medicare
statute is unnecessary and contrary to the public interest. The
Department finds, on this basis, that there is good cause for
establishing this effective date pursuant to 5 U.S.C. section 808(2).
Comment Date: We will accept comments on interim RVUs for selected
procedure codes identified in Addendum C. Comments will be considered
if we receive them at the appropriate address, as provided below, no
later than 5 p.m. on January 21, 1997.
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-852-FC, P.O. Box 26688,
Baltimore, MD 21207-0488.
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.
Comments may also be submitted electronically to the following e-
mail address: [email protected]. E-mail comments must include the full
name and address of the sender and must be submitted to the referenced
address to be considered. All comments must be incorporated in the e-
mail message because we may not be able to access attachments.
Electronically submitted comments will be available for public
inspection at the Independence Avenue address below.
Because of staffing and resource limitations, we cannot accept
comments by facsimile (FAX) transmission. In commenting, please refer
to file code BPD-852-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).
Copies: To order copies of the Federal Register containing this
document, send your request to: New Orders, Superintendent of
Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954. Specify stock
number 069-001-00097-1 and enclose a check or money order payable to
the Superintendent of Documents, or enclose your Visa or Master Card
number and expiration date. Credit card orders can also be placed by
calling the order desk at (202) 512-1800 (or toll-free at 1-888-293-
6498) or by faxing to (202) 512-2250. The cost for each copy is $8. As
an alternative, you can view and photocopy the Federal Register
document at most libraries designated as Federal Depository Libraries
and at many other public and academic libraries throughout the country
that receive the Federal Register.
Copies of the source files for this document can also be purchased
on high density 3.5 inch personal computer diskettes for $20. Send your
request to: Superintendent of Documents, Attention: Electronic
Products, P.O. Box 37082, Washington, DC 20013-7082. Enclose a check or
money order payable to the Superintendent of Documents, or enclose your
Visa or Master Card number and expiration date. Credit card orders for
the diskettes can also be placed by calling (202) 512-1530 or by faxing
to (202) 512-1262. The file formats on the diskettes are EXCEL and
WordPerfect 6.1.
This Federal Register document is also available from the Federal
Register online database through GPO Access, a service of the U.S.
Government Printing Office. Free public access is available on a Wide
Area Information Server (WAIS) through the Internet and via
asynchronous dial-in. Internet users can access the database by using
the World Wide Web; the Superintendent of Documents home page address
is
http://www.access.gpo.gov/su__docs/, by using local WAIS client
software, or by telnet to swais.access.gpo.gov, then login as guest (no
password required). Dial-in users should use communications software
and modem to call (202) 512-1661; type swais, then login as guest (no
password required).
FOR FURTHER INFORMATION CONTACT: Stanley Weintraub, (410) 786-4498.
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 relative value units (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
[[Page 59491]]
physician fee schedule. This year we are making the budget neutrality
adjustment required by changes in payment policy and CPT through the
conversion factors (CFs) and the adjustment required by the 5-year
review through a separate adjuster to the work RVUs. We have determined
that net increases because of changes to the physician fee schedule
would have added to projected expenditures in calendar year 1997 by
approximately $2.7 billion. Therefore, it is necessary to make budget-
neutrality adjustments.
We have made the two 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 0.985, which
results in a uniform reduction of 1.5 percent to the CFs for all
services. The new work adjuster factor is 0.917, which results in a
reduction of -8.3 percent to all work RVUs.
A 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.
Addenda to this rule provide the following information:
Addendum A--Explanation and Use of Addenda B through D.
Addendum B--1997 Relative Value Units and Related Information Used in
Determining Medicare Payments for 1997.
Addendum C--Codes with Interim Relative Value Units.
Addendum D--1997 Geographic Practice Cost Indices by Medicare Carrier
and Locality.
The RVUs and revisions to payment policies in this final rule apply
to physicians' services furnished on or after January 1, 1997.
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 preamble 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 History
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 1997 and Responses to
Public Comments
A. Payment Area (Locality) and Corresponding Geographic Practice
Cost Index Changes
B. Special Rules for the Payment of Diagnostic Tests, Including
Diagnostic Radiologic Procedures
C. Transportation in Connection with Furnishing Diagnostic Tests
D. Bundled Services
1. Hot or Cold Packs
2. Dermatology Procedures
a. Bundling of Repair Codes into Excision Codes
b. Skin Lesion Destruction Codes
E. Change in Coverage Status for Screening and Obsolete
Procedures
1. Vital Capacity Testing
2. Certain Cardiovascular Procedures
F. Payments for Supervising Physicians in Teaching Settings
1. Definition of Approved Graduate Medical Education Programs
2. Evaluation and Management Services Furnished in Certain
Settings
G. Change in Global Periods for Four Percutaneous Biliary
Procedures
III. Refinement of Relative Value Units for Calendar Year 1997 and
Responses to Public Comments on the Five-Year Review of Work
Relative Value Units
A. Summary of the Development of Physician Work Relative Value
Units
B. Scope of the Review
C. Review of Comments (Includes Table 1--Work Relative Value
Unit Refinements of Five-Year Review Codes Commented on in Response
to the May 3, 1996 Proposed Notice)
IV. Discussion of Comments and Decisions
A. Discussion of Comments by Clinical Area
1. Integumentary System
2. Orthopedic Surgery
3. Otolaryngology and Maxillofacial Surgery
4. Podiatry
5. Cardiology and Interventional Radiology
6. General Surgery, Colon and Rectal Surgery, and
Gastroenterology
7. Urology
8. Gynecology
9. Neurosurgery
10. Ophthalmology
11. Imaging
12. Cardiothoracic and Vascular Surgery
13. Pathology and Laboratory Procedures
14. Psychiatry
15. Other Medical and Therapeutic Services
16. Speech/Language/Hearing
B. Other Comments
1. Evaluation and Management Services
2. Pediatrics
3. Anesthesia
4. Codes Without Work Relative Value Units
5. Potentially Overvalued Services
C. Other Issues
1. Budget Neutrality
2. Impact of Work Relative Value Unit Changes for Evaluation
and Management Services on Work Relative Value Units for Global
Surgical Services
3. Codes Referred to the Physicians' Current Procedural
Terminology Editorial Panel
4. Future Review
V. Refinement of Relative Value Units for Calendar Year 1997 and
Responses to Public Comments on Interim Relative Value Units for
1996
A. Summary of Issues Discussed Related to the Adjustment of
Relative Value Units
B. Process for Establishing Work Relative Value Units for the
1997 Fee Schedule
1. Work Relative Value Unit Refinements of Interim and Related
Relative Value Units
a. Methodology (Includes Table 2--Work Relative Value Unit
Refinements of 1996 Interim and Related Relative Value Units)
b. Interim 1996 Codes
2. Establishment of Interim Work Relative Value Units for New
and Revised Physicians' Current Procedural Terminology Codes and New
HCFA Common Procedure Coding System Codes for 1997
a. Methodology (Includes Table 3--American Medical Association
Specialty Society Relative Value Update Committee and Health Care
Professionals Advisory Committee Recommendations and HCFA's
Decisions for New and Revised 1997 CPT Codes)
b. Discussion of Interim Relative Value Units for Chiropractic
Manipulative Treatment
c. Discussion of Codes for Which the RUC Recommendations Were
Not Accepted
d. New HCFA Common Procedure Coding System Codes
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
C. Payment Area (Locality) and Corresponding Geographic
Practice Cost Index Changes
D. Special Rules for the Payment of Diagnostic Tests, Including
Diagnostic Radiologic Procedures
E. Transportation in Connection with Furnishing Diagnostic
Tests
F. Bundled Services
1. Hot or Cold Packs
2. Dermatology Procedures
a. Bundling of Repair Codes into Excision Codes
b. Skin Lesion Destruction Codes
G. Change in Coverage Status for Screening and Obsolete
Procedures
1. Vital Capacity Testing
2. Certain Cardiovascular Procedures
H. Payments for Supervising Physicians in Teaching Settings
I. Change in Global Periods for Four Percutaneous Biliary
Procedures
J. Impact of Payment Policy Changes, Including Establishment of
Interim and Final RVUs for CPT Coding Changes
[[Page 59492]]
K. Effects of Changes Resulting from the Five-Year Review of
Work Relative Value Units
L. Net Impact of Changes on Medicare Specialties
1. Impact Estimation Methodology
2. Overall Fee Schedule Impact
3. Specialty Level Effect (Includes Table 4--Five-Year Review
Impact on Medicare Payments by Specialty)
M. Rural Hospital Impact Statement
Addendum A--Explanation and Use of Addenda B through D.
Addendum B--1997 Relative Value Units and Related Information Used
in Determining Medicare Payments for 1997.
Addendum C--Codes with Interim Relative Value Units.
Addendum D--1997 Geographic Practice Cost Indices by Medicare
Carrier and Locality
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:
AMA--American Medical Association
CF--Conversion factor
CFR--Code of Federal Regulations
CPT--[Physicians'] Current Procedural Terminology [4th Edition,
1996, copyrighted by the American Medical Association]
CY--Calendar year
EKG--Electrocardiogram
FSA--Fee Schedule Area
FY--Fiscal year
GAF--Geographic adjustment factor
GPCI--Geographic practice cost index
HCFA--Health Care Financing Administration
HCPAC--Health Care Professionals Advisory Committee
HCPCS--HCFA Common Procedure Coding System
HHS--[Department of] Health and Human Services
MSA--Metropolitan Statistical Area
MVPS--Medicare Volume Performance Standards
OBRA--Omnibus Budget Reconciliation Act
OMB--Office of Management and Budget
PC--Professional component
RUC--[American Medical Association Specialty Society] Relative
[Value] Update Committee
RVU--Relative value unit
TC--Technical component
I. Background
A. Legislative History
Since January 1, 1992, Medicare has paid 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(c)(2)(B)(ii)(II) of the Act provides that adjustments
in RVUs because of changes resulting from a 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. If this tolerance is exceeded, we must make adjustments to
preserve budget neutrality.
B. Published Changes to the Fee Schedule
In the May 3, 1996 and July 2, 1996 proposed rules (61 FR 19993 and
61 FR 34615, respectively), we listed all of the final rules published
through December 8, 1995 relating to the updates to the RVUs and
revisions to payment policies under the physician fee schedule. In the
May 3, 1996 proposed notice (61 FR 19992), we discussed proposed
changes to work RVUs affecting payment for physician services in
keeping with the requirement under section 1848(c)(2)(B)(i) of the Act
that we review all work 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 completed the 5-year review of work
RVUs that will be effective for services furnished beginning January 1,
1997. In the July 1996 proposed rule (61 FR 34614), we discussed
several policy changes affecting Medicare payment for physician
services including payment for diagnostic services and transportation
in connection with furnishing diagnostic tests. The proposed rule also
discussed comprehensive locality changes and changes in the procedure
status codes for a variety of services.
This final rule with comment period affects the regulations set
forth at 42 CFR part 410, which consists of regulations on
supplementary medical insurance benefits and part 415, which contains
regulations on services of physicians in provider settings, supervising
physicians in teaching settings, and residents in certain settings. It
also discusses changes to work RVUs affecting payment for physician
services. The information in this final rule updates information in the
final Federal Register documents listed in the May 1996 and July 1996
proposed rules (61 FR 19993 and 61 FR 34615, respectively).
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
(GAF) for each physician fee schedule area; and (3) a nationally
uniform conversion factor (CF) for the service. There are three CFs--
one for surgical services, one for nonsurgical services, and one for
primary care services. The CFs 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 (GPCI) for
each fee schedule area. The GPCIs reflect the relative costs of
practice expenses, malpractice insurance, and physician work in an area
compared to the national average for each component. In addition, for
1997, there is an added adjustment for budget neutrality to work
reflecting the results of the 5-year review of work RVUs. The work
adjuster is explained in section IV.C.1. of this final rule.
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 work adjuster x GPCIwork)
+(RVUpractice expense
x GPCIpractice expense)
+(RVUmalpractice x GPCImalpractice)]
x CF
The CFs for calendar year 1997 appear in Addendum A. The RVUs for
calendar year 1997 are in Addendum B. The GPCIs are in Addendum D.
Section 1848(e) of the Act requires the Secretary to develop GAFs
for all physician fee schedule areas. The total GAF for a fee schedule
area is equal to a weighted average of the individual GPCIs for each of
the three components of the service. Thus, the GPCIs 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 GAF for the physician's work
reflects one-quarter of the relative cost of physician's work compared
to the national average.
[[Page 59493]]
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 1997 and the physician fee schedule update
for calendar year (CY) 1997 are published elsewhere in this Federal
Register issue as a final notice (BPD-853-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 while we continue to recognize time
as a factor in determining payment for these services. As a result,
there is a separate payment system for anesthesia services.
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 25, 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 25,
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 25, 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 25, 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 25, 1992 notice (57 FR 56152) in the December 2, 1993
final rule (58 FR 63647) for the 1994 physician fee schedule. The
December 2, 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 2, 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 24, 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 2, 1993 final rule were addressed in the
December 8, 1994 final rule (59 FR 63432). In addition, the December 8,
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 1997 and Responses to Public
Comments
In response to the publication of the July 1996 proposed rule, we
received approximately 3,000 comments. We received comments from
individual physicians and health care workers and professional
associations and societies. The majority of the comments addressed the
proposals related to locality changes, transportation in connection
with furnishing diagnostic tests, and diagnostic testing.
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 1997. We discuss in detail the
effects of these changes in the Regulatory Impact Analysis (section
IX).
For the convenience of the reader, the headings for the policy
issues in section II, for the most part, correspond to the headings
used in the July 1996 proposed rule (61 FR 34614). More detailed
background information for each issue can be found in the July 1996
proposed rule.
[[Page 59494]]
A. Payment Area (Locality) and Corresponding Geographic Practice Cost
Index Changes
Currently, there are 210 payment localities under the physician fee
schedule. Twenty-two States have single statewide localities, while the
number of localities in other States ranges from 2 to 32. The current
localities were set by local Medicare carriers based on their knowledge
of local physician charging patterns. Therefore, current localities
have no consistent basis, and have generally changed little since the
inception of Medicare in 1966. Currently, we set physician fee schedule
localities, and local Medicare carriers may not revise them. Over the
years, we have received numerous complaints from physicians that, since
the current localities were established, changing economic and
demographic conditions warrant a comprehensive review and revision of
payment localities.
We contracted with Health Economics Research, Inc. to conduct an
analysis of options for realignment of payment localities. After
analyzing the Health Economics Research report, we announced in the
July 1996 proposed rule (61 FR 34618) that we were proposing Option 1i,
5-percent threshold, with subcounty payment area restructuring in
certain States with subcounty localities.
Under this option, current localities are used as building blocks.
The 22 existing statewide localities remain statewide localities. Our
proposal sets new localities in the remaining 28 States by comparing
the area cost differences as represented by the locality GAFs within a
State. An area's GAF is a weighted composite of the area's work,
practice expense, and malpractice GPCIs and allows a comparison of
overall costs among areas. Briefly, a State's localities are ranked
from the highest to the lowest GAF. The GAF of the highest-price
locality is compared to the weighted average GAF of all lower-price
localities. If the percentage difference exceeds 5-percent, the
highest-price locality remains a distinct locality. If not, the State
becomes a statewide locality. If the highest-price locality remains a
distinct locality, the process is repeated for the second highest-price
locality. Its GAF is compared to the statewide average excluding the
two highest-price localities. If this difference exceeds 5-percent, the
second highest-price locality remains a distinct locality. This logic
is repeated, moving down the ranking of localities by costliness, until
the highest-price locality does not exceed the combined GAFs of all
less costly localities by 5-percent and does not remain a distinct
locality. No further comparisons are made, and the remaining localities
become a residual rest-of-State locality. The GAF of a locality always
is compared to the average GAF of all lower-price localities. This
ensures that the statewide or residual State locality has relatively
homogeneous resource costs.
We combined Option 1i, 5-percent, with a restructuring of
localities in the 11 States that currently contain subcounty
localities. We proposed to use counties as the basic locality
structure. The input price data used in computing the GPCIs is not
available at the subcounty level. The use of subcounty localities
creates unnecessary complexity and administrative burden. It requires
laborious mapping of zip codes and city boundaries to localities for
both claims processing and computing the GPCIs. Using counties as the
basic locality unit provides a national uniform physician fee schedule
structure. Option 1i, 5-percent threshold, automatically eliminates
these subcounty areas in 8 States as it aggregates them into statewide
or residual State localities. The remaining 3 subcounty States--
Massachusetts, Missouri, and Pennsylvania--are more problematic.
Currently, each of these States contain noncontiguous localities
comprised of parts of counties with dissimilar costs. We proposed to
fundamentally restructure localities in these States by examining
county level costs as represented by county GAFs and creating new
localities based on costs with some geographic consideration. A
detailed discussion of this fundamental restructuring can be found in
the July 1996 proposed rule (61 FR 34620).
Our proposed locality structure meets the major goal of simplifying
payment areas and reducing payment differences among adjacent
geographic areas while maintaining accuracy in tracking input prices
among areas. It significantly reduces the number of payment localities
from 210 to 89 and increases the number of statewide localities from 22
to 34, thereby simplifying program administration. It also provides a
more rational and understandable basis for localities, reduces urban/
rural payment differences, and maintains separate payment areas for
relatively high-priced large and mid-sized cities in large States. It
decreases the number of payment areas by almost 60 percent while at the
same time reducing average county boundary differences, yet reduces
average county input price accuracy by only 0.42 percent.
The GPCIs for the new localities were calculated to be budget
neutral within each State. That is, the same total physician fee
schedule payment will be made within a State that would have been made
if the current localities were retained. The effect on most localities
will be minimal. Of the total localities in the 28 States currently
having multiple localities, 82 percent of the GAFs change less than 3
percent, 93 percent change less than 4 percent, and 96 percent change
less than 5 percent. Forty-three percent of the areas will experience
increases in payments, 33 percent will experience decreases, and 24
percent will experience no change.
We proposed phasing in the new localities over a 2-year period in
States containing a payment area estimated to lose more than 4 percent.
We proposed that no locality be allowed to lose more than 4 percent in
the first year. We selected a 4 percent threshold because it is about
one-half of the largest estimated payment area decrease. This means
phasing in the new localities over 2 years in Missouri and Pennsylvania
because they are the only States containing a payment locality
estimated to lose more than 4 percent. The payment locality changes
would be fully effective in 1997 in all other States.
Comment: The single largest number of comments were from commenters
supporting our proposal because it would reduce or eliminate urban/
rural payment differences in their State. They believed that this would
help in the recruitment and retention of physicians in underserved
rural areas, thereby improving access. The commenters stated that
increased Medicare payments are particularly needed in rural areas as
these areas tend to have an unusually large percentage of the Medicare
population.
Response: We agree that our proposal will reduce urban/rural
payment differences under the Medicare physician fee schedule, and we
are hopeful that this may help to improve access to care in rural
areas.
Comment: Some commenters from localities estimated to experience
payment decreases objected to what they termed the ``proposed
reduction'' in their payment level under Medicare. They were concerned
about the ripple effect on their payments from other sources,
especially managed care, as these sources frequently base their
payments on Medicare payment rates. They gave no rationale for
objecting to our proposal, other than the payment reduction.
Response: Our proposal is not intended as a payment reduction
policy. Rather, it is a restructuring of localities based on area costs
wherein existing localities with costs that are
[[Page 59495]]
significantly higher than other localities within their State remain
distinct localities while localities with similar costs within the
State are collapsed into a residual State locality. Since this will be
implemented on a budget-neutral basis within a State, some of the
current localities comprising these newly collapsed localities will
experience slight increases in payments while others will experience
slight decreases. Our proposal to aggregate current localities is based
on the application of statistical criteria comparing area costs. In the
July 2, 1996 proposed rule (61 FR 34621), we stated that while we
welcomed comments and would consider other suggested alternatives,
these alternatives should be based on a statistical analysis
demonstrating why the alternative is preferable. Merely objecting to
reductions in payment without accompanying analysis is not a compelling
reason for not implementing the proposed locality revisions.
Comment: Commenters from urban areas whose costs were not
significantly higher than rural areas and, thus, were collapsed into
statewide or State residual areas were opposed to our proposal,
maintaining that their expenses such as labor, rent, and taxes are
higher than in rural areas.
Response: We agree that our cost data generally show that costs are
higher in urban than in rural areas. However, urban areas whose costs
do not meet our statistical criteria, that is, are not more than 5
percent higher than the combined costs of all lower-price localities in
their State, are combined with these lower-price localities into a new
locality. We believe that, for all of the reasons stated in the
introduction, our proposed locality structure has many advantages over
the current structure while maintaining an acceptable degree of
accuracy in tracking area cost differences.
Comment: Commenters in losing areas objected to our methodology on
the basis that the GPCIs are based on proxy data that are outdated and
are not an accurate reflection of area cost differences. Some
commenters quoted other limited data sources or provided limited local
data to demonstrate that their costs were higher relative to other
areas than indicated by the GPCIs. Indeed, some commenters did not
comment on our locality proposal, but commented on the construction of
the GPCIs and how the GPCIs understate costs in their area.
Response: The accuracy of the GPCIs was initially addressed in the
June 1991 proposed rule (56 FR 25815) and the November 1991 (56 FR
59511) final rule on the physician fee schedule. It was addressed again
in the June 24, 1994 proposed rule (59 FR 32756) and the December 1994
final rule (59 FR 63414) on the physician fee schedule discussing the
first update of the GPCIs. Those rules discussed in depth the
formulation of the GPCIs. Those proposed and final rules were the
appropriate vehicles for commenting on the GPCIs. The next GPCI update
is scheduled for 1998, and likely will be announced in a proposed rule
published in 1997. This will provide another opportunity for commenting
on the formulation of the GPCIs. Our July 2 proposed rule requested
comments on the proposed locality reconfiguration, not the GPCI
formulation.
The GPCIs are based on the best and most recent data available. The
current GPCIs are based on 1990 census wage data, 1994 rental data, and
1990 through 1992 malpractice premium data. The current GPCIs were
required by law to become effective in 1995. We began work on them in
1993. These data were the best and most recent data available at that
time. Because of the time necessary to collect and evaluate the data,
there will always be a time lag between data collection and
implementation of the GPCIs. It is not possible to be absolutely
current. The GPCIs have been examined in depth by government and
private groups and there is general agreement that they are the best
available measurement of area physician practice cost differences.
Since the GPCIs reflect practice costs among all areas across the
country, national data sources that are widely available and are
updated on a periodic basis are required. Using locally available data
to demonstrate higher local costs is not acceptable in a national
program with national indices.
Comment: Some commenters, while generally agreeing with the intent
of our locality proposal, stated that we should make an exception to
furnish the same payment amount for metropolitan areas that cross State
lines as these areas tend to have relatively homogenous resource costs
throughout the metropolitan area. Commenters believed that not doing
this might have a negative impact on health care delivery in the part
of the metropolitan area in the State with the lower GAF. One commenter
cited an example of neighboring payment areas across State borders that
currently have nearly identical GAFs but under our proposal will have a
nearly 4-percent difference as one of the areas becomes part of a
statewide locality while the other remains a distinct locality.
Response: We considered using metropolitan statistical areas as
locality building blocks in one option for setting localities. For the
reasons discussed in the July 1996 proposed rule (61 FR 34618), we
rejected this option as less promising than our proposed option. We
agree that in many cases resource cost are similar across State lines.
However, we currently have no localities that cross State lines and see
no reason to begin establishing them. There are numerous situations
under the current locality system when there are larger payment
differences across State boundaries than the 4 percent cited by the
commenter. We have no evidence that physicians are crossing State
borders to secure higher Medicare payment. There are many differences
among States that affect business decisions in addition to the elements
reflected in our resource costs. For example, States have different
physician licensing requirements, business licensing requirements,
safety and health requirements, and different business, corporate, and
personal income tax rates. We do not believe that a few percentage
points difference in Medicare payments will cause physicians to
relocate across State lines.
Comment: Some commenters in the 16 States that would remain
multiple locality States under our proposal stated that they would
prefer that we make their State a single statewide locality.
Response: Our proposal creates statewide localities except in
States containing high-price localities whose costs exceed the combined
costs of all lower-price localities by more than 5 percent. We stated
in the July 1996 proposed rule (61 FR 34622) that we would consider
requests to convert multiple locality States to statewide localities if
there is overwhelming support for a statewide locality among both
winning and losing physicians in the State. We will be glad to consider
applications demonstrating such overwhelming support for a statewide
locality from these States.
Comment: Some commenters supported our proposal but requested that
all localities have the changes transitioned in over a 2-year period.
Other commenters requested a 3-or 4-year transition.
Response: Transitions are operationally complex and can be very
confusing to physicians. Most localities experience a negligible or
minor change in payments under our proposal. We see no need to
transition such areas. We believe that transitioning only to limit the
larger losses is reasonable. We also believe that transitioning over 2
years in these areas is reasonable. The periodic GPCI revisions are
required by law to be transitioned over 2 years. A longer transition
will run into the next GPCI
[[Page 59496]]
update and the implementation of resource-based practice expenses. It
would be very complex and difficult to explain the interaction of these
simultaneous changes to physicians.
Comment: While generally supporting our concept of consolidating
payment areas, some commenters requested that we allow more flexibility
on a statewide basis. They requested that we accommodate their wishes
if physicians within a State wish to have a slight modification to our
proposal, for example, to select a lower threshold than 5 percent to
allow certain areas that would be part of the State residual area to
remain a distinct payment area.
Response: The fee schedule is a national program, with national
RVUs and national CFs. The GPCIs are based on national data. Therefore,
we applied the same statistical criteria, Option 1i, 5-percent
threshold, to all multiple locality States in our locality revision
proposal. As announced in the proposed rule, we still plan to be
responsive to the wishes of physicians in multiple locality States by
accepting requests for a statewide payment area if overwhelmingly
supported by physicians in both winning and losing areas within the
State. While we prefer to be responsive to the wishes of physicians
within a State, commenters failed to state what criteria would be
applied to demonstrate that physicians within the State desired a
modification of our proposal.
Our past experience with converting States to statewide payment
areas has demonstrated that it is often difficult to develop a
consensus among physicians for these changes because there are both
winners and losers. Our criteria for such changes have been to require
a resolution, passed by the State medical society requesting the
change, that clearly states that there will be winners and losers, and
also offers proof of overwhelming support for the change among
physicians in both winning and losing areas. Then, even if such support
is demonstrated among State medical society members, we will publish
the proposed change in the Federal Register to give all physicians in
the State, medical society members and nonmembers, an opportunity to
comment because State medical societies usually represent only about 50
to 60 percent of all physicians in the State. Also, many nonphysician
practitioners paid under the fee schedule and not represented by State
medical associations are affected by fee schedule changes. In many
cases, we have received letters of protest from losing, usually urban,
physicians as soon as a resolution is passed and before we have even
proposed a change.
While we were willing to consider modifications to our proposed
localities within a State, such modifications would have to be
statistically based. For example, a request for a modification should
state why we should use a lower threshold than our 5-percent threshold
within that State, rather than merely saying that a large city, which
becomes part of the State residual area under the proposal, should be a
separate locality because it is similar in size or characteristics to
other higher-cost cities. We would also need evidence that areas that
would lose under this modification understood and supported the change.
Comment: A commenter from California, while generally supporting
the proposal, requested to return to the designations in Los Angeles
that existed under the reasonable charge system whereby more expensive
areas of Los Angeles, namely Beverly Hills, West Los Angeles, and Santa
Monica had higher prevailing charge allowances than other parts of Los
Angeles County. The commenter believed that costs are not homogeneous
across Los Angeles County and are higher in these areas.
Response: Los Angeles was divided into eight areas under the
reasonable charge system. These eight areas have the same GPCIs and
payment amounts under the fee schedule because the lowest level cost
data we have are county cost data. Thus, combining these eight areas
into one area under our proposal has no effect on payments in Los
Angeles. Making Beverly Hills, West Los Angeles, and Santa Monica
separate payment areas would not change their payments because we would
still use the Los Angeles County cost data since we do not have
subcounty cost data. As stated in the July 1996 proposed rule (61 FR
34618), we are using current counties as the basic locality building
block and will have no subcounty payment areas under our proposal. We
believe that limiting localities to at least the county level is
reasonable. While an individual city, town, or individual physician
might incur higher costs than the average in their payment locality,
the choice to locate in high cost space is a business decision.
Comment: Some commenters in losing areas stated that we should not
reduce payments in their locality because their locality contained
numerous teaching hospitals, which have higher costs of providing
services. Also, these large teaching facilities tend to serve as
physicians' offices for many poor and indigent people.
Response: Under the law, physician fee schedule payments do not
differ by type of provider. All physicians' services, whether furnished
by solo practitioners, group practices, large multispecialty clinics,
or hospital-based physicians, are paid at the same rate within a
locality. The added costs of teaching hospitals are recognized through
the added Medicare direct and indirect medical education payments made
to teaching facilities. Likewise, hospitals furnishing a
disproportionate share of services to indigent patients receive
additional disproportionate share payments.
Comment: Some commenters requested we delay implementation of our
proposal until we can perform a thorough study using more recent cost
data.
Response: We see no reason for a delay. As mentioned earlier, in
response to physicians' concerns, we stated that we would consider a
comprehensive revision in localities once the transition was completed
in 1996. We believe that the Health Economics Research, Inc. study was
extremely comprehensive. The data used when the study was started in
1995 were the data that formed the basis for the newly revised 1995
GPCIs. As stated in the previous response about the accuracy of the
GPCIs, there will always be some time lag because of data collection
and analysis requirements. The GPCIs are based on the best currently
available data.
Comment: Commenters from some losing, relatively low cost urban
areas that were combined into a residual State area suggested we
ameliorate the effects on these areas by taking a few percentage points
away from the higher cost areas that remain distinct localities within
the State and redistributing this to the residual State area. They
believed that these higher paid areas can ``afford'' to give up these
few percentage points, and stated that this is in keeping with our
stated goal of reducing urban/rural payment differences.
Response: Our proposal is based strictly on the application of
statistical methodology comparing area costs. Arbitrarily taking away
money from a high cost area merely to redistribute it to other areas
would violate our criteria and underpay the high cost area while
overpaying the low cost areas. It is true that we generally favor
statewide payment areas as they result in greater simplicity and ease
of administration and reduce urban/rural payment differentials; we are
hopeful that this will improve access in rural underserved areas.
However, once a statewide area is established, it is given
[[Page 59497]]
the GPCIs justified by the GPCI cost data.
Comment: Commenters from losing areas that would be retained as
distinct payment areas under a lower threshold believed that our
selection of the 5-percent threshold is arbitrary.
Response: We disagree. We examined various thresholds with various
options. As stated in the July 1996 proposed rule (61 FR 34619), Option
1i, 5-percent threshold was selected because it provided the greatest
simplification while reducing average boundary differences from the
current structure at a virtually negligible increase in average county
input price error of only 0.42 percent. This option provided the best
combination of simplicity, reducing boundary payment differences, and
maintaining accuracy in tracking area cost differences.
Comment: While understanding and generally agreeing with our
statistical methodology, some commenters asked if we planned to change
localities on a periodic basis to recognize future cost changes. Others
requested that we commit to such future change as we update the GPCIs.
Response: There have been no comprehensive studies and revisions of
physician payment localities in 30 years. We agreed with physicians
that such a study and revision was necessary, especially since we
changed from the local carrier pricing system to a national fee
schedule. We have stated on numerous occasions that we favor statewide
localities because of their understandability, simplicity, and ease of
administration, and because they reduce urban/rural payment
differences. We do not plan to break up statewide payment areas in the
future. We also do not generally favor fragmenting existing payment
areas into smaller areas. While we do not plan to routinely revise
payment areas as we implement new GPCIs, we will review the areas in
multiple locality States if the newer GPCI data indicates dramatic
relative cost changes among areas.
Final decision: Effective January 1, 1997, we will proceed with the
implementation of our proposed Option 1i, 5-percent threshold, with
restructuring of subcounty payment areas to reduce the number of
physician fee schedule payment localities from 210 to 89 as indicated
in the July 1996 proposed rule (61 FR 34619). A list of the new
localities with their 1997 GPCIs can be found in Addendum D. These
GPCIs will be fully effective in all States except Missouri and
Pennsylvania in 1997. Because Missouri and Pennsylvania contain
localities whose GPCIs decrease by more than 4 percent under our
proposal, these States will be phased in over a 2-year period. Because
the losing areas will have their losses limited to 4 percent in 1997,
the winning areas in these States will experience slightly less than
their full expected increases in 1997.
This policy change does not require a change to the regulations set
forth in Sec. 414.4 (``Fee schedule areas'').
B. Special Rules for the Payment of Diagnostic Tests, Including
Diagnostic Radiologic Procedures
We proposed that, to be covered, diagnostic tests, including
diagnostic radiologic procedures must be ordered by the physician who
treats the patient. The physician who treats the patient is the
physician responsible for the treatment of the patient and who orders
the test or radiologic procedure to use the results in the management
of the beneficiary's specific medical problem(s). (Physicians can order
tests while they are consulting for another physician.) We believe this
requirement is fundamental for coverage and payment of diagnostic tests
and, therefore, are including it in the regulations at Sec. 410.32
(``Diagnostic x-ray tests, diagnostic laboratory tests, and other
diagnostic tests: Conditions'').
However, a physician who orders the x-ray that is used by a
chiropractor to demonstrate the subluxation of the spine in a
beneficiary who is receiving manual manipulation treatments will be
exempted from this rule. Because no payment can be made for a
diagnostic test ordered by a chiropractor under Sec. 410.22(b)(2), we
will allow payment for the x-ray when ordered by a physician who will
not be treating the patient for subluxation of the spine. Otherwise,
beneficiaries would always have to pay out-of-pocket for these x-rays,
which would frustrate their use of the benefit.
Further, certain nonphysician practitioners who provide services
that would be physician services if furnished by a physician under a
specific enumerated benefit in the statute would be treated the same
way as the physician treating the beneficiary for the purpose of this
section. Nonphysician practitioners who meet this definition are
physician assistants (section 1861(s)(2)(K)(i) of the Act), nurse
practitioners (section 1861(s)(2)(K)(ii) of the Act), clinical nurse
specialists (section 1861(s)(2)(K)(iii) of the Act), nurse-midwives
(sections 1861(s)(2)(L) and 1861(gg) of the Act), clinical
psychologists (sections 1861(s)(2)(M) and 1861(ii) of the Act), and
clinical social workers (sections 1861(s)(2)(N) and 1861(hh) of the
Act) operating within the scope of their statutory benefit and State
licenses.
Comment: One commenter suggested that clinical psychologists and
nurse midwife practitioners be added to the list of nonphysician
practitioners permitted to order tests.
Response: The same policy would apply to these nonphysician
practitioners when working within the scope of their statutory benefit.
We have added provisions pertaining to these nonphysician practitioners
to the regulations text.
Comment: Several primary care physicians were concerned that they
would be precluded from ordering diagnostic tests if the results of the
testing leads to referral to a specialist since the referring physician
would not be the treating physician. Similarly, an ophthalmological
organization expressed concern about ordering radiologic tests for a
suspicious area of the eye because the ophthalmologist would not be the
treating physician. In addition, several commenters indicated that
radiologic imaging centers, pathological laboratories, and noninvasive
vascular laboratories often are faced with situations in which the
patient's physician has ordered one test when another is more
appropriate or, as a result of the findings of the ordered tests, it
may be necessary for the reading physician to order additional tests.
The commenters suggested that the proposal be modified to allow for the
interpreting physician to modify the order to meet the patient's needs.
Response: We had proposed that, to be covered, diagnostic tests
must be ordered by the physician who treats the beneficiary. This
policy is designed to assure that beneficiaries receive medically
necessary services and to prevent patterns of abuse, such as the
furnishing of diagnostic tests that are screening (noncovered) services
rather than medically necessary services for the diagnosis of the
individual patient's condition. For example, we have heard of
situations in which a physician is employed for the sole purpose of
ordering diagnostic tests (in nursing homes or mobile centers).
The discussion of our proposal should have indicated that an
individual may have several treating physicians including a primary
care physician and a specialist. We would also consider as a ``treating
physician'' an ``on call'' physician who has been given responsibility
for a patient's care during a period when the patient's physician is
unavailable. Our intention was not to preclude the ordering of tests by
a patient's primary care physician who refers the patient to a
specialist, or by
[[Page 59498]]
a specialist who is managing only one aspect of the patient's care.
Further, we do not want to prevent medically necessary testing that is
a modification of the diagnostic work-up a treating physician orders
for a specific patient. The intent of the policy is to assure that the
physician who orders the test is responsible for the management of some
aspect of the patient's care.
While we do not think it is necessary to change the language in the
regulations, we agree that some provision should be made for the
situations in question. We will publish our interpretations of the
regulation in the implementing manual instructions.
Further, we believe that the physician interpreting the diagnostic
tests has an obligation to discuss any changes in or additions to the
original order with the patient's physician. In the ideal situation,
this discussion should take place before the change in orders is
implemented, but we realize there may be urgent situations when this is
not possible.
Comment: A national medical specialty organization indicated its
agreement with the concept of the proposal but suggested that another
approach would be to preclude physicians, nurse practitioners, and
physician assistants employed by home health agencies and skilled
nursing facilities from independently ordering laboratory tests without
the knowledge and consent of the patient's attending physician.
Response: We will keep this suggestion in mind in case additional
action is needed in this area but believe it would be difficult to
enforce this policy. In addition, the suggestion does not address the
problem of unnecessary testing in nursing facilities and questionable
testing offered to beneficiaries in public areas such as shopping
malls.
Comment: An organization representing medical directors in the
field of long-term care pointed out that medical directors of nursing
facilities are responsible for providing oversight and supervision of
physician services and the medical care of residents. In that capacity
they may have to order tests to evaluate possible inadequate care.
Response: We believe that in these unusual cases the medical
director of the nursing facility would contact the patient's physician
about the testing and that the medical necessity of the test could be
ascertained. The facility director should document the medical
necessity of the testing in the facility's medical records. As indicted
above, we established this policy to address inappropriate patterns of
ordering tests, such as the medical director of a nursing facility who
orders screening diagnostic testing for many patients in the facility.
Comment: One commenter expressed concern about the effect of the
policy on the ordering of tests by residents in teaching hospitals. The
commenter also was concerned about tests ordered by one member of a
group practice at the time a patient is admitted to a hospital when
another member of the group is the patient's treating physician in the
hospital.
Response: We do not intend for this policy to have a significant
effect on diagnostic procedures furnished in hospitals. Residents may
order tests without involving a teaching physician since the ordering
of tests generally is not a billable service. In addition, we realize
that, in group practices, different members of the group may treat the
patient at different times. This policy is not intended to prevent the
substitution of physicians within a group.
Comment: One commenter requested clarification of the interaction
between the ordering of tests by nonphysician practitioners and the
coverage requirement for direct physician supervision of the
performance of x-rays and other diagnostic tests.
Response: While nonphysician practitioners are permitted to order
diagnostic tests under certain conditions, this does not eliminate the
requirement for physician supervision.
Comment: A commenter noted that the proposed rule addresses only
physicians who order the x-ray used by a chiropractor to demonstrate
subluxation of the spine. It does not address coverage for other
diagnostic services that may be ordered by a physician on the referral
from a chiropractor.
Response: The purpose of the July 1996 proposed rule was to address
the x-ray required by section 1861(r)(5) of the Act that limits the
services of a chiropractor to manual manipulation of the spine to
correct a subluxation that is demonstrated by x-ray to exist. Because
the statute requires the x-ray but Sec. 410.22(b)(2) prohibits payment
to chiropractors for ordering or furnishing the x-ray, beneficiaries,
in some cases, have incurred the expense for the mandated x-ray. We
have attempted to resolve this issue in a manner that would be
equitable and, at the same time, maintain the intent of the Congress in
establishing the original requirement. Therefore, we proposed an
exception to the policy that requires the ordering physician to be the
treating or consulting physician. Thus, we focused on easing the burden
on the patient for payment of the mandated x-ray: under the rule, the
chiropractor may send the patient for the x-ray that the radiologist,
as a physician, may order, even though the radiologist is not the
treating physician.
Final Decision: We are adopting our proposal to cover diagnostic
tests only if ordered by the physician or nonphysician practitioner who
treats the patient, unless it is a physician who orders an x-ray to be
used (by a chiropractor) to demonstrate subluxation of the spine that
is the basis for a beneficiary to receive manual manipulation treatment
even though the physician does not provide the manual manipulation.
C. Transportation in Connection With Furnishing Diagnostic Tests
We proposed allowing separate payment only for the transportation
of x-ray equipment furnished by approved suppliers of portable x-ray
services. As a result, we proposed not allowing separate payment for
the transportation of electrocardiogram (EKG) equipment furnished by
any supplier. Payment for the transportation would be bundled into our
payment for the EKG service. We proposed this policy because, in our
judgment, statutory authority existed for separate payments for only
the transportation of x-ray equipment. Therefore, we proposed to
eliminate HCFA Common Procedure Coding System (HCPCS) code R0076
(Transportation of portable EKG equipment and personnel to home or
nursing home). Payment for CPT codes 93000 (Electrocardiogram,
complete) and 93005 (Electrocardiogram, tracing) would not change.
This proposal is consistent with actions taken in our December 1995
final rule (60 FR 63149). In that rule, we noted that the general
physician fee schedule policy is that travel is included in the
practice expense RVUs for a service. However, until issuance of that
regulation, Medicare carriers had the discretion to make separate or
additional payments for the transportation of diagnostic equipment. As
a result of the December 1995 final rule, effective January 1, 1996, we
standardized our policy for the payment of the transportation costs. We
precluded separate payment for these costs, except under certain
circumstances. Those circumstances included paying separately for EKG
transportation to approved portable x-ray suppliers and independent
physiological laboratories. As noted above, after further review of
this policy, we concluded that the statute authorized such separate
transportation
[[Page 59499]]
payments for only portable x-ray services, and we are now bringing our
policy into compliance with this interpretation effective January 1,
1997.
We believe there is no policy basis for paying for EKG
transportation in a manner different from our payment for
transportation of other diagnostic tests. The only exception would be
portable x-ray transportation, for which, we believe, the Congress
required separate payment.
Comment: We have received over a hundred comments from portable x-
ray suppliers, officials of nursing facilities, and family members of
residents of nursing facilities indicating that:
These suppliers will have to close either their EKG
operations or their entire business.
We will pay 4 or 5 times as much in ambulance payments to
take patients to hospitals to receive EKGs.
Transporting patients to a hospital will cause them pain,
discomfort, and confusion.
We should discontinue transportation payments to
independent physiological laboratories for EKGs but continue payment to
portable x-ray suppliers.
Response: We believe that the premise that only two alternatives
are available, that is, portable EKGs and ambulance transportation, is
erroneous. Patients requiring ambulance transportation will exhibit
symptoms and signs that require medical evaluation and treatment that
would make furnishing an EKG alone as a portable test inappropriate.
Nor can it be assumed that ambulance payments would be made in many of
these situations since use of an ambulance is medically necessary only
when other transportation is contraindicated. We regard the use of an
ambulance simply as a means of transportation to receive a diagnostic
procedure to be an abusive practice. Therefore, we believe that the
portrayal of portable EKG and ambulance transportation as the only
alternatives is not an accurate description of normal, acceptable
medical practice.
We believe that, in the case of severe, potentially life
threatening cardiac problems, a patient should be transported by
ambulance to the hospital instead of waiting for a van with portable
equipment to arrive. The comments do not describe the conditions under
which EKG services should be provided to nursing facility patients on a
mobile basis. The apparent rationale for such payment would be for
services furnished in response to symptoms that are significant enough
to make the procedure medically necessary but not serious enough for
the patient to be taken to a hospital or to require immediate attention
by a physician.
We believe that there are sufficient alternatives to furnishing EKG
services on a portable basis:
EKG equipment is lightweight and often carried by
physicians into nursing facilities.
Nursing homes (particularly skilled nursing facilities)
often have this equipment and staff who know how to do the test. (Our
physicians have advised us that individuals can learn how to hook up
these devices with on-the-job training and that the training required
to do these procedures does not compare to that required for a
radiologic technician). In addition, the results of the test may be
sent by phone to the interpreting cardiologist or other physician.
Patients may be transported by family members or others to
medical facilities in the same way they receive other diagnostic or
therapeutic services for which we do not make separate transportation
payments.
Comment: One commenter described our proposal as ``noncovering''
transportation services for EKG equipment.
Response: That is not an accurate description of our proposed
policy. The service will still be covered, but we will not pay
separately for the transportation service. We will bundle payment for
transportation services into the payment for EKG services.
Comment: One commenter indicated that the proposal was an
unconstitutional ``taking'' of the equipment and investment of portable
x-ray suppliers and independent physiological laboratories. The
commenter went on to say we would be required to provide fair and
adequate compensation to indemnify those persons who invested, with a
reasonable expectation of return in such equipment, personnel, or
businesses.
Response: The commenter's position would seem to be that, once
Medicare makes a decision to pay for something, it is forever locked
into continuing such payments. However, suppliers have no
constitutional right to continued Medicare payment for particular
services. In the case of a service, such as the transportation of EKG
equipment, for which there is no explicit provision in the law, the
responsibility to make needed program changes is delegated to us. We
have exercised this discretion in the case of transportation of EKG
equipment.
Comment: A few commenters indicated that the proposal to eliminate
the transportation payment for EKG equipment was particularly harsh
since it follows so closely the recent decision by Medicare to disallow
a set-up fee for EKGs.
Response: There never was a set-up fee for EKG equipment. HCPCS
code Q0092 (Set-up portable x-ray equipment) was established in 1992 to
be billed with radiologic procedures furnished by portable x-ray
suppliers. It was designed to recognize the historical payment
differential, on a national basis, between the technical component
payments under the Medicare radiologist fee schedule for services
furnished by portable suppliers and stationary entities. If payment was
made under Q0092 for the set-up of EKG equipment by portable x-ray
suppliers, it was an erroneous payment that was inconsistent with both
the HCPCS code description and the instructions in section 15022 of the
Medicare Carriers Manual.
Final Decision: We are assigning HCPCS code R0076 (Transportation
of EKG equipment) a ``B'' or bundled status to indicate that, effective
January 1, 1997, HCPCS code R0076 will be paid for within the practice
expense RVUs of the EKG services. Separate payment will no longer be
made for the transportation of EKG equipment. There are sufficient
alternatives to provide patients with EKG services. Effective on or
after January 1, 1997, Medicare payment under the physician fee
schedule may be made only for the transportation of equipment used to
perform x-rays and diagnostic mammograms furnished by approved
suppliers of portable x-ray services.
This policy change does not require a change in the text of the
regulations.
D. Bundled Services
1. Hot or Cold Packs
The results of a comprehensive analysis of Medicare claims data
indicate that CPT code 97010 (the application of hot or cold packs to
one or more areas) is being used extensively with a wide variety of
services such as office visits and physical medicine and rehabilitative
services. We proposed to bundle payment for CPT code 97010 into the
payment for all other services including, but not limited to, those
with which it historically has been billed with the greatest frequency
(such as office visits and physical therapy).
We believe that bundling payment and, thus, precluding separate
payment for the application of hot and cold packs is justified for
three reasons:
As a therapy, hot and cold packs are easily self-
administered. Generally, we do not cover procedures that are basically
self-administered; hot and cold
[[Page 59500]]
packs, by their nature, do not require the level of professional
involvement as do the other physical medicine and rehabilitation
modalities.
Although we acknowledge that professional judgment is
involved in the use of hot and cold packs, much less judgment is
demanded for them than for other modalities. These packs are commonly
used in the home, and, thus, require a minimal level of professional
attention.
The application of hot and cold packs is usually a
precursor to other interventions and, as such, is appropriately used in
combination with other procedures. Our data analysis supports this
conclusion because the majority of claims for CPT code 97010 occurred
in conjunction with claims for other services performed on the same
day.
We proposed to change the status indicator for CPT code 97010 to
``B'' to indicate that the service is covered under Medicare but
payment for it is bundled into the payment for other services. Separate
payment for CPT code 97010 would not be permitted under this proposed
change. This change would be implemented in a budget neutral manner
across all other procedures. Because the RVUs for this procedure would
be redistributed across all physician fee schedule services, there
would be no measurable impact.
Comment: We received a limited number of comments in response to
this proposal. Most of the commenters were opposed to our proposal.
However, several commenters supported the concept of bundling CPT code
97010 conditionally and one commenter was fully supportive of the
proposal. Those opposed to bundling stated that distribution of the
RVUs for CPT code 97010 across all services will result in payment to
all physicians performing services when, in fact, only very few
physicians use hot and cold pack modalities. Furthermore, the
commenters, in supporting the use of hot or cold packs outside of the
home setting, stated that these modalities are not appropriate in the
home since they are part of a rehabilitation program that is generally
not provided in the home. They objected to the proposed bundling of hot
or cold packs because they are separate and distinct services. Other
physical modality and physical therapy codes are used without the
application of hot or cold packs as well, and the packs can be applied
independent of any other service.
Response: As indicated in our proposed rule, we analyzed data on
the use of CPT code 97010. As a result, we identified the distribution
of CPT code 97010 across specialties and occurrences with other
procedures. Hot or cold packs were billed by physical therapists,
occupational therapists, orthopedic surgeons, physical medicine and
rehabilitation specialists, and many other specialties.
Our data indicate that the vast majority (approximately 95 percent)
of hot or cold packs were administered in conjunction with other
services. Thus, we continue to believe that our data justifies our
proposal to bundle payment for CPT code 97010 with other services
performed on the same patient on the same day.
Comment: Although some commenters supported the bundling of payment
for CPT code 97010 with other services, they stated that the RVUs
should be distributed only across other procedures in the CPT code
97000 series. They concluded that because the use of hot or cold packs
was not considered in the original RVUs for physical medicine and
rehabilitation, the value for CPT code 97010 should be included only
with CPT codes 97012 through 97799.
Response: As noted above, our analysis indicates that the use of
hot or cold packs is distributed across many other specialties and
frequently occurs with a variety of other procedures. Therefore, we
believe that the most equitable distribution of the RVUs assigned to
CPT code 97010 is across all services. As we noted, the impact of the
values for this procedure, distributed across all procedures, is
minimal.
Comment: One commenter was concerned about compensating
practitioners for the supply costs associated with the use of hot and
cold packs.
Response: We believe the practice expense costs are very low for
hot and cold packs. Further, the entire RVUs for CPT code 97010 were
reallocated including the physician work and the practice expense
components. Thus, the supply costs are included in the practice expense
RVUs allocated to other codes.
Comment: One commenter opposed the inclusion of this modality with
other codes because use of this modality requires the professional
skill of a trained therapist.
Response: Other commenters did not express this concern. In many
States, therapy assistants with considerably less training than
therapists may administer these modalities. In institutional settings,
health care workers other than trained professional therapists also
administer these modalities. Also, both hot and cold packs are
available to patients to use in the home and are safely used in this
setting.
Comment: One commenter stated that hydrocollator packs should be
treated differently from self administered hot packs.
Response: Hydrocollator packs are a type of hot pack that typically
contains silicon dioxide encased in a canvas covering. It is heated by
immersion in very hot water. This type of heat pack is still considered
to be a superficial heat modality and is generally therapeutically
equivalent to other types of hot packs.
Comment: We received one comment with unequivocal support for
bundling payment for CPT code 97010 with payment for other services.
This commenter, representing a large professional organization,
concurred based on the belief that these packs do not require the same
level of professional involvement as do other physical therapy
modalities, and they represent a precursor to other covered
interventions.
Response: We appreciate the support for our proposed policy.
Final Decision: In response to the comments, we revisited the CPT
code 97010 utilization data and found no new information to justify
changing our proposal. Therefore, payment for procedure 97010 will be
bundled into the payment for other services, and the status indicator
will be changed to ``B''.
This policy change does not require a change in the text of the
regulations.
2. Dermatology Procedures
a. Bundling of Repair Codes into Excision Codes
Currently, the RVUs for the dermatology excision codes (CPT codes
11400 through 11446 and 11600 through 11646) include RVUs for services
described by the simple repair codes (CPT codes 12001 through 12018).
We proposed to cease paying separately for other types of repair codes
when billed in conjunction with excision codes. We proposed to bundle
the RVUs for the intermediate and complex repair codes (CPT codes 12031
through 12057 and 13100 through 13152, respectively) into both the
benign and malignant skin lesion excision codes (CPT codes 11400
through 11446 and 11600 through 11646, respectively). Under our
proposal, we would redistribute the RVUs for the repair codes across
CPT codes 11400 through 11446 and 11600 through 11646. We would base
the number of RVUs for redistribution on the frequency with which the
repair codes are billed with the excision codes.
We did not propose to assign these repair codes a ``B'' status
indicator
[[Page 59501]]
because we acknowledged that these codes are not used exclusively with
excision services. Instead, we would implement this policy change by
establishing edits in our claims processing systems that would deny
payment for a repair code billed on the same date of service as a claim
for payment for an excision of a skin lesion. This change would
standardize our policy for payment for wound closure.
Comment: Commenters opposed the proposal to cease paying separately
for the intermediate and complex repair codes when billed in
conjunction with the excision codes. They argued that an average
payment was not appropriate because the same payment would be made for
services having substantial differences in physician work. In addition,
some commenters noted that coding separately for the intermediate and
complex repair codes corresponded to CPT definitions.
Response: As a result of our review of the comments on this issue,
we have decided not to implement this proposal. We agree that there is
an established hierarchy of work RVUs associated with the families of
excision of skin lesion codes that would be disrupted by the bundling
of RVUs for the intermediate and complex repair codes.
We believe, however, that the definitions of a simple and an
intermediate repair code need clarification to reflect the differences
in physician work for these procedures.
The CPT definitions of simple and intermediate repairs include the
following:
Simple repair is used if the wound is superficial; for example,
involving primarily epidermis or dermis, or subcutaneous tissues
without significant involvement of deeper structures, and requires
simple one layer closure/suturing.
Intermediate repair includes the repair of wounds that, in addition
to the above, require layered closure of one or more of the deeper
layers of subcutaneous tissue and superficial (non-muscle) fascia, in
addition to the skin (epidermal and dermal) closure.
We do not believe these definitions appropriately distinguish
simple repairs (which are not separately reported and paid when
performed after the excision of a skin lesion) from intermediate
repairs (which are separately reported and paid when performed after
the excision of a skin lesion) because they allow the reporting of the
intermediate repair codes for the placement of a single suture in the
subcutaneous tissue. We do not believe such a suture involves
significantly more work than a simple one layer closure. Therefore, we
do not believe the intermediate repairs should be reported in addition
to the excision codes if the only additional work is a layered closure
of the subcutaneous tissue.
We believe the distinction between a simple and intermediate repair
should be based on anatomical levels of repair. Based on this
principle, a simple repair should be used if the wound involves the
skin and subcutaneous tissue and an intermediate repair should be used
for closure of one or more of the deeper fascial layers, in addition to
the skin and subcutaneous tissue. For Medicare reporting purposes,
these definitions will be the basis of payment for the reporting of
repair codes with excision codes effective January 1, 1997. This
clarification should reduce the potential for misuse of intermediate
repair codes. If not, we may need to reconsider this proposal in the
future.
Final Decision: We will continue to allow separate payment for the
intermediate and complex repair codes (CPT codes 12031 through 12057
and 13100 through 13152, respectively) if they are reported with the
excision codes. However, we will no longer follow the CPT definitions
of simple and intermediate repairs. We will follow the revised
definitions described above while we work with the CPT Editorial Panel
to incorporate these definitions in the next annual update of the CPT.
b. Skin Lesion Destruction Codes
There are several CPT codes that describe the destruction of
various benign or premalignant skin lesions. Within this group of
codes, the reporting methods vary. We proposed to simplify the
reporting of and payment for the destruction of benign or premalignant
skin lesions by assigning a ``G'' status indicator to CPT codes 11050
through 11052, 11200 and 11201, 17000 through 17105, 17110, and 17200
and 17201 to indicate that these CPT codes are not valid for Medicare
purposes and that there is another code to use for the reporting of and
payment for these services.
To report the destruction of benign and premalignant skin lesions,
we proposed to create two HCPCS codes. The first code would describe
the destruction of up to and including 15 lesions. The second code
would describe the destruction of each additional 10 lesions. To assign
RVUs to these codes, we proposed to take a weighted average of the RVUs
assigned to CPT codes 11050 through 11052, 11200 and 11201, 17000
through 17105, 17110, and 17200 and 17201 based on the billing
frequencies and the code descriptors.
Comment: Several commenters opposed the proposal to combine the
numerous CPT codes that describe the destruction of various benign or
premalignant lesions into two HCPCS codes because the work RVUs for
these procedures are not similar. In addition, some commenters noted
that the destruction of benign or malignant lesions is a separate
procedure from paring or curettement of benign hyperkeratotic skin
lesions.
Response: In general, we agree that our proposal would consolidate
services with a wide range of work RVUs and have decided to modify our
proposal accordingly. We also agree that distinct codes for paring or
curettement of benign hyperkeratotic skin lesions is appropriate.
We intend, however, to consolidate the CPT codes with similar work
RVUs--the destruction of benign or premalignant lesions (CPT codes
17001 through 17105).
Comment: Some commenters stated that the proposal would introduce
administrative problems for claim submission since a dual coding system
would be needed for Medicare and other insurers.
Response: We acknowledge that the creation of codes for Medicare
purposes only might create some administrative problems. However, we
believe these problems are significantly outweighed by the problems
associated with the confusing and inconsistent terminology of the
existing CPT codes for the destruction of benign or premalignant
lesions (CPT codes 17001 through 17105). Within this group of codes,
the reporting methods vary and create the potential for misuse. Some
codes describe the destruction of a single lesion but require reporting
multiple codes for the destruction of several lesions; other codes
describe destruction of one or more ``complicated'' lesions regardless
of the number of lesions destroyed. Thus, it is sometimes not clear how
many codes to report.
For example, to report the destruction of 4 benign facial lesions
and 11 premalignant lesions, a physician must use a combination of 3
CPT codes with varying units of service on the claim form. In contrast,
to report the destruction of 15 benign lesions on the trunk, a
physician would only use one code with one unit of service on the claim
form. Supporting our concern for potential misuse, 1995 utilization
data indicate that 2.32 percent of allowed services for CPT code 17002
were for destruction of more than 15 lesions with a range from 16 to
115 lesions.
Further support for consolidation of these CPT codes are the
[[Page 59502]]
recommendations from the 1996 RVU refinement panels for only a 0.03
difference in work for the destruction of premalignant lesions in any
location (CPT code 17000, final RVU 0.56) and the destruction of benign
lesions in locations other than the face (CPT code 17100, final RVU
0.53). See section IV.A.1. of this final rule for a fuller discussion
of these work RVUs. We do not believe it is necessary to maintain two
families of codes when the difference in work between the families is
so small.
Final Decision: As a result of our review of the comments on this
issue, we will modify our proposal. We will maintain the active status
of CPT codes 11050 through 11052, 11200, 11201, 17200, and 17201.
Preliminary revision of these CPT codes has begun, and we will continue
working with the CPT Editorial Panel to clarify these CPT codes.
Codes for the destruction of benign or premalignant lesions will be
consolidated into one series of codes, regardless of body location.
Three new HCPCS codes will be used to report the destruction of benign
or premalignant lesions, and we will assign a ``G `` status indicator
to CPT codes 17000 through 17105, indicating that these codes will not
be valid for Medicare purposes. The following temporary codes will be
effective January 1, 1997:
G0051: Destruction by any method, including laser, with or without
surgical curettement, all benign or premalignant lesions (for example,
actinic keratosis), other than skin tags or cutaneous vascular
proliferative lesions, including local anesthesia; first lesion
G0052: Destruction by any method, including laser, with or without
surgical curettement, all benign or premalignant lesions (for example,
actinic keratosis), other than skin tags or cutaneous vascular
proliferative lesions, including local anesthesia; second through
fourteenth lesion, each (report in addition to G0051)
G0053: Destruction by any method, including laser, with or without
surgical curettement, all benign or premalignant lesions (for example,
actinic keratosis), other than skin tags or cutaneous vascular
proliferative lesions, including local anesthesia; fifteen lesions or
over (includes G0051 and G0052)
The RVUs for these new codes have been derived from the RVUs for
CPT codes 17000 through 17105 and distributed so that the total number
of RVUs in the new family of codes will be the same as in the old
family of codes. The practice expense and malpractice expense RVUs also
will be distributed to maintain budget neutrality within the family of
codes, and they will be proportionate to the work RVUs. Thus, this
coding change will not affect the total payments made for the
destruction of skin lesions currently reported with CPT codes 17000
through 17105.
The codes and RVUs assigned to them, listed in the following table,
are considered interim, and we will accept comments on them. We will
continue to work with the CPT Editorial Panel to standardize this
coding nomenclature and will share comments on our temporary codes with
the Panel.
----------------------------------------------------------------------------------------------------------------
Practice
Code Descriptor Work RVUs expense Malpractice
RVUs RVUs
----------------------------------------------------------------------------------------------------------------
G0051 Destruction skin lesions, first 0.55 0.41 0.04
lesion.
G0052 Destruction skin lesions, 2nd to 0.18 0.13 0.01
14th lesion.
G0053 Destruction skin lesions, 15 or 3.05 2.25 0.20
more lesions.
----------------------------------------------------------------------------------------------------------------
This policy change does not require a change in the text of the
regulations.
E. Change in Coverage Status for Screening and Obsolete Procedures
1. Vital Capacity Testing
CPT code 94150 (Vital capacity, total) is a screening measure and
is typically performed on patients who are asymptomatic. Because these
tests are performed on patients who do not have symptoms of breathing
problems, they represent preventive services that are, by statute, not
covered by Medicare. However, we inadvertently failed to identify CPT
code 94150 as noncovered by Medicare. With limited exceptions, sections
1862(a)(1)(A) and 1862(a)(7) of the Act preclude Medicare coverage for
screening services. Therefore, we proposed changing the status
indicator for CPT code 94150 from ``A'' to ``N'' to represent its
noncovered status.
Comment: Two commenters expressed the opinion that the proposal was
in error because vital capacity tests may have some clinical utility in
monitoring patients who have either congestive heart failure or
restrictive lung disease. One commenter indicated that vital capacity
tests might be performed as part of the screening of asymptomatic
patients for industrial exposure but suggested that most measurements
of this type are performed on patients to monitor their symptoms or
underlying disease process. Another commenter stated that a physician's
charge for performing a simple measurement of vital capacity (CPT code
94150) should be less than the charge for a full spirogram (CPT code
94010) because the first test is an integral part of the second test.
Response: Based on our further evaluation of this issue, we have
concluded that a simple vital capacity measurement by itself may
provide a physician with a ``partial look'' when monitoring a patient
with pulmonary disease or congestive heart failure either as clinical
documentation, or when assessing a response to therapeutic
interventions. As a stand-alone service, however, we understand that
this test provides only a partial assessment of a patient's ventilatory
function and, thus, has outlived its clinical usefulness. In addition,
we understand that the information provided by this measurement should
be readily evident from a carefully performed physical examination of
the patient and from simple maneuvers at the time of examination (for
example, in the case of a pulmonary disease patient, a walking test or
blowing up a balloon).
Final Decision: Based on our review of the comments received and
further consultation with our medical staff, we have decided to modify
our original proposal. Instead of changing the coverage status for
vital capacity tests from ``active'' to ``noncovered,'' we will change
it from ``active'' to ``bundled'' to indicate that payment for a
particular procedure will always be bundled into payment for other
services furnished to Medicare patients. Simple vital capacity tests
(CPT code 94150) by themselves are generally considered to be
clinically incomplete and have outlived their usefulness. To the extent
that these tests are still performed in medical practice, however, we
understand that they are routinely performed as a small part of a more
comprehensive physician's examination of a pulmonary disease or
congestive heart failure patient. Therefore, we believe it is
appropriate to
[[Page 59503]]
bundle Medicare payment for these measurements into the payment for
evaluation and management services.
In addition, we received a RUC recommendation to decrease the work
RVUs from 0.11 to 0.07. For a discussion of this recommendation and our
decision on work RVUs, see section IV.A.15. of this final rule.
This policy change does not require a change in the text of the
regulations.
2. Certain Cardiovascular Procedures
Based on the American College of Cardiology's recommendation, our
review of recent claims history data, and our consultation with other
medical specialty groups, we proposed to discontinue coverage for 10
phonocardiography and vectorcardiography diagnostic tests (CPT codes
93201 through 93222) that are outmoded and of little clinical value. We
proposed changing the status indicators for these 10 procedures from
``A'' to ``N'' to reflect their noncovered status.
Comment: Two commenters recommended that we clarify the meaning of
the ``N'' status indicator that was proposed to reflect the noncovered
status of phonocardiography and vectorcardiography diagnostic tests.
They expressed confusion as to whether status indicator ``N'' meant
that the cardiovascular services in question were being excluded from
Medicare coverage based on the statutory reasonable and necessary
exclusion in section 1862(a)(1)(A) of the Act, or some other statutory
exclusion such as section 1862(a)(7) of the Act, which applies to
routine physical checkups and refractions. The commenters pointed out
that the statutory basis for the exclusion is important because it
determines whether the physician is required to file a claim for the
service and whether the patient must sign a waiver of liability
statement and, thus, be held financially responsible to the physician
for payment for the service. They suggested that we may want to
establish unique status indicators for medical procedures that are
precluded from coverage based on different statutory exclusions.
Response: The statutory basis for our proposal to discontinue
Medicare coverage for the 10 cardiovascular tests should have been
specifically identified in our preamble of the proposed rule that was
published on July 2, 1996. In view of the comments received from the
American College of Cardiology that these tests are outmoded and of
little clinical value, our proposal to end coverage of these tests was
based on the assumption that they are no longer considered to have
clinical utility for Medicare patients, and, thus, should be precluded
from payment by section 1862(a)(1)(A) of the Act (the reasonable and
necessary exclusion). Accordingly, under our proposal, physicians would
have to treat Medicare denials of claims for the 10 cardiovascular
tests in question as medical necessity denials under section
1862(a)(1)(A) of the Act.
Since the physician fee schedule was established in 1992, the ``N''
status indicator has always meant that the procedures in question were
not covered under Medicare because of one or more statutory exclusions
in the law (for example, either section 1862(a)(1)(A) of the Act or one
of the other statutory coverage exclusions.) We do not believe it would
be appropriate to establish unique status indicators in the physician
fee schedule for various noncovered medical procedures based on
different statutory exclusions for several reasons. First, the primary
purpose of the physician fee schedule is to provide general Medicare
payment information on more than 7,000 medical procedures to the
physician community and other interested parties and not to provide
specific claims processing information that Medicare carriers are
required to provide to the medical community in their localities under
their Medicare contracts. Second, in the case of certain medical
procedures (for example, noncovered screening services), it is possible
for a national noncoverage decision to be based on more than one
statutory exclusion. It would unduly complicate the status indicator
process if we had to explain these unique situations.
Final Decision: We are adopting our proposal to discontinue
coverage for the 10 phonocardiography and vectorcardiography procedures
because we did not receive any negative comments. However, we will
delete the 10 codes from the 1997 fee schedule rather than change the
status indicators from ``A'' to ``N'' to reflect their noncovered
status because these codes have been deleted from the American Medical
Association's Physician's Current Procedural Terminology for 1997. Any
Medicare claims submitted by physicians for these cardiovascular
procedures under a miscellaneous code will be denied by local Medicare
carriers. We will issue instructions to Medicare carriers regarding the
noncoverage status of these procedures.
This policy change does not require a change in the text of the
regulations.
F. Payments for Supervising Physicians in Teaching Settings
1. Definition of Approved Graduate Medical Education Programs
Since publication of the December 8, 1995 (60 FR 63182) final rule,
we have received questions about the difference in the definition of an
approved residency program for purposes of the teaching physician rules
under Sec. 415.152 (``Definitions'') and the definition used in the
direct medical education rules under Sec. 413.86(b) (``Direct graduate
medical education payments''). To be consistent, we proposed to modify
Sec. 415.152 to match the definition of an approved graduate medical
education program in Sec. 413.86(b). We proposed adding a reference to
programs that are recognized as an ``approved medical residency
program'' under Sec. 413.86(b). By making this change, the regulations
text will reflect a common definition of approved graduate medical
education programs for Medicare Part A and Part B. This is a technical
change and will have no effect on the implementation of our revised
policy regarding the payment for supervising physicians in teaching
settings that is effective July 1, 1996.
Comment: Commenters, including an organization representing
physicians in a subspecialty of internal medicine, objected to this
proposal because residents in subspecialty programs (often called
``fellows'') who provide direction to interns and residents would be
included in the definition of residents in an approved program. The
organization argued that fellows are teaching physicians who must be
allowed to bill for their direction of interns and residents. A few of
the commenters objected to the proposal and suggested that each
individual residency program should be allowed to decide whether to
bill for the services as physicians' services or to have the services
included in the hospital's count used to compute direct graduate
medical education payments since a teaching hospital may receive only
partial credit for its advanced residents in some cases. The commenter
pointed out that this approach was consistent with our policy for
services when furnished in nonprovider settings (section 1886(h)(4)(E)
of the Act and Sec. 413.86(f)(1)(iii)).
Response: Contrary to the suggestion of the commenters, we are not
changing our policy on the definition of an approved residency program
for purposes of determining payments for the services of teaching
physicians. Rather, we proposed to revise the
[[Page 59504]]
regulations text because questions have been raised about the different
language used to define an approved residency program in different
contexts. We believe it is reasonable and appropriate to have
consistent definitions and, in fact, it would make little sense to
apply one definition of an approved residency program in one context
and a substantively different definition in another context.
It is our position that, to the extent Medicare pays for the
services of residents in an approved residency program under section
1886(h) of the Act, we should not make a separate Medicare Part B
payment for the same services under the physician fee schedule. We see
no reason to treat fellows in a way that is different from other
residents. ``Fellows'' are residents in subspecialty programs, and the
costs of fellows, like other residents, are addressed by section
1886(h) of the Act. Section 1886(h)(5)(A) of the Act specifically cites
subspecialty programs. While we understand the comments about the
partial crediting of residents beyond their initial residency period
limitation, this reflects a judgment by the Congress concerning the
appropriate level of Medicare payment for such activities. As was
pointed out in the preamble discussion in the September 29, 1989 final
rule (54 FR 40312) on the direct graduate medical education payment
provision:
We believe that the enactment of section 1886(h) of the Act was
a clear statement from the Congress that a limitation on the growth
in Medicare GME expenditures was necessary. Further, although not
explicitly stated, it reflects a decision on the part of the
Congress to focus reductions on subspecialty programs beyond the
initial residency periods rather than on primary care programs.
We believe it would be inappropriate to allow Medicare Part B billing
for the services of fellows simply because Congress has chosen to limit
the amount of GME payments for such activities. We note that teaching
physicians that involve these residents or fellows in the care of the
teaching physician's patients can bill Medicare Part B if the criteria
addressed in the December 8, 1995 final rule are met.
Final Decision: We will revise the regulations text as proposed.
2. Evaluation and Management Services Furnished in Certain Settings
In the December 8, 1995 final rule (60 FR 63135), we revised our
policy regarding the payment for supervising physicians in teaching
settings. We eliminated the attending physician criteria but clarified
the physician presence requirement for services billed to the Medicare
carrier. As part of our revised policy, we created a limited exception
for residency programs that are fundamentally incompatible with a
physical presence requirement. The exception to the physician presence
requirement is for certain evaluation and management services (CPT
codes 99201, 99202, 99203, 99211, 99212, and 99213) furnished in
ambulatory care centers within the context of specific types of
residency training programs. The exception is set forth in Sec. 415.174
(``Exception: Evaluation and management services furnished in certain
centers'').
As the exception currently reads, one of the criteria is that ``The
range of services furnished by residents in the center includes * * *
Comprehensive care not limited by organ system, diagnosis, or gender.''
(Sec. 415.174(a)(4)(iii)). It has come to our attention that many
obstetric and gynecological residency programs have been restructured
over the years to have a greater primary care focus. Some of these
programs that otherwise qualify for an exception might be denied
payment if the gender limitation were strictly applied.
Contrary to suggestions in correspondence we received after
publication of the final rule, it was not our intention to prevent
obstetric and gynecological residency programs or other residency
programs focusing on women's health care from qualifying for the
exception solely because of the patient's gender. Thus, we proposed to
make a technical change to the regulations text to delete the reference
to gender in Sec. 415.174(a)(4)(iii) and change the text to
``Comprehensive care not limited by organ system or diagnosis.'' Of
course, such programs must satisfy the otherwise applicable criteria to
qualify for an exception.
Comment: All of the commenters supported the proposal to delete the
word ``gender'' from the primary care exception criteria.
Response:
We agree with the commenters.
Final Decision:
We will delete the word ``gender'' from the primary care exception
criteria in Sec. 415.174(a)(4)(iii). We will not include the word
``gender'' in any program directive on the primary care exception.
G. Change in Global Periods for Four Percutaneous Biliary Procedures
The Society of Cardiovascular and Interventional Radiology advised
us that a 90-day global period is inappropriate for four percutaneous
biliary procedures. The four procedures are CPT codes 47490
(percutaneous cholecystectomy), 47510 (introduction of percutaneous
transhepatic catheter for biliary drainage), 47511 (introduction of
percutaneous transhepatic stent for internal and external biliary
drainage), and 47630 (biliary duct stone extraction, percutaneous via
T-tube tract, basket, or snare (for example, Burhenne technique)). The
Society believes that these four procedures should have a ``0-day''
global period. We agreed with the Society's arguments that a 90-day
global period is contrary to the widespread practice conventions of
percutaneous biliary intervention and is inconsistent with other
similar interventions in the biliary tract and urinary tract.
We believed that the global periods for these four codes should be
changed. Therefore, we proposed changing the global periods for these
services from 90 days to 0 days. To make this change, we proposed to
reduce the work RVUs assigned to these procedures to reflect the lack
of postsurgical work in the shortened global period. We proposed to
reduce the work RVUs for CPT codes 47490, 47510, 47511, and 47630 by 17
percent if we changed the global periods. The 17 percent figure (as the
measure of the postsurgical work associated with these codes) was taken
from the original data in a study by the Harvard School of Public
Health (``A National Study of Resource-Based Relative Value Scales for
Physician Services'').
Comment: Several commenters indicated that, while they agreed with
the proposal to reduce the global surgery period from 90 days to 0 days
for the percutaneous biliary procedures under CPT codes 47490, 47510,
47511 and 47630, they disagreed with reducing the work RVUs by 17
percent to take into account the portion of the current RVUs
attributable to postsurgical work. One physician organization indicated
that a global period of 0 days was assumed in the Harvard study of CPT
code 47630 and that the Harvard study included these procedures in its
study of general surgeons rather than interventional radiologists. The
Society of Cardiovascular and Interventional Radiology commented that
its 1991 recommendations on these procedures, based on surveys by a
consulting firm, were made without the inclusion of postsurgical work
in the RVUs, and that reducing RVUs would lower the value of these
procedures relative to analogous endoscopic procedures in the biliary
tract.
[[Page 59505]]
Response: We reviewed the data in the Harvard study to determine
whether a global period of 0 days was assumed for CPT code 47630. Three
of the codes (CPT codes 47490, 47510 and 47630) were studied and all
three were assumed to have 90 day global periods. The fourth code (CPT
code 47511) was new in 1992 and was not part of the Harvard study.
The following table shows the percent of total work associated with
each of the components of work for which Harvard provided data:
Percent of Total Work by Component
----------------------------------------------------------------------------------------------------------------
Post- Post- Post-
Pre- Intra- operative operative operative
Code operative operative same day hospital office
(percent) (percent) (percent) (percent) (percent)
----------------------------------------------------------------------------------------------------------------
47490.......................................... 10 40 8 33 9
47510.......................................... 16 36 12 19 17
47630.......................................... 10 56 9 14 11
----------------------------------------------------------------------------------------------------------------
These data show that if the current RVUs were based on Harvard data and
we were to reduce the global period from 90 days to 0 days, we would
need to reduce the RVUs by the amount attributed to postoperative
hospital work (other than the same day) and postoperative office work.
For these three codes, the reductions would not be 17 percent as
described in our proposal but 42 percent for CPT code 47490, 36 percent
for CPT code 47510 and 25 percent for CPT code 47630.
We also reviewed the results of the refinement panel meeting held
in May 1992 for CPT codes 47510, 47511 and 47630. CPT code 47490 was
not reviewed by the refinement panel. For the insertion of a catheter
in a bile duct (CPT code 47510), we agreed that the work is equivalent
to the work of inserting a drainage tube endoscopically (CPT code
43267). For inserting a stent for biliary drainage (CPT code 47511), we
agreed that the work was more than the work of the comparable
endoscopic procedure (CPT code 43267) and assigned a higher RVU. We did
not accept the argument that the global period should be reduced from
90 to 0 days, because we believed a physician performing this procedure
should be responsible for following the patient even if other
physicians are involved in the care of the patient. For the extraction
of a bile duct stone (CPT code 47630), the RVUs that emerged from the
panel's ratings were less than the corresponding endoscopic procedure
(CPT code 43264).
We also reviewed the RVUs assigned to the radiological supervision
and interpretation (S & I) codes that are reported in addition to the
procedure codes. These codes are not used with endoscopic procedures.
In stating that the percutaneous biliary procedures should have
comparable global periods and RVUs to endoscopic procedures, the
commenter appears to have overlooked the additional RVUs associated
with the supervision and interpretation codes. The following table
shows the codes and RVUs associated with each of the codes and the
total RVUs associated with the complete percutaneous procedures.
------------------------------------------------------------------------
Total
RVUs for S&I RVUs RVUs for
Procedure codes procedure codes for complete
S&I procedure
------------------------------------------------------------------------
47450............................. 6.04 75989 1.19 7.23
47510............................. 7.39 75980 1.44 8.83
47511............................. 9.91 75982 1.44 11.35
47630............................. 8.31 74327 0.70 9.01
------------------------------------------------------------------------
Based on our re-analysis of the Harvard study data, the May 1992
refinement panel results and the total RVUs associated with these
procedures, we now believe that a change in global periods from 90 to 0
days may be inappropriate because of uncertainty about the reduction in
RVUs, if any, that should be made in conjunction with the change in
global periods.
Final decision: We will maintain the current global period of 90
days and the current RVUs for these four percutaneous biliary
procedures. We plan to refer to the Relative Value Update Committee for
its consideration the issue of work RVUs and global periods for
procedures that can be performed endoscopically, percutaneously, and
open. For a more detailed discussion of our plans to review these
procedures, see section IV.C.4 of this final rule.
III. Refinement of Relative Value Units for Calendar Year 1997 and
Responses to Public Comments on the Five-Year Review of Work Relative
Value Units
A. Summary of the Development of Physician Work Relative Value Units
We discussed in detail the development of the concepts and
methodology underlying the physician fee schedule in our May 3, 1996
proposed notice (61 FR 19993 through 19994).
B. Scope of the Review
This final rule is the culmination of the 5-year review of work
RVUs required by section 1848(c)(2)(B)(i) of the Act. The work RVUs
affected by this review will be effective for services furnished
beginning January 1, 1997.
We initiated the 5-year review by soliciting public comments on all
work RVUs for approximately 7,000 CPT/HCPCS (HCFA Common Procedure
Coding System) codes published in our December 8, 1994 final rule (59
FR 63410). The process for evaluating codes included in the 5-year
review involved the same basic methodology as the process for the
annual physician fee schedule update, with some important changes.
Because the 5-year review involved evaluating the physician work of
established codes with established work RVUs, we required compelling
arguments to support changes from the existing assignment of work RVUs.
To gather evidence to support these arguments, in addition to comparing
the total physician work involved in the services under review to key
reference services, we asked commenters to provide a detailed
comparison of the preservice, intraservice, and postservice time
involved in the key reference services selected. For this purpose, for
surgical procedures, we further divided postservice time into time on
the day of the procedure, time in the intensive care unit, hospital
visits, and office or other outpatient visits following discharge.
We also requested comments regarding other elements of physician
work, in addition to time, and the extent to which the service had
changed over the last 5 years. We considered the commenters' statements
regarding the complexity of each nontemporal component for the services
under review and the services used as key
[[Page 59506]]
references. The nontemporal components of work are the physician's
mental effort and judgment, technical skill and physical effort, and
stress resulting from the risk of mortality or iatrogenic harm to the
patient. We also considered whether the service had changed over the
past 5 years as the result of one of the following conditions: new
technology that had become more familiar to physicians, the service
having been furnished to patients who had more or less complex medical
conditions, or a change in the site where the service had usually been
furnished.
During the comment period, we received more than 500 public
comments on approximately 1,100 individual codes. In addition, three
specialty societies (the American Academy of Orthopedic Surgeons, the
American Society of Anesthesiologists, and the American Academy of
Otolaryngology--Head and Neck Surgery, Inc.) submitted studies
conducted for them by Abt Associates, Inc., which spanned all of the
more than 2,000 codes used by physicians in those specialties. The
American Academy of Pediatrics also submitted comments asserting that
the physician work involved in furnishing 480 services to pediatric
patients is different than the physician work involved in furnishing
the same services to adult patients.
After a preliminary screening, we referred approximately 3,500
codes to the AMA Specialty Society Relative Value Update Committee
(RUC) for its review. The codes included those found in public comments
(700 codes), the American Academy of Pediatrics' comments (480 codes);
three special studies by Abt Associates, Inc. (about 2,000 codes); and
those we identified as potentially misvalued (300 codes).
The RUC was formed in November 1991 and grew out of a series of
discussions between the AMA 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 AMA,
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 AMA's House of
Delegates.
We shared the comments we received with the RUC, which currently
makes recommendations to us on the assignment of RVUs to new and
revised CPT codes and offered to advise us on the assignment of RVUs to
procedures for which we received substantive comments. We believed that
the RUC's perspective would be helpful because of the RUC's experience
in recommending RVUs for the codes that have been added to, or revised
by, the CPT since we implemented the physician fee schedule in 1992.
Furthermore, the RUC, by virtue of its multispecialty membership and
consultation with approximately 65 specialty societies, represents the
family of medicine in the refinement process.
We wish to acknowledge the extraordinary efforts of the RUC, the
RUC Advisory Committee, the HCPAC, the specialty societies and the
staffs of these organizations in assisting us in the completion of this
5-year review process. While we did not delegate to the RUC or any
other organization our responsibility for analyzing the comments and
deciding whether to revise RVUs, it is doubtful that we could have
completed the 5-year review in a timely manner and with such extensive
clinical input without their assistance.
In our May 3, 1996 proposed notice (61 FR 19992), we identified
more than 1,000 codes included in the 5-year review and for which we
had received recommendations from the RUC for work RVUs. With this
notice, we provided the public with an opportunity to comment on our
proposed work RVUs for these codes.
We divided the CPT codes into clinical groups and another group
containing all the codes identified by the RUC as potentially
overvalued services. (Additional codes from the Abt Associates, Inc.
studies and from the American Academy of Pediatrics' comments were
discussed in sections II.C.2. and II.C.3. of the May 3, 1996 proposed
notice, respectively.) In addition, the AMA is submitting approximately
65 CPT codes to its CPT Editorial Panel. The RUC was unable to
recommend work RVUs for these codes because the services were not
clearly described or could vary widely from patient to patient. We
announced our plans to address these codes in a future annual update of
the physician fee schedule.
The following is a categorization of our decisions and how they
related to the comments received from the public (including medical
specialty societies) and the RUC as published in the May 3, 1996
notice:
For 28 percent of the codes, we proposed to increase the
work RVUs.
For 61 percent of the codes, we proposed to maintain the
current work RVUs. We also proposed to maintain the values for the
anesthesia codes.
For 11 percent of the codes, we proposed to decrease the
work RVUs.
Our proposed work RVUs agreed with the RUC recommendations for 93
percent of the codes.
C. Review of Comments (Includes Table 1--Work Relative Value Unit
Refinements of Five-Year Review Codes Commented on in Response to the
May 3, 1996 Proposed Notice)
During the comment period for our May 3, 1996 proposed notice, we
received more than 2,900 public comments on approximately 133 codes
plus all anesthesia services. Over 2,000 of these comments addressed
our not having accepted the RUC recommendations for evaluation and
management services.
We convened three multispecialty panels of physicians to assist us
in the review of the comments. The comments that we did not submit to
panel review are discussed at the end of this section as well as those
that we did send to the panels. The panels were 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. This same clinician also provided ratings for the other
procedures being considered. Thus, depending on the codes in question,
this clinician was in one of two groups: ``specialist'' or ``other
specialist.'' 19 specialty societies and one individual commenter,
including primary care, were represented on the panels.
Primary care clinicians nominated by the American Academy
of Family Physicians, the American Society of Internal Medicine, the
American College of Physicians, the American Osteopathic Association,
the American Academy of Pediatrics, and the American College of
Obstetricians and Gynecologists.
Carrier medical directors.
We submitted 33 codes for evaluation by the panels. 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 the
panel members to compare the clinical aspects of the work of services
they believed were incorrectly valued to one or more of the reference
services. In compiling the reference 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
[[Page 59507]]
be represented. The set listed approximately 300 services. Panelists
were encouraged to make comparisons to these 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 reach consensus among the panel members.
We then analyzed the ratings based on a presumption that the
proposed notice RVUs were correct. To overcome this presumption, the
inaccuracy of the proposed 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 proposed RVUs. We did not modify the RVUs unless there was a
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 three
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 33 codes reviewed by our multispecialty panels, all of the requests
were for increased values.
We also received comments that we did not submit to the panels for
review for a variety of reasons. These comments are discussed in
section IV.B of this final rule. Of the 131 proposed RVUs that were
reviewed, approximately 60 percent were increased, 13 percent were
decreased, and 27 percent were not changed. These numbers excluded the
changes that were made to the anesthesia services. The anesthesia
changes are discussed in section IV.B.3. of this final rule.
Table 1--Work Relative Value Unit Refinements of Five-Year Review Codes
Commented on in Response to the May 3, 1996 Proposed Notice
Table 1 lists the codes reviewed during this 5-year review process
described in this section. This table includes the following
information:
CPT/HCPCS (HCFA Common Procedure Coding System) Code. This
is the CPT or alphanumeric HCPCS code for a service.
Mod (Modifier). A modifier -26 is shown if the work RVUs
represent the professional component of the service.
Description. This is an abbreviated version of the
narrative description of the code.
Proposed Work RVU. This column includes the work RVUs
proposed in the May 3, 1996 proposed notice for each reviewed code.
Requested Work RVU. 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. This table lists the highest requested RVUs. For some codes, we
received recommendations for an increase but by no specific RVU
recommendations.
RUC Recommendation. This column identifies the work RVUs
recommended by the RUC if the RUC made a recommendation as part of its
comments on the May 3, 1996 proposed notice.
1997 Work RVU. 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 proposed work RVUs published in the May 3, 1996
proposed notice should be retained (indicator 1);
--A new value emerged from our analysis of the refinement panel ratings
(indicator 2);
--A new or retained value came from the review of a comment (indicator
3);
--A new value came from the need to make a rank order change to
maintain or correct existing relationships among services (indicator
4);
--A value is retained because the code has been referred back to the
CPT Editorial Panel (indicator 5);
--A new value came from adjusting the work of services with MMM global
periods as a result of changes in evaluation and management service
work RVUs (indicator 6); or
--There is no value because of a 1997 CPT coding change that deletes
the code (indicator 7). These deleted codes were replaced by new 1997
CPT codes.
Table 1.--Work RVU Refinements of Five-year Review Codes Commented on in Response to the May 3, 1996 Proposed Notice
--------------------------------------------------------------------------------------------------------------------------------------------------------
CPT/HCPCS Proposed work Requested RUC Basis for
code* MOD Description RVU work RVU recommendation 1997 work RVU decision
--------------------------------------------------------------------------------------------------------------------------------------------------------
Increase work Increase work Increase work
00100-01999... ..... Anesthesia Services.............................. n/a by 28.97% by 22.76% by 22.76%a 3
10040......... ..... Acne surgery of skin abcess...................... 0.80 1.15 Review 1.15 3
11971......... ..... Remove tissue expander(s)........................ 1.51 .............. .............. a 1.51 5
13300......... ..... Repair of wound or lesion........................ 5.11 .............. .............. a 5.11 5
14300......... ..... Skin tissue rearrangement........................ 10.76 .............. .............. a 10.76 5
15000......... ..... Skin graft procedure............................. 1.95 .............. .............. a1.95 5
15101......... ..... Skin split graft procedure....................... 1.72 .............. .............. a 1.72 5
15121......... ..... Skin split graft procedure....................... 2.67 .............. .............. a 2.67 5
15201......... ..... Skin full graft procedure........................ 1.32 .............. .............. a 1.32 5
15221......... ..... Skin full graft procedure........................ 1.19 .............. .............. a 1.19 5
15241......... ..... Skin full graft procedure........................ 1.86 .............. .............. a 1.86 5
15261......... ..... Skin full graft procedure........................ 2.23 .............. .............. a 2.23 5
[[Page 59508]]
15570......... ..... Form skin pedicle flap........................... 3.75 9.85 8.39 8.39 2
15572......... ..... Form skin pedicle flap........................... 3.80 9.63 8.59 8.59 2
15574......... ..... Form skin pedicle flap........................... 3.85 10.50 8.79 8.97 2
15576......... ..... Form skin pedicle flap........................... 4.27 8.50 7.85 8.14 2
15580......... ..... Attach skin pedicle graft........................ 5.40 9.00 9.00 8.84 2
15755......... ..... Microvascular flap graft......................... 28.33 41.68 .............. .............. 7
17000......... ..... Destroy benign/premal lesion..................... 0.36 0.64 0.64 0.56 b 2
17001......... ..... Destruction of add'l lesions..................... 0.14 0.19 0.19 0.19 b 2
17002......... ..... Destruction of add'l lesions..................... 0.14 0.19 0.19 0.19 b 2
17100......... ..... Destruction of skin lesion....................... 0.53 .............. .............. 0.53 b 1
17101......... ..... Destruction of 2nd lesion........................ 0.11 .............. .............. 0.11 b 1
17102......... ..... Destruction of add'l lesion...................... 0.11 .............. .............. 0.11 b 1
21025......... ..... Excision of bone, lower jaw...................... 5.03 8.98 .............. 8.98 2
21125......... ..... Augmentation lower jaw bone...................... 6.22 10.00 10.00 10.00 3,4
21270......... ..... Augmentation cheek bone.......................... 12.10 9.56 9.56 9.56 3,4
28010......... ..... Incision of toe tendon........................... 2.97 .............. 2.71 2.71 3,4
28114......... ..... Removal of metatarsal heads...................... 7.16 .............. 8.65 a 8.65 4
29848......... ..... Wrist arthroscopy/surgery........................ 4.04 5.70 .............. 5.14 2
31090......... ..... Exploration of sinuses........................... 8.65 .............. .............. a 8.65 5
31531......... ..... Operative laryngoscopy........................... 3.39 3.79 .............. 3.59 2
31536......... ..... Operative laryngoscopy........................... 3.16 3.56 .............. 3.56 2
31541......... ..... Operative laryngoscopy........................... 4.13 6.00 .............. 4.53 2
31561......... ..... Operative laryngoscopy........................... 5.46 8.13 .............. 6.00 2
31571......... ..... Laryngoscopy with injection...................... 3.87 5.90 .............. 4.27 2
33970......... ..... Aortic circulation assist........................ 8.05 .............. 6.75 a 6.75 4
33971......... ..... Aortic circulation assist........................ 4.04 .............. 8.40 a 8.40 4
35556......... ..... Artery bypass graft.............................. 19.37 .............. 19.37 a19.84 4
35566......... ..... Artery bypass graft.............................. 24.45 .............. 24.45 a 25.00 4
35571......... ..... Artery bypass graft.............................. 16.66 .............. .............. a 17.14 4
35583......... ..... Vein bypass graft................................ 15.97 .............. 20.03 a 20.50 4
35585......... ..... Vein bypass graft................................ 25.92 .............. 25.95 a 26.47 4
35587......... ..... Vein bypass graft................................ 17.07 .............. .............. a17.55 4
35656......... ..... Artery bypass graft.............................. 17.84 .............. 17.84 a 18.42 4
35666......... ..... Artery bypass graft.............................. 15.97 .............. .............. a 17.60 4
35671......... ..... Artery bypass graft.............................. 12.18 .............. .............. a 13.39 4
35681......... ..... Artery bypass graft.............................. 3.93 8.05 .............. a 8.05 2
35875......... ..... Removal of clot in graft......................... 8.19 9.07 .............. a9.07 2
37201......... ..... Transcatheter therapy infuse..................... 5.00 7.25 7.25 5.00 1
46900......... ..... Destruction, anal lesion(s)...................... 1.81 .............. .............. a 1.81 5
50590......... ..... Fragmenting of kidney stone...................... 7.13 9.62 9.62 8.79 2
54100......... ..... Biopsy of penis.................................. 1.90 .............. .............. 1.90a 5
56312......... ..... Laparoscopic lymphadenectomy..................... 12.06 12.10 .............. 12.06 3
56805......... ..... Repair clitoris.................................. 15.49 .............. 18.00 a 18.00 4
57265......... ..... Extensive repair of vagina....................... 7.36 10.66 .............. 10.66 4
57335......... ..... Repair vagina.................................... 9.11 .............. 18.00 a 18.00 4
58200......... ..... Extensive hysterectomy........................... 20.34 22.37 .............. 20.34 3
59400......... ..... Obstetrical care................................. 20.99 Increase .............. 23.06 6
59409......... ..... Obstetrical care................................. 13.28 Increase .............. 13.50 6
59410......... ..... Obstetrical care................................. 14.44 Increase .............. 14.78 6
59425......... ..... Antepartum care only............................. 4.04 Increase .............. 4.81 6
59426......... ..... Antepartum care only............................. 6.91 Increase .............. 8.28 6
59430......... ..... Care after delivery.............................. 2.01 .............. .............. 2.13 6
59510......... ..... Cesarean delivery................................ 23.67 Increase .............. 26.22 6
59514......... ..... Cesarean delivery only........................... 15.39 Increase .............. 15.97 6
59515......... ..... Cesarean delivery................................ 16.55 Increase .............. 17.37 6
59525......... ..... Remove uterus after cesarean..................... 8.54 .............. .............. 8.54 6
59610......... ..... Vbac delivery.................................... 22.55 .............. .............. 24.62 6
59612......... ..... Vbac delivery only............................... 14.84 .............. .............. 15.06 6
59614......... ..... Vbac care after delivery......................... 15.96 .............. .............. 16.34 6
59618......... ..... Attempted vbac delivery.......................... 25.23 .............. .............. 27.78 6
59620......... ..... Attempted vbac delivery only..................... 16.95 .............. .............. 17.53 6
59622......... ..... Attempted vbac after care........................ 18.11 .............. .............. 18.93 6
63030......... ..... Low back disk surgery............................ 11.10 12.11 .............. 11.10 3
63042......... ..... Low back disk surgery............................ 16.56 17.27 .............. 16.56 3
67210......... ..... Treatment of retinal lesion...................... 9.48 .............. .............. a 9.48 5
68820......... ..... Explore tear duct system......................... 1.47 1.27 .............. .............. 7
[[Page 59509]]
68825......... ..... Explore tear duct system......................... 1.53 2.25 .............. .............. 7
68830......... ..... Reopen tear duct channel......................... 2.12 3.00 .............. .............. 7
77420......... ..... Weekly radiation therapy......................... 1.61 1.61 .............. a 1.61 3,5
77425......... ..... Weekly radiation therapy......................... 2.44 2.44 .............. a 2.44 3,5
77430......... ..... Weekly radiation therapy......................... 3.60 3.60 .............. a 3.60 3,5
78806......... 26 Abscess imaging, whole body...................... 0.73 0.86 0.86 0.86 3
85390......... 26 Fibrinolysins screen............................. 0.37 0.75 0.75 0.37 1
86327......... 26 Immunoelectrophoresis assay...................... 0.37 0.45 0.45 0.42 2
88173......... 26 Interpretation of smear.......................... 1.08 1.59 .............. 1.39 2
90801......... ..... Psychiatric interview............................ 2.21 2.80 2.80 2.80 b3
90820......... ..... Diagnostic interview............................. 2.27 3.01 3.01 3.01 b3
90842......... ..... Psychotherapy, 75-80 min......................... 2.76 2.76 2.76 3.13 b4
90843......... ..... Psychotherapy, 20-30 min......................... 1.11 1.47 1.47 1.47 b3
90844......... ..... Psychotherapy, 45-50 min......................... 1.73 2.00 2.00 2.00 b3
90853......... ..... Special group therapy............................ 0.43 0.59 0.59 0.59 b3
90855......... ..... Individual psychotherapy......................... 1.82 2.15 2.15 2.15 b3
90857......... ..... Special group therapy............................ 0.43 .............. .............. 0.63 b4
90911......... ..... Anorectal biofeedback............................ 0.89 2.15 .............. 0.89 3
92002......... ..... Eye exam, new patient............................ 0.88 1.34 .............. 0.88 3
92004......... ..... Eye exam, new patient............................ 1.34 1.67 1.67 1.67 3
92225......... ..... Special eye exam, initial........................ 0.58 0.58 .............. 0.38 2
92226......... ..... Special eye exam, subsequent..................... 0.50 0.50 .............. 0.33 2
92260......... ..... Ophthalmoscopy/dynamometry....................... 0.50 0.50 .............. 0.20 2
93307......... ..... Echo exam of heart............................... 0.78 1.06 1.06 0.92 2
93312......... ..... Echo transesophageal............................. 1.90 2.39 2.39 2.20 2
93314......... ..... Echo transesophageal............................. 0.95 .............. .............. 1.25 4
93503......... ..... Insert/place heart catheter...................... 2.43 3.02 2.43 2.91 2
93621......... 26 Electrophysiology evaluation..................... 12.66 .............. .............. a12.66 5
94150......... ..... Vital capacity test.............................. 0.11 0.11 0.07 0.07 3
99211......... ..... Office/outpatient visit, est..................... 0.17 Increase .............. 0.17 3
99241......... ..... Office consultation.............................. 0.64 Inc pre-post .............. 0.64 3
99242......... ..... Office consultation.............................. 1.28 Inc pre-post .............. 1.29 3
99243......... ..... Office consultation.............................. 1.71 Inc pre-post .............. 1.72 3
99244......... ..... Office consultation.............................. 2.56 Inc pre-post .............. 2.58 3
99245......... ..... Office consultation.............................. 3.41 Inc pre-post .............. 3.43 3
99281......... ..... Emergency dept visit............................. 0.33 0.33 0.45 0.33 3
99282......... ..... Emergency dept visit............................. 0.55 0.55 0.88 0.55 3
99283......... ..... Emergency dept visit............................. 1.24 1.24 1.34 1.24 3
99284......... ..... Emergency dept visit............................. 1.95 1.95 2.00 1.95 3
99285......... ..... Emergency dept visit............................. 3.06 3.06 2.90 3.06 3
99321......... ..... Rest home visit, new patient..................... 0.89 1.12 .............. 0.71 3
99322......... ..... Rest home visit, new patient..................... 1.34 1.76 .............. 1.01 3
99323......... ..... Rest home visit, new patient..................... 1.78 2.40 .............. 1.28 3
99331......... ..... Rest home visit, estab pat....................... 0.45 1.05 .............. 0.60 3
99332......... ..... Rest home visit, estab pat....................... 0.73 1.65 .............. 0.80 3
99333......... ..... Rest home visit, estab pat....................... 1.18 2.25 .............. 1.00 3
99341......... ..... Home visit, new patient.......................... 1.34 1.12 1.12 1.12 3
99342......... ..... Home visit, new patient.......................... 2.00 1.76 1.76 1.58 3
99343......... ..... Home visit, new patient.......................... 2.67 2.40 2.4 2.09 3
99351......... ..... Home visit, estab patient........................ 0.67 1.05 1.05 0.83 3
99352......... ..... Home visit, estab patient........................ 1.10 1.65 1.65 1.12 3
99353......... ..... Home visit, estab patient........................ 1.77 2.25 2.25 1.48 3
A2000......... ..... Chiropractor manip of spine...................... 0.45 .............. .............. n/a 7
M0101......... ..... Cutting or removal of corns...................... 0.37 0.45 0.45 0.43 2
--------------------------------------------------------------------------------------------------------------------------------------------------------
* All CPT codes and descriptors copyright 1996 American Medical Association
a RVUs to remain interim in 1997
b CPT codes not used for 1997 Medicare payment, refer to sections II.D.2.b and IV.A.14 for explanation
IV. Discussion of Comments and Decisions
A. Discussion of Comments by Clinical Area
In this section, we discuss the comments we received on the
approximately 133 codes of the more than 1,000 codes for which we
sought public comment. For the 800 or more codes for which we did not
receive any comments, our proposed RVUs are being made final. We have
sorted the comments into the same clinical areas we used in the May 3,
1996 notice. Within each clinical area, we discuss the comments we
received in CPT code order.
1. Integumentary System
CPT 10040 (Acne surgery (e.g., marsupialization, opening or removal
of multiple milia, comedones, cysts, pustules)).
[[Page 59510]]
Comment: One commenter questioned the validity of the survey used
to determine the work RVUs for CPT code 10040 (Acne surgery). The
commenter stated that this survey was invalid due to insufficient
volume (less than the requisite 30 respondents), the failure to take
into account the more intensive work associated with the treatment of
the typical patient, the absence of review of the Harvard data, and the
fact that the data were seriously flawed. Data flaws resulted from
discrepancies between the number of preservice and postservice visits
and the time spent with the patient. Thus, the commenter believed that
the work RVUs do not accurately reflect the true physician work
involved in the treatment. The commenter included survey data to
support the commenter's recommendation that the work RVUs for CPT code
10040 not be reduced to the proposed 0.80 work RVUs, but, rather, be
reduced to 1.15 work RVUs from the current 1.34 work RVUs.
Response: Our proposed RVUs for CPT code 10040 were based on the
results of the earlier survey data and the recommendations of the RUC
to decrease the work RVUs from 1.34 to 0.80. After review of the survey
data submitted by this commenter, we reevaluated the original data. We
agree with the commenter's observations as to the quality and validity
of these data. On further examination of the survey included with this
comment, we agree with the recommendation that the work RVUs for CPT
code 10040 be established at 1.15. Thus, the final work RVUs for this
procedure will reflect this recommendation.
Final decision: The final work RVUs for CPT code 10040 are being
established as 1.15.
CPT codes 15570 through 15576 (Formation of direct or tubed
pedicles, with or without transfer).
Comment: There are four codes in this family that are used to
report the formation of direct or tubed pedicles in different body
areas. We received a comment that all of these codes are undervalued
when compared to the corresponding adjacent flap codes: CPT code 14001
with 7.78 work RVUs, CPT code 14021 with 9.37 work RVUs, and CPT code
14040 with 7.18 work RVUs.
Response: In its initial recommendation to us, the RUC indicated
that several old codes, CPT codes 15500 through 15515, which were
valued by Harvard, were deleted in 1992 and replaced with CPT codes
15570 through 15576. The RUC also noted that the new codes are
misvalued and that no explanation had been received describing how the
work RVUs of these codes were determined. Based on the survey results
and the lack of rationale for the current work RVUs, the RUC
recommended that the codes be valued at the same level established by
Harvard for the original deleted codes.
We did not accept the RUC recommendations for two reasons. First,
the RUC's understanding of the source of the work RVUs for the current
codes was incorrect and, second, we believed the vignettes that were
surveyed may have led to an overestimation of the work.
We were concerned that the survey respondents may have considered
the work of debridement, fracture stabilization, initial emergency room
evaluation, and immobilization of the hand, flap, and abdomen in their
estimates of work. If so, the work RVUs would be excessive because
those other services can be reported and paid separately. Therefore, we
proposed to maintain the current work RVUs.
However, in light of the comments we received, we referred these
codes to a refinement panel for review and discussion of the correct
coding for these services.
Final decision: As a result of our analysis of the refinement panel
ratings, we are assigning the final work RVUs listed below:
------------------------------------------------------------------------
HCFA
CPT code proposed Final
work RVUs work RVUs
------------------------------------------------------------------------
15570............................................. 3.75 8.39
15572............................................. 3.80 8.59
15574............................................. 3.85 8.97
15576............................................. 4.27 8.14
------------------------------------------------------------------------
CPT code 15580 (Cross finger flap, including free graft to donor
site).
Comment: One commenter stated that this code is undervalued when
compared to CPT code 15240 (Skin full graft procedure) and CPT code
15100 (Skin split graft procedure). The commenter argued that the
current work RVUs do not account for the intraservice time and work
involved in harvesting and applying the skin graft. Survey data showed
a median intraservice time of 90 minutes and 9.00 median work RVUs. The
RUC recommended that the work RVUs be increased based on the survey
results and its conclusion that the comparison to skin graft procedures
was appropriate.
Response: We did not propose a change in the work RVUs for this
code because we were concerned that the CPT is not clear regarding the
separate reporting of a graft to the donor site, and the vignette may
have led to an overestimation of work. There is a note in the
introductory paragraphs for the flap codes that states: ``Repair of
donor site requiring skin graft or local flaps is considered an
additional separate procedure.'' This contradicts the terminology of
CPT code 15580 and could be a source of confusion.
We also were concerned that the survey respondents may have
considered the work of debridement, initial emergency room evaluation,
and immobilization of the fingers in their estimates of work. If so,
the work RVUs are excessive because the other services can be reported
separately. Therefore, we proposed to maintain the current work RVUs.
However, in light of the comments we received, we referred this
code to a refinement panel for review and discussion of the correct
coding of this service.
Final decision: As a result of our analysis of the refinement panel
ratings, we are increasing the work RVUs from the 5.40 proposed work
RVUs to 8.84 for CPT code 15580. We also will work with the CPT
Advisory Committee and Editorial Panel to improve the clarity of the
codes and the accompanying instructions in the CPT.
CPT code 15755 (Free flap (microvascular transfer)).
Comment: One commenter disagreed with our decision to maintain the
current work RVUs of 28.33 for CPT code 15755 (Free flap (microvascular
transfer)), instead of the requested change of 41.68 work RVUs. The
commenter contended that the work RVUs are too low because of the
amount of time and skill required for two surgeons to perform this
highly complex procedure.
The commenter also stated that this surgical procedure requires two
surgeons, with two separate teams working simultaneously for a period
of several hours. According to the commenter, one surgeon and team
prepare the recipient site, while the second surgeon and team is
harvesting the free flap. This reduces the amount of time the patient
is under anesthesia. Also, the surgeons have had additional training in
performing microvascular procedures. Accordingly, the commenter
believed that this procedure should reflect higher work RVUs for the
[[Page 59511]]
extra training and the amount of time spent performing the surgery.
Response: This code was referred by the RUC to the CPT Editorial
Panel because the code lacked sufficient specificity for the RUC to
establish appropriate work RVUs. The CPT Editorial Panel deleted this
code and replaced it with three new CPT codes that were subsequently
reviewed by the RUC. The RUC recommendations for the three new codes
follow: for CPT code 15756, 33.23 work RVUs; for CPT code 15757, 33.23
work RVUs; and for CPT code 15758, 33.23 work RVUs. We reviewed and
accepted these three recommendations. (See Table 3). We believe the new
work RVUs are consistent with the commenter's concern that the work
RVUs for the now deleted CPT code 15755 were too low.
Final decision: CPT code 15755 was deleted. We have reviewed and
accepted the RUC recommendations of 33.23 work RVUs for CPT codes
15756, 15757, and 15758, respectively.
CPT codes 17000, 17001, 17002 (Destruction of benign facial and
premalignant lesions) and CPT codes 17100, 17101, and 17102
(Destruction of benign non-facial lesions).
Comment: Several commenters objected to our proposed reductions to
the work RVUs for this family of codes.
Response: The following is a summary of the background of our
proposed reductions. In response to our original request for comments
in 1995, an individual who underwent the destruction of skin lesions
commented that the physician charges for these procedures were
excessive. He stated that the application of liquid nitrogen is not
time consuming and is an insignificant cost and that the physician work
involved is minimal and does not require great skill. We forwarded the
comment to the RUC. The specialty society recommended to the RUC that
the work RVUs for these codes be maintained.
The RUC responded by indicating that the intention of the RUC and
the 5-year review is to examine work RVUs. The RUC concluded that the
comment we forwarded was based on charges the commenter incurred, a
matter which is not directly related to the mission of the RUC.
Therefore, the RUC recommended that the current work RVUs be
maintained.
We acknowledge that part of the individual's comments related to
the charges he incurred. However, we believe that the commenter raised
a legitimate concern about the amount of physician work when he made
reference to the amount of time, physician involvement, and skill
required to destroy a skin lesion. Therefore, we reexamined the work
RVUs assigned to these codes and concluded they were too high when
compared to other services on the fee schedule. CPT code 17000
(Destruction of a single benign facial or premalignant lesion)
currently has work RVUs that are approximately 3.5 times higher than
the work RVUs assigned to the destruction of a second similar lesion
(CPT code 17001).
There are no other services with this variance. A more appropriate
valuation of CPT code 17000 would set the initial lesion destruction at
about twice the level of the work RVUs for a subsequent lesion.
Therefore, we proposed 0.36 work RVUs. This downward revaluation of CPT
code 17000 was supported by comparing the proposed work RVUs to the
following reference services: CPT code 11700 (Debridement of nails),
with 0.32 work RVUs, and CPT code 11050 (Paring of skin lesion), with
0.43 work RVUs. These services are comparable to CPT code 17000 in
terms of set-up time, procedure time, risk, and aftercare.
We also believed that CPT code 17001 (Destruction of second and
third benign facial or premalignant lesion, each) and CPT code 17002
(Destruction of over three lesions, each additional lesion) were
overvalued. We proposed to reduce the work RVUs of these codes to 0.14.
The proposed work RVUs for these codes would maintain approximately the
same ratio to CPT code 17101, with 0.11 work RVUs, and CPT code 17102,
also with 0.11 work RVUs, as CPT code 17000, with 0.64 work RVUs, now
has to CPT code 17100, with 0.53 work RVUs, that is, about 1.2. In
other words, we believed the current relative relationship of work RVUs
for CPT code 17000 (Destruction of benign facial or premalignant
lesions) to the work RVUs for the CPT code 17100 (Destruction of benign
lesions in areas other than the face) is correct but the work RVUs are
too high.
In order to properly evaluate not only the individual codes but
also the relationship between the facial codes and codes for other body
regions, we requested the refinement panel to consider CPT codes 17000,
17001, 17002, 17100, 17101, and 17102.
Final decision: As a result of our analysis of the refinement panel
ratings, we are assigning the final work RVUs listed below:
------------------------------------------------------------------------
HCFA
CPT code proposed Final
work RVUs work RVUs
------------------------------------------------------------------------
17000............................................. 0.36 0.56
17001............................................. 0.14 0.19
17002............................................. 0.14 0.19
17100............................................. 0.53 0.53
17101............................................. 0.11 0.11
17102............................................. 0.11 0.11
------------------------------------------------------------------------
These values will serve as the basis of the RVUs we propose for
three temporary codes, HCPCS codes G0051, G0052, and G0053, that will
be used for Medicare purposes to report the destruction of benign or
premalignant lesions in any location. For a discussion of these codes,
see section II.D.2.b. of this final rule.
2. Orthopedic Surgery
CPT code 29848 (Arthroscopy, wrist, surgical; with release of
transverse carpal ligament).
Comment: A commenter objected to the 4.04 proposed work RVUs and
requested an increase to 5.70. A comparison was made to CPT code 64761,
the code used to report open carpal tunnel surgery. The work RVUs for
CPT code 64721 are 3.99, whereas the work RVUs for CPT code 29848 are
4.04. The commenter argued that this differential does not sufficiently
recognize the greater physician time and intensity required by CPT code
29848.
Response: Our 4.04 proposed work RVUs were based on a
recommendation from the RUC that we accepted. However, in light of the
comments we received, we referred this code to a refinement panel for
review.
Final decision: As a result of our analysis of the refinement panel
ratings, we will increase the work RVUs from the 4.04 proposed work
RVUs to 5.14 for CPT code 29848.
3. Otolaryngology and Maxillofacial Surgery
CPT code 21025 (Excision of bone (e.g., for osteomyelitis or bone
abscess); mandible).
Comment: A commenter recommended an increase from 5.03 to 8.98 work
RVUs based on a comparison to CPT code 24134 (Sequestrectomy (e.g., for
osteomyelitis or bone abscess), shaft or distal humerus). The RUC noted
that a rank order anomaly exists between this service and CPT code
21030 (Excision of benign tumor or cyst of facial bone other than
mandible) and CPT code 21041 (Excision of benign cyst or tumor of
mandible; complex). The
[[Page 59512]]
American Academy of Oral and Maxillofacial Surgeons' survey median for
intraservice time is 120 minutes, which is significantly higher than
CPT code 21041 and reference service CPT code 24134. Thus, the RUC
recommended that the American Academy of Oral and Maxillofacial
Surgeons' survey median of 8.92 work RVUs be adopted.
Response: We did not accept the RUC recommendation because we did
not believe that the surveyed vignette represented the typical patient;
further, it included services for which other codes can be reported.
The vignette described a patient with intraoral and extraoral swelling
and suppuration from multiple fistulae. Dissection of the inferior
alveolar nerve is required, and hyperbaric oxygen is initiated. We
believed this vignette described a patient with much more extensive
infection than the typical patient. It was also our view that CPT code
21030, with 7.05 work RVUs, is more difficult than this procedure.
Therefore, we proposed to retain the current 5.03 work RVUs for CPT
code 21025. However, in light of the comments we received, we referred
this code to a refinement panel for review.
Final decision: As a result of our analysis of the refinement panel
ratings, we are increasing the work RVUs from the 5.03 proposed work
RVUs to 8.98 for CPT code 21025.
CPT code 21125 (Augmentation, mandibular body or angle; prosthetic
material) and CPT code 21270 (Malar augmentation, prosthetic material).
Comment: We received one comment regarding CPT codes 21125 and
21270. The commenter disagreed with the proposed work RVUs assigned to
these procedures, 6.22 and 12.10, respectively. The commenter submitted
survey data supporting the commenter's contention that the rank order
between these services is out of alignment. That is, procedures
represented by CPT codes 21270 and 21125 are similar in preoperative
and postoperative time and degree of difficulty to CPT code 21208
(Osteoplasty, facial bones; augmentation (autograft, allograft, or
prosthetic implant)), with 9.56 work RVUs, and CPT code 21210 (Graft,
bone; nasal, maxillary or malar areas (includes obtaining graft)), with
9.56 work RVUs.
CPT code 21125, according to this commenter, although similar to
CPT code 21270, is more difficult in work, stress, and effort, and,
also, requires longer intraservice time due to the location of the
incision and augmentation. Therefore, the commenter recommended
reducing the work RVUs of CPT code 21270 to 9.56 and increasing the
work RVUs of CPT code 21125 to 10.00.
Response: Based on our evaluation of the survey data submitted by
the commenter, we concur with the recommendation. Although the sample
size was relatively small for both CPT procedure codes, it did serve to
document the rank order position for CPT codes 21125 and 21270. We
believe the data provided sufficiently support the recommendations to
increase the work RVUs for CPT code 21125 and decrease the work RVUs
for CPT code 21270.
Final decision: We accepted this recommendation and will increase
the work RVUs of CPT code 21125 to 10.00 and decrease the work RVUs of
CPT code 21270 to 9.56.
CPT codes 31531, 31536, 31541, 31561, and 31571 (Operative
laryngoscopies).
Comment: Commenters stated that CPT codes 31541, 31561, and 31571
are undervalued because of increased patient complexity and greater
emphasis on acceptable vocal results.
Response: When the RUC initially reviewed these codes, it did not
find the arguments compelling enough to suggest a change in work RVUs.
However, the RUC identified rank order anomalies in the work RVUs for
direct laryngoscopies and the corresponding procedures using an
operating microscope. Among the five pairs of procedures, the
difference in work RVUs for use of the operating microscope varies from
-0.57 to +0.34 work RVUs. The RUC recommended retaining the 1995 work
RVUs for the direct laryngoscopies (CPT codes 31530, 31535, 31540,
31560, and 31570) and adding a constant 0.40 work RVUs to arrive at the
work RVUs for the corresponding procedures using an operating
microscope (CPT codes 31531, 31536, 31541, 31561, and 31571).
We disagreed with the concept of increasing the work RVUs for
procedures using an operating microscope and believed that the work
RVUs for a procedure generally should be the same, regardless of the
technique used. For example, CPT codes 17000 through 17105 (Destruction
of skin lesions) are valued the same regardless of the method of
destruction. Therefore, we proposed work RVUs that would be the same
for both codes in a pair.
However, in light of the comments that objected to our rationale,
we referred these codes to a refinement panel for review.
Final decision: As a result of our analysis of the refinement panel
ratings, we are assigning the final work RVUs listed below:
------------------------------------------------------------------------
HCFA
CPT code proposed Final
work RVUs work RVUs
------------------------------------------------------------------------
31531............................................. 3.39 3.59
31536............................................. 3.16 3.56
31541............................................. 4.13 4.53
31561............................................. 5.46 6.00
31571............................................. 3.87 4.27
------------------------------------------------------------------------
4. Podiatry
HCPCS code M0101 (Cutting or removal of corns).
Comment: In response to our proposal to maintain the current 0.37
work RVUs, many commenters objected to our view that the vignette did
not represent a typical patient and requested an increase to the RUC-
recommended level of 0.45 work RVUs.
Response: In response to our original request for comments in 1995
as part of the 5-year review, a commenter recommended that we increase
the work RVUs to 0.70 based on the view that this service is
significantly more difficult than the work for CPT code 11050 (Paring
or curettement of benign hyperkeratotic skin lesion with or without
chemical cauterization (such as verrucae or clavi) not extending
through the stratum corneum (e.g., callus or wart) with or without
local anesthesia; single lesion), which is valued at 0.43 work RVUs,
and CPT code 11700 (Debridement of nails, manual; five or less), which
is valued at 0.32 work RVUs.
The RUC agreed that HCPCS code M0101 involves more work than
treating 2 skin lesions and trimming 10 toenails and that this service
is undervalued. However, it disagreed with the request for an increase
to 0.70 and recommended 0.45 work RVUs.
We disagreed with these proposed work RVUs. The description of this
service is ``cutting or removal of corns, calluses and/or trimming of
nails, application of skin creams and other hygienic and preventive
maintenance care (excludes debridement of nail(s)).''
In our May 3, 1996 proposed notice (61 FR 20022), we expressed our
belief that the service most often reported by this code is trimming of
nails, which is of less intensity than the work associated with cutting
or removal of
[[Page 59513]]
corns and calluses. The typical service involves the less intense
portions of this complex definition. The surveys conducted by the
American Podiatric Medical Association used vignettes of patients with
circulatory impairment and neurologic deficit accompanying systemic
disease. The existence of these comorbid conditions may not accurately
reflect the work RVUs for the typical patient.
Throughout the fee schedule, we base the work RVUs on the typical
patient. The RUC survey methodology is also based on vignettes that are
intended to describe the typical patient and service. To value the work
of procedures based on atypical patients would skew the values assigned
to those codes as well as their relationship to other codes. This is
true even where, as here, current Medicare coverage is restricted to
the more difficult patients with coexisting disease. In this case, we
believed the vignette described an unusual or atypical patient; the RVU
recommendation based on the vignette exceeds the current work RVUs. We
believed that the usual service of trimming of nails is less work than
the paring or curettement or other less common procedures such as
benign hyperkeratotic skin lesions and, therefore, proposed to maintain
the current 0.37 work RVUs.
However, in light of the comments that objected to our rationale,
we referred this code to a refinement panel for review.
Final decision: As a result of our analysis of the refinement panel
ratings, we are increasing the work RVUs from the 0.37 proposed work
RVUs to 0.43 for HCPCS code M0101.
CPT code 28010 (Tenotomy, subcutaneous, toe; single).
Comment: This code, with 2.97 work RVUs, was identified by the RUC
as a potentially overvalued service but it did not submit recommended
RVUs in time for publication in the May 3, 1996 proposed notice. The
RUC subsequently recommended that the work RVUs be reduced to 2.71 as
it is similar in work to CPT code 26060 (Tenotomy, subcutaneous,
single, each digit), with 2.71 work RVUs. All four components of
physician work (time, mental effort and judgment, technical skill, and
physical effort and stress) are the same for these soft tissue
operations.
Response: We agree with this comparison and recommendation.
Final decision: The final work RVUs for CPT code 28010 are changed
to 2.71.
CPT code 28114 (Ostectomy, complete excision; all metatarsal heads,
with partial proximal phalangectomy, excluding first metatarsal
(Clayton type procedure)).
Comment: Last year, the RUC submitted an interim recommendation
that the current work RVUs for CPT code 28114 (Removal of metartasal
heads) be maintained until the American Podiatric Medical Association
presented recommendations for this code at the February 1996 RUC
meeting. We agreed and published proposed RVUs of 7.16 for CPT code
28114. We subsequently received a comment from the RUC recommending
that the work RVUs for CPT code 28114 be increased to 8.65. In a survey
of 66 podiatrists, 10.60 median work RVUs were recommended for CPT code
28114, suggesting that the current 7.16 work RVUs for this code are too
low.
The basis for the RUC's recommendation was comparison of this
service to CPT code 28113 (Ostectomy, complete excision; fifth
metatarsal head), with 4.09 work RVUs. The RUC believed that the
intraservice work per unit of time of the two services should be equal.
The RUC then used the surveyed intraservice time of CPT code 28114 to
calculate the recommended 8.65 work RVUs.
Response: We agree with the RUC recommendation.
Final decision: We are assigning 8.65 work RVUs to CPT code 28114.
Because the public has not had an opportunity to comment on these work
RVUs, we will consider them to be interim RVUs and will accept comments
on our revision.
5. Cardiology and Interventional Radiology
CPT code 37201 (Transcatheter therapy, infusion for thrombolysis
other than coronary).
Comment: A commenter objected to our proposed reduction in work
RVUs from 7.25 to 5.00, which the commenter believed was based on the
use of an incorrect reference service.
Response: The RUC identified this code as a potentially overvalued
service, in part, because of an increasing frequency of claims since
1992. The current work RVUs are 7.25. After reviewing the issue, the
RUC agreed with the Society for Cardiovascular and Interventional
Radiology that the frequency of claims for this code is growing because
thrombolytic infusion is an effective therapy for thrombosed arteries
and grafts, allowing physicians to save patient limbs. The service is
still a relatively new technology, and the RUC believed that it is
appropriately valued.
We disagreed with this recommendation. Unlike CPT code 34111
(Removal of arm artery clot), a similar open procedure with a 90-day
global period, CPT code 37201 is billed with an evaluation and
management code and a supervision and interpretation code. Therefore,
we believe that the work RVUs for CPT code 37201 should approximate the
work RVUs for CPT code 34111 (7.18) minus the work RVUs for a level-two
subsequent hospital visit (0.88) and the work RVUs for the radiological
supervision and interpretation, CPT code 75894 (1.31). We proposed 5.00
work RVUs for CPT code 37201.
In light of the comments that objected to our rationale, we
referred this code to a refinement panel for review.
Final decision: As a result of our analysis of the refinement panel
ratings, we are decreasing the work RVUs from the current 7.25 work
RVUs to our proposed 5.00 work RVUs for CPT code 37201.
CPT code 93307 (Echocardiography, real-time with image
documentation (2D) with or without M-Mode recording; complete).
Comment: Several commenters objected to our proposal to maintain
the current 0.78 work RVUs and recommended that we accept the RUC
recommendation of 1.06 work RVUs. They argued that the field of
echocardiography has changed significantly in the past 5 years, in both
clinical utility and diagnostic complexity. Although the technical
innovations of the past 5 years have made this an easier service to
perform, the patients that require this service are more complex, which
has resulted in an increased amount of physician work. The physicians
are viewing and making judgments on constantly moving objects, which
increases the possibility of misinterpretation. Often this service is
furnished in acute care settings or emergency situations, which
increase physician stress. The information derived from this study is
used in the development of critical management decisions. The risk of
misdiagnosis, in both emergent and nonemergent situations, can lead to
potentially fatal events.
Response: The current work RVUs for echocardiography are 0.78. The
RUC agreed that the code is undervalued based on the amount of
physician work
[[Page 59514]]
that is required to perform this study and the increased amount of
information that can now be derived from echocardiography. However, the
RUC believed that the specialty society recommendation of 1.48 work
RVUs was too high and recommended the Harvard value for this procedure,
which was 1.06 work RVUs.
We did not agree that echocardiography is undervalued. We believed
that technical innovations have made physician interpretations of
echocardiograms less difficult than in the past. We also believed that
some of the work that is being reported as physician work is actually
the work of technicians. For example, the description of intraservice
work provided to the RUC implies that physicians review entire tapes
and analyze and measure the structure and dynamics of the chambers,
valves, and great vessels. It is our understanding that much of this
information is prepared by technicians for subsequent review by
physicians. We considered the work of technicians to be a practice
expense that is reflected in the practice expense RVUs, not the
physician work RVUs. We also questioned whether the vignette surveyed
by the specialty society, which describes an echocardiogram performed
on an acutely ill patient in need of emergency echocardiography,
represented the typical patient requiring echocardiography. Medicare
claims data from calendar year 1995 indicate that 50 percent of claims
for CPT code 93307 are billed with place of service as office or
outpatient hospital and 49 percent are billed with place of service as
inpatient hospital. This suggested that the typical patient is not
critically ill or that there is a bimodal distribution of patients.
Therefore, we did not believe that an increase in work RVUs was
justified.
However, in light of the comments we received, we referred this
code to a refinement panel for review.
Final decision: As a result of our analysis of the refinement panel
ratings, we are increasing the work RVUs from the 0.78 proposed work
RVUs to 0.92 for CPT code 93307.
CPT code 93312 (Echocardiography, real-time with image
documentation (2D) (with or without M-Mode recording), transesophageal;
including probe placement, image acquisition, interpretation and
report).
Comment: Several commenters objected to our 1.90 proposed work RVUs
and recommended that we accept the RUC recommendation of 2.39. The
commenters argued that transesophageal echocardiography is undervalued
in comparison to other services that require similar physician work
effort and that performance of this procedure requires considerable
mental effort. As described above in the discussion of CPT code 93307,
the heart is constantly moving, increasing the possibility of
misinterpretation, which could lead to misdiagnosis. There is an added
technical skill required by the physician to insert the probe into the
esophagus and the stomach of a critically ill patient. This procedure
is often performed in the emergency setting while the patient is under
conscious sedation.
Response: Before submitting its original recommendation to us, the
RUC reviewed Harvard Phase III data that show 2.76 work RVUs (adjusted
to be on a scale equivalent to 1995 work RVUs) for upper
gastrointestinal endoscopy (CPT code 43235), the reference code being
used in this comparison. These work RVUs are higher than both the
existing 1.57 work RVUs and the 2.39 work RVUs recommended by the
specialty society. The RUC agreed with the specialty society rationale
and recommended an increase to 2.39 work RVUs.
For reasons similar to those described above for CPT code 93307, we
did not believe that transesophageal echocardiography was undervalued.
A refinement panel considered this service in 1993, and, based on the
ratings of the panel, we did not increase the work RVUs. We did not
find the new evidence submitted by the RUC to be sufficient to warrant
an increase in work RVUs.
However, in light of the comments we received, we referred this
code to a refinement panel for review. As a result of our analysis of
the refinement panel ratings, we are increasing the work RVUs for CPT
code 93312 from 1.90 to 2.20.
During the refinement panel discussions, the coding of other
transesophageal echocardiography services was discussed. CPT includes
three codes for transesophageal echocardiography. The codes are CPT
code 93312 (Echocardiography, real time with image documentation (2D)
(with or without M-mode recording), transesophageal; including probe
placement, image acquisition, interpretation and report), CPT code
93313 (Echocardiography, real time with image documentation (2D) (with
or without M-modeing recording), transesophageal; placement of
transesophageal probe only), and CPT code 93314 (Echocardiography, real
time with image documentation (2D) (with or without M-mode recording),
transesophageal; image acquisition, interpretation and report only).
We received no comments as part of the 5-year review that the work
RVUs for the code used to report only the placement of a
transesophageal probe (CPT code 93313) should be revised. Therefore, we
are maintaining the current 0.95 work RVUs. By subtracting these work
RVUs from the new work RVUs for CPT code 93312, we can calculate new
work RVUs for CPT code 93314, which is used to report image
acquisition, interpretation and report only. The result is 1.25 work
RVUs.
It was necessary to calculate these RVUs because the refinement
panel did not specifically address CPT code 93314. However, it was
clear during the discussions of the refinement panel that the service
considered by the American College of Cardiology and the American
Society of Echocardiography to be undervalued was the image
acquisition, interpretation and report and not the probe placement.
We also revised the relationship of the three codes in this family
so that the work RVUs for CPT code 93312 equal the sum of the work RVUs
for CPT codes 93313 and 93314. When we first assigned work RVUs to
these codes, we assigned 20 percent more work RVUs to both CPT codes
93313 and 93314 because two different physicians were often involved in
the procedure and each would have a certain amount of preservice and
postservice work that could not be considered duplicative.
Consequently, the sum of these two codes exceeded the work RVUs
assigned to CPT code 93312. We now believe that most transesophageal
echocardiographies are performed by a single physician. Therefore, we
have adjusted the work RVUs so that the work RVUs for CPT code 93312
equal the sum of the work RVUs for CPT codes 93313 and 93314.
Final decision: As a result of our analysis of the refinement panel
ratings, we are increasing the work RVUs for CPT code 93312 from the
1.90 proposed work RVUs to 2.20. In addition, the work RVUs for CPT
codes 93313 and 93314 are established as 0.95 and 1.25, respectively,
based on the above decisions.
CPT code 93503 (Insertion and placement of flow directed catheter
[[Page 59515]]
(e.g., Swan-Ganz) for monitoring purposes).
Comment: Several commenters objected to our proposal to maintain
the current 2.43 work RVUs. Our proposal was based, in part, on
acceptance of a RUC recommendation to maintain current work RVUs.
Several specialty societies argued that the physician work involved in
a Swan-Ganz catheter was greater than the work associated with a right
heart catheterization (CPT code 93501), with 3.02 work RVUs.
The commenters stated that as compared to the right heart catheter,
which is usually inserted in the catheter laboratory, the Swan-Ganz
catheter is usually inserted when the patient is in an unstable
condition. Proper positioning of the acutely ill patient for insertion
is usually more difficult. In addition, the physician usually inserts
the Swan-Ganz catheter without the aid of an imaging device, in
contrast to the right heart catheter, making location of the tip of the
catheter significantly more challenging.
Moreover, after insertion, the physician must interpret data
quickly and make immediate important judgments. Finally, the commenters
argued that the risk of complications with the Swan-Ganz catheter is
considerably greater than with the right heart catheter.
Response: In light of the comments we received, we referred this
code to a refinement panel for review.
Final decision: As a result of our analysis of the refinement panel
ratings, we are increasing the work RVUs from 2.43 to 2.91 for CPT code
93503.
6. General Surgery, Colon and Rectal Surgery, and Gastroenterology
We received no comments on these codes. Therefore, we will finalize
all of the proposed work RVUs for the general surgery, colon and rectal
surgery, and gastroenterology codes.
7. Urology
CPT code 50590 (Lithotripsy, extracorporeal shock wave).
Comment: Several commenters objected to our proposed reduction in
work RVUs from 9.62 to 7.13. They objected to our argument that the
work of extracorporeal shock wave lithotripsy is more comparable to the
work of evaluation and management services than surgical services.
Response: We referred this code to the RUC last year as a
potentially overvalued service. The RUC reviewed it and concluded that
it is similar to a surgical procedure in that anesthesia is used and a
urologist is always present. Based on its analysis of survey data
showing a median intraservice time of 80 minutes, the RUC concluded
that the current work RVUs should not be reduced.
We disagreed with the RUC recommendation to maintain the 9.62 work
RVUs. We believed the intraservice intensity of extracorporeal shock
wave lithotripsy is more comparable to evaluation and management
services than traditional surgical services. For example, the current
9.62 work RVUs are higher than those for CPT code 49000 (Exploratory
laparotomy, exploratory celiotomy with or without biopsy(s) (separate
procedure)), with 8.99 work RVUs. We proposed 7.13 work RVUs for CPT
code 50590 based on 90 minutes of critical care (CPT codes 99291 and
99292), with work RVUs of 3.64 and 1.84, respectively, and three mid-
level office visits (CPT code 99213), with 0.55 work RVUs.
However, in light of the comments that objected to our rationale,
we referred this code to a refinement panel for review.
Final decision: As a result of our analysis of the refinement panel
ratings, we are increasing our proposed work RVUs of 7.13 for CPT code
50590 to 8.79.
8. Gynecology
CPT code 56312 (Laparoscopic lymphadenectomy).
Comment: The current work RVUs assigned to this code are 12.06. It
was referred to the RUC as part of the 5-year review. The RUC
recommended that the 12.06 work RVUs be maintained. In our May 3, 1996
proposed notice (61 FR 20006), we agreed with this recommendation. A
commenter objected to the retention of 12.06 work RVUs for this
service. The commenter noted a discrepancy between the work RVUs for
comparable procedures performed laparoscopically or via open
laparotomy. The commenter stated that we have indicated that these
procedures should be valued the same, regardless of the approach for
their performance. The commenter agreed with this premise and
recommended adjustment of the work RVUs for this laparoscopic
procedure, which the commenter believed is undervalued when compared to
its counterpart performed at laparotomy. The counterpart code, CPT code
38870, is assigned 12.10 work RVUs. Thus, the commenter recommended
that the work RVUs for CPT code 56312 be increased from 12.06 to 12.10.
Response: In our May 3, 1996 proposed notice (61 FR 20046), we
announced our intention to reexamine the relationship between
endoscopic and comparable open procedures before the next 5-year
review. This will provide the opportunity to address the discrepancy in
work RVUs between CPT codes 56312 and 38870. We are retaining the
existing 12.06 work RVUs for laparoscopic lymphadenectomy in spite of
the slight difference in work RVUs between the two procedures.
Final decision: We are making final the proposed work RVUs for CPT
code 56312.
CPT code 57265 (Combined anteroposterior colporraphy; with
enterocele repair).
Comment: This code is used to report complex vaginal repairs. A
commenter stated that their recommendation for this code was mistakenly
not submitted to the RUC. The commenter believed that the current 7.36
work RVUs undervalue the service in comparison to CPT code 57260
(Combined anteroposterior colporraphy without enterocele repair), which
is assigned 7.59 work RVUs. Since CPT code 57265 includes CPT code
57260 plus CPT code 57268 (Repair of enterocele, vaginal approach
(separate procedure)), with 6.14 work RVUs, the commenter recommended
10.66 work RVUs for CPT code 57265. These work RVUs reflect the sum of
the work RVUs for CPT code 57260 and, with the application of the
multiple surgical rules, one-half of the work RVUs for CPT code 57268.
Response: The current work RVUs for CPT code 57265 represent an
obvious rank order anomaly within this family of procedures.
Final decision: We accept the recommendation of 10.66 work RVUs for
CPT code 57265.
CPT code 58200 (Total abdominal hysterectomy including partial
vaginectomy with para-aortic and pelvic lymph node sampling, with or
without removal of tube(s), with or without removal of ovary(s)).
Comment: Several commenters stated that the 20.34 work RVUs
currently assigned to CPT code 58200 exceed the 13.00 work RVUs
currently assigned to CPT code 58150 (Total abdominal hysterectomy
(corpus and cervix), with or without removal of tube(s), with or
without removal of ovary(s)) by approximately 56 percent, accurately
reflecting the difference in physician
[[Page 59516]]
work. The commenters objected to our proposal to increase the work RVUs
assigned to CPT code 58150 to 14.30 without also increasing the work
RVUs assigned to CPT code 58200. Therefore, to maintain what they
believed to be the correct relationship between these two codes, the
commenters recommended that the work RVUs for CPT code 58200 be
increased from 20.34 to 22.37.
Response: The RUC reviewed both CPT codes 58150 and 58200. We
received and agreed with the RUC's recommendations to increase the work
RVUs for CPT code 58150 and maintain the work RVUs for CPT code 58200.
We did not refer the codes to the RUC with the expectation that their
relative relationship would be maintained. Rather, we referred them to
the RUC with the expectation that the appropriateness of the work RVUs
currently assigned to each code would be evaluated. We believe the RUC
appropriately evaluated both codes, and we do not believe the
commenters provided sufficient rationale to increase the work RVUs for
CPT code 58200.
Final decision: We are maintaining the current 20.34 work RVUs for
CPT code 58200.
9. Neurosurgery
CPT code 63030 (Laminotomy (hemilaminectomy), with decompression of
nerve root(s), including partial facetectomy, foraminotomy and/or
excision of herniated intervertebral disk; one interspace, lumbar) and
CPT code 63042 (Laminotomy (hemilaminectomy), with decompression of
nerve root(s), including partial facetectomy, foraminotomy and/or
excision of herniated intervertebral disk, re-exploration, lumbar).
Comment: The American Academy of Orthopedic Surgeons objected to
our proposed reductions in the work RVUs for CPT code 63030 from 12.11
to 11.10 and for CPT code 63042 from 17.27 to 16.56. The RUC
recommendations for these work RVUs, which we accepted, were based on
the recommendations of the American Academy of Neurological Surgeons/
Congress of Neurological Surgeons. The American Academy of Orthopedic
Surgeons stated that the methodology used by the American Academy of
Neurological Surgeons/Congress of Neurological Surgeons to develop the
recommended work RVUs has not been validated. The American Academy of
Orthopedic Surgeons also stated these codes were not identified as
overvalued procedures by the carrier medical directors, AMA trend
analysis, AMA intraservice work per unit of time analysis, nor by a
comparison of Harvard with the 1992 work RVUs. The American Academy of
Orthopedic Surgeons noted a study done for them (``The Abt Restudy of
Physician Work Values for Orthopedic Surgery'') further stated that the
current relationship between CPT codes 63030 (with 12.11 work RVUs),
63042 (with 17.27 work RVUs), and 63047 (with 12.76 work RVUs) more
properly represents the work differential between these codes and that
the proposed work RVUs provide an incentive for upcoding.
Response: We discussed the American Academy of Neurological
Surgeons/Congress of Neurological Surgeons' recommendations in detail
in our May 3, 1996 proposed notice (61 FR 20025 through 20027). The
American Academy of Neurological Surgeons/Congress of Neurological
Surgeons' approach, which in general HCFA and the RUC found to be
reasonable for these codes, focused on intensity and time data gathered
from detailed operative logs. The American Academy of Orthopedic
Surgeons stated that the approach has not been validated, but it does
not provide compelling evidence why the approach is invalid for these
codes and why the relationship between the current work RVUs is more
accurate than the proposed work RVUs.
We also note that the Abt study done for the American Academy of
Orthopedic Surgeons contains 12.34 work RVUs for CPT code 63030 and
13.20 work RVUs for CPT code 63042. These values would alter the
current work relationship between CPT codes 63030, 63042, and 63047
significantly more than the RUC-recommended work RVUs. Given the
differing work RVUs in the two studies, we believe the prudent action
is to accept the RUC recommendations that reflect the judgment of all
the major specialties of medicine.
Final decision: We are making final our proposed work RVUs of 11.10
for CPT code 63030 and 16.56 for CPT code 63042.
10. Ophthalmology
CPT Codes 68820, 68825, and 68830 (Probing of nasolacrimal duct.
Comment: These three codes have been deleted and replaced by three
new codes in CPT 1997. The three new codes and the RUC recommendations
for them are: CPT code 68810 (1.27 work RVUs); CPT code 68811 (2.25
work RVUs); and CPT code 68815 (3.00 work RVUs).
Response: Because the development of new codes was initiated by the
5-year refinement and because the codes describe pediatric services for
which we are particularly interested in developing appropriate work
RVUs, we reviewed them in the context of the 5-year review. As part of
the 5-year refinement, we forwarded to the RUC comments on two codes
(CPT codes 68825 and 68830) that are part of the following existing
family of codes for probing of nasolacrimal ducts:
------------------------------------------------------------------------
CPT Code Descriptor
------------------------------------------------------------------------
68820..................................... Probing of nasolacrimal
duct, with or without
irrigation, unilateral or
bilateral.
68825..................................... Probing of nasolacrimal
duct, with or without
irrigation, unilateral or
bilateral; requiring
general anesthesia.
68830..................................... Probing of nasolacrimal
duct, with or without
irrigation, unilateral or
bilateral; with insertion
of tube or stent.
------------------------------------------------------------------------
The RUC reviewed a recommendation to increase the work RVUs for CPT
code 68830 and concluded that the work RVUs should not be increased. We
reviewed and accepted that recommendation.
The RUC reviewed a recommendation to increase the work RVUs for CPT
code 68825 from 1.53 to 2.50 and concluded there was a problem with the
current descriptor in that unilateral and bilateral procedures were
valued the same. Therefore, the code was referred to the CPT Editorial
Panel. In our May 3, 1996 proposed notice (61 FR 20009), we noted that
the code was referred to CPT and proposed maintaining the current work
RVUs.
Because the code in question was part of a family of codes, the
deletion of the phrase ``unilateral or bilateral'' by the CPT Editorial
Panel affected all the codes in the family. Subsequently, the revised
family of codes was referred from the CPT Editorial Panel back to the
RUC.
The codes for probing of a nasolacrimal duct (CPT codes 68820,
68825, and 68830) have been deleted and replaced with new codes (CPT
codes 68810, 68811, and 68815) to indicate that these codes should be
used to report unilateral procedures. Bilateral procedures will be
reported using the code with the -50 modifier.
The RUC accepted the work RVU recommendation of 1.27 for CPT code
[[Page 59517]]
68810, presented by commenters practicing ophthalmology and optometry,
that was based on budget neutral calculations assuming that 31 percent
of procedures represented by CPT code 68810 (Probing of nasolacrimal
duct, with or without irrigation) are performed bilaterally and would
be subject to the multiple surgery reduction.
The RUC also accepted the American Academy of Ophthalmology's
request to increase the work RVUs for CPT code 68811 (Probing of
nasolacrimal duct, with or without irrigation; requiring general
anesthesia) from 1.53 to 2.25. The American Academy of Ophthalmology
estimated that 62 percent of these procedures are performed
unilaterally. The preservice, intraservice, and postservice work of
this service were considered to be comparable to CPT code 67345
(Chemodenervation of extraocular muscle), with 2.91 work RVUs.
CPT code 68815 (Probing of nasolacrimal duct, with or without
irrigation; with insertion of tube or stent) is performed when CPT code
68811 has failed. The RUC agreed that the work RVUs for this service
should be increased from 2.12 to 3.00 to maintain relativity with CPT
codes 68810 and 68811. This increase was considered to be justified by
the degree of preservice, intraservice, and postservice work involved
in this procedure; the complications of intranasal bleeding; the
possibility of aspirating blood intraoperatively or postoperatively;
and the morbidity associated with drawing metallic probes through the
nasolacrimal system.
We accepted the RUC's recommendation for CPT code 68810. For CPT
codes 68811 and 68815, we believed the recommended work RVUs were too
high in light of the fact that most of the procedures will be performed
bilaterally resulting in payment based on 150 percent of the listed
work RVUs.
Because these codes were originally commented on as part of the 5-
year refinement, we would like to assign final work RVUs effective
January 1, 1997. Therefore, we referred these codes to a refinement
panel for a full discussion of the issues.
The following tables identify the codes and work RVUs for 1996 and
1997:
1996 CPT Codes and Work RVUs
--------------------------------------------------------------------------------------------------------------------------------------------------------
1996 work
CPT code Descriptor RVUs Recommended work RVUs
--------------------------------------------------------------------------------------------------------------------------------------------------------
68820.............................. Probing of nasolacrimal duct, with or without 1.47 Not applicable; code deleted.
irrigation, unilateral or bilateral.
68825.............................. Probing of nasolacrimal duct, with or without 1.53 Not applicable; code deleted.
irrigation, unilateral or bilateral; requiring
general anesthesia.
68830.............................. Probing of nasolacrimal duct, with or without 2.12 Not applicable; code deleted.
irrigation, unilateral or bilateral; with
insertion of tube or stent.
--------------------------------------------------------------------------------------------------------------------------------------------------------
1997 CPT Codes and Work RVUs
--------------------------------------------------------------------------------------------------------------------------------------------------------
1996 work
CPT code Descriptor RVUs Recommended work RVUs
--------------------------------------------------------------------------------------------------------------------------------------------------------
68810............................. Probing of nasolacrimal duct, with or without 1.27 Not applicable; new code.
irrigation.
68811............................. Probing of nasolacrimal duct, with or without 2.25 Not applicable; new code.
irrigation; requiring general anesthesia.
68815............................. Probing of nasolacrimal duct, with or without 3.00 Not applicable; new code.
irrigation,; with insertion of tube or stent.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Final decision: We have reviewed and accepted the RUC
recommendation to decrease the RVUs for deleted CPT code 68820, which
will now be reported with new CPT code 68810, from 1.47 to 1.27 work
RVUs. As a result of our analysis of the refinement panel ratings, we
increase the work RVUs for deleted CPT code 68825, which will now be
reported with new CPT code 68811, from 1.53 to 2.25 work RVUs. For
deleted CPT code 68830, which will now be reported with new CPT code
68815, we increase the work RVUs from 2.12 to 3.00 work RVUs.
CPT code 92002 (Ophthalmological services; medical examination and
evaluation with initiation of diagnostic and treatment program;
intermediate, new patient).
Comment: Two commenters objected to linking the intermediate new
patient eye examination, CPT code 92002, with the a level-two new
patient office visit (CPT code 99202) and recommended linking CPT code
92002 with a level-three new patient office visit (CPT code 99203).
This would result in an increase from our proposed 0.88 work RVUs to
1.34 work RVUs. The commenters stated that a level-two service is the
lowest level evaluation and management service requiring a physician's
presence and that our proposal would force providers to bill at level-
two for all less than comprehensive eye examinations. They pointed to
the times reported in the RUC surveys as support for a linkage to a
level-three evaluation and management service; the RUC surveys reported
intraservice times of 24 minutes for CPT code 99203 and 20 minutes for
CPT code 92002.
Response: The current work RVUs for CPT code 92002 are 1.01. We
referred this code to the RUC last year because we believed it was
overvalued compared to the evaluation and management services for new
patient office visits. The RUC agreed with us and recommended that we
assign the same work RVUS to the intermediate new patient eye
examination (CPT code 92002) as we would assign to a level-two new
patient office visit (CPT code 99202).
We disagree with the arguments that a level-two service is the
lowest level evaluation and management service requiring a physician's
presence and
[[Page 59518]]
that our proposal would force providers to bill at level-two for all
less than comprehensive eye examinations. First, every level of new
patient office visits requires a physician's presence. Second, there
are only two levels of eye examinations: intermediate and
comprehensive. Thus, by definition, every eye examination that is less
than comprehensive must be billed as an intermediate eye examination.
We reviewed the survey data and have concluded that the data
support our proposal. The median intraservice time for CPT code 92002
was 20 minutes. This is the typical time of a level-two new patient
office visit. The work RVUs we have assigned to a level-two new patient
visit are based on 20 minutes of intraservice time, not the RUC survey
time. The typical time of a level-three new patient office visit is 30
minutes which is 50 percent greater than the time of a level-two visit
and 50 percent greater than the surveyed time of CPT code 92002. We
believe that acceptance of the comment would result in work RVUs that
are inconsistent with all other evaluation and management services. To
increase the work RVUs above the current 1.01 work RVUs by more than 30
percent is clearly inconsistent with our conclusion, as well as that of
the RUC, that the current work RVUs are too high.
Final decision: We make final our proposed 0.88 work RVUs for CPT
code 92002.
CPT code 92004 (Ophthalmological services: medical examination and
evaluation with initiation of diagnostic and treatment program;
comprehensive, new patient, one or more visits).
Comment: Two commenters noted that the 1.34 work RVUs for CPT code
92004 were incorrectly calculated.
Response: The work RVUs published in the May 3, 1996 proposed
notice (61 FR 20039) were a technical error. We agree with the
commenter that the correct work RVUs are 1.67, as recommended by the
RUC.
Final decision: We correct the work RVUs to 1.67.
CPT codes 92225 and 92226 (Ophthalmoscopy, extended, with retinal
drawing (eg, for retinal detachment, melanoma), with interpretation and
report; initial and subsequent).
Comment: Several commenters objected to our proposal to reduce the
work RVUs for these codes to 0.38 and 0.33, respectively. They
recommended that the current work RVUs of 0.58 and 0.50 be maintained
and indicated that they would be willing to work with us to develop
more detailed medical necessity review criteria for these procedures.
Response: Carrier medical directors identified these two codes as
potentially overvalued, and we referred the codes to the RUC. The
current work RVUs are 0.58 and 0.50, respectively. The carrier medical
directors recommended 0.38 and 0.33 and offered the following
justification: ``The records that we have reviewed on this have shown
no more diligence or attentiveness to the drawing than what any
physician draws when describing a physical finding.''
The RUC reviewed the comment and intended to refer the code to the
CPT Editorial Panel for further clarification. In our May 3, 1996
proposed notice (61 FR 20038 through 20039), we erroneously noted that
the codes were referred to CPT and proposed maintaining the current
work RVUs. However, the codes were never referred to CPT.
At a subsequent meeting of the RUC, the American Academy of
Ophthalmology recommended that, when properly performed, these
procedures are appropriately valued. It attempted to develop a coding
change proposal to address the possible abuse scenarios cited by the
commenter. The American Academy of Ophthalmology has now concluded that
coding changes would not be sufficient to solve this problem.
While we appreciate the willingness of both specialty societies to
work with us to develop more detailed medical necessity review criteria
for these procedures, we do not believe that the carrier medical
directors' recommendations for reduced work RVUs have been fully
addressed.
Since the codes will not be referred to the CPT and since they were
originally commented on as part of the 5-year refinement, we referred
the codes to a refinement panel for review.
Final decision: As a result of our analysis of the refinement panel
ratings, we are decreasing the work RVUs for CPT codes 92225 and 92226
from their current 0.58 and 0.50 work RVUs to 0.38 and 0.33 work RVUs,
respectively. These represent the work RVUs for appropriately performed
retinal drawings. We plan to work with the specialty societies to
develop more detailed medical necessity review criteria for these
procedures.
CPT code 92260 (Ophthalmodynamometry).
Comment: Several commenters recommended that the current 0.50 work
RVUs be maintained.
Response: Carrier medical directors originally identified this code
as potentially overvalued, and we referred the code to the RUC. The
current work RVUs are 0.50. The carrier medical directors recommended
0.20 work RVUs and offered the following justification:
``Ophthalmodynamometry gives an approximate measurement of the
relative pressures in the central retinal arteries and is an indirect
means of assessing carotid artery flow on either side. The test
consists of exerting pressure on the sclera with a spring plunger while
observing with an ophthalmoscope the vessels emerging from the optic
disks. This is included in 93875 which has an RVU of 0.16.''
The RUC reviewed the comment and referred the code to the CPT
Editorial Panel with a recommendation that consideration be given to
deleting the code. The RUC stated that this service is rarely performed
and may be an obsolete procedure. In our May 3, 1996 proposed notice
(61 FR 20038 through 20039), we noted that the code was referred to CPT
and proposed maintaining the current work RVUs. However, the code was
never referred to CPT.
The American Academy of Ophthalmology's CPT committee decided
against recommending deletion of this code because it is still being
used frequently by some groups of ophthalmologists. (In 1995, we
received over 8,000 claims.) The American Academy of Ophthalmology
stated that this code is more like CPT code 76519 (Ophthalmic biometry
by ultrasound echography, A-scan; with intraocular lens power
calculation), with 0.54 work RVUs, than the newer Doppler-type
technology that has replaced it. For example, the service is performed
entirely by a physician face-to-face with the patient, unlike Doppler,
which involves more technician time. The RUC and the American Academy
of Ophthalmology recommended, therefore, that the current 0.50 work
RVUs be retained.
We do not believe that the carrier medical directors'
recommendations for reduced work RVUs have been fully addressed. Since
the code will not be referred to the CPT and since the code was
originally commented on as part of the 5-year refinement, we referred
the code to a refinement panel for review.
Final decision: As a result of our analysis of the refinement panel
ratings,
[[Page 59519]]
we are decreasing the work RVUs for CPT code 92260 from 0.50 to 0.20.
11. Imaging
CPT code 78806 (Radiopharma-ceutical localization of abscess; whole
body).
Comment: A commenter indicated that we made an apparent technical
error by assigning the same work RVUs to CPT codes 78805 and 78806. The
correct work RVUs for CPT codes 78805 and 78806 should be 0.73 and
0.86, respectively.
Response: We agree that a technical error was made.
Final decision: CPT code 78806 is corrected to 0.86 work RVUs.
12. Cardiothoracic and Vascular Surgery
CPT code 35700 (Reoperation for vascular infrainguinal bypass
grafts) and CPT codes 35556, 35566, 35571, 35583, 35585, 35587, 35656,
35666, and 35671 (Vascular infrainguinal bypass grafts).
Comment: As part of the 5-year refinement, the RUC examined several
of the codes for infrainguinal bypass procedures. In addition, we
received a request from the Society for Vascular Surgery/International
Society for Cardiovascular Surgery to reexamine the work RVUs that were
assigned to the nine CPT codes that can be reported with the
reoperation CPT code 35700.
The descriptor for CPT code 35700 reads: ``Reoperation, femoral-
popliteal or femoral (popliteal) -anterior tibial, posterior tibial,
peroneal artery or other distal vessels, more than one month after
original operation.'' This code is to be listed separately in addition
to any one of the nine CPT codes for the primary procedure (CPT codes
35556, 35566, 35571, 35583, 35585, 35587, 35656, 35666, or 35671). The
reoperation code was new in 1994. At that time, we estimated that
approximately 22 percent of the primary procedures represent
reoperations for which the new add-on code would be used in the future.
To maintain the same number of work RVUs in 1994, we reduced the work
RVUs of the primary procedures by approximately 3.5 percent.
The Society for Vascular Surgery/International Society for
Cardiovascular Surgery believed that an analysis of current data would
prove that our estimates on the probable number of reoperations were
too high. They requested that we make appropriate adjustments to the
work RVUs based on actual utilization of the code.
Response: Our analysis of the data revealed the following:
In 1994, CPT code 35700 was billed in conjunction with the primary
procedure codes listed above 3.47 percent of the time. There were
67,482 primary services performed in 1994 and 2,343 reoperations (CPT
code 35700).
In the first three quarters of 1995, CPT code 35700 was billed in
conjunction with the above listed primary procedure codes 4.12 percent
of the time. There was a total of 44,684 primary services performed
while 1,839 reoperations (CPT code 35700) were billed. These data
confirm that our original estimates regarding the utilization of the
reoperation CPT code 35700 were too high.
Final decision: The following table identifies the nine codes,
lists the 1996 work RVUs and lists the corrected work RVUs based on the
actual utilization of the reoperation code. The differences in work
RVUs between 1996 and the corrected work RVUs are also shown. Some of
these codes were reviewed as part of the 5-year refinement, and we
accepted the RUC recommendations for them. To determine the final work
RVUs, we added the differences in work RVUs between 1996 and the
rescaled work RVUs to either the RUC-recommended work RVUs or the
current work RVUs for codes that were not part of the 5-year review.
----------------------------------------------------------------------------------------------------------------
1996 Final
CPT code work Corrected Difference 5-year RUC work
RVUs work RVUs recommendations RVUs
----------------------------------------------------------------------------------------------------------------
35556................................................... 15.47 15.94 0.47 19.37 19.84
35566................................................... 20.21 20.76 0.55 24.45 25.00
35571................................................... 16.66 17.14 0.48 None 17.14
35583................................................... 15.97 16.44 0.47 20.03 20.50
35585................................................... 19.05 19.60 0.55 25.95 26.47
35587................................................... 17.07 17.55 0.48 None 17.55
35656................................................... 13.86 14.44 0.58 17.84 18.42
35666................................................... 15.97 17.60 1.63 None 17.60
35671................................................... 12.18 13.39 1.21 None 13.39
----------------------------------------------------------------------------------------------------------------
CPT code 35681 (Bypass graft, composite).
Comment: We received comments from the Society for Vascular
Surgery/International Society for Cardiovascular Surgery and the
American College of Surgeons that provided the following explanation
for the RUC's recommendations, which the commenters believed was an
error. The American College of Surgeons identified CPT code 35681 as an
overvalued service based on an Abt survey of surgical procedures. In
its 5-year review letter dated February 3, 1995, the American College
of Surgeons recommended a decrease in work RVUs from 8.00 to 3.93. A
RUC work group endorsed this decrease with virtually no discussion, and
the full RUC accepted it by consent decree.
We accepted the recommended decrease in work RVUs in the May 3,
1996 proposed notice (61 FR 20028). The Society for Vascular Surgery/
International Society for Cardiovascular Surgery believed that the
American College of Surgeons' data identifying CPT code 35681 as
overvalued were faulty because the American College of Surgeons used an
inappropriate clinical vignette in the Abt survey.
The American College of Surgeons' vignette described the splicing
of a 6 cm segment of synthetic conduit into what is primarily a bypass
graft constructed
[[Page 59520]]
with autogenous vein. The Society for Vascular Surgery/International
Society for Cardiovascular Surgery stated that the use of synthetic
conduits in this situation is not standard surgical practice. Instead,
most surgeons performing this operation would harvest a separate
segment of vein to use as the additional segment of conduit since the
long term graft patency of the all-vein combination is far superior.
Harvesting additional vein requires a separate skin incision,
identification of another segment of acceptable vein, harvest of that
vein with ligation of branches, and skin closure of the additional
site. This is obviously far more work than opening a box of synthetic
conduits to obtain the additional required conduit, yet the only code
available for either procedure is CPT code 35681.
In order to determine exactly how this code is used clinically, the
Society for Vascular Surgery/International Society for Cardiovascular
Surgery reviewed operative records from 16 practices across the country
and found that the American College of Surgeons' vignette represents
only 3 percent of the actual use of this code, and in 97 percent of
cases the work involved is actually far greater than that described in
the American College of Surgeons' vignette.
Response: In light of the comments we received, we referred this
code to a refinement panel for review of the coding issues and ratings
of physician work.
Final decision: As a result of our analysis of the refinement panel
ratings, we are increasing the work RVUs assigned to CPT code 35681
from the proposed 3.93 work RVUs to 8.05, the current work RVUs for the
code. In addition, we are referring CPT code 35681 to CPT for division
into two codes, one to represent addition of a segment of synthetic
conduit to a primary bypass constructed of vein, and another to
represent harvest and addition of a segment of vein conduit to a
primary bypass constructed of vein or synthetic conduit. Once the codes
have been accurately defined, they will be referred to the RUC for work
evaluation. The work RVUs for CPT code 35681 are interim values until
we receive the final RUC recommendations.
CPT code 35875 (Thrombectomy of arterial or venous graft).
Comment: The American College of Surgeons submitted CPT code 35875
for review in its letter to us, dated February 3, 1995. Its
identification of this code as being overvalued was based on a survey
of the work involved in a vignette that described a thrombectomy of a
clotted hemodialysis shunt. The American College of Surgeons
recommended a decrease in work RVUs for CPT code 35875 from 9.07 to
8.19. A RUC work group adopted the decrease without discussion, and the
full RUC accepted it by consent decree. We subsequently accepted the
decrease in our May 3, 1996 proposed notice (61 FR 20002).
In a comment, the Society for Vascular Surgery/International
Society for Cardiovascular Surgery provided the following explanation
of the proper use of the codes. Thrombectomy and revision of a dialysis
graft as described in the American College of Surgeons' vignette is
actually CPT code 36832 (Revision of an arteriovenous fistula, with or
without thrombectomy, autogenous or nonautogenous graft (separate
procedure)), not CPT code 35875. CPT code 36832 falls within the family
of hemodialysis graft codes in CPT and exactly fits the American
College of Surgeons' vignette. It has only 5.84 work RVUs. The
commenter believed that this error had caused the RUC to recommend a
value that was too low.
In contrast, the commenter explained, CPT code 35875 is defined as
thrombectomy of arterial or venous graft, and it lies numerically
within the CPT family of codes that describes bypass grafts performed
for arterial insufficiency. CPT code 35875 requires significantly more
work than CPT code 36832, and it has 9.07 work RVUs. It was, therefore,
no surprise to the commenter that the surgeons participating in the
American College of Surgeons' study considered that 9.07 work RVUs were
too high when asked to evaluate the work involved in thrombectomy of a
dialysis graft since they were actually being asked to rate a service
that has only 5.84 work RVUs.
In order to identify exactly how CPT code 35875 is used by
practicing surgeons, the Society for Vascular Surgery/International
Society for Cardiovascular Surgery reviewed charts of patients
receiving this service over a period of 1 year at 16 surgical practices
from across the country. The study identified 209 consecutive cases.
CPT code 35875 was used for thrombectomy of arterial bypass grafts in
patients with peripheral vascular disease in 60 percent of the cases,
and, somewhat to their surprise, in 40 percent of cases, CPT code 35875
was claimed when thrombectomy of a dialysis graft was performed in
renal failure patients. The review indicated that some carrier medical
directors also are confused regarding appropriate use of this code.
Response: In light of the comments we received, we referred this
code to a refinement panel for review of the coding issues and ratings
of physician work.
Final decision: As a result of our analysis of the refinement
panel ratings, we are increasing the work RVUs assigned to CPT code
35875 from the proposed 8.19 work RVUs to 9.07, which are the current
work RVUs for the code. In addition, we will refer CPT code 35875 to
CPT for redefinition by adding the term ``not for hemodialysis graft.''
We are also referring CPT code 36832 to CPT to be split into three
separate codes, one specifically for thrombectomy of hemodialysis
grafts, one for revision of hemodialysis grafts without thrombectomy,
and one for thrombectomy and revision of hemodialysis grafts.
Once the codes have been accurately defined, they will be referred
to the RUC for work evaluation. We are keeping the work RVUs for CPT
code 35875 interim until we receive the final RUC recommendations.
13. Pathology and Laboratory Procedures
CPT code 85390-26 (Fibrinolysins or coagulopathy screen,
interpretation and report).
Comment: We received several comments objecting to our proposal to
maintain the current 0.37 work RVUs rather than to accept the RUC
recommendation of 0.75 work RVUs.
Response: In its original recommendation to us, the RUC noted that
this procedure had never been surveyed and the current work RVUs were
established by HCFA. The RUC agreed that the physician work of
furnishing this service has changed during the past few years. The
clinical problems presented by patients are more complex, the tests are
more technical, and the physician is required to perform more tests.
However, the RUC did not believe that these changes warranted an
increase to 1.20 work RVUs, as requested by a specialty society.
Instead, the RUC believed that the service is comparable in physician
work to the key reference service CPT code 88305 (Tissue exam by
pathologist), with 0.75 work RVUs. Therefore, the RUC recommended 0.75
work RVUs.
Clinical laboratory tests are covered by the Medicare program and
paid for under the clinical laboratory fee
[[Page 59521]]
schedule; performance of the test itself does not require the services
of a physician and does not have physician work associated with it.
However, we have recognized that there are a limited number of clinical
laboratory codes for which it is almost always necessary for the
laboratory physician to furnish an interpretation, and we have assigned
0.37 work RVUs to these interpretations. We were not persuaded that the
work has changed over time. The vignette used to survey this code
appeared to represent services well beyond interpretation of a single
test and seemed to describe a typical consultation. CPT code 80502 (Lab
pathology consultation) describes the surveyed vignette and is valued
at 1.33 work RVUs, which is similar to the 1.20 work RVUs from the RUC
survey. Therefore, we proposed to retain the current 0.37 work RVUs for
CPT code 85390-26. However, in light of the comments we received, we
referred this code to a refinement panel for review.
Final decision: As a result of our analysis of the refinement
panel ratings, we maintain our current 0.37 work RVUs for CPT code
85390-26.
CPT code 86327-26 (Immunoelectrophoresis; crossed (2-dimensional
assay)).
Comment: We received several comments objecting to our proposal to
maintain the current 0.37 work RVUs rather than to accept the RUC
recommendation of 0.45 work RVUs.
Response: In its original recommendation to us, the RUC noted that
this procedure had never been surveyed and the current work RVUs were
established by HCFA. The RUC agreed that the physician work of
furnishing this service has changed during the past few years.
The current work RVUs are 0.37. Pathology interpretation of
laboratory tests was originally valued at 0.37 work RVUs. (See comment
for CPT code 85390 above.) We were not persuaded that the work has
changed over time. However, in light of the comments we received, we
referred this code to a refinement panel for review.
Final decision: As a result of our analysis of the refinement
panel ratings, we are increasing the work RVUs from 0.37 to 0.42 for
CPT code 86327-26.
CPT code 88173-26 (Evaluation of fine needle aspirate with or
without preparation of smears; interpretation and report).
Comment: We received several comments objecting to our proposal to
maintain the current 1.08 work RVUs. Our proposal was based, in part,
on acceptance of a RUC recommendation to maintain the current work
RVUs. A specialty society argued that the physician work involved in
the interpretation of a fine needle aspiration has increased because of
a change in the way the service is used in the continuum of diagnosis
and treatment.
When the service was first studied by the Harvard study team, fine
needle aspiration was relatively new, performed primarily on advanced
tumors and used as a screening service to be followed by confirmatory
biopsy. Now, the fine needle aspiration specimen received for
interpretation is from an earlier stage in the disease process, often
from lesions that are borderline in their presentation. In addition,
the procedure is now used as a definitive diagnostic procedure from
which treatment decisions are made. These two changes lead to increased
work for the pathologist.
Response: In light of the comments we received, we referred this
code to a refinement panel for review.
Final decision: As a result of the our analysis of the refinement
panel ratings, we are increasing the work RVUs from 1.08 to 1.39 for
CPT code 88173-26.
14. Psychiatry
Comment: In our May 3, 1996 proposed notice (61 FR 20029 through
20030), we described the RUC's review of the comments submitted by the
American Psychiatric Association and the American Academy of Child and
Adolescent Psychiatry as part of the 5-year refinement. The American
Psychiatric Association, in its comments and during its presentation to
the RUC, presented the following evidence to support increasing the
work RVUs of the psychiatric codes:
Patient type and mix have changed dramatically during the
past 5 years. The American Psychiatric Association reported that before
1990, for the most part, ``stable'' patients were seen in an office
outpatient setting. Patients that were considered unstable, and
otherwise hard to manage, were treated as inpatients, allowing the
physician to coordinate with the hospital staff, if necessary. In the
past, patients tended to seek treatment earlier and physicians were
able to make referrals to psychiatrists earlier. The onset of managed
care has increased the likelihood that many patients are referred to
non-physician mental health providers, which has translated into
psychiatrists treating only severely ill patients.
Decreasing inpatient hospital admissions has resulted in
increased patient morbidity. Again, the American Psychiatric
Association noted that shifting insurance industry patterns have played
a significant role in this trend. Although many insurance policies
offer mental health coverage, the coverage is often very restrictive.
For example, most policies have strict limits on the number of
inpatient hospital days. Many managed care policies have shifted away
from long-term psychotherapy in favor of short intermittent treatment
therapies.
Since many more patients are seen on an outpatient basis,
there is an increasing amount of coordination of care with other
providers. The American Psychiatric Association noted that the time
spent dealing with coordination of care issues has resulted in an
increase of physician preservice and postservice work.
During the past 5 years, new, highly sophisticated
neuroleptic and antidepressant medications have been introduced. The
American Psychiatric Association noted that, because of the advances in
psychopharmacology, a greater number of individual psychotherapy
patients will likely utilize these medications than was the case 5
years ago. The greater reliance on these medications has increased the
complexity of the medical decision making during an individual
psychotherapy visit. Many of these new drugs require constant
monitoring, such as weekly blood monitoring in the case of Clorazil.
The failure to monitor these drugs appropriately could result in
adverse side effects and possibly death.
The RUC reviewed 18 services in the psychiatry section of CPT. For
13 of those services, the RUC recommended no change from the current
work RVUs. For the other five services, the RUC believed that the
points cited above provided a compelling argument for increasing the
work RVUs from their current levels.
In our response to the RUC recommendations for the 18 codes, we
agreed with the RUC that the current work RVUs for 13 of the
psychiatric services should be maintained. However, we did not agree
that there was compelling evidence to increase the work RVUs for the
following five psychiatric services: Psychiatric interview (CPT code
90801), Psychotherapy, 20-30 minutes (CPT code 90843), Psychotherapy
45-50
[[Page 59522]]
minutes (CPT code 90844), Special group therapy (CPT code 90853), and
Individual psychotherapy (CPT code 90855). Therefore, we did not accept
the RUC-recommended increases for these five psychiatry codes.
Commenters expressed concern that we provided no rationale for our
disagreement and argued that the RUC and the American Psychiatric
Association had provided compelling evidence for the recommended
increases.
The RUC and the American Psychiatric Association reaffirmed their
previous recommendations for these services and provided the following
arguments for increasing the codes in question:
The shifts from inpatient to outpatient care in psychiatry
have shifted a major burden of work to the codes proposed for increase.
Selectivity and complexity factors clearly apply to this
family of codes.
Many of the work changes that we accepted for increasing
the evaluation and management services apply to these codes as well.
Response: We agree that we did not provide a thorough rationale for
rejecting the RUC recommendations. At the time we were preparing the
May 3, 1996 proposed notice, we had initiated informal discussions with
the American Psychiatric Association about the need to revise the
existing psychotherapy codes to reflect the variation in work
associated with the type of psychotherapy and the setting in which it
is furnished. In anticipation of new and revised codes, we did not
review the RUC recommendations at that time as thoroughly as we now
have. We now accept the arguments of the RUC and the American
Psychiatric Association that the work of the five codes has increased
over time and that the work RVUs should be adjusted accordingly. In the
next two sections, we discuss the coding of psychiatric services and
the assignment of work RVUs to the psychotherapy codes.
Coding of Psychiatric Services
It now appears that the American Psychiatric Association has
decided against pursuing a change in the CPT codes for psychiatric
services at this time. However, we believe that a change in the code
descriptors is essential as part of the 5-year refinement of the work
RVUs in order for us to properly recognize the variations in work
associated with the different types of psychotherapy as well as the
settings in which the different types of psychotherapy are furnished.
Also, the problems with the coding of psychiatric services have been
known for several years. The following is a summary of the most
important problems that have been identified with the current codes:
The current psychotherapy codes do not distinguish the
settings in which psychotherapy is furnished because the same codes are
used to report office and inpatient psychotherapy. In 1990, the
American Psychiatric Association submitted a request to CPT to create
new codes for psychiatric care in a facility. Those codes would have
recognized the difference in work associated with psychotherapy
furnished to inpatients. However, the codes were not approved.
In 1990, the American Psychiatric Association noted the
need to refine the CPT codes in its comments on the Medicare model fee
schedule that was published in our September 4, 1990 notice with
comment period (55 FR 36178). The American Psychiatric Association
expressed the need for codes to report inpatient psychiatric services
and objected to the use of the existing psychotherapy codes by non-
physician providers (psychologists and clinical social workers). The
American Psychiatric Association cited the following terminology in the
codes to support their argument: ``Individual medical psychotherapy by
a physician, with continuing medical diagnostic evaluation, and drug
management when indicated.'' The American Psychiatric Association
argued that while non-physician providers do provide psychotherapy
services, those services cannot be interpreted as ``medical
psychotherapy.'' For Medicare purposes, the existing psychotherapy
codes are used by psychologists and clinical social workers even though
the code descriptors attempt to limit their use to physicians. We
believe that services that can be furnished by both physicians and non-
physician providers should be described by codes with descriptors that
do not limit their use to physicians.
In January 1991, the Harvard study team published a final
report entitled ``Refinement of the Development of a Resource Based
Relative Value Scale for Psychiatric Services.'' In the Executive
Summary, it states: ``The data from the national survey of psychiatry
tend to suggest the need for further examination of coding of services
for psychiatry. First, the findings are especially strong for the need
to distinguish between services provided in the hospital and those
provided in the office. Second, the findings indicate that, controlling
for subspecialty of the provider, services delivered to young children
differ in the amount of work required, suggesting the possible need for
new or modified service codes for child psychiatry.'' The first finding
has not been resolved. The second has been partially resolved by the
addition of a new code in CPT 1992 for reporting ``interactive
psychotherapy.'' However, there are two major problems with this new
code. First, it is not clearly defined, and the lack of clear
definition has led to the submission of approximately 500,000 claims
for interactive therapy. We believe that most of those claims were
improperly coded since the typical interactive psychotherapy session is
furnished to children. Second, the code does not distinguish the time
of the session as do the other psychotherapy codes. Because we have
assigned work RVUs to this code that are higher than those for CPT code
90844 (Psychotherapy, 45-50 minutes), a claim for psychotherapy of 20-
30 minutes, that is improperly reported as interactive psychotherapy,
will be significantly overpaid. Consequently, we view our inability to
properly assign work RVUs, based on the length of the sessions, to be a
significant problem that must be corrected as soon as possible.
We do not permit the reporting of an evaluation and
management service on the same day of service that psychotherapy is
furnished. We announced this policy in our November 25, 1991 final rule
(56 FR 59502) for the 1992 physician fee schedule. The policy was based
in part on our need to standardize payment policies because there was
considerable variation across carriers in their policies regarding
payment for hospital care and psychiatric care on the same day of
service. In addition, we were concerned that there was considerable
overlap in the preservice and postservice work of psychotherapy and
evaluation and management services that could lead to two payments for
the same service. Therefore, we increased the work RVUs assigned to the
psychotherapy codes but precluded the reporting of an evaluation and
management service on the same day as psychotherapy. We acknowledged in
the final rule that our policy is not consistent with the introductory
notes to the psychiatric section of CPT. However, we also stated
[[Page 59523]]
that, if the CPT codes were revised, we would consider revising the
work RVUs to be consistent with the new or revised codes.
To address these problems, we have developed new alpha-numeric
codes to report psychotherapy services. These codes will go into effect
on January 1, 1997. For Medicare purposes, they will replace CPT codes
90842 (Psychotherapy, 75-80 minutes), 90843 (Psychotherapy, 20-30
minutes), 90844 (Psychotherapy, 45-50 minutes), and 90855 (Interactive
individual medical psychotherapy). We will no longer recognize these
CPT codes for Medicare payment purposes. The objectives of our new
codes and the introductory paragraphs that precede them are the
following:
Distinguish psychotherapy furnished in an office from
psychotherapy furnished in an inpatient or other facility by creating
two families of codes.
Distinguish interactive psychotherapy services based on
the duration of the face-to-face time with the patient by creating
three time-based codes that would parallel the three time-based codes
for the other psychotherapy services, that is, 20-30 minutes, 45-50
minutes, and 75-80 minutes.
Distinguish between interactive psychotherapy and other
forms of psychotherapy by providing clearer definitions.
Unbundle the existing psychotherapy codes to allow the
reporting of psychotherapy that is furnished without medical evaluation
and management services from psychotherapy that is furnished with
medical evaluation and management services.
Eliminate the word ``medical'' from ``medical
psychotherapy'' and eliminate the phrase ``by a physician'' to make it
clear that the use of the codes to report psychotherapy without medical
evaluation and management services is not restricted to physicians. The
use of these codes will be open to physicians, psychologists, and
clinical social workers.
Serve as a basis for assigning appropriate work RVUs to
psychotherapy services as part of the 5-year refinement of work RVUs.
In the following section, we provide a listing of the new codes
including the complete descriptors and several introductory paragraphs.
Our new coding structure establishes 12 codes for office and other
outpatient services and 12 codes for inpatient hospital, partial
hospital, or residential care facilities. We have included partial
hospital services with inpatient hospital services because we believe
the work of a physician in a partial hospital setting is more
comparable to the work in an inpatient setting than it is to the work
in an office setting. In particular, in both the inpatient and partial
hospital setting, physicians are responsible for admitting patients,
developing and revising treatment plans, supervising multi-disciplinary
treatment and planning for discharge.
Within each setting there are six codes for insight oriented,
behavior modifying, and/or supportive psychotherapy and six codes for
interactive psychotherapy. Each family of six codes is further divided
based on the face-to-face time spent with the patient and whether
evaluation and management services are furnished in addition to the
psychotherapy. We plan to submit these codes to the CPT Editorial Panel
as part of a comprehensive revision of the psychiatry section of CPT.
For a discussion of the work RVUs that we have assigned to the new
codes, see the section below entitled, ``Assignment of Work RVUs to the
Psychiatric Codes.''
Psychiatric Therapeutic Procedures
Psychotherapy is the treatment for mental illness and behavioral
disturbances in which the therapist establishes a professional contract
with the patient and, through definitive therapeutic communication,
attempts to alleviate the emotional disturbances, reverse or change
maladaptive patterns of behavior, and encourage personality growth and
development. The codes for reporting psychotherapy are divided into two
broad categories: Interactive Psychotherapy; and Insight Oriented,
Behavior Modifying and/or Supportive Psychotherapy.
Interactive psychotherapy is typically furnished to children. It
involves the use of physical aids and non-verbal communication to
overcome barriers to therapeutic interaction between the physician and
a patient who has lost, or has not yet developed, either the expressive
language communication skills to explain his/her symptoms and response
to treatment, or the receptive communication skills to understand the
physician if he/she were to use ordinary adult language for
communication.
Insight oriented, behavior modifying and/or supportive
psychotherapy refers to the development of insight or affective
understanding, the use of behavior modification techniques, the use of
supportive interactions, the use of cognitive discussion of reality, or
any combination of the above to provide therapeutic change.
Some patients receive psychotherapy only and others receive
psychotherapy and medical evaluation and management services. These
evaluation and management services involve a variety of
responsibilities unique to the medical management of psychiatric
patients, such as medical diagnostic evaluation, drug management when
indicated, physician orders, interpretation of laboratory or other
medical diagnostic studies and observations, review of activity therapy
reports, the supervision of nursing and ancillary personnel, the
programming of all hospital resources for diagnosis and treatment, and
activity in leadership or direction of a treatment team as related to
that patient.
In reporting psychotherapy, the appropriate code is chosen on the
basis of the type of psychotherapy (interactive using non-verbal
techniques versus insight oriented, behavior modifying and/or
supportive using verbal techniques), the place of service (office
versus inpatient), the face-to-face time spent with the patient during
psychotherapy, and whether evaluation and management services are
furnished on the same date of service as psychotherapy.
To report medical evaluation and management services furnished on a
day when psychotherapy is not provided, providers select the
appropriate code from the ``Evaluation and Management (E/M) Services
Guidelines'' section of CPT.
Office or Other Outpatient Psychotherapy
Insight Oriented, Behavior Modifying and/or Supportive Psychotherapy
G0071--Individual psychotherapy, insight oriented, behavior modifying
and/or supportive, in an office or outpatient facility, approximately
20 to 30 minutes face-to-face with the patient
G0072--Individual psychotherapy, insight oriented, behavior modifying
and/or supportive, in an office or outpatient facility, approximately
20 to 30 minutes face-to-face with the patient, with medical evaluation
and management services
G0073--Individual psychotherapy, insight oriented, behavior
[[Page 59524]]
modifying and/or supportive, in an office or outpatient facility,
approximately 45 to 50 minutes face-to-face with the patient
G0074--Individual psychotherapy, insight oriented, behavior modifying
and/or supportive, in an office or outpatient facility, approximately
45 to 50 minutes face-to-face with the patient, with medical evaluation
and management services
G0075--Individual psychotherapy, insight oriented, behavior modifying
and/or supportive, in an office or outpatient facility, approximately
75 to 80 minutes face-to-face with the patient
G0076--Individual psychotherapy, insight oriented, behavior modifying
and/or supportive, in an office or outpatient facility, approximately
75 to 80 minutes face-to-face with the patient, with medical evaluation
and management services
Interactive Psychotherapy
G0077--Individual psychotherapy, interactive, in an office or
outpatient facility, approximately 20 to 30 minutes face-to-face with
the patient
G0078--Individual psychotherapy, interactive, in an office or
outpatient facility, approximately 20 to 30 minutes face-to-face with
the patient, with medical evaluation and management services
G0079--Individual psychotherapy, interactive, in an office or
outpatient facility, approximately 45 to 50 minutes face-to-face with
the patient
G0080--Individual psychotherapy, interactive, in an office or
outpatient facility, approximately 45 to 50 minutes face-to-face with
the patient, with medical evaluation and management services
G0081--Individual psychotherapy, interactive, in an office or
outpatient facility, approximately 75 to 80 minutes face-to-face with
the patient
G0082--Individual psychotherapy, interactive, in an office or
outpatient facility, approximately 75 to 80 minutes face-to-face with
the patient, with medical evaluation and management services
Inpatient Hospital, Partial Hospital or Residential Care Facility
Insight Oriented, Behavior Modifying and/or Supportive Psychotherapy
G0083--Individual psychotherapy, insight oriented, behavior modifying
and/or supportive, in an inpatient hospital, partial hospital or
residential care setting, approximately 20 to 30 minutes face-to-face
with the patient
G0084--Individual psychotherapy, insight oriented, behavior modifying
and/or supportive, in an inpatient hospital, partial hospital or
residential care setting, approximately 20 to 30 minutes face-to-face
with the patient, with medical evaluation and management services
G0085--Individual psychotherapy, insight oriented, behavior modifying
and/or supportive, in an inpatient hospital, partial hospital or
residential care setting, approximately 45 to 50 minutes face-to-face
with the patient
G0086--Individual psychotherapy, insight oriented, behavior modifying
and/or supportive, in an inpatient hospital, partial hospital or
residential care setting, approximately 45 to 50 minutes face-to-face
with the patient, with medical evaluation and management services
G0087--Individual psychotherapy, insight oriented, behavior modifying
and/or supportive, in an inpatient hospital, partial hospital or
residential care setting, approximately 75 to 80 minutes face-to-face
with the patient
G0088--Individual psychotherapy, insight oriented, behavior modifying
and/or supportive, in an inpatient hospital, partial hospital or
residential care setting, approximately 75 to 80 minutes face-to-face
with the patient, with medical evaluation and management services
Interactive Psychotherapy
G0089--Individual psychotherapy, interactive, in an inpatient hospital,
partial hospital or residential care setting, approximately 20 to 30
minutes face-to-face with the patient
G0090--Individual psychotherapy, interactive, in an inpatient hospital,
partial hospital or residential care setting, approximately 20 to 30
minutes face-to-face with the patient, with medical evaluation and
management services
G0091--Individual psychotherapy, interactive, in an inpatient hospital,
partial hospital or residential care setting, approximately 45 to 50
minutes face-to-face with the patient
G0092--Individual psychotherapy, interactive, in an inpatient hospital,
partial hospital or residential care setting, approximately 45 to 50
minutes face-to-face with the patient, with medical evaluation and
management services
G0093--Individual psychotherapy, interactive, in an inpatient hospital,
partial hospital or residential care setting, approximately 75 to 80
minutes face-to-face with the patient
G0094--Individual psychotherapy, interactive, in an inpatient hospital,
partial hospital or residential care setting, approximately 75 to 80
minutes face-to-face with the patient, with medical evaluation and
management services
Assignment of Work RVUs to the Psychiatric Codes
The RUC, American Psychiatric Association, and other commenters
recommended an increase from 2.18 to 2.80 in the work RVUs assigned to
CPT code 90801 (Psychiatric diagnostic interview examination including
history, mental status, or disposition (may include communication with
family or other sources, ordering and medical interpretation of
laboratory or other medical diagnostic studies)). We accepted this
recommendation.
We also received a final work RVU recommendation for CPT code 90820
(Interactive medical psychiatric diagnostic interview examination). In
September, the RUC recommended that the current 2.27 work RVUs be
maintained until the American Academy of Child and Adolescent
Psychiatry had an opportunity to conduct a survey. A survey of nearly
40 child psychiatrists resulted in a median of 3.25 work RVUs. CPT code
90820 requires more work than CPT code 90801 (Psychiatric interview),
for which the 5-year review RUC recommendation was 2.80 work RVUs. The
survey indicated 170 minutes of total time for this service, compared
to 135 minutes for CPT code 90801. The preservice time is greater for
CPT code 90820 because the psychiatrist must contact not only the
child's pediatrician, but also the child's school and, in some
instances, a
[[Page 59525]]
non-custodial parent. The intraservice time is longer and the service
requires more work to develop a relationship with the child using non-
verbal techniques and to collect and interpret data. Drawing inferences
from the data requires the child psychiatrist to generate and test a
series of developmental and dynamic hypotheses. There is also increased
technical skill required to use the play equipment during this
interactive interview. The postservice time is greater than that for
CPT code 90801 because the psychiatrist must again contact the school
and, perhaps, the non-custodial parent.
The RUC agreed that CPT code 90820 requires more work than CPT code
90801 (Psychiatric interview), with 2.80 work RVUs, and recommended
3.01 work RVUs to maintain a consistent relationship between the RUC
recommendations for CPT code 90855 (Interactive individual medical
psychotherapy), with 2.15 work RVUs, and CPT code 90844 (Psychotherapy,
45-50 minutes), with 2.00 work RVUs. We agree with this recommendation
and have assigned 3.01 work RVUs to CPT code 90820 (Interactive medical
psychiatric diagnostic interview examination).
The RUC, American Psychiatric Association, and other commenters
recommended increases in the work RVUs assigned to CPT code 90843
(Psychotherapy, 20-30 minutes) and CPT code 90844 (Psychotherapy, 45-50
minutes) from 1.10 and 1.72 to 1.47 and 2.00, respectively. We accepted
these recommendations and have assigned them to new HCPCS codes G0072
and G0074 that are the codes for reporting psychotherapy with medical
evaluation and management services of 20-30 and 45-50 minutes,
respectively, in an office or outpatient facility. We believe these two
codes correspond most closely to the vignettes for CPT codes 90843 and
90844 that were surveyed as part of the RUC process. The vignettes were
for office psychotherapy and included medical evaluation and management
services.
For the codes used to report psychotherapy without medical
evaluation and management services of 20-30 minutes and 45-50 minutes
duration (HCPCS codes G0071 and G0073), we have assigned 1.11 and 1.73
work RVUs. These are the work RVUs currently assigned to CPT codes
90843 and 90844. We considered lowering the work RVUs for HCPCS codes
G0071 and G0073 since the codes describe services (psychotherapy alone)
that require less work than the existing CPT codes 90843 and 90844
(psychotherapy with continuing medical diagnostic evaluation and drug
management when indicated). However, we decided to maintain the current
work RVUs out of recognition that the work of psychotherapy alone also
may have increased over time.
The RUC has recommended that the work RVUs for CPT code 90842
(Psychotherapy, 75-80 minutes) be maintained at their current level of
2.76. In our May 3, 1996 proposed notice (61 FR 20014), we accepted
that recommendation. We now believe these are the appropriate work RVUs
for psychotherapy without medical evaluation and management services
and have assigned 2.76 work RVUs to HCPCS code G0075. For HCPCS code
G0076, which is the code for reporting psychotherapy of 75-80 minutes
with medical evaluation and management services, we have assigned 3.15
work RVUs. These work RVUs are 14 percent higher than those for HCPCS
code G0075 and correspond to the increases we established for the other
psychotherapy codes with medical evaluation and management services
relative to the codes for psychotherapy alone.
For the interactive psychotherapy codes in an office or outpatient
facility (HCPCS codes G0077 through G0082), we looked to the
relationship established by the RUC for interactive psychiatric
services relative to other psychiatric services. CPT code 90820
(Interactive medical psychiatric diagnostic interview examination) was
valued by the RUC 7.5 percent higher than CPT code 90801 (Psychiatric
interview); and CPT code 90855 (Interactive individual medical
psychotherapy) was valued 7.5 percent higher than CPT code 90844
(Psychotherapy, 45-50 minutes duration). Therefore, we have assigned
work RVUs to HCPCS codes G0077 through G0082 that are 7.5 percent
higher than those for the corresponding psychotherapy codes.
Our new coding structure establishes 12 codes for office and other
outpatient services and 12 codes for inpatient hospital, partial
hospital, or residential care facilities. Within each setting there are
six codes for psychotherapy and six codes for interactive
psychotherapy. There were no inpatient vignettes surveyed as part of
the 5-year refinement. Therefore, we looked to the Harvard study of
psychiatric services as a basis for assigning work RVUs to the 12
inpatient codes. Based on our analysis of the findings of that study,
we have concluded that inpatient psychiatric services require
approximately 12 percent more work than office based services.
Therefore, we have assigned work RVUs to the new inpatient codes that
are 12 percent higher than those for the corresponding office codes.
Finally, we have examined further our decisions regarding the group
psychotherapy codes. For CPT code 90853 (Group psychotherapy (other
than of a multiple-family group) by a physician, with continuing
medical diagnostic evaluation and drug management when indicated), we
initially rejected the RUC recommendation to increase the work RVUs
from 0.43 to 0.59. Based on the comments we received, we now accept
that recommendation. For CPT code 90857 (Interactive group medical
psychotherapy), we initially accepted the RUC recommendation for no
increase above the current 0.43 work RVUs. We now believe these work
RVUs should be increased to be 7.5 percent more than the work RVUs for
CPT code 90853 (Group psychotherapy (other than of a multiple-family
group) by a physician, with continuing medical diagnostic evaluation
and drug management when indicated) so that the relationship of
interactive psychiatric services to other psychiatric services will be
maintained. Therefore, we have assigned 0.63 work RVUs to CPT code
90857.
Final decision: We have accepted or increased the RUC-recommended
RVUs for psychiatry services. The RUC-recommended RVUs are the basis of
the RVUs we have assigned to temporary HCPCS codes G0071 through G0094.
We have issued temporary codes so that we may properly recognize the
variations in work associated with the different types of psychotherapy
as well as the settings in which the different types of psychotherapy
are furnished.
The codes and assigned RVUs are considered interim, and we will
accept comments on them. We plan to submit the codes to the CPT
Editorial Panel as part of a comprehensive review of the psychiatry
section, and we will share any comments we receive on the temporary
HCPCS ``G'' codes with the Editorial Panel.
We will no longer recognize CPT codes 90842 (Psychotherapy, 75-80
[[Page 59526]]
minutes), 90843 (Psychotherapy, 20-30 minutes), 90844 (Psychotherapy,
45-50 minutes), and 90855 (Interactive individual medical
psychotherapy). An abbreviated descriptor for the new codes and the
values are shown below.
----------------------------------------------------------------------------------------------------------------
HCPCS code Descriptor Work RVUs
----------------------------------------------------------------------------------------------------------------
G0071 Individual psychotherapy (e.g., insight oriented), office 1.11
or outpatient, 20-30 minutes.
G0072 Individual psychotherapy (e.g., insight oriented), office 1.47
or outpatient, 20-30 minutes, with medical evaluation and
management.
G0073 Individual psychotherapy (e.g., insight oriented), office 1.73
or outpatient, 45-50 minutes.
G0074 Individual psychotherapy (e.g., insight oriented), office 2.00
or outpatient, 45-50 minutes, with medical evaluation and
management.
G0075 Individual psychotherapy (e.g., insight oriented), office 2.76
or outpatient, 75-80 minutes.
G0076 Individual psychotherapy (e.g., insight oriented), office 3.15
or outpatient, 75-80 minutes, with medical evaluation and
management.
G0077 Individual psychotherapy, interactive (non-verbal), office 1.19
or outpatient, 20-30 minutes.
G0078 Individual psychotherapy, interactive (non-verbal), office 1.58
or outpatient, 20-30 minutes, with medical evaluation and
management.
G0079 Individual psychotherapy, interactive (non-verbal), office 1.86
or outpatient, 45-50 minutes.
G0080 Individual psychotherapy, interactive (non-verbal), office 2.15
or outpatient, 45-50 minutes, with medical evaluation and
management.
G0081 Individual psychotherapy, interactive (non-verbal), office 2.97
or outpatient, 75-80 minutes.
G0082 Individual psychotherapy, interactive (non-verbal), office 3.39
or outpatient, 75-80 minutes, with medical evaluation and
management.
G0083 Individual psychotherapy (e.g., insight oriented), 1.24
inpatient or partial hospital, 20-30 minutes.
G0084 Individual psychotherapy (e.g., insight oriented), 1.65
inpatient or partial hospital, 20-30 minutes, with
medical evaluation and management.
G0085 Individual psychotherapy (e.g., insight oriented), 1.94
inpatient or partial hospital, 45-50 minutes.
G0086 Individual psychotherapy (e.g., insight oriented), 2.24
inpatient or partial hospital, 45-50 minutes, with
medical evaluation and management.
G0087 Individual psychotherapy (e.g., insight oriented), 3.09
inpatient or partial hospital, 75-80 minutes.
G0088 Individual psychotherapy (e.g., insight oriented), 3.53
inpatient or partial hospital, 75-80 minutes, with
medical evaluation and management.
G0089 Individual psychotherapy, interactive (non-verbal), 1.33
inpatient or partial hospital, 20-30 minutes.
G0090 Individual psychotherapy, interactive (non-verbal), 1.77
inpatient or partial hospital, 20-30 minutes, with
medical evaluation and management.
G0091 Individual psychotherapy, interactive (non-verbal), 2.08
inpatient or partial hospital, 45-50 minutes.
G0092 Individual psychotherapy, interactive (non-verbal), 2.41
inpatient or partial hospital, 45-50 minutes, with
medical evaluation and management.
G0093 Individual psychotherapy, interactive (non-verbal), 3.32
inpatient or partial hospital, 75-80 minutes.
G0094 Individual psychotherapy, interactive (non-verbal), 3.80
inpatient or partial hospital, 75-80 minutes, with
medical evaluation and management.
----------------------------------------------------------------------------------------------------------------
15. Other Medical and Therapeutic Services
CPT code 90911 (Anorectal biofeedback).
Comment: A commenter objected to our proposed reduction of the work
RVUs from 2.15 to 0.89. We rejected the RUC recommendation to retain
the current 2.15 work RVUs because this procedure involves little
physician work. We believe the physician work involved in CPT code
90911 to be similar to that in all the other biofeedback codes, which
all have 0.89 work RVUs. The commenter pointed out that the typical
patient treatment time for this procedure is 1 hour. The commenter
stated that during this time, detailed office notes, patient progress
and goals, analysis of the electromyogram data printouts, and patient
billing information must be completed by the highly trained nurses that
deliver the treatment under physician supervision. The commenter stated
that the reduction in physician work RVUs would result in an overall
payment for this procedure that would be insufficient to cover the
overhead associated with this procedure.
Response: We agree that the actual biofeedback therapy is delivered
by a nurse or other auxiliary medical personnel under the general
supervision of a physician. As such, the physician work involved is
minimal as we stated in our proposal in our May 3, 1996 proposed notice
(61 FR 20030 through 20031) to reduce the physician work RVUs. The
nurse's efforts in delivering the treatment and the other overhead
associated with this procedure are included in the practice expense
RVUs, not the work RVUs, and are thus not within the scope of the 5-
year work RVU refinement as we stated in our May 3, 1996 proposed
notice (61 FR 19994).
Final decision: We make final our 0.89 proposed work RVUs for CPT
code 90911.
CPT code 94150 (Vital capacity, total (separate procedure)).
Comment: Several commenters expressed support for our proposal to
retain the current 0.11 work RVUs for CPT code 94150.
Response: We believe the commenters may have misunderstood the work
RVUs we proposed in July 1996. When the RUC reviewed this code, it
identified a CPT coding issue and referred it to the CPT Editorial
Panel for review. In July, at the time of publication of our proposal,
we had not received the RUC's recommendations following the CPT
Editorial Panel's revision so we listed the current RVUs of 0.11 as
proposed work RVUs. During the comment period of our May 3, 1996
proposed notice, we received the RUC's recommendation to decrease the
work RVUs from 0.11 to 0.07.
Final decision: We reviewed and agreed with the RUC recommendation
and are decreasing the work RVUs to 0.07 for CPT code 94150.
[[Page 59527]]
In addition, in our July 2, 1996 proposed rule (61 FR 34626), we
proposed to remove from Medicare coverage, the services represented by
CPT code 94150. Our final decision, after review of the comments
received, is to make CPT code 94150 a bundled service rather than a
non-covered service. See section II.E.1. of this final rule for a more
complete discussion of this code.
16. Speech/Language/Hearing
We received no comments on the speech, language, and hearing codes
and have accepted all of the RUC recommendations as final.
B. Other Comments
1. Evaluation and Management Services
In our May 3, 1996 proposed notice (61 FR 20031 through 20039), we
reevaluated the work RVUs for all 98 of the evaluation and management
services that have RVUs. We only accepted two of the RUC's 39
recommendations for evaluation and management services. However, we
agreed with many of the RUC's arguments for increasing the work RVUs
for evaluation and management services and used those arguments as the
basis for our proposed changes.
Comment: We received voluminous identical comments from family
practitioners stating that we ``dismissed the RUC recommendations'' and
used an arbitrary method for revising the work RVUs.
Response: We provided a lengthy rationale in our May 3, 1996
proposed notice (61 FR 200310 through 20039) for why we rejected the
RUC-recommended work RVUs and how we arrived at our proposed work RVUs.
We did not ``dismiss'' the RUC recommendations. In its comments, the
RUC expressed its pleasure at our acceptance of its arguments about why
evaluation and management services were undervalued. In fact, the RUC
stated, ``. . . we believe that the overall results for evaluation and
management services are consistent with the RUC recommendations and
supporting rationale.'' Most primary care specialties, while preferring
the RUC-recommended RVUs, supported our decision to increase the work
RVUs for evaluation and management services. With a few exceptions,
noted below, we are making the proposed work RVUs for evaluation and
management services final.
Comment: One commenter stated that we did not specify in what ways
we thought the RUC data were ``flawed.''
Response: In our May 3, 1996 proposed notice (61 FR 20032), we
identified several flaws, including overstated postservice times.
Comment: One commenter stated that we were inconsistent in our
characterization of preservice and postservice work. In one place, we
stated that preservice and postservice work intensity is a fixed
percentage of intraservice work intensity while elsewhere we stated
that preservice work and postservice work is a fixed percentage of
intraservice work.
Response: The commenter has identified a proofreading error on our
part. Our assumption is that preservice work and postservice work is a
fixed percentage of intraservice work. This assumption was articulated
in the November 25, 1992 final notice for the 1993 physician fee
schedule (57 FR 55949 through 55951) and was based largely on the
Harvard resource-based relative value scale study and comments from
primary care groups.
Comment: Several primary care groups requested that we recognize
that the data on evaluation and management services the RUC presented
are sufficient evidence for us to remain open to receiving further
information that shows the relationships between some families of these
services have changed.
Response: As we explained in our May 3, 1996 proposed notice (61 FR
20032), we do not believe that the data the RUC presented as part of
the 5-year review were sufficient for us to change the existing
relationships among the evaluation and management service families.
However, we will remain open to data regarding evaluation and
management services. If, in the future, the data convince us that the
relationships have changed, we will go through the public notice and
comment procedures to make the necessary changes to the work RVUs for
evaluation and management services.
CPT codes 99201 through 99215 (Office visits).
Comment: Some commenters requested that we apply the same increases
to CPT code 99211 that we applied to the other office visit codes.
Response: Because CPT code 99211 does not require the presence of a
physician, we had considered making it a code with zero work. Instead,
we are maintaining the current work RVUs for CPT code 99211 and will
reevaluate this as we develop our proposals for resource-based practice
expense. We recognize that we have deviated from our approach to the
rest of the evaluation and management services. While we have raised
the RVUs for other evaluation and management services, we are not
raising the RVUs for CPT code 99211 because the use of this code has
changed since it was first introduced with all other evaluation and
management changes in January 1992. Over time, the code has been used
increasingly to report services furnished by physicians' office staff
rather than by physicians themselves. Given this change, we do not
believe that an increase in the physician work RVUs is warranted.
CPT codes 99241 through 99245 (Office or other outpatient
consultations).
Comment: Several commenters objected to our assumption that the
preservice and postservice work associated with outpatient
consultations was less than that of office visits. Specific specialties
provided examples illustrating that the preservice and postservice work
of an outpatient consultation is more like a visit, and as such, should
have been given the same percentage increase in preservice and
postservice work as the office visits. The RUC incorrectly stated that
we based our proposed RVUs on the assumption that preservice and
postservice work for outpatient consultations had not increased at all.
Several other commenters strongly approved of the approach we took when
valuing outpatient consultations.
Response: Our proposed work RVUs for outpatient consultations
included a recognition that the preservice and postservice work had
increased. We increased the preservice and postservice work (expressed
as a percentage of intraservice work) by 10 percent rather than the 25
percent increase we included for the office visits. Our assumption was,
and still is, that the preservice and postservice work associated with
the typical patient is less for an outpatient consultation than for an
office visit for the reasons outlined in the May 3, 1996 proposed
notice (61 FR 20037). However, based on the comments provided to us, we
acknowledge that for some specific specialties the preservice and
postservice work associated with the consultations is greater. Because
the physician fee schedule has no specialty differential, we cannot
assign different
[[Page 59528]]
work RVUs for the same service for different specialties. Therefore, we
are increasing the percentage of intraservice work slightly more than
we did with our proposed work RVUs.
The final work RVUs for CPT codes 99241 through 99245 will include
a 12.5 percent increase in the percentage of intraservice work to
reflect the added preservice and postservice work rather than the 10
percent increase we proposed. This change reflects that the increase in
preservice and postservice work over the past 5 years for outpatient
consultations is half of that for office visits. If we had increased
the preservice and postservice work percentage further, the current
relationship between outpatient consultations and inpatient
consultations would be lost since outpatient consultations would be
valued higher than the inpatient consultations. As stated in previous
regulations, we believe that the work of inpatient consultations is
slightly higher than the work of outpatient consultations at the
highest levels of service.
CPT codes 99281 through 99285 (Emergency department services).
Comment: We received a comment from the American College of
Emergency Physicians expressing support for our proposed changes.
However, the RUC, in its comments, made new recommendations for the
emergency department services. In its recommendations, the RUC equated
CPT codes 99281 through 99283 with CPT codes 99201 through 99203, and
assigned 2.00 work RVUs for CPT code 99284 and 2.90 work RVUs for CPT
code 99285. These work RVUs, with the exception of the work RVUs for
CPT code 99285, are higher than the proposed work RVUs.
Response: We believe our proposed work RVUs maintain the proper
relationship with other evaluation and management services. These
values are also supported by the American College of Emergency
Physicians. Therefore, we are making the proposed work RVUs final.
CPT codes 99321 through 99333 (Domiciliary, rest home (e.g.,
boarding home), or custodial care services).
Comment: One commenter suggested that domiciliary visits should
have the same value as the home visit codes because there is very
little difference between these two families of services. The commenter
held the view that our assumption that domiciliary visits require less
work than home visits because of the availability of personal assistant
services is incorrect. The staff, the commenter maintained, is
essentially unskilled and too busy to assist the physician.
Response: We are unclear as to why there are separate families of
codes if home visits and domiciliary visits require similar work. In
our May 3, 1996 proposed notice (61 FR 20038), we maintained the
current relationship between domiciliary visits and home visits. Until
the comment period for our May 3, 1996 proposed notice, we had not
received any comments suggesting that the existing relationship was
incorrect. Because we are waiting until the CPT Editorial Panel reworks
the home visit codes before revaluing the services, we will also wait
until the Panel reworks the domiciliary visit codes before revaluing
them. Therefore, we will maintain the 1996 work RVUs for CPT codes
99321 through 99333 until after the CPT Editorial Panel reviews these
codes.
CPT codes 99341 through 99353 (Home services).
Comment: Commenters challenged the assumptions that we used in
reevaluating all the evaluation and management codes with respect to
home visits. They stated that equating home visits with office visits
of greater length is not appropriate since home visits were not part of
the early stages of the Harvard study. Also, in developing the May 3,
1996 proposed notice, we did not review the RUC recommendations and
survey data that were made available in April. The commenters suggested
that the difference between new and established patient home visits is
less than that seen in other families of evaluation and management
services and that the preservice and postservice work is proportionally
higher for home visits than for other evaluation and management
services. In particular, commenters opposed our proposed reductions in
the work RVUs for CPT codes 99351 and 99352.
In its comments, the RUC made its final recommendations for the
home visit codes. Whereas the RUC had previously recommended no change
in the work RVUs for these services, the new recommendations were for
substantial increases. The RUC's comments indicated that the current
CPT descriptors do not accurately describe the home visits, and the RUC
has referred these codes back to CPT. With its recommendations, the RUC
noted ``* * * that there are significant differences between the home
visits and other visits, including the severe and multiple disabilities
of the patients, the need to assess patients' functional and mental
status, to train both patients and untrained caregivers, and the need
to manage problems related to patient dementia, other psychiatric
problems and the care giver pathologies.'' Other arguments used in the
development of the RUC's recommended work RVUs are that because the
physician is in the home, he or she must evaluate the environment and
its effect on the illness and care plan; ancillary services such as
laboratory, EKG, and oximetry that are normally done by a technician in
the office must be performed by the physician; the physician has no on-
site staff to reduce the time for such functions as dressing and
undressing the patient, counseling patients, family members, and
caregivers, and taking vital signs; and patients and families have
higher intensity needs when a home visit is furnished.
Response: The work RVUs we proposed were created in an effort to
maintain the current relationship between home visits and office
visits. We had not reviewed the most recent RUC recommendations because
they had not been submitted to us as part of the RUC's 5-year review
recommendations received in late 1995. Our proposed work RVUs were also
based on the current CPT code descriptors. We recognized that there was
something intangible about the work of home visits that was not
captured in the descriptors but was captured, we had thought, in the
current relationship of work RVUs between home and office visits. For
the family of home visit services, it appears from the comments that
the CPT descriptors do not accurately describe the nature of the
services furnished in the typical case. Therefore, because the CPT
Editorial Panel is going to reexamine these codes, we are not adjusting
the 1996 work RVUs for CPT codes 99341 through 99353, and the work RVUs
for CPT codes 99351 and 99352 are not being decreased as proposed. We
will revalue these services once the code descriptors are changed. We
anticipate that the new descriptors and new work RVUs will become
effective in 1998. Simultaneously, the adoption of a practice expense
RVU schedule in 1998 will allow us to address the increased physician
work and decreased use of clinical staff for these codes in a uniform
manner. Only when we have a more accurate description of the service
[[Page 59529]]
can we fairly assign work RVUs to the home visits.
Comment: A commenter requested that we allow physician assistants
and nurse practitioners to furnish home visits ``incident to'' a
physician's practice. The physician would have to be available
immediately by telephone.
Response: This issue was not subject to comment. Our current policy
stands. A home visit cannot be billed by a physician unless the
physician was actually present in the beneficiary's home.
Final decision: With the exception of CPT codes 99241 through 99245
(Office or other outpatient consultations) and 99321 through 99353
(Domiciliary and home care), we finalize the work RVUs we proposed for
the evaluation and management services. We are slightly increasing the
work RVUs for CPT codes 99241 through 99245, and we will maintain the
1996 work RVUs for 99321 through 99353. The final work RVUs follow:
------------------------------------------------------------------------
Proposed Final
CPT code work RVUs work RVUs
------------------------------------------------------------------------
99201............................................. 0.45 0.45
99202............................................. 0.88 0.88
99203............................................. 1.34 1.34
99204............................................. 2.00 2.00
99205............................................. 2.67 2.67
99211............................................. 0.17 0.17
99212............................................. 0.45 0.45
99213............................................. 0.67 0.67
99214............................................. 1.10 1.10
99215............................................. 1.77 1.77
99217............................................. 1.28 1.28
99218............................................. 1.28 1.28
99219............................................. 2.14 2.14
99220............................................. 2.99 2.99
99221............................................. 1.28 1.28
99222............................................. 2.14 2.14
99223............................................. 2.99 2.99
99231............................................. 0.64 0.64
99232............................................. 1.06 1.06
99233............................................. 1.51 1.51
99238............................................. 1.28 1.28
99239............................................. 1.75 1.75
99241............................................. 0.64 0.64
99242............................................. 1.28 1.29
99243............................................. 1.71 1.72
99244............................................. 2.56 2.58
99245............................................. 3.41 3.43
99251............................................. 0.66 0.66
99252............................................. 1.32 1.32
99253............................................. 1.82 1.82
99254............................................. 2.64 2.64
99255............................................. 3.65 3.65
99261............................................. 0.42 0.42
99262............................................. 0.85 0.85
99263............................................. 1.27 1.27
99271............................................. 0.45 0.45
99272............................................. 0.84 0.84
99273............................................. 1.19 1.19
99274............................................. 1.73 1.73
99275............................................. 2.31 2.31
99281............................................. 0.33 0.33
99282............................................. 0.55 0.55
99283............................................. 1.24 1.24
99284............................................. 1.95 1.95
99285............................................. 3.06 3.06
99291............................................. 4.00 4.00
99292............................................. 2.00 2.00
99295............................................. 16.00 16.00
99296............................................. 8.00 8.00
99297............................................. 4.00 4.00
99301............................................. 1.28 1.28
99302............................................. 1.71 1.71
99303............................................. 2.14 2.14
99311............................................. 0.64 0.64
99312............................................. 1.06 1.06
99313............................................. 1.51 1.51
99321............................................. 0.89 0.71
99322............................................. 1.34 1.01
99323............................................. 1.78 1.28
99331............................................. 0.45 0.60
99332............................................. 0.73 0.80
99333............................................. 1.18 1.00
99341............................................. 1.34 1.12
99342............................................. 2.00 1.58
99343............................................. 2.67 2.09
99351............................................. 0.67 0.83
99352............................................. 1.10 1.12
99353............................................. 1.77 1.48
99354............................................. 1.77 1.77
99355............................................. 1.77 1.77
99356............................................. 1.71 1.71
99357............................................. 1.71 1.71
99375............................................. 1.73 1.73
99381............................................. 1.19 1.19
99382............................................. 1.36 1.36
99383............................................. 1.36 1.36
99384............................................. 1.53 1.53
99385............................................. 1.53 1.53
99386............................................. 1.88 1.88
99387............................................. 2.06 2.06
99391............................................. 1.02 1.02
99392............................................. 1.19 1.19
99393............................................. 1.19 1.19
99394............................................. 1.36 1.36
99395............................................. 1.36 1.36
99396............................................. 1.53 1.53
99397............................................. 1.71 1.71
99401............................................. 0.48 0.48
99402............................................. 0.98 0.98
99403............................................. 1.46 1.46
99404............................................. 1.95 1.95
99411............................................. 0.15 0.15
99412............................................. 0.25 0.25
99431............................................. 1.17 1.17
99432............................................. 1.26 1.26
99433............................................. 0.62 0.62
99435............................................. 1.50 1.50
99440............................................. 2.93 2.93
------------------------------------------------------------------------
Although the work RVUs for CPT code 99375 (Care plan oversight)
have not changed, we are replacing this code with three HCPCS codes, in
an effort to eliminate confusion about proper reporting of this
service. Our 1995 and 1996 data reveal inappropriate use of CPT code
99375. Physicians billed it for services furnished to beneficiaries who
were not receiving Medicare-covered home health or hospice benefits.
The new codes are much more specific than CPT code 99375. They will
have the same final work RVUs assigned to them as CPT code 99375.
Existing CPT code 99375 will no longer be recognized for Medicare
reporting services. We plan to forward the temporary codes to the CPT
Editorial Panel for consideration of their inclusion in the CPT. The
new codes, effective January 1, 1997, follow:
------------------------------------------------------------------------
HCPCS code Descriptor
------------------------------------------------------------------------
G0064.................... Physician supervision of a patient under care
of home health agency (patient not present)
requiring complex and multidisciplinary care
modalities involving regular physician
development and/or revision of care plans,
review of subsequent reports of patient
status, review of related laboratory and
other studies, communication (including
telephone calls) with other health care
professionals involved in patient's care,
integration of new information into the
medical treatment plan and/or adjustment of
medical therapy, within a calendar month; 30
minutes or more.
G0065.................... Physician supervision of a hospice patient
(patient not present) requiring complex and
multidisciplinary care modalities involving
regular physician development and/or
revision of care plans, review of subsequent
reports of patient status, review of related
laboratory and other studies, communication
(including telephone calls) with other
health care professionals involved in
patient's care, integration of new
information into the medical treatment plan
and/or adjustment of medical therapy, within
a calendar month; 30 minutes or more.
[[Page 59530]]
G0066.................... Physician supervision of a nursing facility
patient (patient not present) requiring
complex and multidisciplinary care
modalities involving regular physician
development and/or revision of care plans,
review of subsequent reports of patient
status, review of related laboratory and
other studies, communication (including
telephone calls) with other health care
professionals involved in patient's care,
integration of new information into the
medical treatment plan and/or adjustment of
medical therapy, within a calendar month; 30
minutes or more.
------------------------------------------------------------------------
The codes for home health and hospice patients, HCPCS codes G0064 and
G0065, will be active codes on our fee schedule with 1.73 work RVUs
each. The third code, HCPCS code G0066, will be considered a bundled
service because we do not recognize separate payment for care plan
oversight services furnished to beneficiaries in nursing facilities.
This policy is explained in the December 8, 1994 physician fee schedule
final rule (59 FR 63418 through 63423). Therefore, there is no separate
payment for HCPCS code G0066. Only one of these codes may be billed per
month per Medicare beneficiary. All of the policies regarding CPT code
99375 apply to HCPCS codes G0064 and G0065.
2. Pediatrics
Comment: We received a comment from the RUC on the importance of
properly valuing pediatric services. The RUC first expressed concern
about the need for the Medicare relative value scale to be complete and
accurate for pediatric services in 1993. Since then, the RUC has
developed work RVU recommendations for several hundred pediatric and
pediatric subspecialty services that were previously listed with 0.00
work RVUs. Consistent with our proposal to refine the relative value
scale on a periodic basis as necessary rather than waiting until the
10-year review to make additional needed corrections, the RUC urged us
to continue to accept coding changes and work RVU recommendations for
the pediatric services over the coming year as the American Academy of
Pediatrics, the CPT Editorial Panel, and the RUC complete remaining
work on these issues.
Response: In our May 3, 1996 proposed notice (61 FR 20039), we
restated our belief that the work RVUs for the full range of pediatric
services are essentially complete. However, we also indicated our
intention to review RUC recommendations for any new or revised CPT
codes for pediatric services in future annual physician fee schedule
updates. We remain committed to that position.
CPT codes 56805 (Clitoroplasty for intersex state) and 57335
(Vaginoplasty for intersex state).
Comment: The RUC recommended an increase in CPT code 56805
(Clitoroplasty for intersex state), with 15.49 work RVUs in 1996, and
CPT code 57335 (Vaginoplasty for intersex state), with 9.11 work RVUs
in 1996, to 18.00 to correct a current rank order anomaly and to
appropriately value these services that are performed on children less
than 1 year of age.
CPT code 56805 is similar in time and intensity to CPT code 54336
(One stage perineal hypospadias repair requiring extensive dissection
to correct chordee and urethroplasty by use of skin graft tube and/or
island flap), with 18.95 work RVUs, and is more work than CPT code
54125 (Amputation of penis; complete), with 12.80 work RVUs, a
destructive procedure to treat carcinoma of the penis.
CPT code 57335 has a substantially longer intraservice time and is
more intense than CPT code 57292 (Construction of artificial vagina;
with graft), with 12.34 work RVUs, and is more work than CPT code 45123
(Proctectomy, partial, without anastomosis, perineal approach), with
13.27 work RVUs, which describes a destructive procedure. CPT code
57335 also includes the endocrine management of the adenogenital
syndrome.
Response: We have reviewed the RUC recommendations, and we agree
with them.
Final decision: We are assigning 18.00 work RVUs to CPT codes 56805
and 57335. Because the public has not had an opportunity to comment on
these work RVUs, we consider them to be interim work RVUs and will
accept comments on these codes.
3. Anesthesia
Comment: In response to our request for public comments at the
beginning of the 5-year review process in December 1994, the American
Society of Anesthesiologists furnished comments based on a study by Abt
Associates. The Abt study advocated that the anesthesia work under the
physician fee schedule be increased by an average of 34.8 percent. We
referred that proposal and the Abt study to the RUC for its
recommendation. On February 10, 1996, the RUC unanimously recommended
that anesthesia work RVUs be increased by 22.8 percent or about two-
thirds of the size of the increase recommended by the Abt study.
We did not include the RUC recommendation for increased work RVUs
for anesthesia services in the May 3, 1996 proposed notice because it
was not included in the RUC's initial recommendation for codes under
the 5-year review. The anesthesia recommendation was one of several
recommendations that the RUC made to us on June 27, 1996, which we
received as a comment in response to the May 3, 1996 proposed notice.
The Abt study evaluated anesthesia work in relation to other
services by partitioning an anesthesia service uniformly into five
distinct components, assigning intensity values to these components
based on the intensity values of benchmark procedures, and multiplying
anesthesia time per component by its corresponding intensity. The five
components are preanesthesia, induction, procedure, emergence, and
postanesthesia.
There was considerable discussion by the RUC about the intensity
values for anesthesia services. The RUC accepted the intensity values
for the preanesthesia, postanesthesia, emergence, and induction
intervals. However, the RUC did not accept the minimum intensity value
(that is, 0.25) proposed in the final Abt study for most of the
procedure interval. Instead, the RUC assigned an intensity value of
0.017.
For half of the 15 procedures reviewed by the Abt
multidisciplinary panel, the procedure interval was consistently valued
at one intensity value, namely the minimum intensity value. However,
for some anesthesia services, the intensity values for the procedure
interval represented a weighted average because the intensity value
fluctuated as a result of the underlying complexity of the activities
performed in this period.
[[Page 59531]]
Since the procedure interval represents the largest portion of the
anesthesia service, the relative value for an anesthesia service is
most sensitive to the minimum intensity value assigned to the procedure
interval. The use of the intensity value of 0.017 means that the
intensity of the procedure interval is kept at its current value (that
is, pre- 5-year review level) although the increased intensity values
of other portions of the anesthesia service are recognized.
The American Society of Anesthesiologists commented that they
continue to believe that the minimum procedure intensity benchmark
should be 0.025 but recommended that, at the very least, this benchmark
should be 0.021. If this latter approach were accepted, application of
the Abt methodology would result in increasing the anesthesia work by
29 percent.
Response: While the RUC eventually accepted the Abt methodology and
the intensity values, we are somewhat concerned with an approach in
which physicians estimate intensity values for an entire service or a
component of a service. Research by Harvard that led to the original
physician fee schedule values illustrated that work can be overvalued
when physician estimates of intensity are matched with service time.
However, in light of the fact that the RUC conducted a thorough
and detailed review of this issue, having looked at this issue on three
separate occasions, and relied heavily on the expertise of its research
committee, we have accepted the RUC recommendation. We agree that the
minimum intensity of the procedure interval should be 0.017 because the
intensity of this interval is less than the intensity of evaluation and
management services.
Because anesthesia services have base and time units, and, thus,
are not on the same system as are all other physicians' services, the
adjustment is more complicated. This adjustment must be made, in the
aggregate, on the anesthesia CF since there is no defined work RVU per
code for anesthesia services. In addition, the budget neutrality
adjuster will be applied to the anesthesia CF.
Final decision: We have reviewed and accepted the RUC
recommendation and are increasing the work for anesthesia services by
22.76 percent. Since the adjustment was not proposed in the May 3, 1996
proposed notice, we will accept comments as we do for interim work
RVUs.
4. Codes Without Work Relative Value Units
Comment: The Joint Council for Allergy, Asthma and Immunology
commented that work RVUs should be reflected in CPT codes 95004 and
95024 (allergy skin tests) and CPT codes 95115 and 95117 (allergy
shots). Currently those codes have zero work RVUs. In our May 3, 1996
proposed notice (61 FR 19994), we advised that codes with zero work
RVUs were not subject to review as part of the 5-year review. The Joint
Council for Allergy, Asthma and Immunology disagreed with that
position. It stated that there is no statutory authority for us to
limit the scope of the 5-year review in that manner and that we have
not provided an alternative process for the review of codes with zero
work RVUs.
Response: We believe that we have the authority to establish
reasonable limits on the scope of services reviewed within the 5-year
review. As we explained in our May 3, 1996 proposed notice (61 FR
20041), the work RVUs represent primarily the work of physicians. We
believe that codes that do not include the work of physicians are more
appropriately included as part of the process of developing resource-
based practice expense RVUs, Therefore, we plan to invite comments on
codes with zero work RVUs during that process. We will also invite
comments on codes for which commenters might believe that work now
reflected in practice expenses, such as the work of a nurse or
technician, is, instead, work that physicians are and should be doing.
5. Potentially Overvalued Services
Comment: The RUC submitted recommendations for several potentially
overvalued codes that had not been reviewed in time for consideration
before publication of the May 3, 1996 proposed notice. The RUC's
recommendations for these codes follow:
CPT code 33970 (Insertion of intra-aortic balloon assist device
through the femoral artery, open approach) and CPT code 33971 (Removal
of intra-aortic balloon assist device including repair of femoral
artery, with or without graft).
Comment: The RUC identified CPT code 33970 (Insertion of intra-
aortic balloon assist device through femoral artery, open approach)
with 8.05 work RVUs, as a potentially overvalued service. The RUC
determined that there are rank order anomalies in the intra-aortic
balloon insertion and removal codes. The relationship between CPT codes
33970 and 33971 should be similar to CPT code 33973 (Insertion of
intra-aortic balloon assist device through the ascending aorta), with
9.76 work RVUs, and CPT code 33974 (Removal of intra-aortic balloon
assist device from the ascending aorta, including repair of the
ascending aorta, with or without graft), with 12.69 work RVUs.
To correct this rank order problem, the RUC recommended a decrease
to 6.75 work RVUs for CPT code 33970. In addition, the RUC compared CPT
code 33971 (Removal of intra-aortic balloon assist device including
repair of femoral artery, with or without graft), with 4.04 work RVUs,
to the family of codes and determined that it is currently undervalued
and should be increased to 8.40 work RVUs since it is more work than
CPT codes 33970 and 35226 (Repair blood vessel, direct; lower
extremity), with 8.17 work RVUs.
Response: We have reviewed the RUC recommendations, and we agree
with them.
Final decision: We are assigning 6.75 work RVUs to CPT code 33970
and 8.40 work RVUs to CPT code 33971. Because the public has not had an
opportunity to comment on these work RVUs, we will consider them to be
interim work RVUs and will accept comments on our proposal.
CPT code 67210 (Treatment of retinal lesion).
Comment: In September 1995, the RUC recommended that the current
work RVUs for this code be maintained and the issue be referred to CPT.
The intraservice work per unit of time analysis and the original work
RVUs failed to take into account that the code includes multiple
treatments that are bundled into the 90-day global period and cannot be
billed separately. There is a bimodal distribution of patients treated
within this code. The code includes treatment of acute macular
degeneration and diabetic retinopathy. The RUC referred the issue to
CPT to consider addition of a code for the treatment of the less
complex retinal lesions. The American Academy of Ophthalmology is
proceeding with development of two replacement codes for this
procedure.
Response: We agree that this code should be reviewed by the CPT
Editorial Panel.
Final decision: We are maintaining the current work RVUs of 9.48
for CPT code 67210 as interim until they have
[[Page 59532]]
been reviewed by CPT and the RUC. We anticipate assigning final work
RVUs that would go into effect on January 1, 1998.
CPT codes 77420, 77425, and 77430 (Weekly radiation therapy
management).
Comment: The RUC recommended that the current work RVUs for these
codes be maintained on an interim basis until the radiation oncology
codes are reviewed by the CPT Editorial Panel. The assignment of
complexity levels of weekly radiation treatment currently requires the
consideration of equipment that is used for treatment setup (for
example, beam arrangement, number of ports, use of blocks, wedges, and
other beam attenuation devices). The descriptors should be revised to
adequately reflect different levels of complexity in managing the
treatment of these patients. The current global period of XXX should
also be considered because weekly treatment management includes
evaluation and management services during treatment and 90 days
posttreatment, the interpretation of port-films, and continuous
supervision and management of physics and technical factors.
Another commenter indicated a concern that the section in our May
3, 1996 proposed notice entitled ``Future Review'' (61 FR 20046) had
included radiation oncology. The commenter stated the following:
The three levels of radiation therapy treatment management
were included in the 5-year review; further reconsideration would be a
violation of the established process for review of work RVUs.
The identification of the treatment management codes as
potentially overvalued was based on faulty data, and no justification
was given for further review.
A significant portion of radiation oncology codes (the
technical components and technical only codes) are being addressed
under the practice expense study.
We had accepted the relative value of these procedures
without modification when the American College of Radiology and HCFA
were jointly developing the Medicare radiologist fee schedule.
Response: We agree with the RUC's recommendation and will leave the
current work RVUs for radiation therapy treatment management in place
as interim work RVUs with the understanding that the codes will be
referred by the RUC to CPT and that the RUC and HCFA may want to
revisit the whole area of work RVUs for radiation oncology services at
a later date. There continues to be some disagreement or
misunderstanding about which services are payable through the weekly
treatment management codes and which are separately billable. In fact,
the American College of Radiology's examples of treatment management
activities that were presented to the RUC included services we thought
were paid through the professional component of the treatment devices
and physics codes. We continue to believe that there is a reasonable
basis to more closely define the work of the exact services payable
through the weekly management codes and to consider the bundling of
codes when appropriate.
Final decision: We are maintaining the work RVUs of the weekly
radiation therapy management codes (CPT codes 77420, 77425, and 77430)
as interim pending review of the codes by the CPT Editorial Panel.
C. Other Issues
1. Budget Neutrality
In past years, we have made budget neutrality adjustments across
the entire physician fee schedule: to all RVUs (initially) and,
beginning in 1996, to the CFs. We generally prefer to make adjustments
across the entire fee schedule.
In the May 3, 1996 proposed notice (61 FR 20044 through 20045), we
reiterated the policy of making budget neutrality adjustments required
by changes in payment policy through adjustments to the CFs. However,
since this 5-year review covered work RVUs, we proposed making the
required budget neutrality adjustment from the 5-year review only on
the work RVUs. We indicated that we proposed simply to rescale the work
RVUs. We noted, however, that this rescaling could cause administrative
problems for other payers using the RVUs and stated that we would
consider developing a new budget neutrality adjuster that would be
applied only to the work RVUs.
Comment: No comments questioned our making budget neutrality
adjustments required by changes in payment policy through adjustments
to the CFs. Regarding the budget neutrality adjustment required for RVU
changes resulting from the 5-year refinement, the bulk of the comments
focused on making the adjustment to work RVUs (that is, rescaling work
RVUs). Most commenters favored achieving budget neutrality through a
special separate budget neutrality adjuster for work RVUs. Many
commenters, including two payers, indicated that rescaling RVUs would
cause administrative difficulties in other programs using the RVUs. One
payer stated that lowering RVUs to achieve budget neutrality might
cause payers to develop their own RVUs. The other payer emphasized the
need for continuity and clear relativity in the relative value scale.
Response: We will continue our policy of making adjustments to the
CF for budget neutrality adjustments required by changes in payment
policy. However, instead of the policy of rescaling the work RVUs for
the 5-year refinement that we proposed in the May 3, 1996 proposed
notice, we will use a separate work budget neutrality adjuster in 1997.
We emphasize that this is a 1-year policy. We plan to eliminate the
separate adjuster in 1998 simultaneously with the implementation of
resource-based practice expense payments. We agree with commenters that
it will reduce confusion among other payers and enable easier tracking
and analysis of work RVUs over time if we can minimize the rescaling of
RVUs. While making a separate adjustment to the work RVUs for 1997
introduces an additional term in the payment formula, the term is
temporary. In years subsequent to 1998, we plan to make the budget
neutrality adjustments to the CFs.
The payment formula for 1997 will be [(work RVU) (work adjuster)
(work geographic practice cost expense)] + [(practice expense RVU)
(practice expense geographic practice cost expense)] + [(malpractice
RVU) (malpractice geographic practice expense)] x conversion factor.
Comment: Several commenters stated that the purpose of the 5-year
review is to ensure that the RVUs are correct and reflect the relative
difference in work among procedures. They stated that rescaling RVUs
would distort the integrity of the RVUs and undermine the relationships
among procedures.
Response: We disagree that rescaling work RVUs would distort the
integrity of the work RVUs and undermine the relationships among
procedures. Because such an adjustment uniformly changes the work RVUs,
it does not alter the relationship between them.
Comment: About a quarter of the commenters suggested achieving
budget neutrality by adjusting the CFs as an alternative to rescaling
RVUs. A few of
[[Page 59533]]
the commenters stated that the simplicity of this approach was
appealing. A few others observed that we have used different methods to
achieve budget neutrality and urged adjusting the CFs to be consistent
with the method we used for 1996. One commenter proposed a single
budget neutrality adjuster that would, in effect, be applied to the
CFs. A few commenters recommended that we make the budget neutrality
adjustment without rescaling RVUs but did not recommend a specific
method.
Response: We agree that it would be preferable to make adjustments
at the CF level as we did in 1996 (and in a similar overall way in
prior years, but by adjusting all RVUs). However, achieving budget
neutrality by adjusting the CFs would have the effect of reducing
payment for all services on the fee schedule. This would include a
number of services that have no physician work and are, therefore,
outside the scope of the 5-year review. Examples of these services
include radiology and other diagnostic tests where the technical
component may be reported separately; certain diagnostic tests, such as
audiologic function tests; and certain therapeutic services, such as
chemotherapy administration. Our goal is to make overall adjustments in
the future.
Comment: Several commenters recommended that we maintain the
integrity of the three pools of RVUs; some thought this was especially
important when we adopt resource-based practice expense RVUs. However,
one commenter disagreed, maintaining that the three pools of RVUs are
not coherent and independent and noting that gap-filling techniques
have relied on a dependable relationship among the three pools.
Response: The Physician Payment Review Commission recommended
applying the budget neutrality adjustment from the 5-year review only
to work RVUs to preserve the integrity of the three pools of RVUs. (As
discussed above, applying the adjustment to the CFs would, in effect,
spread the adjustment across all RVUs.) The separate work adjuster will
enable us to do that for 1997, prior to the implementation of resource-
based practice expense RVUs in 1998, after which time it would be
preferable to make budget neutrality adjustments on the CFs as
discussed above.
The existing practice expense RVUs were based on historical charges
and the historical practice expense shares for the specialities
performing the service. (The same is true of malpractice expense RVUs,
but the size of that pool is very small.) The commenter is correct that
there are some relationships between the work and practice expense
RVUs, although we would characterize them as fairly tenuous.
Comment: One commenter observed that the separate budget neutrality
adjuster is only for the Medicare program and requested that it not be
displayed in tables of RVUs that are published for general information.
Response: Because the adjuster is a constant to be applied to all
work RVUs, we will not display it in tables of RVUs. We will provide
the value of the adjuster in the text describing the tables of RVUs,
just as we provide the values of the CFs.
Comment: Two commenters requested that we restore previous budget
neutrality adjustments to the work RVUs and incorporate them into the
new budget neutrality adjuster.
Response: We intend to use the new adjuster only for 1 year and
only for the budget neutrality adjustment required by changes due to
the 5-year review of work RVUs. The previous budget neutrality
adjustments generally have been related to changes in payment policy
and not specifically to changes in work RVUs.
Comment: One commenter suggested that we perform analyses comparing
the impact of the two options for achieving budget neutrality (that is,
applying the adjustment to the work RVUs or to the CFs) and invite
public comment on those analyses.
Response: The statute requires that we implement the results of the
5-year review in 1997. Time does not permit preparation of impact
analyses of the types described, opportunity for public comment, and
analysis of those comments prior to January 1, 1997. In our May 3, 1996
proposed notice (61 FR 20045), we indicated that a 7.63 percent
decrease in RVUs would be required (based on proposed work RVUs) if the
adjustment were applied only to work. We also indicated that the
services with no work or with a practice expense percentage of total
RVUs greater than average for the fee schedule would be adversely
affected by applying the adjustment to the CFs.
Final decision: A separate budget neutrality adjuster is being
applied to the work RVUs for 1 year, after which time we plan to
eliminate it simultaneously with the implementation of the new practice
expense RVUs in 1998. In years subsequent to 1998, we plan to make the
budget neutrality adjustments to the CFs.
2. Impact of Work Relative Value Unit Changes for Evaluation and
Management Services on Work Relative Value Units for Global Surgical
Services
We proposed not to make a change to the values of global surgical
packages in connection with the increase in RVUs for evaluation and
management services. In the May 3, 1996 proposed notice (61 FR 20045
through 20046), we articulated several arguments for why global
surgical packages should be valued solely on their own merit.
Comment: Several commenters supported our proposal to maintain
current work RVUs for global surgical services. These groups agreed
with the underlying rationale that although increases to the work RVUs
for evaluation and management services were warranted, corresponding
across-the-board increases in the work RVUs for all global surgical
packages would be inappropriate. Other commenters expressed the
following opposing comments: the decision not to raise the work RVUs
for global surgical services unfairly penalizes physicians whose
clinical activities focus primarily on the performance of surgical
procedures; evaluation and management services related to a procedure
have been subjected to the same increasing complexity as non-procedural
evaluation and management services due to such factors as reduced
inpatient lengths of stay, same day admissions for major surgery, and
increased utilization of home health care programs requiring far more
involved and extensive postservice planning and management; and the
amount of preoperative and postoperative work required in the provision
of these services is the same whether it is performed separately or as
part of the global surgical package. However, another group of
commenters encouraged further study of this issue. They recommended
including an examination of the work involved in furnishing specific
global services, changes in practice patterns that may have shifted
some of the postoperative care from the surgeon who performed the
procedure to other physicians (for example, primary care or medical
subspecialists) who are participating in the medical management of the
patient during the postoperative period, external data such as changes
in length
[[Page 59534]]
of stay and an increase in the number of laparoscopic procedures, the
number of preoperative and postoperative visits that are assumed to be
included in the global surgical period, and the complexity associated
with the history, physical examination, and medical decision-making
involved in the evaluation and management services of a surgeon during
a global period.
Response: The widely divergent comments indicate the need for a
more thorough review before we make adjustments to the global surgical
services.
Comment: The RUC recommended that we include the relationship
between evaluation and management services and global surgical services
in a future review of work RVUs so that this aspect of the Medicare
physician fee schedule can be updated in 1998. We plan to revisit this
issue next year.
Response: We look forward to a RUC recommendation on this issue. We
hope to receive the recommendation next year to assist us as we further
examine whether a change in the work RVUs for global surgical services
is warranted because of the increases in the RVUs for evaluation and
management services.
Comment: A commenter stated that if we choose not to revalue global
surgical services on the basis of changes in the work RVUs for
evaluation and management services, we should, alternatively,
discontinue the use of a surgical bundle and return to the practice of
separate billing of the component services.
Response: Section 1848(c)(1)(A)(ii) of the Act requires that we use
a global definition of surgical services.
Comment: Several commenters requested that we make interim across-
the-board adjustments to the values for global surgical services until
the RUC presents its recommendations on the issue. This interim
adjustment should be utilized until further study results in a precise
methodology. One possible approach would be to begin with our existing
methodology for identifying the relative value share believed to be
attributable to postoperative office visits. A percentage adjustment
equivalent to the increase being proposed for physician office visits,
perhaps CPT code 99213, a mid-level visit, could be applied. For global
services typically furnished on an in-patient basis, available length-
of-stay data could be used assuming that at least one inpatient
hospital visit occurred on each day of the patient's inpatient stay.
The length-of-stay could then be multiplied by the planned increase in
RVUs for subsequent hospital care.
Response: Although we believe there may be some merit to the
approach recommended by the commenter, we do not believe that an
interim adjustment should be made while we are studying the issue more
completely during 1997.
Comment: One commenter recommended increasing the RVUs assigned to
CPT codes 59400, 59409, 59410, 59510, 59514, 59515, 59425, and 59426
(maternity care and delivery services). The commenter stated that when
we valued these services, we explicitly added work RVUs based on
specific evaluation and management services as articulated in the
December 2, 1993 final rule.
Response: The commenter has correctly identified an area where we
should make adjustments to the RVUs assigned to these global services.
Therefore, we are accepting this comment and modifying the work RVUs
for maternity services. The new work RVUs maintain the relationships
that we published in the December 1993 final rule. The commenter did
not request that we modify the work RVUs for CPT code 59430 (postpartum
care only), but we have adjusted them to be consistent within the
family. The following table shows the adjustments that we have made.
------------------------------------------------------------------------
Adjustment
for
1996 work evaluation 1997 work
CPT code RVUs and RVUs
management
increase
------------------------------------------------------------------------
59400................................. 20.99 2.07 23.06
59409................................. 13.28 0.22 13.50
59410................................. 14.44 0.34 14.78
59425................................. 4.04 0.77 4.81
59426................................. 6.91 1.37 8.28
59430................................. 2.01 0.12 2.13
59510................................. 23.67 2.55 26.22
59514................................. 15.39 0.58 15.97
59515................................. 16.55 0.82 17.37
------------------------------------------------------------------------
The percent increase varies across the services because the number and
type of evaluation and management services included in each CPT code
are different. Therefore, an across-the-board adjustment would have
been inappropriate.
Because we have made these adjustments to the delivery codes, we
also need to adjust the work RVUs for the vaginal birth after cesarean
services in order to maintain the existing relationship. As explained
in the December 8, 1995 final rule (60 FR 63165 through 61366), we
added 1.56 work RVUs to the delivery codes to establish the values for
the corresponding vaginal birth after cesarean services. Therefore, we
will add 1.56 work RVUs to the new values for the delivery services to
reassign RVUs to the vaginal birth after cesarean codes.
------------------------------------------------------------------------
New work
RVUs for
New work vaginal
CPT code for vaginal birth after Corresponding RVUs for birth
cesarean service delivery code delivery after
code cesarean
code
------------------------------------------------------------------------
59610.............................. 59400 23.06 24.62
59612.............................. 59409 13.50 15.06
59614.............................. 59410 14.78 16.34
59618.............................. 59510 26.22 27.78
59620.............................. 59514 15.97 17.53
59622.............................. 59515 17.37 18.93
------------------------------------------------------------------------
The aforementioned adjustments correct the services with an MMM global
period (maternity) to reflect the increases in the work RVUs for the
evaluation and management services. We did not modify the work RVUs for
CPT code 59525 (removal of uterus after cesarean) because this service
is billed in conjunction with either CPT code 59510 or 59515, both of
which have had their work RVUs adjusted. We will consider all of these
changes to be final.
Final Decision: With the exception of the services described above
that have an MMM global period, at present we are making no adjustments
to the work RVUs assigned to global surgical services as a result of
the increases in the RVUs of evaluation and management services.
However, we will reevaluate this policy next year. The extra year will
allow time for us to closely examine our data and for the RUC to
present us with additional data and a recommendation on this issue. Any
further changes that we may make will be effective in 1998.
3. Codes Referred to the Physicians' Current Procedural Terminology
Editorial Panel
Comment: We received a comment from the RUC indicating that the RUC
has referred to the CPT Editorial Panel the following issues:
CPT code 11971 (Removal of tissue expander(s) without
insertion of prosthesis).
CPT codes 13300 (Repair of wound or lesion) and 14300
(Skin tissue rearrangement).
[[Page 59535]]
CPT codes 15000, 15101, 15121, 15201, 15221, 15241, and
15261 (Skin graft procedures).
CPT code 31090 (Sinusotomy combined, three or more
sinuses).
CPT code 46900 (Destruction, anal lesion(s)).
CPT code 54100 (Biopsy of penis).
CPT code 93621 (Comprehensive electrophysiologic
evaluation with right atrial pacing and recording, right ventricular
pacing and recording, His bundle recording, including insertion and
repositioning of multiple electrode catheters; with left atrial
recordings from coronary sinus or left atrium, with or without pacing).
For these issues, the RUC believes the codes should be reviewed by
the CPT Editorial Panel and the definitions and/or instructions for use
be clarified.
Response: We agree that these codes should be reviewed by the CPT
Editorial Panel.
Final decision: We are maintaining the work RVUs for these codes as
interim during 1997 because we consider them to be 5-year review issues
that have not yet been finalized. If the CPT adds, deletes, or revises
any of the codes in response to the RUC's referral, then the RUC will
have the opportunity to submit work RVU recommendations to us on those
new or revised codes. In the event that no action is taken by the CPT
Editorial Panel on any of the issues, we anticipate assigning final
work RVUs that would go into effect on January 1, 1998.
4. Future Review
Since the physician fee schedule was implemented in 1992, we have
undertaken significant annual revisions to the work RVUs for large
numbers of codes, and, with the publication of this final rule, we have
completed the first 5-year review. We believe that through these
extensive efforts the work RVUs are now largely correct, and a
significant case would need to be made to convince us to change the
work RVUs for the overwhelming bulk of procedures.
For the future, we are considering periodic review of the physician
fee schedule as necessary. However, there are several categories of
codes and issues that we have tentative plans to review prior to the
next 5-year review: Services that typically require reporting more than
one code to describe the service correctly; the relationship of
physician work between analogous open and closed procedures; radiation
oncology; and rank order anomalies within families.
We described these tentative plans in our May 3, 1996 proposed
notice (61 FR 20046), and several specialty societies submitted
comments on codes that they believe fit into one of the above
categories. Most of the codes for which they submitted comments were
not subject to comment. Although we typically do not respond to
comments on codes that are not subject to comment, we believe that some
general responses would be appropriate to provide the public with some
insights as to the direction future reviews might take.
Comment: The rapid development of endoscopy and minimally invasive
approaches to surgery has led to widespread adoption of these
alternative approaches. As these new procedures have become recognized
and have been designated by unique procedure codes, we have often but
not always adopted work RVUs that were equal to the traditional open
approach for the same procedure. Several commenters identified codes
that describe procedures performed using a traditional approach whose
RVUs are higher than similar procedures that can be performed with
endoscopes or minimally invasive techniques. The commenters argued that
we should increase the work RVUs of the endoscopic or minimally
invasive procedure codes to equal the work RVUs assigned to procedures
that accomplish the same result by incision (open procedures). The
commenters requested that we make these changes now, as part of the 5-
year review process, so that the increased work RVUs would be effective
January 1, 1997.
Response: While we agreed with this approach in the past, we now
believe it is appropriate to examine the actual work relationship
between open and closed procedures. The intent of the relative value
scale is to value each procedure based on the work involved, not based
on the clinical result. It is not clear that the work involved is in
fact the same. We believe that there may be significant differences in
the postoperative care between open and minimally invasive procedures.
One of the claimed advantages of closed procedures is the rapid patient
recovery, which may also represent a decrease in physician
postoperative work. The actual work involved in the procedure itself,
however, may be greater, resulting in no net difference in total work.
Some closed procedures may have greater total work than the analogous
open procedure and some may be less. Finally, it is not clear what
impact the selection of patients for one approach over another has on
the total physician work involved.
The continued clinical use of two different techniques may in part
be due to the selection of procedures based on patient risk factors,
severity of disease, and the presence or absence of comorbidities.
These selection criteria may account for differences in the work when
comparing open and closed procedures. For these reasons, we believe it
is time to reexamine the assumption that open and closed procedures
should be valued equally. With the assistance and advice of the RUC, we
plan to revisit this issue before the next 5-year review. In the
interim, we will retain the existing work RVUs for codes in these
categories unless we have specifically dealt with them in the 5-year
review.
Comment: We received some comments supporting our proposed
increases for individual codes and advocating increases within the
entire family of codes to maintain existing relationships even when the
other codes in the family had not been identified as undervalued when
the 5-year review began.
Response: In our May 3, 1996 proposed notice, we invited comments
on rank order anomalies created as a result of the 5-year review. We
expressed our intention to consider correcting anomalies before the
next 5-year review. We do not believe that the revaluation of a single
code necessarily requires all other codes in a family to be revalued as
this comment implies. We believe that the original comments were
submitted to identify codes that were under or overvalued. In some
cases, commenters requesting 5-year refinement identified groups of
related codes. The 5-year review considered groups of codes when groups
of codes were thus identified. Alternatively, when a single code was
identified, we believe it was appropriate to view that code as a single
misvalued code, and we considered the evidence presented. When rank
order anomalies have appeared, we have sought to correct them. An
example of a rank order problem that we corrected (CPT codes 57260 and
57265) can be found in section IV.A.8. of this final rule.
When recommendations to increase a code resulted in a change in the
relationship between that code and other codes, we presume that the new
[[Page 59536]]
work RVUs represent a refined relationship. One purpose of the 5-year
refinement is to improve the accuracy of relationships by revaluing
codes that are under or overvalued. We do not believe it is reasonable
to make recommended changes intended to refine existing relationships
and then to change all other codes to maintain existing relationships.
The following comments illustrate recommendations for revised work RVUs
that we do not believe should be accepted without survey or other data
that would support the requested change. This will be appropriate for
the next 5-year review.
Comment: We received comments related to CPT code 57410 (Pelvic
examination under anesthesia). The current work RVUs assigned to this
code are 0.59. It was referred to the RUC as part of the 5-year review.
The RUC recommended that the work RVUs be increased to 1.75. In our May
3, 1996 proposed notice (61 FR 20006), we agreed with this
recommendation. Commenters expressed support for the increase in work
RVUs for this service. However, the commenters stated that all
gynecological surgical procedures include an examination under
anesthesia as part of the procedure. Therefore, they believed that all
gynecological procedures should have their work RVUs adjusted to
account for the increased work attributable to the examination under
anesthesia.
Response: Although a pelvic examination under anesthesia is a
common element of many pelvic surgical procedures, it is not clear how
this compares to the work assigned to CPT code 57410 (Pelvic
examination under anesthesia). The examination performed at the time of
other surgery is often such an inherent part of the procedure that we
believe it has been properly considered as part of the total work of
the surgical procedure.
It could be argued that during the course of a surgical procedure
by a vaginal approach, a pelvic examination is performed many times--
before, during, and at the end of the procedure. Adding the work RVUs
of three CPT 57410 codes to this procedure is clearly not reasonable.
The revaluation of CPT code 57410 was based on the evidence presented
regarding the performance of a pelvic examination alone, as described
by the CPT code. We believe the other procedures to which the commenter
alluded should be revalued based on independent evidence of total work,
not based on the assumption that if one code is revalued all similar
codes should be revalued. We see no evidence that the change in CPT
code 57410 creates significant rank order anomalies. If other more
complex codes involving examination at the time of surgery are
undervalued in their own right, they can be corrected at the next
opportunity for refinement.
Comment: We received similar comments stating that the proposed
increase in work RVUs from 2.45 to 2.91 for CPT code 58120 (Dilation
and curettage (D&C), diagnostic and/or therapeutic (nonobstetrical))
should result in corresponding increases in work RVUs for a code that
was not identified as undervalued during the 5-year review: CPT code
56351 (Hysteroscopy, surgical; with sampling (biopsy) of endometrium
and/or polypectomy, with or without D&C) since a D&C is included in CPT
code 56351.
Response: We believe the requested increase in work RVUs for this
code is not warranted. First, the CPT definition is clear that not all
hysteroscopies involve a dilation and curettage. Second, we are not
convinced that the work involved in performing a dilation and curettage
as an independent procedure can be equated to the curettage of the
uterus following direct visualization of the endometrial cavity. The
work involved may be considerably different. The commenter presented no
compelling evidence to support the equality of work. The existing work
RVUs for CPT code 56531 (2.85) now will be slightly less than the new
RVUs for CPT code 58120 (2.91). This reverses the prior relationship.
Finally, since we have announced in this rule our intention to examine
the proper relationship of open and closed procedures, we believe that
it is appropriate to evaluate the relationship between these codes as
part of that process rather than change the work RVUs for CPT code
56531 at this time.
V. Refinement of Relative Value Units for Calendar Year 1997 and
Responses to Public Comments on Interim Relative Value Units for 1996
A. Summary of Issues Discussed Related to the Adjustment of Relative
Value Units
Section V.B. of this final rule describes the methodology used to
review the comments received on the RVUs for physician work and the
process used to establish RVUs for new and revised CPT codes. Changes
to codes on the physician fee schedule reflected in Addendum B are
effective for services furnished beginning January 1, 1997.
B. Process for Establishing Work Relative Value Units for the 1997 Fee
Schedule
Our December 8, 1995 final rule on the 1996 physician fee schedule
(60 FR 63124) 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, 1996. We announced
that we would accept comments on interim RVUs for these 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 1995 final rule and our
establishment of the work RVUs for new and revised codes for the 1997
fee schedule.
1. Work Relative Value Unit Refinements of Interim and Related Relative
Value Units
a. Methodology (Includes Table 2--Work Relative Value Unit
Refinements of 1996 Interim and Related Relative Value Units).
Although the RVUs in the December 1995 final rule were used to
calculate 1996 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 substantive comments from approximately 10 specialty
societies on approximately 50 CPT codes with interim RVUs.
Only comments received on codes listed in Addendum C of the
December 1995 final rule were considered this year. (We also considered
comments we received on other codes under the 5-year refinement
process.) We convened multispecialty panels of physicians to assist us
in the review of comments. The comments that we did not submit to panel
review are discussed at the end of this section. The panels were
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
[[Page 59537]]
comments. This same clinician also provided ratings for the other
procedures being considered. Thus, depending on the codes in question,
this clinician was in one of two groups: ``specialist'' or ``other
specialist.''
Primary care clinicians nominated by the American Academy
of Family Physicians, the American Society of Internal Medicine, the
American College of Physicians, the American Academy of Pediatrics, the
American Osteopathic Association, and the American College of
Obstetricians and Gynecologists.
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 40
codes for evaluation by the panels. The panels 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 the panel members to compare the
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 300
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
interim 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 1995
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 three
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 40 codes reviewed by our multispecialty panel, all but two of the
requests were for increased values.
We also received comments on RVUs that were interim for 1996 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 V.B.1.b. of this final rule. Of
the 59 interim work RVUs that were reviewed, approximately 27 percent
were increased, and approximately 42 percent were not changed.
Table 2--Work Relative Value Unit Refinements of 1996 Interim and
Related Relative Value Units
Table 2 lists the interim and related codes reviewed during the
1996 refinement process described in this section. All of these codes
are discussed in code order following Table 2, in section V.B.1.b. of
this final rule. This table includes the following information:
CPT Code. This is the CPT code for a service.
Description. This is an abbreviated version of the
narrative description of the code.
1996 Work RVU. The work RVUs that appeared in the December
1995 rule are shown for each reviewed code.
Requested Work RVU. 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 but no specific RVU
recommendations.
1997 Work RVU. 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 1995
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).
Table 2.--Work RVU Refinements of 1996 Interim and Related RVUs
----------------------------------------------------------------------------------------------------------------
CPT 1996 work Requested 1997 work Basis for
*code Description RVU work RVU RVU decision
----------------------------------------------------------------------------------------------------------------
20930.. Spinal bone allograft...................................... 0.00 Increase 0.00 3
20931.. Spinal bone allograft...................................... 1.81 Increase 1.81 3
20936.. Spinal bone allograft...................................... 0.00 Increase 0.00 3
20937.. Spinal bone allograft...................................... 2.79 Increase 2.79 3
20938.. Spinal bone allograft...................................... 3.02 Increase 3.02 3
22554.. Neck spine fusion.......................................... 17.24 Increase 17.24 3
22556.. Thorax spine fusion........................................ 22.27 Increase 22.27 3
22558.. Lumbar spine fusion........................................ 21.22 Increase 21.22 3
22600.. Neck spine fusion.......................................... 14.74 Increase 14.74 3
[[Page 59538]]
22610.. Thorax spine fusion........................................ 14.62 Increase 14.62 3
22612.. Lumbar spine fusion........................................ 20.19 Increase 20.19 3
22840.. Insert spine fixation device............................... 6.27 12.54 12.54 3
22842.. Insert spine fixation device............................... 7.19 12.58 12.58 3
22843.. Insert spine fixation device............................... 8.97 13.46 13.46 3
22844.. Insert spine fixation device............................... 10.96 16.44 16.44 3
22845.. Insert spine fixation device............................... 5.98 11.96 11.96 3
22846.. Insert spine fixation device............................... 8.28 12.42 12.42 3
22847.. Insert spine fixation device............................... 9.20 13.80 13.80 3
22851.. Apply spine prosth device.................................. 6.71 Increase 6.71 3
55859.. Percut/needle insert, pros................................. 8.29 14.00 12.00 2
56343.. Laproscopic salpingostomy.................................. 6.96 13.34 13.34 3
56344.. Laproscopic fimbrioplasty.................................. 7.16 12.50 12.50 3
92525.. Oral function evaluation................................... 1.13 1.61 1.50 2
92526.. Oral function therapy...................................... 0.52 0.64 0.55 2
92597.. Oral speech device eval.................................... 1.11 1.50 1.35 2
92598.. Modify oral speech device.................................. 0.73 0.99 0.99 2
97010.. Hot or cold packs therapy.................................. 0.11 0.11 0.06 2
97012.. Mechanical traction therapy................................ 0.25 0.25 0.25 1
97014.. Electric stimulation therapy............................... 0.18 0.18 0.18 1
97016.. Vasopneumatic device therapy............................... 0.18 0.18 0.18 1
97018.. Paraffin bath therapy...................................... 0.11 0.11 0.06 2
97020.. Microwave therapy.......................................... 0.11 0.11 0.06 2
97022.. Whirlpool therapy.......................................... 0.25 0.25 0.17 2
97024.. Diathermy treatment........................................ 0.11 0.11 0.06 2
97026.. Infrared therapy........................................... 0.11 0.11 0.06 2
97028.. Ultraviolet therapy........................................ 0.20 0.20 0.08 2
97032.. Electrical stimulation..................................... 0.25 0.25 0.25 1
97033.. Electric current therapy................................... 0.26 0.26 0.26 1
97034.. Contrast bath therapy...................................... 0.21 0.21 0.21 1
97035.. Ultrasound therapy......................................... 0.21 0.21 0.21 1
97036.. Hydrotherapy............................................... 0.38 0.28 0.28 2
97039.. Physical therapy treatment................................. 0.29 0.20 0.20 2
97110.. Therapeutic exercises...................................... 0.45 0.45 0.45 1
97112.. Neuromuscular reeducation.................................. 0.45 0.45 0.45 1
97113.. Aquatic therapy/exercises.................................. 0.44 0.44 0.44 1
97116.. Gait training therapy...................................... 0.40 0.40 0.40 1
97122.. Manual traction therapy.................................... 0.45 0.45 0.42 2
97124.. Massage therapy............................................ 0.35 0.35 0.35 1
97139.. Physical medicine procedure................................ 0.21 0.35 0.21 1
97150.. Group therapeutic procedures............................... 0.27 0.27 0.27 1
97250.. Myofascial release......................................... 0.45 0.45 0.45 1
97265.. Joint mobilization......................................... 0.45 0.45 0.45 1
97530.. Therapeutic activities..................................... 0.44 0.44 0.44 1
97535.. Self care management training.............................. 0.33 0.45 0.45 2
97537.. Community/work reintegration............................... 0.33 0.45 0.45 2
97542.. Wheelchair management training............................. 0.25 0.45 0.25 1
97703.. Prosthetic checkout........................................ 0.25 0.45 0.25 1
97750.. Physical performance test.................................. 0.45 0.45 0.45 1
97770.. Cognitive skills development............................... 0.44 0.44 0.44 1
----------------------------------------------------------------------------------------------------------------
*All CPT codes and descriptors copyright 1996 American Medical Association.
b. Interim 1996 Codes.
CPT codes 22840, 22842, 22843, 22844, 22845, 22846, and 22847
(Insert spine fixation device).
Comment: Effective 1996, substantial changes were made in the CPT
codes for spine surgery. The RUC recommended work RVUs for these new
and revised codes, and we accepted those recommendations as interim
work RVUs, which were subject to comment. (When appropriate,
malpractice and practice expense RVUs for these new and revised codes
were calculated using the weighted average data from predecessor codes
or by imputing the RVUs based on the experience of the dominant
specialty, in this case, orthopedic surgery.)
We received comments on the interim work RVUs for the spinal
instrumentation codes. All commenters indicated that the RUC
recommendations for the instrumentation codes, which we had accepted,
were based on erroneous assumptions. Those assumptions had, according
to the commenters, resulted in the RUC recommending work RVUs
[[Page 59539]]
that were, for some codes, half of what they should have been.
Specifically, two commenters recommended the following:
The work RVUs for CPT code 22840 should be increased by
100 percent.
The work RVUs for CPT code 22842 should be increased by 75
percent.
The work RVUs for CPT code 22843 should be increased by 50
percent.
The work RVUs for CPT code 22844 should be increased by 50
percent.
The work RVUs for CPT code 22845 should be increased by
100 percent.
The work RVUs for CPT code 22846 should be increased by 50
percent.
The work RVUs for CPT code 22847 should be increased by 50
percent.
Other commenters recommended that we consider appropriate work RVUs
for these codes. The commenters suggested that we ask the RUC or
another physician panel to review the matter. Also, one commenter
suggested that any increases in the work RVUs be retroactive to January
1, 1996.
Response: We convened a panel that included our medical staff and
carrier medical directors to consider the issue of the appropriateness
of the instrumentation work RVUs. Members of that panel reviewed the
comments and agreed with the commenters who requested 50 percent
increases in work RVUs for CPT codes 22843, 22844, 22846, and 22847, a
75 percent increase in work RVUs for CPT code 22842, and 100 percent
increases in work RVUs for CPT codes 22840 and 22845. The panel members
believed that the resulting work RVUs are an accurate reflection of the
relative resource intensity of the work involved in the codes.
In accepting this recommendation for change, the panel members
noted that the posterior and anterior segmental codes were in two
groups. One group is the posterior segmental, comprised of CPT codes
22842, 22843, and 22844, with CPT code 22842 being the lowest number of
segments and CPT code 22844, the highest. Similarly, for the anterior
codes, CPT code 22845 is the lowest number of segments, CPT code 22846,
the next highest number of segments, and CPT code 22847, the highest
number of segments. The panel members concluded that the highest codes
in the posterior instrumentation group should be valued, for work, at
approximately 25 percent more than the lowest code in the series. They
believed that to be the appropriate work differential between the
highest and the lowest code. For the anterior group, they concluded
that the work for the code representing the highest number of segments
should be valued at approximately 15 percent more than the code
representing the lowest number of segments. Thus, we accepted the
recommendations of the commenters based, in part, on the opinions of
the panel members.
However, there is nothing in the law that would permit fee schedule
determinations to be made retroactive. Indeed, the entire thrust of
section 1848 of the Act is prospective: in accordance with the law, the
codes, RVUs, updates, CFs, and volume performance standards are
announced in advance of a fee schedule year, and adjustments are
prospective only. In our view, the Congress did not intend that there
be retroactive ``correction'' of any elements of the fee schedule.
Thus, as in the past, we are not retroactively adjusting claims for
instrumentation services furnished in 1996.
CPT code 22851 (Application of prosthetic device (eg, metal cages,
methylmethacrylate) to vertebral defect or interspace).
Comment: One commenter stated that the proposed work RVUs for this
code are too low. The interim work RVUs for 1996 are 6.71.
Response: The interim work RVUs were based, in part, on the RUC
recommendation that we accepted. The commenter presented no compelling
arguments that would support increasing the work RVUs, which we believe
are appropriate for CPT code 22851.
Comment: One commenter objected to our use of a formula that
imputes malpractice and practice expense RVUs for new and substantially
revised codes. That formula relies on the malpractice and practice
expense experience of the specialty or specialties that perform the
service. In this case, we relied upon the overall practice experience
of orthopedic surgeons. The commenter stated that for spine codes this
resulted in inappropriate reductions in practice expense and
malpractice expense RVUs.
Response: We believe that the continued use of charge-based
practice expense and malpractice expense RVUs is generally
inappropriate when codes have substantially changed. The use of the
formula that relies on the overall practice expense experience of the
specialty performing the service is, in our judgment, the most
reasonable approach to pricing until we develop resource-based practice
expense RVUs.
CPT codes 20930 through 20938 (Bone grafts).
Comment: One commenter objected to the CPT instruction for
reporting spine surgery bone graft codes, beginning with CPT code
20930, that only one bone graft code should be reported per operative
session.
Response: The RUC was aware of this coding rule. The recommended
work RVUs took into account that only one bone graft code can be
reported per operative session. The commenter would have to submit any
proposed changes to this coding rule to the CPT Editorial Panel.
CPT codes 22554, 22556, and 22558 (Anterior arthrodesis
procedures).
Comment: A commenter expressed concern about the reduction in the
work RVUs for CPT codes 22554, 22556, and 22558. The commenter stated
that we made this reduction in work RVUs because we assumed that the
coding change would result in providers' billing additionally for bone
grafts that were not previously billed separately. According to the
commenter, bone grafts were billed separately before and will be billed
separately now. Therefore, we should not have made the adjustment in
work RVUs based on a billing change.
Response: Through the RUC, the specialty societies recommended a
reduction in work RVUs because of the expectation that the new bone
graft codes would be billed in half of the anterior arthrodesis cases,
when in fact there had not been separate bone graft billing before.
Final decision: The following table lists the final work RVUs only
for those codes whose work RVUs will be changed in response to our
consideration of the public comments:
------------------------------------------------------------------------
Current/
1996 Recommended Final/
CPT code interim percentage 1997 work
work RVUs increase RVUs
------------------------------------------------------------------------
22840................................ 6.27 100 12.54
22842................................ 7.19 75 12.58
22843................................ 8.97 50 13.46
22844................................ 10.96 50 16.44
22845................................ 5.98 100 11.96
22846................................ 8.28 50 12.42
22847................................ 9.20 50 13.80
------------------------------------------------------------------------
CPT codes 22600, 22610, and 22612 (Posterior arthrodesis
procedures).
Comment: One commenter expressed concern that the reductions in the
work RVUs for CPT codes 22600, 22610, and 22612 are inappropriate
because no other codes may be billed in addition.
Response: In making its recommendations regarding these codes,
[[Page 59540]]
which we accepted, the RUC pointed out that the reporting of bone
grafts and use of spinal instrumentation with some of these services
will be appropriate.
CPT code 55859 (Transperineal placement of needles or catheters
into prostate for interstitial radioelement application, with or
without cystoscopy).
Comment: Several commenters expressed concern about our rejection
of the RUC recommendation of 14.00 work RVUs and our proposed 8.29 work
RVUs.
Response: The RUC's initial recommendation of 14.00 work RVUs was
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 believed that 14.00 work
RVUs were too high and disagreed with the RUC's use of CPT code 61770
as a reference procedure; we viewed that procedure as requiring greater
technical skill, mental effort, and judgment. The recommended 14.00
work RVUs are higher than the work RVUs assigned to CPT code 55860
(Exposure of prostate, any approach, for insertion of radioactive
substance), with 13.33 work RVUs. This is an open surgical procedure
with significantly more postservice 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 work 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 work RVUs to this code. Thus, we believed a physician
performing all aspects of this procedure would report all three codes
with 25.80 total work RVUs if we accepted the RUC recommendation of
14.00 work RVUs for CPT code 55859.
We believed it was 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 believed 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), with 1.57
work RVUs. Because of the increased intraoperative time and complexity
as well as the increased surgical risk associated with CPT code 55859,
we increased the work RVUs four-fold to 6.28 work RVUs. In addition, we
added 2.01 work RVUs, the work RVUs assigned to CPT code 52000, to
reflect the added work of the cystoscopy. This addition resulted in the
proposed 8.29 work RVUs for CPT code 55859.
In light of the comments that objected to our rationale, we
referred this code to a refinement panel for review.
Final decision: During the panel discussion and before the service
was rated, the panel members agreed that the physician inserting
needles or catheters into a prostate for interstitial radioelement
application could not also report an interstitial brachytherapy code,
for example, CPT code 77778, because a radiation oncologist must
perform that service.
As a result of our analysis of the refinement panel ratings, we are
increasing the interim work RVUs from 8.29 RVUs to 12.00 for CPT code
55859.
CPT code 56343 (Laparoscopy, surgical; with salpingostomy) and CPT
code 56344 (Laparoscopy, surgical; with fimbrioplasty).
Comment: We received a recommendation to increase the work RVUs
assigned to these two codes from 6.96 and 7.16 to 13.34 and 12.50,
respectively, based on a comparison to the work RVUs that were proposed
as part of the 5-year review for the corresponding open procedures, CPT
code 58760 (Fimbrioplasty), with 12.50 work RVUs, and CPT code 58770
(Salpingostomy (salpingoneostomy)), with 13.34 work RVUs.
Response: CPT 1996 added new CPT codes 56343 and 56344 to allow the
reporting of these procedures when they are performed laparoscopically.
We reviewed and accepted the RUC recommendation to assign the same work
RVUs to the two new codes that were then assigned to the corresponding
open procedures, CPT code 58760, with 7.16 work RVUs, and CPT code
58770, with 6.96 work RVUs.
CPT codes 58760 and 58770 were then being evaluated as part of the
5-year review and, based on the RUC's recommendation, these codes were
increased in value from 7.16 to 12.50 work RVUs for CPT code 58760 and
6.96 to 13.34 work RVUs for CPT code 58770. We believe that the RUC
adequately considered the work relationships between these open and
closed procedures and, in spite of our intention to reexamine the
general relationships of open versus closed procedures, as described in
section IV.C.4. of this final rule, ``Future Review,'' we accept the
recommendation to assign the same work RVUs to CPT codes 56343 and
56344 as we have assigned to CPT codes 58770 and 58760.
Final decision: We are assigning 13.34 work RVUs to CPT code 56343
and 12.50 work RVUs to CPT code 56344.
CPT codes 59610, 59612, 59614, 59618, 59620, and 59622 (Vaginal
birth after cesarean).
Comment: We received a comment recommending that we assign work
RVUs to these codes by increasing the work RVUs for each of the
existing delivery codes by 8.5 percent rather than by adding the fixed
amount of 1.56 work RVUs to each of the codes as we proposed.
Response: The CPT 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, either CPT code
59610, 59612, or 59614 is reported. If the attempt is unsuccessful and
another cesarean delivery is carried out, either CPT code 59618, 59620,
or 59622 is reported. The RUC recommended work RVUs for all six codes
that added varying increments of work to the work RVUs of the six
existing codes that are used to report routine vaginal and cesarean
deliveries.
While we accepted the RUC conclusion that a vaginal delivery after
a previous cesarean delivery entails more physician work and that the
existing delivery codes are appropriate reference points, we disagreed
with the variable and small differences in work from one code to the
next. We believed the increased stress, mental effort, and judgment
associated with a vaginal delivery after a previous cesarean delivery
is the same regardless of the particular delivery service furnished.
Therefore, we added 1.56 work RVUs
[[Page 59541]]
(the median work RVUs of the above differences) to each of the existing
delivery codes.
We continue to believe that our approach is correct since the
increased stress, mental effort, and judgment associated with a vaginal
delivery after a previous cesarean delivery is the same regardless of
the particular delivery service furnished. Adding a fixed percentage of
8.5 percent to each of the codes would result in additional work RVUs
for each of the codes for a vaginal delivery after a previous cesarean
delivery that would range from 1.13 work RVUs to 2.01 work RVUs. We do
not believe these differences are warranted. We also note that this
request would result in lower work RVUs than we proposed for four of
the six codes.
Final decision: We are not revising our proposed work RVUs based on
our consideration of this comment. However, as part of the 5-year
review and the changes we are making in the work RVUs for evaluation
and management services, we are increasing the work RVUs for all
delivery codes including a vaginal delivery after a previous cesarean
delivery. See section IV.C.2. of this final rule for a discussion of
these changes and Table 1 for a listing of the new work RVUs.
CPT code 92525 (Evaluation of swallowing and oral function for
feeding).
Comment: Commenters objected to our decision to decrease the work
RVUs to a value lower than the RUC recommendation.
Response: The RUC recommended 1.61 work 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 barium swallow might not be done. We believed that the
work RVUs recommended, which were between the work RVUs of a level-
three inpatient consultation (CPT code 99253), with 1.56 work RVUs, and
a level-four inpatient consultation (CPT code 99254), with 2.27 work
RVUs, were too high. While we believed that the intraservice work
determined by the survey for the vignette may have been reasonable, we
did not agree that the surveyed vignette represents 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 work 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), with 0.54 work RVUs, to the 0.86 work
RVUs for CPT code 92506, resulting in an assignment of 1.13 work RVUs
for CPT code 92525. These proposed work RVUs are slightly higher than
the work RVUs of CPT code 99242, which is the code for a level-two
office consultation, the components of which include an expanded
problem-focused history, an expanded problem-focused examination, and
straightforward medical decision making.
However, in light of the comments that objected to our rationale,
we referred this code to a refinement panel for review.
Final decision: As a result of our analysis of the refinement panel
ratings, the final work RVUs are established as 1.50 for CPT code
92525.
CPT code 92526 (Treatment of swallowing dysfunction and/or oral
function for feeding).
Comment: Several commenters objected to our decision to decrease
the work RVUs to a value lower than the RUC recommendation. Commenters
stated that the vignette describes a typical patient and that it is not
proper to equate speech-language pathology treatment (CPT code 92507)
with the treatment of swallowing disorders.
Response: The RUC recommended 0.64 work 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 believed the
surveyed vignette did not describe a typical patient, we reduced the
RUC recommendation for CPT code 92526 to 0.52 work RVUs, which are the
same work RVUs as those for CPT code 92507 (Treatment of speech,
language, voice, communication, and/or auditory processing disorder
(includes aural rehabilitation); individual). These work RVUs are
slightly less than the work RVUs assigned to a mid-level office visit
(CPT code 99213), with 0.55 work RVUs, which typically requires 15
minutes of face-to-face time with a physician.
In light of the comments that objected to our rationale, we
referred this code to a refinement panel for review.
Final decision: As a result of our analysis of the refinement panel
ratings, the final work RVUs are established as 0.55 for CPT code
92526.
CPT code 92597 (Evaluation for use and/or fitting of voice
prosthetic or augmentative/alternative communication device to
supplement oral speech).
Comment: Several commenters objected to our comparison of this
service to a level-three new patient office visit. The commenters
provided an extensive description of the elements included in the
vignette.
Response: The RUC originally recommended 1.50 work RVUs. We
believed the recommended work RVUs were 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 did not believe the work of these two services is
comparable. Rather, we believed the work associated with CPT code 92597
is slightly less than the work associated with a level-three new
patient office visit (CPT code 99203), with 1.14 work RVUs, and a
level-two inpatient consultation (CPT code 99252), with 1.13 work RVUs.
Therefore, we proposed 1.11 work RVUs for CPT code 92597.
In light of the comments that objected to our rationale, we
referred this code to a refinement panel for review.
Final decision: As a result of our analysis of the refinement panel
ratings, the final work RVUs are established as 1.35 for CPT code
92597.
CPT code 92598 (Modification of voice prosthetic or augmentative/
alternative communication device to supplement oral speech).
Comment: Several commenters objected to our decision to decrease
the work RVUs to a value lower than the RUC recommendation.
Response: The RUC recommended 0.99 work RVUs, which are higher than
the work RVUs assigned to a level-four established patient office visit
(CPT code 99214), with 0.94 work RVUs. We believed that the
recommendation is too high. However, we believed that the relative
relationship between this service and CPT code 92597, as
[[Page 59542]]
established by the RUC, should be maintained. Thus, we calculated the
interim work RVUs by multiplying the recommended 0.99 work RVUs by 74
percent (0.99 x 1.11/1.5) representing the percentage of the RUC-
recommended work RVUs, which we accepted for the preceding code. This
calculation resulted in 0.73 interim work RVUs for CPT code 92598.
In light of the comments that objected to our rationale, we
referred this code to a refinement panel for review.
Final decision: As a result of our analysis of the refinement panel
ratings, the final work RVUs are established as 0.99 for CPT code
92598.
CPT codes 97010 through 97770 (Physical medicine and rehabilitation
codes).
Background
The following is a brief summary of the complex history associated
with the assignment of work RVUs to all the physical medicine and
rehabilitation services reported with CPT codes in the range 97010
through 97770 since the beginning of the physician fee schedule on
January 1, 1992. By statute, physicians' services, outpatient physical
therapy services, and outpatient occupational therapy services are paid
under the physician fee schedule. The work RVUs for physical medicine
services that were included in the physician fee schedule for 1992,
1993, and 1994 were based on historic charges rather than the work in
furnishing the service.
The CPT codes for physical medicine services were substantially
revised for 1995 and the codes were organized into a number of
categories: supervised modalities, constant attendance modalities,
therapeutic procedures, and other procedures. These revised codes were
forwarded to the RUC's Health Care Professionals Advisory Committee
(HCPAC) for evaluation of the work in the services represented by the
new codes. The HCPAC is a multi-disciplinary committee of nonphysician
and limited license practitioners, which includes, but is not limited
to, representatives of the American Physical Therapy Association and
the American Occupational Therapy Association, both of which had
recommended work RVUs for these new and revised codes. The HCPAC
reviewed the work in these services in the context of the work in other
services on the physician fee schedule and provided us with recommended
work RVUs for them.
We base the work RVUs for these services on the expectation that
the definition of the codes represents how the services will be
furnished when billed to Medicare. For example, we expect that when 15
minutes of a service in the constant attendance category is billed, we
may be confident that the provider furnished the 15 minutes of constant
one-on-one attendance that is included in the definition of the code.
If the provider did not furnish 15 minutes of one-on-one constant
attendance, as the code is defined, he or she may not bill a code for
15 minutes of constant attendance. If the provider is overseeing the
therapy of more than one patient during a period of time, he or she
must bill the code for group therapy (CPT code 97150), since he or she
is not furnishing constant attendance to a single patient.
The HCPAC provided recommended work RVUs for 26 of the 28 new or
revised codes. Of the 26 codes for which the HCPAC provided recommended
work RVUs, we agreed with or increased the work RVUs for 20 codes,
mostly therapeutic or other procedures. We decreased the work RVUs for
six codes, all of which were modalities that do not require the
constant attendance of a professional. The HCPAC provided recommended
work RVUs for work hardening/conditioning (CPT codes 97545 and 97546),
which we set as carrier-priced.
Thus, the interim work RVUs established for these codes for 1995
represented the first time that the work RVUs for these codes had been
based on the work associated with furnishing the service. We accepted
the HCPAC's recommendations of 0.45 work RVUs for most therapeutic
procedures.
Later in 1995, the HCPAC recommended 0.45 work RVUs for the
following four services: CPT code 97535 (Self care management
training); CPT code 97537 (Community/work reintegration); CPT code
97542 (Wheelchair management training); and CPT code 97703 (Prosthetic
checkout). These recommendations were made 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).
For CPT codes 97535 and 97537, we believed the recommended 0.45
work RVUs were too high. Before 1996, they were reported using CPT code
97540 (Training for daily living), with 0.44 work RVUs. We divided the
work RVUs for CPT code 97540 by 2 to arrive at work RVUs for 15 minutes
and added 50 percent to account for the preservice and postservice work
inherent in the service. This resulted in 0.33 work RVUs for CPT codes
97535 and 97537.
For new CPT codes 97542 and 97703, we also believed the recommended
0.45 work RVUs were too high. We believed these services were
comparable to attended modality services such as CPT code 97032
(Application of a modality to one or more areas; with electrical
stimulation (manual), each 15 minutes), with 0.25 work RVUs. Therefore,
we assigned 0.25 work RVUs to both CPT codes 97542 and 97703.
While we agreed that these new services appropriately were compared
to other therapeutic procedures, our review of the new services caused
us to believe that the interim work RVUs we previously had assigned to
the therapeutic procedures may have been too high relative to other
services on the fee schedule, for example, osteopathic manipulative
treatments and evaluation and management services. In other words, our
review of these four new codes caused us to reexamine our previous
decision to accept the HCPAC's earlier recommendations for the other
physical medicine services.
Therefore, we decided to maintain the work RVUs for the physical
medicine and rehabilitation codes (CPT codes 97010 through 97770) as
interim work RVUs on the 1996 fee schedule so that we would have
additional time to reevaluate them. While we acknowledged in our
December 8, 1995 final rule (60 FR 63167) that we had accepted the
previous year's recommendations of the HCPAC, we decided to refer these
codes back to the RUC HCPAC Review Board for its reconsideration and to
notify the RUC of our concerns. The RUC HCPAC Review Board is composed
of all members of the HCPAC and three physician representatives of the
RUC. It is chaired by a physician member of the RUC and provides
recommendations for services performed primarily by non-physician
practitioners. In addition, we sought public comments on this issue.
Comment: In response to our concern that the interim work RVUs we
previously had assigned to the therapeutic procedures may have been too
high relative to other services on the physician fee schedule, the RUC
HCPAC Review Board formed a workgroup to assist in developing a
response by the American Physical Therapy Association
[[Page 59543]]
and the American Occupational Therapy Association. The workgroup was
chaired by an AMA representative on the RUC and included members of the
RUC HCPAC Review Board and members of the RUC representing orthopedic
surgery, psychiatry, and osteopathic medicine.
The workgroup's report was approved by the full RUC HCPAC Review
Board and submitted as a comment on our proposal. The report provided
rationale for maintaining the current work RVUs for most services or
increasing the work RVUs for those services that we had reduced below
the HCPAC's initially recommended work RVUs. The recommended work RVUs
that were included in the workgroup's report are listed in Table 2.
We also received recommendations from the HCPAC for three codes
that will be new in 1997: CPT code 97504 (Orthotics training); CPT code
97520 (Prosthetic training); and CPT code 90901 (Biofeedback training).
They recommended 0.45 work RVUs for all three codes.
Response: In light of the comments we received and the report of
the workgroup, we referred all of the physical medicine and
rehabilitation codes to a refinement panel for review. To expedite the
assignment of final work RVUs effective January 1, 1997 for all
physical medicine services, we also had the refinement panel review the
recommendations from the HCPAC for the three codes that will be new in
1997: CPT code 97504 (Orthotics training); CPT code 97520 (Prosthetic
training); and CPT code 90901 (Biofeedback training).
Final decision: The results of the refinement panel ratings for
existing CPT codes are listed in Table 2 and for new or revised CPT
codes in Table 3. The two most important results are that the ratings
for the majority of the therapeutic procedures will be at the level
recommended by the HCPAC, and the work RVUs for five of the modality
codes that are used to report the application of heat have been reduced
from 0.11 to 0.06 work RVUs.
For CPT code 97010, application of hot or cold packs, we have
bundled the RVUs across other services, and separate payment will no
longer be made effective January 1, 1997. For a discussion of this
bundling service, see section II.D.1. of this final rule.
2. Establishment of Interim Work Relative Value Units for New and
Revised Physicians' Current Procedural Terminology Codes and New HCFA
Common Procedure Coding System Codes for 1997
a. Methodology (Includes Table 3--American Medical Association
Specialty Society Relative Value Update Committee and Health Care
Professionals Advisory Committee Recommendations and HCFA's Decisions
for New and Revised 1997 CPT Codes).
One aspect of establishing work RVUs for 1997 was related to the
assignment of interim work RVUs for all new and revised CPT codes. As
described in our November 25, 1992 notice on the 1993 fee schedule (57
FR 55938) and in section III.B. of this final rule, we established a
process, based on recommendations received from the AMA's RUC, for
establishing interim RVUs for new and revised codes.
We received work RVU recommendations for approximately 90 new and
revised codes from the RUC. 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 those relationships
reflected in the RUC values. In some cases when we agreed with the RUC
relationships, we revised the work RVUs recommended by the RUC in order
to achieve work neutrality within families of codes. That is, the work
RVUs have been adjusted so that the sum of the new or revised work RVUs
(weighted by projected frequency of use) for a family of codes will be
the same as the sum of the current work RVUs (weighted by their current
frequency of use). For approximately 87 percent of the RUC
recommendations, proposed work RVUs were accepted or increased, and,
for approximately 13 percent, work RVUs were decreased.
We received 11 recommendations from the HCPAC for new or revised
codes for which the RUC did not provide a recommendation. For 8 of the
HCPAC recommendations, the proposed work RVUs were accepted. A
discussion of the interim RVUs for chiropractic manipulative treatment
is discussed in section V.B.2.b. below. For 3 of the recommendations,
the proposed work RVUs were decreased.
Table 3 is a listing of those codes that will be new or revised in
1997 for which we received recommended work RVUs. This table includes
the following information:
A ``#'' identifies a new code for 1997.
CPT code. This is the CPT code for a service.
Modifier. A ``26'' in this column indicates that the work
RVUs are for the professional component of the code.
Description. This is an abbreviated version of the
narrative description of the code.
RUC-recommendations. This column identifies the work RVUs
recommended by the RUC.
HCPAC recommendations. This column identifies work RVUs
recommended by the HCPAC.
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 3 in
section V.B.2.c. below. An ``(a)'' in this column indicates that work
RVUs were taken from the 5-year refinement of work RVUs and not from
the RUC. A ``(b)'' indicates that no RUC recommendation was provided. A
discussion follows the table in section V.B.2.c.
1997 work RVUs. This column contains the 1997 RVUs for
physician work. The 1997 work RVUs shown have not been adjusted for
budget neutrality.
This table includes only those codes that were reviewed by the full
RUC or for which we received a recommendation from the HCPAC.
[[Page 59544]]
Table 3.--AMA RUC and HCPAC Recommendations and HCFA Decisions for New and Revised 1997 CPT Codes
----------------------------------------------------------------------------------------------------------------
RUC HCPAC
CPT* code MOD Description recommendation recommendations HCFA decision 1997 work RVU
----------------------------------------------------------------------------------------------------------------
11010#........ ..... Debride skin, fx... 4.15 ............... Agreed............. 4.15
11011#........ ..... Debride skin/ 4.95 ............... Agreed............. 4.95
muscle, fx.
11012#........ ..... Debride skin/muscle/ 6.88 ............... Agreed............. 6.88
bone, fx.
11720#........ ..... Debride nail, 1-5.. .............. 0.45 Decreased.......... 0.32
11721#........ ..... Debride nail, 6 or .............. 0.60 Decreased.......... 0.54
more.
15756#........ ..... Free muscle flap, 33.23 ............... Agreed............. 33.23
microvasc.
15757#........ ..... Free skin flap, 33.23 ............... Agreed............. 33.23
microvasc.
15758#........ ..... Free facial flap, 33.23 ............... Agreed............. 33.23
microvasc.
20150#........ ..... Excise epiphyseal 13.00 ............... Agreed............. 13.00
bar.
20956#........ ..... Iliac bone graft, 37.00 ............... Agreed............. 37.00
microvasc.
20957#........ ..... Mt bone graft, 38.33 ............... Agreed............. 38.33
microvasc.
20962......... ..... Other bone graft, Carrier ............... (b)................ 37.00
microvasc.
20969......... ..... Bone/skin graft, 42.08 ............... Agreed............. 42.08
microvasc.
20970......... ..... Bone/skin graft, 41.22 ............... Agreed............. 41.22
iliac crest.
24149#........ ..... Radical resection 13.25 ............... Agreed............. 13.25
of elbow.
24341#........ ..... Repair tendon/ 7.33 ............... Agreed............. 7.33
muscle arm.
24342......... ..... Repair of ruptured 10.13 ............... Agreed............. 10.13
tendon.
25332......... ..... Revise wrist joint. 10.83 ............... Agreed............. 10.83
26040......... ..... Release palm 3.09 ............... Agreed............. 3.09
contracture.
26060......... ..... Incision of finger 2.71 ............... Agreed............. 2.71
tendon.
26070......... ..... Explore/treat hand 3.34 ............... Agreed............. 3.34
joint.
26121......... ..... Release palm 7.34 ............... Agreed............. 7.34
contracture.
26123......... ..... Release palm 8.64 ............... Agreed............. 8.64
contracture.
26125......... ..... Release palm 4.61 ............... Agreed............. 4.61
contracture.
26185#........ ..... Remove finger bone. 5.00 ............... Agreed............. 5.00
26540......... ..... Repair hand joint.. 6.03 ............... Agreed............. 6.03
26541......... ..... Repair hand joint 8.20 ............... Agreed............. 8.20
with graft.
26546#........ ..... Repair non-union 8.50 ............... Agreed............. 8.50
hand.
26551#........ ..... Great toe-hand 44.31 ............... Agreed............. 44.31
transfer.
26553#........ ..... Single toe-hand 44.00 ............... Agreed............. 44.00
transfer.
26554#........ ..... Double toe-hand 52.50 ............... Agreed............. 52.50
transfer.
26556#........ ..... Toe joint transfer. 44.75 ............... Agreed............. 44.75
27036#........ ..... Excision of hip 12.00 ............... Agreed............. 12.00
joint/muscle.
32491#........ ..... Lung volume 21.25 ............... Agreed............. 21.25
reduction.
33234......... ..... Removal of 5.72 ............... Increased.......... 7.50
pacemaker system.
33235......... ..... Removal pacemaker 6.96 ............... Increased.......... 8.74
electrode.
37250#........ ..... Intravascular us... 2.10 ............... Decreased.......... 1.51
37251#........ ..... Intravascular us... 1.60 ............... Decreased.......... 1.15
43496#........ ..... Free jejunum flap, Carrier ............... Agreed............. Carrier
microvasc.
49020......... ..... Drain abdominal 14.25 ............... Agreed............. 14.25
abscess.
49021#........ ..... Drain abdominal .............. ............... (a)................ 9.06
abscess.
49906#........ ..... Free omental flap, Carrier ............... Agreed............. Carrier
microvasc.
52300......... ..... Cystoscopy and 5.31 ............... Agreed............. 5.31
treatment.
52301#........ ..... Cystoscopy and 5.51 ............... Agreed............. 5.51
treatment.
52340......... ..... Cystoscopy and 9.00 ............... Agreed............. 9.00
treatment.
56300......... ..... Pelvic laparoscopy, 5.00 ............... Decreased.......... 3.65
dx.
56305......... ..... Pelvic laparoscopy, 5.30 ............... Decreased.......... 3.97
biopsy.
56362......... ..... Laparoscopy w/ 4.89 ............... Agreed............. 4.89
cholangio.
56363......... ..... Laparoscopy w/ 5.18 ............... Agreed............. 5.18
biopsy.
56399......... ..... Laparoscopy Carrier ............... Agreed............. Carrier
procedure.
57160......... ..... Insertion of 0.89 ............... Agreed............. 0.89
pessary/device.
59525......... ..... Remove uterus after 8.54 ............... Agreed............. 8.54
cesarean.
59866#........ ..... Abortion........... 4.00 ............... Agreed............. 4.00
61586#........ ..... Resect nasopharynx, 23.60 ............... Agreed............. 23.60
skull.
61793......... ..... Focus radiation 16.70 ............... Agreed............. 16.70
beam.
68801#........ ..... Dilate tear duct 0.89 ............... Agreed............. 0.89
opening.
68810#........ ..... Probe nasolacrimal 1.27 ............... Agreed............. 1.27
duct.
68811#........ ..... Probe nasolacrimal 2.25 ............... Agreed............. 2.25
duct.
68815#........ ..... Probe nasolacrimal 3.00 ............... Agreed............. 3.00
duct.
69801......... ..... Incise inner ear... 8.19 ............... Agreed............. 8.19
75554......... 26 Cardiac mri/ 1.83 ............... Agreed............. 1.83
function.
75555......... 26 Cardiac mri/limited 1.74 ............... Agreed............. 1.74
study.
75945#........ 26 Intravascular us... 0.40 ............... Decreased.......... 0.29
75946#........ 26 Intravascular us... 0.40 ............... Decreased.......... 0.29
78445......... 26 Vascular flow 0.49 ............... Agreed............. 0.49
imaging.
78460......... 26 Heart muscle blood 0.86 ............... Agreed............. 0.86
single.
[[Page 59545]]
78461......... 26 Heart muscle blood 1.23 ............... Agreed............. 1.23
multiple.
78464......... 26 Heart image (3d) 1.09 ............... Agreed............. 1.09
single.
78465......... 26 Heart image (3d) 1.46 ............... Agreed............. 1.46
multiple.
78469......... 26 Heart infarct image 0.92 ............... Agreed............. 0.92
(3d).
78481......... 26 Heart first pass 0.98 ............... Agreed............. 0.98
single.
78483......... 26 Heart first pass 1.47 ............... Agreed............. 1.47
multiple.
90875#........ ..... Psychophysiological .............. 1.11 Agreed............. 1.11
therapy.
90876#........ ..... Psychophysiological .............. 1.73 Agreed............. 1.73
therapy.
90901#........ ..... Biofeedback .............. 0.45 Decreased.......... 0.41
training, any
method.
92240#........ 26 Icg angiography.... 1.10 ............... Agreed............. 1.10
92548#........ 26 Posturography...... 0.50 ............... Agreed............. 0.50
92978#........ 26 Intravascular us, 2.50 ............... Decreased.......... 1.80
heart.
92979#........ 26 Intravascular us, 2.00 ............... Decreased.......... 1.44
heart.
92995......... ..... Coronary 12.09 ............... Agreed............. 12.09
atherectomy.
93303#........ 26 Echo transthoracic. .............. ............... (a)................ 1.30
93304#........ 26 Echo transthoracic. .............. ............... (a)................ 0.75
93315#........ 26 Echo .............. ............... (a)................ 2.78
transesophageal.
93316#........ ..... Echo .............. ............... (a)................ 0.95
transesophageal.
93317#........ 26 Echo .............. ............... (a)................ 1.83
transesophageal.
93619......... 26 Electrophysiology 7.32 ............... Agreed............. 7.32
evaluation.
93620......... 26 Electrophysiology 11.59 ............... Agreed............. 11.59
evaluation.
93975......... 26 Vascular study..... 1.80 ............... Agreed............. 1.80
93976......... 26 Vascular study..... 1.21 ............... Agreed............. 1.21
95921#........ 26 Autonomic nervous 0.90 ............... Decreased.......... 0.45
function test.
95922#........ 26 Autonomic nervous 0.96 ............... Decreased.......... 0.48
function test.
95923#........ 26 Autonomic nervous 0.90 ............... Decreased.......... 0.45
function test.
95950......... 26 Ambulatory eeg 1.51 ............... Agreed............. 1.51
monitoring.
97504#........ ..... Orthotic training.. .............. 0.45 Agreed............. 0.45
97520......... ..... Prosthetic training .............. 0.45 Agreed............. 0.45
98940#........ ..... Chiropractic .............. 0.45 Agreed............. 0.45
manipulation.
98941#........ ..... Chiropractic .............. 0.65 Agreed............. 0.65
manipulation.
98942#........ ..... Chiropractic .............. 0.87 Agreed............. 0.87
manipulation.
98943#........ ..... Chiropractic .............. 0.40 Agreed............. 0.40
manipulation.
----------------------------------------------------------------------------------------------------------------
a No RUC recommendation provided.
b RUC retained as carrier priced but HCFA assigned a value. #New Codes
* All numeric HCPCS CPT Copyright 1996 American Medical Association.
b. Discussion of Interim Relative Value Units for Chiropractic
Manipulative Treatment.
Comment: We received a comment from the RUC HCPAC Review Board
recommending RVUs for chiropractic manipulative treatment. Medicare
coverage of chiropractic services is limited to manual manipulation for
treatment of subluxation of the spine. HCPCS Level II code, A2000
(Manipulation of spine by chiropractor) has been used to report this
service. With the introduction of new CPT procedure codes for
chiropractic manipulative treatment, a chiropractic professional
organization submitted a comment during the 5-year review that the
physician work in the chiropractic manipulative treatment is equivalent
to the existing osteopathic manipulative treatment codes.
The RUC HCPAC Review Board reviewed data based on survey responses
of 106 chiropractors and a previous study performed by Lewin-VHI. The
Review Board agreed that the work RVUs for the chiropractic
manipulative treatment should be equivalent to the established RVUs for
osteopathic manipulative treatment codes as follows:
------------------------------------------------------------------------
Existing osteopathic
New chiropractic manipulative manipulative treatment Work RVUs
treatment CPT code CPT code
------------------------------------------------------------------------
98940 (Chiropractic manipulative 98925 (Osteopathic 0.45
treatment; spinal, 1 to 2 manipulative treatment;
regions). 1 to 2 body regions).
98941 (Chiropractic manipulative 98926 (Osteopathic 0.65
treatment; spinal, 3 to 4 manipulative treatment;
regions). 3 to 4 body regions).
98942 (Chiropractic manipulative 98927 (Osteopathic 0.87
treatment; spinal, 5 regions). manipulative treatment;
5 to 6 regions).
------------------------------------------------------------------------
The RUC HCPAC Review Board also recommended 0.40 work RVUs for CPT code
98943 (Chiropractic manipulative treatment, extraspinal, one or more
regions).
The chiropractic manipulative treatment codes include a
premanipulation patient assessment, as do the osteopathic manipulative
treatment codes. Additional evaluation and management must be reported
separately using the modifier -25, only if the patient's condition
requires a significant separately identifiable evaluation and
management service.
Response: We agree with the recommendation of the RUC HCPAC Review
Board that the chiropractic manipulative treatment codes represent
services and physician work that
[[Page 59546]]
essentially parallel that of the osteopathic manipulation codes. The
work RVUs based on the survey results appear to be identical to
osteopathic manipulation treatment, and both the osteopathic
manipulation treatment work RVUs and the chiropractic manipulation
treatment work RVUs contain a manipulation component as well as an
evaluation and management component.
We note that, for purposes of Medicare coverage and payment, the
five regions referred to by the CPT codes 98940, 98941, and 98942 are
the cervical region (includes atlanto-occipital joint); thoracic region
(includes costovertebral and costotransverse joints); lumbar region;
sacral region; and pelvic (sacro-iliac joint) region. These are the
only codes that the Medicare program will recognize for chiropractic
treatment by manual manipulation for subluxation of the spine. CPT code
98943 (Chiropractic manipulation treatment, extraspinal) is not covered
by Medicare. HCPCS code A2000 will no longer be recognized by Medicare.
In conclusion, we agree with the RUC that the work assigned to the
chiropractic manipulation treatment codes is sufficiently comparable to
that assigned to the osteopathic manipulation treatment codes.
Therefore, we are assigning work RVUs to CPT codes 98940, 98941, and
98942 according to the RUC recommendation as follows:
------------------------------------------------------------------------
Work
CPT code Descriptor RVUs
------------------------------------------------------------------------
98940....................... Chiropractic manipulative 0.45
treatment; spinal, 1 to 2 regions.
98941....................... Chiropractic manipulative 0.65
treatment; spinal, 3 to 4 regions.
98942....................... Chiropractic manipulative 0.87
treatment; spinal, 5 regions.
------------------------------------------------------------------------
For CPT code 98943, extraspinal chiropractic manipulative treatment, we
agree with the RUC recommendation of 0.40 work RVUs. However, this
service is not covered by Medicare. These RVUs are considered interim
for 1997. We welcome comments on the interim RVUs.
c. Discussion of Codes for Which the RUC Recommendations Were Not
Accepted.
The following is a summary of our rationale for not accepting
particular recommendations. It is arranged by type of service in CPT
code order. This summary refers only to work RVUs.
CPT code 11720 (Debridement of nail(s) by any method(s); one to
five) and CPT code 11721 (Debridement of nail(s) by any method(s); six
or more).
The RUC recommended 0.32 work RVUs for CPT code 11720 and 0.45 for
CPT code 11721. These codes encompass services that were previously
reported using CPT codes 11700, 11701, 11710, and 11711. The following
table identifies the codes and the final work RVUs we assigned to them
for the 1997 physician fee schedule:
------------------------------------------------------------------------
Work
CPT code Description RVUs
------------------------------------------------------------------------
11700........................ Debridement of nails, manual; 0.32
five or less.
11701........................ Debridement of nails, manual: 0.23
each additional, five or less.
11710........................ Debridement of nails, electric 0.32
grinder; five or less.
11711........................ Debridement of nails, electric 0.20
grinder; each additional, five
or less.
------------------------------------------------------------------------
There are two sets of codes: one set for manual debridement and one set
for electric grinder debridement. These codes were initially referred
to the RUC in 1995 because we received conflicting comments on the work
RVU assignments for the second code in each set. The American Podiatric
Medical Association recommended that the correct work RVUs for CPT code
11711 should be 0.23 and not 0.20 based on the analogy that if CPT code
11700 (Debridement of nails, manual; five or less) and CPT code 11710
(Debridement of nails, electric grinder; five or less) have the same
work RVUs (0.32), then CPT code 11711 should have the same work RVUs as
CPT code 11701. Based on the same analogy, another commenter
recommended that the work RVUs for CPT code 11701 be reduced to 0.20.
This issue was referred by the RUC to CPT where the codes were
collapsed so that the same codes would be used to report debridement
regardless of the method of debridement (manual or electric grinder).
In addition, the codes were revised so that only one code would be used
to report the debridement of six or more nails. The two new codes then
went back to the RUC for the development of recommended work RVUs. For
the debridement of one to five nails, the RUC recommended 0.45 RVUs,
which represents a 41 percent increase over the work RVUs assigned to
the current codes used to report the debridement of one to five nails.
For the debridement of six or more nails, the RUC recommended 0.60 work
RVUs. Depending on which pair of current codes is used to report the
debridement of six or more nails (CPT codes 11700 plus 11701 or 11710
plus 11711), this represents an increase of 9 or 20 percent,
respectively, in work RVUs. We believe these increases are unjustified
especially since the codes were not identified as undervalued at the
beginning of the 5-year review.
When valuing new and revised codes that replace deleted codes, we
typically have used Medicare frequency data and used the work RVUs of
the deleted codes to arrive at weighted average values for the new
codes in a budget-neutral fashion. We have used this method to arrive
at the work RVUs for new CPT codes 11720 and 11721. The work RVUs for
CPT code 11720 are being established as 0.32, which are the same work
RVUs assigned to both of the predecessor codes. The work RVUs for CPT
code 11721 are being established as 0.54, which is a weighted average
of the sum of the work RVUs of the codes used to report the debridement
of six or more nails in the past.
CPT code 20962 (Bone graft with microvascular anastomosis; other
than fibula, iliac crest, or metatarsal).
This code was revised slightly for CPT 1997. It is currently
carrier-priced, and the RUC recommended that it remain carrier-priced.
This is a very low-volume service in a family of low-volume services.
For two other codes in the family, CPT codes 20956 and 20957, we
received RUC recommendations of 37.00 and 38.33 work RVUs,
respectively. We believe the work of CPT code 20962 is comparable to
these other codes, and we are assigning 37.00 interim work RVUs.
CPT code 33234 (Removal of transvenous pacemaker electrode(s),
single lead system, atrial or ventricular) and CPT code 33235 (Removal
of transvenous pacemaker electrode(s), dual lead system).
In CPT 1996, the pacemaker removal codes are structured so that the
removal of a pulse generator is reported with a single code (CPT code
33233), and the removal of a pulse generator and a lead system is
reported with a single code (CPT code 33234 or 33235). There is not a
separate code for the removal of a lead system only. For 1997, the CPT
Editorial Panel revised the pacemaker section to
[[Page 59547]]
allow physicians to report the removal of a pacemaker lead system only.
The removal of a pulse generator and a lead system will now be reported
with two codes (CPT codes 33233 and 33234 or CPT codes 33233 and
33235).
The RUC recommendations for CPT code 33234 (Removal of transvenous
pacemaker electrodes; single lead system, atrial or ventricular) and
CPT code 33235 (Dual lead system) were calculated by subtracting 2.97
work RVUs from the work RVUs currently assigned to these two codes. The
subtraction of 2.97 work RVUs was necessary because those are the work
RVUs assigned to CPT code 33233, which now will be used to report
separately the removal of a permanent pacemaker pulse generator. Thus,
the RUC revised the work RVUs for CPT codes 33234 and 33235 downward so
that the coding change would not result in a net increase in the total
work RVUs associated with the removal of a pulse generator and a lead
system at the same time.
We agree that the work RVUs should be decreased but we believe the
RUC's recommendations were too low because they failed to take into
account the fact that the pacemaker removal codes are subject to our
multiple surgical reduction policy. If a physician performs the removal
of a pulse generator and a lead system at the same time, the lower
valued service (in this case, the removal of the pulse generator) will
be paid at 50 percent of the current value. Thus, the sum of the
recommended work RVUs that would be recognized (as a result of the
multiple surgery reduction), if both procedures were performed, would
be less than the work RVUs that were in place before the coding change.
We do not believe this effect is consistent with the RUC's intent.
To overcome this problem, we made the following adjustments. First,
we estimate that 80 percent of the time a lead system is removed, the
pulse generator will be removed. We then used the following
mathematical formula to calculate RVUs: 0.8( x + \1/2\*2.97 RVUs) +
0.2 x = y where x equals the new value for CPT code 33234 or CPT
code 33235 and y equals the current value of CPT code 33234 or CPT code
33235. As a result of these calculations, we are increasing the RVUs
above the RUC's recommendation for CPT code 33234 from 5.72 to 7.50
work RVUs and the recommendation for CPT code 33235 from 6.96 to 8.74
work RVUs.
CPT codes 37250, 37251, 75945, 75946, 92978, and 92979
(Intravascular ultrasound).
CPT 1997 will include two new codes for intravascular ultrasound of
non-coronary vessels during therapeutic interventions (CPT codes 37250
and 37251) and two new codes for intravascular ultrasound of coronary
vessels during therapeutic interventions (CPT codes 92978 and 92979).
In addition, two new codes for the reporting of radiological
supervision and interpretation were created (CPT codes 75945 and
75946). They will be reported only with the codes for intravascular
ultrasound of non-coronary vessels.
The RUC based its recommendation for intravascular ultrasound on
the ultrasound portion of CPT code 43259 (Upper gastrointestinal
endoscopy with endoscopic ultrasound examination), with 4.89 work RVUs.
If the work RVUs for CPT code 43235 (Upper gastrointestinal endoscopy
without ultrasound), with 2.39 work RVUs, are subtracted from the work
RVUs assigned to CPT code 43259, the result is 2.50. The RUC suggested
that the value of coronary intravascular ultrasound (CPT code 92978) be
set equal to this calculated value for the ultrasound portion of CPT
code 43259. For non-coronary intravascular ultrasound, the RUC
recommended 2.10 work RVUs for CPT code 37250 and 0.40 work RVUs for
CPT code 75946 (for radiologic supervision and interpretation). The sum
of these recommendations equals the 2.50 work RVUs recommended for CPT
code 92978. The RUC intended the work RVUs of CPT code 92978 to be
equal to the sum of the work RVUs of CPT codes 37250 and 75946 because
the work of CPT code 92978 includes radiologic supervision and
interpretation. Thus, for coronary ultrasound, only one code is
reported while two codes are reported for non-coronary ultrasound.
We do not agree with the reference procedure used by the RUC
because we do not view the work associated with intravascular
ultrasound to be as great as it is for endoscopic ultrasound. First,
the number of anatomic structures to be studied and the diagnostic
possibilities are fewer for intravascular ultrasound. Second, physician
work is reduced since access to the vessels has been established and
angiographic studies have often been performed.
We believe more appropriate reference procedures would be CPT code
78465 (Myocardial perfusion imaging (SPECT), multiple studies at rest
and/or stress), with 1.46 work RVUs, and CPT code 70541 (Magnetic
resonance angiography, head and/or neck, with or without contrast
material), with 1.81 work RVUs. Therefore, for CPT code 92978, we are
assigning 1.80 work RVUs. This value is 72 percent of the RUC-
recommended 2.50 work RVUs.
Although we disagree with the recommended work RVUs, we do agree
with the relative relationship established by the RUC for the codes in
this family, and we have reduced the remaining codes by 28 percent,
consistent with the RUC recommendations. Therefore, the interim work
RVUs for the six intravascular ultrasound codes are as shown in Table
3.
CPT code 49021 (Drainage of peritoneal abscess, percutaneous).
We received no recommendation from the RUC on this code. The
procedure currently is being reported with CPT code 49020 (Drainage of
peritoneal abscess, transabdominal), with 9.06 work RVUs. We decided to
value CPT code 49021 at 9.06 work RVUs and keep these as interim work
RVUs until we receive a recommendation from the RUC.
CPT code 56300 (Laparoscopy (peritoneoscopy), diagnostic (separate
procedure)) and CPT code 56305 (Laparoscopy (peritoneoscopy); with
biopsy, single or multiple).
CPT 1996 includes separate codes for reporting diagnostic
laparoscopic procedures and separate codes for reporting diagnostic
peritoneoscopic procedures. The peritoneoscopy codes were deleted from
CPT 1997 because they describe the same services as the corresponding
laparoscopic procedures. The RUC recommended 5.00 work RVUs for CPT
code 56300 and 5.30 work RVUs for CPT code 56305 (Laparoscopy with or
without biopsy, respectively). We disagree with these recommendations
for two reasons. First, we view the CPT change as editorial. Second,
the RUC recommendations would put the work RVUs for CPT codes 56300 and
56305 higher than the work RVUs for CPT codes 56362 and 56363
(Laparoscopy with guided transhepatic cholangiography without or with
biopsy, respectively). We believe this would significantly distort the
relative relationships within the laparoscopy family since CPT codes
56362 and
[[Page 59548]]
56363 are higher-level, more work-intensive procedures.
We believe that the work RVUs should be based on an average of the
work RVUs assigned to the laparoscopic and peritoneoscopic codes
weighted by the frequency with which they are performed. By calculating
a weighted average, we can assure that the coding changes will be work-
neutral within the family of codes. These calculations result in 3.65
work RVUs for CPT code 56300 and 3.97 work RVUs for CPT code 56305. In
addition, we have reduced the global period for CPT codes 56300 and
56305 from 10 days to 0 days to correspond to the 0 day global period
assigned to the peritoneoscopy codes.
CPT codes 93303 through 93317 (Pediatric echocardiography).
We did not receive RUC recommendations for CPT code 93303
(Transthoracic echocardiography for congenital cardiac anomalies;
complete) or CPT code 93304 (Transthoracic echocardiography for
congenital cardiac anomalies; follow up or limited study). The RUC
tabled the issue of pediatric echocardiography at the request of the
American Academy of Pediatrics and the American College of Cardiology
pending review of the nomenclature of these codes by the CPT Editorial
Panel. The societies view modifications made by the CPT Editorial Panel
to the nomenclature of the proposed pediatric echocardiography codes as
greatly altering the original intent and proposed application of the
codes. Until the coding issue is resolved and a survey conducted, the
RUC will not submit recommended work RVUs for these services.
Regardless of the outcome of the nomenclature debate, we believe it
is essential that the new CPT codes have work RVUs assigned to them at
this time because they are the only codes available to report these
services. To assign work RVUs to these codes, we looked to a paper
entitled ``Resource Based Relative Value Scale for Children--Comparison
of Pediatric and Adult Cardiology Work Values'' published by Garson et
al. in Cardiology in the Young in 1995 (Vol. 5:210-216). Work RVUs for
cardiology were found to be different between adults and children in 75
percent of the 20 CPT codes (echocardiography, cardiac catheterization,
etc.) that were assessed. For echocardiography, the pediatric median
work RVUs were an average of 90 percent higher than the adult work RVUs
for CPT code 93307, the CPT code used to report echocardiography. In
rating the work of pediatric echocardiography, the codes for cross-
sectional echocardiography (CPT code 93307), Doppler echocardiography
(CPT code 93320), and Doppler color flow velocity mapping (CPT code
93325) were combined into a single procedure, and panelists provided a
single rating for a complex pediatric echocardiogram.
To arrive at work RVUs for the new pediatric echocardiography
codes, we looked first to the new work RVUs for echocardiography (CPT
code 93307) that emerged from the 5-year refinement. Based on the
individual ratings of the members of a refinement panel that reviewed
echocardiography services, the new work RVUs for CPT code 93307 will be
0.92. We first increased this value by 90 percent based on the study
results described above to arrive at 1.75 work RVUs. We next subtracted
the work RVUs for Doppler echocardiography (CPT code 93320) and Doppler
color flow velocity mapping (CPT code 93325), which are 0.38 and 0.07,
respectively. These work RVUs need to be subtracted because, under the
new codes, they will be separately reported in addition to the
pediatric echocardiography. Thus, our proposed interim work RVUs for
CPT code 93303 (Transthoracic echocardiography for congenital cardiac
anomalies; complete) are established as 1.30.
For CPT code 93304 (Transthoracic echocardiography for congenital
cardiac anomalies; follow up or limited study), we looked to the
relationship of the work RVUs for CPT code 93307 (Complete adult
echocardiography) to the work RVUs for CPT code 93308 (Follow up or
limited adult echocardiography code). The current work RVUs for CPT
code 93308 are 0.53. This code was not identified as undervalued as
part of the 5-year review. The 0.53 work RVUs for CPT code 93308 are 58
percent of the new work RVUs for CPT code 93307, which are established
as 0.92. To maintain this relationship in the pediatric codes, we
calculated 0.75 interim work RVUs for CPT code 93304 by multiplying the
proposed work RVUs for CPT code 93303 (1.30) by 58 percent.
CPT 1997 will also include three new codes for transesophageal
echocardiography. The codes are CPT code 93315 (Transesophageal
echocardiography for congenital cardiac anomalies including probe
placement, image acquisition, interpretation and report); CPT code
93316 (Transesophageal echocardiography for congenital cardiac
anomalies, placement of transesophageal probe only); and CPT code 93317
(Transesophageal echocardiography for congenital cardiac anomalies,
image acquisition, interpretation and report only).
In order to understand how we arrived at the work RVUs for the
three new pediatric transesophageal echocardiography codes, it is first
necessary to explain the assignment of work RVUs to the three existing
codes for adult transesophageal echocardiography that emerged from the
5-year refinement. Based on the individual ratings of the members of a
refinement panel that reviewed adult echocardiography services, the new
work RVUs for CPT code 93312 (Transesophageal echocardiography,
including probe placement, image acquisition, interpretation and
report) are established as 2.20. This was the only adult
transesophageal echocardiography reviewed by the panel.
We received no comments as part of the 5-year review that the work
RVUs for the code used to report only the placement of a
transesophageal probe (CPT code 93313) should be revised. Therefore, we
have maintained the current 0.95 work RVUs. By subtracting these work
RVUs from the new work RVUs for CPT code 93312, we can calculate new
work RVUs for CPT code 93314, which is used to report image
acquisition, interpretation and report only. The result is 1.25 work
RVUs.
It was necessary to calculate these work RVUs because the
refinement panel did not specifically address CPT code 93314. However,
it was clear during the discussions of the refinement panel that the
service considered by the American College of Cardiology and the
American Society of Echocardiography to be undervalued was the image
acquisition, interpretation and report and not the probe placement.
We also revised the relationship of the three codes in this family
so that the work RVUs for CPT code 93312 will equal the sum of the work
RVUs for CPT codes 93313 and 93314. When we first assigned work RVUs to
these codes, we assigned 20 percent more work RVUs to both CPT codes
93313 and 93314 because two different physicians were often involved in
the procedure and each would have a certain amount of preservice and
postservice work that could not be considered duplicative.
Consequently, the sum of these two codes exceeded the work RVUs
assigned to CPT code 93312. We now believe that
[[Page 59549]]
most transesophageal echocardiographies are done by a single physician.
Therefore, we have adjusted the work RVUs so that the work RVUs for CPT
code 93312 equal the sum of the work RVUs for CPT codes 93313 and
93314. To summarize, the 1997 work RVUs for the adult echocardiography
CPT codes 93312, 93313, and 93314 are 2.20, 0.95, and 1.25,
respectively. These work RVUs are the basis for the work RVUs we
propose for the three pediatric transesophageal echocardiography codes
(CPT codes 93315, 93316, and 93317).
The paper by Garson et al. in Cardiology in the Young did not
address the issue of transesophageal echocardiography. To establish
interim work RVUs for image acquisition, interpretation and report only
(CPT code 93317), we looked to a ``Survey of Physician Work in
Pediatric Cardiology'' prepared for the American Academy of Pediatrics
and the American College of Cardiology by Lewin-VHI in 1993. That
survey found that the work of pediatric transesophageal
echocardiography was 46 percent more than the work of adult
transesophageal echocardiography. To arrive at work RVUs for the new
pediatric transesophageal echocardiography CPT code 93317, we increased
the work RVUs we assigned to the adult code (CPT code 93314), with 1.25
work RVUs, by 46 percent. This results in 1.83 interim work RVUs for
CPT code 93317.
For CPT code 93316, which is the pediatric code used to report
only the placement of the transesophageal probe, we looked to CPT code
93313, which is the code used to report the same service in an adult.
The 1997 work RVUs for CPT code 93313 are established as 0.95. We have
assigned these same work RVUs to CPT code 93316 because the work of
placement of a transesophageal probe in a child was not included in the
surveys described above.
For CPT code 93315, which is the pediatric code used to report the
complete procedure, we calculated interim proposed work RVUs by adding
the work RVUs for CPT codes 93316 and 93317. This results in 2.78 work
RVUs.
We look forward to receiving recommendations from the RUC for
these services once the coding issues are settled and survey data has
been considered.
CPT codes 95921 through 95923 (Testing of autonomic nervous system
function).
CPT 1997 will include three new codes to report the testing of
autonomic nervous system function. The RUC recommendations for these
codes were as follows: CPT code 95921, 0.90 work RVUs; CPT code 95922,
0.96 work RVUs; and CPT code 95923, 0.90 work RVUs.
We believe that the RUC recommendations are too high compared to
other services on the fee schedule. The RUC compared the service to
needle electromyography (CPT code 95860), with 0.96 work RVUs. We
disagree with that comparison because we do not believe the autonomic
testing codes involve the extensive physician involvement required
during electromyography. We believe more appropriate reference codes
would be nerve conduction testing (CPT code 95900), with 0.42 work
RVUs; visual field examination (CPT code 92083), with 0.50 work RVUs;
and a 24 hour EKG monitor (CPT code 93224), with 0.52 work RVUs. In
addition, we believe the vignettes used in the survey may have led to
overestimating the amount of work because they describe evaluation and
management services that can be separately reported. The autonomic
testing codes have a global status of XXX, which means the evaluation
and management services can be separately reported since codes with XXX
status are not subject to our global surgery policies.
Although we disagree with the recommended work RVUs, we agree with
the relative relationship established by the RUC for the three codes in
this family. We are reducing the RUC recommendations for the codes by
50 percent so that the work RVUs will be valued appropriately relative
to the referenced procedures identified above. Therefore, the interim
work RVUs are established as follows: CPT code 95921, 0.45 work RVUs;
CPT code 95922, 0.48 work RVUs; and CPT code 95923, 0.45 work RVUs.
d. New HCFA Common Procedure Coding System Codes.
In this final rule, we have created new HCPCS codes that are to be
used in lieu of existing CPT codes for four categories of services
furnished on or after January 1, 1997. Three of the categories are
discussed elsewhere in this rule. The three categories of services and
the sections of this rule where they are discussed are: destruction of
benign and premalignant skin lesions (section II.D.2.b.); psychotherapy
(section IV.A.14.); and care plan oversight (section IV.B.1.). The
fourth category, bone mineral density studies, is discussed below.
For the 1997 physician fee schedule, we are establishing several
new alpha-numeric HCPCS codes and related work RVUs for the reporting
of peripheral and central skeletal bone mineral density services that
are not clearly described by existing CPT codes. 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. The related
interim RVUs will, like other interim values, be subject to comment
during the 60-day public comment period following publication of this
rule; however, like other interim values, they will be used for payment
purposes for procedures furnished after December 31, 1996. We will
address the public comments on these interim codes in the final rule
for the 1998 physician fee schedule.
Currently, there is only one CPT code 76070 for computerized
tomography bone mineral density studies, only one CPT code 76075 for
dual energy x-ray absorptiometry bone mineral density studies, and only
one CPT code 78350 for single photon absorptiometry bone mineral
density studies. While computerized tomography, dual energy x-ray
absorptiometry, and single photon absorptiometry studies may be
performed on the peripheral skeleton, new less expensive devices are
now being marketed (for example, p-Dexa) that perform studies of
peripheral (forearm, wrist, or heel) skeletal bones only. The RVUs
assigned to the existing CPT codes that could be used to report these
services are excessive when compared to the resources associated with
their use.
Recently, a manufacturer, representatives of a specialty society,
and our Technical Advisory Committee have recommended that we establish
separate bone mineral density codes to distinguish peripheral scans
from general pelvic scans because of the belief that Medicare payment
for CPT codes 76070, 76075, and 78350 is too high when only a
peripheral scan is done to determine bone density. We agree with the
recommendation and, thus, are issuing new HCPCS codes for both
peripheral and general bone mineral density studies as well as
assigning the appropriate RVUs as outlined below.
With the issuance of the interim peripheral and central skeletal
bone mineral density codes and the related work RVUs beginning January
1, 1997,
[[Page 59550]]
physicians and providers must report all peripheral or skeletal bone
mineral density studies under the interim codes for those services. To
eliminate the possibility of confusion regarding whether to use the
existing CPT codes for these procedures, we will no longer recognize
the existing codes (CPT codes 76070, 76075, and 78350) for Medicare
reporting purposes.
----------------------------------------------------------------------------------------------------------------
Practice
HCPCS code Work RVUs expense Malpractice Total RVUs
RVUs RVUs
----------------------------------------------------------------------------------------------------------------
G0062-Peripheral Skeletal Bone Mineral Density Study (e.g.
radius, wrist, heel)....................................... 0.22 0.82 0.07 1.11
G0062-26.................................................... 0.22 0.10 0.02 0.34
G0062-TC.................................................... 0.00 0.72 0.05 0.77
G0063--Central Skeletal Bone Mineral Density Study (e.g.
spine, pelvis)............................................. 0.30 3.07 0.21 3.58
G0063-26.................................................... 0.30 0.12 0.02 0.44
G0063-TC.................................................... 0.00 2.95 0.19 3.14
----------------------------------------------------------------------------------------------------------------
We have assigned 0.22 work RVUs to HCPCS code G0062, based on the
work RVUs assigned to CPT code 78350, which was used to report a single
photon absorptiometry bone mineral density study. We have assigned 0.82
practice expense RVUs to HCPCS code G0062, based on the practice
expense RVUs assigned to CPT code 78350, single photon absorptiometry
bone mineral density study. HCPCS code G0062 is the only code to be
used for reporting peripheral bone mineral density studies.
We have assigned 0.30 work RVUs to HCPCS code G0063, based on the
work RVUs assigned to CPT code 76075, which is used to report dual
energy x-ray absorptiometry studies. We have assigned 3.07 practice
expense RVUs to HCPCS code G0063, based on the practice expense RVUs
assigned to CPT code 76075, dual energy x-ray absorptiometry studies.
We would like to emphasize that this is a change in coding policy
rather than a change in coverage policy. The coverage policy on bone
density studies in section 50-44 of the Medicare Coverage Issues Manual
(HCFA-Pub. 6) remains in effect. Under that policy:
Single photon absorptiometry (CPT code 78350) is covered
when used in assessing changes in bone density of patients with
osteodystrophy or osteoporosis when performed on the same individual at
intervals of 6 to 12 months. Under this coding change, HCPCS code G0062
would be used to report a single photo absorptiometry on the peripheral
skeleton, and HCPCS code G0063 would be used to report the procedure
when performed on the central skeleton.
Bone biopsy, a physiologic test that is a surgical,
invasive procedure, is covered when used for the qualitative evaluation
of bone. Billing for this procedure is unaffected by this change.
Photodensitometry, a noninvasive radiological procedure
that attempts to assess bone mass by measuring the optical density of
extremity radiographs with a photodensitometer, would be reported by
HCPCS code G0062 under this change.
Dual photon absorptiometry (CPT code 78351) remains a 1
noncovered service under Medicare and may not be reported under HCPCS
code G0062 or HCPCS code G0063. Dual photon absorptiometry should be
reported with CPT code 78351.
The coverage of computerized tomography bone mineral
density studies (CPT code 76070) and dual energy x-ray absorptiometry
bone mineral density studies (CPT code 76075) is a matter of individual
carrier discretion. If covered, HCPCS code G0062 would be used to
report a peripheral skeleton study by either method, and HCPCS code
G0063 would be used to report either procedure when performed on the
central skeleton.
We recognize that the use of these temporary codes for destruction
of benign and premalignant skin lesions, psychotherapy, care plan
oversight and bone mineral density studies will place an administrative
burden on both physicians and payers. However, we do not believe the
burden will be significant. Also, we believe that our responsibility to
publish a relative value scale for physician work and to use codes with
a minimal potential for misuse outweighs our concerns regarding the
potential administrative burden associated with temporary codes.
We view these codes as temporary, and we plan to forward them to
the CPT Editorial Panel as soon as possible. Our statutory
responsibility to publish the physician fee schedule each year with an
effective date of January 1 occasionally conflicts with the annual CPT
publication cycle that precludes consideration of new and revised CPT
codes later than February before publication of the next year's book.
Thus, for these four categories of temporary codes, we were unable to
submit requested new and revised codes to CPT in time for the 1998
book.
VI. Provisions of the Final Rule
The provisions of this final rule, for the most part, restate the
provisions of the July 1996 proposed rule with the exception of changes
to the regulations text in Sec. 410.32 (``Diagnostic x-ray tests,
diagnostic laboratory tests, and other diagnostic tests: Conditions'').
We are also making final the provisions of the May 3, 1996 proposed
notice with the exception of those issues identified elsewhere in the
preamble of this final rule.
VII. Collection of Information Requirements
This document does not impose information collection and
recordkeeping requirements. Consequently, it need not be reviewed by
the Office of Management and Budget under the authority of the
Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.).
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.
[[Page 59551]]
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 have an economic impact on a substantial
number of small entities. A substantial number of physicians will
experience some change in Medicare revenue as a result of one or more
provisions of this final rule, however, for most physicians the change
will not be significant. Under the Regulatory Flexibility Act, we
consider a change to be significant if it results in a difference in
Medicare payments to a substantial number of entities that equals or
exceeds from 3 to 5 percent of each of the entities' total revenue.
Where such effect occurs, we must explain the alternatives considered
to demonstrate that we considered minimizing adverse effects. However,
adverse payment effects result from the application of the budget
neutrality requirements (as described below in section IX.B. of this
final rule).
The provisions of this rule are expected to have varying effects on
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. As illustrated in
accompanying charts, some specialties experience greater change in
income from Medicare than others. While we present our estimate of the
effect of the changes made by this rule on each specialty taken as a
whole, practicing members of that specialty may experience quite
different effects, depending on the extent to which their billing
patterns coincide with changes to codes encompassed by the specialty as
a whole, and the Medicare percentage of their practice. (This is
further explained in section L.3. of this impact statement.) 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.
With few exceptions, we expect that an impact on an individual
medical practitioner of more than 5 percent of practice income will be
limited. In instances where there is a likelihood of some
practitioners' practice income being affected, such as in some
localities being realigned, we discuss in detail elsewhere in this
preamble alternate considerations and our conclusions for the policies
adopted.
B. Budget Neutrality
Section 1848(c)(2)(B) of the Act requires that adjustments in a
year may not cause the amount of expenditures for the year to differ by
more than $20 million from what expenditures would have been in the
absence of these changes. If this threshold is exceeded, we make
adjustments to preserve this budget neutrality.
This year budget neutrality adjustments are required by changes in
fees resulting from the 5-year refinement and revisions in payment
policies, including the establishment of interim and final RVUs for CPT
coding changes.
In past years, we have made budget neutrality adjustments across
the entire physician fee schedule: to all relative values (initially)
and, beginning in 1996, to the CFs. As is discussed in section IV.C.1.
of this final rule, we are making the budget neutrality adjustment
required for changes in fees resulting from the 5-year review through a
temporary separate adjuster to the work RVUs in 1997. We plan on
eliminating this adjuster in 1998 when we implement the resource-based
practice expense RVUs. The budget neutrality adjustment required for
all other changes will be applied to the CF, as in prior years.
The components of the budget neutrality adjustment to the CFs
required by payment policy changes are discussed in sections IX.C.
through IX.J. below. The impact of the changes resulting from the 5-
year refinement is discussed in section IX.K. below.
C. Payment Area (Locality) and Corresponding Geographic Practice Cost
Index Changes
As mentioned earlier, our policy change will reduce existing urban/
rural payment differences. Overall, urban areas will experience an
average decrease in payments of -0.14 percent, while rural areas will
experience an increase in payments of 1 percent. We analyzed the
effects of these changes on physicians by specialty. The changes are
quite small and follow the expected pattern. We estimate that overall,
physicians in family practice and general practice will experience
modest increases of about 0.3 percent in payments, while most medical
and surgical specialties will experience negligible decreases of about
-0.1 to -0.2 percent. This pattern results from the tendency of
specialists to be disproportionately concentrated in urban areas, which
are estimated to experience a slight decrease in payments under our
policy change.
The impact on beneficiaries is likewise minor. We examined the
impact by beneficiary age, gender, race, and income level. Roughly 20
percent of beneficiaries reside in areas in which payments decrease by
less than 5 percent, roughly 50 percent live in areas that experience
no change in payments, roughly 25 percent live in areas where payments
will increase by less than 5 percent, and about 2 percent live in areas
where payments will rise by 5 to 10 percent.
The distribution of beneficiaries by age and gender and of
Caucasian beneficiaries are nearly identical to this overall
distribution. Minority beneficiaries are more heavily concentrated in
areas that experience no change in payments; a lower proportion of
minority beneficiaries live both in areas experiencing a loss and areas
experiencing a gain than do Caucasian beneficiaries. For example, 14.4
percent of minority beneficiaries live in an area experiencing a loss
compared to 21 percent of all beneficiaries who live in these areas.
Beneficiaries living below the poverty level are less likely than all
beneficiaries to be living in an area experiencing a payment decrease
under our policy change, 16 percent compared to 21 percent. It does not
appear that vulnerable Medicare groups--minorities, the very old, or
the poor--will suffer decreases in access resulting from our policy
change.
D. Special Rules for the Payment of Diagnostic Tests, Including
Diagnostic Radiologic Procedures
One policy change will require that, to be covered under Medicare,
diagnostic tests, including diagnostic radiologic procedures, must be
ordered by the physician who treats a beneficiary or furnishes a
consultation to the physician who treats the beneficiary. Under
Sec. 410.22(b)(2) (``Limitations on services of a chiropractor''), no
payment can be made to a chiropractor who orders diagnostic tests.
However, we are allowing an exception for x-rays that demonstrate
subluxation of the spine that are ordered for a chiropractor. We are
allowing
[[Page 59552]]
payment for these x-rays when ordered by a physician who will not be
treating the patient for subluxation of the spine. Nonphysician
practitioners functioning within the scope of their State licensure and
Medicare benefit will be considered a physician treating the
beneficiary for the purpose of the regulation. The regulation
(Sec. 410.31 ``Diagnostic x-ray tests, diagnostic laboratory tests, and
other diagnostic tests: Conditions'') codifies our current manual
instruction. Implementing this policy by regulation may result in some
program savings due to the denial of payment for tests that may not be
medically necessary because they were ordered by a physician who was
not treating the beneficiary. However, we do not have sufficient data
to furnish any reliable estimates of savings.
E. Transportation in Connection With Furnishing Diagnostic Tests
We are eliminating separate payment for the transportation of EKG
equipment (HCPCS code R0076) by all suppliers. In 1995, we allowed
236,051 services and paid $10,700,974. Therefore, were it not for our
budget-neutrality adjustment, we estimate that this policy change would
result in approximately a $9.2 million reduction in Medicare payments.
F. Bundled Services
1. Hot or Cold Packs
We are changing the status indicator for CPT code 97010
(Application of a modality to one or more areas; hot or cold packs) to
``B'' to indicate that the service is covered under Medicare but
payment for it is bundled into payment for other services. Separate
payment for CPT code 97010 will not be permitted under this policy
change. The annual expenditures for CPT code 97010 under our current
policy are approximately $41.2 million. Because the RVUs for this
procedure will be redistributed across all physician fee schedule
services in a budget neutral manner, there will be no measurable impact
from this proposal.
2. Dermatology Procedures
a. Bundling of Repair Codes Into Excision Codes
As a result of our review of the comments related to our proposal
to bundle the dermatology repair codes into the excision codes, we have
decided not to implement this proposal. We have clarified the
definitions of simple and intermediate skin repair codes to reflect the
differences in physician work for these procedures. These
clarifications will reduce the potential for misuse of the intermediate
repair codes but will have no significant impact on Medicare
expenditures.
b. Skin Lesion Destruction Codes
We are changing the way Medicare pays for the destruction of
benign or premalignant skin lesions. Currently there are several CPT
codes that describe a variety of ways of reporting the destruction of
skin lesions. We are assigning a ``G'' status code to CPT codes 17000
through 17105 and create three HCPCS codes to report the destruction of
skin lesions. Because we will use a weighted average of the final RVUs
that emerged from the 5-year review process that are assigned to the
CPT codes for the destruction of benign or premalignant skin lesions in
valuing the three new codes, this policy change will have no
significant impact on Medicare expenditures.
G. Change of Coverage Status for Screening and Obsolete Procedures
1. Vital Capacity Testing
We are changing the status for vital capacity tests (CPT code
94150) from ``active'' to ``bundled.'' To the extent that these tests
are still being performed in medical practice today, we understand that
they are often performed as a part of a comprehensive evaluation.
Therefore, we are bundling Medicare payment for these tests into
Medicare payment for evaluation and management services. We do not
believe that the change in status will have a significant impact on
Medicare expenditures.
2. Certain Cardiovascular Procedures
We are discontinuing coverage for certain cardiovascular
procedures (CPT codes 93201, 93202, 93204, 93205, 93208, 93209, 93210,
93220, 93221, and 93222). These codes have been deleted from the CPT
because they are considered to be obsolete. Because there has been a
decline in the billing of these services in recent years and in 1994,
we only allowed a total of 17,925 services with $690,326 in allowed
charges for all 10 diagnostic tests. We do not believe that the change
in coverage status will have a significant impact on Medicare
expenditures.
H. Payments for Supervising Physicians in Teaching Settings
This final rule is making a technical change to Sec. 415.152
(``Definitions'') to make the definition of an approved graduate
medical education program consistent with the definition in
Sec. 413.86(b) (``Direct graduate medical education payments'').
Because this is only a technical change to standardize almost identical
definitions, it will have no budgetary impact on Medicare expenditures.
We are making a technical change to remove the word ``gender''
from Sec. 415.174(a)(4)(iii) (``Exception: Evaluation and management
services furnished in certain centers''). We did not include the
reference to gender with the intention of excluding obstetric and
gynecological or other women's care residency programs solely because
of patient gender. This technical change will make clear that the
exception criteria will not be applied in such a manner. There will be
no budgetary effect.
I. Change in Global Period for Four Percutaneous Biliary Procedures
We are maintaining the current global period of 90 days and the
current RVUs for these four percutaneous biliary procedures. There will
be no budgetary effect.
J. Impact of Payment Policy Changes, Including Establishment of Interim
and Final RVUs for CPT Coding Changes
We have estimated the net increase in program costs in CY 1997
resulting from all payment policy changes, prior to application of an
adjustment factor in order to comply with the budget neutrality
requirement, to be approximately $250 million. This is a net figure in
that savings from the reductions for some changes partially offset the
costs associated with others. This figure requires a reduction of 0.6
percent in the CFs for all services to comply with the statutory
limitation on increases in expenditures. Although a $20 million
tolerance is permitted under the law, this 0.6 percent reduction to all
CFs is designed to approximate budget neutrality as closely as
possible, without creating any increase or decrease in expenditures as
a result of the changes.
K. Effect of Changes Resulting From the Five-Year Review of Work
Relative Value Units
Because the new work RVUs resulting from the 5-year review of work
relative values cause an increase in total estimated payments under the
physician fee schedule, we must reduce payments in order to maintain
budget neutrality as required by section 1848(c)(2)(B)(ii)(II) of the
Act. As is discussed in section
[[Page 59553]]
IV.C.1. of this final rule, we are making a budget neutrality
adjustment for changes in fees resulting from the 5-year review through
a separate adjuster to the work RVUs. We plan on eliminating this
adjuster in 1998 when we implement the resource-based practice expense
RVUs.
The separate budget neutrality work adjuster required by changes in
fees resulting from the 5-year refinement is 8.3 percent. The impact of
this adjustment on the fees for any individual service will vary
depending on what percentage the work RVUs represent of the total RVUs
for the service. The smaller the percentage represented by work, the
smaller the fee impact. As an extreme example, the payment for CPT code
96408 (Chemotherapy administration, intravenous; push technique) will
be unaffected by this adjuster because the service has no work RVUs,
only practice and malpractice expense RVUs. At the other extreme, the
average payment for CPT 36500 (Venous catheterization for selective
organ blood sampling) will decrease by 8.1 percent since the work RVUs
currently represent almost 98 percent of the total RVUs. On average,
the fee schedule work RVUs represent approximately 55 percent of the
total RVUs. A service with work RVUs representing 55 percent of its
total RVUs will see a 4.6 percent decrease in fees because of the
separate 8.3 percent budget neutrality adjustment on work.
We anticipate that the reduction of net Medicare revenues for some
physician practices due to the changes contained in this regulation
will result in a volume and intensity response that will cause overall
physician expenditures to increase by 0.9 percent, requiring an
offsetting 0.9 percent reduction in the CFs to maintain budget
neutrality. Although we always take into account anticipated volume and
intensity responses in our impact analyses, in some prior years the
magnitude of the CF updates has been sufficient to offset any loss in
Medicare revenues resulting from fee schedule changes.
As in previous years, we increased the Medicare Volume Performance
Standard (MVPS) targets for physician spending by the anticipated 0.9
volume and intensity response. Because we increased the targets, if the
anticipated volume and intensity response does not occur, the MVPS
system will return the 0.9 percent reduction to the CFs in the form of
higher future updates.
L. Net Impact of Changes on Medicare Specialties
1. Impact Estimation Methodology
Physician fee schedule impacts were estimated by comparing
predicted physician payments under a continuation of the current RVUs
and policies to the estimated payments under the new RVUs and policies
described above.
2. Overall Fee Schedule Impact
As described above, we are making the budget neutrality adjustment
required for changes in fees resulting from the 5-year review through a
separate adjuster to the work RVUs. The budget neutrality adjustment
for all other changes is being applied to the CFs. In the discussion
below of differential impacts by specialty, we have incorporated the
separate 8.3 percent downward adjustment on the work RVUs and the 1.5
percent downward adjustment on the CFs.
3. Specialty Level Effect (Includes Table 4--Five-Year Review Impact on
Medicare Payments by Specialty)
Table 4, ``Five-Year Review Impact on Medicare Payments by
Specialty,'' shows the estimated percentage change in Medicare
physician fees from the current RVUs and policies to the new RVUs and
policies by specialty. The specialties are ranked according to the
impact of the changes to Medicare fees. The impact of the changes
contained in this regulation on the total revenue (Medicare and non-
Medicare) for a given specialty is less than impact displayed in Table
4 since physicians provide services to Medicare and non-Medicare
patients.
The magnitude of the Medicare impact depends on the mix of services
the specialty provides. In general, because of the changes to the
evaluation and management services, those specialties that account for
more visits and fewer procedures are expected to experience larger
increases in Medicare payments than procedurally oriented specialties,
including surgical specialties.
Because the budget neutrality adjustment reduces fees for services
with work RVUs that did not experience any change as a result of the 5-
year review, specialties that primarily perform these services will
experience a negative impact. For example, although the work RVUs for
the majority of procedures performed by radiologists remained unchanged
(with the exception of the increase in work RVUs for mammography), fees
for services provided by radiologists will, on average, experience a
4.4 percent decrease due to the budget neutrality adjustments.
Table 4.--Impact on Medicare Payments by Specialty
------------------------------------------------------------------------
Impact of
Specialty changes
(percent)
------------------------------------------------------------------------
Chiropractor............................................... 15.5
Anesthesiology............................................. 5.2
Psychiatry................................................. 3.6
Family Practice............................................ 2.5
Internal Medicine.......................................... 2.1
Hematology Oncology........................................ 1.9
Emergency Medicine......................................... 1.7
Pulmonary.................................................. 1.6
General Practice........................................... 1.4
Rheumatology............................................... 1.2
All Other Physician........................................ 0.8
Neurology.................................................. 0.6
Obstetrics/Gynecology...................................... 0.3
Clinics.................................................... -0.1
Cardiology................................................. -0.5
Otolaryngology............................................. -0.8
Nonphysician Practitioner.................................. -0.9
Vascular Surgery........................................... -1.0
Gastroenterology........................................... -1.6
Neurosurgery............................................... -1.7
General Surgery............................................ -2.5
Oral Surgery............................................... -3.0
Suppliers.................................................. -3.1
Plastic Surgery............................................ -3.2
Urology.................................................... -3.2
Orthopedic Surgery......................................... -3.4
Nephrology................................................. -3.4
Thoracic Surgery........................................... -3.5
Cardiac Surgery............................................ -4.0
Podiatry................................................... -4.3
Dermatology................................................ -4.3
Radiology.................................................. -4.4
Radiation Oncology......................................... -4.8
Optometrist................................................ -5.1
Ophthalmology.............................................. -5.5
Pathology.................................................. -5.7
------------
Total............................................... -0.9
------------------------------------------------------------------------
M. 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 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
[[Page 59554]]
payments made to physicians and certain other practitioners under Part
B of the Medicare program and will make no change in 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.
In accordance with the provisions of Executive Order 12866, this
final rule was reviewed by the Office of Management and Budget.
List of Subjects
42 CFR Part 410
Health facilities, Health professions, Kidney diseases,
Laboratories, Medicare, Rural areas, X-rays.
42 CFR Part 415
Health facilities, Health professions, Medicare, and Reporting and
recordkeeping requirements.
42 CFR chapter IV is amended as set forth below:
PART 410--SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
A. 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), unless otherwise indicated.
2. In Sec. 410.32 paragraphs (a) and (b) are redesignated as
paragraphs (d) and (e), respectively, and new paragraphs (a), (b), and
(c) are added to read as follows:
Sec. 410.32 Diagnostic x-ray tests, diagnostic laboratory tests, and
other diagnostic tests: Conditions.
(a) Ordering diagnostic tests. All diagnostic x-ray tests,
diagnostic laboratory tests, and other diagnostic tests must be ordered
by the physician who treats the beneficiary, that is, the physician who
is actively furnishing a consultation or treating a beneficiary for a
specific medical problem and who uses the results in the management of
the beneficiary's specific medical problem.
(b) Exception. A physician may order an x-ray to be used by a
chiropractor to demonstrate the subluxation of the spine that is the
basis for a beneficiary to receive manual manipulation treatments even
though the physician does not treat the beneficiary.
(c) Application to non-physician practitioners. Non-physician
practitioners (that is, clinical nurse specialists, clinical
psychologists, clinical social workers, nurse-midwives, nurse
practitioners, and physician assistants) who provide services that
would be physician services if furnished by a physician, and who are
operating within the scope of their authority under State law and
within the scope of their Medicare statutory benefit, may be treated
the same as physicians treating beneficiaries for the purpose of this
section.
* * * * *
PART 415--SERVICES FURNISHED BY PHYSICIANS IN PROVIDERS,
SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN
CERTAIN SETTINGS
B. Part 415 is amended as set forth below:
1. The authority citation for part 415 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
2. In Sec. 415.152 the introductory text is republished, and the
definition of ``approved graduate medical education (GME) program'' is
revised to read as follows:
Sec. 415.152 Definitions.
As used in this subpart--
Approved graduate medical education (GME) program means one of the
following:
(1) 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.
(2) A program otherwise recognized as an ``approved medical
residency program'' under Sec. 413.86(b) of this chapter.
* * * * *
Sec. 415.174 [Amended]
3. In Sec. 415.174, in paragraph (a)(4)(iii), the phrase ``system,
diagnosis, or gender'' is removed, and the phrase ``system or
diagnosis'' is added in its place.
(Catalog of Federal Domestic Assistance Program No. 93.774,
Medicare--Supplementary Medical Insurance Program)
Dated: November 7, 1996.
Bruce C. Vladeck,
Administrator, Health Care Financing Administration.
Dated: November 12, 1996.
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 1997.
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
1997 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 $40.9603. For primary care services, use a CF of $35.7671. For other
nonsurgical services, use a CF of $33.8454. The work adjuster for 1997
is 0.917.
Addendum B--1997 Relative Value Units and Related Information Used in
Determining Medicare Payments for 1997
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.
[[Page 59555]]
2. Modifier. A modifier is shown if there is a technical component
(modifier TC) and a professional component (PC) (modifier -26) for the
service. If there is a PC and a TC for the service, Addendum B contains
three entries for the code: One for the global values (both
professional and technical); one for modifier -26 (PC); and one for
modifier TC. The global service is not designated by a modifier, and
physicians must bill using the code without a modifier if the physician
furnishes both the PC and the TC of the service.
Modifier -53 is shown for a discontinued procedure. There will be
RVUs for the code (CPT code 45378) with this modifier.
3. Status indicator. This indicator shows whether the CPT/HCPCS
code is in the physician fee schedule and whether it is separately
payable if the service is covered.
A=Active code. These codes are separately payable under the fee
schedule if covered. There will be RVUs for codes with this status. The
presence of an ``A'' indicator does not mean that Medicare has made a
national decision regarding the coverage of the service. Carriers
remain responsible for coverage decisions in the absence of a national
Medicare policy.
B=Bundled code. Payment for covered services is always bundled into
payment for other services not specified. If RVUs are shown, they are
not used for Medicare payment. If these services are covered, payment
for them is subsumed by the payment for the services to which they are
incident. (An example is a telephone call from a hospital nurse
regarding care of a patient.)
C=Carrier-priced code. Carriers will establish RVUs and payment
amounts for these services, generally on a case-by-case basis following
review of documentation, such as an operative report.
D=Deleted code. These codes are deleted effective with the
beginning of the calendar year.
E=Excluded from physician fee schedule by regulation. These codes
are for items or services that we chose to exclude from the physician
fee schedule payment by regulation. No RVUs are shown, and no payment
may be made under the physician fee schedule for these codes. Payment
for them, if they are covered, continues under reasonable charge or
other payment procedures.
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.
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 1997. 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 1997.
7. Malpractice expense RVUs. These are the RVUs for the malpractice
expense for the service for 1997.
8. Total RVUs. This is the sum of the work, practice expense, and
malpractice expense RVUs for 1997.
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 1997
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 1997 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.
[[Page 59556]]
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 RVUs period
---\2\--------------------------------------------------------------------------------------------------------------------------------------------------
10040... ................... A Acne surgery of skin 1.15 0.32 0.03 1.50 010 S
abscess.
10060... ................... A Drainage of skin 1.12 0.44 0.04 1.60 010 S
abscess.
10061... ................... A Drainage of skin 2.24 0.64 0.06 2.94 010 S
abscess.
10080... ................... A Drainage of pilonidal 1.12 0.50 0.05 1.67 010 N
cyst.
10081... ................... A Drainage of pilonidal 2.40 1.11 0.16 3.67 010 S
cyst.
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/ 1.48 0.48 0.05 2.01 010 S
fluid.
10160... ................... A Puncture drainage of 1.15 0.38 0.05 1.58 010 S
lesion.
10180... ................... A Complex drainage, wound 2.20 1.05 0.18 3.43 010 S
11000... ................... A Debride infected skin.. 0.60 0.40 0.04 1.04 000 S
11001... ................... A Debride infect skin add 0.30 0.26 0.02 0.58 ZZZ S
11010... ................... A Debride skin, fx....... 4.15 3.96 0.65 8.76 010 S
11011... ................... A Debride skin/muscle, fx 4.95 4.72 0.77 10.44 000 S
11012... ................... A Debride skin/muscle/ 6.88 6.56 1.07 14.51 000 S
bone, fx.
11040... ................... A Debride skin partial... 0.50 0.40 0.04 0.94 000 S
11041... ................... A Debride skin full...... 0.82 0.56 0.06 1.44 000 S
11042... ................... A Debride skin/tissue.... 1.12 0.65 0.08 1.85 000 S
11043... ................... A Debride tissue/muscle.. 1.83 1.81 0.34 3.98 010 S
11044... ................... A Debride tissue/muscle/ 2.28 2.82 0.49 5.59 010 S
bone.
11050... ................... A Trim skin lesion....... 0.43 0.37 0.03 0.83 000 S
11051... ................... A Trim 2 to 4 skin 0.66 0.50 0.05 1.21 000 S
lesions.
11052... ................... A Trim over 4 skin 0.86 0.41 0.04 1.31 000 S
lesions.
11100... ................... A Biopsy of skin lesion.. 0.81 0.51 0.04 1.36 000 S
11101... ................... A Biopsy, each added 0.41 0.29 0.02 0.72 ZZZ S
lesion.
11200... ................... A Removal of skin tags... 0.69 0.43 0.04 1.16 010 S
11201... ................... A Removal of added skin 0.26 0.17 0.02 0.45 ZZZ S
tags.
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
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 2.58 2.68 0.44 5.70 090 S
lesion.
11451... ................... A Removal, sweat gland 3.80 2.90 0.46 7.16 090 S
lesion.
11462... ................... A Removal, sweat gland 2.36 2.41 0.36 5.13 090 S
lesion.
11463... ................... A Removal, sweat gland 3.80 2.00 0.34 6.14 090 S
lesion.
11470... ................... A Removal, sweat gland 3.10 2.78 0.45 6.33 090 S
lesion.
11471... ................... A Removal, sweat gland 4.26 2.46 0.48 7.20 090 S
lesion.
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
[[Page 59557]]
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... ................... D Scraping of 1-5 nails.. 0.00 0.00 0.00 0.00 000 S
11701... ................... D Scraping of additional 0.00 0.00 0.00 0.00 ZZZ S
nails.
11710... ................... D Scraping of 1-5 nails.. 0.00 0.00 0.00 0.00 000 S
11711... ................... D Scraping of additional 0.00 0.00 0.00 0.00 ZZZ S
nails.
11720... ................... A Debride nail, 1-5...... 0.32 0.32 0.03 0.67 000 S
11721... ................... A Debride nail, 6 or more 0.54 0.54 0.05 1.13 000 S
11730... ................... A Removal of nail plate.. 1.13 0.45 0.04 1.62 000 S
11731... ................... A Removal of second nail 0.57 0.51 0.05 1.13 ZZZ S
plate.
11732... ................... A Remove additional nail 0.57 0.25 0.02 0.84 ZZZ S
plate.
11740... ................... A Drain blood from under 0.37 0.39 0.04 0.80 000 S
nail.
11750... ................... A Removal of nail bed.... 1.66 2.10 0.19 3.95 010 S
11752... ................... A Remove nail bed/finger 2.37 2.82 0.36 5.55 010 S
tip.
11755... ................... A Biopsy, nail unit...... 1.31 0.99 0.12 2.42 000 S
11760... ................... A Reconstruction of nail 1.53 0.93 0.09 2.55 010 S
bed.
11762... ................... A Reconstruction of nail 2.84 2.57 0.24 5.65 010 S
bed.
11765... ................... A Excision of nail fold, 0.64 0.51 0.05 1.20 010 S
toe.
11770... ................... A Removal of pilonidal 2.56 2.67 0.44 5.67 010 S
lesion.
11771... ................... A Removal of pilonidal 5.15 4.52 0.92 10.59 090 S
lesion.
11772... ................... A Removal of pilonidal 6.36 4.82 1.01 12.19 090 S
lesion.
11900... ................... A Injection into skin 0.52 0.25 0.02 0.79 000 S
lesions.
11901... ................... A Added skin lesions 0.80 0.41 0.03 1.24 000 S
injection.
11920... ................... R Correct skin color 1.61 1.18 0.23 3.02 000 S
defects.
11921... ................... R Correct skin color 1.93 1.40 0.28 3.61 000 S
defects.
11922... ................... R Correct skin color 0.49 0.36 0.07 0.92 ZZZ S
defects.
11950... ................... R Therapy for contour 0.84 1.19 0.11 2.14 000 S
defects.
11951... ................... R Therapy for contour 1.19 1.19 0.11 2.49 000 S
defects.
11952... ................... R Therapy for contour 1.69 1.19 0.11 2.99 000 S
defects.
11954... ................... R Therapy for contour 1.85 1.19 0.11 3.15 000 S
defects.
11960... ................... A Insert tissue 8.00 7.73 1.48 17.21 090 S
expander(s).
11970... ................... A Replace tissue expander 6.65 8.51 1.61 16.77 090 S
11971... ................... A Remove tissue 1.51 2.30 0.82 4.63 090 S
expander(s).
11975... ................... N Insert contraceptive +1.48 1.06 0.25 2.79 XXX 0
cap.
11976... ................... R Removal of 1.78 1.28 0.30 3.36 XXX N
contraceptive cap.
11977... ................... N Removal/reinsert contra +3.30 2.36 0.55 6.21 XXX 0
cap.
12001... ................... A Repair superficial 1.65 0.57 0.05 2.27 010 N
wound(s).
12002... ................... A Repair superficial 1.81 0.79 0.07 2.67 010 N
wound(s).
12004... ................... A Repair superficial 2.19 1.14 0.10 3.43 010 N
wound(s).
12005... ................... A Repair superficial 2.81 1.47 0.14 4.42 010 N
wound(s).
12006... ................... A Repair superficial 3.62 1.78 0.19 5.59 010 N
wound(s).
12007... ................... A Repair superficial 4.07 1.80 0.19 6.06 010 S
wound(s).
12011... ................... A Repair superficial 1.71 0.74 0.06 2.51 010 N
wound(s).
12013... ................... A Repair superficial 1.94 1.03 0.08 3.05 010 N
wound(s).
12014... ................... A Repair superficial 2.41 1.19 0.10 3.70 010 N
wound(s).
12015... ................... A Repair superficial 3.14 1.62 0.14 4.90 010 N
wound(s).
12016... ................... A Repair superficial 3.88 2.26 0.19 6.33 010 N
wound(s).
12017... ................... A Repair superficial 4.66 3.36 0.31 8.33 010 N
wound(s).
12018... ................... A Repair superficial 5.48 5.15 0.48 11.11 010 S
wound(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 2.10 0.72 0.07 2.89 010 S
wound(s).
12032... ................... A Layer closure of 2.42 1.05 0.10 3.57 010 S
wound(s).
12034... ................... A Layer closure of 2.87 1.47 0.15 4.49 010 S
wound(s).
12035... ................... A Layer closure of 3.38 1.92 0.23 5.53 010 S
wound(s).
[[Page 59558]]
12036... ................... A Layer closure of 4.00 2.32 0.37 6.69 010 S
wound(s).
12037... ................... A Layer closure of 4.62 3.09 0.48 8.19 010 S
wound(s).
12041... ................... A Layer closure of 2.32 0.84 0.08 3.24 010 N
wound(s).
12042... ................... A Layer closure of 2.69 1.17 0.12 3.98 010 N
wound(s).
12044... ................... A Layer closure of 3.09 1.62 0.17 4.88 010 N
wound(s).
12045... ................... A Layer closure of 3.59 2.13 0.23 5.95 010 N
wound(s).
12046... ................... A Layer closure of 4.20 2.82 0.37 7.39 010 S
wound(s).
12047... ................... A Layer closure of 4.60 4.02 0.56 9.18 010 N
wound(s).
12051... ................... A Layer closure of 2.42 1.01 0.10 3.53 010 S
wound(s).
12052... ................... A Layer closure of 2.72 1.47 0.14 4.33 010 S
wound(s).
12053... ................... A Layer closure of 3.07 1.76 0.17 5.00 010 S
wound(s).
12054... ................... A Layer closure of 3.41 2.60 0.25 6.26 010 S
wound(s).
12055... ................... A Layer closure of 4.38 3.24 0.37 7.99 010 S
wound(s).
12056... ................... A Layer closure of 5.19 4.74 0.52 10.45 010 S
wound(s).
12057... ................... A Layer closure of 5.91 5.57 0.48 11.96 010 S
wound(s).
13100... ................... A Repair of wound or 3.07 1.14 0.13 4.34 010 S
lesion.
13101... ................... A Repair of wound or 3.87 2.08 0.21 6.16 010 S
lesion.
13120... ................... A Repair of wound or 3.25 1.35 0.17 4.77 010 S
lesion.
13121... ................... A Repair of wound or 4.28 2.65 0.33 7.26 010 S
lesion.
13131... ................... A Repair of wound or 3.74 1.98 0.23 5.95 010 S
lesion.
13132... ................... A Repair of wound or 5.75 4.57 0.44 10.76 010 S
lesion.
13150... ................... A Repair of wound or 3.76 1.76 0.23 5.75 010 S
lesion.
13151... ................... A Repair of wound or 4.40 2.45 0.35 7.20 010 S
lesion.
13152... ................... A Repair of wound or 6.28 5.13 0.68 12.09 010 S
lesion.
13160... ................... A Late closure of wound.. 9.53 3.33 0.58 13.44 090 S
13300... ................... A Repair of wound or 5.11 5.71 0.86 11.68 010 S
lesion.
14000... ................... A Skin tissue 5.43 3.41 0.38 9.22 090 S
rearrangement.
14001... ................... A Skin tissue 7.78 4.75 0.76 13.29 090 S
rearrangement.
14020... ................... A Skin tissue 6.08 4.90 0.49 11.47 090 S
rearrangement.
14021... ................... A Skin tissue 9.37 6.21 0.94 16.52 090 S
rearrangement.
14040... ................... A Skin tissue 7.18 6.77 0.65 14.60 090 S
rearrangement.
14041... ................... A Skin tissue 10.74 7.88 1.02 19.64 090 S
rearrangement.
14060... ................... A Skin tissue 8.05 7.75 1.04 16.84 090 S
rearrangement.
14061... ................... A Skin tissue 11.42 10.49 1.27 23.18 090 S
rearrangement.
14300... ................... A Skin tissue 10.76 11.31 1.84 23.91 090 S
rearrangement.
14350... ................... A Skin tissue 9.05 6.07 1.05 16.17 090 S
rearrangement.
15000... ................... A Skin graft procedure... 1.95 2.49 0.53 4.97 ZZZ S
15050... ................... A Skin pinch graft 3.90 1.79 0.30 5.99 090 S
procedure.
15100... ................... A Skin split graft 8.05 4.54 0.89 13.48 090 S
procedure.
15101... ................... A Skin split graft 1.72 1.59 0.33 3.64 ZZZ S
procedure.
15120... ................... A Skin split graft 9.14 6.05 0.94 16.13 090 S
procedure.
15121... ................... A Skin split graft 2.67 2.91 0.53 6.11 ZZZ S
procedure.
15200... ................... A Skin full graft 7.46 4.13 0.69 12.28 090 S
procedure.
15201... ................... A Skin full graft 1.32 1.68 0.50 3.50 ZZZ S
procedure.
15220... ................... A Skin full graft 7.42 4.84 0.85 13.11 090 S
procedure.
15221... ................... A Skin full graft 1.19 1.59 0.50 3.28 ZZZ S
procedure.
15240... ................... A Skin full graft 8.30 6.10 1.03 15.43 090 S
procedure.
15241... ................... A Skin full graft 1.86 2.38 0.58 4.82 ZZZ S
procedure.
15260... ................... A Skin full graft 9.56 7.46 0.99 18.01 090 S
procedure.
15261... ................... A Skin full graft 2.23 2.85 0.60 5.68 ZZZ S
procedure.
15350... ................... A Skin homograft 3.89 2.15 0.42 6.46 090 S
procedure.
15400... ................... A Skin heterograft 4.91 1.06 0.17 6.14 090 S
procedure.
15570... ................... A Form skin pedicle flap. 8.39 5.50 2.08 15.97 090 S
15572... ................... A Form skin pedicle flap. 8.59 5.38 1.86 15.83 090 S
15574... ................... A Form skin pedicle flap. 8.97 5.40 1.66 16.03 090 S
15576... ................... A Form skin pedicle flap. 8.14 3.12 0.60 11.86 090 S
15580... ................... A Attach skin pedicle 8.84 4.31 1.30 14.45 090 S
graft.
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 3.61 4.62 0.93 9.16 090 S
flap.
15732... ................... A Muscle-skin graft, head/ 16.52 15.48 3.46 35.46 090 S
neck.
15734... ................... A Muscle-skin graft, 16.52 19.01 3.24 38.77 090 S
trunk.
15736... ................... A Muscle-skin graft, arm. 15.26 16.21 3.02 34.49 090 S
15738... ................... A Muscle-skin graft, leg. 16.52 12.89 3.29 32.70 090 S
[[Page 59559]]
15740... ................... A Island pedicle flap 9.45 10.39 1.62 21.46 090 S
graft.
15750... ................... A Neurovascular pedicle 10.61 11.96 2.03 24.60 090 S
graft.
15755... ................... D Microvascular flap 0.00 0.00 0.00 0.00 090 S
graft.
15756... ................... A Free muscle flap, 33.23 30.09 5.33 68.65 090 S
microvasc.
15757... ................... A Free skin flap, 33.23 30.09 5.33 68.65 090 S
microvasc.
15758... ................... A Free fascial flap, 33.23 30.09 5.33 68.65 090 S
microvasc.
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 3.96 2.88 0.56 7.40 000 S
grafts.
15776... ................... R Hair transplant punch 5.54 4.03 0.79 10.36 000 S
grafts.
15780... ................... A Abrasion treatment of 6.73 1.53 0.13 8.39 090 S
skin.
15781... ................... A Abrasion treatment of 4.67 3.77 0.39 8.83 090 S
skin.
15782... ................... A Abrasion treatment of 4.19 1.19 0.13 5.51 090 S
skin.
15783... ................... A Abrasion treatment of 4.16 1.85 0.19 6.20 090 S
skin.
15786... ................... A Abrasion treatment of 1.98 0.62 0.06 2.66 010 S
lesion.
15787... ................... A Abrasion, added skin 0.33 0.23 0.03 0.59 ZZZ S
lesions.
15788... ................... R Chemical peel, face, 1.96 1.48 0.12 3.56 090 S
epiderm.
15789... ................... R Chemical peel, face, 4.69 1.48 0.12 6.29 090 S
dermal.
15792... ................... R Chemical peel, 1.73 0.50 0.05 2.28 090 S
nonfacial.
15793... ................... A Chemical peel, 3.51 0.50 0.05 4.06 090 S
nonfacial.
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 4.80 6.14 0.64 11.58 090 S
eyelid.
15821... ................... A Revision of lower 5.37 6.87 0.68 12.92 090 S
eyelid.
15822... ................... A Revision of upper 4.27 5.47 0.56 10.30 090 S
eyelid.
15823... ................... A Revision of upper 6.65 7.71 0.61 14.97 090 S
eyelid.
15824... ................... R Removal of forehead 0.00 0.00 0.00 0.00 XXX S
wrinkles.
15825... ................... R Removal of neck 0.00 0.00 0.00 0.00 XXX S
wrinkles.
15826... ................... R Removal of brow 0.00 0.00 0.00 0.00 XXX S
wrinkles.
15828... ................... R Removal of face 0.00 0.00 0.00 0.00 XXX S
wrinkles.
15829... ................... R Removal of skin 0.00 0.00 0.00 0.00 XXX S
wrinkles.
15831... ................... A Excise excessive skin 11.66 9.84 2.01 23.51 090 S
tissue.
15832... ................... A Excise excessive skin 10.97 8.29 1.33 20.59 090 S
tissue.
15833... ................... A Excise excessive skin 10.02 6.22 1.12 17.36 090 S
tissue.
15834... ................... A Excise excessive skin 10.16 7.18 1.22 18.56 090 S
tissue.
15835... ................... A Excise excessive skin 10.98 7.00 1.22 19.20 090 S
tissue.
15836... ................... A Excise excessive skin 8.83 5.80 1.10 15.73 090 S
tissue.
15837... ................... A Excise excessive skin 8.08 5.97 0.85 14.90 090 S
tissue.
15838... ................... A Excise excessive skin 6.78 5.88 0.73 13.39 090 S
tissue.
15839... ................... A Excise excessive skin 8.92 2.44 0.46 11.82 090 S
tissue.
15840... ................... A Graft for face nerve 12.26 15.54 2.28 30.08 090 S
palsy.
15841... ................... A Graft for face nerve 21.53 16.87 2.76 41.16 090 S
palsy.
15842... ................... A Graft for face nerve 35.98 29.00 2.68 67.66 090 S
palsy.
15845... ................... A Skin and muscle repair, 11.80 15.10 2.54 29.44 090 S
face.
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 0.86 0.44 0.07 1.37 000 N
for burn.
15860... ................... A Test for blood flow in 1.95 1.35 0.25 3.55 000 S
graft.
15876... ................... R Suction assisted 0.00 0.00 0.00 0.00 XXX S
lipectomy.
15877... ................... R Suction assisted 0.00 0.00 0.00 0.00 XXX S
lipectomy.
15878... ................... R Suction assisted 0.00 0.00 0.00 0.00 XXX S
lipectomy.
15879... ................... R Suction assisted 0.00 0.00 0.00 0.00 XXX S
lipectomy.
15920... ................... A Removal of tail bone 7.37 2.95 0.63 10.95 090 S
ulcer.
15922... ................... A Removal of tail bone 9.17 5.98 1.19 16.34 090 S
ulcer.
15931... ................... A Remove sacrum pressure 8.13 2.93 0.55 11.61 090 S
sore.
15933... ................... A Remove sacrum pressure 9.64 6.92 1.43 17.99 090 S
sore.
15934... ................... A Remove sacrum pressure 11.40 7.46 1.50 20.36 090 S
sore.
15935... ................... A Remove sacrum pressure 13.05 11.24 2.27 26.56 090 S
sore.
15936... ................... A Remove sacrum pressure 11.31 10.27 2.05 23.63 090 S
sore.
15937... ................... A Remove sacrum pressure 12.98 13.47 2.67 29.12 090 S
sore.
15940... ................... A Removal of pressure 8.19 3.55 0.73 12.47 090 S
sore.
15941... ................... A Removal of pressure 10.15 7.05 1.39 18.59 090 S
sore.
15944... ................... A Removal of pressure 10.18 9.26 1.82 21.26 090 S
sore.
15945... ................... A Removal of pressure 11.32 11.14 2.09 24.55 090 S
sore.
15946... ................... A Removal of pressure 19.81 16.61 3.24 39.66 090 S
sore.
15950... ................... A Remove thigh pressure 6.79 3.01 0.58 10.38 090 S
sore.
[[Page 59560]]
15951... ................... A Remove thigh pressure 9.57 7.65 1.58 18.80 090 S
sore.
15952... ................... A Remove thigh pressure 10.18 7.13 1.37 18.68 090 S
sore.
15953... ................... A Remove thigh pressure 11.39 9.08 1.87 22.34 090 S
sore.
15956... ................... A Remove thigh pressure 13.93 17.17 3.39 34.49 090 S
sore.
15958... ................... A Remove thigh pressure 13.89 17.77 3.76 35.42 090 S
sore.
15999... ................... C Removal of pressure 0.00 0.00 0.00 0.00 YYY S
sore.
16000... ................... A Initial treatment of 0.89 0.35 0.03 1.27 000 N
burn(s).
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... ................... G Destroy benign/premal +0.56 0.42 0.03 1.01 010 S
lesion.
17001... ................... G Destruction of add'l +0.19 0.19 0.02 0.40 ZZZ S
lesions.
17002... ................... G Destruction of add'l +0.19 0.10 0.01 0.30 ZZZ S
lesions.
17010... ................... G Destruction skin +1.01 0.48 0.04 1.53 010 S
lesion(s).
17100... ................... G Destruction of skin +0.53 0.37 0.03 0.93 010 S
lesion.
17101... ................... G Destruction of 2nd +0.11 0.18 0.02 0.31 ZZZ S
lesion.
17102... ................... G Destruction of add'l +0.11 0.08 0.01 0.20 ZZZ S
lesions.
17104... ................... G Destruction of skin +2.01 0.07 0.01 2.09 010 S
lesions.
17105... ................... G Destruction of skin +0.76 0.31 0.03 1.10 010 S
lesions.
17106... ................... A Destruction of skin 4.54 1.93 0.18 6.65 090 S
lesions.
17107... ................... A Destruction of skin 9.06 3.70 0.39 13.15 090 S
lesions.
17108... ................... A Destruction of skin 13.10 9.32 0.69 23.11 090 S
lesions.
17110... ................... A Destruction of skin 0.55 0.40 0.03 0.98 010 S
lesions.
17200... ................... A Electrocautery of skin 0.59 0.41 0.04 1.04 010 S
tags.
17201... ................... A Electrocautery added 0.38 0.15 0.01 0.54 ZZZ S
lesions.
17250... ................... A Chemical cautery, 0.50 0.34 0.04 0.88 000 S
tissue.
17260... ................... A Destruction of skin 0.86 1.13 0.10 2.09 010 S
lesions.
17261... ................... A Destruction of skin 1.12 1.39 0.12 2.63 010 S
lesions.
17262... ................... A Destruction of skin 1.53 1.82 0.16 3.51 010 S
lesions.
17263... ................... A Destruction of skin 1.74 2.25 0.21 4.20 010 S
lesions.
17264... ................... A Destruction of skin 1.89 2.59 0.26 4.74 010 S
lesions.
17266... ................... A Destruction of skin 2.29 3.11 0.49 5.89 010 S
lesions.
17270... ................... A Destruction of skin 1.27 1.34 0.12 2.73 010 S
lesions.
17271... ................... A Destruction of skin 1.44 1.75 0.16 3.35 010 S
lesions.
17272... ................... A Destruction of skin 1.72 2.20 0.19 4.11 010 S
lesions.
17273... ................... A Destruction of skin 2.00 2.58 0.25 4.83 010 S
lesions.
17274... ................... A Destruction of skin 2.54 3.21 0.32 6.07 010 S
lesions.
17276... ................... A Destruction of skin 3.15 3.41 0.51 7.07 010 S
lesions.
17280... ................... A Destruction of skin 1.12 1.65 0.15 2.92 010 S
lesions.
17281... ................... A Destruction of skin 1.67 2.09 0.18 3.94 010 S
lesions.
17282... ................... A Destruction of skin 1.99 2.57 0.23 4.79 010 S
lesions.
17283... ................... A Destruction of skin 2.59 3.01 0.28 5.88 010 S
lesions.
17284... ................... A Destruction of skin 3.16 3.51 0.33 7.00 010 S
lesions.
17286... ................... A Destruction of skin 4.39 4.32 0.60 9.31 010 S
lesions.
17304... ................... A Chemosurgery of skin 7.60 4.02 0.31 11.93 000 S
lesion.
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 2.85 1.47 0.12 4.44 000 S
therapy.
17310... ................... A Extensive skin 0.95 0.13 0.01 1.09 000 S
chemosurgery.
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 0.00 0.00 0.00 0.00 XXX S
electrolysis.
17999... ................... C Skin tissue procedure.. 0.00 0.00 0.00 0.00 YYY S
19000... ................... A Drainage of breast 0.84 0.38 0.07 1.29 000 S
lesion.
19001... ................... A Drain added breast 0.42 0.24 0.05 0.71 ZZZ S
lesion.
19020... ................... A Incision of breast 3.37 1.40 0.28 5.05 090 S
lesion.
19030... ................... A Injection for breast x- 1.53 0.49 0.04 2.06 000 N
ray.
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 3.52 2.34 0.35 6.21 090 S
fistula.
[[Page 59561]]
19120... ................... A Removal of breast 5.35 2.90 0.60 8.85 090 S
lesion.
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 4.85 4.29 0.91 10.05 090 S
tissue.
19160... ................... A Removal of breast 5.75 4.13 0.88 10.76 090 S
tissue.
19162... ................... A Remove breast tissue, 12.81 9.38 1.96 24.15 090 S
nodes.
19180... ................... A Removal of breast...... 8.09 5.61 1.17 14.87 090 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 13.91 5.05 1.04 20.00 090 S
lesion.
19271... ................... A Revision of chest wall. 17.07 13.95 2.77 33.79 090 S
19272... ................... A Extensive chest wall 19.47 12.60 2.56 34.63 090 S
surgery.
19290... ................... A Place needle wire, 1.27 0.44 0.07 1.78 000 S
breast.
19291... ................... A Place needle wire, 0.63 0.25 0.04 0.92 ZZZ S
breast.
19316... ................... A Suspension of breast... 10.07 12.84 2.43 25.34 090 S
19318... ................... A Reduction of large 15.00 14.18 3.23 32.41 090 S
breast.
19324... ................... A Enlarge breast......... 5.55 3.29 0.67 9.51 090 S
19325... ................... A Enlarge breast with 8.05 5.87 1.13 15.05 090 S
implant.
19328... ................... A Removal of breast 5.32 3.76 0.73 9.81 090 S
implant.
19330... ................... A Removal of implant 7.18 3.88 0.75 11.81 090 S
material.
19340... ................... A Immediate breast 6.33 8.10 2.06 16.49 ZZZ S
prosthesis.
19342... ................... A Delayed breast 10.64 10.81 2.03 23.48 090 S
prosthesis.
19350... ................... A Breast reconstruction.. 8.52 7.08 1.38 16.98 090 S
19355... ................... A Correct inverted 7.27 4.93 1.00 13.20 090 S
nipple(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
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 7.59 6.17 1.19 14.95 090 S
capsule.
19371... ................... A Removal of breast 8.84 7.91 1.54 18.29 090 S
capsule.
19380... ................... A Revise breast 8.63 8.11 1.57 18.31 090 S
reconstruction.
19396... ................... A Design custom breast 2.17 1.57 0.31 4.05 000 S
implant.
19499... ................... C Breast surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
20000... ................... A Incision of abscess.... 1.85 0.85 0.08 2.78 010 S
20005... ................... A Incision of deep 3.02 1.83 0.28 5.13 010 S
abscess.
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, 4.95 2.59 0.60 8.14 010 S
extremity.
20150... ................... A Excise epiphyseal bar.. 13.00 12.40 2.03 27.43 090 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/ 1.27 1.31 0.09 2.67 000 N
needle.
20225... ................... A Bone biopsy, trocar/ 1.87 2.39 0.28 4.54 000 N
needle.
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 1.18 0.36 0.04 1.58 010 N
tract.
20501... ................... A Inject sinus tract for 0.76 0.30 0.02 1.08 000 N
x-ray.
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/ 0.86 0.38 0.04 1.28 000 N
cyst.
20600... ................... A Drain/inject joint/ 0.66 0.47 0.05 1.18 000 S
bursa.
20605... ................... A Drain/inject joint/ 0.68 0.45 0.05 1.18 000 S
bursa.
20610... ................... A Drain/inject joint/ 0.79 0.45 0.05 1.29 000 N
bursa.
20615... ................... A Treatment of bone cyst. 2.23 0.49 0.06 2.78 010 N
20650... ................... A Insert and remove bone 2.07 1.08 0.14 3.29 010 S
pin.
20660... ................... A Apply,remove fixation 2.51 1.56 0.21 4.28 000 S
device.
20661... ................... A Application of head 4.27 3.82 0.65 8.74 090 S
brace.
20662... ................... A Application of pelvis 5.52 6.54 1.03 13.09 090 S
brace.
[[Page 59562]]
20663... ................... A Application of thigh 4.88 4.64 0.76 10.28 090 S
brace.
20665... ................... A Removal of fixation 1.26 0.50 0.07 1.83 010 S
device.
20670... ................... A Removal of support 1.69 0.74 0.11 2.54 010 S
implant.
20680... ................... A Removal of support 3.25 3.33 0.51 7.09 090 S
implant.
20690... ................... A Apply bone fixation 3.52 3.66 0.58 7.76 ZZZ S
device.
20692... ................... A Apply bone fixation 6.41 5.51 0.89 12.81 ZZZ S
device.
20693... ................... A Adjust bone fixation 5.42 2.49 0.42 8.33 090 S
device.
20694... ................... A Remove bone fixation 3.81 2.60 0.41 6.82 090 S
device.
20802... ................... A Replantation, arm, 39.56 37.72 6.17 83.45 090 S
complete.
20805... ................... A Replant forearm, 48.41 46.17 7.56 102.14 090 S
complete.
20808... ................... A Replantation, hand, 60.19 57.40 9.40 126.99 090 S
complete.
20816... ................... A Replantation digit, 29.67 28.30 4.63 62.60 090 S
complete.
20822... ................... A Replantation digit, 24.53 23.39 3.83 51.75 090 S
complete.
20824... ................... A Replantation thumb, 29.67 28.30 4.63 62.60 090 S
complete.
20827... ................... A Replantation thumb, 25.22 24.05 3.94 53.21 090 S
complete.
20838... ................... A Replantation, foot, 39.56 37.72 6.17 83.45 090 S
complete.
20900... ................... A Removal of bone for 5.03 2.80 0.45 8.28 090 S
graft.
20902... ................... A Removal of bone for 6.74 4.95 0.80 12.49 090 S
graft.
20910... ................... A Remove cartilage for 5.03 0.79 0.09 5.91 090 S
graft.
20912... ................... A Remove cartilage for 6.04 4.62 0.64 11.30 090 S
graft.
20920... ................... A Removal of fascia for 4.87 3.93 0.50 9.30 090 S
graft.
20922... ................... A Removal of fascia for 6.04 4.39 0.71 11.14 090 S
graft.
20924... ................... A Removal of tendon for 6.04 5.45 0.85 12.34 090 S
graft.
20926... ................... A Removal of tissue for 5.03 2.59 0.39 8.01 090 S
graft.
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 1.26 1.09 0.17 2.52 000 S
pressure,muscle.
20955... ................... A Fibula bone graft, 37.58 35.84 5.87 79.29 090 S
microvasc.
20956... ................... A Iliac bone graft, 37.00 26.90 5.26 69.16 090 S
microvasc.
20957... ................... A Mt bone graft, 38.33 27.87 5.45 71.65 090 S
microvasc.
20960... ................... D Microvascular rib graft 0.00 0.00 0.00 0.00 090 S
20962... ................... A Other bone graft, 37.00 26.90 5.26 69.16 090 S
microvasc.
20969... ................... A Bone/skin graft, 42.08 40.13 6.57 88.78 090 S
microvasc.
20970... ................... A Bone/skin graft, iliac 41.22 39.31 6.44 86.97 090 S
crest.
20971... ................... D Bone-skin graft, rib... 0.00 0.00 0.00 0.00 090 S
20972... ................... A Bone-skin graft, 41.54 39.61 6.49 87.64 090 S
metatarsal.
20973... ................... A Bone-skin graft, great 44.31 42.25 6.91 93.47 090 S
toe.
20974... ................... A Electrical bone 0.62 3.42 0.53 4.57 ZZZ S
stimulation.
20975... ................... A Electrical bone 2.60 3.33 0.56 6.49 ZZZ S
stimulation.
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 4.94 6.32 1.13 12.39 090 S
tumor.
21025... ................... A Excision of bone, lower 8.98 4.14 0.38 13.50 090 S
jaw.
21026... ................... A Excision of facial 4.53 3.14 0.28 7.95 090 S
bone(s).
21029... ................... A Contour of face bone 7.21 9.23 0.78 17.22 090 S
lesion.
21030... ................... A Removal of face bone 6.04 3.35 0.29 9.68 090 S
lesion.
21031... ................... A Remove exostosis, 3.14 3.68 0.32 7.14 090 S
mandible.
21032... ................... A Remove exostosis, 3.14 3.88 0.35 7.37 090 S
maxilla.
21034... ................... A Removal of face bone 15.11 6.98 0.89 22.98 090 S
lesion.
21040... ................... A Removal of jaw bone 2.01 2.76 0.24 5.01 090 S
lesion.
21041... ................... A Removal of jaw bone 6.04 5.76 0.50 12.30 090 S
lesion.
21044... ................... A Removal of jaw bone 11.08 9.55 1.11 21.74 090 S
lesion.
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 9.56 11.59 1.04 22.19 090 S
cartilage.
21070... ................... A Remove coronoid process 7.66 6.81 0.82 15.29 090 S
21076... ................... A Prepare face/oral 12.54 16.77 1.35 30.66 010 S
prosthesis.
21077... ................... A Prepare face/oral 31.54 42.18 3.39 77.11 090 S
prosthesis.
21079... ................... A Prepare face/oral 20.88 27.93 2.25 51.06 090 S
prosthesis.
21080... ................... A Prepare face/oral 23.46 31.38 2.52 57.36 090 S
prosthesis.
21081... ................... A Prepare face/oral 21.38 28.59 2.30 52.27 090 S
prosthesis.
21082... ................... A Prepare face/oral 19.50 26.08 2.10 47.68 090 S
prosthesis.
21083... ................... A Prepare face/oral 18.04 24.13 1.94 44.11 090 S
prosthesis.
21084... ................... A Prepare face/oral 21.04 28.14 2.28 51.46 090 S
prosthesis.
[[Page 59563]]
21085... ................... A Prepare face/oral 8.41 11.25 0.90 20.56 010 S
prosthesis.
21086... ................... A Prepare face/oral 23.29 31.15 2.51 56.95 090 S
prosthesis.
21087... ................... A Prepare face/oral 23.29 31.15 2.51 56.95 090 S
prosthesis.
21088... ................... C Prepare face/oral 0.00 0.00 0.00 0.00 090 S
prosthesis.
21089... ................... C Prepare face/oral 0.00 0.00 0.00 0.00 090 S
prosthesis.
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- 0.81 0.73 0.06 1.60 000 S
ray.
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 10.00 4.72 0.54 15.26 090 S
bone.
21127... ................... A Augmentation lower jaw 10.43 7.91 0.92 19.26 090 S
bone.
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, 16.92 14.34 1.68 32.94 090 S
lefort.
21142... ................... A Reconstruct midface, 17.58 14.84 1.74 34.16 090 S
lefort.
21143... ................... A Reconstruct midface, 18.30 15.40 1.81 35.51 090 S
lefort.
21145... ................... A Reconstruct midface, 18.92 14.34 1.68 34.94 090 S
lefort.
21146... ................... A Reconstruct midface, 19.58 14.84 1.74 36.16 090 S
lefort.
21147... ................... A Reconstruct midface, 20.30 15.40 1.81 37.51 090 S
lefort.
21150... ................... A Reconstruct midface, 24.41 18.46 2.17 45.04 090 S
lefort.
21151... ................... A Reconstruct midface, 27.34 20.68 2.42 50.44 090 S
lefort.
21154... ................... A Reconstruct midface, 29.28 22.15 2.59 54.02 090 S
lefort.
21155... ................... A Reconstruct midface, 33.19 25.11 2.94 61.24 090 S
lefort.
21159... ................... A Reconstruct midface, 40.99 31.02 3.63 75.64 090 S
lefort.
21160... ................... A Reconstruct midface, 44.90 33.96 3.98 82.84 090 S
lefort.
21172... ................... A Reconstruct orbit/ 26.84 20.30 2.37 49.51 090 S
forehead.
21175... ................... A Reconstruct orbit/ 32.21 24.37 2.85 59.43 090 S
forehead.
21179... ................... A Reconstruct entire 21.47 16.24 1.90 39.61 090 S
forehead.
21180... ................... A Reconstruct entire 24.41 18.46 2.17 45.04 090 S
forehead.
21181... ................... A Contour cranial bone 9.40 7.11 0.83 17.34 090 S
lesion.
21182... ................... A Reconstruct cranial 31.23 23.63 2.77 57.63 090 S
bone.
21183... ................... A Reconstruct cranial 34.17 25.85 3.03 63.05 090 S
bone.
21184... ................... A Reconstruct cranial 37.10 28.06 3.28 68.44 090 S
bone.
21188... ................... A Reconstruction of 21.47 16.24 1.90 39.61 090 S
midface.
21193... ................... A Reconstruct lower jaw 16.23 12.31 1.44 29.98 090 S
bone.
21194... ................... A Reconstruct lower jaw 18.81 14.26 1.67 34.74 090 S
bone.
21195... ................... A Reconstruct lower jaw 16.27 12.34 1.44 30.05 090 S
bone.
21196... ................... A Reconstruct lower jaw 17.94 13.61 1.58 33.13 090 S
bone.
21198... ................... A Reconstruct lower jaw 13.36 14.82 1.74 29.92 090 S
bone.
21206... ................... A Reconstruct upper jaw 13.36 10.14 1.19 24.69 090 S
bone.
21208... ................... A Augmentation of facial 9.56 11.26 1.07 21.89 090 S
bones.
21209... ................... A Reduction of facial 6.28 4.59 0.76 11.63 090 S
bones.
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 13.10 16.77 2.09 31.96 090 S
joint.
21242... ................... A Reconstruction of jaw 12.10 15.55 2.25 29.90 090 S
joint.
21243... ................... A Reconstruction of jaw 18.98 14.40 1.68 35.06 090 S
joint.
21244... ................... A Reconstruction of lower 11.08 14.18 1.93 27.19 090 S
jaw.
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 21.15 27.08 2.27 50.50 090 S
bone.
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 15.63 20.00 1.68 37.31 090 S
bone.
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 9.56 9.60 1.41 20.57 090 S
[[Page 59564]]
21275... ................... A Revision orbitofacial 10.50 8.95 1.26 20.71 090 S
bones.
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/ 1.43 0.96 0.13 2.52 090 S
bone.
21296... ................... A Revision of jaw muscle/ 3.97 3.62 0.22 7.81 090 S
bone.
21299... ................... C Cranio/maxillofacial 0.00 0.00 0.00 0.00 YYY S
surgery.
21300... ................... A Treatment of skull 0.72 0.92 0.11 1.75 000 S
fracture.
21310... ................... A Treatment of nose 0.58 0.75 0.09 1.42 000 N
fracture.
21315... ................... A Treatment of nose 1.41 1.81 0.21 3.43 010 S
fracture.
21320... ................... A Treatment of nose 1.82 2.33 0.34 4.49 010 S
fracture.
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 5.35 4.09 0.52 9.96 090 S
fracture.
21337... ................... A Repair nasal septal 2.52 2.82 0.38 5.72 090 S
fracture.
21338... ................... A Repair nasoethmoid 6.04 5.01 0.66 11.71 090 S
fracture.
21339... ................... A Repair nasoethmoid 7.56 7.09 0.70 15.35 090 S
fracture.
21340... ................... A Repair of nose fracture 10.07 8.91 1.04 20.02 090 S
21343... ................... A Repair of sinus 12.10 9.17 1.08 22.35 090 S
fracture.
21344... ................... A Repair of sinus 18.43 9.17 1.08 28.68 090 S
fracture.
21345... ................... A Repair of nose/jaw 7.63 7.90 0.81 16.34 090 S
fracture.
21346... ................... A Repair of nose/jaw 9.92 9.40 1.04 20.36 090 S
fracture.
21347... ................... A Repair of nose/jaw 11.86 10.36 1.36 23.58 090 S
fracture.
21348... ................... A Repair of nose/jaw 15.60 11.34 2.22 29.16 090 S
fracture.
21355... ................... A Repair cheek bone 3.52 1.56 0.17 5.25 010 S
fracture.
21356... ................... A Repair cheek bone 3.88 4.96 0.89 9.73 010 S
fracture.
21360... ................... A Repair cheek bone 6.04 7.28 0.89 14.21 090 S
fracture.
21365... ................... A Repair cheek bone 13.97 12.35 1.63 27.95 090 S
fracture.
21366... ................... A Repair cheek bone 16.61 12.08 2.36 31.05 090 S
fracture.
21385... ................... A Repair eye socket 8.56 9.59 1.13 19.28 090 S
fracture.
21386... ................... A Repair eye socket 8.56 9.07 1.25 18.88 090 S
fracture.
21387... ................... A Repair eye socket 9.07 7.45 0.96 17.48 090 S
fracture.
21390... ................... A Repair eye socket 9.47 11.89 1.37 22.73 090 S
fracture.
21395... ................... A Repair eye socket 11.85 9.63 1.37 22.85 090 S
fracture.
21400... ................... A Treat eye socket 1.31 1.67 0.17 3.15 090 N
fracture.
21401... ................... A Repair eye socket 3.05 2.58 0.32 5.95 090 S
fracture.
21406... ................... A Repair eye socket 6.55 5.21 0.74 12.50 090 S
fracture.
21407... ................... A Repair eye socket 8.05 7.09 0.78 15.92 090 S
fracture.
21408... ................... A Repair eye socket 11.57 8.49 0.99 21.05 090 S
fracture.
21421... ................... A Treat mouth roof 4.80 6.14 0.62 11.56 090 S
fracture.
21422... ................... A Repair mouth roof 7.78 9.80 1.19 18.77 090 S
fracture.
21423... ................... A Repair mouth roof 9.72 9.80 1.19 20.71 090 S
fracture.
21431... ................... A Treat craniofacial 6.59 6.02 0.71 13.32 090 S
fracture.
21432... ................... A Repair craniofacial 8.05 6.76 0.84 15.65 090 S
fracture.
21433... ................... A Repair craniofacial 23.69 17.96 2.10 43.75 090 S
fracture.
21435... ................... A Repair craniofacial 16.12 13.25 1.88 31.25 090 S
fracture.
21436... ................... A Repair craniofacial 26.21 14.65 2.08 42.94 090 S
fracture.
21440... ................... A Repair dental ridge 2.52 3.07 0.28 5.87 090 S
fracture.
21445... ................... A Repair dental ridge 5.03 6.11 0.56 11.70 090 S
fracture.
21450... ................... A Treat lower jaw 2.78 2.84 0.26 5.88 090 S
fracture.
21451... ................... A Treat lower jaw 4.55 5.83 0.74 11.12 090 S
fracture.
21452... ................... A Treat lower jaw 1.85 1.39 0.17 3.41 090 S
fracture.
21453... ................... A Treat lower jaw 5.18 6.64 0.55 12.37 090 S
fracture.
21454... ................... A Treat lower jaw 6.04 8.19 1.42 15.65 090 S
fracture.
21461... ................... A Repair lower jaw 7.56 9.67 1.30 18.53 090 S
fracture.
21462... ................... A Repair lower jaw 9.15 11.71 1.34 22.20 090 S
fracture.
21465... ................... A Repair lower jaw 11.13 8.44 0.99 20.56 090 S
fracture.
21470... ................... A Repair lower jaw 14.19 17.13 1.74 33.06 090 S
fracture.
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 1.19 1.52 0.13 2.84 090 S
fracture.
21494... ................... A Repair hyoid bone 5.87 7.52 0.63 14.02 090 S
fracture.
21495... ................... A Repair hyoid bone 5.32 4.82 0.51 10.65 090 S
fracture.
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
[[Page 59565]]
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/ 4.09 1.60 0.25 5.94 090 S
chest.
21556... ................... A Remove lesion neck/ 5.28 3.80 0.64 9.72 090 S
chest.
21557... ................... A Remove tumor, neck or 8.56 8.50 1.41 18.47 090 S
chest.
21600... ................... A Partial removal of rib. 6.27 4.50 0.88 11.65 090 S
21610... ................... A Partial removal of rib. 13.66 5.17 0.76 19.59 090 S
21615... ................... A Removal of rib......... 9.03 10.13 1.96 21.12 090 S
21616... ................... A Removal of rib and 11.11 7.26 1.50 19.87 090 S
nerves.
21620... ................... A Partial removal of 6.04 6.85 1.23 14.12 090 S
sternum.
21627... ................... A Sternal debridement.... 6.06 5.03 0.90 11.99 090 S
21630... ................... A Extensive sternum 15.77 12.89 2.40 31.06 090 S
surgery.
21632... ................... A Extensive sternum 16.62 11.54 2.22 30.38 090 S
surgery.
21700... ................... A Revision of neck muscle 5.84 4.16 0.50 10.50 090 S
21705... ................... A Revision of neck muscle/ 9.03 4.85 0.96 14.84 090 S
rib.
21720... ................... A Revision of neck muscle 5.44 3.84 0.52 9.80 090 S
21725... ................... A Revision of neck muscle 6.55 4.84 0.74 12.13 090 S
21740... ................... A Reconstruction of 15.42 8.99 1.64 26.05 090 S
sternum.
21750... ................... A Repair of sternum 10.07 7.33 1.43 18.83 090 S
separation.
21800... ................... A Treatment of rib 0.91 0.77 0.07 1.75 090 N
fracture.
21805... ................... A Treatment of rib 2.62 1.35 0.17 4.14 090 S
fracture.
21810... ................... A Treatment of rib 6.68 7.33 0.61 14.62 090 N
fracture(s).
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 0.00 0.00 0.00 0.00 YYY S
procedure.
21920... ................... A Biopsy soft tissue of 2.01 0.79 0.11 2.91 010 S
back.
21925... ................... A Biopsy soft tissue of 4.23 1.95 0.32 6.50 090 S
back.
21930... ................... A Remove lesion, back or 4.82 2.72 0.49 8.03 090 S
flank.
21935... ................... A Remove tumor of back... 17.12 6.59 1.30 25.01 090 S
22100... ................... A Remove part of neck 9.05 7.64 1.09 17.78 090 S
vertebra.
22101... ................... A Remove part, thorax 9.00 8.01 1.38 18.39 090 S
vertebra.
22102... ................... A Remove part, lumbar 9.00 4.50 0.67 14.17 090 S
vertebra.
22103... ................... A Remove extra spine 2.34 2.23 0.37 4.94 ZZZ S
segment.
22110... ................... A Remove part of neck 11.59 9.72 1.64 22.95 090 S
vertebra.
22112... ................... A Remove part, thorax 11.59 9.90 1.63 23.12 090 S
vertebra.
22114... ................... A Remove part, lumbar 11.59 7.25 1.17 20.01 090 S
vertebra.
22116... ................... A Remove extra spine 2.32 2.21 0.36 4.89 ZZZ S
segment.
22210... ................... A Revision of neck spine. 22.51 13.83 2.43 38.77 090 S
22212... ................... A Revision of thorax 18.14 17.29 2.83 38.26 090 S
spine.
22214... ................... A Revision of lumbar 18.14 15.11 2.68 35.93 090 S
spine.
22216... ................... A Revise, extra spine 6.04 5.07 0.89 12.00 ZZZ S
segment.
22220... ................... A Revision of neck spine. 20.15 16.64 2.63 39.42 090 S
22222... ................... A Revision of thorax 20.15 13.61 1.58 35.34 090 S
spine.
22224... ................... A Revision of lumbar 20.15 14.68 2.66 37.49 090 S
spine.
22226... ................... A Revise, extra spine 6.04 5.07 0.89 12.00 ZZZ S
segment.
22305... ................... A Treat spine process 1.86 2.38 0.37 4.61 090 S
fracture.
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 17.19 8.32 1.34 26.85 090 S
fracture.
22326... ................... A Repair neck spine 18.43 15.93 2.74 37.10 090 S
fracture.
22327... ................... A Repair thorax spine 17.56 15.95 2.35 35.86 090 S
fracture.
22328... ................... A Repair each add spine 4.61 4.40 0.72 9.73 ZZZ S
fx.
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 5.53 5.40 0.93 11.86 ZZZ S
fusion.
22590... ................... A Spine & skull spinal 19.50 21.57 3.44 44.51 090 S
fusion.
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 6.44 5.65 0.92 13.01 ZZZ S
segment.
22630... ................... A Lumbar spine fusion.... 20.03 18.44 3.15 41.62 090 S
22632... ................... A Spine fusion, extra 5.23 4.99 0.82 11.04 ZZZ S
segment.
[[Page 59566]]
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 10.22 13.07 2.18 25.47 090 S
fusion.
22840... ................... A Insert spine fixation 12.54 5.98 0.98 19.50 ZZZ S
device.
22841... ................... B Insert spine fixation 0.00 0.00 0.00 0.00 XXX 0
device.
22842... ................... A Insert spine fixation 12.58 6.86 1.12 20.56 ZZZ S
device.
22843... ................... A Insert spine fixation 13.46 8.55 1.40 23.41 ZZZ S
device.
22844... ................... A Insert spine fixation 16.44 10.45 1.71 28.60 ZZZ S
device.
22845... ................... A Insert spine fixation 11.96 5.70 0.93 18.59 ZZZ S
device.
22846... ................... A Insert spine fixation 12.42 7.90 1.29 21.61 ZZZ S
device.
22847... ................... A Insert spine fixation 13.80 8.77 1.44 24.01 ZZZ S
device.
22848... ................... A Insert pelvic 6.00 5.72 0.94 12.66 ZZZ S
fixationdevice.
22849... ................... A Reinsert spinal 17.55 11.76 1.97 31.28 090 S
fixation.
22850... ................... A Remove spine fixation 8.98 9.17 1.50 19.65 090 S
device.
22851... ................... A Apply spine prosth 6.71 6.40 1.05 14.16 ZZZ S
device.
22852... ................... A Remove spine fixation 8.40 9.80 1.57 19.77 090 S
device.
22855... ................... A Remove spine fixation 14.11 7.46 1.25 22.82 090 S
device.
22899... ................... C Spine surgery procedure 0.00 0.00 0.00 0.00 YYY S
22900... ................... A Remove abdominal wall 5.13 3.03 0.60 8.76 090 S
lesion.
22999... ................... C Abdomen surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
23000... ................... A Removal of calcium 4.12 3.24 0.47 7.83 090 S
deposits.
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 7.80 6.22 1.04 15.06 090 S
lesion.
23040... ................... A Exploratory shoulder 8.39 9.27 1.47 19.13 090 S
surgery.
23044... ................... A Exploratory shoulder 6.40 6.91 1.18 14.49 090 S
surgery.
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 2.34 1.68 0.29 4.31 010 S
lesion.
23076... ................... A Removal of shoulder 7.12 3.54 0.65 11.31 090 S
lesion.
23077... ................... A Remove tumor of 14.65 7.38 1.38 23.41 090 S
shoulder.
23100... ................... A Biopsy of shoulder 5.63 7.20 1.24 14.07 090 S
joint.
23101... ................... A Shoulder joint surgery. 5.21 6.68 1.21 13.10 090 S
23105... ................... A Remove shoulder joint 7.74 9.91 1.73 19.38 090 S
lining.
23106... ................... A Incision of collarbone 5.56 4.75 0.80 11.11 090 S
joint.
23107... ................... A Explore,treat shoulder 8.13 9.59 1.60 19.32 090 S
joint.
23120... ................... A Partial removal, collar 6.65 4.61 0.74 12.00 090 S
bone.
23125... ................... A Removal of collarbone.. 8.90 8.49 1.27 18.66 090 S
23130... ................... A Partial removal, 7.10 7.05 1.14 15.29 090 S
shoulderbone.
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 7.80 6.64 1.01 15.45 090 S
lesion.
23155... ................... A Removal of humerus 9.58 8.80 1.37 19.75 090 S
lesion.
23156... ................... A Removal of humerus 8.00 7.64 1.25 16.89 090 S
lesion.
23170... ................... A Remove collarbone 6.27 4.81 0.78 11.86 090 S
lesion.
23172... ................... A Remove shoulder blade 6.24 5.16 0.73 12.13 090 S
lesion.
23174... ................... A Remove humerus lesion.. 8.71 8.55 1.21 18.47 090 S
23180... ................... A Remove collar bone 7.82 4.30 0.67 12.79 090 S
lesion.
23182... ................... A Remove shoulder blade 7.44 6.57 1.13 15.14 090 S
lesion.
23184... ................... A Remove humerus lesion.. 8.61 8.83 1.48 18.92 090 S
23190... ................... A Partial removal of 6.78 6.07 0.98 13.83 090 S
scapula.
23195... ................... A Removal of head of 9.00 8.91 1.45 19.36 090 S
humerus.
23200... ................... A Removal of collar bone. 11.05 9.17 1.26 21.48 090 S
23210... ................... A Removal of 11.39 9.01 1.41 21.81 090 S
shoulderblade.
23220... ................... A Partial removal of 13.31 12.05 2.03 27.39 090 S
humerus.
23221... ................... A Partial removal of 16.62 18.13 1.19 35.94 090 S
humerus.
23222... ................... A Partial removal of 22.78 15.02 2.30 40.10 090 S
humerus.
23330... ................... A Remove shoulder foreign 1.80 0.55 0.07 2.42 010 S
body.
23331... ................... A Remove shoulder foreign 6.89 2.26 0.38 9.53 090 S
body.
23332... ................... A Remove shoulder foreign 10.59 9.72 1.57 21.88 090 S
body.
23350... ................... A Injection for shoulder 1.00 0.52 0.05 1.57 000 N
x-ray.
[[Page 59567]]
23395... ................... A Muscle transfer, 16.00 11.13 1.84 28.97 090 S
shoulder/arm.
23397... ................... A Muscle transfers....... 15.23 13.97 2.34 31.54 090 S
23400... ................... A Fixation of shoulder 12.96 9.84 1.68 24.48 090 S
blade.
23405... ................... A Incision of tendon & 7.97 7.49 0.99 16.45 090 S
muscle.
23406... ................... A Incise tendon(s) & 10.33 9.41 1.58 21.32 090 S
muscle(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 9.51 5.18 0.83 15.52 090 S
ligament.
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 10.08 7.17 1.17 18.42 090 S
tendon.
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 16.12 16.76 2.65 35.53 090 S
joint.
23472... ................... A Reconstruct shoulder 16.09 20.60 4.89 41.58 090 S
joint.
23480... ................... A Revision of collarbone. 10.56 6.59 1.02 18.17 090 S
23485... ................... A Revision of collar bone 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 13.63 12.70 2.11 28.44 090 S
bones.
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 7.01 6.93 1.12 15.06 090 S
fracture.
23520... ................... A Treat clavicle 2.03 1.38 0.19 3.60 090 S
dislocation.
23525... ................... A Treat clavicle 3.40 1.98 0.27 5.65 090 S
dislocation.
23530... ................... A Repair clavicle 7.02 6.58 0.91 14.51 090 S
dislocation.
23532... ................... A Repair clavicle 7.59 7.23 1.19 16.01 090 S
dislocation.
23540... ................... A Treat clavicle 2.10 1.55 0.19 3.84 090 S
dislocation.
23545... ................... A Treat clavicle 3.07 1.98 0.29 5.34 090 S
dislocation.
23550... ................... A Repair clavicle 6.65 8.51 1.46 16.62 090 S
dislocation.
23552... ................... A Repair clavicle 7.83 7.29 1.17 16.29 090 S
dislocation.
23570... ................... A Treat shoulderblade 2.10 1.70 0.25 4.05 090 S
fracture.
23575... ................... A Treat shoulderblade 3.88 2.75 0.43 7.06 090 S
fracture.
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 3.24 2.10 0.24 5.58 090 S
dislocation.
23655... ................... A Treat shoulder 4.26 2.93 0.44 7.63 090 S
dislocation.
23660... ................... A Repair shoulder 7.09 9.07 1.40 17.56 090 S
dislocation.
23665... ................... A Treat dislocation/ 4.16 3.35 0.51 8.02 090 S
fracture.
23670... ................... A Repair dislocation/ 7.44 9.52 1.85 18.81 090 S
fracture.
23675... ................... A Treat dislocation/ 5.60 3.93 0.61 10.14 090 S
fracture.
23680... ................... A Repair dislocation/ 9.44 12.09 2.13 23.66 090 S
fracture.
23700... ................... A Fixation of shoulder... 2.47 2.09 0.34 4.90 010 S
23800... ................... A Fusion of shoulder 13.32 16.35 2.63 32.30 090 S
joint.
23802... ................... A Fusion of shoulder 15.62 14.07 2.24 31.93 090 S
joint.
23900... ................... A Amputation of arm & 18.40 12.57 2.40 33.37 090 S
girdle.
23920... ................... A Amputation at shoulder 13.60 13.85 2.54 29.99 090 S
joint.
23921... ................... A Amputation follow-up 5.03 4.27 0.74 10.04 090 S
surgery.
23929... ................... C Shoulder surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
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 5.56 4.69 0.78 11.03 090 S
lesion.
24000... ................... A Exploratory elbow 5.32 6.81 1.44 13.57 090 S
surgery.
24006... ................... A Release elbow joint.... 8.70 7.14 1.17 17.01 090 S
24065... ................... A Biopsy arm/elbow soft 2.03 0.79 0.10 2.92 010 S
tissue.
24066... ................... A Biopsy arm/elbow soft 4.95 2.71 0.41 8.07 090 S
tissue.
24075... ................... A Remove arm/elbow lesion 3.79 1.98 0.35 6.12 090 S
24076... ................... A Remove arm/elbow lesion 6.01 3.68 0.67 10.36 090 S
[[Page 59568]]
24077... ................... A Remove tumor of arm/ 11.18 9.79 1.87 22.84 090 S
elbow.
24100... ................... A Biopsy elbow joint 4.67 4.23 0.69 9.59 090 S
lining.
24101... ................... A Explore/treat elbow 5.84 7.47 1.41 14.72 090 S
joint.
24102... ................... A Remove elbow joint 7.57 9.68 1.81 19.06 090 S
lining.
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 8.88 7.68 1.33 17.89 090 S
lesion.
24116... ................... A Remove/graft bone 11.13 9.72 1.47 22.32 090 S
lesion.
24120... ................... A Remove elbow lesion.... 6.36 6.02 0.98 13.36 090 S
24125... ................... A Remove/graft bone 7.40 5.79 0.61 13.80 090 S
lesion.
24126... ................... A Remove/graft bone 7.76 7.40 1.21 16.37 090 S
lesion.
24130... ................... A Removal of head of 5.96 6.72 1.08 13.76 090 S
radius.
24134... ................... A Removal of arm bone 8.98 8.69 1.24 18.91 090 S
lesion.
24136... ................... A Remove radius bone 7.33 8.78 0.92 17.03 090 S
lesion.
24138... ................... A Remove elbow bone 7.36 6.39 1.06 14.81 090 S
lesion.
24140... ................... A Partial removal of arm 8.56 8.77 1.45 18.78 090 S
bone.
24145... ................... A Partial removal of 7.12 6.38 1.03 14.53 090 S
radius.
24147... ................... A Partial removal of 7.00 6.61 1.08 14.69 090 S
elbow.
24149... ................... A Radical resection of 13.25 12.64 2.07 27.96 090 S
elbow.
24150... ................... A Extensive humerus 12.43 14.08 2.24 28.75 090 S
surgery.
24151... ................... A Extensive humerus 14.65 13.83 2.11 30.59 090 S
surgery.
24152... ................... A Extensive radius 9.51 6.80 1.16 17.47 090 S
surgery.
24153... ................... A Extensive radius 10.96 10.44 1.71 23.11 090 S
surgery.
24155... ................... A Removal of elbow joint. 11.11 10.75 1.72 23.58 090 S
24160... ................... A Remove elbow joint 7.43 4.84 0.80 13.07 090 S
implant.
24164... ................... A Remove radius head 5.79 5.53 0.90 12.22 090 S
implant.
24200... ................... A Removal of arm foreign 1.71 0.56 0.06 2.33 010 N
body.
24201... ................... A Removal of arm foreign 4.30 3.06 0.49 7.85 090 S
body.
24220... ................... A Injection for elbow x- 1.31 0.51 0.05 1.87 000 N
ray.
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
24341... ................... A Repair tendon/muscle 7.33 6.99 1.14 15.46 090 S
arm.
24342... ................... A Repair of ruptured 10.13 10.38 1.76 22.27 090 S
tendon.
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 6.39 7.28 1.18 14.85 090 S
elbow.
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 7.93 7.52 1.19 16.64 090 S
radius.
24366... ................... A Reconstruct head of 8.67 11.05 1.80 21.52 090 S
radius.
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 12.19 15.61 2.84 30.64 090 S
graft.
24470... ................... A Revision of elbow joint 8.32 7.92 1.30 17.54 090 S
24495... ................... A Decompression of 7.59 5.75 1.10 14.44 090 S
forearm.
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 59569]]
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 8.76 9.29 1.48 19.53 090 S
dislocation.
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 2.39 1.95 0.27 4.61 090 S
fracture.
24675... ................... A Treatment of ulna 4.52 3.51 0.54 8.57 090 S
fracture.
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 12.79 12.18 1.99 26.96 090 S
joint.
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 6.61 6.27 0.75 13.63 090 S
surgery.
24930... ................... A Amputation follow-up 9.40 8.16 1.17 18.73 090 S
surgery.
24931... ................... A Amputate upper arm & 11.71 11.17 1.84 24.72 090 S
implant.
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 3.20 3.94 0.62 7.76 090 S
sheath.
25020... ................... A Decompression of 5.55 4.35 0.77 10.67 090 S
forearm.
25023... ................... A Decompression of 11.80 5.44 0.94 18.18 090 S
forearm.
25028... ................... A Drainage of forearm 4.88 2.06 0.36 7.30 090 S
lesion.
25031... ................... A Drainage of forearm 3.90 0.66 0.09 4.65 090 S
bursa.
25035... ................... A Treat forearm bone 6.83 6.30 1.01 14.14 090 S
lesion.
25040... ................... A Explore/treat wrist 6.61 5.69 0.90 13.20 090 S
joint.
25065... ................... A Biopsy forearm soft 1.94 0.75 0.09 2.78 010 S
tissues.
25066... ................... A Biopsy forearm soft 3.87 1.54 0.22 5.63 090 S
tissues.
25075... ................... A Removal of forearm 3.61 2.19 0.37 6.17 090 S
lesion.
25076... ................... A Removal of forearm 4.77 3.77 0.67 9.21 090 S
lesion.
25077... ................... A Remove tumor, forearm/ 9.25 8.48 1.67 19.40 090 S
wrist.
25085... ................... A Incision of wrist 5.13 4.62 0.71 10.46 090 S
capsule.
25100... ................... A Biopsy of wrist joint.. 3.66 4.69 0.79 9.14 090 S
25101... ................... A Explore/treat wrist 4.43 5.61 0.98 11.02 090 S
joint.
25105... ................... A Remove wrist joint 5.56 7.11 1.19 13.86 090 S
lining.
25107... ................... A Remove wrist joint 5.89 5.28 0.89 12.06 090 S
cartilage.
25110... ................... A Remove wrist tendon 3.79 2.80 0.46 7.05 090 S
lesion.
25111... ................... A Remove wrist tendon 3.24 3.22 0.55 7.01 090 S
lesion.
25112... ................... A Reremove wrist tendon 4.38 3.72 0.66 8.76 090 S
lesion.
25115... ................... A Remove wrist/forearm 8.00 7.14 1.23 16.37 090 S
lesion.
25116... ................... A Remove wrist/forearm 6.44 8.17 1.38 15.99 090 S
lesion.
25118... ................... A Excise wrist tendon 4.11 5.26 1.02 10.39 090 S
sheath.
25119... ................... A Partial removal of ulna 5.64 7.22 1.32 14.18 090 S
25120... ................... A Removal of forearm 5.70 6.53 1.14 13.37 090 S
lesion.
25125... ................... A Remove/graft forearm 7.06 6.84 1.04 14.94 090 S
lesion.
25126... ................... A Remove/graft forearm 7.13 6.80 1.12 15.05 090 S
lesion.
25130... ................... A Removal of wrist lesion 5.08 4.21 0.67 9.96 090 S
25135... ................... A Remove & graft wrist 6.58 5.46 0.97 13.01 090 S
lesion.
25136... ................... A Remove & graft wrist 5.68 4.74 0.85 11.27 090 S
lesion.
25145... ................... A Remove forearm bone 5.97 5.95 0.75 12.67 090 S
lesion.
25150... ................... A Partial removal of ulna 6.56 6.67 1.12 14.35 090 S
25151... ................... A Partial removal of 6.86 5.75 1.02 13.63 090 S
radius.
25170... ................... A Extensive forearm 10.45 9.79 1.51 21.75 090 S
surgery.
25210... ................... A Removal of wrist bone.. 5.55 4.88 0.80 11.23 090 S
[[Page 59570]]
25215... ................... A Removal of wrist bones. 7.40 8.68 1.42 17.50 090 S
25230... ................... A Partial removal of 4.86 5.57 0.85 11.28 090 S
radius.
25240... ................... A Partial removal of ulna 4.91 5.30 0.86 11.07 090 S
25246... ................... A Injection for wrist x- 1.45 0.50 0.05 2.00 000 N
ray.
25248... ................... A Remove forearm foreign 4.96 2.18 0.37 7.51 090 S
body.
25250... ................... A Removal of wrist 6.31 5.63 0.91 12.85 090 S
prosthesis.
25251... ................... A Removal of wrist 9.08 8.25 1.39 18.72 090 S
prosthesis.
25260... ................... A Repair forearm tendon/ 7.33 4.61 0.78 12.72 090 S
muscle.
25263... ................... A Repair forearm tendon/ 7.37 5.77 1.03 14.17 090 S
muscle.
25265... ................... A Repair forearm tendon/ 9.54 7.93 1.41 18.88 090 S
muscle.
25270... ................... A Repair forearm tendon/ 5.71 3.36 0.55 9.62 090 S
muscle.
25272... ................... A Repair forearm tendon/ 6.75 3.44 0.54 10.73 090 S
muscle.
25274... ................... A Repair forearm tendon/ 8.44 6.62 1.13 16.19 090 S
muscle.
25280... ................... A Revise wrist/forearm 6.82 4.22 0.69 11.73 090 S
tendon.
25290... ................... A Incise wrist/forearm 5.03 2.47 0.41 7.91 090 S
tendon.
25295... ................... A Release wrist/forearm 6.26 3.05 0.52 9.83 090 S
tendon.
25300... ................... A Fusion of tendons at 8.46 7.36 1.19 17.01 090 S
wrist.
25301... ................... A Fusion of tendons at 8.09 6.77 1.18 16.04 090 S
wrist.
25310... ................... A Transplant forearm 7.68 7.14 1.17 15.99 090 S
tendon.
25312... ................... A Transplant forearm 9.08 7.63 1.31 18.02 090 S
tendon.
25315... ................... A Revise palsy hand 9.45 8.06 1.34 18.85 090 S
tendon(s).
25316... ................... A Revise palsy hand 11.49 10.58 1.78 23.85 090 S
tendon(s).
25320... ................... A Repair/revise wrist 9.89 8.60 1.45 19.94 090 S
joint.
25330... ................... D Revise wrist joint..... 0.00 0.00 0.00 0.00 090 S
25331... ................... D Revise wrist joint..... 0.00 0.00 0.00 0.00 090 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/ 9.50 8.60 1.45 19.55 090 S
radioulnar.
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 13.48 12.42 2.02 27.92 090 S
ulna.
25415... ................... A Repair radius & ulna... 12.64 11.42 1.92 25.98 090 S
25420... ................... A Repair/graft radius & 15.34 14.70 2.28 32.32 090 S
ulna.
25425... ................... A Repair/graft radius or 12.44 12.02 1.87 26.33 090 S
ulna.
25426... ................... A Repair/graft radius & 14.92 11.72 2.13 28.77 090 S
ulna.
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 13.78 7.84 1.16 22.78 090 S
implant.
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 11.75 11.20 1.84 24.79 090 S
ulna.
25500... ................... A Treat fracture of 2.30 2.33 0.29 4.92 090 S
radius.
25505... ................... A Treat fracture of 4.96 3.57 0.51 9.04 090 S
radius.
25515... ................... A Repair fracture of 8.63 7.63 1.22 17.48 090 S
radius.
25520... ................... A Repair fracture of 6.01 5.74 0.94 12.69 090 S
radius.
25525... ................... A Repair fracture of 11.69 11.15 1.83 24.67 090 S
radius.
25526... ................... A Repair fracture of 12.43 11.85 1.94 26.22 090 S
radius.
25530... ................... A Treat fracture of ulna. 1.94 2.44 0.35 4.73 090 S
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
[[Page 59571]]
25560... ................... A Treat fracture radius & 2.29 2.27 0.27 4.83 090 S
ulna.
25565... ................... A Treat fracture radius & 5.29 4.66 0.70 10.65 090 S
ulna.
25574... ................... A Treat fracture radius & 6.03 7.72 1.73 15.48 090 S
ulna.
25575... ................... A Repair fracture radius/ 9.47 10.70 1.73 21.90 090 S
ulna.
25600... ................... A Treat fracture radius/ 2.48 2.84 0.42 5.74 090 S
ulna.
25605... ................... A Treat fracture radius/ 5.36 3.95 0.61 9.92 090 S
ulna.
25611... ................... A Repair fracture radius/ 7.11 6.01 0.97 14.09 090 S
ulna.
25620... ................... A Repair fracture radius/ 8.15 7.13 1.14 16.42 090 S
ulna.
25622... ................... A Treat wrist bone 2.43 2.28 0.33 5.04 090 S
fracture.
25624... ................... A Treat wrist bone 4.28 3.67 0.57 8.52 090 S
fracture.
25628... ................... A Repair wrist bone 7.81 7.13 1.16 16.10 090 S
fracture.
25630... ................... A Treat wrist bone 2.73 2.19 0.30 5.22 090 S
fracture.
25635... ................... A Treat wrist bone 4.16 3.36 0.50 8.02 090 S
fracture.
25645... ................... A Repair wrist bone 6.85 6.68 0.95 14.48 090 S
fracture.
25650... ................... A Repair wrist bone 2.87 2.66 0.36 5.89 090 S
fracture.
25660... ................... A Treat wrist dislocation 4.53 1.82 0.26 6.61 090 S
25670... ................... A Repair wrist 7.52 7.08 1.12 15.72 090 S
dislocation.
25675... ................... A Treat wrist dislocation 4.44 2.28 0.34 7.06 090 S
25676... ................... A Repair wrist 7.55 7.32 1.11 15.98 090 S
dislocation.
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 7.94 7.04 1.17 16.15 090 S
dislocation.
25800... ................... A Fusion of wrist joint.. 9.21 10.94 1.80 21.95 090 S
25805... ................... A Fusion/graft of wrist 10.57 12.85 2.09 25.51 090 S
joint.
25810... ................... A Fusion/graft of wrist 9.79 12.53 2.06 24.38 090 S
joint.
25820... ................... A Fusion of hand bones... 7.14 8.91 1.48 17.53 090 S
25825... ................... A Fusion hand bones with 8.60 11.02 1.99 21.61 090 S
graft.
25830... ................... A Fusion radioulnar jnt/ 9.50 8.60 1.45 19.55 090 S
ulna.
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 7.27 5.74 1.00 14.01 090 S
surgery.
25909... ................... A Amputation follow-up 8.37 5.55 1.06 14.98 090 S
surgery.
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 7.87 7.50 1.22 16.59 090 S
surgery.
25927... ................... A Amputation of hand..... 8.27 6.29 1.22 15.78 090 S
25929... ................... A Amputation follow-up 7.13 4.74 0.96 12.83 090 S
surgery.
25931... ................... A Amputation follow-up 7.35 4.54 0.90 12.79 090 S
surgery.
25999... ................... C Forearm or wrist 0.00 0.00 0.00 0.00 YYY S
surgery.
26010... ................... A Drainage of finger 1.49 0.48 0.05 2.02 010 N
abscess.
26011... ................... A Drainage of finger 2.14 1.54 0.24 3.92 010 S
abscess.
26020... ................... A Drain hand tendon 4.01 3.72 0.63 8.36 090 S
sheath.
26025... ................... A Drainage of palm bursa. 4.32 4.51 0.76 9.59 090 S
26030... ................... A Drainage of palm 5.36 5.73 0.98 12.07 090 S
bursa(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 3.09 2.86 0.49 6.44 090 S
contracture.
26045... ................... A Release palm 5.27 4.83 0.81 10.91 090 S
contracture.
26055... ................... A Incise finger tendon 2.56 3.28 0.56 6.40 090 S
sheath.
26060... ................... A Incision of finger 2.71 1.13 0.17 4.01 090 S
tendon.
26070... ................... A Explore/treat hand 3.34 2.76 0.42 6.52 090 S
joint.
26075... ................... A Explore/treat finger 3.44 3.78 0.62 7.84 090 S
joint.
26080... ................... A Explore/treat finger 3.78 3.14 0.51 7.43 090 S
joint.
26100... ................... A Biopsy hand joint 3.54 2.99 0.45 6.98 090 S
lining.
26105... ................... A Biopsy finger joint 3.58 4.17 0.67 8.42 090 S
lining.
26110... ................... A Biopsy finger joint 3.40 2.93 0.50 6.83 090 S
lining.
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/ 8.24 5.07 0.91 14.22 090 S
finger.
26121... ................... A Release palm 7.34 9.40 1.61 18.35 090 S
contracture.
26123... ................... A Release palm 8.64 9.10 1.53 19.27 090 S
contracture.
26125... ................... A Release palm 4.61 2.62 0.45 7.68 ZZZ S
contracture.
26130... ................... A Remove wrist joint 5.13 5.01 0.86 11.00 090 S
lining.
26135... ................... A Revise finger joint, 6.67 4.86 0.82 12.35 090 S
each.
[[Page 59572]]
26140... ................... A Revise finger joint, 5.88 4.40 0.75 11.03 090 S
each.
26145... ................... A Tendon excision, palm/ 6.03 4.71 0.80 11.54 090 S
finger.
26160... ................... A Remove tendon sheath 3.00 2.32 0.40 5.72 090 S
lesion.
26170... ................... A Removal of palm tendon, 4.62 2.83 0.45 7.90 090 S
each.
26180... ................... A Removal of finger 5.00 4.01 0.71 9.72 090 S
tendon.
26185... ................... A Remove finger bone..... 5.00 4.24 0.41 9.65 090 S
26200... ................... A Remove hand bone lesion 5.25 4.48 0.72 10.45 090 S
26205... ................... A Remove/graft bone 7.24 6.40 1.03 14.67 090 S
lesion.
26210... ................... A Removal of finger 4.97 3.90 0.64 9.51 090 S
lesion.
26215... ................... A Remove/graft finger 6.81 5.55 0.94 13.30 090 S
lesion.
26230... ................... A Partial removal of hand 5.96 4.26 0.69 10.91 090 S
bone.
26235... ................... A Partial removal, finger 5.82 4.17 0.71 10.70 090 S
bone.
26236... ................... A Partial removal, finger 4.95 3.86 0.66 9.47 090 S
bone.
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 6.74 5.73 0.97 13.44 090 S
surgery.
26261... ................... A Extensive finger 8.54 7.70 1.31 17.55 090 S
surgery.
26262... ................... A Partial removal of 5.41 4.75 0.76 10.92 090 S
finger.
26320... ................... A Removal of implant from 3.74 3.54 0.57 7.85 090 S
hand.
26350... ................... A Repair finger/hand 5.76 5.74 0.99 12.49 090 S
tendon.
26352... ................... A Repair/graft hand 7.26 6.60 1.10 14.96 090 S
tendon.
26356... ................... A Repair finger/hand 7.05 7.21 1.24 15.50 090 S
tendon.
26357... ................... A Repair finger/hand 8.16 6.58 1.19 15.93 090 S
tendon.
26358... ................... A Repair/graft hand 8.69 7.40 1.27 17.36 090 S
tendon.
26370... ................... A Repair finger/hand 6.71 6.71 1.13 14.55 090 S
tendon.
26372... ................... A Repair/graft hand 8.27 6.39 1.15 15.81 090 S
tendon.
26373... ................... A Repair finger/hand 7.67 6.85 1.11 15.63 090 S
tendon.
26390... ................... A Revise hand/finger 8.73 7.95 1.23 17.91 090 S
tendon.
26392... ................... A Repair/graft hand 9.77 8.61 1.26 19.64 090 S
tendon.
26410... ................... A Repair hand tendon..... 4.37 3.29 0.51 8.17 090 S
26412... ................... A Repair/graft hand 5.91 6.01 0.97 12.89 090 S
tendon.
26415... ................... A Excision, hand/finger 8.05 6.75 0.90 15.70 090 S
tendon.
26416... ................... A Graft hand or finger 9.06 8.64 1.41 19.11 090 S
tendon.
26418... ................... A Repair finger tendon... 4.02 3.58 0.59 8.19 090 S
26420... ................... A Repair/graft finger 6.37 5.68 0.96 13.01 090 S
tendon.
26426... ................... A Repair finger/hand 5.86 6.31 1.07 13.24 090 S
tendon.
26428... ................... A Repair/graft finger 6.90 5.50 1.00 13.40 090 S
tendon.
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 5.80 4.95 0.84 11.59 090 S
tendon.
26437... ................... A Realignment of tendons. 5.53 4.05 0.68 10.26 090 S
26440... ................... A Release palm/finger 4.76 3.57 0.59 8.92 090 S
tendon.
26442... ................... A Release palm & finger 7.45 3.37 0.59 11.41 090 S
tendon.
26445... ................... A Release hand/finger 4.16 3.25 0.54 7.95 090 S
tendon.
26449... ................... A Release forearm/hand 6.39 5.57 0.96 12.92 090 S
tendon.
26450... ................... A Incision of palm tendon 3.54 2.28 0.36 6.18 090 S
26455... ................... A Incision of finger 3.51 1.89 0.33 5.73 090 S
tendon.
26460... ................... A Incise hand/finger 3.33 1.72 0.30 5.35 090 S
tendon.
26471... ................... A Fusion of finger 5.55 4.15 0.67 10.37 090 S
tendons.
26474... ................... A Fusion of finger 5.14 4.61 0.75 10.50 090 S
tendons.
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 5.62 4.30 0.72 10.64 090 S
tendon.
26479... ................... A Shortening of hand 5.56 5.29 0.86 11.71 090 S
tendon.
26480... ................... A Transplant hand tendon. 6.49 6.53 1.11 14.13 090 S
26483... ................... A Transplant/graft hand 7.87 8.50 1.40 17.77 090 S
tendon.
26485... ................... A Transplant palm tendon. 7.28 6.50 1.08 14.86 090 S
26489... ................... A Transplant/graft palm 9.00 3.40 0.51 12.91 090 S
tendon.
26490... ................... A Revise thumb tendon.... 7.99 7.80 1.28 17.07 090 S
26492... ................... A Tendon transfer with 9.17 8.75 1.21 19.13 090 S
graft.
26494... ................... A Hand tendon/muscle 8.05 7.28 1.23 16.56 090 S
transfer.
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
26499... ................... A Revision of finger..... 8.56 7.75 1.25 17.56 090 S
26500... ................... A Hand tendon 5.67 3.49 0.60 9.76 090 S
reconstruction.
26502... ................... A Hand tendon 6.74 5.27 0.95 12.96 090 S
reconstruction.
[[Page 59573]]
26504... ................... A Hand tendon 7.05 6.72 1.11 14.88 090 S
reconstruction.
26508... ................... A Release thumb 5.61 4.15 0.72 10.48 090 S
contracture.
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 8.34 7.07 1.23 16.64 090 S
joints.
26518... ................... A Fusion of knuckle 8.53 6.51 1.22 16.26 090 S
joints.
26520... ................... A Release knuckle 5.01 4.48 0.71 10.20 090 S
contracture.
26525... ................... A Release finger 5.04 3.64 0.62 9.30 090 S
contracture.
26530... ................... A Revise knuckle joint... 6.38 5.16 0.85 12.39 090 S
26531... ................... A Revise knuckle with 7.57 6.65 1.11 15.33 090 S
implant.
26535... ................... A Revise finger joint.... 4.95 4.84 0.58 10.37 090 S
26536... ................... A Revise/implant finger 6.06 7.21 1.19 14.46 090 S
joint.
26540... ................... A Repair hand joint...... 6.03 6.64 1.12 13.79 090 S
26541... ................... A Repair hand joint with 8.20 8.94 1.47 18.61 090 S
graft.
26542... ................... A Repair hand joint with 6.38 5.67 0.97 13.02 090 S
graft.
26545... ................... A Reconstruct finger 6.50 5.27 0.94 12.71 090 S
joint.
26546... ................... A Repair non-union hand.. 8.50 8.11 1.33 17.94 090 S
26548... ................... A Reconstruct finger 7.61 5.79 1.00 14.40 090 S
joint.
26550... ................... A Construct thumb 20.77 19.81 3.24 43.82 090 S
replacement.
26551... ................... A Great toe-hand transfer 44.31 42.25 6.92 93.48 090 S
26552... ................... D Construct thumb 0.00 0.00 0.00 0.00 090 S
replacement.
26553... ................... A Single toe-hand 44.00 41.96 6.87 92.83 090 S
transfer.
26554... ................... A Double toe-hand 52.50 50.06 8.20 110.76 090 S
transfer.
26555... ................... A Positional change of 16.16 15.41 2.52 34.09 090 S
finger.
26556... ................... A Toe joint transfer..... 44.75 42.67 6.99 94.41 090 S
26557... ................... D Construct finger 0.00 0.00 0.00 0.00 090 S
replacement.
26558... ................... D Added finger surgery... 0.00 0.00 0.00 0.00 090 S
26559... ................... D 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 6.53 4.28 0.67 11.48 090 S
deformity.
26568... ................... A Lengthen metacarpal/ 8.66 8.45 1.06 18.17 090 S
finger.
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 0.00 0.00 0.00 0.00 090 S
finger.
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 8.64 8.24 1.35 18.23 090 S
tissue.
26597... ................... A Release of scar 9.37 8.02 1.37 18.76 090 S
contracture.
26600... ................... A Treat metacarpal 1.81 1.54 0.22 3.57 090 S
fracture.
26605... ................... A Treat metacarpal 2.67 2.29 0.36 5.32 090 S
fracture.
26607... ................... A Treat metacarpal 5.12 3.55 0.57 9.24 090 S
fracture.
26608... ................... A Treat metacarpal 5.12 3.55 0.57 9.24 090 S
fracture.
26615... ................... A Repair metacarpal 5.18 4.87 0.80 10.85 090 S
fracture.
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 3.54 0.88 0.10 4.52 090 S
dislocation.
26705... ................... A Treat knuckle 3.99 1.78 0.27 6.04 090 S
dislocation.
26706... ................... A Pin knuckle dislocation 4.92 4.68 0.75 10.35 090 S
26715... ................... A Repair knuckle 5.48 4.13 0.66 10.27 090 S
dislocation.
26720... ................... A Treat finger fracture, 1.56 1.10 0.15 2.81 090 S
each.
26725... ................... A Treat finger fracture, 3.18 1.54 0.23 4.95 090 S
each.
26727... ................... A Treat finger fracture, 4.92 2.45 0.38 7.75 090 S
each.
26735... ................... A Repair finger fracture, 5.72 3.73 0.61 10.06 090 S
each.
26740... ................... A Treat finger fracture, 1.81 1.16 0.16 3.13 090 S
each.
26742... ................... A Treat finger fracture, 3.70 1.98 0.32 6.00 090 S
each.
26746... ................... A Repair finger fracture, 5.55 4.75 0.80 11.10 090 S
each.
[[Page 59574]]
26750... ................... A Treat finger fracture, 1.60 0.83 0.10 2.53 090 S
each.
26755... ................... A Treat finger fracture, 2.97 1.08 0.15 4.20 090 S
each.
26756... ................... A Pin finger fracture, 4.19 1.90 0.33 6.42 090 S
each.
26765... ................... A Repair finger fracture, 4.04 2.66 0.45 7.15 090 S
each.
26770... ................... A Treat finger 2.89 0.76 0.08 3.73 090 S
dislocation.
26775... ................... A Treat finger 3.51 1.13 0.17 4.81 090 S
dislocation.
26776... ................... A Pin finger dislocation. 4.60 2.08 0.35 7.03 090 S
26785... ................... A Repair finger 4.08 2.97 0.48 7.53 090 S
dislocation.
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 8.24 7.35 1.19 16.78 090 S
joint.
26850... ................... A Fusion of knuckle...... 6.57 4.63 0.76 11.96 090 S
26852... ................... A Fusion of knuckle with 7.97 5.72 1.00 14.69 090 S
graft.
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 7.06 5.16 0.85 13.07 090 S
joint.
26863... ................... A Fuse/graft added joint. 3.90 3.37 0.57 7.84 ZZZ S
26910... ................... A Amputate metacarpal 7.18 5.16 0.93 13.27 090 S
bone.
26951... ................... A Amputation of finger/ 4.41 2.87 0.49 7.77 090 S
thumb.
26952... ................... A Amputation of finger/ 6.02 4.00 0.69 10.71 090 S
thumb.
26989... ................... C Hand/finger surgery.... 0.00 0.00 0.00 0.00 YYY S
26990... ................... A Drainage of pelvis 6.76 3.10 0.51 10.37 090 S
lesion.
26991... ................... A Drainage of pelvis 6.05 1.81 0.29 8.15 090 S
bursa.
26992... ................... A Drainage of bone lesion 12.30 6.38 1.05 19.73 090 S
27000... ................... A Incision of hip tendon. 5.27 1.85 0.24 7.36 090 S
27001... ................... A Incision of hip tendon. 6.50 2.34 0.38 9.22 090 S
27003... ................... A Incision of hip tendon. 6.62 6.77 1.08 14.47 090 S
27005... ................... A Incision of hip tendon. 9.00 3.37 0.54 12.91 090 S
27006... ................... A Incision of hip tendons 9.00 4.64 0.77 14.41 090 S
27025... ................... A Incision of hip/thigh 10.16 6.12 1.02 17.30 090 S
fascia.
27030... ................... A Drainage of hip joint.. 12.09 11.42 1.86 25.37 090 S
27033... ................... A Exploration of hip 12.38 11.52 1.85 25.75 090 S
joint.
27035... ................... A Denervation of hip 15.72 11.86 2.21 29.79 090 S
joint.
27036... ................... A Excision of hip joint/ 12.00 11.44 1.87 25.31 090 S
muscle.
27040... ................... A Biopsy of soft tissues. 2.71 0.72 0.11 3.54 010 N
27041... ................... A Biopsy of soft tissues. 9.36 2.67 0.44 12.47 090 S
27047... ................... A Remove hip/pelvis 7.16 1.89 0.32 9.37 090 S
lesion.
27048... ................... A Remove hip/pelvis 5.70 4.33 0.82 10.85 090 S
lesion.
27049... ................... A Remove tumor, hip/ 12.52 10.14 1.87 24.53 090 S
pelvis.
27050... ................... A Biopsy of sacroiliac 3.73 4.78 0.90 9.41 090 S
joint.
27052... ................... A Biopsy of hip joint.... 5.45 6.97 1.59 14.01 090 S
27054... ................... A Removal of hip joint 7.60 9.72 2.26 19.58 090 S
lining.
27060... ................... A Removal of ischial 4.73 3.93 0.68 9.34 090 S
bursa.
27062... ................... A Remove femur lesion/ 4.74 4.23 0.70 9.67 090 S
bursa.
27065... ................... A Removal of hip bone 4.98 5.59 0.90 11.47 090 S
lesion.
27066... ................... A Removal of hip bone 9.17 7.90 1.30 18.37 090 S
lesion.
27067... ................... A Remove/graft hip bone 12.64 11.63 1.93 26.20 090 S
lesion.
27070... ................... A Partial removal of hip 9.58 7.41 1.21 18.20 090 S
bone.
27071... ................... A Partial removal of hip 10.23 8.50 1.45 20.18 090 S
bone.
27075... ................... A Extensive hip surgery.. 15.85 13.54 2.32 31.71 090 S
27076... ................... A Extensive hip surgery.. 20.23 16.37 2.61 39.21 090 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 10.34 9.09 1.46 20.89 090 S
prosthesis.
27091... ................... A Removal of hip 20.48 19.81 3.16 43.45 090 S
prosthesis.
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 8.08 7.71 1.26 17.05 090 S
pelvis.
27100... ................... A Transfer of abdominal 10.57 7.68 1.42 19.67 090 S
muscle.
27105... ................... A Transfer of spinal 11.26 5.89 1.36 18.51 090 S
muscle.
[[Page 59575]]
27110... ................... A Transfer of iliopsoas 12.49 10.61 1.86 24.96 090 S
muscle.
27111... ................... A Transfer of iliopsoas 11.44 11.63 1.65 24.72 090 S
muscle.
27120... ................... A Reconstruction of hip 16.43 18.10 2.95 37.48 090 S
socket.
27122... ................... A Reconstruction of hip 13.56 17.36 2.94 33.86 090 S
socket.
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 27.00 31.41 5.96 64.37 090 S
replacement.
27137... ................... A Revise hip joint 20.00 23.90 4.82 48.72 090 S
replacement.
27138... ................... A Revise hip joint 21.00 24.23 4.58 49.81 090 S
replacement.
27140... ................... A Transplant of femur 11.43 11.05 1.71 24.19 090 S
ridge.
27146... ................... A Incision of hip bone... 16.55 10.88 1.35 28.78 090 S
27147... ................... A Revision of hip bone... 19.70 16.97 2.76 39.43 090 S
27151... ................... A Incision of hip bones.. 21.50 17.71 2.90 42.11 090 S
27156... ................... A Revision of hip bones.. 23.62 18.32 3.08 45.02 090 S
27158... ................... A Revision of pelvis..... 18.10 14.42 2.64 35.16 090 S
27161... ................... A Incision of neck of 15.20 14.31 2.31 31.82 090 S
femur.
27165... ................... A Incision/fixation of 16.20 16.76 2.63 35.59 090 S
femur.
27170... ................... A Repair/graft femur head/ 14.90 16.41 2.65 33.96 090 S
neck.
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 13.76 12.39 2.05 28.20 090 S
epiphysis.
27178... ................... A Repair slipped 10.76 10.46 1.55 22.77 090 S
epiphysis.
27179... ................... A Revise head/neck of 11.69 11.15 1.83 24.67 090 S
femur.
27181... ................... A Repair slipped 13.80 13.14 2.16 29.10 090 S
epiphysis.
27185... ................... A Revision of femur 8.30 2.77 0.87 11.94 090 S
epiphysis.
27187... ................... A Reinforce hip bones.... 12.57 16.09 2.76 31.42 090 S
27193... ................... A Treat pelvic ring 4.64 2.41 0.39 7.44 090 S
fracture.
27194... ................... A Treat pelvic ring 8.73 3.90 0.50 13.13 090 S
fracture.
27200... ................... A Treat tail bone 1.76 1.49 0.17 3.42 090 S
fracture.
27202... ................... A Repair tail bone 6.52 6.15 0.89 13.56 090 S
fracture.
27215... ................... A Pelvic fracture(s) 9.39 12.02 2.33 23.74 090 S
treatment.
27216... ................... A Treat pelvic ring 14.20 4.30 0.66 19.16 090 S
fracture.
27217... ................... A Treat pelvic ring 13.19 14.55 2.33 30.07 090 S
fracture.
27218... ................... A Treat pelvic ring 18.83 14.55 2.33 35.71 090 S
fracture.
27220... ................... A Treat hip socket 5.26 4.26 0.64 10.16 090 S
fracture.
27222... ................... A Treat hip socket 10.95 6.37 1.03 18.35 090 S
fracture.
27226... ................... A Treat hip wall fracture 13.93 15.78 2.52 32.23 090 S
27227... ................... A Treat hip fracture(s).. 22.00 19.70 3.20 44.90 090 S
27228... ................... A Treat hip fracture(s).. 25.59 19.95 3.20 48.74 090 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 11.02 14.10 2.60 27.72 090 S
fracture.
27236... ................... A Repair of thigh 14.14 16.91 2.71 33.76 090 S
fracture.
27238... ................... A Treatment of thigh 5.06 4.91 0.71 10.68 090 S
fracture.
27240... ................... A Treatment of thigh 10.86 9.70 1.53 22.09 090 S
fracture.
27244... ................... A Repair of thigh 14.35 16.30 2.62 33.27 090 S
fracture.
27245... ................... A Repair of thigh 18.72 16.30 2.62 37.64 090 S
fracture.
27246... ................... A Treatment of thigh 4.36 3.87 0.60 8.83 090 S
fracture.
27248... ................... A Repair of thigh 9.73 12.46 2.11 24.30 090 S
fracture.
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 11.98 13.14 2.11 27.23 090 S
dislocation.
27254... ................... A Repair of hip 17.29 13.47 2.27 33.03 090 S
dislocation.
27256... ................... A Treatment of hip 3.72 1.88 0.31 5.91 010 S
dislocation.
27257... ................... A Treatment of hip 4.82 4.62 0.73 10.17 010 S
dislocation.
27258... ................... A Repair of hip 14.40 13.73 2.25 30.38 090 S
dislocation.
27259... ................... A Repair of hip 20.50 17.20 2.82 40.52 090 S
dislocation.
27265... ................... A Treatment of hip 4.74 3.46 0.54 8.74 090 S
dislocation.
27266... ................... A Treatment of hip 6.96 4.45 0.71 12.12 090 S
dislocation.
27275... ................... A Manipulation of hip 2.00 1.88 0.30 4.18 010 S
joint.
27280... ................... A Fusion of sacroiliac 11.81 10.06 1.77 23.64 090 S
joint.
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 21.68 25.40 4.70 51.78 090 S
hip.
27295... ................... A Amputation of leg at 17.32 16.54 2.95 36.81 090 S
hip.
[[Page 59576]]
27299... ................... C Pelvis/hip joint 0.00 0.00 0.00 0.00 YYY S
surgery.
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 & 5.42 3.80 0.68 9.90 090 S
fascia.
27306... ................... A Incision of thigh 4.27 1.99 0.32 6.58 090 S
tendon.
27307... ................... A Incision of thigh 5.30 3.01 0.48 8.79 090 S
tendons.
27310... ................... A Exploration of knee 8.26 9.60 1.51 19.37 090 S
joint.
27315... ................... A Partial removal, thigh 6.51 5.38 0.96 12.85 090 S
nerve.
27320... ................... A Partial removal, thigh 5.90 5.18 0.73 11.81 090 S
nerve.
27323... ................... A Biopsy thigh soft 2.23 0.91 0.13 3.27 010 S
tissues.
27324... ................... A Biopsy thigh soft 4.53 2.63 0.45 7.61 090 S
tissues.
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/ 13.00 11.69 2.14 26.83 090 S
knee.
27330... ................... A Biopsy knee joint 4.71 6.02 1.19 11.92 090 S
lining.
27331... ................... A Explore/treat knee 5.51 7.05 1.49 14.05 090 S
joint.
27332... ................... A Removal of knee 7.85 10.05 1.73 19.63 090 S
cartilage.
27333... ................... A Removal of knee 6.81 9.01 2.52 18.34 090 S
cartilage.
27334... ................... A Remove knee joint 7.95 10.18 1.77 19.90 090 S
lining.
27335... ................... A Remove knee joint 9.19 11.76 2.05 23.00 090 S
lining.
27340... ................... A Removal of kneecap 3.92 3.85 0.62 8.39 090 S
bursa.
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/ 8.60 8.20 1.34 18.14 090 S
graft.
27357... ................... A Remove femur lesion/ 9.63 8.80 1.43 19.86 090 S
graft.
27358... ................... A Remove femur lesion/ 4.74 4.55 0.72 10.01 ZZZ S
fixation.
27360... ................... A Partial removal leg 9.23 8.56 1.40 19.19 090 S
bone(s).
27365... ................... A Extensive leg surgery.. 15.00 13.94 2.43 31.37 090 S
27370... ................... A Injection for knee x- 0.96 0.60 0.05 1.61 000 N
ray.
27372... ................... A Removal of foreign body 4.81 3.42 0.54 8.77 090 S
27380... ................... A Repair of kneecap 6.63 7.94 1.29 15.86 090 S
tendon.
27381... ................... A Repair/graft kneecap 9.66 11.27 1.82 22.75 090 S
tendon.
27385... ................... A Repair of thigh muscle. 7.17 8.84 1.42 17.43 090 S
27386... ................... A Repair/graft of thigh 9.72 12.44 2.02 24.18 090 S
muscle.
27390... ................... A Incision of thigh 4.89 4.36 0.71 9.96 090 S
tendon.
27391... ................... A Incision of thigh 6.67 5.42 0.90 12.99 090 S
tendons.
27392... ................... A Incision of thigh 8.52 7.67 1.28 17.47 090 S
tendons.
27393... ................... A Lengthening of thigh 5.95 5.67 0.93 12.55 090 S
tendon.
27394... ................... A Lengthening of thigh 7.97 5.73 0.94 14.64 090 S
tendons.
27395... ................... A Lengthening of thigh 10.96 10.48 1.65 23.09 090 S
tendons.
27396... ................... A Transplant of thigh 7.33 7.06 1.11 15.50 090 S
tendon.
27397... ................... A Transplants of thigh 10.53 8.88 1.45 20.86 090 S
tendons.
27400... ................... A Revise thigh muscles/ 8.47 7.89 1.24 17.60 090 S
tendons.
27403... ................... A Repair of knee 7.80 8.79 1.44 18.03 090 S
cartilage.
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 11.80 15.10 2.48 29.38 090 S
ligaments.
27418... ................... A Repair degenerated 9.82 12.23 1.85 23.90 090 S
kneecap.
27420... ................... A Revision of unstable 9.15 10.99 1.74 21.88 090 S
kneecap.
27422... ................... A Revision of unstable 9.10 11.45 1.83 22.38 090 S
kneecap.
27424... ................... A Revision/removal of 9.13 11.68 1.89 22.70 090 S
kneecap.
27425... ................... A Lateral retinacular 5.04 6.46 1.08 12.58 090 S
release.
27427... ................... A Reconstruction, knee... 8.68 11.12 2.25 22.05 090 S
27428... ................... A Reconstruction, knee... 13.28 13.67 2.71 29.66 090 S
27429... ................... A Reconstruction, knee... 14.67 11.27 1.83 27.77 090 S
27430... ................... A Revision of thigh 8.92 9.36 1.50 19.78 090 S
muscles.
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 10.29 13.13 2.14 25.56 090 S
implant.
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
27447... ................... A Total knee replacement. 19.69 25.20 4.95 49.84 090 S
[[Page 59577]]
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 16.55 15.70 2.82 35.07 090 S
bone.
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 12.84 12.24 2.00 27.08 090 S
bone.
27466... ................... A Lengthening of thigh 15.08 13.43 2.27 30.78 090 S
bone.
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 8.11 7.74 1.27 17.12 090 S
growth.
27477... ................... A Surgery to stop leg 9.32 11.93 2.57 23.82 090 S
growth.
27479... ................... A Surgery to stop leg 12.18 11.63 1.89 25.70 090 S
growth.
27485... ................... A Surgery to stop leg 8.31 7.91 1.30 17.52 090 S
growth.
27486... ................... A Revise knee joint 18.00 21.28 4.26 43.54 090 S
replace.
27487... ................... A Revise knee joint 24.00 27.76 5.97 57.73 090 S
replace.
27488... ................... A Removal of knee 14.48 16.16 2.58 33.22 090 S
prosthesis.
27495... ................... A Reinforce thigh........ 14.26 17.63 2.82 34.71 090 S
27496... ................... A Decompression of thigh/ 4.75 4.53 0.74 10.02 090 S
knee.
27497... ................... A Decompression of thigh/ 5.81 5.55 0.91 12.27 090 S
knee.
27498... ................... A Decompression of thigh/ 6.63 6.32 1.04 13.99 090 S
knee.
27499... ................... A Decompression of thigh/ 7.64 7.28 1.19 16.11 090 S
knee.
27500... ................... A Treatment of thigh 5.29 5.41 0.82 11.52 090 S
fracture.
27501... ................... A Treatment of thigh 5.29 5.41 0.82 11.52 090 S
fracture.
27502... ................... A Treatment of thigh 9.51 7.67 1.21 18.39 090 S
fracture.
27503... ................... A Treatment of thigh 9.51 7.67 1.21 18.39 090 S
fracture.
27506... ................... A Repair of thigh 15.93 16.02 2.56 34.51 090 S
fracture.
27507... ................... A Treatment of thigh 12.85 16.02 2.56 31.43 090 S
fracture.
27508... ................... A Treatment of thigh 5.21 4.22 0.65 10.08 090 S
fracture.
27509... ................... A Treatment of thigh 6.77 4.22 0.65 11.64 090 S
fracture.
27510... ................... A Treatment of thigh 8.19 6.82 1.09 16.10 090 S
fracture.
27511... ................... A Treatment of thigh 12.50 16.00 2.56 31.06 090 S
fracture.
27513... ................... A Treatment of thigh 16.78 16.02 2.56 35.36 090 S
fracture.
27514... ................... A Repair of thigh 15.98 15.76 2.53 34.27 090 S
fracture.
27516... ................... A Repair of thigh growth 4.92 4.82 0.71 10.45 090 S
plate.
27517... ................... A Repair of thigh growth 8.20 7.82 1.28 17.30 090 S
plate.
27519... ................... A Repair of thigh growth 13.82 12.68 2.05 28.55 090 S
plate.
27520... ................... A Treat kneecap fracture. 2.68 3.04 0.45 6.17 090 S
27524... ................... A Repair of kneecap 9.38 10.34 1.65 21.37 090 S
fracture.
27530... ................... A Treatment of knee 3.23 3.40 0.51 7.14 090 S
fracture.
27532... ................... A Treatment of knee 6.81 5.68 0.91 13.40 090 S
fracture.
27535... ................... A Treatment of knee 10.36 11.69 1.88 23.93 090 S
fracture.
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 13.47 12.48 1.95 27.90 090 S
dislocation.
27557... ................... A Repair of knee 15.80 14.60 2.43 32.83 090 S
dislocation.
27558... ................... A Repair of knee 16.75 14.60 2.43 33.78 090 S
dislocation.
27560... ................... A Treat kneecap 3.64 1.43 0.16 5.23 090 S
dislocation.
27562... ................... A Treat kneecap 5.48 5.18 0.76 11.42 090 S
dislocation.
27566... ................... A Repair kneecap 11.48 10.58 1.67 23.73 090 S
dislocation.
27570... ................... A Fixation of knee joint. 1.69 1.72 0.28 3.69 010 S
27580... ................... A Fusion of knee......... 18.20 15.70 2.56 36.46 090 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 6.30 3.65 0.68 10.63 090 S
surgery.
27596... ................... A Amputation follow-up 9.63 7.37 1.42 18.42 090 S
surgery.
27598... ................... A Amputate lower leg at 9.56 10.04 1.78 21.38 090 S
knee.
27599... ................... C Leg surgery procedure.. 0.00 0.00 0.00 0.00 YYY S
27600... ................... A Decompression of lower 5.02 3.39 0.64 9.05 090 S
leg.
27601... ................... A Decompression of lower 4.98 3.38 0.67 9.03 090 S
leg.
27602... ................... A Decompression of lower 6.63 4.05 0.77 11.45 090 S
leg.
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
[[Page 59578]]
27605... ................... A Incision of achilles 2.82 1.18 0.14 4.14 010 S
tendon.
27606... ................... A Incision of achilles 3.87 2.12 0.35 6.34 010 S
tendon.
27607... ................... A Treat lower leg bone 7.05 6.01 0.98 14.04 090 S
lesion.
27610... ................... A Explore/treat ankle 7.27 7.43 1.13 15.83 090 S
joint.
27612... ................... A Exploration of ankle 6.23 7.97 1.30 15.50 090 S
joint.
27613... ................... A Biopsy lower leg soft 2.12 0.67 0.10 2.89 010 S
tissue.
27614... ................... A Biopsy lower leg soft 5.29 2.26 0.38 7.93 090 S
tissue.
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 5.69 6.03 0.96 12.68 090 S
joint.
27625... ................... A Remove ankle joint 7.88 8.71 1.27 17.86 090 S
lining.
27626... ................... A Remove ankle joint 8.49 10.86 1.25 20.60 090 S
lining.
27630... ................... A Removal of tendon 4.65 3.10 0.46 8.21 090 S
lesion.
27635... ................... A Remove lower leg bone 7.29 8.04 1.27 16.60 090 S
lesion.
27637... ................... A Remove/graft leg bone 9.14 8.47 1.40 19.01 090 S
lesion.
27638... ................... A Remove/graft leg bone 9.89 9.15 1.52 20.56 090 S
lesion.
27640... ................... A Partial removal of 10.21 9.81 1.57 21.59 090 S
tibia.
27641... ................... A Partial removal of 8.36 7.13 1.18 16.67 090 S
fibula.
27645... ................... A Extensive lower leg 13.14 11.64 1.98 26.76 090 S
surgery.
27646... ................... A Extensive lower leg 11.69 10.75 1.71 24.15 090 S
surgery.
27647... ................... A Extensive ankle/heel 11.21 9.95 1.35 22.51 090 S
surgery.
27648... ................... A Injection for ankle x- 0.96 0.52 0.05 1.53 000 N
ray.
27650... ................... A Repair achilles tendon. 9.07 8.98 1.41 19.46 090 S
27652... ................... A Repair/graft achilles 9.62 10.41 1.56 21.59 090 S
tendon.
27654... ................... A Repair of achilles 9.34 10.93 1.65 21.92 090 S
tendon.
27656... ................... A Repair leg fascia 4.31 3.18 0.54 8.03 090 S
defect.
27658... ................... A Repair of leg tendon, 4.61 4.02 0.60 9.23 090 S
each.
27659... ................... A Repair of leg tendon, 6.28 5.87 0.86 13.01 090 S
each.
27664... ................... A Repair of leg tendon, 4.33 3.41 0.52 8.26 090 S
each.
27665... ................... A Repair of leg tendon, 5.11 4.95 0.76 10.82 090 S
each.
27675... ................... A Repair lower leg 6.78 6.40 0.94 14.12 090 S
tendons.
27676... ................... A Repair lower leg 7.87 7.56 1.14 16.57 090 S
tendons.
27680... ................... A Release of lower leg 5.37 4.12 0.61 10.10 090 S
tendon.
27681... ................... A Release of lower leg 6.36 5.97 0.86 13.19 090 S
tendons.
27685... ................... A Revision of lower leg 6.08 3.83 0.41 10.32 090 S
tendon.
27686... ................... A Revise lower leg 6.93 6.56 0.90 14.39 090 S
tendons.
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 1.87 2.03 0.29 4.19 ZZZ S
tendon.
27695... ................... A Repair of ankle 6.09 7.79 1.32 15.20 090 S
ligament.
27696... ................... A Repair of ankle 7.72 7.06 1.16 15.94 090 S
ligaments.
27698... ................... A Repair of ankle 8.87 11.35 1.86 22.08 090 S
ligament.
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 14.49 13.82 2.25 30.56 090 S
joint.
27704... ................... A Removal of ankle 7.20 5.84 0.98 14.02 090 S
implant.
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 & 9.14 11.70 2.14 22.98 090 S
fibula.
27712... ................... A Realignment of lower 13.20 10.99 1.63 25.82 090 S
leg.
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.. 13.88 15.50 2.87 32.25 090 S
27725... ................... A Repair of lower leg.... 14.50 10.43 1.53 26.46 090 S
27727... ................... A Repair of lower leg.... 12.89 9.38 1.84 24.11 090 S
27730... ................... A Repair of tibia 6.88 3.59 0.84 11.31 090 S
epiphysis.
27732... ................... A Repair of fibula 5.06 4.84 0.79 10.69 090 S
epiphysis.
27734... ................... A Repair lower leg 7.89 7.54 1.23 16.66 090 S
epiphyses.
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
27750... ................... A Treatment of tibia 2.90 3.45 0.50 6.85 090 S
fracture.
27752... ................... A Treatment of tibia 5.16 5.09 0.81 11.06 090 S
fracture.
27756... ................... A Repair of tibia 5.84 7.48 1.70 15.02 090 S
fracture.
[[Page 59579]]
27758... ................... A Repair of tibia 10.51 13.46 2.22 26.19 090 S
fracture.
27759... ................... A Repair of tibia 12.60 13.74 2.22 28.56 090 S
fracture.
27760... ................... A Treatment of ankle 2.81 2.58 0.37 5.76 090 S
fracture.
27762... ................... A Treatment of ankle 4.80 3.36 0.50 8.66 090 S
fracture.
27766... ................... A Repair of ankle 7.61 7.87 1.26 16.74 090 S
fracture.
27780... ................... A Treatment of fibula 2.47 1.97 0.26 4.70 090 S
fracture.
27781... ................... A Treatment of fibula 4.20 3.29 0.49 7.98 090 S
fracture.
27784... ................... A Repair of fibula 6.45 5.59 0.87 12.91 090 S
fracture.
27786... ................... A Treatment of ankle 2.66 2.52 0.38 5.56 090 S
fracture.
27788... ................... A Treatment of ankle 4.25 3.27 0.50 8.02 090 S
fracture.
27792... ................... A Repair of ankle 7.04 7.38 1.17 15.59 090 S
fracture.
27808... ................... A Treatment of ankle 2.63 2.79 0.39 5.81 090 S
fracture.
27810... ................... A Treatment of ankle 4.82 5.05 0.80 10.67 090 S
fracture.
27814... ................... A Repair of ankle 9.87 10.00 1.60 21.47 090 S
fracture.
27816... ................... A Treatment of ankle 2.71 3.47 0.55 6.73 090 S
fracture.
27818... ................... A Treatment of ankle 5.08 6.51 1.06 12.65 090 S
fracture.
27822... ................... A Repair of ankle 8.39 10.73 1.88 21.00 090 S
fracture.
27823... ................... A Repair of ankle 10.90 12.79 2.05 25.74 090 S
fracture.
27824... ................... A Treat lower leg 2.71 3.47 0.55 6.73 090 S
fracture.
27825... ................... A Treat lower leg 5.08 6.51 1.06 12.65 090 S
fracture.
27826... ................... A Treat lower leg 7.43 9.50 1.88 18.81 090 S
fracture.
27827... ................... A Treat lower leg 12.95 11.71 1.88 26.54 090 S
fracture.
27828... ................... A Treat lower leg 15.12 12.79 2.05 29.96 090 S
fracture.
27829... ................... A Treat lower leg joint.. 4.87 6.23 1.37 12.47 090 S
27830... ................... A Treat lower leg 3.50 3.25 0.46 7.21 090 S
dislocation.
27831... ................... A Treat lower leg 4.27 3.98 0.59 8.84 090 S
dislocation.
27832... ................... A Repair lower leg 5.96 5.70 0.89 12.55 090 S
dislocation.
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 9.04 8.59 1.37 19.00 090 S
dislocation.
27848... ................... A Repair ankle 10.45 8.36 1.32 20.13 090 S
dislocation.
27860... ................... A Fixation of ankle joint 2.29 1.39 0.23 3.91 010 S
27870... ................... A Fusion of ankle joint.. 13.00 13.34 2.22 28.56 090 S
27871... ................... A Fusion of tibiofibular 8.55 7.79 1.21 17.55 090 S
joint.
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 7.40 3.37 0.61 11.38 090 S
surgery.
27886... ................... A Amputation follow-up 8.35 7.17 1.34 16.86 090 S
surgery.
27888... ................... A Amputation of foot at 8.70 9.49 1.65 19.84 090 S
ankle.
27889... ................... A Amputation of foot at 8.82 8.43 1.55 18.80 090 S
ankle.
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... 9.13 4.05 0.77 13.95 090 S
27899... ................... C Leg/ankle surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
28001... ................... A Drainage of bursa of 2.68 0.52 0.05 3.25 010 S
foot.
28002... ................... A Treatment of foot 3.76 2.25 0.33 6.34 010 S
infection.
28003... ................... A Treatment of foot 7.49 3.50 0.59 11.58 090 S
infection.
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. 2.71 3.62 0.33 6.66 090 S
28011... ................... A Incision of toe tendons 3.99 1.77 0.19 5.95 090 S
28020... ................... A Exploration of a foot 4.75 4.40 0.56 9.71 090 S
joint.
28022... ................... A Exploration of a foot 4.41 2.74 0.31 7.46 090 S
joint.
28024... ................... A Exploration of a toe 4.12 2.39 0.24 6.75 090 S
joint.
28030... ................... A Removal of foot nerve.. 5.78 3.93 0.42 10.13 090 S
28035... ................... A Decompression of tibia 4.83 6.18 0.90 11.91 090 S
nerve.
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, 9.41 5.35 0.79 15.55 090 S
foot.
28050... ................... A Biopsy of foot joint 3.99 3.84 0.53 8.36 090 S
lining.
28052... ................... A Biopsy of foot joint 3.70 3.82 0.43 7.95 090 S
lining.
28054... ................... A Biopsy of toe joint 3.21 2.24 0.28 5.73 090 S
lining.
28060... ................... A Partial removal foot 5.05 4.22 0.53 9.80 090 S
fascia.
28062... ................... A Removal of foot fascia. 6.23 7.06 0.86 14.15 090 S
28070... ................... A Removal of foot joint 4.73 4.48 0.48 9.69 090 S
lining.
28072... ................... A Removal of foot joint 4.32 3.21 0.42 7.95 090 S
lining.
[[Page 59580]]
28080... ................... A Removal of foot lesion. 3.18 4.07 0.45 7.70 090 S
28086... ................... A Excise foot tendon 4.52 3.12 0.46 8.10 090 S
sheath.
28088... ................... A Excise foot tendon 3.62 3.62 0.40 7.64 090 S
sheath.
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 5.37 4.58 0.56 10.51 090 S
lesion.
28102... ................... A Remove/graft foot 7.31 6.84 0.85 15.00 090 S
lesion.
28103... ................... A Remove/graft foot 6.10 5.61 0.69 12.40 090 S
lesion.
28104... ................... A Removal of foot lesion. 4.86 4.33 0.49 9.68 090 S
28106... ................... A Remove/graft foot 6.74 6.42 0.79 13.95 090 S
lesion.
28107... ................... A Remove/graft foot 5.16 4.86 0.48 10.50 090 S
lesion.
28108... ................... A Removal of toe lesions. 4.01 4.20 0.38 8.59 090 S
28110... ................... A Part removal of 3.82 3.48 0.39 7.69 090 S
metatarsal.
28111... ................... A Part removal of 4.64 5.04 0.65 10.33 090 S
metatarsal.
28112... ................... A Part removal of 4.23 3.96 0.45 8.64 090 S
metatarsal.
28113... ................... A Part removal of 4.23 4.44 0.48 9.15 090 S
metatarsal.
28114... ................... A Removal of metatarsal 8.65 9.17 1.42 19.24 090 S
heads.
28116... ................... A Revision of foot....... 7.00 5.48 0.57 13.05 090 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/ 4.81 5.04 0.67 10.52 090 S
heel.
28122... ................... A Partial removal of foot 6.62 4.48 0.54 11.64 090 S
bone.
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 1.91 0.52 0.05 2.48 010 S
body.
28192... ................... A Removal of foot foreign 4.49 1.95 0.24 6.68 090 S
body.
28193... ................... A Removal of foot foreign 5.44 2.38 0.30 8.12 090 S
body.
28200... ................... A Repair of foot tendon.. 4.45 5.06 0.50 10.01 090 S
28202... ................... A Repair/graft of foot 6.38 5.82 0.77 12.97 090 S
tendon.
28208... ................... A Repair of foot tendon.. 4.11 2.81 0.28 7.20 090 S
28210... ................... A Repair/graft of foot 5.95 5.60 0.60 12.15 090 S
tendon.
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 4.00 2.43 0.22 6.65 090 S
tendon(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
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 7.50 4.43 0.48 12.41 090 S
joint.
28261... ................... A Revision of foot tendon 10.95 5.91 0.58 17.44 090 S
28262... ................... A Revision of foot and 15.00 11.91 1.44 28.35 090 S
ankle.
28264... ................... A Release of midfoot 9.80 9.56 1.17 20.53 090 S
joint.
28270... ................... A Release of foot 4.58 2.63 0.23 7.44 090 S
contracture.
28272... ................... A Release of toe joint, 3.67 2.04 0.18 5.89 090 S
each.
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 4.23 3.75 0.43 8.41 090 S
bone.
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
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
[[Page 59581]]
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 8.67 6.44 0.70 15.81 090 S
bones.
28305... ................... A Incise/graft midfoot 9.99 9.85 1.03 20.87 090 S
bones.
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 12.00 6.87 1.00 19.87 090 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 4.60 4.24 0.41 9.25 090 S
bone.
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 6.58 6.34 0.91 13.83 090 S
tissue.
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 2.01 2.57 0.40 4.98 090 S
fracture.
28405... ................... A Treatment of heel 4.28 3.90 0.58 8.76 090 S
fracture.
28406... ................... A Treatment of heel 5.82 6.09 0.93 12.84 090 S
fracture.
28415... ................... A Repair of heel fracture 15.00 9.02 1.39 25.41 090 S
28420... ................... A Repair/graft heel 15.80 10.89 1.63 28.32 090 S
fracture.
28430... ................... A Treatment of ankle 1.96 2.45 0.35 4.76 090 S
fracture.
28435... ................... A Treatment of ankle 3.25 3.36 0.50 7.11 090 S
fracture.
28436... ................... A Treatment of ankle 4.40 4.19 0.68 9.27 090 S
fracture.
28445... ................... A Repair of ankle 8.78 8.80 1.40 18.98 090 S
fracture.
28450... ................... A Treat midfoot fracture, 1.77 1.87 0.25 3.89 090 S
each.
28455... ................... A Treat midfoot fracture, 2.94 2.54 0.34 5.82 090 S
each.
28456... ................... A Repair midfoot fracture 2.39 2.27 0.38 5.04 090 S
28465... ................... A Repair midfoot 6.55 5.54 0.81 12.90 090 S
fracture, each.
28470... ................... A Treat metatarsal 1.76 1.80 0.23 3.79 090 S
fracture.
28475... ................... A Treat metatarsal 2.74 2.34 0.30 5.38 090 S
fracture.
28476... ................... A Repair metatarsal 3.15 3.37 0.45 6.97 090 S
fracture.
28485... ................... A Repair metatarsal 5.31 4.68 0.60 10.59 090 S
fracture.
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 1.01 0.89 0.09 1.99 090 S
fracture.
28515... ................... A Treatment of toe 1.36 1.12 0.11 2.59 090 S
fracture.
28525... ................... A Repair of toe fracture. 3.08 2.06 0.29 5.43 090 S
28530... ................... A Treat sesamoid bone 1.01 1.00 0.10 2.11 090 S
fracture.
28531... ................... A Treat sesamoid bone 2.01 1.91 0.32 4.24 090 S
fracture.
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 6.99 4.96 0.78 12.73 090 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
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 2.68 3.00 0.41 6.09 090 S
dislocation.
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
[[Page 59582]]
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... 7.40 5.14 0.72 13.26 090 S
28750... ................... A Fusion of big toe joint 6.90 5.32 0.82 13.04 090 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 7.00 5.40 0.65 13.05 090 S
28800... ................... A Amputation of midfoot.. 7.37 6.65 1.19 15.21 090 S
28805... ................... A Amputation thru 7.55 6.32 1.21 15.08 090 S
metatarsal.
28810... ................... A Amputation toe & 5.53 3.91 0.75 10.19 090 S
metatarsal.
28820... ................... A Amputation of toe...... 3.56 2.58 0.46 6.60 090 S
28825... ................... A Partial amputation of 3.13 2.40 0.41 5.94 090 S
toe.
28899... ................... C Foot/toes surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
29000... ................... A Application of body 2.25 1.85 0.21 4.31 000 S
cast.
29010... ................... A Application of body 2.06 2.33 0.34 4.73 000 S
cast.
29015... ................... A Application of body 2.41 2.33 0.33 5.07 000 S
cast.
29020... ................... A Application of body 2.11 1.82 0.23 4.16 000 S
cast.
29025... ................... A Application of body 2.40 0.75 0.14 3.29 000 S
cast.
29035... ................... A Application of body 1.77 1.95 0.32 4.04 000 S
cast.
29040... ................... A Application of body 2.22 2.02 0.30 4.54 000 S
cast.
29044... ................... A Application of body 2.12 2.09 0.34 4.55 000 S
cast.
29046... ................... A Application of body 2.41 2.23 0.36 5.00 000 S
cast.
29049... ................... A Application of figure 0.89 0.42 0.06 1.37 000 S
eight.
29055... ................... A Application of shoulder 1.78 1.20 0.17 3.15 000 S
cast.
29058... ................... A Application of shoulder 1.31 0.65 0.09 2.05 000 S
cast.
29065... ................... A Application of long arm 0.87 0.80 0.13 1.80 000 S
cast.
29075... ................... A Application of forearm 0.77 0.61 0.10 1.48 000 S
cast.
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 0.50 0.17 0.02 0.69 000 S
splint.
29131... ................... A Application of finger 0.55 0.39 0.06 1.00 000 S
splint.
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 0.55 0.23 0.03 0.81 000 S
wrist.
29280... ................... A Strapping of hand or 0.51 0.21 0.02 0.74 000 S
finger.
29305... ................... A Application of hip cast 2.03 1.88 0.31 4.22 000 S
29325... ................... A Application of hip 2.32 1.94 0.28 4.54 000 S
casts.
29345... ................... A Application of long leg 1.40 1.02 0.16 2.58 000 S
cast.
29355... ................... A Application of long leg 1.53 1.10 0.17 2.80 000 S
cast.
29358... ................... A Apply long leg cast 1.43 1.84 0.33 3.60 000 S
brace.
29365... ................... A Application of long leg 1.18 0.86 0.14 2.18 000 S
cast.
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 0.57 0.23 0.03 0.83 000 S
cast.
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 0.69 0.57 0.07 1.33 000 S
splint.
29515... ................... A Application lower leg 0.73 0.47 0.06 1.26 000 S
splint.
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 0.57 0.79 0.04 1.40 000 S
boot.
29590... ................... A Application of foot 0.76 0.28 0.03 1.07 000 S
splint.
29700... ................... A Removal/revision of 0.57 0.32 0.05 0.94 000 S
cast.
29705... ................... A Removal/revision of 0.76 0.35 0.05 1.16 000 S
cast.
29710... ................... A Removal/revision of 1.34 0.45 0.07 1.86 000 S
cast.
29715... ................... A Removal/revision of 0.94 0.86 0.12 1.92 000 S
cast.
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 1.26 0.50 0.07 1.83 000 S
cast.
[[Page 59583]]
29799... ................... C Casting/strapping 0.00 0.00 0.00 0.00 YYY S
procedure.
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/ 7.33 9.38 1.73 18.44 090 S
surgery.
29820... ................... A Shoulder arthroscopy/ 6.81 8.72 1.73 17.26 090 S
surgery.
29821... ................... A Shoulder arthroscopy/ 7.43 9.50 2.13 19.06 090 S
surgery.
29822... ................... A Shoulder arthroscopy/ 7.14 9.14 1.74 18.02 090 S
surgery.
29823... ................... A Shoulder arthroscopy/ 7.86 10.07 2.32 20.25 090 S
surgery.
29825... ................... A Shoulder arthroscopy/ 7.33 9.38 2.05 18.76 090 S
surgery.
29826... ................... A Shoulder arthroscopy/ 8.70 11.14 2.31 22.15 090 S
surgery.
29830... ................... A Elbow arthroscopy...... 5.63 5.32 0.83 11.78 090 S
29834... ................... A Elbow arthroscopy/ 6.13 5.84 0.96 12.93 090 S
surgery.
29835... ................... A Elbow arthroscopy/ 6.33 6.03 0.99 13.35 090 S
surgery.
29836... ................... A Elbow arthroscopy/ 7.37 7.03 1.15 15.55 090 S
surgery.
29837... ................... A Elbow arthroscopy/ 6.72 6.40 1.06 14.18 090 S
surgery.
29838... ................... A Elbow arthroscopy/ 7.42 7.05 1.14 15.61 090 S
surgery.
29840... ................... A Wrist arthroscopy...... 5.39 3.29 0.54 9.22 090 S
29843... ................... A Wrist arthroscopy/ 5.86 5.60 0.91 12.37 090 S
surgery.
29844... ................... A Wrist arthroscopy/ 6.22 5.59 0.95 12.76 090 S
surgery.
29845... ................... A Wrist arthroscopy/ 7.34 7.00 1.15 15.49 090 S
surgery.
29846... ................... A Wrist arthroscopy/ 6.60 8.45 2.20 17.25 090 S
surgery.
29847... ................... A Wrist arthroscopy/ 6.93 6.78 0.97 14.68 090 S
surgery.
29848... ................... A Wrist arthroscopy/ 5.14 3.85 0.62 9.61 090 S
surgery.
29850... ................... A Knee arthroscopy/ 7.96 10.19 1.74 19.89 090 S
surgery.
29851... ................... A Knee arthroscopy/ 12.38 10.95 1.74 25.07 090 S
surgery.
29855... ................... A Tibial arthroscopy/ 9.48 11.69 1.88 23.05 090 S
surgery.
29856... ................... A Tibial arthroscopy/ 13.28 11.69 1.88 26.85 090 S
surgery.
29870... ................... A Knee arthroscopy, 4.94 4.02 0.64 9.60 090 S
diagnostic.
29871... ................... A Knee arthroscopy/ 6.29 6.77 0.96 14.02 090 S
drainage.
29874... ................... A Knee arthroscopy/ 6.79 8.69 1.52 17.00 090 S
surgery.
29875... ................... A Knee arthroscopy/ 6.16 7.88 1.61 15.65 090 S
surgery.
29876... ................... A Knee arthroscopy/ 7.51 9.61 1.95 19.07 090 S
surgery.
29877... ................... A Knee arthroscopy/ 7.05 9.03 1.81 17.89 090 S
surgery.
29879... ................... A Knee arthroscopy/ 7.63 9.76 2.19 19.58 090 S
surgery.
29880... ................... A Knee arthroscopy/ 8.09 10.35 2.22 20.66 090 S
surgery.
29881... ................... A Knee arthroscopy/ 7.46 9.54 1.82 18.82 090 S
surgery.
29882... ................... A Knee arthroscopy/ 8.24 10.54 1.90 20.68 090 S
surgery.
29883... ................... A Knee arthroscopy/ 9.00 11.52 2.80 23.32 090 S
surgery.
29884... ................... A Knee arthroscopy/ 6.92 8.86 1.56 17.34 090 S
surgery.
29885... ................... A Knee arthroscopy/ 8.63 8.23 1.35 18.21 090 S
surgery.
29886... ................... A Knee arthroscopy/ 7.13 6.80 1.12 15.05 090 S
surgery.
29887... ................... A Knee arthroscopy/ 8.58 10.52 1.71 20.81 090 S
surgery.
29888... ................... A Knee arthroscopy/ 13.28 17.00 3.18 33.46 090 S
surgery.
29889... ................... A Knee arthroscopy/ 14.41 10.26 1.68 26.35 090 S
surgery.
29894... ................... A Ankle arthroscopy/ 6.95 8.90 1.47 17.32 090 S
surgery.
29895... ................... A Ankle arthroscopy/ 6.73 8.60 1.51 16.84 090 S
surgery.
29897... ................... A Ankle arthroscopy/ 6.92 8.86 1.77 17.55 090 S
surgery.
29898... ................... A Ankle arthroscopy/ 8.03 10.28 1.91 20.22 090 S
surgery.
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 1.58 1.29 0.14 3.01 010 S
polyp(s).
30115... ................... A Removal of nose 4.25 2.81 0.30 7.36 090 S
polyp(s).
30117... ................... A Removal of intranasal 3.06 2.84 0.31 6.21 090 S
lesion.
30118... ................... A Removal of intranasal 9.23 8.01 0.92 18.16 090 S
lesion.
30120... ................... A Revision of nose....... 5.14 6.59 1.00 12.73 090 S
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 3.17 1.67 0.17 5.01 090 S
bones.
30140... ................... A Removal of turbinate 3.28 3.04 0.34 6.66 090 S
bones.
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 0.78 0.37 0.04 1.19 000 S
nose.
30210... ................... A Nasal sinus therapy.... 1.03 0.26 0.03 1.32 010 S
30220... ................... A Insert nasal septal 1.49 1.51 0.16 3.16 010 S
button.
[[Page 59584]]
30300... ................... A Remove nasal foreign 0.99 0.46 0.05 1.50 010 S
body.
30310... ................... A Remove nasal foreign 1.91 1.62 0.18 3.71 010 S
body.
30320... ................... A Remove nasal foreign 4.39 4.29 0.43 9.11 090 S
body.
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 1.21 0.55 0.06 1.82 010 S
adhesions.
30580... ................... A Repair upper jaw 6.49 6.24 0.57 13.30 090 S
fistula.
30600... ................... A Repair mouth/nose 5.87 3.77 0.36 10.00 090 S
fistula.
30620... ................... A Intranasal 5.55 7.10 1.10 13.75 090 S
reconstruction.
30630... ................... A Repair nasal septum 6.83 6.24 0.71 13.78 090 S
defect.
30801... ................... A Cauterization inner 1.02 0.47 0.05 1.54 010 S
nose.
30802... ................... A Cauterization inner 1.98 0.94 0.11 3.03 010 S
nose.
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 2.45 1.08 0.11 3.64 000 S
nosebleed.
30915... ................... A Ligation nasal sinus 6.72 4.95 0.52 12.19 090 S
artery.
30920... ................... A Ligation upper jaw 8.79 9.54 1.32 19.65 090 S
artery.
30930... ................... A Therapy fracture of 1.21 0.71 0.08 2.00 010 S
nose.
30999... ................... C Nasal surgery procedure 0.00 0.00 0.00 0.00 YYY N
31000... ................... A Irrigation maxillary 1.10 0.43 0.05 1.58 010 S
sinus.
31002... ................... A Irrigation sphenoid 1.86 0.46 0.05 2.37 010 S
sinus.
31020... ................... A Exploration maxillary 2.81 2.66 0.29 5.76 090 S
sinus.
31030... ................... A Exploration maxillary 5.60 7.16 0.86 13.62 090 S
sinus.
31032... ................... A Explore sinus, remove 6.22 7.96 0.99 15.17 090 S
polyps.
31040... ................... A Exploration behind 8.83 7.98 0.86 17.67 090 S
upper jaw.
31050... ................... A Exploration sphenoid 5.07 5.96 0.64 11.67 090 S
sinus.
31051... ................... A Sphenoid sinus surgery. 6.85 8.12 0.85 15.82 090 S
31070... ................... A Exploration of frontal 4.04 4.69 0.50 9.23 090 S
sinus.
31075... ................... A Exploration of frontal 8.57 10.51 1.10 20.18 090 S
sinus.
31080... ................... A Removal of frontal 10.73 9.21 1.12 21.06 090 S
sinus.
31081... ................... A Removal of frontal 11.93 10.32 1.30 23.55 090 S
sinus.
31084... ................... A Removal of frontal 12.69 14.79 1.62 29.10 090 S
sinus.
31085... ................... A Removal of frontal 13.38 15.65 1.76 30.79 090 S
sinus.
31086... ................... A Removal of frontal 11.98 10.87 1.15 24.00 090 S
sinus.
31087... ................... A Removal of frontal 12.14 10.39 1.33 23.86 090 S
sinus.
31090... ................... A Exploration of sinuses. 8.65 11.32 2.12 22.09 090 S
31200... ................... A Removal of ethmoid 4.68 4.62 0.48 9.78 090 S
sinus.
31201... ................... A Removal of ethmoid 7.91 7.01 0.75 15.67 090 S
sinus.
31205... ................... A Removal of ethmoid 9.65 8.03 0.81 18.49 090 S
sinus.
31225... ................... A Removal of upper jaw... 17.50 19.44 2.37 39.31 090 S
31230... ................... A Removal of upper jaw... 20.00 21.74 2.48 44.22 090 S
31231... ................... A Nasal endoscopy, dx.... 1.10 1.37 0.15 2.62 000 S
31233... ................... A Nasal/sinus endoscopy, 2.18 2.79 0.31 5.28 000 S
dx.
31235... ................... A Nasal/sinus endoscopy, 2.64 2.39 0.26 5.29 000 S
dx.
31237... ................... A Nasal/sinus endoscopy, 2.98 3.37 0.37 6.72 000 S
surg.
31238... ................... A Nasal/sinus endoscopy, 3.26 4.17 0.45 7.88 000 S
surg.
31239... ................... A Nasal/sinus endoscopy, 8.50 10.88 1.18 20.56 010 S
surg.
31240... ................... A Nasal/sinus endoscopy, 2.61 3.34 0.37 6.32 000 S
surg.
31254... ................... A Revision of ethmoid 4.65 5.95 0.69 11.29 000 S
sinus.
31255... ................... A Removal of ethmoid 6.96 8.91 1.14 17.01 000 S
sinus.
31256... ................... A Exploration maxillary 3.29 3.77 0.41 7.47 000 S
sinus.
31267... ................... A Endoscopy, maxillary 5.46 5.23 0.81 11.50 000 S
sinus.
31276... ................... A Sinus surgical 8.85 6.72 0.73 16.30 000 S
endoscopy.
31287... ................... A Nasal/sinus endoscopy, 3.92 5.01 0.65 9.58 000 S
surg.
31288... ................... A Nasal/sinus endoscopy, 4.58 5.86 0.78 11.22 000 S
surg.
31290... ................... A Nasal/sinus endoscopy, 16.05 16.47 1.80 34.32 010 S
surg.
31291... ................... A Nasal/sinus endoscopy, 17.00 17.31 1.88 36.19 010 S
surg.
[[Page 59585]]
31292... ................... A Nasal/sinus endoscopy, 13.83 13.38 1.45 28.66 010 S
surg.
31293... ................... A Nasal/sinus endoscopy, 15.15 14.64 1.59 31.38 010 S
surg.
31294... ................... A Nasal/sinus endoscopy, 18.00 16.72 1.83 36.55 010 S
surg.
31299... ................... C Sinus surgery procedure 0.00 0.00 0.00 0.00 YYY S
31300... ................... A Removal of larynx 13.28 11.58 1.28 26.14 090 S
lesion.
31320... ................... A Diagnostic incision 4.54 3.87 0.48 8.89 090 S
larynx.
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 18.98 17.22 1.88 38.08 090 S
larynx.
31368... ................... A Partial removal of 23.72 26.76 3.06 53.54 090 S
larynx.
31370... ................... A Partial removal of 18.50 17.18 1.88 37.56 090 S
larynx.
31375... ................... A Partial removal of 18.50 14.84 1.56 34.90 090 S
larynx.
31380... ................... A Partial removal of 18.50 17.27 1.88 37.65 090 S
larynx.
31382... ................... A Partial removal of 18.50 16.06 1.78 36.34 090 S
larynx.
31390... ................... A Removal of larynx & 25.00 27.08 4.05 56.13 090 S
pharynx.
31395... ................... A Reconstruct larynx & 28.00 33.52 4.42 65.94 090 S
pharynx.
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 0.65 0.58 0.07 1.30 000 S
airway.
31505... ................... A Diagnostic laryngoscopy 0.61 0.43 0.05 1.09 000 S
31510... ................... A Laryngoscopy with 1.92 0.55 0.07 2.54 000 S
biopsy.
31511... ................... A Remove foreign body, 2.16 0.96 0.10 3.22 000 S
larynx.
31512... ................... A Removal of larynx 2.07 1.79 0.20 4.06 000 S
lesion.
31513... ................... A Injection into vocal 2.10 2.68 0.38 5.16 000 S
cord.
31515... ................... A Laryngoscopy for 1.80 1.13 0.14 3.07 000 S
aspiration.
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 3.27 2.99 0.30 6.56 000 S
treatment.
31528... ................... A Laryngoscopy and 2.37 2.66 0.30 5.33 000 S
dilatation.
31529... ................... A Laryngoscopy and 2.68 2.46 0.25 5.39 000 S
dilatation.
31530... ................... A Operative laryngoscopy. 3.39 3.63 0.39 7.41 000 S
31531... ................... A Operative laryngoscopy. 3.59 4.78 0.60 8.97 000 S
31535... ................... A Operative laryngoscopy. 3.16 4.01 0.45 7.62 000 S
31536... ................... A Operative laryngoscopy. 3.56 4.06 0.59 8.21 000 S
31540... ................... A Operative laryngoscopy. 4.13 5.29 0.61 10.03 000 S
31541... ................... A Operative laryngoscopy. 4.53 4.56 0.75 9.84 000 S
31560... ................... A Operative laryngoscopy. 5.46 4.99 0.51 10.96 000 S
31561... ................... A Operative laryngoscopy. 6.00 6.27 1.08 13.35 000 S
31570... ................... A Laryngoscopy with 3.87 4.95 0.60 9.42 000 S
injection.
31571... ................... A Laryngoscopy with 4.27 4.51 0.69 9.47 000 S
injection.
31575... ................... A Diagnostic laryngoscopy 1.10 1.56 0.17 2.83 000 S
31576... ................... A Laryngoscopy with 1.97 2.52 0.33 4.82 000 S
biopsy.
31577... ................... A Remove foreign body, 2.47 3.16 0.37 6.00 000 S
larynx.
31578... ................... A Removal of larynx 2.84 3.63 0.48 6.95 000 S
lesion.
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 18.50 12.72 1.34 32.56 090 S
fracture.
31585... ................... A Repair of larynx 4.40 3.77 0.40 8.57 090 S
fracture.
31586... ................... A Repair of larynx 7.24 6.55 0.71 14.50 090 S
fracture.
31587... ................... A Revision of larynx..... 10.00 7.21 0.79 18.00 090 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
31599... ................... C Larynx surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
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 5.03 6.45 1.04 12.52 090 S
prosthesis.
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 2.09 1.95 0.22 4.26 000 S
windpipe.
[[Page 59586]]
31622... ................... A Diagnostic bronchoscopy 2.80 3.57 0.34 6.71 000 N
31625... ................... A Bronchoscopy with 3.37 3.83 0.35 7.55 000 N
biopsy.
31628... ................... A Bronchoscopy with 3.81 4.88 0.38 9.07 000 N
biopsy.
31629... ................... A Bronchoscopy with 3.37 4.31 0.34 8.02 000 N
biopsy.
31630... ................... A Bronchoscopy with 3.82 3.72 0.50 8.04 000 S
repair.
31631... ................... A Bronchoscopy with 4.37 3.94 0.48 8.79 000 N
dilation.
31635... ................... A Remove foreign body, 3.68 4.53 0.53 8.74 000 S
airway.
31640... ................... A Bronchoscopy & remove 4.94 5.02 0.67 10.63 000 S
lesion.
31641... ................... A Bronchoscopy, treat 5.03 6.45 0.85 12.33 000 N
blockage.
31645... ................... A Bronchoscopy, clear 3.16 3.62 0.30 7.08 000 N
airways.
31646... ................... A Bronchoscopy, reclear 2.72 3.06 0.27 6.05 000 N
airways.
31656... ................... A Bronchoscopy, inject 2.17 2.77 0.31 5.25 000 N
for xray.
31700... ................... A Insertion of airway 1.34 1.38 0.17 2.89 000 N
catheter.
31708... ................... A Instill airway contrast 1.41 0.77 0.09 2.27 000 N
dye.
31710... ................... A Insertion of airway 1.30 0.90 0.12 2.32 000 N
catheter.
31715... ................... A Injection for bronchus 1.11 0.48 0.04 1.63 000 N
x-ray.
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/ 2.85 2.47 0.23 5.55 000 N
tube.
31750... ................... A Repair of windpipe..... 11.73 8.88 1.09 21.70 090 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 28.82 18.40 1.12 48.34 090 S
windpipe.
31770... ................... A Repair/graft of 21.15 15.07 2.08 38.30 090 S
bronchus.
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 6.77 4.90 0.76 12.43 090 S
injury.
31805... ................... A Repair of windpipe 12.59 9.82 1.41 23.82 090 S
injury.
31820... ................... A Closure of windpipe 4.10 3.58 0.46 8.14 090 S
lesion.
31825... ................... A Repair of windpipe 6.31 5.00 0.58 11.89 090 S
defect.
31830... ................... A Revise windpipe scar... 4.26 3.66 0.42 8.34 090 S
31899... ................... C Airways surgical 0.00 0.00 0.00 0.00 YYY S
procedure.
32000... ................... A Drainage of chest...... 1.54 0.90 0.08 2.52 000 N
32002... ................... A Treatment of collapsed 2.19 1.34 0.22 3.75 000 N
lung.
32005... ................... A Treat lung lining 2.19 1.09 0.15 3.43 000 S
chemically.
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 7.13 8.25 1.45 16.83 090 S
wall.
32100... ................... A Exploration/biopsy of 10.07 11.24 2.10 23.41 090 S
chest.
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 12.14 12.37 2.42 26.93 090 S
lesion(s).
32141... ................... A Remove/treat lung 12.14 13.42 2.53 28.09 090 S
lesions.
32150... ................... A Removal of lung 12.42 10.34 2.01 24.77 090 S
lesion(s).
32151... ................... A Remove lung foreign 12.42 9.15 1.37 22.94 090 S
body.
32160... ................... A Open chest heart 7.13 9.13 1.52 17.78 090 S
massage.
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
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 19.15 18.10 3.40 40.65 090 S
lining.
32400... ................... A Needle biopsy chest 1.76 1.48 0.12 3.36 000 N
lining.
32402... ................... A Open biopsy chest 6.55 7.58 1.34 15.47 090 S
lining.
32405... ................... A Biopsy, lung or 1.93 2.12 0.18 4.23 000 N
mediastinum.
32420... ................... A Puncture/clear lung.... 2.18 1.50 0.13 3.81 000 N
32440... ................... A Removal of lung........ 19.15 8.56 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
[[Page 59587]]
32484... ................... A Segmentectomy.......... 19.52 17.15 3.23 39.90 090 S
32486... ................... A Sleeve lobectomy....... 22.75 16.54 3.23 42.52 090 S
32488... ................... A Completion 24.41 17.74 3.46 45.61 090 S
pneumonectomy.
32491... ................... N Lung volume reduction.. +21.25 15.45 3.02 39.72 XXX 0
32500... ................... A Partial removal of lung 13.10 13.47 2.56 29.13 090 S
32501... ................... A Repair bronchus (add- 4.69 4.31 0.70 9.70 ZZZ S
on).
32520... ................... A Remove lung & revise 19.42 20.67 3.93 44.02 090 S
chest.
32522... ................... A Remove lung & revise 21.94 21.90 4.19 48.03 090 S
chest.
32525... ................... A Remove lung & revise 24.33 23.50 4.61 52.44 090 S
chest.
32540... ................... A Removal of lung lesion. 13.31 11.67 2.05 27.03 090 S
32601... ................... A Thoracoscopy, 5.46 3.47 0.57 9.50 000 S
diagnostic.
32602... ................... A Thoracoscopy, 5.96 3.87 0.64 10.47 000 S
diagnostic.
32603... ................... A Thoracoscopy, 7.81 3.47 0.57 11.85 000 S
diagnostic.
32604... ................... A Thoracoscopy, 8.78 3.87 0.64 13.29 000 S
diagnostic.
32605... ................... A Thoracoscopy, 6.93 3.47 0.57 10.97 000 S
diagnostic.
32606... ................... A Thoracoscopy, 8.40 3.87 0.64 12.91 000 S
diagnostic.
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 11.59 6.50 1.19 19.28 090 S
drainage.
32815... ................... A Close bronchial fistula 21.36 15.22 2.62 39.20 090 S
32820... ................... A Reconstruct injured 19.78 19.01 3.24 42.03 090 S
chest.
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/ 38.11 27.71 5.41 71.23 090 S
bypass.
32853... ................... A Lung transplant, double 43.93 31.94 6.24 82.11 090 S
32854... ................... A Lung transplant w/ 46.90 34.10 6.67 87.67 090 S
bypass.
32900... ................... A Removal of rib(s)...... 18.14 8.47 1.63 28.24 090 S
32905... ................... A Revise & repair chest 19.15 12.74 2.60 34.49 090 S
wall.
32906... ................... A Revise & repair chest 25.17 15.42 2.92 43.51 090 S
wall.
32940... ................... A Revision of lung....... 18.14 11.37 1.75 31.26 090 S
32960... ................... A Therapeutic 1.84 0.93 0.13 2.90 000 N
pneumothorax.
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 2.24 1.11 0.12 3.47 000 N
heart sac.
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 16.62 21.02 3.92 41.56 090 S
heart sac.
33031... ................... A Partial removal of 19.64 13.25 2.50 35.39 090 S
heart sac.
33050... ................... A Removal of heart sac 12.70 9.25 1.47 23.42 090 S
lesion.
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 11.08 12.27 1.90 25.25 090 S
pacemaker.
33201... ................... A Insertion of heart 8.93 11.19 1.67 21.79 090 S
pacemaker.
33206... ................... A Insertion of heart 6.04 7.73 1.34 15.11 090 S
pacemaker.
33207... ................... A Insertion of heart 7.28 9.01 1.33 17.62 090 S
pacemaker.
33208... ................... A Insertion of heart 7.28 9.50 1.54 18.32 090 N
pacemaker.
33210... ................... A Insertion of heart 3.30 3.30 0.27 6.87 000 N
electrode.
33211... ................... A Insertion of heart 3.40 3.30 0.27 6.97 000 N
electrode.
33212... ................... A Insertion of pulse 5.21 5.38 0.88 11.47 090 S
generator.
33213... ................... A Insertion of pulse 6.15 5.38 0.88 12.41 090 N
generator.
33214... ................... A Upgrade of pacemaker 7.43 5.40 1.06 13.89 090 N
system.
[[Page 59588]]
33216... ................... A Revision implanted 5.07 5.02 0.55 10.64 090 N
electrode.
33217... ................... A Insert/revise electrode 5.43 5.02 0.55 11.00 090 N
33218... ................... A Repair pacemaker 5.02 4.59 0.62 10.23 090 S
electrodes.
33220... ................... A Repair pacemaker 5.10 4.59 0.62 10.31 090 N
electrode.
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 2.97 2.64 0.05 5.66 090 N
system.
33234... ................... A Removal of pacemaker 7.50 2.84 0.23 10.57 090 S
system.
33235... ................... A Removal of pacemaker 8.74 3.14 0.33 12.21 090 N
electrode.
33236... ................... A Remove electrode/ 11.71 3.98 0.62 16.31 090 S
thoracotomy.
33237... ................... A Remove electrode/ 12.69 9.60 1.13 23.42 090 S
thoracotomy.
33238... ................... A Remove electrode/ 14.15 10.29 2.01 26.45 090 S
thoracotomy.
33240... ................... A Insert/replace pulse 7.20 5.38 0.88 13.46 090 S
generator.
33241... ................... A Remove pulse generator 2.97 2.16 0.43 5.56 090 S
only.
33242... ................... A Repair pulse generator/ 5.85 7.50 1.54 14.89 090 S
leads.
33243... ................... A Remove generator/ 21.47 9.02 1.54 32.03 090 S
thoracotomy.
33244... ................... A Remove generator....... 8.34 9.02 1.54 18.90 090 S
33245... ................... A Implant heart 12.57 16.09 2.36 31.02 090 S
defibrillator.
33246... ................... A Implant heart 19.28 20.79 3.19 43.26 090 S
defibrillator.
33247... ................... A Insert/replace leads... 9.76 12.49 2.36 24.61 090 N
33249... ................... A Insert/replace leads/ 12.83 16.42 3.19 32.44 090 S
gener.
33250... ................... A Ablate heart dysrhythm 19.54 11.56 0.86 31.96 090 S
focus.
33251... ................... A Ablate heart dysrhythm 22.57 16.41 3.21 42.19 090 S
focus.
33253... ................... A Reconstruct atria...... 30.00 21.81 4.26 56.07 090 S
33261... ................... A Ablate heart dysrhythm 22.57 13.96 2.73 39.26 090 S
focus.
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 17.12 11.28 1.93 30.33 090 S
surgery.
33315... ................... A Exploratory heart 20.15 14.48 2.57 37.20 090 S
surgery.
33320... ................... A Repair major blood 15.39 14.14 2.51 32.04 090 S
vessel(s).
33321... ................... A Repair major vessel.... 18.74 21.75 3.61 44.10 090 S
33322... ................... A Repair major blood 18.40 21.75 3.61 43.76 090 S
vessel(s).
33330... ................... A Insert major vessel 19.15 12.67 1.93 33.75 090 S
graft.
33332... ................... A Insert major vessel 22.50 15.07 2.39 39.96 090 S
graft.
33335... ................... A Insert major vessel 27.66 15.07 2.39 45.12 090 S
graft.
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 23.43 26.21 2.83 52.47 090 S
bypass.
33404... ................... A Prepare heart-aorta 26.62 31.25 5.59 63.46 090 S
conduit.
33405... ................... A Replacement of aortic 28.47 30.48 5.33 64.28 090 S
valve.
33406... ................... A Replacement, aortic 31.23 38.65 7.45 77.33 090 S
valve.
33411... ................... A Replacement of aortic 30.37 38.65 7.45 76.47 090 S
valve.
33412... ................... A Replacement of aortic 32.26 38.65 7.45 78.36 090 S
valve.
33413... ................... A Replacement, aortic 34.17 41.09 7.23 82.49 090 S
valve.
33414... ................... A Repair, aortic valve... 29.28 38.65 7.45 75.38 090 S
33415... ................... A Revision, subvalvular 25.02 30.48 5.33 60.83 090 S
tissue.
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 20.69 19.82 2.45 42.96 090 S
valve.
33422... ................... A Revision of mitral 23.72 30.35 6.45 60.52 090 S
valve.
33425... ................... A Repair of mitral valve. 25.57 31.27 5.42 62.26 090 S
33426... ................... A Repair of mitral valve. 29.42 31.96 5.80 67.18 090 S
33427... ................... A Repair of mitral valve. 32.07 34.71 6.30 73.08 090 S
33430... ................... A Replacement of mitral 29.42 34.85 6.11 70.38 090 S
valve.
33460... ................... A Revision of tricuspid 21.60 26.07 4.73 52.40 090 S
valve.
33463... ................... A Valvuloplasty, 24.16 32.67 5.95 62.78 090 S
tricuspid.
33464... ................... A Valvuloplasty, 25.87 32.67 5.95 64.49 090 S
tricuspid.
33465... ................... A Replace tricuspid valve 26.57 32.67 5.95 65.19 090 S
33468... ................... A Revision of tricuspid 28.20 34.71 6.30 69.21 090 S
valve.
33470... ................... A Revision of pulmonary 19.52 19.82 2.45 41.79 090 S
valve.
33471... ................... A Valvotomy, pulmonary 21.13 26.21 2.83 50.17 090 S
valve.
33472... ................... A Revision of pulmonary 20.91 28.70 2.83 52.44 090 S
valve.
33474... ................... A Revision of pulmonary 20.91 28.70 2.83 52.44 090 S
valve.
33475... ................... A Replacement, pulmonary 27.34 34.85 6.11 68.30 090 S
valve.
33476... ................... A Revision of heart 24.41 28.14 4.99 57.54 090 S
chamber.
33478... ................... A Revision of heart 25.38 31.27 5.42 62.07 090 S
chamber.
33500... ................... A Repair heart vessel 23.91 29.55 5.20 58.66 090 S
fistula.
[[Page 59589]]
33501... ................... A Repair heart vessel 16.14 14.14 2.51 32.79 090 S
fistula.
33502... ................... A Coronary artery 19.80 14.14 2.51 36.45 090 S
correction.
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, 25.38 34.24 6.03 65.65 090 S
translocation.
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, 2.27 2.89 0.50 5.66 090 S
single.
33518... ................... A CABG, artery-vein, two. 4.55 5.77 1.02 11.34 090 S
33519... ................... A CABG, artery-vein, 6.82 8.65 1.52 16.99 090 S
three.
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/ 5.86 7.51 2.18 15.55 ZZZ S
reop.
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 4.45 3.23 0.63 8.31 ZZZ S
endarterectomy.
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- 29.28 38.65 7.45 75.38 090 S
aorta.
33608... ................... A Repair anomaly w/ 30.02 38.65 7.45 76.12 090 S
conduit.
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 32.21 38.65 7.45 78.31 090 S
fontan.
33619... ................... A Repair single ventricle 35.39 44.30 8.04 87.73 090 S
33641... ................... A Repair heart septum 19.93 25.51 4.87 50.31 090 S
defect.
33645... ................... A Revision of heart veins 22.78 27.61 4.87 55.26 090 S
33647... ................... A Repair heart septum 27.44 34.92 6.28 68.64 090 S
defects.
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 31.23 38.65 7.45 77.33 090 S
chambers.
33681... ................... A Repair heart septum 26.36 34.92 6.28 67.56 090 S
defect.
33684... ................... A Repair heart septum 28.31 34.92 6.28 69.51 090 S
defect.
33688... ................... A Repair heart septum 29.28 34.92 6.28 70.48 090 S
defect.
33690... ................... A Reinforce pulmonary 18.31 22.10 4.29 44.70 090 S
artery.
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
33697... ................... A Repair of heart defects 32.21 38.65 7.45 78.31 090 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 29.89 38.65 7.45 75.99 090 S
defect(s).
33732... ................... A Repair heart-vein 27.09 31.27 5.42 63.78 090 S
defect.
33735... ................... A Revision of heart 19.97 25.69 4.87 50.53 090 S
chamber.
33736... ................... A Revision of heart 22.45 25.69 4.87 53.01 090 S
chamber.
33737... ................... A Revision of heart 20.50 25.69 4.87 51.06 090 S
chamber.
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 & 20.50 22.10 4.29 46.89 090 S
graft.
33766... ................... A Major vessel shunt..... 21.47 22.10 4.29 47.86 090 S
33767... ................... A Atrial septectomy/ 23.43 25.69 4.87 53.99 090 S
septostomy.
33770... ................... A Repair great vessels 31.96 38.65 7.45 78.06 090 S
defect.
33771... ................... A Repair great vessels 33.19 38.65 7.45 79.29 090 S
defect.
33774... ................... A Repair great vessels 29.28 31.27 5.42 65.97 090 S
defect.
[[Page 59590]]
33775... ................... A Repair great vessels 30.50 31.27 5.42 67.19 090 S
defect.
33776... ................... A Repair great vessels 32.21 34.92 6.28 73.41 090 S
defect.
33777... ................... A Repair great vessels 31.73 31.27 5.42 68.42 090 S
defect.
33778... ................... A Repair great vessels 34.17 41.82 7.37 83.36 090 S
defect.
33779... ................... A Repair great vessels 34.41 41.82 7.37 83.60 090 S
defect.
33780... ................... A Repair great vessels 35.14 41.82 7.37 84.33 090 S
defect.
33781... ................... A Repair great vessels 34.65 41.82 7.37 83.84 090 S
defect.
33786... ................... A Repair arterial trunk.. 33.19 38.65 7.45 79.29 090 S
33788... ................... A Revision of pulmonary 25.38 29.55 5.20 60.13 090 S
artery.
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 19.52 31.25 5.59 56.36 090 S
constriction.
33845... ................... A Remove aorta 20.99 31.25 5.59 57.83 090 S
constriction.
33851... ................... A Remove aorta 20.01 31.25 5.59 56.85 090 S
constriction.
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 37.74 44.30 8.04 90.08 090 S
graft.
33875... ................... A Thoracic aorta graft... 31.23 31.25 5.59 68.07 090 S
33877... ................... A Thoracoabdominal graft. 40.29 44.11 8.38 92.78 090 S
33910... ................... A Remove lung artery 21.86 14.65 2.77 39.28 090 S
emboli.
33915... ................... A Remove lung artery 18.84 12.02 2.22 33.08 090 S
emboli.
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 25.38 29.55 5.20 60.13 090 S
atresia.
33919... ................... A Repair pulmonary 31.11 38.65 7.45 77.21 090 S
atresia.
33920... ................... A Repair pulmonary 30.75 38.65 7.45 76.85 090 S
atresia.
33922... ................... A Transect pulmonary 22.45 26.21 2.83 51.49 090 S
artery.
33924... ................... A Remove pulmonary shunt. 5.50 4.00 0.78 10.28 ZZZ S
33930... ................... X Removal of donor heart/ 0.00 0.00 0.00 0.00 XXX 0
lung.
33935... ................... R Transplantation, heart/ 56.87 77.57 13.54 147.98 090 S
lung.
33940... ................... X Removal of donor heart. 0.00 0.00 0.00 0.00 XXX 0
33945... ................... R Transplantation of 39.56 64.80 11.05 115.41 090 S
heart.
33960... ................... A External circulation 19.36 7.01 0.94 27.31 XXX S
assist.
33961... ................... A External circulation 10.93 7.01 0.94 18.88 XXX S
assist.
33970... ................... A Aortic circulation 6.75 7.54 1.00 15.29 000 S
assist.
33971... ................... A Aortic circulation 8.40 5.16 0.91 14.47 090 S
assist.
33973... ................... A Insert balloon device.. 9.76 7.54 1.00 18.30 000 S
33974... ................... A Remove intra-aortic 12.69 5.56 0.91 19.16 090 S
balloon.
33975... ................... A Implant ventricular 19.52 14.19 2.77 36.48 090 S
device.
33976... ................... A Implant ventricular 26.60 19.33 3.78 49.71 090 S
device.
33977... ................... A Remove ventricular 17.08 12.41 2.43 31.92 090 S
device.
33978... ................... A Remove ventricular 19.52 14.19 2.77 36.48 090 S
device.
33999... ................... C Cardiac surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
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 7.18 7.59 1.59 16.36 090 S
clot.
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 11.06 8.63 1.72 21.41 090 S
clot.
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 9.71 7.35 0.86 17.92 090 S
vein.
34502... ................... A Reconstruct, vena cava. 25.65 18.65 3.64 47.94 090 S
34510... ................... A Transposition of vein 11.75 8.89 1.04 21.68 090 S
valve.
[[Page 59591]]
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, 19.43 12.64 2.41 34.48 090 S
neck.
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, 15.96 14.70 3.03 33.69 090 S
arm.
35021... ................... A Repair defect of artery 17.62 18.13 3.06 38.81 090 S
35022... ................... A Repair artery rupture, 21.15 14.78 2.80 38.73 090 S
chest.
35045... ................... A Repair defect of arm 9.98 12.35 2.50 24.83 090 S
artery.
35081... ................... A Repair defect of artery 26.23 21.45 4.18 51.86 090 S
35082... ................... A Repair artery rupture, 34.20 22.91 4.59 61.70 090 S
aorta.
35091... ................... A Repair defect of artery 33.16 22.67 4.25 60.08 090 S
35092... ................... A Repair artery rupture, 36.06 26.27 5.21 67.54 090 S
aorta.
35102... ................... A Repair defect of artery 28.80 22.15 4.32 55.27 090 S
35103... ................... A Repair artery rupture, 31.31 26.16 5.21 62.68 090 S
groin.
35111... ................... A Repair defect of artery 15.12 17.60 3.70 36.42 090 S
35112... ................... A Repair artery rupture, 17.38 10.45 2.22 30.05 090 S
spleen.
35121... ................... A Repair defect of artery 24.68 19.12 3.66 47.46 090 S
35122... ................... A Repair artery rupture, 32.08 17.92 3.96 53.96 090 S
belly.
35131... ................... A Repair defect of artery 17.00 15.88 3.15 36.03 090 S
35132... ................... A Repair artery rupture, 20.40 18.68 3.58 42.66 090 S
groin.
35141... ................... A Repair defect of artery 13.28 14.70 2.88 30.86 090 S
35142... ................... A Repair artery rupture, 14.62 16.10 3.24 33.96 090 S
thigh.
35151... ................... A Repair defect of artery 15.76 15.36 2.94 34.06 090 S
35152... ................... A Repair artery rupture, 15.46 9.27 1.95 26.68 090 S
knee.
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 12.16 7.37 1.48 21.01 090 S
lesion.
35182... ................... A Repair blood vessel 16.12 10.65 1.61 28.38 090 S
lesion.
35184... ................... A Repair blood vessel 10.79 9.73 1.96 22.48 090 S
lesion.
35188... ................... A Repair blood vessel 13.10 8.11 1.59 22.80 090 S
lesion.
35189... ................... A Repair blood vessel 17.12 11.33 2.21 30.66 090 S
lesion.
35190... ................... A Repair blood vessel 11.79 10.34 2.14 24.27 090 S
lesion.
35201... ................... A Repair blood vessel 8.90 10.07 1.94 20.91 090 S
lesion.
35206... ................... A Repair blood vessel 8.49 10.15 2.03 20.67 090 S
lesion.
35207... ................... A Repair blood vessel 9.06 10.80 1.93 21.79 090 S
lesion.
35211... ................... A Repair blood vessel 20.15 13.38 2.59 36.12 090 S
lesion.
35216... ................... A Repair blood vessel 17.12 10.68 2.08 29.88 090 S
lesion.
35221... ................... A Repair blood vessel 15.11 11.09 2.20 28.40 090 S
lesion.
35226... ................... A Repair blood vessel 8.17 10.28 1.95 20.40 090 S
lesion.
35231... ................... A Repair blood vessel 10.76 13.78 2.91 27.45 090 S
lesion.
35236... ................... A Repair blood vessel 9.39 12.02 2.56 23.97 090 S
lesion.
35241... ................... A Repair blood vessel 21.15 13.49 2.60 37.24 090 S
lesion.
35246... ................... A Repair blood vessel 18.14 16.95 2.15 37.24 090 S
lesion.
35251... ................... A Repair blood vessel 16.12 9.59 1.88 27.59 090 S
lesion.
35256... ................... A Repair blood vessel 10.14 12.40 2.39 24.93 090 S
lesion.
35261... ................... A Repair blood vessel 10.39 13.16 2.66 26.21 090 S
lesion.
35266... ................... A Repair blood vessel 9.06 11.59 2.41 23.06 090 S
lesion.
35271... ................... A Repair blood vessel 20.15 12.53 2.56 35.24 090 S
lesion.
35276... ................... A Repair blood vessel 17.12 10.85 2.26 30.23 090 S
lesion.
35281... ................... A Repair blood vessel 15.11 17.28 3.37 35.76 090 S
lesion.
35286... ................... A Repair blood vessel 10.78 11.71 2.33 24.82 090 S
lesion.
35301... ................... A Rechanneling of artery. 17.79 14.46 2.81 35.06 090 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 10.07 12.89 1.38 24.34 000 N
blockage.
[[Page 59592]]
35452... ................... A Repair arterial 6.91 4.35 0.61 11.87 000 S
blockage.
35454... ................... A Repair arterial 6.04 7.73 1.53 15.30 000 S
blockage.
35456... ................... A Repair arterial 7.35 9.41 1.69 18.45 000 S
blockage.
35458... ................... A Repair arterial 9.49 10.13 1.83 21.45 000 S
blockage.
35459... ................... A Repair arterial 8.63 10.39 1.69 20.71 000 S
blockage.
35460... ................... A Repair venous blockage. 6.04 3.16 0.74 9.94 000 S
35470... ................... A Repair arterial 8.63 10.39 1.69 20.71 000 N
blockage.
35471... ................... A Repair arterial 10.07 12.89 1.38 24.34 000 N
blockage.
35472... ................... A Repair arterial 6.91 3.61 0.85 11.37 000 N
blockage.
35473... ................... A Repair arterial 6.04 7.73 1.53 15.30 000 N
blockage.
35474... ................... A Repair arterial 7.36 9.42 1.69 18.47 000 N
blockage.
35475... ................... R Repair arterial 9.49 10.13 1.83 21.45 000 N
blockage.
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, 11.08 13.43 1.38 25.89 000 N
percutaneous.
35491... ................... A Atherectomy, 7.61 4.35 0.61 12.57 000 N
percutaneous.
35492... ................... A Atherectomy, 6.65 8.51 1.53 16.69 000 N
percutaneous.
35493... ................... A Atherectomy, 8.10 10.36 1.69 20.15 000 N
percutaneous.
35494... ................... A Atherectomy, 10.44 10.13 1.83 22.40 000 N
percutaneous.
35495... ................... A Atherectomy, 9.49 4.52 1.06 15.07 000 N
percutaneous.
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.... 19.84 18.71 3.71 42.26 090 S
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.... 25.00 20.62 4.08 49.70 090 S
35571... ................... A Artery bypass graft.... 17.14 19.36 3.87 40.37 090 S
35582... ................... A Vein bypass graft...... 25.69 23.74 4.89 54.32 090 S
35583... ................... A Vein bypass graft...... 20.50 20.44 4.13 45.07 090 S
35585... ................... A Vein bypass graft...... 26.47 22.95 4.63 54.05 090 S
35587... ................... A Vein bypass graft...... 17.55 21.51 4.13 43.19 090 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
[[Page 59593]]
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.... 18.42 17.73 3.60 39.75 090 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.... 17.60 20.06 4.00 41.66 090 S
35671... ................... A Artery bypass graft.... 13.39 15.60 4.08 33.07 090 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 3.08 1.61 0.38 5.07 ZZZ S
graft.
35701... ................... A Exploration, carotid 4.54 5.82 1.25 11.61 090 S
artery.
35721... ................... A Exploration, femoral 4.54 5.56 1.11 11.21 090 S
artery.
35741... ................... A Exploration popliteal 4.54 5.73 1.15 11.42 090 S
artery.
35761... ................... A Exploration of artery/ 4.54 5.81 1.14 11.49 090 S
vein.
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 8.63 7.23 1.44 17.30 090 S
vessels.
35860... ................... A Explore limb vessels... 4.54 5.81 1.15 11.50 090 S
35870... ................... A Repair vessel graft 20.35 10.64 2.47 33.46 090 S
defect.
35875... ................... A Removal of clot in 9.07 8.21 1.65 18.93 090 S
graft.
35876... ................... A Removal of clot in 12.91 8.21 1.65 22.77 090 S
graft.
35901... ................... A Excision, graft, neck.. 7.25 7.18 1.46 15.89 090 S
35903... ................... A Excision, graft, 8.63 7.18 1.46 17.27 090 S
extremity.
35905... ................... A Excision, graft, thorax 16.89 7.18 1.46 25.53 090 S
35907... ................... A Excision, graft, 17.68 7.18 1.46 26.32 090 S
abdomen.
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 2.52 2.11 0.31 4.94 XXX N
artery.
36014... ................... A Place catheter in 3.02 2.28 0.27 5.57 XXX N
artery.
36015... ................... A Place catheter in 3.52 2.67 0.32 6.51 XXX N
artery.
36100... ................... A Establish access to 3.02 2.59 0.32 5.93 XXX N
artery.
36120... ................... A Establish access to 2.01 2.32 0.30 4.63 XXX N
artery.
36140... ................... A Establish access to 2.01 1.41 0.24 3.66 XXX N
artery.
36145... ................... A Artery to vein shunt... 2.01 2.57 0.49 5.07 XXX N
36160... ................... A Establish access to 2.52 2.32 0.35 5.19 XXX S
aorta.
36200... ................... A Place catheter in aorta 3.02 2.73 0.28 6.03 XXX N
36215... ................... A Place catheter in 4.68 2.78 0.23 7.69 XXX N
artery.
36216... ................... A Place catheter in 5.28 3.29 0.27 8.84 XXX N
artery.
36217... ................... A Place catheter in 6.30 3.92 0.32 10.54 XXX N
artery.
36218... ................... A Place catheter in 1.01 0.62 0.05 1.68 XXX N
artery.
36245... ................... A Place catheter in 4.68 3.15 0.26 8.09 XXX N
artery.
36246... ................... A Place catheter in 5.28 3.29 0.27 8.84 XXX N
artery.
36247... ................... A Place catheter in 6.30 3.92 0.32 10.54 XXX N
artery.
36248... ................... A Place catheter in 1.01 0.62 0.05 1.68 XXX N
artery.
36260... ................... A Insertion of infusion 9.27 6.74 1.41 17.42 090 S
pump.
36261... ................... A Revision of infusion 5.04 2.23 0.42 7.69 090 S
pump.
36262... ................... A Removal of infusion 3.70 1.93 0.40 6.03 090 S
pump.
36299... ................... C Vessel injection 0.00 0.00 0.00 0.00 YYY N
procedure.
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 1.01 0.51 0.05 1.57 XXX N
vein.
36425... ................... A Establish access to 0.76 0.08 0.01 0.85 XXX N
vein.
36430... ................... A Blood transfusion 0.00 0.96 0.07 1.03 XXX N
service.
36440... ................... A Blood transfusion 1.03 0.94 0.07 2.04 XXX S
service.
36450... ................... A Exchange transfusion 2.23 1.88 0.18 4.29 XXX N
service.
[[Page 59594]]
36455... ................... A Exchange transfusion 2.43 2.27 0.22 4.92 XXX N
service.
36460... ................... A Transfusion service, 6.59 4.71 1.09 12.39 XXX N
fetal.
36468... ................... R Injection(s); spider 0.00 0.00 0.00 0.00 XXX S
veins.
36469... ................... R Injection(s); spider 0.00 0.00 0.00 0.00 XXX S
veins.
36470... ................... A Injection therapy of 1.02 0.27 0.04 1.33 010 S
vein.
36471... ................... A Injection therapy of 1.49 0.39 0.05 1.93 010 S
veins.
36481... ................... A Insertion of catheter, 6.99 5.30 0.61 12.90 000 S
vein.
36488... ................... A Insertion of catheter, 1.35 0.97 0.14 2.46 000 N
vein.
36489... ................... A Insertion of catheter, 1.22 1.12 0.17 2.51 000 N
vein.
36490... ................... A Insertion of catheter, 1.67 1.38 0.20 3.25 000 N
vein.
36491... ................... A Insertion of catheter, 1.43 1.71 0.32 3.46 000 N
vein.
36493... ................... A Repositioning of cvc... 1.21 0.63 0.16 2.00 000 N
36500... ................... A Insertion of catheter, 3.52 0.08 0.01 3.61 000 N
vein.
36510... ................... A Insertion of catheter, 1.09 0.34 0.02 1.45 000 N
vein.
36520... ................... A Plasma and/or cell 1.74 1.92 0.12 3.78 000 N
exchange.
36522... ................... A Photopheresis.......... 1.67 2.48 0.37 4.52 000 S
36530... ................... R Insertion of infusion 4.83 4.82 1.02 10.67 010 S
pump.
36531... ................... R Revision of infusion 4.80 4.37 0.27 9.44 010 S
pump.
36532... ................... R Removal of infusion 3.23 1.77 0.37 5.37 010 S
pump.
36533... ................... A Insertion of access 5.00 4.29 0.85 10.14 010 S
port.
36534... ................... A Revision of access port 2.73 3.46 0.21 6.40 010 S
36535... ................... A Removal of access port. 2.22 1.81 0.38 4.41 010 S
36600... ................... A Withdrawal of arterial 0.32 0.28 0.02 0.62 XXX N
blood.
36620... ................... A Insertion catheter, 1.15 0.66 0.14 1.95 000 N
artery.
36625... ................... A Insertion catheter, 2.11 0.86 0.18 3.15 000 N
artery.
36640... ................... A Insertion catheter, 2.10 2.32 0.40 4.82 000 N
artery.
36660... ................... A Insertion catheter, 1.40 0.49 0.04 1.93 000 N
artery.
36680... ................... A Insert needle, bone 1.20 1.24 0.10 2.54 000 N
cavity.
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...... 11.25 9.96 2.36 23.57 090 S
36832... ................... A Revise artery-vein 5.84 7.48 2.38 15.70 090 S
fistula.
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
37180... ................... A Revision of circulation 23.16 14.19 2.76 40.11 090 S
37181... ................... A Splice spleen/kidney 25.17 16.41 3.52 45.10 090 S
veins.
37200... ................... A Transcatheter biopsy... 4.56 1.59 0.13 6.28 000 N
37201... ................... A Transcatheter therapy 5.00 5.50 0.64 11.14 000 N
infuse.
37202... ................... A Transcatheter therapy 5.68 4.30 0.50 10.48 000 N
infuse.
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 2.27 1.41 0.11 3.79 000 N
catheter.
37250... ................... A Intravascular us....... 1.51 1.14 0.13 2.78 ZZZ N
37251... ................... A Intravascular us....... 1.15 0.87 0.10 2.12 ZZZ 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 2.27 2.22 0.38 4.87 010 S
procedure.
37615... ................... A Ligation of neck artery 4.39 5.62 1.11 11.12 090 S
37616... ................... A Ligation of chest 14.69 4.21 0.83 19.73 090 S
artery.
37617... ................... A Ligation of abdomen 14.19 8.00 1.54 23.73 090 S
artery.
37618... ................... A Ligation of extremity 3.90 4.98 1.06 9.94 090 S
artery.
[[Page 59595]]
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/ 9.90 8.34 1.68 19.92 090 S
lesion.
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 3.56 0.98 0.18 4.72 090 S
varicosity.
37788... ................... A Revascularization, 21.33 15.14 1.48 37.95 090 S
penis.
37790... ................... A Penile venous occlusion 8.02 5.70 0.55 14.27 090 S
37799... ................... C Vascular surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
38100... ................... A Removal of spleen, 11.99 8.55 1.81 22.35 090 S
total.
38101... ................... A Removal of spleen, 12.59 6.99 1.51 21.09 090 S
partial.
38102... ................... A Removal of spleen, 4.80 2.51 0.58 7.89 ZZZ S
total.
38115... ................... A Repair of ruptured 12.59 7.64 1.49 21.72 090 S
spleen.
38200... ................... A Injection for spleen x- 2.64 1.71 0.15 4.50 000 S
ray.
38230... ................... A Bone marrow collection. 4.22 2.78 0.21 7.21 010 N
38231... ................... A Stem cell collection... 1.50 1.37 0.08 2.95 000 N
38240... ................... A Bone marrow/stem 2.24 2.08 0.14 4.46 XXX N
transplant.
38241... ................... A Bone marrow/stem 2.24 2.04 0.13 4.41 XXX N
transplant.
38300... ................... A Drainage lymph node 1.48 0.58 0.10 2.16 010 S
lesion.
38305... ................... A Drainage lymph node 4.24 1.96 0.36 6.56 090 S
lesion.
38308... ................... A Incision of lymph 4.55 3.37 0.45 8.37 090 S
channels.
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 1.14 1.12 0.17 2.43 000 S
node(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), 5.41 4.26 0.59 10.26 090 S
neck.
38550... ................... A Removal neck/armpit 6.42 3.23 0.63 10.28 090 S
lesion.
38555... ................... A Removal neck/armpit 13.05 7.27 1.38 21.70 090 S
lesion.
38562... ................... A Removal, pelvic lymph 9.65 6.88 1.20 17.73 090 S
nodes.
38564... ................... A Removal, abdomen lymph 10.00 7.39 1.51 18.90 090 S
nodes.
38700... ................... A Removal of lymph nodes, 7.56 9.64 1.31 18.51 090 S
neck.
38720... ................... A Removal of lymph nodes, 12.29 15.73 2.04 30.06 090 S
neck.
38724... ................... A Removal of lymph nodes, 13.22 14.36 2.00 29.58 090 S
neck.
38740... ................... A Remove armpit lymph 6.28 4.72 1.00 12.00 090 S
nodes.
38745... ................... A Remove armpits lymph 8.08 8.28 1.76 18.12 090 S
nodes.
38746... ................... A Remove thoracic lymph 4.39 2.29 0.53 7.21 ZZZ S
nodes.
38747... ................... A Remove abdominal lymph 4.89 2.56 0.59 8.04 ZZZ S
nodes.
38760... ................... A Remove groin lymph 8.19 6.63 1.35 16.17 090 S
nodes.
38765... ................... A Remove groin lymph 14.98 12.67 2.42 30.07 090 S
nodes.
38770... ................... A Remove pelvis lymph 12.10 15.40 1.73 29.23 090 S
nodes.
38780... ................... A Remove abdomen lymph 15.17 16.06 3.13 34.36 090 S
nodes.
38790... ................... A Injection for lymphatic 1.29 1.64 0.19 3.12 000 N
xray.
38794... ................... A Access thoracic lymph 4.05 2.84 0.38 7.27 090 S
duct.
38999... ................... C Blood/lymph system 0.00 0.00 0.00 0.00 YYY S
procedure.
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 12.10 10.66 2.10 24.86 090 S
laceration.
39502... ................... A Repair paraesophageal 15.18 11.93 2.45 29.56 090 S
hernia.
39503... ................... A Repair of diaphragm 33.22 25.18 2.94 61.34 090 S
hernia.
39520... ................... A Repair of diaphragm 15.18 12.53 2.46 30.17 090 S
hernia.
39530... ................... A Repair of diaphragm 14.22 14.06 2.71 30.99 090 S
hernia.
39531... ................... A Repair of diaphragm 15.23 10.00 1.80 27.03 090 S
hernia.
39540... ................... A Repair of diaphragm 12.10 11.98 2.51 26.59 090 S
hernia.
39541... ................... A Repair of diaphragm 13.10 12.16 2.37 27.63 090 S
hernia.
[[Page 59596]]
39545... ................... A Revision of diaphragm.. 12.10 7.90 1.31 21.31 090 S
39599... ................... C Diaphragm surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
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 7.26 9.30 1.43 17.99 090 S
flap.
40527... ................... A Reconstruct lip with 8.71 11.16 1.65 21.52 090 S
flap.
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 1.12 0.74 0.07 1.93 010 S
lesion.
40801... ................... A Drainage of mouth 2.48 1.70 0.16 4.34 010 S
lesion.
40804... ................... A Removal foreign body, 1.19 0.58 0.06 1.83 010 S
mouth.
40805... ................... A Removal foreign body, 2.64 2.50 0.30 5.44 010 S
mouth.
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 1.26 1.18 0.11 2.55 010 S
lesion.
40812... ................... A Excise/repair mouth 2.26 1.50 0.14 3.90 010 S
lesion.
40814... ................... A Excise/repair mouth 3.27 3.23 0.32 6.82 090 S
lesion.
40816... ................... A Excision of mouth 3.52 3.22 0.33 7.07 090 S
lesion.
40818... ................... A Excise oral mucosa for 2.26 2.25 0.20 4.71 090 S
graft.
40819... ................... A Excise lip or cheek 2.26 1.23 0.14 3.63 090 S
fold.
40820... ................... A Treatment of mouth 1.23 0.53 0.06 1.82 010 S
lesion.
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 1.25 0.76 0.08 2.09 010 S
lesion.
41005... ................... A Drainage of mouth 1.21 0.62 0.07 1.90 010 S
lesion.
41006... ................... A Drainage of mouth 3.03 1.01 0.11 4.15 090 S
lesion.
41007... ................... A Drainage of mouth 2.89 2.90 0.30 6.09 090 S
lesion.
41008... ................... A Drainage of mouth 3.16 1.06 0.11 4.33 090 S
lesion.
41009... ................... A Drainage of mouth 3.35 3.31 0.34 7.00 090 S
lesion.
41010... ................... A Incision of tongue fold 1.01 0.37 0.04 1.42 010 S
41015... ................... A Drainage of mouth 3.72 0.87 0.10 4.69 090 S
lesion.
41016... ................... A Drainage of mouth 3.72 3.69 0.38 7.79 090 S
lesion.
41017... ................... A Drainage of mouth 3.72 1.40 0.14 5.26 090 S
lesion.
41018... ................... A Drainage of mouth 4.75 3.93 0.38 9.06 090 S
lesion.
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 1.00 0.85 0.09 1.94 010 S
mouth.
41110... ................... A Excision of tongue 1.46 1.30 0.15 2.91 010 S
lesion.
41112... ................... A Excision of tongue 2.63 2.39 0.23 5.25 090 S
lesion.
41113... ................... A Excision of tongue 3.09 3.41 0.37 6.87 090 S
lesion.
41114... ................... A Excision of tongue 7.88 6.39 0.73 15.00 090 S
lesion.
41115... ................... A Excision of tongue fold 1.69 1.78 0.17 3.64 010 S
41116... ................... A Excision of mouth 2.36 2.49 0.27 5.12 090 S
lesion.
41120... ................... A Partial removal of 8.83 7.28 0.88 16.99 090 S
tongue.
41130... ................... A Partial removal of 10.27 9.06 1.14 20.47 090 S
tongue.
41135... ................... A Tongue and neck surgery 21.15 18.30 2.64 42.09 090 S
41140... ................... A Removal of tongue...... 23.46 18.89 2.45 44.80 090 S
41145... ................... A Tongue removal; neck 27.58 22.79 2.95 53.32 090 S
surgery.
41150... ................... A Tongue, mouth, jaw 21.00 18.96 2.46 42.42 090 S
surgery.
41153... ................... A Tongue, mouth, neck 21.18 25.00 3.03 49.21 090 S
surgery.
41155... ................... A Tongue, jaw, & neck 25.60 29.95 3.75 59.30 090 S
surgery.
[[Page 59597]]
41250... ................... A Repair tongue 1.86 1.07 0.11 3.04 010 S
laceration.
41251... ................... A Repair tongue 2.22 2.07 0.21 4.50 010 S
laceration.
41252... ................... A Repair tongue 2.92 2.35 0.26 5.53 010 S
laceration.
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 2.63 2.88 0.28 5.79 090 S
fold.
41599... ................... C Tongue and mouth 0.00 0.00 0.00 0.00 YYY S
surgery.
41800... ................... A Drainage of gum lesion. 1.12 0.69 0.07 1.88 010 S
41805... ................... A Removal foreign body, 1.19 0.84 0.08 2.11 010 S
gum.
41806... ................... A Removal foreign body, 2.64 1.64 0.15 4.43 010 S
jawbone.
41820... ................... R Excision, gum, each 0.00 0.00 0.00 0.00 XXX S
quadrant.
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 0.00 0.00 0.00 0.00 YYY S
procedure.
42000... ................... A Drainage mouth roof 1.18 0.62 0.06 1.86 010 S
lesion.
42100... ................... A Biopsy roof of mouth... 1.26 0.79 0.08 2.13 010 S
42104... ................... A Excision lesion, mouth 1.59 1.62 0.17 3.38 010 S
roof.
42106... ................... A Excision lesion, mouth 2.05 2.22 0.21 4.48 010 S
roof.
42107... ................... A Excision lesion, mouth 4.20 4.91 0.50 9.61 090 S
roof.
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 1.75 1.53 0.16 3.44 010 S
lesion.
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 11.25 7.19 0.85 19.29 090 S
palate.
42205... ................... A Reconstruct cleft 8.96 10.82 0.79 20.57 090 S
palate.
42210... ................... A Reconstruct cleft 13.75 12.51 0.95 27.21 090 S
palate.
42215... ................... A Reconstruct cleft 8.42 7.68 0.86 16.96 090 S
palate.
42220... ................... A Reconstruct cleft 6.65 5.40 0.81 12.86 090 S
palate.
42225... ................... A Reconstruct cleft 9.08 6.90 1.08 17.06 090 S
palate.
42226... ................... A Lengthening of palate.. 9.42 7.89 0.86 18.17 090 S
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 9.18 3.98 0.44 13.60 090 S
fistula.
42280... ................... A Preparation, palate 1.49 1.99 0.17 3.65 010 S
mold.
42281... ................... A Insertion, palate 1.77 1.47 0.15 3.39 010 S
prosthesis.
42299... ................... C Palate/uvula surgery... 0.00 0.00 0.00 0.00 YYY S
42300... ................... A Drainage of salivary 1.88 0.96 0.12 2.96 010 S
gland.
42305... ................... A Drainage of salivary 5.59 2.18 0.27 8.04 090 S
gland.
42310... ................... A Drainage of salivary 1.51 1.03 0.12 2.66 010 S
gland.
42320... ................... A Drainage of salivary 2.30 1.83 0.22 4.35 010 S
gland.
42325... ................... A Create salivary cyst 2.65 2.12 0.20 4.97 090 S
drain.
42326... ................... A Create salivary cyst 3.65 4.34 0.33 8.32 090 S
drain.
42330... ................... A Removal of salivary 2.16 1.10 0.12 3.38 010 S
stone.
42335... ................... A Removal of salivary 3.21 2.47 0.27 5.95 090 S
stone.
42340... ................... A Removal of salivary 4.47 4.25 0.45 9.17 090 S
stone.
42400... ................... A Biopsy of salivary 0.78 0.79 0.10 1.67 000 S
gland.
42405... ................... A Biopsy of salivary 3.24 1.54 0.19 4.97 010 S
gland.
42408... ................... A Excision of salivary 4.41 3.24 0.38 8.03 090 S
cyst.
42409... ................... A Drainage of salivary 2.71 2.81 0.30 5.82 090 S
cyst.
42410... ................... A Excise parotid gland/ 8.88 5.94 0.92 15.74 090 S
lesion.
42415... ................... A Excise parotid gland/ 16.12 12.68 1.68 30.48 090 S
lesion.
42420... ................... A Excise parotid gland/ 18.63 14.82 1.87 35.32 090 S
lesion.
42425... ................... A Excise parotid gland/ 12.36 11.10 1.43 24.89 090 S
lesion.
42426... ................... A Excise parotid gland/ 19.88 24.12 3.21 47.21 090 S
lesion.
42440... ................... A Excision submaxillary 6.61 7.98 0.99 15.58 090 S
gland.
[[Page 59598]]
42450... ................... A Excision sublingual 4.38 3.42 0.35 8.15 090 S
gland.
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 1.25 0.44 0.04 1.73 000 N
x-ray.
42600... ................... A Closure of salivary 4.58 3.89 0.46 8.93 090 S
fistula.
42650... ................... A Dilation of salivary 0.77 0.39 0.04 1.20 000 S
duct.
42660... ................... A Dilation of salivary 1.13 0.50 0.06 1.69 000 S
duct.
42665... ................... A Ligation of salivary 2.43 2.04 0.25 4.72 090 S
duct.
42699... ................... C Salivary surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
42700... ................... A Drainage of tonsil 1.57 0.85 0.10 2.52 010 S
abscess.
42720... ................... A Drainage of throat 4.53 1.89 0.22 6.64 010 S
abscess.
42725... ................... A Drainage of throat 9.50 4.45 0.53 14.48 090 S
abscess.
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/ 1.19 1.09 0.13 2.41 010 S
throat.
42806... ................... A Biopsy of upper nose/ 1.53 1.40 0.16 3.09 010 S
throat.
42808... ................... A Excise pharynx lesion.. 2.25 2.52 0.29 5.06 010 S
42809... ................... A Remove pharynx foreign 1.76 0.82 0.08 2.66 010 S
body.
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 3.59 3.15 0.32 7.06 090 S
adenoids.
42821... ................... A Remove tonsils and 4.10 3.93 0.46 8.49 090 S
adenoids.
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 8.13 6.69 0.73 15.55 090 S
throat.
42844... ................... A Extensive surgery of 12.73 10.85 1.27 24.85 090 S
throat.
42845... ................... A Extensive surgery of 21.88 18.62 2.22 42.72 090 S
throat.
42860... ................... A Excision of tonsil tags 2.14 1.89 0.21 4.24 090 S
42870... ................... A Excision of lingual 5.16 2.32 0.26 7.74 090 S
tonsil.
42880... ................... D Excise nose/throat 0.00 0.00 0.00 0.00 090 S
lesion.
42890... ................... A Partial removal of 11.67 8.99 1.03 21.69 090 S
pharynx.
42892... ................... A Revision of pharyngeal 13.94 10.92 1.27 26.13 090 S
walls.
42894... ................... A Revision of pharyngeal 20.68 16.06 1.83 38.57 090 S
walls.
42900... ................... A Repair throat wound.... 4.98 4.26 0.48 9.72 010 S
42950... ................... A Reconstruction of 7.70 9.86 1.10 18.66 090 S
throat.
42953... ................... A Repair throat, 8.21 6.34 0.93 15.48 090 S
esophagus.
42955... ................... A Surgical opening of 6.50 3.32 0.43 10.25 090 S
throat.
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 4.78 1.03 0.10 5.91 090 N
bleeding.
42971... ................... A Control nose/throat 5.56 2.90 0.34 8.80 090 S
bleeding.
42972... ................... A Control nose/throat 6.55 4.55 0.73 11.83 090 S
bleeding.
42999... ................... C Throat surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
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 8.47 6.19 0.95 15.61 090 S
lesion.
43101... ................... A Excision of esophagus 15.11 9.48 1.88 26.47 090 S
lesion.
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 29.67 25.27 4.77 59.71 090 S
esophagus.
43117... ................... A Partial removal of 28.47 25.27 4.77 58.51 090 S
esophagus.
43118... ................... A Partial removal of 31.65 25.27 4.77 61.69 090 S
esophagus.
43121... ................... A Partial removal of 27.69 21.36 4.19 53.24 090 S
esophagus.
43122... ................... A Partial removal of 27.69 21.36 4.19 53.24 090 S
esophagus.
43123... ................... A Partial removal of 31.65 25.27 4.77 61.69 090 S
esophagus.
[[Page 59599]]
43124... ................... A Removal of esophagus... 24.73 22.50 4.42 51.65 090 S
43130... ................... A Removal of esophagus 10.68 10.51 1.60 22.79 090 S
pouch.
43135... ................... A Removal of esophagus 15.11 11.72 2.17 29.00 090 S
pouch.
43200... ................... A Esophagus endoscopy.... 1.59 2.04 0.26 3.89 000 S
43202... ................... A Esophagus endoscopy, 1.89 2.41 0.31 4.61 000 N
biopsy.
43204... ................... A Esophagus endoscopy & 3.77 4.83 0.36 8.96 000 N
inject.
43205... ................... A Esophagus endoscopy/ 3.79 2.70 0.18 6.67 000 N
ligation.
43215... ................... A Esophagus endoscopy.... 2.60 3.33 0.46 6.39 000 N
43216... ................... A Esophagus endoscopy/ 2.40 3.58 0.37 6.35 000 N
lesion.
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, 3.60 4.61 0.34 8.55 000 N
repair.
43228... ................... A Esophagus endoscopy, 3.77 4.79 0.38 8.94 000 N
ablation.
43234... ................... A Upper GI endoscopy, 2.01 2.57 0.30 4.88 000 N
exam.
43235... ................... A Upper GI endoscopy, 2.39 3.07 0.29 5.75 000 N
diagnosis.
43239... ................... A Upper GI endoscopy, 2.69 3.44 0.33 6.46 000 N
biopsy.
43241... ................... A Upper GI endoscopy with 2.59 3.31 0.38 6.28 000 N
tube.
43243... ................... A Upper GI endoscopy & 4.57 5.63 0.39 10.59 000 N
inject..
43244... ................... A Upper GI endoscopy/ 4.59 3.47 0.41 8.47 000 N
ligation.
43245... ................... A Operative upper GI 3.39 4.34 0.40 8.13 000 N
endoscopy.
43246... ................... A Place gastrostomy tube. 4.33 5.55 0.51 10.39 000 N
43247... ................... A Operative upper GI 3.39 4.34 0.38 8.11 000 N
endoscopy.
43248... ................... A Upper GI endoscopy/ 3.15 4.03 0.35 7.53 000 N
guidewire.
43249... ................... A Esophagus endoscopy, 2.90 3.73 0.30 6.93 000 N
dilation.
43250... ................... A Upper GI endoscopy/ 3.20 4.60 0.43 8.23 000 N
tumor.
43251... ................... A Operative upper GI 3.70 4.60 0.43 8.73 000 N
endoscopy.
43255... ................... A Operative upper GI 4.40 5.63 0.38 10.41 000 N
endoscopy.
43258... ................... A Operative upper GI 4.55 5.41 0.38 10.34 000 N
endoscopy.
43259... ................... A Endoscopic ultrasound 4.89 4.02 0.35 9.26 000 N
exam.
43260... ................... A Endoscopy, bile duct/ 5.96 5.98 0.39 12.33 000 N
pancreas.
43261... ................... A Endoscopy, bile duct/ 6.27 5.98 0.39 12.64 000 N
pancreas.
43262... ................... A Endoscopy, bile duct/ 7.39 9.00 0.58 16.97 000 N
pancreas.
43263... ................... A Endoscopy, bile duct/ 6.19 5.83 0.38 12.40 000 N
pancreas.
43264... ................... A Endoscopy, bile duct/ 8.90 8.92 0.61 18.43 000 N
pancreas.
43265... ................... A Endoscopy, bile duct/ 8.90 6.82 0.49 16.21 000 N
pancreas.
43267... ................... A Endoscopy, bile duct/ 7.39 7.41 0.48 15.28 000 N
pancreas.
43268... ................... A Endoscopy, bile duct/ 7.39 8.72 0.56 16.67 000 N
pancreas.
43269... ................... A Endoscopy, bile duct/ 6.04 7.35 0.51 13.90 000 N
pancreas.
43271... ................... A Endoscopy, bile duct/ 7.39 7.63 0.50 15.52 000 N
pancreas.
43272... ................... A Endoscopy, bile duct/ 7.39 5.60 0.42 13.41 000 N
pancreas.
43300... ................... A Repair of esophagus.... 8.72 11.17 1.70 21.59 090 S
43305... ................... A Repair esophagus and 16.14 13.71 1.78 31.63 090 S
fistula.
43310... ................... A Repair of esophagus.... 24.20 16.99 3.23 44.42 090 S
43312... ................... A Repair esophagus and 27.26 13.72 2.30 43.28 090 S
fistula.
43320... ................... A Fuse esophagus & 14.49 11.68 2.05 28.22 090 S
stomach.
43324... ................... A Revise esophagus & 15.18 11.88 2.53 29.59 090 S
stomach.
43325... ................... A Revise esophagus & 14.63 11.61 2.29 28.53 090 S
stomach.
43326... ................... A Revise esophagus & 14.37 7.52 1.75 23.64 090 S
stomach.
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 & 14.16 12.44 2.52 29.12 090 S
intestine.
43341... ................... A Fuse esophagus & 15.26 9.90 1.56 26.72 090 S
intestine.
43350... ................... A Surgical opening, 11.25 7.88 1.15 20.28 090 S
esophagus.
43351... ................... A Surgical opening, 13.42 8.77 1.53 23.72 090 S
esophagus.
43352... ................... A Surgical opening, 10.92 8.86 1.47 21.25 090 S
esophagus.
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 16.26 9.59 1.93 27.78 090 S
veins.
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 10.19 5.88 0.78 16.85 090 S
opening.
43425... ................... A Repair esophagus 15.58 9.94 1.71 27.23 090 S
opening.
43450... ................... A Dilate esophagus....... 1.38 0.68 0.05 2.11 000 N
[[Page 59600]]
43453... ................... A Dilate esophagus....... 1.51 1.51 0.11 3.13 000 N
43456... ................... A Dilate esophagus....... 2.57 2.47 0.24 5.28 000 N
43458... ................... A Dilation of esophagus.. 3.06 1.52 0.27 4.85 000 N
43460... ................... A Pressure treatment 3.80 1.67 0.15 5.62 000 N
esophagus.
43496... ................... C Free jejunum flap, 0.00 0.00 0.00 0.00 090 S
microvasc.
43499... ................... C Esophagus surgery 0.00 0.00 0.00 0.00 YYY N
procedure.
43500... ................... A Surgical opening of 7.60 6.13 1.20 14.93 090 S
stomach.
43501... ................... A Surgical repair of 13.85 8.58 1.83 24.26 090 S
stomach.
43502... ................... A Surgical repair of 15.82 8.58 1.83 26.23 090 S
stomach.
43510... ................... A Surgical opening of 9.27 8.29 0.94 18.50 090 N
stomach.
43520... ................... A Incision of pyloric 7.00 4.48 0.87 12.35 090 S
muscle.
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 10.11 8.17 1.71 19.99 090 S
lesion.
43611... ................... A Excision of stomach 12.43 8.17 1.71 22.31 090 S
lesion.
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, 18.10 12.42 2.66 33.18 090 S
partial.
43632... ................... A Removal stomach, 18.10 12.42 2.66 33.18 090 S
partial.
43633... ................... A Removal stomach, 18.54 12.42 2.66 33.62 090 S
partial.
43634... ................... A Removal stomach, 19.89 20.83 4.57 45.29 090 S
partial.
43635... ................... A Partial removal of 2.06 1.08 0.26 3.40 ZZZ S
stomach.
43638... ................... A Partial removal of 20.15 12.75 2.73 35.63 090 S
stomach.
43639... ................... A Removal stomach, 20.64 12.75 2.73 36.12 090 S
partial.
43640... ................... A Vagotomy & pylorus 13.28 10.34 2.19 25.81 090 S
repair.
43641... ................... A Vagotomy & pylorus 13.28 10.34 2.18 25.80 090 S
repair.
43750... ................... A Place gastrostomy tube. 4.27 4.35 0.56 9.18 010 N
43760... ................... A Change gastrostomy tube 1.10 0.69 0.09 1.88 000 N
43761... ................... A Reposition gastrostomy 2.01 1.06 0.25 3.32 000 N
tube.
43800... ................... A Reconstruction of 9.41 6.85 1.47 17.73 090 S
pylorus.
43810... ................... A Fusion of stomach and 10.08 7.64 1.53 19.25 090 S
bowel.
43820... ................... A Fusion of stomach and 10.43 8.29 1.75 20.47 090 S
bowel.
43825... ................... A Fusion of stomach and 13.28 11.08 2.30 26.66 090 S
bowel.
43830... ................... A Place gastrostomy tube. 6.52 6.19 1.19 13.90 090 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 10.45 7.84 1.66 19.95 090 S
lesion.
43842... ................... A Gastroplasty for 13.76 13.72 2.93 30.41 090 S
obesity.
43843... ................... A Gastroplasty for 13.76 13.72 2.93 30.41 090 S
obesity.
43846... ................... A Gastric bypass for 17.84 14.80 3.30 35.94 090 S
obesity.
43847... ................... A Gastric bypass for 19.87 14.80 3.30 37.97 090 S
obesity.
43848... ................... A Revision gastroplasty.. 22.10 14.80 3.30 40.20 090 S
43850... ................... A Revise stomach-bowel 18.14 11.64 2.25 32.03 090 S
fusion.
43855... ................... A Revise stomach-bowel 19.15 10.44 2.28 31.87 090 S
fusion.
43860... ................... A Revise stomach-bowel 18.14 11.46 2.51 32.11 090 S
fusion.
43865... ................... A Revise stomach-bowel 19.15 13.39 2.98 35.52 090 S
fusion.
43870... ................... A Repair stomach opening. 6.56 5.77 1.14 13.47 090 S
43880... ................... A Repair stomach-bowel 18.14 8.25 1.76 28.15 090 S
fistula.
43999... ................... C Stomach surgery 0.00 0.00 0.00 0.00 YYY N
procedure.
44005... ................... A Freeing of bowel 12.52 8.28 1.75 22.55 090 S
adhesion.
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 10.69 7.81 1.65 20.15 090 S
bowel.
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 10.05 7.77 1.64 19.46 090 S
obstruction.
44055... ................... A Correct malrotation of 11.92 7.66 1.60 21.18 090 S
bowel.
44100... ................... A Biopsy of bowel........ 2.01 1.38 0.13 3.52 000 N
44110... ................... A Excision of bowel 9.01 7.67 1.58 18.26 090 S
lesion(s).
44111... ................... A Excision of bowel 11.05 9.67 2.14 22.86 090 S
lesion(s).
44120... ................... A Removal of small 13.15 9.46 2.02 24.63 090 S
intestine.
44121... ................... A Removal of small 4.45 2.32 0.54 7.31 ZZZ S
intestine.
44125... ................... A Removal of small 13.15 10.75 2.28 26.18 090 S
intestine.
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 16.97 11.37 2.40 30.74 090 S
colon.
[[Page 59601]]
44141... ................... A Partial removal of 17.36 11.86 2.55 31.77 090 S
colon.
44143... ................... A Partial removal of 17.36 12.26 2.62 32.24 090 S
colon.
44144... ................... A Partial removal of 16.97 12.06 2.53 31.56 090 S
colon.
44145... ................... A Partial removal of 21.29 13.25 2.78 37.32 090 S
colon.
44146... ................... A Partial removal of 22.22 14.98 3.14 40.34 090 S
colon.
44147... ................... A Partial removal of 16.23 15.34 3.30 34.87 090 S
colon.
44150... ................... A Removal of colon....... 19.04 14.84 3.17 37.05 090 S
44151... ................... A Removal of colon/ 17.95 10.21 2.22 30.38 090 S
ileostomy.
44152... ................... A Removal of colon/ 22.98 15.44 3.36 41.78 090 S
ileostomy.
44153... ................... A Removal of colon/ 24.69 19.35 3.63 47.67 090 S
ileostomy.
44155... ................... A Removal of colon....... 22.09 16.65 3.50 42.24 090 S
44156... ................... A Removal of colon/ 20.48 11.40 2.52 34.40 090 S
ileostomy.
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 1.82 2.33 0.34 4.49 000 S
pouch.
44386... ................... A Endoscopy, bowel pouch, 2.12 1.54 0.15 3.81 000 N
biopsy.
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 3.83 2.63 0.28 6.74 000 N
body.
44391... ................... A Colonoscopy for 4.32 5.26 0.53 10.11 000 N
bleeding.
44392... ................... A Colonoscopy & 3.82 5.16 0.70 9.68 000 N
polypectomy.
44393... ................... A Colonoscopy, lesion 4.84 5.41 0.70 10.95 000 N
removal.
44394... ................... A Colonoscopy w/snare.... 4.43 5.16 0.70 10.29 000 N
44500... ................... A Intro, gastrointestinal 0.49 0.36 0.02 0.87 000 N
tube.
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 12.89 6.74 1.57 21.20 090 S
stricturoplasty.
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 13.34 6.54 1.35 21.23 090 S
fistula.
44650... ................... A Repair bowel fistula... 13.76 7.33 1.46 22.55 090 S
44660... ................... A Repair bowel-bladder 13.14 8.34 1.21 22.69 090 S
fistula.
44661... ................... A Repair bowel-bladder 15.44 13.94 2.52 31.90 090 S
fistula.
44680... ................... A Surgical revision, 12.41 9.71 2.14 24.26 090 S
intestine.
44799... ................... C Intestine surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
44800... ................... A Excision of bowel pouch 10.12 5.24 1.08 16.44 090 S
44820... ................... A Excision of mesentery 9.31 5.80 1.21 16.32 090 S
lesion.
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 7.86 4.28 0.88 13.02 090 S
abscess.
44950... ................... A Appendectomy........... 8.25 4.89 1.01 14.15 090 S
44955... ................... A Appendectomy........... 1.53 1.96 0.60 4.09 ZZZ S
[[Page 59602]]
44960... ................... A Appendectomy........... 9.78 5.89 1.24 16.91 090 S
45000... ................... A Drainage of pelvic 4.28 1.59 0.24 6.11 090 S
abscess.
45005... ................... A Drainage of rectal 1.96 1.29 0.21 3.46 010 S
abscess.
45020... ................... A Drainage of rectal 4.40 2.61 0.51 7.52 090 S
abscess.
45100... ................... A Biopsy of rectum....... 3.38 1.88 0.35 5.61 090 S
45108... ................... A Removal of anorectal 4.28 2.66 0.53 7.47 090 S
lesion.
45110... ................... A Removal of rectum...... 21.68 16.32 3.43 41.43 090 S
45111... ................... A Partial removal of 14.97 11.77 2.49 29.23 090 S
rectum.
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 21.20 15.39 3.24 39.83 090 S
rectum.
45116... ................... A Partial removal of 19.09 10.77 2.34 32.20 090 S
rectum.
45120... ................... A Removal of rectum...... 22.78 16.39 3.54 42.71 090 S
45121... ................... A Removal of rectum and 24.96 10.79 2.01 37.76 090 S
colon.
45123... ................... A Partial proctectomy.... 13.27 11.77 2.49 27.53 090 S
45130... ................... A Excision of rectal 13.03 8.92 1.79 23.74 090 S
prolapse.
45135... ................... A Excision of rectal 15.36 15.95 3.50 34.81 090 S
prolapse.
45150... ................... A Excision of rectal 5.26 3.38 0.63 9.27 090 S
stricture.
45160... ................... A Excision of rectal 12.34 7.46 1.56 21.36 090 S
lesion.
45170... ................... A Excision of rectal 9.40 4.62 0.96 14.98 090 S
lesion.
45190... ................... A Destruction, rectal 7.91 5.09 1.06 14.06 090 S
tumor.
45300... ................... A Proctosigmoidoscopy.... 0.70 0.55 0.07 1.32 000 S
45303... ................... A Proctosigmoidoscopy.... 0.80 0.64 0.12 1.56 000 S
45305... ................... A Proctosigmoidoscopy; 1.01 0.84 0.14 1.99 000 S
biopsy.
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, 0.96 1.23 0.12 2.31 000 N
diagnostic.
45331... ................... A Sigmoidoscopy and 1.26 1.61 0.15 3.02 000 N
biopsy.
45332... ................... A Sigmoidoscopy.......... 1.96 1.76 0.16 3.88 000 N
45333... ................... A Sigmoidoscopy & 1.96 2.24 0.26 4.46 000 N
polypectomy.
45334... ................... A Sigmoidoscopy for 2.99 2.71 0.23 5.93 000 N
bleeding.
45337... ................... A Sigmoidoscopy, 2.36 3.03 0.38 5.77 000 N
decompression.
45338... ................... A Sigmoidoscopy.......... 2.57 2.24 0.26 5.07 000 N
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
45378... 53................. A Diagnostic colonoscopy. 0.96 1.23 0.12 2.31 000 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 5.87 5.92 0.50 12.29 000 N
removal.
45384... ................... A Colonoscopy............ 4.70 6.65 0.58 11.93 000 N
45385... ................... A Colonoscopy, lesion 5.31 6.65 0.58 12.54 000 N
removal.
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 0.55 0.61 0.10 1.26 000 N
prolapse.
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 16.97 11.49 2.38 30.84 090 S
sigmoid.
45560... ................... A Repair of rectocele.... 7.48 4.79 0.98 13.25 090 S
45562... ................... A Exploration/repair of 11.13 8.09 1.58 20.80 090 S
rectum.
45563... ................... A Exploration/repair of 17.55 12.77 2.49 32.81 090 S
rectum.
45800... ................... A Repair rectumbladder 12.75 9.82 1.45 24.02 090 S
fistula.
45805... ................... A Repair fistula; 15.08 12.32 2.39 29.79 090 S
colostomy.
45820... ................... A Repair rectourethral 13.31 8.98 1.23 23.52 090 S
fistula.
45825... ................... A Repair fistula; 15.45 9.87 1.66 26.98 090 S
colostomy.
45900... ................... A Reduction of rectal 1.68 0.58 0.11 2.37 010 S
prolapse.
45905... ................... A Dilation of anal 1.51 0.71 0.12 2.34 010 S
sphincter.
45910... ................... A Dilation of rectal 1.86 0.87 0.13 2.86 010 S
narrowing.
45915... ................... A Remove rectal 2.09 0.78 0.09 2.96 010 N
obstruction.
45999... ................... C Rectum surgery 0.00 0.00 0.00 0.00 YYY N
procedure.
46030... ................... A Removal of rectal 1.20 0.40 0.07 1.67 010 S
marker.
[[Page 59603]]
46040... ................... A Incision of rectal 4.41 1.69 0.34 6.44 090 S
abscess.
46045... ................... A Incision of rectal 3.91 1.85 0.38 6.14 090 S
abscess.
46050... ................... A Incision of anal 1.14 0.60 0.11 1.85 010 S
abscess.
46060... ................... A Incision of rectal 5.03 5.35 1.12 11.50 090 S
abscess.
46070... ................... A Incision of anal septum 2.63 1.37 0.33 4.33 090 S
46080... ................... A Incision of anal 2.35 2.13 0.43 4.91 010 S
sphincter.
46083... ................... A Incise external 1.35 0.63 0.08 2.06 010 N
hemorrhoid.
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 1.38 0.66 0.14 2.18 010 S
hemorrhoid(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 & 5.87 5.23 1.08 12.18 090 S
fissure.
46258... ................... A Remove hemorrhoids & 6.26 5.87 1.22 13.35 090 S
fistula.
46260... ................... A Hemorrhoidectomy....... 6.70 6.07 1.25 14.02 090 S
46261... ................... A Remove hemorrhoids & 7.62 6.62 1.34 15.58 090 S
fissure.
46262... ................... A Remove hemorrhoids & 8.01 6.72 1.39 16.12 090 S
fistula.
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 1.58 0.70 0.11 2.39 010 S
clot.
46500... ................... A Injection into 1.53 0.32 0.06 1.91 010 S
hemorrhoids.
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 1.51 1.07 0.12 2.70 000 N
foreign 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 2.34 1.39 0.20 3.93 000 S
lesions.
46614... ................... A Anoscopy; control 2.01 1.55 0.25 3.81 000 S
bleeding.
46615... ................... A Anoscopy............... 2.68 1.55 0.25 4.48 000 S
46700... ................... A Repair of anal 6.40 6.14 1.24 13.78 090 S
stricture.
46705... ................... A Repair of anal 6.38 3.60 0.77 10.75 090 S
stricture.
46715... ................... A Repair of anovaginal 6.73 3.51 0.82 11.06 090 S
fistula.
46716... ................... A Repair of anovaginal 11.58 6.05 1.40 19.03 090 S
fistula.
46730... ................... A Construction of absent 20.54 10.74 2.50 33.78 090 S
anus.
46735... ................... A Construction of absent 24.91 13.04 3.04 40.99 090 S
anus.
46740... ................... A Construction of absent 22.08 11.55 2.68 36.31 090 S
anus.
46742... ................... A Repair, imperforated 27.82 19.75 1.93 49.50 090 S
anus.
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 7.35 6.00 1.22 14.57 090 S
sphincter.
46751... ................... A Repair of anal 7.78 4.07 0.95 12.80 090 S
sphincter.
46753... ................... A Reconstruction of anus. 6.04 4.89 1.02 11.95 090 S
46754... ................... A Removal of suture from 1.51 1.48 0.30 3.29 010 S
anus.
46760... ................... A Repair of anal 10.61 6.80 1.41 18.82 090 S
sphincter.
46761... ................... A Repair of anal 10.16 6.83 1.35 18.34 090 S
sphincter.
46762... ................... A Implant artificial 9.26 5.72 1.21 16.19 090 S
sphincter.
46900... ................... A Destruction, anal 1.81 0.39 0.06 2.26 010 S
lesion(s).
46910... ................... A Destruction, anal 1.81 0.64 0.08 2.53 010 S
lesion(s).
46916... ................... A Cryosurgery, anal 1.81 0.67 0.06 2.54 010 S
lesion(s).
46917... ................... A Laser surgery, anal 1.81 1.94 0.31 4.06 010 S
lesion(s).
46922... ................... A Excision of anal 1.81 1.28 0.23 3.32 010 S
lesion(s).
46924... ................... A Destruction, anal 2.71 2.56 0.46 5.73 010 S
lesion(s).
46934... ................... A Destruction of 3.84 1.19 0.17 5.20 090 N
hemorrhoids.
46935... ................... A Destruction of 2.40 1.62 0.22 4.24 010 N
hemorrhoids.
46936... ................... A Destruction of 4.17 2.29 0.24 6.70 090 N
hemorrhoids.
46937... ................... A Cryotherapy of rectal 2.66 2.35 0.45 5.46 010 S
lesion.
46938... ................... A Cryotherapy of rectal 4.42 2.50 0.52 7.44 090 S
lesion.
46940... ................... A Treatment of anal 2.29 0.51 0.09 2.89 010 S
fissure.
46942... ................... A Treatment of anal 2.01 0.46 0.08 2.55 010 S
fissure.
[[Page 59604]]
46945... ................... A Ligation of hemorrhoids 1.90 0.63 0.12 2.65 090 S
46946... ................... A Ligation of hemorrhoids 2.76 0.94 0.17 3.87 090 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 8.75 6.75 1.13 16.63 090 S
lesion.
47015... ................... A Inject/aspirate liver 8.78 6.75 1.13 16.66 090 S
cyst.
47100... ................... A Wedge biopsy of liver.. 6.75 3.29 0.67 10.71 090 S
47120... ................... A Partial removal of 19.99 12.00 2.48 34.47 090 S
liver.
47122... ................... A Extensive removal of 32.54 17.58 3.59 53.71 090 S
liver.
47125... ................... A Partial removal of 28.68 17.43 3.61 49.72 090 S
liver.
47130... ................... A Partial removal of 31.56 19.19 3.89 54.64 090 S
liver.
47133... ................... X Removal of donor liver. 0.00 0.00 0.00 0.00 XXX 0
47134... ................... R Partial removal, donor 39.15 20.48 4.77 64.40 XXX S
liver.
47135... ................... R Transplantation of 77.61 54.48 8.49 140.58 090 S
liver.
47136... ................... R Transplantation of 64.04 33.50 7.79 105.33 090 S
liver.
47300... ................... A Surgery for liver 8.75 7.67 1.59 18.01 090 S
lesion.
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
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 14.41 15.54 1.82 31.77 090 N
sphincter.
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- 1.96 1.51 0.14 3.61 000 N
rays.
47505... ................... A Injection for liver x- 0.76 0.98 0.14 1.88 000 N
rays.
47510... ................... A Insert catheter, bile 7.39 2.87 0.25 10.51 090 N
duct.
47511... ................... A Insert bile duct drain. 9.91 2.87 0.25 13.03 090 N
47525... ................... A Change bile duct 5.41 1.59 0.16 7.16 010 N
catheter.
47530... ................... A Revise, reinsert bile 5.41 1.51 0.19 7.11 090 N
tube.
47550... ................... A Bile duct endoscopy.... 3.02 1.56 0.35 4.93 000 S
47552... ................... A Biliary endoscopy, thru 6.04 1.36 0.21 7.61 000 S
skin.
47553... ................... A Biliary endoscopy, thru 6.35 3.80 0.62 10.77 000 N
skin.
47554... ................... A Biliary endoscopy, thru 9.06 3.93 0.67 13.66 000 S
skin.
47555... ................... A Biliary endoscopy, thru 7.56 2.63 0.30 10.49 000 N
skin.
47556... ................... A Biliary endoscopy, thru 8.56 2.63 0.30 11.49 000 N
skin.
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. 15.00 9.37 2.00 26.37 090 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 13.75 7.63 1.58 22.96 090 S
ducts.
47701... ................... A Bile duct revision..... 26.57 8.21 1.90 36.68 090 S
47711... ................... A Excision of bile duct 18.16 12.06 2.46 32.68 090 S
tumor.
47712... ................... A Excision of bile duct 23.74 12.06 2.46 38.26 090 S
tumor.
47715... ................... A Excision of bile duct 14.50 8.22 1.71 24.43 090 S
cyst.
47716... ................... A Fusion of bile duct 12.53 6.56 1.53 20.62 090 S
cyst.
47720... ................... A Fuse gallbladder & 11.90 9.16 1.93 22.99 090 S
bowel.
47721... ................... A Fuse upper gi 14.41 11.42 2.47 28.30 090 S
structures.
47740... ................... A Fuse gallbladder & 13.93 10.21 2.14 26.28 090 S
bowel.
47741... ................... A Fuse gallbladder & 16.23 14.35 3.02 33.60 090 S
bowel.
47760... ................... A Fuse bile ducts and 19.93 11.61 2.53 34.07 090 S
bowel.
47765... ................... A Fuse liver ducts & 19.04 14.61 2.97 36.62 090 S
bowel.
47780... ................... A Fuse bile ducts and 20.40 13.07 2.73 36.20 090 S
bowel.
47785... ................... A Fuse bile ducts and 24.41 13.07 2.73 40.21 090 S
bowel.
47800... ................... A Reconstruction of bile 17.71 13.22 2.43 33.36 090 S
ducts.
47801... ................... A Placement, bile duct 11.28 5.48 0.81 17.57 090 S
support.
47802... ................... A Fuse liver duct & 16.01 10.27 1.75 28.03 090 S
intestine.
47900... ................... A Suture bile duct injury 15.63 13.22 2.43 31.28 090 S
47999... ................... C Bile tract surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
48000... ................... A Drainage of abdomen.... 13.10 7.05 1.40 21.55 090 S
48001... ................... A Placement of drain, 15.54 8.13 1.89 25.56 090 S
pancreas.
[[Page 59605]]
48005... ................... A Resect/debride pancreas 17.57 9.19 2.14 28.90 090 S
48020... ................... A Removal of pancreatic 12.98 6.78 1.57 21.33 090 S
stone.
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 12.79 9.72 2.07 24.58 090 S
lesion.
48140... ................... A Partial removal of 18.27 13.29 2.83 34.39 090 S
pancreas.
48145... ................... A Partial removal of 19.09 15.71 3.16 37.96 090 S
pancreas.
48146... ................... A Pancreatectomy......... 21.73 16.49 1.92 40.14 090 S
48148... ................... A Removal of pancreatic 14.41 8.23 1.68 24.32 090 S
duct.
48150... ................... A Partial removal of 40.25 22.54 4.75 67.54 090 S
pancreas.
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, 0.00 0.00 0.00 0.00 XXX 0
transplant.
48180... ................... A Fuse pancreas and bowel 20.88 12.60 2.63 36.11 090 S
48400... ................... A Injection, 1.95 1.03 0.24 3.22 ZZZ N
intraoperative.
48500... ................... A Surgery of pancreas 12.04 8.53 1.66 22.23 090 S
cyst.
48510... ................... A Drain pancreatic 11.22 7.54 1.44 20.20 090 S
pseudocyst.
48520... ................... A Fuse pancreas cyst and 12.97 11.30 2.43 26.70 090 S
bowel.
48540... ................... A Fuse pancreas cyst and 15.77 12.66 2.65 31.08 090 S
bowel.
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 +34.17 17.87 4.16 56.20 XXX 0
pancreas.
48556... ................... A Removal, allograft 13.89 7.26 1.69 22.84 090 S
pancreas.
48999... ................... C Pancreas surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
49000... ................... A Exploration of abdomen. 11.00 6.79 1.40 19.19 090 S
49002... ................... A Reopening of abdomen... 9.40 6.05 1.21 16.66 090 S
49010... ................... A Exploration behind 11.19 6.95 1.31 19.45 090 S
abdomen.
49020... ................... A Drain abdominal abscess 14.25 4.82 0.91 19.98 090 S
49021... ................... A Drain abdominal abscess 9.06 4.82 0.91 14.79 090 N
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 1.35 0.87 0.08 2.30 000 N
cavity.
49081... ................... A Removal of abdominal 1.26 0.75 0.07 2.08 000 N
fluid.
49085... ................... A Remove abdomen foreign 7.91 3.46 0.67 12.04 090 S
body.
49180... ................... A Biopsy, abdominal mass. 1.73 1.82 0.20 3.75 000 N
49200... ................... A Removal of abdominal 9.19 8.38 1.70 19.27 090 S
lesion.
49201... ................... A Removal of abdominal 13.60 12.10 2.50 28.20 090 S
lesion.
49215... ................... A Excise sacral spine 21.05 8.50 1.59 31.14 090 S
tumor.
49220... ................... A Multiple surgery, 13.66 12.30 2.53 28.49 090 S
abdomen.
49250... ................... A Excision of umbilicus.. 7.42 4.52 0.96 12.90 090 S
49255... ................... A Removal of omentum..... 10.25 5.16 1.15 16.56 090 S
49400... ................... A Air injection into 1.88 1.12 0.17 3.17 000 S
abdomen.
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/ 5.85 4.14 0.81 10.80 010 S
catheter.
49425... ................... A Insert abdomen-venous 10.22 8.48 1.78 20.48 090 S
drain.
49426... ................... A Revise abdomen-venous 8.57 5.39 1.07 15.03 090 S
shunt.
49427... ................... A Injection, abdominal 0.89 0.49 0.03 1.41 000 N
shunt.
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, 5.79 4.98 0.95 11.72 090 S
init.
49496... ................... A Repair inguinal hernia, 8.37 5.04 1.08 14.49 090 S
init.
49500... ................... A Repair inguinal hernia. 4.41 4.98 0.95 10.34 090 S
49501... ................... A Repair inguinal hernia, 7.26 5.04 1.08 13.38 090 S
init.
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 7.87 5.22 1.11 14.20 090 S
hernia.
49521... ................... A Repair inguinal hernia, 9.43 5.04 1.08 15.55 090 S
rec.
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, 7.40 4.61 0.97 12.98 090 S
init.
49555... ................... A Repair femoral hernia.. 7.29 6.07 1.26 14.62 090 S
49557... ................... A Repair femoral hernia, 8.73 6.07 1.26 16.06 090 S
recur.
[[Page 59606]]
49560... ................... A Repair abdominal hernia 9.48 5.65 1.19 16.32 090 S
49561... ................... A Repair incisional 11.38 5.65 1.19 18.22 090 S
hernia.
49565... ................... A Rerepair abdominal 9.48 6.41 1.35 17.24 090 S
hernia.
49566... ................... A Repair incisional 11.38 6.41 1.35 19.14 090 S
hernia.
49568... ................... A Hernia repair w/mesh... 4.89 2.56 0.59 8.04 ZZZ S
49570... ................... A Repair epigastric 4.46 4.38 0.91 9.75 090 S
hernia.
49572... ................... A Repair, epigastric 5.35 5.60 1.18 12.13 090 S
hernia.
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 9.40 3.66 0.75 13.81 090 S
wall.
49905... ................... A Omental flap........... 6.55 3.42 0.80 10.77 ZZZ S
49906... ................... C Free omental flap, 0.00 0.00 0.00 0.00 090 S
microvasc.
49999... ................... C Abdomen surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
50010... ................... A Exploration of kidney.. 10.07 9.55 1.13 20.75 090 S
50020... ................... A Drainage of kidney 12.41 6.80 0.85 20.06 090 S
abscess.
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 15.11 10.34 1.35 26.80 090 S
vessels.
50120... ................... A Exploration of kidney.. 15.00 10.91 1.24 27.15 090 S
50125... ................... A Explore and drain 15.61 10.95 1.06 27.62 090 S
kidney.
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
50200... ................... A Biopsy of kidney....... 2.63 2.61 0.22 5.46 000 N
50205... ................... A Biopsy of kidney....... 10.50 5.64 0.69 16.83 090 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 & 21.11 16.65 1.65 39.41 090 S
ureter.
50236... ................... A Removal of kidney & 23.33 17.74 1.74 42.81 090 S
ureter.
50240... ................... A Partial removal of 20.24 16.00 1.70 37.94 090 S
kidney.
50280... ................... A Removal of kidney 14.63 10.86 1.16 26.65 090 S
lesion.
50290... ................... A Removal of kidney 13.69 8.87 1.19 23.75 090 S
lesion.
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 27.05 24.45 4.24 55.74 090 S
kidney.
50365... ................... A Transplantation of 32.54 30.71 3.89 67.14 090 S
kidney.
50370... ................... A Remove transplanted 11.11 11.08 1.92 24.11 090 S
kidney.
50380... ................... A Reimplantation of 16.49 10.12 1.71 28.32 090 S
kidney.
50390... ................... A Drainage of kidney 1.96 1.69 0.15 3.80 000 N
lesion.
50392... ................... A Insert kidney drain.... 3.38 2.36 0.20 5.94 000 N
50393... ................... A Insert ureteral tube... 4.16 3.01 0.26 7.43 000 N
50394... ................... A Injection for kidney x- 0.76 0.55 0.05 1.36 000 N
ray.
50395... ................... A Create passage to 3.38 3.33 0.29 7.00 000 N
kidney.
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/ 18.07 13.66 1.36 33.09 090 S
ureter.
50405... ................... A Revision of kidney/ 22.45 17.29 1.74 41.48 090 S
ureter.
50500... ................... A Repair of kidney wound. 18.27 12.46 1.64 32.37 090 S
50520... ................... A Close kidney-skin 15.93 10.34 1.50 27.77 090 S
fistula.
50525... ................... A Repair renal-abdomen 20.59 12.61 1.99 35.19 090 S
fistula.
50526... ................... A Repair renal-abdomen 22.15 7.39 2.32 31.86 090 S
fistula.
50540... ................... A Revision of horseshoe 19.15 13.41 1.54 34.10 090 S
kidney.
[[Page 59607]]
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 & 6.53 4.70 0.45 11.68 000 S
biopsy.
50557... ................... A Kidney endoscopy & 6.62 4.71 0.49 11.82 000 S
treatment.
50559... ................... A Renal endoscopy; 6.78 1.34 0.14 8.26 000 S
radiotracer.
50561... ................... A Kidney endoscopy & 7.59 5.12 0.49 13.20 000 S
treatment.
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 & 11.02 7.08 0.64 18.74 000 S
biopsy.
50575... ................... A Kidney endoscopy....... 13.98 9.93 0.97 24.88 000 S
50576... ................... A Kidney endoscopy & 10.99 8.69 0.77 20.45 000 S
treatment.
50578... ................... A Renal endoscopy; 11.35 3.79 1.19 16.33 000 S
radiotracer.
50580... ................... A Kidney endoscopy & 11.86 3.58 0.35 15.79 000 S
treatment.
50590... ................... A Fragmenting of kidney 8.79 10.11 0.97 19.87 090 S
stone.
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- 0.76 0.49 0.05 1.30 000 S
ray.
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- 1.16 0.32 0.03 1.51 000 S
ray.
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 & 17.12 13.03 1.88 32.03 090 S
kidney.
50750... ................... A Fusion of ureter & 18.14 14.04 1.26 33.44 090 S
kidney.
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
50780... ................... A Reimplant ureter in 17.12 13.78 1.46 32.36 090 S
bladder.
50782... ................... A Reimplant ureter in 18.23 13.78 1.46 33.47 090 S
bladder.
50783... ................... A Reimplant ureter in 19.17 13.78 1.46 34.41 090 S
bladder.
50785... ................... A Reimplant ureter in 19.15 15.42 1.80 36.37 090 S
bladder.
50800... ................... A Implant ureter in bowel 13.10 14.67 1.51 29.28 090 S
50810... ................... A Fusion of ureter & 18.14 12.57 1.75 32.46 090 S
bowel.
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 13.99 10.92 1.16 26.07 090 S
skin.
50900... ................... A Repair of ureter....... 12.58 9.98 1.15 23.71 090 S
50920... ................... A Closure ureter/skin 13.22 9.52 0.99 23.73 090 S
fistula.
50930... ................... A Closure ureter/bowel 17.61 12.50 1.22 31.33 090 S
fistula.
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 & 6.75 2.55 0.25 9.55 000 S
biopsy.
50957... ................... A Ureter endoscopy & 6.79 2.50 0.25 9.54 000 S
treatment.
50959... ................... A Ureter endoscopy & 4.40 3.38 0.29 8.07 000 S
tracer.
50961... ................... A Ureter endoscopy & 6.05 2.62 0.26 8.93 000 S
treatment.
50970... ................... A Ureter endoscopy....... 7.14 5.17 0.52 12.83 000 S
50972... ................... A Ureter endoscopy & 6.89 1.54 0.16 8.59 000 S
catheter.
50974... ................... A Ureter endoscopy & 9.17 7.01 0.65 16.83 000 S
biopsy.
50976... ................... A Ureter endoscopy & 9.04 6.41 0.62 16.07 000 S
treatment.
50978... ................... A Ureter endoscopy & 5.10 4.05 0.48 9.63 000 S
tracer.
50980... ................... A Ureter endoscopy & 6.85 3.13 0.30 10.28 000 S
treatment.
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
[[Page 59608]]
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 6.04 4.96 0.50 11.50 090 S
ureter.
51050... ................... A Removal of bladder 6.04 7.12 0.70 13.86 090 S
stone.
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 5.41 5.18 0.57 11.16 090 S
abscess.
51500... ................... A Removal of bladder cyst 9.54 6.86 1.21 17.61 090 S
51520... ................... A Removal of bladder 8.69 8.53 0.87 18.09 090 S
lesion.
51525... ................... A Removal of bladder 12.78 10.67 1.06 24.51 090 S
lesion.
51530... ................... A Removal of bladder 11.32 9.25 1.02 21.59 090 S
lesion.
51535... ................... A Repair of ureter lesion 11.51 7.68 1.14 20.33 090 S
51550... ................... A Partial removal of 14.34 10.71 1.17 26.22 090 S
bladder.
51555... ................... A Partial removal of 19.60 12.26 1.31 33.17 090 S
bladder.
51565... ................... A Revise bladder & 20.01 15.84 1.67 37.52 090 S
ureter(s).
51570... ................... A Removal of bladder..... 22.16 15.66 1.62 39.44 090 S
51575... ................... A Removal of bladder & 27.93 22.87 2.25 53.05 090 S
nodes.
51580... ................... A Remove bladder; revise 28.20 19.95 2.04 50.19 090 S
tract.
51585... ................... A Removal of bladder & 32.22 25.12 2.42 59.76 090 S
nodes.
51590... ................... A Remove bladder; revise 30.21 24.52 2.56 57.29 090 S
tract.
51595... ................... A Remove bladder; revise 34.25 33.80 3.34 71.39 090 S
tract.
51596... ................... A Remove bladder, create 36.27 34.89 3.45 74.61 090 S
pouch.
51597... ................... A Removal of pelvic 35.27 30.63 4.31 70.21 090 S
structures.
51600... ................... A Injection for bladder x- 0.88 0.28 0.03 1.19 000 S
ray.
51605... ................... A Preparation for bladder 0.64 0.30 0.03 0.97 000 S
x-ray.
51610... ................... A Injection for bladder x- 1.05 0.27 0.02 1.34 000 S
ray.
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/ 3.74 2.65 0.27 6.66 000 S
implant.
51720... ................... A Treatment of bladder 1.96 0.45 0.05 2.46 000 S
lesion.
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
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. 0.61 0.41 0.04 1.06 000 S
51736... 26 A Urine flow measurement. 0.61 0.26 0.03 0.90 000 S
51736... TC A Urine flow measurement. 0.00 0.15 0.01 0.16 000 S
51741... ................... A Electro-uroflowmetry, 1.14 0.56 0.06 1.76 000 S
first.
51741... 26 A Electro-uroflowmetry, 1.14 0.35 0.04 1.53 000 S
first.
51741... TC A Electro-uroflowmetry, 0.00 0.21 0.02 0.23 000 S
first.
51772... ................... A Urethra pressure 1.61 0.94 0.11 2.66 000 S
profile.
51772... 26 A Urethra pressure 1.61 0.52 0.06 2.19 000 S
profile.
51772... TC A Urethra pressure 0.00 0.42 0.05 0.47 000 S
profile.
51784... ................... A Anal/urinary muscle 1.53 1.04 0.11 2.68 000 S
study.
51784... 26 A Anal/urinary muscle 1.53 0.65 0.07 2.25 000 S
study.
51784... TC A Anal/urinary muscle 0.00 0.39 0.04 0.43 000 S
study.
51785... ................... A Anal/urinary muscle 1.53 1.04 0.11 2.68 000 S
study.
51785... 26 A Anal/urinary muscle 1.53 0.65 0.07 2.25 000 S
study.
51785... TC A Anal/urinary muscle 0.00 0.39 0.04 0.43 000 S
study.
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 1.53 1.44 0.16 3.13 000 S
study.
51795... 26 A Urine voiding pressure 1.53 0.57 0.06 2.16 000 S
study.
51795... TC A Urine voiding pressure 0.00 0.87 0.10 0.97 000 S
study.
51797... ................... A Intraabdominal pressure 1.60 0.96 0.10 2.66 000 S
test.
51797... 26 A Intraabdominal pressure 1.60 0.51 0.05 2.16 000 S
test.
51797... TC A Intraabdominal pressure 0.00 0.45 0.05 0.50 000 S
test.
51800... ................... A Revision of bladder/ 16.31 12.02 1.47 29.80 090 S
urethra.
51820... ................... A Revision of urinary 16.67 7.39 1.32 25.38 090 S
tract.
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
[[Page 59609]]
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 7.21 4.96 0.52 12.69 090 S
opening.
51900... ................... A Repair bladder/vagina 11.67 11.65 1.41 24.73 090 S
lesion.
51920... ................... A Close bladder-uterus 10.57 7.51 0.73 18.81 090 S
fistula.
51925... ................... A Hysterectomy/bladder 14.10 10.07 2.33 26.50 090 S
repair.
51940... ................... A Correction of bladder 25.00 18.95 2.22 46.17 090 S
defect.
51960... ................... A Revision of bladder & 21.15 21.40 2.27 44.82 090 S
bowel.
51980... ................... A Construct bladder 10.43 7.46 0.75 18.64 090 S
opening.
52000... ................... A Cystoscopy............. 2.01 1.33 0.14 3.48 000 S
52005... ................... A Cystoscopy & ureter 2.37 2.20 0.22 4.79 000 S
catheter.
52007... ................... A Cystoscopy and biopsy.. 3.02 2.82 0.28 6.12 000 S
52010... ................... A Cystoscopy & duct 3.02 1.90 0.20 5.12 000 S
catheter.
52204... ................... A Cystoscopy............. 2.37 2.38 0.24 4.99 000 S
52214... ................... A Cystoscopy and 3.71 2.80 0.28 6.79 000 S
treatment.
52224... ................... A Cystoscopy and 3.14 2.90 0.29 6.33 000 S
treatment.
52234... ................... A Cystoscopy and 4.63 4.71 0.45 9.79 000 S
treatment.
52235... ................... A Cystoscopy and 5.45 6.97 0.81 13.23 000 S
treatment.
52240... ................... A Cystoscopy and 9.72 10.65 1.04 21.41 000 S
treatment.
52250... ................... A Cystoscopy & 4.50 2.86 0.29 7.65 000 S
radiotracer.
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 3.37 3.47 0.35 7.19 000 S
urethra.
52275... ................... A Cystoscopy & revise 4.70 3.42 0.34 8.46 000 S
urethra.
52276... ................... A Cystoscopy and 5.00 4.58 0.45 10.03 000 S
treatment.
52277... ................... A Cystoscopy and 6.17 4.82 0.47 11.46 000 S
treatment.
52281... ................... A Cystoscopy and 2.80 2.31 0.23 5.34 000 S
treatment.
52283... ................... A Cystoscopy and 3.74 1.51 0.15 5.40 000 S
treatment.
52285... ................... A Cystoscopy and 3.61 2.94 0.30 6.85 000 S
treatment.
52290... ................... A Cystoscopy and 4.59 2.34 0.24 7.17 000 S
treatment.
52300... ................... A Cystoscopy and 5.31 3.47 0.36 9.14 000 S
treatment.
52301... ................... A Cystoscopy and 5.51 3.47 0.36 9.34 000 S
treatment.
52305... ................... A Cystoscopy and 5.31 3.50 0.35 9.16 000 S
treatment.
52310... ................... A Cystoscopy and 2.81 2.99 0.30 6.10 000 S
treatment.
52315... ................... A Cystoscopy and 5.21 4.07 0.40 9.68 000 S
treatment.
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 4.70 4.86 0.47 10.03 000 S
treatment.
52325... ................... A Cystoscopy, stone 6.16 7.01 0.68 13.85 000 S
removal.
52327... ................... A Cystoscopy, inject 5.19 3.69 0.36 9.24 000 S
material.
52330... ................... A Cystoscopy and 5.04 3.47 0.35 8.86 000 S
treatment.
52332... ................... A Cystoscopy and 2.83 3.21 0.32 6.36 000 S
treatment.
52334... ................... A Create passage to 4.83 3.33 0.34 8.50 000 S
kidney.
52335... ................... A Endoscopy of urinary 5.86 4.69 0.45 11.00 000 S
tract.
52336... ................... A Cystoscopy, stone 6.88 8.81 0.99 16.68 000 S
removal.
52337... ................... A Cystoscopy, stone 7.97 10.21 1.08 19.26 000 S
removal.
52338... ................... A Cystoscopy and 7.34 5.92 0.57 13.83 000 S
treatment.
52339... ................... A Cystoscopy and 8.82 5.92 0.57 15.31 000 S
treatment.
52340... ................... A Cystoscopy and 9.00 5.15 0.50 14.65 090 S
treatment.
52450... ................... A Incision of prostate... 7.05 4.99 0.49 12.53 090 S
52500... ................... A Revision of bladder 7.82 7.44 0.72 15.98 090 S
neck.
52510... ................... A Dilation prostatic 6.04 7.64 0.74 14.42 090 S
urethra.
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 7.05 9.03 0.99 17.07 090 S
stage.
52614... ................... A Prostatectomy, second 6.04 7.09 0.68 13.81 090 S
stage.
52620... ................... A Remove residual 6.04 5.33 0.51 11.88 090 S
prostate.
52630... ................... A Remove prostate 6.55 8.38 1.13 16.06 090 S
regrowth.
52640... ................... A Relieve bladder 6.04 6.43 0.62 13.09 090 S
contracture.
52647... ................... A Laser surgery of 9.84 11.87 1.16 22.87 090 S
prostate.
52648... ................... A Laser surgery of 10.69 11.87 1.16 23.72 090 S
prostate.
52700... ................... A Drainage of prostate 6.31 3.30 0.34 9.95 090 S
abscess.
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 6.01 1.85 0.19 8.05 090 S
abscess.
[[Page 59610]]
53060... ................... A Drainage of urethra 2.58 0.51 0.07 3.16 010 S
abscess.
53080... ................... A Drainage of urinary 5.87 3.98 0.45 10.30 090 S
leakage.
53085... ................... A Drainage of urinary 9.67 6.75 0.70 17.12 090 S
leakage.
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 6.58 4.77 0.49 11.84 090 S
lesion.
53230... ................... A Removal of urethra 9.04 7.93 0.79 17.76 090 S
lesion.
53235... ................... A Removal of urethra 9.60 5.02 0.49 15.11 090 N
lesion.
53240... ................... A Surgery for urethra 6.03 4.33 0.45 10.81 090 S
pouch.
53250... ................... A Removal of urethra 5.69 4.05 0.40 10.14 090 S
gland.
53260... ................... A Treatment of urethra 2.93 1.12 0.16 4.21 010 S
lesion.
53265... ................... A Treatment of urethra 3.07 1.88 0.22 5.17 010 S
lesion.
53270... ................... A Removal of urethra 2.93 0.84 0.18 3.95 010 S
gland.
53275... ................... A Repair of urethra 4.37 2.37 0.25 6.99 010 S
defect.
53400... ................... A Revise urethra, 1st 11.79 7.47 0.76 20.02 090 S
stage.
53405... ................... A Revise urethra, 2nd 13.70 10.38 1.21 25.29 090 S
stage.
53410... ................... A Reconstruction of 15.59 8.56 0.84 24.99 090 S
urethra.
53415... ................... A Reconstruction of 18.50 11.87 1.15 31.52 090 S
urethra.
53420... ................... A Reconstruct urethra, 13.28 10.88 1.05 25.21 090 S
stage 1.
53425... ................... A Reconstruct urethra, 15.18 9.25 0.88 25.31 090 S
stage 2.
53430... ................... A Reconstruction of 15.54 7.16 0.76 23.46 090 S
urethra.
53440... ................... A Correct bladder 11.49 13.14 1.39 26.02 090 S
function.
53442... ................... A Remove perineal 7.67 5.84 0.67 14.18 090 S
prosthesis.
53443... ................... A Reconstruction of 18.98 10.03 1.07 30.08 090 S
urethra.
53445... ................... A Correct urine flow 13.15 16.83 2.03 32.01 090 S
control.
53447... ................... A Remove artificial 12.37 9.16 0.89 22.42 090 S
sphincter.
53449... ................... A Correct artificial 9.16 8.41 0.82 18.39 090 S
sphincter.
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 7.21 4.97 0.56 12.74 090 S
injury.
53505... ................... A Repair of urethra 7.21 5.18 0.51 12.90 090 S
injury.
53510... ................... A Repair of urethra 9.57 6.98 0.66 17.21 090 S
injury.
53515... ................... A Repair of urethra 12.71 9.03 0.88 22.62 090 S
injury.
53520... ................... A Repair of urethra 8.21 5.89 0.56 14.66 090 S
defect.
53600... ................... A Dilate urethra 1.21 0.33 0.03 1.57 000 S
stricture.
53601... ................... A Dilate urethra 0.98 0.29 0.03 1.30 000 S
stricture.
53605... ................... A Dilate urethra 1.28 0.46 0.05 1.79 000 S
stricture.
53620... ................... A Dilate urethra 1.62 0.47 0.05 2.14 000 S
stricture.
53621... ................... A Dilate urethra 1.35 0.38 0.04 1.77 000 S
stricture.
53640... ................... D Relieve bladder 0.00 0.00 0.00 0.00 000 S
retention.
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 0.00 0.00 0.00 0.00 YYY S
procedure.
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 1.19 0.38 0.03 1.60 010 S
lesion(s).
54055... ................... A Destruction, penis 1.19 0.61 0.06 1.86 010 S
lesion(s).
54056... ................... A Cryosurgery, penis 1.19 0.53 0.04 1.76 010 S
lesion(s).
54057... ................... A Laser surg, penis 1.19 1.52 0.21 2.92 010 S
lesion(s).
54060... ................... A Excision of penis 1.88 1.17 0.12 3.17 010 S
lesion(s).
54065... ................... A Destruction, penis 2.37 2.47 0.25 5.09 010 S
lesion(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 9.66 6.03 0.61 16.30 090 S
lesion.
54111... ................... A Treat penis lesion, 13.03 9.18 0.97 23.18 090 S
graft.
54112... ................... A Treat penis lesion, 15.14 10.84 1.14 27.12 090 S
graft.
54115... ................... A Treatment of penis 5.68 4.18 0.44 10.30 090 S
lesion.
54120... ................... A Partial removal of 9.24 6.47 0.62 16.33 090 S
penis.
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
[[Page 59611]]
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 1.01 0.32 0.03 1.36 010 S
lesion.
54205... ................... A Treatment of penis 7.20 5.11 0.50 12.81 090 S
lesion.
54220... ................... A Treatment of penis 2.42 1.58 0.17 4.17 000 S
lesion.
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 11.58 5.84 0.74 18.16 090 S
urethra.
54312... ................... A Reconstruction of 13.16 9.37 0.91 23.44 090 S
urethra.
54316... ................... A Reconstruction of 15.97 11.34 1.12 28.43 090 S
urethra.
54318... ................... A Reconstruction of 10.47 7.53 1.11 19.11 090 S
urethra.
54322... ................... A Reconstruction of 12.34 7.61 0.74 20.69 090 S
urethra.
54324... ................... A Reconstruction of 15.46 10.98 1.08 27.52 090 S
urethra.
54326... ................... A Reconstruction of 14.81 10.51 1.03 26.35 090 S
urethra.
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 8.55 6.07 0.59 15.21 090 S
surgery.
54344... ................... A Secondary urethral 15.22 16.61 1.10 32.93 090 S
surgery.
54348... ................... A Secondary urethral 16.37 11.62 1.14 29.13 090 S
surgery.
54352... ................... A Reconstruct urethra, 23.84 16.18 1.49 41.51 090 S
penis.
54360... ................... A Penis plastic surgery.. 11.39 7.02 0.73 19.14 090 S
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 20.97 13.57 1.58 36.12 090 S
bladder.
54400... ................... A Insert semi-rigid 8.58 10.99 1.27 20.84 090 S
prosthesis.
54401... ................... A Insert self-contd 9.67 12.38 1.73 23.78 090 S
prosthesis.
54402... ................... A Remove penis prosthesis 8.67 6.00 0.58 15.25 090 S
54405... ................... A Insert multi-comp 12.63 16.17 2.10 30.90 090 S
prosthesis.
54407... ................... A Remove multi-comp 12.61 11.22 1.10 24.93 090 S
prosthesis.
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 5.24 3.03 0.38 8.65 090 S
lesion.
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 11.43 8.54 1.02 20.99 090 S
surgery.
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- 10.93 7.82 0.91 19.66 090 S
Stephens).
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 11.53 8.19 0.80 20.52 090 S
testis(es).
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 4.72 2.62 0.29 7.63 090 S
epididymis.
54830... ................... A Remove epididymis 5.07 3.51 0.39 8.97 090 S
lesion.
54840... ................... A Remove epididymis 5.01 4.84 0.48 10.33 090 S
lesion.
54860... ................... A Removal of epididymis.. 6.01 5.17 0.50 11.68 090 S
[[Page 59612]]
54861... ................... A Removal of epididymis.. 8.54 7.30 0.72 16.56 090 S
54900... ................... A Fusion of spermatic 12.61 8.95 0.87 22.43 090 S
ducts.
54901... ................... A Fusion of spermatic 17.30 12.29 1.20 30.79 090 S
ducts.
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 2.03 0.63 0.07 2.73 010 S
abscess.
55110... ................... A Explore scrotum........ 5.28 3.48 0.37 9.13 090 S
55120... ................... A Removal of scrotum 4.78 1.79 0.21 6.78 090 S
lesion.
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 3.21 2.63 0.28 6.12 090 S
duct(s).
55300... ................... A Preparation, sperm duct 3.51 2.71 0.27 6.49 000 S
x-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 5.72 3.12 0.51 9.35 090 S
lesion.
55530... ................... A Revise spermatic cord 5.45 5.20 0.60 11.25 090 S
veins.
55535... ................... A Revise spermatic cord 6.25 4.40 0.45 11.10 090 S
veins.
55540... ................... A Revise hernia & sperm 7.25 4.54 0.91 12.70 090 S
veins.
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 4.82 4.43 0.38 9.63 090 S
lesion.
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 7.54 3.51 0.37 11.42 090 S
abscess.
55725... ................... A Drainage of prostate 7.70 5.62 0.54 13.86 090 S
abscess.
55801... ................... A Removal of prostate.... 16.25 12.76 1.44 30.45 090 S
55810... ................... A Extensive prostate 21.21 17.88 1.77 40.86 090 S
surgery.
55812... ................... A Extensive prostate 25.65 17.68 1.94 45.27 090 S
surgery.
55815... ................... A Extensive prostate 28.47 25.20 2.42 56.09 090 S
surgery.
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 21.21 16.60 1.61 39.42 090 S
surgery.
55842... ................... A Extensive prostate 22.70 19.16 1.88 43.74 090 S
surgery.
55845... ................... A Extensive prostate 26.73 25.10 2.44 54.27 090 S
surgery.
55859... ................... A Percut/needle insert, 12.00 5.89 0.58 18.47 090 S
pros.
55860... ................... A Surgical exposure, 13.33 7.13 0.70 21.16 090 S
prostate.
55862... ................... A Extensive prostate 17.09 11.69 1.20 29.98 090 S
surgery.
55865... ................... A Extensive prostate 21.65 24.52 2.39 48.56 090 S
surgery.
55870... ................... A Electroejaculation..... 2.58 1.83 0.18 4.59 000 N
55899... ................... C Genital surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
55970... ................... N Sex transformation, M 0.00 0.00 0.00 0.00 XXX 0
to F.
55980... ................... N Sex transformation, F 0.00 0.00 0.00 0.00 XXX 0
to M.
56300... ................... A Pelvis laparoscopy, dx. 3.65 4.45 0.93 9.03 000 S
56301... ................... A Laparoscopy; tubal 3.68 4.71 1.28 9.67 010 S
cautery.
56302... ................... A Laparoscopy; tubal 4.11 5.26 1.32 10.69 010 S
block.
56303... ................... A Laparoscopy; excise 5.69 5.53 1.16 12.38 010 S
lesions.
56304... ................... A Laparoscopy; lysis..... 4.37 5.60 1.20 11.17 010 S
56305... ................... A Pelvic laparoscopy; 3.97 4.90 0.79 9.66 000 S
biopsy.
56306... ................... A Laparoscopy; aspiration 3.80 4.87 1.18 9.85 010 S
56307... ................... A Laparoscopy; remove 10.68 7.16 1.60 19.44 010 S
adnexa.
56308... ................... A Laparoscopy; 13.87 9.39 2.07 25.33 010 S
hysterectomy.
56309... ................... A Laparoscopy; remove 13.79 4.76 1.03 19.58 010 S
myoma.
56311... ................... A Laparoscopic lymph node 8.93 6.38 1.47 16.78 010 S
biop.
56312... ................... A Laparoscopic 12.06 8.56 0.84 21.46 010 S
lymphadenectomy.
56313... ................... A Laparoscopic 14.00 10.01 2.31 26.32 010 S
lymphadenectomy.
56315... ................... A Laparoscopic 8.25 4.89 1.01 14.15 090 S
appendectomy.
56316... ................... A Laparoscopic hernia 6.17 4.51 0.94 11.62 090 S
repair.
56317... ................... A Laparoscopic hernia 7.87 5.22 1.11 14.20 090 S
repair.
56320... ................... A Laparoscopy, spermatic 6.25 4.40 0.45 11.10 090 S
veins.
56322... ................... A Laparoscopy, vagus 9.70 5.07 1.18 15.95 090 S
nerves.
56323... ................... A Laparoscopy, vagus 11.65 6.09 1.41 19.15 090 S
nerves.
[[Page 59613]]
56324... ................... A Laparoscopy, 11.90 9.16 1.93 22.99 090 S
cholecystoenter.
56340... ................... A Laparoscopic 10.68 7.99 1.74 20.41 090 S
cholecystectomy.
56341... ................... A Laparoscopic 11.53 8.43 1.84 21.80 090 S
cholecystectomy.
56342... ................... A Laparoscopic 13.86 9.37 2.00 25.23 090 S
cholecystectomy.
56343... ................... A Laparoscopic 13.34 5.28 1.11 19.73 090 S
salpingostomy.
56344... ................... A Laparoscopic 12.50 5.11 1.19 18.80 090 S
fimbrioplasty.
56350... ................... A Hysteroscopy; 2.39 1.99 0.44 4.82 000 S
diagnostic.
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 3.51 3.77 0.85 8.13 000 S
septum.
56354... ................... A Hysteroscopy; remove 3.85 4.93 1.30 10.08 000 S
myoma.
56355... ................... A Hysteroscopy; remove 3.09 1.99 0.44 5.52 000 S
impact.
56356... ................... A Hysteroscopy; ablation. 3.43 4.39 1.49 9.31 000 S
56360... ................... D Peritoneoscopy......... 0.00 0.00 0.00 0.00 000 S
56361... ................... D Peritoneoscopy w/biopsy 0.00 0.00 0.00 0.00 000 S
56362... ................... A Laparoscopy w/cholangio 4.89 2.77 0.19 7.85 000 S
56363... ................... A Laparoscopy 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 1.34 0.80 0.13 2.27 010 S
abscess.
56440... ................... A Surgery for vulva 2.79 2.63 0.52 5.94 010 S
lesion.
56441... ................... A Lysis of labial 1.92 1.65 0.30 3.87 010 S
lesion(s).
56501... ................... A Destruction, vulva 1.48 0.54 0.11 2.13 010 S
lesion(s).
56515... ................... A Destruction, vulva 1.85 2.36 0.66 4.87 010 S
lesion(s).
56605... ................... A Biopsy of vulva/ 1.10 0.68 0.15 1.93 000 S
perineum.
56606... ................... A Biopsy of vulva/ 0.55 0.35 0.08 0.98 000 S
perineum.
56620... ................... A Partial removal of 6.67 6.47 1.40 14.54 090 S
vulva.
56625... ................... A Complete removal of 7.41 9.52 2.13 19.06 090 S
vulva.
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
56632... ................... A Extensive vulva surgery 18.66 21.32 4.51 44.49 090 S
56633... ................... A Extensive vulva surgery 15.00 15.97 3.28 34.25 090 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 2.42 1.82 0.35 4.59 010 S
hymen.
56720... ................... A Incision of hymen...... 0.68 0.48 0.11 1.27 000 S
56740... ................... A Remove vagina gland 3.60 2.87 0.55 7.02 010 S
lesion.
56800... ................... A Repair of vagina....... 3.73 2.92 0.57 7.22 010 S
56805... ................... A Repair clitoris........ 18.00 11.75 1.37 31.12 090 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 5.41 2.65 0.51 8.57 090 S
abscess.
57020... ................... A Drainage of pelvic 1.50 0.65 0.14 2.29 000 S
fluid.
57061... ................... A Destruction vagina 1.20 0.82 0.17 2.19 010 S
lesion(s).
57065... ................... A Destruction vagina 2.56 3.28 0.74 6.58 010 S
lesion(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 5.69 5.28 1.10 12.07 090 S
vagina.
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. 0.55 0.19 0.04 0.78 000 S
57160... ................... A Insertion of pessary/ 0.89 0.25 0.05 1.19 000 S
device.
57170... ................... A Fitting of diaphragm/ 0.91 0.32 0.06 1.29 000 S
cap.
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 5.07 3.84 0.64 9.55 090 S
lesion.
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 10.66 9.42 2.11 22.19 090 S
vagina.
57268... ................... A Repair of bowel bulge.. 6.14 7.02 1.50 14.66 090 S
57270... ................... A Repair of bowel pouch.. 11.30 6.83 1.44 19.57 090 S
[[Page 59614]]
57280... ................... A Suspension of vagina... 14.10 8.53 1.85 24.48 090 S
57282... ................... A Repair of vaginal 8.06 8.72 1.89 18.67 090 S
prolapse.
57284... ................... A Repair paravaginal 12.10 8.59 0.84 21.53 090 S
defect.
57288... ................... A Repair bladder defect.. 12.34 10.72 1.36 24.42 090 S
57289... ................... A Repair bladder & vagina 10.80 8.19 1.13 20.12 090 S
57291... ................... A Construction of vagina. 7.46 5.35 1.19 14.00 090 S
57292... ................... A Construct vagina with 12.34 6.55 1.38 20.27 090 S
graft.
57300... ................... A Repair rectum-vagina 6.81 7.91 1.66 16.38 090 S
fistula.
57305... ................... A Repair rectum-vagina 12.75 7.55 1.56 21.86 090 S
fistula.
57307... ................... A Fistula repair & 15.08 6.11 1.28 22.47 090 S
colostomy.
57310... ................... A Repair urethrovaginal 6.10 4.32 0.48 10.90 090 S
lesion.
57311... ................... A Repair urethrovaginal 7.23 5.58 0.41 13.22 090 S
lesion.
57320... ................... A Repair bladder-vagina 7.33 9.38 1.35 18.06 090 S
lesion.
57330... ................... A Repair bladder-vagina 11.67 8.29 0.81 20.77 090 S
lesion.
57335... ................... A Repair vagina.......... 18.00 6.91 0.81 25.72 090 S
57400... ................... A Dilation of vagina..... 2.27 0.33 0.06 2.66 000 S
57410... ................... A Pelvic examination..... 1.75 0.36 0.05 2.16 000 S
57415... ................... A Removal vaginal foreign 2.12 0.36 0.05 2.53 010 S
body.
57452... ................... A Examination of vagina.. 0.99 0.65 0.14 1.78 000 S
57454... ................... A Vagina examination & 1.27 1.21 0.26 2.74 000 S
biopsy.
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
57540... ................... A Removal of residual 11.54 6.74 1.51 19.79 090 S
cervix.
57545... ................... A Remove cervix, repair 12.30 4.58 1.03 17.91 090 S
pelvis.
57550... ................... A Removal of residual 4.91 6.28 1.54 12.73 090 S
cervix.
57555... ................... A Remove cervix, repair 8.14 10.10 2.17 20.41 090 S
vagina.
57556... ................... A Remove cervix, repair 7.56 9.44 1.92 18.92 090 S
bowel.
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 0.77 0.48 0.10 1.35 000 S
canal.
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 2.91 2.70 0.56 6.17 010 S
(D&C).
58140... ................... A Removal of uterus 13.79 8.33 1.71 23.83 090 S
lesion.
58145... ................... A Removal of uterus 7.36 8.24 1.54 17.14 090 S
lesion.
58150... ................... A Total hysterectomy..... 14.30 9.57 2.08 25.95 090 S
58152... ................... A Total hysterectomy..... 14.10 11.99 2.59 28.68 090 S
58180... ................... A Partial hysterectomy... 14.30 9.76 2.11 26.17 090 S
58200... ................... A Extensive hysterectomy. 20.34 12.98 2.80 36.12 090 S
58210... ................... A Extensive hysterectomy. 27.50 17.77 3.87 49.14 090 S
58240... ................... A Removal of pelvis 35.27 28.73 6.15 70.15 090 S
contents.
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 13.94 11.53 2.46 27.93 090 S
repair.
58270... ................... A Hysterectomy & vagina 12.60 10.32 2.22 25.14 090 S
repair.
58275... ................... A Hysterectomy, revise 13.99 11.02 2.32 27.33 090 S
vagina.
58280... ................... A Hysterectomy, revise 14.35 10.50 2.30 27.15 090 S
vagina.
58285... ................... A Extensive hysterectomy. 17.45 11.60 2.70 31.75 090 S
58300... ................... N Insert intrauterine +1.01 0.77 0.13 1.91 XXX 0
device.
58301... ................... A Remove intrauterine 1.27 0.45 0.08 1.80 000 S
device.
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 0.88 0.57 0.08 1.53 000 S
x-ray.
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... 12.00 5.53 0.84 18.37 090 S
58520... ................... A Repair of ruptured 11.11 4.24 0.99 16.34 090 S
uterus.
[[Page 59615]]
58540... ................... A Revision of uterus..... 13.96 6.13 1.42 21.51 090 S
58600... ................... A Division of fallopian 3.74 4.79 1.38 9.91 090 S
tube.
58605... ................... A Division of fallopian 3.29 4.21 1.01 8.51 090 S
tube.
58611... ................... A Ligate oviduct(s)...... 0.63 0.47 0.10 1.20 ZZZ S
58615... ................... A Occlude fallopian 3.85 2.91 0.35 7.11 010 S
tube(s).
58700... ................... A Removal of fallopian 5.92 6.33 1.31 13.56 090 S
tube.
58720... ................... A Removal of ovary/ 10.68 7.50 1.63 19.81 090 S
tube(s).
58740... ................... A Revise fallopian 5.28 6.76 1.88 13.92 090 S
tube(s).
58750... ................... A Repair oviduct......... 14.26 6.31 1.46 22.03 090 S
58752... ................... A Revise ovarian tube(s). 14.26 6.74 0.93 21.93 090 S
58760... ................... A Remove tubal 12.50 5.11 1.19 18.80 090 S
obstruction.
58770... ................... A Create new tubal 13.34 5.28 1.11 19.73 090 S
opening.
58800... ................... A Drainage of ovarian 3.77 2.68 0.53 6.98 090 S
cyst(s).
58805... ................... A Drainage of ovarian 5.44 6.38 1.36 13.18 090 S
cyst(s).
58820... ................... A Drainage of ovarian 3.96 2.76 0.49 7.21 090 S
abscess.
58822... ................... A Drainage of ovarian 9.06 3.55 0.81 13.42 090 S
abscess.
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 6.28 6.78 1.41 14.47 090 S
ovary(s).
58925... ................... A Removal of ovarian 10.68 6.56 1.38 18.62 090 S
cyst(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 14.10 11.24 2.38 27.72 090 S
malignancy.
58951... ................... A Resect ovarian 20.34 18.34 3.93 42.61 090 S
malignancy.
58952... ................... A Resect ovarian 23.35 18.11 3.92 45.38 090 S
malignancy.
58960... ................... A Exploration of abdomen. 13.66 12.98 2.95 29.59 090 S
58970... ................... A Retrieval of oocyte.... 3.53 2.52 0.58 6.63 000 N
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 0.00 0.00 0.00 0.00 YYY S
procedure.
59000... ................... A Amniocentesis.......... 1.30 0.97 0.18 2.45 000 S
59012... ................... A Fetal cord 3.45 2.62 0.31 6.38 000 S
puncture,prenatal.
59015... ................... A Chorion biopsy......... 2.20 1.20 0.10 3.50 000 S
59020... ................... A Fetal contract stress 0.66 1.35 0.29 2.30 000 S
test.
59020... 26 A Fetal contract stress 0.66 0.85 0.19 1.70 000 S
test.
59020... TC A Fetal contract stress 0.00 0.50 0.10 0.60 000 S
test.
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 1.99 1.58 0.21 3.78 000 S
sample.
59050... ................... A Fetal monitor w/report. 0.89 0.81 0.15 1.85 XXX S
59051... ................... A Fetal monitor/interpret 0.74 0.81 0.15 1.70 XXX N
only.
59100... ................... A Remove uterus lesion... 11.54 4.14 0.96 16.64 090 S
59120... ................... A Treat ectopic pregnancy 10.68 7.86 1.50 20.04 090 S
59121... ................... A Treat ectopic pregnancy 10.99 5.38 1.07 17.44 090 S
59130... ................... A Treat ectopic pregnancy 13.49 5.96 0.70 20.15 090 S
59135... ................... A Treat ectopic pregnancy 13.00 9.85 1.15 24.00 090 S
59136... ................... A Treat ectopic pregnancy 12.50 6.22 1.44 20.16 090 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 2.41 0.99 0.10 3.50 000 S
repair.
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....... 23.06 14.99 3.47 41.52 MMM S
59409... ................... A Obstetrical care....... 13.50 9.48 2.20 25.18 MMM S
59410... ................... A Obstetrical care....... 14.78 10.31 2.39 27.48 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... 4.81 2.88 0.66 8.35 MMM S
59426... ................... A Antepartum care only... 8.28 4.94 1.14 14.36 MMM S
59430... ................... A Care after delivery.... 2.13 0.38 0.07 2.58 MMM S
59510... ................... A Cesarean delivery...... 26.22 16.90 3.92 47.04 MMM S
59514... ................... A Cesarean delivery only. 15.97 10.99 2.55 29.51 MMM S
[[Page 59616]]
59515... ................... A Cesarean delivery...... 17.37 11.82 2.73 31.92 MMM S
59525... ................... A Remove uterus after 8.54 3.81 0.88 13.23 MMM S
cesarean.
59610... ................... A Vbac delivery.......... 24.62 14.99 3.47 43.08 MMM S
59612... ................... A Vbac delivery only..... 15.06 9.48 2.20 26.74 MMM S
59614... ................... A Vbac care after 16.34 10.31 2.39 29.04 MMM S
delivery.
59618... ................... A Attempted vbac delivery 27.78 16.90 3.92 48.60 MMM S
59620... ................... A Attempted vbac delivery 17.53 10.99 2.55 31.07 MMM S
only.
59622... ................... A Attempted vbac after 18.93 11.82 2.73 33.48 MMM S
care.
59812... ................... A Treatment of 3.10 3.61 0.77 7.48 090 S
miscarriage.
59820... ................... A Care of miscarriage.... 3.73 3.75 0.77 8.25 090 S
59821... ................... A Treatment of 4.26 2.72 0.62 7.60 090 S
miscarriage.
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............... 4.80 3.75 0.76 9.31 010 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
59866... ................... A Abortion............... 4.00 2.86 0.66 7.52 000 S
59870... ................... A Evacuate mole of uterus 4.08 2.91 0.67 7.66 090 S
59899... ................... C Maternity care 0.00 0.00 0.00 0.00 YYY S
procedure.
60000... ................... A Drain thyroid/tongue 1.71 0.60 0.09 2.40 010 N
cyst.
60001... ................... A Aspirate/inject thyriod 0.97 1.05 0.12 2.14 000 N
cyst.
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
60210... ................... A Partial excision 10.51 8.68 1.65 20.84 090 S
thyroid.
60212... ................... A Parital thyroid 15.48 9.04 1.74 26.26 090 S
excision.
60220... ................... A Partial removal of 9.86 8.54 1.61 20.01 090 S
thyroid.
60225... ................... A Partial removal of 13.31 10.49 1.92 25.72 090 S
thyroid.
60240... ................... A Removal of thyroid..... 15.66 10.58 1.96 28.20 090 S
60252... ................... A Removal of thyroid..... 17.23 13.65 2.55 33.43 090 S
60254... ................... A Extensive thyroid 22.50 19.21 3.08 44.79 090 S
surgery.
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 5.55 7.10 1.11 13.76 090 S
lesion.
60281... ................... A Remove thyroid duct 8.00 5.04 0.95 13.99 090 S
lesion.
60500... ................... A Explore parathyroid 15.40 11.36 2.31 29.07 090 S
glands.
60502... ................... A Re-explore parathyroids 19.25 11.39 2.33 32.97 090 S
60505... ................... A Explore parathyroid 19.93 13.14 2.56 35.63 090 S
glands.
60512... ................... A Autotransplant, 4.45 2.32 0.54 7.31 ZZZ S
parathyroid.
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 16.13 11.46 1.88 29.47 090 S
lesion.
60605... ................... A Remove carotid body 18.20 10.71 2.21 31.12 090 S
lesion.
60699... ................... C Endocrine surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
61000... ................... A Remove cranial cavity 1.58 1.07 0.17 2.82 000 S
fluid.
61001... ................... A Remove cranial cavity 1.49 0.88 0.17 2.54 000 S
fluid.
61020... ................... A Remove brain cavity 1.51 1.26 0.20 2.97 000 S
fluid.
61026... ................... A Injection into brain 1.69 2.03 0.22 3.94 000 N
canal.
61050... ................... A Remove brain canal 1.51 1.23 0.15 2.89 000 N
fluid.
61055... ................... A Injection into brain 2.10 1.88 0.19 4.17 000 N
canal.
61070... ................... A Brain canal shunt 0.89 0.49 0.03 1.41 000 N
procedure.
61105... ................... A Drill skull for 4.82 6.89 1.24 12.95 090 S
examination.
61106... ................... A Drill skull for exam/ 4.62 6.15 1.15 11.92 ZZZ S
surgery.
61107... ................... A Drill skull for 5.00 5.57 1.26 11.83 000 S
implantation.
61108... ................... A Drill skull for 9.00 12.05 2.22 23.27 090 S
drainage.
61120... ................... A Pierce skull for 8.00 5.95 1.08 15.03 090 S
examination.
61130... ................... A Pierce skull, exam/ 6.37 4.95 0.96 12.28 ZZZ S
surgery.
61140... ................... A Pierce skull for biopsy 14.84 14.13 2.56 31.53 090 S
61150... ................... A Pierce skull for 16.37 14.65 2.63 33.65 090 S
drainage.
61151... ................... A Pierce skull for 11.40 2.13 0.37 13.90 090 S
drainage.
[[Page 59617]]
61154... ................... A Pierce skull, remove 13.67 17.50 3.27 34.44 090 S
clot.
61156... ................... A Pierce skull for 15.23 16.19 3.05 34.47 090 S
drainage.
61210... ................... A Pierce skull; implant 5.84 6.04 1.53 13.41 000 S
device.
61215... ................... A Insert brain-fluid 4.00 9.00 1.63 14.63 090 S
device.
61250... ................... A Pierce skull & explore. 9.40 8.03 1.44 18.87 090 S
61253... ................... A Pierce skull & explore. 11.27 9.62 1.69 22.58 090 S
61304... ................... A Open skull for 20.63 26.03 4.78 51.44 090 S
exploration.
61305... ................... A Open skull for 24.77 29.11 5.05 58.93 090 S
exploration.
61312... ................... A Open skull for drainage 21.83 24.13 4.46 50.42 090 S
61313... ................... A Open skull for drainage 22.50 24.04 4.38 50.92 090 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.. 21.55 12.97 1.22 35.74 090 S
61332... ................... A Explore/biopsy eye 26.08 20.72 2.76 49.56 090 S
socket.
61333... ................... A Explore orbit; remove 26.75 20.46 3.26 50.47 090 S
lesion.
61334... ................... A Explore orbit; remove 17.07 14.65 1.82 33.54 090 S
object.
61340... ................... A Relieve cranial 17.33 14.80 2.54 34.67 090 S
pressure.
61343... ................... A Incise skull, pressure 27.87 30.05 5.28 63.20 090 S
relief.
61345... ................... A Relieve cranial 25.36 19.18 3.45 47.99 090 S
pressure.
61440... ................... A Incise skull for 24.79 20.75 3.00 48.54 090 S
surgery.
61450... ................... A Incise skull for 24.29 20.43 3.43 48.15 090 S
surgery.
61458... ................... A Incise skull for brain 25.97 27.28 4.87 58.12 090 S
wound.
61460... ................... A Incise skull for 26.75 25.05 3.98 55.78 090 S
surgery.
61470... ................... A Incise skull for 24.60 13.86 2.53 40.99 090 S
surgery.
61480... ................... A Incise skull for 25.03 15.07 1.78 41.88 090 S
surgery.
61490... ................... A Incise skull for 24.20 11.72 2.16 38.08 090 S
surgery.
61500... ................... A Removal of skull lesion 16.93 20.07 3.58 40.58 090 S
61501... ................... A Remove infected skull 13.59 17.40 3.33 34.32 090 S
bone.
61510... ................... A Removal of brain lesion 26.77 27.04 4.90 58.71 090 S
61512... ................... A Remove brain lining 33.51 29.02 5.28 67.81 090 S
lesion.
61514... ................... A Removal of brain 23.49 25.52 4.74 53.75 090 S
abscess.
61516... ................... A Removal of brain lesion 22.84 26.48 4.57 53.89 090 S
61518... ................... A Removal of brain lesion 35.59 30.02 5.46 71.07 090 S
61519... ................... A Remove brain lining 39.58 31.22 5.77 76.57 090 S
lesion.
61520... ................... A Removal of brain lesion 52.98 33.85 5.89 92.72 090 S
61521... ................... A Removal of brain lesion 42.20 32.97 5.85 81.02 090 S
61522... ................... A Removal of brain 27.55 19.96 3.79 51.30 090 S
abscess.
61524... ................... A Removal of brain lesion 26.02 27.45 5.15 58.62 090 S
61526... ................... A Removal of brain lesion 50.59 34.01 4.79 89.39 090 S
61530... ................... A Removal of brain lesion 42.35 34.01 4.79 81.15 090 S
61531... ................... A Implant brain 12.95 14.98 1.75 29.68 090 S
electrodes.
61533... ................... A Implant brain 18.05 17.02 3.33 38.40 090 S
electrodes.
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 33.49 21.96 3.99 59.44 090 S
61538... ................... A Removal of brain tissue 25.09 29.08 4.97 59.14 090 S
61539... ................... A Removal of brain tissue 30.05 22.96 4.07 57.08 090 S
61541... ................... A Incision of brain 26.95 19.80 3.78 50.53 090 S
tissue.
61542... ................... A Removal of brain tissue 29.05 19.91 3.90 52.86 090 S
61543... ................... A Removal of brain tissue 27.32 17.24 2.49 47.05 090 S
61544... ................... A Remove & treat brain 23.71 28.19 2.11 54.01 090 S
lesion.
61545... ................... A Excision of brain tumor 41.76 25.66 4.80 72.22 090 S
61546... ................... A Removal of pituitary 29.33 27.01 4.78 61.12 090 S
gland.
61548... ................... A Removal of pituitary 20.15 24.78 4.03 48.96 090 S
gland.
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/ 24.41 17.74 3.47 45.62 090 S
sutures.
61559... ................... A Excision of skull/ 31.65 23.01 4.50 59.16 090 S
sutures.
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 22.89 16.49 3.06 42.44 090 S
body.
61571... ................... A Incise skull for brain 24.55 18.32 3.21 46.08 090 S
wound.
61575... ................... A Skull base/brainstem 32.33 32.99 5.05 70.37 090 S
surgery.
[[Page 59618]]
61576... ................... A Skull base/brainstem 50.08 28.23 3.91 82.22 090 S
surgery.
61580... ................... A Craniofacial approach, 28.90 21.01 4.10 54.01 090 S
skull.
61581... ................... A Craniofacial approach, 32.80 23.84 4.66 61.30 090 S
skull.
61582... ................... A Craniofacial approach, 29.77 21.65 4.22 55.64 090 S
skull.
61583... ................... A Craniofacial approach, 33.97 24.70 4.83 63.50 090 S
skull.
61584... ................... A Orbitocranial approach/ 32.89 23.91 4.68 61.48 090 S
skull.
61585... ................... A Orbitocranial approach/ 36.80 26.75 5.23 68.78 090 S
skull.
61586... ................... A Resect nasopharynx, 23.60 21.38 2.32 47.30 090 S
skull.
61590... ................... A Infratemporal approach/ 40.02 29.10 5.68 74.80 090 S
skull.
61591... ................... A Infratemporal approach/ 41.97 30.52 5.96 78.45 090 S
skull.
61592... ................... A Orbitocranial approach/ 38.07 27.68 5.41 71.16 090 S
skull.
61595... ................... A Transtemporal approach/ 28.12 20.44 4.00 52.56 090 S
skull.
61596... ................... A Transcochlear approach/ 34.17 24.84 4.86 63.87 090 S
skull.
61597... ................... A Transcondylar approach/ 36.12 26.26 5.13 67.51 090 S
skull.
61598... ................... A Transpetrosal approach/ 31.83 23.13 4.52 59.48 090 S
skull.
61600... ................... A Resect/excise cranial 24.41 17.74 3.46 45.61 090 S
lesion.
61601... ................... A Resect/excise cranial 26.16 19.03 3.72 48.91 090 S
lesion.
61605... ................... A Resect/excise cranial 27.62 20.09 3.93 51.64 090 S
lesion.
61606... ................... A Resect/excise cranial 37.00 26.90 5.25 69.15 090 S
lesion.
61607... ................... A Resect/excise cranial 34.56 25.13 4.91 64.60 090 S
lesion.
61608... ................... A Resect/excise cranial 40.21 29.24 5.71 75.16 090 S
lesion.
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
61615... ................... A Resect/excise lesion, 30.36 22.07 4.31 56.74 090 S
skull.
61616... ................... A Resect/excise lesion, 41.29 30.03 5.86 77.18 090 S
skull.
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 20.15 15.28 1.79 37.22 000 N
cath.
61626... ................... A Occlusion/embolization 16.62 12.60 1.47 30.69 000 N
cath.
61680... ................... A Intracranial vessel 29.13 31.06 5.79 65.98 090 S
surgery.
61682... ................... A Intracranial vessel 59.47 35.31 6.36 101.14 090 S
surgery.
61684... ................... A Intracranial vessel 38.23 29.76 3.47 71.46 090 S
surgery.
61686... ................... A Intracranial vessel 62.08 35.98 4.20 102.26 090 S
surgery.
61690... ................... A Intracranial vessel 27.80 27.46 4.09 59.35 090 S
surgery.
61692... ................... A Intracranial vessel 49.74 28.79 3.36 81.89 090 S
surgery.
61700... ................... A Inner skull vessel 48.30 31.69 5.67 85.66 090 S
surgery.
61702... ................... A Inner skull vessel 46.31 36.31 6.61 89.23 090 S
surgery.
61703... ................... A Clamp neck artery...... 16.27 12.21 2.24 30.72 090 S
61705... ................... A Revise circulation to 34.49 30.41 5.25 70.15 090 S
head.
61708... ................... A Revise circulation to 33.59 25.20 2.32 61.11 090 S
head.
61710... ................... A Revise circulation to 28.14 16.63 1.75 46.52 090 S
head.
61711... ................... A Fusion of skull 34.62 33.04 6.20 73.86 090 S
arteries.
61712... ................... A Skull or spine 3.49 4.47 0.93 8.89 ZZZ S
microsurgery.
61720... ................... A Incise skull/brain 15.92 20.29 4.05 40.26 090 S
surgery.
61735... ................... A Incise skull/brain 18.72 12.96 1.51 33.19 090 S
surgery.
61750... ................... A Incise skull; brain 16.67 13.54 4.31 34.52 090 S
biopsy.
61751... ................... A Brain biopsy with cat 16.66 19.43 4.44 40.53 090 S
scan.
61760... ................... A Implant brain 21.00 14.98 1.75 37.73 090 S
electrodes.
61770... ................... A Incise skull for 19.78 19.38 3.43 42.59 090 S
treatment.
61790... ................... A Treat trigeminal nerve. 10.31 13.19 3.03 26.53 090 S
61791... ................... A Treat trigeminal tract. 13.99 9.77 3.16 26.92 090 S
61793... ................... A Focus radiation beam... 16.70 21.35 1.96 40.01 090 S
61795... ................... A Brain surgery using 4.04 5.24 1.55 10.83 000 S
computer.
61850... ................... A Implant neuroelectrodes 11.50 11.63 2.26 25.39 090 S
61855... ................... A Implant neuroelectrodes 12.50 10.39 1.47 24.36 090 S
61860... ................... A Implant neuroelectrodes 19.60 8.14 1.59 29.33 090 S
61865... ................... A Implant neuroelectrodes 21.70 15.78 3.09 40.57 090 S
61870... ................... A Implant neuroelectrodes 13.67 4.19 0.82 18.68 090 S
61875... ................... A Implant neuroelectrodes 13.79 6.69 1.31 21.79 090 S
61880... ................... A Revise/remove 5.72 4.79 0.66 11.17 090 S
neuroelectrode.
61885... ................... A Implant neuroreceiver.. 5.28 1.96 0.29 7.53 090 S
61888... ................... A Revise/remove 4.67 2.25 0.44 7.36 010 S
neuroreceiver.
62000... ................... A Repair of skull 11.26 5.73 0.95 17.94 090 S
fracture.
62005... ................... A Repair of skull 14.84 11.08 1.97 27.89 090 S
fracture.
[[Page 59619]]
62010... ................... A Treatment of head 18.43 19.20 3.39 41.02 090 S
injury.
62100... ................... A Repair brain fluid 20.78 21.62 3.72 46.12 090 S
leakage.
62115... ................... A Reduction of skull 20.50 15.51 1.82 37.83 090 S
defect.
62116... ................... A Reduction of skull 22.45 16.98 1.99 41.42 090 S
defect.
62117... ................... A Reduction of skull 25.38 19.20 2.25 46.83 090 S
defect.
62120... ................... A Repair skull cavity 22.34 16.90 1.98 41.22 090 S
lesion.
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/ 12.11 9.17 1.65 22.93 090 S
flap.
62145... ................... A Repair of skull & brain 17.68 13.16 2.29 33.13 090 S
62146... ................... A Repair of skull with 15.11 10.99 2.15 28.25 090 S
graft.
62147... ................... A Repair of skull with 18.14 13.17 2.57 33.88 090 S
graft.
62180... ................... A Establish brain cavity 19.71 14.21 2.70 36.62 090 S
shunt.
62190... ................... A Establish brain cavity 10.13 12.97 3.21 26.31 090 S
shunt.
62192... ................... A Establish brain cavity 11.31 14.48 2.74 28.53 090 S
shunt.
62194... ................... A Replace/irrigate 4.50 1.88 0.29 6.67 010 N
catheter.
62200... ................... A Establish brain cavity 17.33 16.95 3.09 37.37 090 S
shunt.
62201... ................... A Establish brain cavity 13.54 8.78 1.72 24.04 090 S
shunt.
62220... ................... A Establish brain cavity 12.06 15.43 3.12 30.61 090 S
shunt.
62223... ................... A Establish brain cavity 11.96 16.40 3.02 31.38 090 S
shunt.
62225... ................... A Replace/irrigate 4.71 4.80 0.58 10.09 090 S
catheter.
62230... ................... A Replace/revise brain 9.71 9.83 1.82 21.36 090 S
shunt.
62256... ................... A Remove brain cavity 5.90 6.38 1.17 13.45 090 S
shunt.
62258... ................... A Replace brain cavity 13.60 14.78 2.55 30.93 090 S
shunt.
62268... ................... A Drain spinal cord cyst. 4.74 2.98 0.36 8.08 000 N
62269... ................... A Needle biopsy spinal 5.02 1.75 0.28 7.05 000 N
cord.
62270... ................... A Spinal fluid tap, 1.13 0.71 0.06 1.90 000 N
diagnostic.
62272... ................... A Drain spinal fluid..... 1.35 1.01 0.12 2.48 000 N
62273... ................... A Treat lumbar spine 2.15 1.12 0.26 3.53 000 N
lesion.
62274... ................... A Inject spinal 1.78 0.74 0.17 2.69 000 N
anesthetic.
62275... ................... A Inject spinal 1.79 0.59 0.19 2.57 000 N
anesthetic.
62276... ................... A Inject spinal 2.04 1.23 0.23 3.50 000 N
anesthetic.
62277... ................... A Inject spinal 2.15 0.84 0.23 3.22 000 N
anesthetic.
62278... ................... A Inject spinal 1.51 0.98 0.26 2.75 000 N
anesthetic.
62279... ................... A Inject spinal 1.58 0.82 0.24 2.64 000 N
anesthetic.
62280... ................... A Treat spinal cord 2.58 0.71 0.14 3.43 010 N
lesion.
62281... ................... A Treat spinal cord 2.61 0.87 0.28 3.76 010 N
lesion.
62282... ................... A Treat spinal canal 2.28 1.70 0.40 4.38 010 N
lesion.
62284... ................... A Injection for myelogram 1.54 1.98 0.34 3.86 000 S
62287... ................... A Percutaneous diskectomy 7.43 6.96 2.65 17.04 090 S
62288... ................... A Injection into spinal 1.74 1.12 0.24 3.10 000 N
canal.
62289... ................... A Injection into spinal 1.64 1.07 0.29 3.00 000 N
canal.
62290... ................... A Inject for spine disk x- 3.00 1.86 0.24 5.10 000 N
ray.
62291... ................... A Inject for spine disk x- 2.91 1.78 0.39 5.08 000 N
ray.
62292... ................... A Injection into disk 7.00 8.96 2.13 18.09 090 S
lesion.
62294... ................... A Injection into spinal 10.95 5.84 0.68 17.47 090 S
artery.
62298... ................... A Injection into spinal 2.20 1.04 0.13 3.37 000 N
canal.
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 4.80 3.49 0.68 8.97 090 S
catheter.
62360... ................... A Insert spine infusion 2.00 1.12 0.33 3.45 090 S
device.
62361... ................... A Implant spine infusion 4.80 2.68 0.78 8.26 090 S
pump.
62362... ................... A Implant spine infusion 6.29 3.51 1.02 10.82 090 S
pump.
62365... ................... A Remove spine infusion 4.77 3.47 0.68 8.92 090 S
device.
62367... ................... C Analyze spine infusion 0.00 0.00 0.00 0.00 XXX N
pump.
62367... 26 A Analyze spine infusion 0.48 0.35 0.07 0.90 XXX N
pump.
62367... TC C Analyze spine infusion 0.00 0.00 0.00 0.00 XXX N
pump.
62368... ................... C Analyze spine infusion 0.00 0.00 0.00 0.00 XXX N
pump.
62368... 26 A Analyze spine infusion 0.75 0.55 0.11 1.41 XXX N
pump.
62368... TC C Analyze spine infusion 0.00 0.00 0.00 0.00 XXX N
pump.
63001... ................... A Removal of spinal 14.50 18.55 3.42 36.47 090 S
lamina.
63003... ................... A Removal of spinal 14.63 17.93 3.23 35.79 090 S
lamina.
63005... ................... A Removal of spinal 13.88 17.32 3.10 34.30 090 S
lamina.
63011... ................... A Removal of spinal 13.40 9.99 1.87 25.26 090 S
lamina.
63012... ................... A Removal of spinal 14.21 18.07 3.15 35.43 090 S
lamina.
[[Page 59620]]
63015... ................... A Removal of spinal 17.77 21.23 4.18 43.18 090 S
lamina.
63016... ................... A Removal of spinal 17.43 22.30 4.11 43.84 090 S
lamina.
63017... ................... A Removal of spinal 14.90 20.29 4.00 39.19 090 S
lamina.
63020... ................... A Neck spine disk surgery 13.77 16.04 3.38 33.19 090 S
63030... ................... A Low back disk surgery.. 11.10 15.50 2.81 29.41 090 S
63035... ................... A Added spinal disk 3.15 4.04 0.76 7.95 ZZZ S
surgery.
63040... ................... A Neck spine disk surgery 17.56 22.48 4.30 44.34 090 S
63042... ................... A Low back disk surgery.. 16.56 22.10 4.38 43.04 090 S
63045... ................... A Removal of spinal 15.31 19.59 4.38 39.28 090 S
lamina.
63046... ................... A Removal of spinal 14.61 18.70 4.58 37.89 090 S
lamina.
63047... ................... A Removal of spinal 13.57 16.33 4.48 34.38 090 S
lamina.
63048... ................... A Removal of spinal 3.26 4.17 1.03 8.46 ZZZ S
lamina.
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. 5.26 3.84 0.85 9.95 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 18.50 17.57 3.21 39.28 090 S
63076... ................... A Neck spine disk surgery 4.05 5.19 0.97 10.21 ZZZ S
63077... ................... A Spine disk surgery, 20.25 18.42 3.17 41.84 090 S
thorax.
63078... ................... A Spine disk surgery, 3.28 2.61 0.45 6.34 ZZZ S
thorax.
63081... ................... A Removal of vertebral 22.08 26.26 4.50 52.84 090 S
body.
63082... ................... A Removal of vertebral 4.37 5.60 1.22 11.19 ZZZ S
body.
63085... ................... A Removal of vertebral 25.07 27.39 4.69 57.15 090 S
body.
63086... ................... A Removal of vertebral 3.19 4.08 1.07 8.34 ZZZ S
body.
63087... ................... A Removal of vertebral 33.91 28.25 4.85 67.01 090 S
body.
63088... ................... A Removal of vertebral 4.33 5.55 1.18 11.06 ZZZ S
body.
63090... ................... A Removal of vertebral 26.20 29.22 4.92 60.34 090 S
body.
63091... ................... A Removal of vertebral 3.03 2.73 0.46 6.22 ZZZ S
body.
63170... ................... A Incise spinal cord 18.18 18.88 3.28 40.34 090 S
tract(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 16.75 11.61 2.05 30.41 090 S
ligaments.
63182... ................... A Revise spinal cord 18.91 16.44 2.21 37.56 090 S
ligaments.
63185... ................... A Incise spinal column/ 13.85 15.55 2.93 32.33 090 S
nerves.
63190... ................... A Incise spinal column/ 16.26 20.81 3.91 40.98 090 S
nerves.
63191... ................... A Incise spinal column/ 16.42 13.04 2.21 31.67 090 S
nerves.
63194... ................... A Incise spinal column & 17.53 13.02 2.33 32.88 090 S
cord.
63195... ................... A Incise spinal column & 17.16 13.86 2.11 33.13 090 S
cord.
63196... ................... A Incise spinal column & 20.57 15.59 1.83 37.99 090 S
cord.
63197... ................... A Incise spinal column & 19.38 14.36 2.62 36.36 090 S
cord.
63198... ................... A Incise spinal column & 22.45 16.32 3.19 41.96 090 S
cord.
63199... ................... A Incise spinal column & 23.89 21.40 2.61 47.90 090 S
cord.
63200... ................... A Release of spinal cord. 17.66 12.49 1.83 31.98 090 S
63250... ................... A Revise spinal cord 38.67 27.99 5.22 71.88 090 S
vessels.
63251... ................... A Revise spinal cord 38.86 22.74 4.32 65.92 090 S
vessels.
63252... ................... A Revise spinal cord 38.85 28.25 5.52 72.62 090 S
vessels.
63265... ................... A Excise intraspinal 20.04 22.01 3.90 45.95 090 S
lesion.
63266... ................... A Excise intraspinal 20.65 24.76 4.43 49.84 090 S
lesion.
63267... ................... A Excise intraspinal 16.70 21.38 4.20 42.28 090 S
lesion.
63268... ................... A Excise intraspinal 17.27 12.56 2.46 32.29 090 S
lesion.
63270... ................... A Excise intraspinal 24.84 18.14 3.42 46.40 090 S
lesion.
63271... ................... A Excise intraspinal 24.96 26.60 4.79 56.35 090 S
lesion.
63272... ................... A Excise intraspinal 23.69 23.15 4.26 51.10 090 S
lesion.
63273... ................... A Excise intraspinal 22.66 17.56 3.12 43.34 090 S
lesion.
63275... ................... A Biopsy/excise spinal 22.05 27.82 5.09 54.96 090 S
tumor.
63276... ................... A Biopsy/excise spinal 21.76 25.31 4.62 51.69 090 S
tumor.
63277... ................... A Biopsy/excise spinal 19.51 23.75 4.25 47.51 090 S
tumor.
63278... ................... A Biopsy/excise spinal 19.24 23.34 4.32 46.90 090 S
tumor.
63280... ................... A Biopsy/excise spinal 26.72 28.08 4.99 59.79 090 S
tumor.
63281... ................... A Biopsy/excise spinal 26.42 27.67 4.96 59.05 090 S
tumor.
63282... ................... A Biopsy/excise spinal 24.96 24.11 4.44 53.51 090 S
tumor.
63283... ................... A Biopsy/excise spinal 23.57 18.77 3.44 45.78 090 S
tumor.
63285... ................... A Biopsy/excise spinal 34.24 24.49 4.49 63.22 090 S
tumor.
63286... ................... A Biopsy/excise spinal 33.94 28.76 4.92 67.62 090 S
tumor.
63287... ................... A Biopsy/excise spinal 34.43 25.72 4.53 64.68 090 S
tumor.
63290... ................... A Biopsy/excise spinal 35.04 27.16 4.65 66.85 090 S
tumor.
[[Page 59621]]
63300... ................... A Removal of vertebral 22.78 17.27 2.02 42.07 090 S
body.
63301... ................... A Removal of vertebral 25.08 18.45 3.58 47.11 090 S
body.
63302... ................... A Removal of vertebral 25.60 21.36 3.02 49.98 090 S
body.
63303... ................... A Removal of vertebral 28.47 18.50 3.39 50.36 090 S
body.
63304... ................... A Removal of vertebral 28.10 21.31 2.49 51.90 090 S
body.
63305... ................... A Removal of vertebral 29.42 22.49 3.75 55.66 090 S
body.
63306... ................... A Removal of vertebral 30.01 22.76 2.65 55.42 090 S
body.
63307... ................... A Removal of vertebral 29.42 24.42 2.98 56.82 090 S
body.
63308... ................... A Removal of vertebral 5.25 4.05 0.73 10.03 ZZZ S
body.
63600... ................... A Remove spinal cord 13.08 10.70 2.63 26.41 090 N
lesion.
63610... ................... A Stimulation of spinal 8.73 6.73 2.06 17.52 000 N
cord.
63615... ................... A Remove lesion of spinal 15.40 11.55 2.03 28.98 090 S
cord.
63650... ................... A Implant neuroelectrodes 5.99 7.67 2.13 15.79 090 S
63655... ................... A Implant neuroelectrodes 9.30 11.93 3.64 24.87 090 S
63660... ................... A Revise/remove 5.54 7.09 1.56 14.19 090 S
neuroelectrode.
63685... ................... A Implant neuroreceiver.. 6.29 7.40 1.46 15.15 090 S
63688... ................... A Revise/remove 4.77 6.10 1.26 12.13 090 S
neuroreceiver.
63690... ................... A Analysis of 0.45 0.58 0.12 1.15 XXX N
neuroreceiver.
63691... ................... A Analysis of 0.65 0.41 0.11 1.17 XXX N
neuroreceiver.
63700... ................... A Repair of spinal 15.62 11.35 2.22 29.19 090 S
herniation.
63702... ................... A Repair of spinal 17.57 12.78 2.49 32.84 090 S
herniation.
63704... ................... A Repair of spinal 19.52 14.19 2.77 36.48 090 S
herniation.
63706... ................... A Repair of spinal 22.45 16.33 3.18 41.96 090 S
herniation.
63707... ................... A Repair spinal fluid 10.14 12.98 2.56 25.68 090 S
leakage.
63709... ................... A Repair spinal fluid 13.26 16.97 3.30 33.53 090 S
leakage.
63710... ................... A Graft repair of spine 13.01 9.75 1.58 24.34 090 S
defect.
63740... ................... A Install spinal shunt... 10.37 13.35 2.99 26.71 090 S
63741... ................... A Install spinal shunt... 7.57 9.13 2.39 19.09 090 S
63744... ................... A Revision of spinal 7.34 8.15 1.68 17.17 090 S
shunt.
63746... ................... A Removal of spinal shunt 5.60 5.52 1.08 12.20 090 S
64400... ................... A Injection for nerve 1.11 0.48 0.05 1.64 000 N
block.
64402... ................... A Injection for nerve 1.25 0.62 0.09 1.96 000 S
block.
64405... ................... A Injection for nerve 1.32 0.64 0.07 2.03 000 N
block.
64408... ................... A Injection for nerve 1.41 1.04 0.11 2.56 000 N
block.
64410... ................... A Injection for nerve 1.43 0.71 0.15 2.29 000 N
block.
64412... ................... A Injection for nerve 1.18 0.62 0.08 1.88 000 N
block.
64413... ................... A Injection for nerve 1.40 0.74 0.08 2.22 000 N
block.
64415... ................... A Injection for nerve 1.48 0.26 0.07 1.81 000 N
block.
64417... ................... A Injection for nerve 1.44 0.63 0.15 2.22 000 N
block.
64418... ................... A Injection for nerve 1.32 0.85 0.10 2.27 000 N
block.
64420... ................... A Injection for nerve 1.18 0.64 0.07 1.89 000 N
block.
64421... ................... A Injection for nerve 1.68 0.83 0.17 2.68 000 N
block.
64425... ................... A Injection for nerve 1.75 0.57 0.10 2.42 000 N
block.
64430... ................... A Injection for nerve 1.46 0.70 0.12 2.28 000 S
block.
64435... ................... A Injection for nerve 1.45 0.47 0.09 2.01 000 S
block.
64440... ................... A Injection for nerve 1.34 0.79 0.09 2.22 000 N
block.
64441... ................... A Injection for nerve 1.79 1.01 0.12 2.92 000 N
block.
64442... ................... A Injection for nerve 1.41 1.19 0.16 2.76 000 N
block.
64443... ................... A Injection for nerve 0.98 0.63 0.12 1.73 ZZZ N
block.
64445... ................... A Injection for nerve 1.48 0.49 0.06 2.03 000 N
block.
64450... ................... A Injection for nerve 1.27 0.53 0.05 1.85 000 S
block.
64505... ................... A Injection for nerve 1.36 0.62 0.06 2.04 000 N
block.
64508... ................... A Injection for nerve 1.12 1.04 0.08 2.24 000 N
block.
64510... ................... A Injection for nerve 1.22 0.71 0.18 2.11 000 N
block.
64520... ................... A Injection for nerve 1.35 0.72 0.17 2.24 000 N
block.
64530... ................... A Injection for nerve 1.58 1.17 0.28 3.03 000 N
block.
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 2.01 0.97 0.09 3.07 010 S
neuroelectrode.
64590... ................... A Implant neuroreceiver.. 2.35 1.84 0.35 4.54 010 S
[[Page 59622]]
64595... ................... A Revise/remove 1.68 1.12 0.21 3.01 010 S
neuroreceiver.
64600... ................... A Injection treatment of 3.40 1.69 0.17 5.26 010 N
nerve.
64605... ................... A Injection treatment of 5.56 1.56 0.33 7.45 010 N
nerve.
64610... ................... A Injection treatment of 7.11 7.26 1.35 15.72 010 N
nerve.
64612... ................... A Destroy nerve, face 1.91 1.45 0.17 3.53 010 S
muscle.
64613... ................... A Destroy nerve, spine 1.91 1.45 0.17 3.53 010 S
muscle.
64620... ................... A Injection treatment of 2.79 1.00 0.19 3.98 010 N
nerve.
64622... ................... A Injection treatment of 2.95 1.82 0.35 5.12 010 N
nerve.
64623... ................... A Injection treatment of 0.99 0.85 0.17 2.01 ZZZ N
nerve.
64630... ................... A Injection treatment of 2.95 1.74 0.38 5.07 010 N
nerve.
64640... ................... A Injection treatment of 2.49 0.92 0.09 3.50 010 N
nerve.
64680... ................... A Injection treatment of 2.57 1.55 0.41 4.53 010 N
nerve.
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 7.18 9.19 1.68 18.05 090 S
nerve.
64713... ................... A Revision of arm 10.34 9.40 1.72 21.46 090 S
nerve(s).
64714... ................... A Revise low back 9.87 6.13 1.41 17.41 090 S
nerve(s).
64716... ................... A Revision of cranial 5.80 4.83 0.67 11.30 090 S
nerve.
64718... ................... A Revise ulnar nerve at 5.48 6.72 1.13 13.33 090 S
elbow.
64719... ................... A Revise ulnar nerve at 4.72 4.95 0.85 10.52 090 S
wrist.
64721... ................... A Carpal tunnel surgery.. 3.99 4.90 0.83 9.72 090 S
64722... ................... A Relieve pressure on 4.46 5.71 1.11 11.28 090 S
nerve(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 4.50 4.61 0.67 9.78 090 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 5.28 5.18 0.62 11.08 090 S
nerve.
64742... ................... A Incision of facial 5.91 5.00 0.44 11.35 090 S
nerve.
64744... ................... A Incise nerve, back of 4.87 6.10 1.10 12.07 090 S
head.
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 13.10 10.47 2.27 25.84 090 S
nerves.
64760... ................... A Incision of vagus nerve 6.54 6.65 1.50 14.69 090 S
64761... ................... A Incision of pelvis 6.10 4.66 0.50 11.26 090 S
nerve.
64763... ................... A Incise hip/thigh nerve. 6.62 4.80 0.92 12.34 090 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 6.79 6.77 1.30 14.86 090 S
nerve.
64774... ................... A Remove skin nerve 4.86 2.74 0.45 8.05 090 S
lesion.
64776... ................... A Remove digit nerve 4.86 2.78 0.41 8.05 090 S
lesion.
64778... ................... A Added digit nerve 3.11 2.73 0.43 6.27 ZZZ S
surgery.
64782... ................... A Remove limb nerve 5.81 4.70 0.46 10.97 090 S
lesion.
64783... ................... A Added limb nerve 3.72 3.26 0.47 7.45 ZZZ S
surgery.
64784... ................... A Remove nerve lesion.... 9.46 5.64 0.96 16.06 090 S
64786... ................... A Remove sciatic nerve 15.10 12.66 2.14 29.90 090 S
lesion.
64787... ................... A Implant nerve end...... 4.30 3.47 0.60 8.37 ZZZ S
64788... ................... A Remove skin nerve 4.30 3.63 0.50 8.43 090 S
lesion.
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 8.22 5.40 1.10 14.72 090 S
nerves.
64804... ................... A Remove sympathetic 13.65 12.77 2.44 28.86 090 S
nerves.
64809... ................... A Remove sympathetic 12.79 10.55 2.04 25.38 090 S
nerves.
64818... ................... A Remove sympathetic 9.42 8.57 1.72 19.71 090 S
nerves.
64820... ................... A Remove sympathetic 10.00 7.27 1.42 18.69 090 S
nerves.
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 9.77 3.50 0.56 13.83 090 S
nerve.
64835... ................... A Repair of hand or foot 10.47 5.96 1.03 17.46 090 S
nerve.
64836... ................... A Repair of hand or foot 10.47 6.70 1.22 18.39 090 S
nerve.
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
[[Page 59623]]
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 4.26 3.50 0.58 8.34 ZZZ S
surgery.
64861... ................... A Repair of arm nerves... 17.94 13.42 1.38 32.74 090 S
64862... ................... A Repair of low back 18.14 21.56 1.61 41.31 090 S
nerves.
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 14.94 11.19 1.84 27.97 090 S
nerve.
64868... ................... A Fusion of facial/other 13.36 11.19 1.47 26.02 090 S
nerve.
64870... ................... A Fusion of facial/other 15.19 13.91 1.70 30.80 090 S
nerve.
64872... ................... A Subsequent repair of 1.99 1.44 0.29 3.72 ZZZ S
nerve.
64874... ................... A Repair & revise nerve.. 2.98 2.17 0.43 5.58 ZZZ S
64876... ................... A Repair nerve; shorten 3.38 2.46 0.48 6.32 ZZZ N
bone.
64885... ................... A Nerve graft, head or 16.73 12.69 1.48 30.90 090 S
neck.
64886... ................... A Nerve graft, head or 19.95 15.13 1.77 36.85 090 S
neck.
64890... ................... A Nerve graft, hand or 14.35 12.26 2.12 28.73 090 S
foot.
64891... ................... A Nerve graft, hand or 15.21 10.42 1.73 27.36 090 S
foot.
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
64895... ................... A Nerve graft, hand or 18.39 13.16 2.55 34.10 090 S
foot.
64896... ................... A Nerve graft, hand or 19.38 17.53 1.90 38.81 090 S
foot.
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 7.06 9.04 0.50 16.60 090 S
implant.
65105... ................... A Remove eye/attach 7.82 10.01 0.55 18.38 090 S
implant.
65110... ................... A Removal of eye......... 13.18 15.99 1.14 30.31 090 S
65112... ................... A Remove eye, revise 15.44 12.16 1.09 28.69 090 S
socket.
65114... ................... A Remove eye, revise 16.59 13.07 1.65 31.31 090 S
socket.
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 5.93 7.49 0.40 13.82 090 S
implant.
65205... ................... A Remove foreign body 0.71 0.37 0.02 1.10 000 S
from eye.
65210... ................... A Remove foreign body 0.84 0.46 0.03 1.33 000 S
from eye.
65220... ................... A Remove foreign body 0.71 0.52 0.04 1.27 000 N
from eye.
65222... ................... A Remove foreign body 0.93 0.57 0.03 1.53 000 S
from eye.
65235... ................... A Remove foreign body 7.12 5.61 0.30 13.03 090 S
from eye.
65260... ................... A Remove foreign body 10.35 8.63 0.45 19.43 090 S
from eye.
65265... ................... A Remove foreign body 12.04 10.04 0.51 22.59 090 S
from eye.
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 5.06 6.20 0.37 11.63 090 S
wound.
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.......... 1.47 0.54 0.03 2.04 000 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 3.07 3.28 0.17 6.52 090 S
lesion.
65600... ................... A Revision of cornea..... 3.15 2.62 0.14 5.91 090 S
[[Page 59624]]
65710... ................... A Corneal transplant..... 11.75 12.44 1.13 25.32 090 S
65730... ................... A Corneal transplant..... 13.50 15.14 1.29 29.93 090 S
65750... ................... A Corneal transplant..... 14.25 16.10 1.33 31.68 090 S
65755... ................... A Corneal transplant..... 14.25 16.10 1.39 31.74 090 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 0.00 0.00 0.00 0.00 XXX 0
transplant.
65770... ................... A Revise cornea with 16.56 13.81 0.71 31.08 090 S
implant.
65771... ................... N Radial keratotomy...... 0.00 0.00 0.00 0.00 XXX 0
65772... ................... A Correction of 4.04 5.16 0.31 9.51 090 S
astigmatism.
65775... ................... A Correction of 5.44 6.96 0.50 12.90 090 S
astigmatism.
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 7.60 9.54 0.51 17.65 090 S
pressure.
65850... ................... A Incision of eye........ 10.18 13.03 0.69 23.90 090 S
65855... ................... A Laser surgery of eye... 4.15 6.01 0.52 10.68 090 S
65860... ................... A Incise inner eye 3.37 4.31 0.37 8.05 090 S
adhesions.
65865... ................... A Incise inner eye 5.42 6.93 0.41 12.76 090 S
adhesions.
65870... ................... A Incise inner eye 5.92 5.86 0.31 12.09 090 S
adhesions.
65875... ................... A Incise inner eye 6.14 6.28 0.34 12.76 090 S
adhesions.
65880... ................... A Incise inner eye 6.69 6.85 0.37 13.91 090 S
adhesions.
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 7.03 7.68 0.41 15.12 090 S
eye.
66020... ................... A Injection treatment of 1.54 1.98 0.14 3.66 010 S
eye.
66030... ................... A Injection treatment of 1.20 0.54 0.03 1.77 010 S
eye.
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....... 11.26 12.15 0.63 24.04 090 S
66172... ................... A Incision of eye........ 13.62 12.15 0.63 26.40 090 S
66180... ................... A Implant eye shunt...... 14.00 16.17 1.03 31.20 090 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 5.63 7.20 0.38 13.21 090 S
eye.
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 & ciliary 5.14 6.42 0.35 11.91 090 S
body.
66682... ................... A Repair iris and ciliary 5.86 7.33 0.38 13.57 090 S
body.
66700... ................... A Destruction, ciliary 4.55 5.83 0.35 10.73 090 S
body.
66710... ................... A Destruction, ciliary 4.55 5.83 0.41 10.79 090 S
body.
66720... ................... A Destruction, ciliary 4.55 5.83 0.38 10.76 090 S
body.
66740... ................... A Destruction, ciliary 4.55 5.83 0.39 10.77 090 S
body.
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 4.88 6.24 0.45 11.57 090 S
lesion.
66820... ................... A Incision, secondary 3.76 4.81 0.29 8.86 090 S
cataract.
66821... ................... A After cataract laser 2.15 3.81 0.37 6.33 090 S
surgery.
66825... ................... A Reposition intraocular 7.73 7.33 0.38 15.44 090 S
lens.
66830... ................... A Removal of lens lesion. 7.80 7.67 0.40 15.87 090 S
66840... ................... A Removal of lens 7.51 9.61 0.54 17.66 090 S
material.
66850... ................... A Removal of lens 8.66 11.09 0.70 20.45 090 S
material.
66852... ................... A Removal of lens 9.52 12.19 0.90 22.61 090 S
material.
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 8.54 10.94 0.95 20.43 090 S
lens.
[[Page 59625]]
66984... ................... A Remove cataract, insert 9.89 12.66 0.94 23.49 090 S
lens.
66985... ................... A Insert lens prosthesis. 7.89 10.10 0.63 18.62 090 S
66986... ................... A Exchange lens 11.78 12.20 0.63 24.61 090 S
prosthesis.
66999... ................... C Eye surgery procedure.. 0.00 0.00 0.00 0.00 YYY S
67005... ................... A Partial removal of eye 5.50 10.28 1.13 16.91 090 S
fluid.
67010... ................... A Partial removal of eye 6.67 9.98 1.04 17.69 090 S
fluid.
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 4.44 5.75 0.50 10.69 090 S
strands.
67031... ................... A Laser surgery, eye 3.42 6.15 0.75 10.32 090 S
strands.
67036... ................... A Removal of inner eye 11.33 15.67 1.49 28.49 090 S
fluid.
67038... ................... A Strip retinal membrane. 20.20 25.85 1.80 47.85 090 S
67039... ................... A Laser treatment of 13.60 18.22 1.68 33.50 090 S
retina.
67040... ................... A Laser treatment of 16.26 20.81 1.75 38.82 090 S
retina.
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
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
67110... ................... A Repair detached retina. 8.14 10.60 0.97 19.71 090 S
67112... ................... A Re-repair detached 16.15 16.51 0.86 33.52 090 S
retina.
67115... ................... A Release, encircling 4.64 5.93 0.44 11.01 090 S
material.
67120... ................... A Remove eye implant 5.63 7.15 0.38 13.16 090 S
material.
67121... ................... A Remove eye implant 10.17 9.42 0.49 20.08 090 S
material.
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 6.40 8.19 0.52 15.11 090 S
lesion.
67210... ................... A Treatment of retinal 9.48 9.02 0.47 18.97 090 S
lesion.
67218... ................... A Treatment of retinal 12.73 13.31 0.70 26.74 090 S
lesion.
67227... ................... A Treatment of retinal 6.28 8.04 0.51 14.83 090 S
lesion.
67228... ................... A Treatment of retinal 12.39 9.39 0.48 22.26 090 S
lesion.
67250... ................... A Reinforce eye wall..... 8.36 6.99 0.40 15.75 090 S
67255... ................... A Reinforce/graft eye 8.39 10.73 0.87 19.99 090 S
wall.
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. 8.19 9.66 0.53 18.38 090 S
67314... ................... A Revise eye muscle...... 7.12 9.12 0.58 16.82 090 S
67316... ................... A Revise two eye muscles. 9.26 10.27 0.67 20.20 090 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/ 7.56 6.30 0.33 14.19 090 S
suture.
67335... ................... A Eye suture during 2.49 3.89 0.43 6.81 ZZZ S
surgery.
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 2.91 2.22 0.26 5.39 010 S
muscle.
67350... ................... A Biopsy eye muscle...... 2.87 2.39 0.13 5.39 000 S
67399... ................... C Eye muscle surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
67400... ................... A Explore/biopsy eye 9.20 10.91 0.62 20.73 090 S
socket.
67405... ................... A Explore/drain eye 7.42 9.49 0.67 17.58 090 S
socket.
67412... ................... A Explore/treat eye 9.14 11.70 0.67 21.51 090 S
socket.
67413... ................... A Explore/treat eye 9.75 8.09 0.57 18.41 090 S
socket.
67414... ................... A Explore/decompress eye 10.07 8.39 0.44 18.90 090 S
socke.
67415... ................... A Aspiration orbital 1.76 2.02 0.12 3.90 000 S
contents.
67420... ................... A Explore/treat eye 19.00 16.78 1.11 36.89 090 S
socket.
67430... ................... A Explore/treat eye 12.79 10.65 0.54 23.98 090 S
socket.
67440... ................... A Explore/drain eye 12.43 15.91 0.97 29.31 090 S
socket.
67445... ................... A Explore/decompress eye 13.36 11.13 0.57 25.06 090 S
socket.
67450... ................... A Explore/biopsy eye 12.80 15.29 0.87 28.96 090 S
socket.
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 9.69 9.62 0.70 20.01 090 S
implant.
67560... ................... A Revise eye socket 10.10 8.30 0.48 18.88 090 S
implant.
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
[[Page 59626]]
67700... ................... A Drainage of eyelid 1.30 0.49 0.03 1.82 010 S
abscess.
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 1.35 1.72 0.13 3.20 000 S
suture.
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..... 5.84 3.78 0.20 9.82 090 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 1.28 0.52 0.03 1.83 010 S
body.
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 9.56 10.68 0.64 20.88 090 S
eyelid.
67973... ................... A Reconstruction of 12.59 13.54 0.91 27.04 090 S
eyelid.
67974... ................... A Reconstruction of 12.56 14.07 0.87 27.50 090 S
eyelid.
67975... ................... A Reconstruction of 8.90 4.15 0.24 13.29 090 S
eyelid.
67999... ................... C Revision of eyelid..... 0.00 0.00 0.00 0.00 YYY S
68020... ................... A Incise/drain eyelid 1.32 0.51 0.03 1.86 010 S
lining.
68040... ................... A Treatment of eyelid 0.85 0.45 0.02 1.32 000 S
lesions.
68100... ................... A Biopsy of eyelid lining 1.35 0.99 0.06 2.40 000 S
68110... ................... A Remove eyelid lining 1.72 1.24 0.07 3.03 010 S
lesion.
68115... ................... A Remove eyelid lining 2.31 1.93 0.11 4.35 010 S
lesion.
68130... ................... A Remove eyelid lining 4.75 4.09 0.22 9.06 090 S
lesion.
68135... ................... A Remove eyelid lining 1.79 0.74 0.04 2.57 010 S
lesion.
68200... ................... A Treat eyelid by 0.49 0.52 0.03 1.04 000 S
injection.
68320... ................... A Revise/graft eyelid 4.97 6.37 0.42 11.76 090 S
lining.
68325... ................... A Revise/graft eyelid 6.96 8.91 0.62 16.49 090 S
lining.
68326... ................... A Revise/graft eyelid 6.75 8.62 0.49 15.86 090 S
lining.
68328... ................... A Revise/graft eyelid 7.78 9.96 0.82 18.56 090 S
lining.
68330... ................... A Revise eyelid lining... 4.53 5.80 0.35 10.68 090 S
68335... ................... A Revise/graft eyelid 6.79 8.69 0.68 16.16 090 S
lining.
68340... ................... A Separate eyelid 3.92 3.14 0.17 7.23 090 S
adhesions.
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 0.89 0.76 0.04 1.69 010 S
opening.
68500... ................... A Removal of tear gland.. 10.47 7.61 0.75 18.83 090 S
[[Page 59627]]
68505... ................... A Partial removal tear 10.39 8.69 0.49 19.57 090 S
gland.
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 10.10 8.31 0.50 18.91 090 S
lesion.
68550... ................... A Remove tear gland 12.66 11.34 0.74 24.74 090 S
lesion.
68700... ................... A Repair tear ducts...... 6.20 2.69 0.15 9.04 090 S
68705... ................... A Revise tear duct 2.01 1.02 0.05 3.08 010 S
opening.
68720... ................... A Create tear sac drain.. 8.56 9.84 0.74 19.14 090 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
68770... ................... A Close tear system 6.62 4.24 0.23 11.09 090 S
fistula.
68800... ................... D Dilate tear duct 0.00 0.00 0.00 0.00 010 S
opening(s).
68801... ................... A Dilate tear duct 0.89 0.42 0.02 1.33 010 S
opening.
68810... ................... A Probe nasolacrimal duct 1.27 0.55 0.03 1.85 010 S
68811... ................... A Probe nasolacrimal duct 2.25 1.49 0.09 3.83 010 S
68815... ................... A Probe nasolacrimal duct 3.00 1.93 0.10 5.03 010 S
68820... ................... D Explore tear duct 0.00 0.00 0.00 0.00 010 S
system.
68825... ................... D Explore tear duct 0.00 0.00 0.00 0.00 010 S
system.
68830... ................... D Reopen tear duct 0.00 0.00 0.00 0.00 010 S
channel.
68840... ................... A Explore/irrigate tear 1.22 0.49 0.03 1.74 010 S
ducts.
68850... ................... A Injection for tear sac 0.80 0.51 0.04 1.35 000 S
x-ray.
68899... ................... C Tear duct system 0.00 0.00 0.00 0.00 YYY S
surgery.
69000... ................... A Drain external ear 1.40 0.35 0.03 1.78 010 S
lesion.
69005... ................... A Drain external ear 2.06 1.16 0.13 3.35 010 S
lesion.
69020... ................... A Drain outer ear canal 1.43 0.45 0.04 1.92 010 S
lesion.
69090... ................... N Pierce earlobes........ 0.00 0.00 0.00 0.00 XXX 0
69100... ................... A Biopsy of external ear. 0.81 0.66 0.07 1.54 000 S
69105... ................... A Biopsy of external ear 0.85 0.80 0.09 1.74 000 S
canal.
69110... ................... A Partial removal 3.34 2.63 0.37 6.34 090 S
external ear.
69120... ................... A Removal of external ear 3.95 0.78 0.07 4.80 090 S
69140... ................... A Remove ear canal 7.68 8.00 0.88 16.56 090 S
lesion(s).
69145... ................... A Remove ear canal 2.54 2.51 0.28 5.33 090 S
lesion(s).
69150... ................... A Extensive ear canal 13.01 10.46 1.25 24.72 090 S
surgery.
69155... ................... A Extensive ear/neck 19.09 15.92 1.61 36.62 090 S
surgery.
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 0.83 0.50 0.05 1.38 000 S
cavity.
69222... ................... A Clean out mastoid 1.35 0.74 0.08 2.17 010 S
cavity.
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 0.00 0.00 0.00 0.00 YYY S
procedure.
69400... ................... A Inflate middle ear 0.83 0.45 0.05 1.33 000 S
canal.
69401... ................... A Inflate middle ear 0.63 0.25 0.03 0.91 000 S
canal.
69405... ................... A Catheterize middle ear 2.58 0.48 0.04 3.10 010 S
canal.
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 7.31 8.69 0.93 16.93 090 S
ear.
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 12.57 16.09 1.79 30.45 090 S
structures.
69511... ................... A Extensive mastoid 13.10 16.77 1.84 31.71 090 S
surgery.
69530... ................... A Extensive mastoid 18.04 16.71 1.72 36.47 090 S
surgery.
69535... ................... A Remove part of temporal 34.50 25.27 2.85 62.62 090 S
bone.
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
[[Page 59628]]
69554... ................... A Remove ear lesion...... 31.27 22.87 2.63 56.77 090 S
69601... ................... A Mastoid surgery 12.79 14.02 1.55 28.36 090 S
revision.
69602... ................... A Mastoid surgery 13.16 16.27 1.75 31.18 090 S
revision.
69603... ................... A Mastoid surgery 13.60 17.34 1.88 32.82 090 S
revision.
69604... ................... A Mastoid surgery 13.60 17.41 2.70 33.71 090 S
revision.
69605... ................... A Mastoid surgery 18.04 14.95 1.86 34.85 090 S
revision.
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 9.55 12.22 1.61 23.38 090 S
structures.
69632... ................... A Rebuild eardrum 12.41 15.88 1.73 30.02 090 S
structures.
69633... ................... A Rebuild eardrum 11.76 15.05 1.78 28.59 090 S
structures.
69635... ................... A Repair eardrum 13.02 16.65 1.91 31.58 090 S
structures.
69636... ................... A Rebuild eardrum 14.88 19.05 2.11 36.04 090 S
structures.
69637... ................... A Rebuild eardrum 14.77 18.90 2.22 35.89 090 S
structures.
69641... ................... A Revise middle ear & 12.29 15.73 1.87 29.89 090 S
mastoid.
69642... ................... A Revise middle ear & 16.37 20.62 2.21 39.20 090 S
mastoid.
69643... ................... A Revise middle ear & 14.81 18.95 2.51 36.27 090 S
mastoid.
69644... ................... A Revise middle ear & 16.46 21.07 2.70 40.23 090 S
mastoid.
69645... ................... A Revise middle ear & 15.80 20.23 2.51 38.54 090 S
mastoid.
69646... ................... A Revise middle ear & 17.35 21.97 2.40 41.72 090 S
mastoid.
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 9.38 12.00 1.77 23.15 090 S
structures.
69667... ................... A Repair middle ear 9.39 12.02 1.66 23.07 090 S
structures.
69670... ................... A Remove mastoid air 11.05 10.18 1.08 22.31 090 S
cells.
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 0.00 0.00 0.00 0.00 XXX 0
aid.
69711... ................... A Remove/repair hearing 10.13 8.44 0.44 19.01 090 S
aid.
69720... ................... A Release facial nerve... 13.80 17.66 2.27 33.73 090 S
69725... ................... A Release facial nerve... 24.01 14.65 1.51 40.17 090 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 0.00 0.00 0.00 0.00 YYY S
procedure.
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...... 13.18 13.14 2.00 28.32 090 S
69806... ................... A Explore inner ear...... 11.82 15.13 2.54 29.49 090 S
69820... ................... A Establish inner ear 10.14 8.85 1.00 19.99 090 S
window.
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 & 13.10 16.77 2.34 32.21 090 S
mastoid.
69915... ................... A Incise inner ear nerve. 19.89 17.71 2.02 39.62 090 S
69930... ................... A Implant cochlear device 16.13 18.56 3.34 38.03 090 S
69949... ................... C Inner ear surgery 0.00 0.00 0.00 0.00 YYY S
procedure.
69950... ................... A Incise inner ear nerve. 24.21 17.99 2.31 44.51 090 S
69955... ................... A Release facial nerve... 25.54 20.28 2.25 48.07 090 S
69960... ................... A Release inner ear canal 25.54 17.85 1.93 45.32 090 S
69970... ................... A Remove inner ear lesion 28.54 19.69 2.26 50.49 090 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 0.17 0.48 0.04 0.69 XXX N
body.
70030... 26 A X-ray eye for foreign 0.17 0.08 0.01 0.26 XXX N
body.
70030... TC A X-ray eye for foreign 0.00 0.40 0.03 0.43 XXX N
body.
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
[[Page 59629]]
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 0.34 0.86 0.07 1.27 XXX N
ear.
70134... 26 A X-ray exam of middle 0.34 0.16 0.02 0.52 XXX N
ear.
70134... TC A X-ray exam of middle 0.00 0.70 0.05 0.75 XXX N
ear.
70140... ................... A X-ray exam of facial 0.19 0.68 0.05 0.92 XXX N
bones.
70140... 26 A X-ray exam of facial 0.19 0.09 0.01 0.29 XXX N
bones.
70140... TC A X-ray exam of facial 0.00 0.59 0.04 0.63 XXX N
bones.
70150... ................... A X-ray exam of facial 0.26 0.87 0.07 1.20 XXX N
bones.
70150... 26 A X-ray exam of facial 0.26 0.12 0.02 0.40 XXX N
bones.
70150... TC A X-ray exam of facial 0.00 0.75 0.05 0.80 XXX N
bones.
70160... ................... A X-ray exam of nasal 0.17 0.58 0.04 0.79 XXX N
bones.
70160... 26 A X-ray exam of nasal 0.17 0.08 0.01 0.26 XXX N
bones.
70160... TC A X-ray exam of nasal 0.00 0.50 0.03 0.53 XXX N
bones.
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 0.21 0.69 0.05 0.95 XXX N
sockets.
70190... 26 A X-ray exam of eye 0.21 0.10 0.01 0.32 XXX N
sockets.
70190... TC A X-ray exam of eye 0.00 0.59 0.04 0.63 XXX N
sockets.
70200... ................... A X-ray exam of eye 0.28 0.88 0.07 1.23 XXX N
sockets.
70200... 26 A X-ray exam of eye 0.28 0.13 0.02 0.43 XXX N
sockets.
70200... TC A X-ray exam of eye 0.00 0.75 0.05 0.80 XXX N
sockets.
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 0.19 0.49 0.04 0.72 XXX N
saddle.
70240... 26 A X-ray exam pituitary 0.19 0.09 0.01 0.29 XXX N
saddle.
70240... TC A X-ray exam pituitary 0.00 0.40 0.03 0.43 XXX N
saddle.
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 0.22 0.85 0.07 1.14 XXX N
teeth.
70320... 26 A Full mouth x-ray of 0.22 0.10 0.02 0.34 XXX N
teeth.
70320... TC A Full mouth x-ray of 0.00 0.75 0.05 0.80 XXX N
teeth.
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 0.24 0.91 0.07 1.22 XXX N
joints.
70330... 26 A X-ray exam of jaw 0.24 0.11 0.02 0.37 XXX N
joints.
70330... TC A X-ray exam of jaw 0.00 0.80 0.05 0.85 XXX N
joints.
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 1.48 11.11 0.73 13.32 XXX N
joint.
70336... 26 A Magnetic image jaw 1.48 0.43 0.06 1.97 XXX N
joint.
70336... TC A Magnetic image jaw 0.00 10.68 0.67 11.35 XXX N
joint.
70350... ................... A X-ray head for 0.17 0.44 0.03 0.64 XXX N
orthodontia.
70350... 26 A X-ray head for 0.17 0.08 0.01 0.26 XXX N
orthodontia.
70350... TC A X-ray head for 0.00 0.36 0.02 0.38 XXX N
orthodontia.
70355... ................... A Panoramic x-ray of jaws 0.20 0.63 0.05 0.88 XXX N
[[Page 59630]]
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 & 0.32 1.39 0.10 1.81 XXX N
fluoroscopy.
70370... 26 A Throat x-ray & 0.32 0.15 0.02 0.49 XXX N
fluoroscopy.
70370... TC A Throat x-ray & 0.00 1.24 0.08 1.32 XXX N
fluoroscopy.
70371... ................... A Speech evaluation, 0.84 2.38 0.19 3.41 XXX N
complex.
70371... 26 A Speech evaluation, 0.84 0.38 0.06 1.28 XXX N
complex.
70371... TC A Speech evaluation, 0.00 2.00 0.13 2.13 XXX N
complex.
70373... ................... A Contrast x-ray of 0.44 1.90 0.14 2.48 XXX N
larynx.
70373... 26 A Contrast x-ray of 0.44 0.20 0.03 0.67 XXX N
larynx.
70373... TC A Contrast x-ray of 0.00 1.70 0.11 1.81 XXX N
larynx.
70380... ................... A X-ray exam of salivary 0.17 0.72 0.05 0.94 XXX N
gland.
70380... 26 A X-ray exam of salivary 0.17 0.08 0.01 0.26 XXX N
gland.
70380... TC A X-ray exam of salivary 0.00 0.64 0.04 0.68 XXX N
gland.
70390... ................... A X-ray exam of salivary 0.38 1.87 0.14 2.39 XXX N
duct.
70390... 26 A X-ray exam of salivary 0.38 0.17 0.03 0.58 XXX N
duct.
70390... TC A X-ray exam of salivary 0.00 1.70 0.11 1.81 XXX N
duct.
70450... ................... A CAT scan of head or 0.85 4.88 0.35 6.08 XXX N
brain.
70450... 26 A CAT scan of head or 0.85 0.38 0.06 1.29 XXX N
brain.
70450... TC A CAT scan of head or 0.00 4.50 0.29 4.79 XXX N
brain.
70460... ................... A Contrast CAT scan of 1.13 5.89 0.43 7.45 XXX N
head.
70460... 26 A Contrast CAT scan of 1.13 0.50 0.08 1.71 XXX N
head.
70460... TC A Contrast CAT scan of 0.00 5.39 0.35 5.74 XXX N
head.
70470... ................... A Contrast CAT scans of 1.27 7.30 0.52 9.09 XXX N
head.
70470... 26 A Contrast CAT scans of 1.27 0.56 0.09 1.92 XXX N
head.
70470... TC A Contrast CAT scans of 0.00 6.74 0.43 7.17 XXX N
head.
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 1.38 6.00 0.44 7.82 XXX N
skull.
70481... 26 A Contrast CAT scan of 1.38 0.61 0.09 2.08 XXX N
skull.
70481... TC A Contrast CAT scan of 0.00 5.39 0.35 5.74 XXX N
skull.
70482... ................... A Contrast CAT scans of 1.45 7.38 0.53 9.36 XXX N
skull.
70482... 26 A Contrast CAT scans of 1.45 0.64 0.10 2.19 XXX N
skull.
70482... TC A Contrast CAT scans of 0.00 6.74 0.43 7.17 XXX N
skull.
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/ 1.30 5.96 0.44 7.70 XXX N
jaw.
70487... 26 A Contrast CAT scan, face/ 1.30 0.57 0.09 1.96 XXX N
jaw.
70487... TC A Contrast CAT scan, face/ 0.00 5.39 0.35 5.74 XXX N
jaw.
70488... ................... A Contrast CAT scans face/ 1.42 7.37 0.53 9.32 XXX N
jaw.
70488... 26 A Contrast CAT scans face/ 1.42 0.63 0.10 2.15 XXX N
jaw.
70488... TC A Contrast CAT scans face/ 0.00 6.74 0.43 7.17 XXX N
jaw.
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 1.38 6.00 0.44 7.82 XXX N
tissue.
70491... 26 A Contrast CAT of neck 1.38 0.61 0.09 2.08 XXX N
tissue.
70491... TC A Contrast CAT of neck 0.00 5.39 0.35 5.74 XXX N
tissue.
70492... ................... A Contrast CAT of neck 1.45 7.38 0.53 9.36 XXX N
tissue.
70492... 26 A Contrast CAT of neck 1.45 0.64 0.10 2.19 XXX N
tissue.
70492... TC A Contrast CAT of neck 0.00 6.74 0.43 7.17 XXX N
tissue.
70540... ................... A Magnetic image, face, 1.48 11.34 0.77 13.59 XXX N
neck.
70540... 26 A Magnetic image, face, 1.48 0.66 0.10 2.24 XXX N
neck.
70540... TC A Magnetic image, face, 0.00 10.68 0.67 11.35 XXX N
neck.
70541... ................... R Magnetic image, head 1.81 11.34 0.77 13.92 XXX N
(MRA).
70541... 26 R Magnetic image, head 1.81 0.66 0.10 2.57 XXX N
(MRA).
70541... TC R Magnetic image, head 0.00 10.68 0.67 11.35 XXX N
(MRA).
70551... ................... A Magnetic image, brain 1.48 11.34 0.77 13.59 XXX N
(MRI).
70551... 26 A Magnetic image, brain 1.48 0.66 0.10 2.24 XXX N
(MRI).
70551... TC A Magnetic image, brain 0.00 10.68 0.67 11.35 XXX N
(MRI).
70552... ................... A Magnetic image, brain 1.78 13.61 0.93 16.32 XXX N
(MRI).
70552... 26 A Magnetic image, brain 1.78 0.80 0.12 2.70 XXX N
(MRI).
[[Page 59631]]
70552... TC A Magnetic image, brain 0.00 12.81 0.81 13.62 XXX N
(MRI).
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
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 0.38 0.92 0.08 1.38 XXX N
fluoroscopy.
71023... 26 A Chest x-ray and 0.38 0.17 0.03 0.58 XXX N
fluoroscopy.
71023... TC A Chest x-ray and 0.00 0.75 0.05 0.80 XXX N
fluoroscopy.
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 & 0.46 1.58 0.12 2.16 XXX N
fluoroscopy.
71034... 26 A Chest x-ray & 0.46 0.21 0.03 0.70 XXX N
fluoroscopy.
71034... TC A Chest x-ray & 0.00 1.37 0.09 1.46 XXX N
fluoroscopy.
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 0.54 1.75 0.14 2.43 XXX N
biopsy.
71036... 26 A X-ray guidance for 0.54 0.25 0.04 0.83 XXX N
biopsy.
71036... TC A X-ray guidance for 0.00 1.50 0.10 1.60 XXX N
biopsy.
71038... ................... A X-ray guidance for 0.54 1.85 0.15 2.54 XXX N
biopsy.
71038... 26 A X-ray guidance for 0.54 0.25 0.04 0.83 XXX N
biopsy.
71038... TC A X-ray guidance for 0.00 1.60 0.11 1.71 XXX N
biopsy.
71040... ................... A Contrast x-ray of 0.58 1.66 0.13 2.37 XXX N
bronchi.
71040... 26 A Contrast x-ray of 0.58 0.27 0.04 0.89 XXX N
bronchi.
71040... TC A Contrast x-ray of 0.00 1.39 0.09 1.48 XXX N
bronchi.
71060... ................... A Contrast x-ray of 0.74 2.44 0.19 3.37 XXX N
bronchi.
71060... 26 A Contrast x-ray of 0.74 0.34 0.05 1.13 XXX N
bronchi.
71060... TC A Contrast x-ray of 0.00 2.10 0.14 2.24 XXX N
bronchi.
71090... ................... A X-ray & pacemaker 0.54 1.85 0.15 2.54 XXX N
insertion.
71090... 26 A X-ray & pacemaker 0.54 0.25 0.04 0.83 XXX N
insertion.
71090... TC A X-ray & pacemaker 0.00 1.60 0.11 1.71 XXX N
insertion.
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, 0.27 0.77 0.06 1.10 XXX N
chest.
71101... 26 A X-ray exam of ribs, 0.27 0.13 0.02 0.42 XXX N
chest.
71101... TC A X-ray exam of ribs, 0.00 0.64 0.04 0.68 XXX N
chest.
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, 0.32 1.00 0.08 1.40 XXX N
chest.
71111... 26 A X-ray exam of ribs, 0.32 0.15 0.02 0.49 XXX N
chest.
71111... TC A X-ray exam of ribs, 0.00 0.85 0.06 0.91 XXX N
chest.
71120... ................... A X-ray exam of 0.20 0.71 0.05 0.96 XXX N
breastbone.
71120... 26 A X-ray exam of 0.20 0.09 0.01 0.30 XXX N
breastbone.
71120... TC A X-ray exam of 0.00 0.62 0.04 0.66 XXX N
breastbone.
71130... ................... A X-ray exam of 0.22 0.77 0.05 1.04 XXX N
breastbone.
71130... 26 A X-ray exam of 0.22 0.10 0.01 0.33 XXX N
breastbone.
71130... TC A X-ray exam of 0.00 0.67 0.04 0.71 XXX N
breastbone.
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
[[Page 59632]]
71260... ................... A Contrast CAT scan of 1.24 7.29 0.51 9.04 XXX N
chest.
71260... 26 A Contrast CAT scan of 1.24 0.55 0.08 1.87 XXX N
chest.
71260... TC A Contrast CAT scan of 0.00 6.74 0.43 7.17 XXX N
chest.
71270... ................... A Contrast CAT scans of 1.38 9.04 0.61 11.03 XXX N
chest.
71270... 26 A Contrast CAT scans of 1.38 0.61 0.09 2.08 XXX N
chest.
71270... TC A Contrast CAT scans of 0.00 8.43 0.52 8.95 XXX N
chest.
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 +1.81 11.40 0.78 13.99 XXX 0
(MRA).
71555... 26 N Magnetic imaging/chest +1.81 0.72 0.11 2.64 XXX 0
(MRA).
71555... TC N Magnetic imaging/chest +0.00 10.68 0.67 11.35 XXX 0
(MRA).
72010... ................... A X-ray exam of spine.... 0.45 1.18 0.09 1.72 XXX N
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 0.22 0.67 0.05 0.94 XXX N
spine.
72040... 26 A X-ray exam of neck 0.22 0.10 0.01 0.33 XXX N
spine.
72040... TC A X-ray exam of neck 0.00 0.57 0.04 0.61 XXX N
spine.
72050... ................... A X-ray exam of neck 0.31 0.99 0.08 1.38 XXX N
spine.
72050... 26 A X-ray exam of neck 0.31 0.14 0.02 0.47 XXX N
spine.
72050... TC A X-ray exam of neck 0.00 0.85 0.06 0.91 XXX N
spine.
72052... ................... A X-ray exam of neck 0.36 1.25 0.09 1.70 XXX N
spine.
72052... 26 A X-ray exam of neck 0.36 0.17 0.02 0.55 XXX N
spine.
72052... TC A X-ray exam of neck 0.00 1.08 0.07 1.15 XXX N
spine.
72069... ................... A X-ray exam of trunk 0.22 0.57 0.04 0.83 XXX N
spine.
72069... 26 A X-ray exam of trunk 0.22 0.10 0.01 0.33 XXX N
spine.
72069... TC A X-ray exam of trunk 0.00 0.47 0.03 0.50 XXX N
spine.
72070... ................... A X-ray exam of thorax 0.22 0.72 0.05 0.99 XXX N
spine.
72070... 26 A X-ray exam of thorax 0.22 0.10 0.01 0.33 XXX N
spine.
72070... TC A X-ray exam of thorax 0.00 0.62 0.04 0.66 XXX N
spine.
72072... ................... A X-ray exam of thoracic 0.22 0.80 0.06 1.08 XXX N
spine.
72072... 26 A X-ray exam of thoracic 0.22 0.10 0.01 0.33 XXX N
spine.
72072... TC A X-ray exam of thoracic 0.00 0.70 0.05 0.75 XXX N
spine.
72074... ................... A X-ray exam of thoracic 0.22 0.97 0.07 1.26 XXX N
spine.
72074... 26 A X-ray exam of thoracic 0.22 0.10 0.01 0.33 XXX N
spine.
72074... TC A X-ray exam of thoracic 0.00 0.87 0.06 0.93 XXX N
spine.
72080... ................... A X-ray exam of trunk 0.22 0.74 0.05 1.01 XXX N
spine.
72080... 26 A X-ray exam of trunk 0.22 0.10 0.01 0.33 XXX N
spine.
72080... TC A X-ray exam of trunk 0.00 0.64 0.04 0.68 XXX N
spine.
72090... ................... A X-ray exam of trunk 0.28 0.77 0.06 1.11 XXX N
spine.
72090... 26 A X-ray exam of trunk 0.28 0.13 0.02 0.43 XXX N
spine.
72090... TC A X-ray exam of trunk 0.00 0.64 0.04 0.68 XXX N
spine.
72100... ................... A X-ray exam of lower 0.22 0.74 0.05 1.01 XXX N
spine.
72100... 26 A X-ray exam of lower 0.22 0.10 0.01 0.33 XXX N
spine.
72100... TC A X-ray exam of lower 0.00 0.64 0.04 0.68 XXX N
spine.
72110... ................... A X-ray exam of lower 0.31 1.01 0.08 1.40 XXX N
spine.
72110... 26 A X-ray exam of lower 0.31 0.14 0.02 0.47 XXX N
spine.
72110... TC A X-ray exam of lower 0.00 0.87 0.06 0.93 XXX N
spine.
72114... ................... A X-ray exam of lower 0.36 1.30 0.09 1.75 XXX N
spine.
72114... 26 A X-ray exam of lower 0.36 0.17 0.02 0.55 XXX N
spine.
72114... TC A X-ray exam of lower 0.00 1.13 0.07 1.20 XXX N
spine.
72120... ................... A X-ray exam of lower 0.22 0.95 0.07 1.24 XXX N
spine.
72120... 26 A X-ray exam of lower 0.22 0.10 0.01 0.33 XXX N
spine.
72120... TC A X-ray exam of lower 0.00 0.85 0.06 0.91 XXX N
spine.
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 1.22 7.27 0.51 9.00 XXX N
neck.
72126... 26 A Contrast CAT scan of 1.22 0.53 0.08 1.83 XXX N
neck.
72126... TC A Contrast CAT scan of 0.00 6.74 0.43 7.17 XXX N
neck.
72127... ................... A Contrast CAT scans of 1.27 8.99 0.61 10.87 XXX N
neck.
72127... 26 A Contrast CAT scans of 1.27 0.56 0.09 1.92 XXX N
neck.
72127... TC A Contrast CAT scans of 0.00 8.43 0.52 8.95 XXX N
neck.
72128... ................... A CAT scan of thorax 1.16 6.14 0.44 7.74 XXX N
spine.
[[Page 59633]]
72128... 26 A CAT scan of thorax 1.16 0.51 0.08 1.75 XXX N
spine.
72128... TC A CAT scan of thorax 0.00 5.63 0.36 5.99 XXX N
spine.
72129... ................... A Contrast CAT scan of 1.22 7.27 0.51 9.00 XXX N
thorax.
72129... 26 A Contrast CAT scan of 1.22 0.53 0.08 1.83 XXX N
thorax.
72129... TC A Contrast CAT scan of 0.00 6.74 0.43 7.17 XXX N
thorax.
72130... ................... A Contrast CAT scans of 1.27 8.99 0.61 10.87 XXX N
thorax.
72130... 26 A Contrast CAT scans of 1.27 0.56 0.09 1.92 XXX N
thorax.
72130... TC A Contrast CAT scans of 0.00 8.43 0.52 8.95 XXX N
thorax.
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 1.22 7.27 0.51 9.00 XXX N
spine.
72132... 26 A Contrast CAT of lower 1.22 0.53 0.08 1.83 XXX N
spine.
72132... TC A Contrast CAT of lower 0.00 6.74 0.43 7.17 XXX N
spine.
72133... ................... A Contrast CAT scans, low 1.27 8.99 0.61 10.87 XXX N
spine.
72133... 26 A Contrast CAT scans, low 1.27 0.56 0.09 1.92 XXX N
spine.
72133... TC A Contrast CAT scans, low 0.00 8.43 0.52 8.95 XXX N
spine.
72141... ................... A Magnetic image, neck 1.60 11.40 0.78 13.78 XXX N
spine.
72141... 26 A Magnetic image, neck 1.60 0.72 0.11 2.43 XXX N
spine.
72141... TC A Magnetic image, neck 0.00 10.68 0.67 11.35 XXX N
spine.
72142... ................... A Magnetic image, neck 1.92 13.67 0.94 16.53 XXX N
spine.
72142... 26 A Magnetic image, neck 1.92 0.86 0.13 2.91 XXX N
spine.
72142... TC A Magnetic image, neck 0.00 12.81 0.81 13.62 XXX N
spine.
72146... ................... A Magnetic image, chest 1.60 12.58 0.85 15.03 XXX N
spine.
72146... 26 A Magnetic image, chest 1.60 0.72 0.11 2.43 XXX N
spine.
72146... TC A Magnetic image, chest 0.00 11.86 0.74 12.60 XXX N
spine.
72147... ................... A Magnetic image, chest 1.92 13.67 0.94 16.53 XXX N
spine.
72147... 26 A Magnetic image, chest 1.92 0.86 0.13 2.91 XXX N
spine.
72147... TC A Magnetic image, chest 0.00 12.81 0.81 13.62 XXX N
spine.
72148... ................... A Magnetic image, lumbar 1.48 12.52 0.84 14.84 XXX N
spine.
72148... 26 A Magnetic image, lumbar 1.48 0.66 0.10 2.24 XXX N
spine.
72148... TC A Magnetic image, lumbar 0.00 11.86 0.74 12.60 XXX N
spine.
72149... ................... A Magnetic image, lumbar 1.78 13.61 0.93 16.32 XXX N
spine.
72149... 26 A Magnetic image, lumbar 1.78 0.80 0.12 2.70 XXX N
spine.
72149... TC A Magnetic image, lumbar 0.00 12.81 0.81 13.62 XXX N
spine.
72156... ................... A Magnetic image, neck 2.57 24.87 1.66 29.10 XXX N
spine.
72156... 26 A Magnetic image, neck 2.57 1.15 0.17 3.89 XXX N
spine.
72156... TC A Magnetic image, neck 0.00 23.72 1.49 25.21 XXX N
spine.
72157... ................... A Magnetic image, chest 2.57 24.87 1.66 29.10 XXX N
spine.
72157... 26 A Magnetic image, chest 2.57 1.15 0.17 3.89 XXX N
spine.
72157... TC A Magnetic image, chest 0.00 23.72 1.49 25.21 XXX N
spine.
72158... ................... A Magnetic image, lumbar 2.36 24.79 1.65 28.80 XXX N
spine.
72158... 26 A Magnetic image, lumbar 2.36 1.07 0.16 3.59 XXX N
spine.
72158... TC A Magnetic image, lumbar 0.00 23.72 1.49 25.21 XXX N
spine.
72159... ................... N Magnetic imaging/spine +1.80 12.52 0.84 15.16 XXX 0
(MRA).
72159... 26 N Magnetic imaging/spine +1.80 0.66 0.10 2.56 XXX 0
(MRA).
72159... TC N Magnetic imaging/spine +0.00 11.86 0.74 12.60 XXX 0
(MRA).
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 1.16 7.03 0.49 8.68 XXX N
pelvis.
72193... 26 A Contrast CAT scan of 1.16 0.51 0.08 1.75 XXX N
pelvis.
72193... TC A Contrast CAT scan of 0.00 6.52 0.41 6.93 XXX N
pelvis.
72194... ................... A Contrast CAT scans of 1.22 8.62 0.58 10.42 XXX N
pelvis.
72194... 26 A Contrast CAT scans of 1.22 0.53 0.08 1.83 XXX N
pelvis.
72194... TC A Contrast CAT scans of 0.00 8.09 0.50 8.59 XXX N
pelvis.
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 +1.80 11.40 0.78 13.98 XXX 0
(MRA).
72198... 26 N Magnetic imaging/pelvis +1.80 0.72 0.11 2.63 XXX 0
(MRA).
[[Page 59634]]
72198... TC N Magnetic imaging/pelvis +0.00 10.68 0.67 11.35 XXX 0
(MRA).
72200... ................... A X-ray exam sacroiliac 0.17 0.58 0.04 0.79 XXX N
joints.
72200... 26 A X-ray exam sacroiliac 0.17 0.08 0.01 0.26 XXX N
joints.
72200... TC A X-ray exam sacroiliac 0.00 0.50 0.03 0.53 XXX N
joints.
72202... ................... A X-ray exam sacroiliac 0.19 0.68 0.05 0.92 XXX N
joints.
72202... 26 A X-ray exam sacroiliac 0.19 0.09 0.01 0.29 XXX N
joints.
72202... TC A X-ray exam sacroiliac 0.00 0.59 0.04 0.63 XXX N
joints.
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 0.91 4.93 0.35 6.19 XXX N
spine.
72240... 26 A Contrast x-ray of neck 0.91 0.41 0.06 1.38 XXX N
spine.
72240... TC A Contrast x-ray of neck 0.00 4.52 0.29 4.81 XXX N
spine.
72255... ................... A Contrast x-ray thorax 0.91 4.54 0.32 5.77 XXX N
spine.
72255... 26 A Contrast x-ray thorax 0.91 0.41 0.06 1.38 XXX N
spine.
72255... TC A Contrast x-ray thorax 0.00 4.13 0.26 4.39 XXX N
spine.
72265... ................... A Contrast x-ray lower 0.83 4.26 0.31 5.40 XXX N
spine.
72265... 26 A Contrast x-ray lower 0.83 0.38 0.06 1.27 XXX N
spine.
72265... TC A Contrast x-ray lower 0.00 3.88 0.25 4.13 XXX N
spine.
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 0.83 8.37 0.56 9.76 XXX N
disk.
72285... 26 A X-ray of neck spine 0.83 0.38 0.06 1.27 XXX N
disk.
72285... TC A X-ray of neck spine 0.00 7.99 0.50 8.49 XXX N
disk.
72295... ................... A X-ray of lower spine 0.83 7.87 0.52 9.22 XXX N
disk.
72295... 26 A X-ray of lower spine 0.83 0.38 0.06 1.27 XXX N
disk.
72295... TC A X-ray of lower spine 0.00 7.49 0.46 7.95 XXX N
disk.
73000... ................... A X-ray exam of 0.16 0.57 0.04 0.77 XXX N
collarbone.
73000... 26 A X-ray exam of 0.16 0.07 0.01 0.24 XXX N
collarbone.
73000... TC A X-ray exam of 0.00 0.50 0.03 0.53 XXX N
collarbone.
73010... ................... A X-ray exam of shoulder 0.17 0.58 0.04 0.79 XXX N
blade.
73010... 26 A X-ray exam of shoulder 0.17 0.08 0.01 0.26 XXX N
blade.
73010... TC A X-ray exam of shoulder 0.00 0.50 0.03 0.53 XXX N
blade.
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... 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 0.54 2.25 0.17 2.96 XXX N
shoulder.
73040... 26 A Contrast x-ray of 0.54 0.25 0.04 0.83 XXX N
shoulder.
73040... TC A Contrast x-ray of 0.00 2.00 0.13 2.13 XXX N
shoulder.
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, 0.16 0.54 0.04 0.74 XXX N
infant.
73092... 26 A X-ray exam of arm, 0.16 0.07 0.01 0.24 XXX N
infant.
73092... TC A X-ray exam of arm, 0.00 0.47 0.03 0.50 XXX N
infant.
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
[[Page 59635]]
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
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 1.16 6.14 0.44 7.74 XXX N
arm.
73201... 26 A Contrast CAT scan of 1.16 0.51 0.08 1.75 XXX N
arm.
73201... TC A Contrast CAT scan of 0.00 5.63 0.36 5.99 XXX N
arm.
73202... ................... A Contrast CAT scans of 1.22 7.61 0.53 9.36 XXX N
arm.
73202... 26 A Contrast CAT scans of 1.22 0.53 0.08 1.83 XXX N
arm.
73202... TC A Contrast CAT scans of 0.00 7.08 0.45 7.53 XXX N
arm.
73220... ................... A Magnetic image, arm, 1.48 11.34 0.77 13.59 XXX N
hand.
73220... 26 A Magnetic image, arm, 1.48 0.66 0.10 2.24 XXX N
hand.
73220... TC A Magnetic image, arm, 0.00 10.68 0.67 11.35 XXX N
hand.
73221... ................... A Magnetic image, joint 1.48 11.11 0.73 13.32 XXX N
of arm.
73221... 26 A Magnetic image, joint 1.48 0.43 0.06 1.97 XXX N
of arm.
73221... TC A Magnetic image, joint 0.00 10.68 0.67 11.35 XXX N
of arm.
73225... ................... N Magnetic imaging/upper +1.73 11.34 0.77 13.84 XXX 0
(MRA).
73225... 26 N Magnetic imaging/upper +1.73 0.66 0.10 2.49 XXX 0
(MRA).
73225... TC N Magnetic imaging/upper +0.00 10.68 0.67 11.35 XXX 0
(MRA).
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 & 0.20 0.64 0.05 0.89 XXX N
hips.
73540... 26 A X-ray exam of pelvis & 0.20 0.10 0.01 0.31 XXX N
hips.
73540... TC A X-ray exam of pelvis & 0.00 0.54 0.04 0.58 XXX N
hips.
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 0.54 2.75 0.21 3.50 XXX N
joint.
[[Page 59636]]
73580... 26 A Contrast x-ray of knee 0.54 0.25 0.04 0.83 XXX N
joint.
73580... TC A Contrast x-ray of knee 0.00 2.50 0.17 2.67 XXX N
joint.
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, 0.16 0.54 0.04 0.74 XXX N
infant.
73592... 26 A X-ray exam of leg, 0.16 0.07 0.01 0.24 XXX N
infant.
73592... TC A X-ray exam of leg, 0.00 0.47 0.03 0.50 XXX N
infant.
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 1.16 6.14 0.44 7.74 XXX N
leg.
73701... 26 A Contrast CAT scan of 1.16 0.51 0.08 1.75 XXX N
leg.
73701... TC A Contrast CAT scan of 0.00 5.63 0.36 5.99 XXX N
leg.
73702... ................... A Contrast CAT scans of 1.22 7.61 0.53 9.36 XXX N
leg.
73702... 26 A Contrast CAT scans of 1.22 0.53 0.08 1.83 XXX N
leg.
73702... TC A Contrast CAT scans of 0.00 7.08 0.45 7.53 XXX N
leg.
73720... ................... A Magnetic image, leg, 1.48 11.34 0.77 13.59 XXX N
foot.
73720... 26 A Magnetic image, leg, 1.48 0.66 0.10 2.24 XXX N
foot.
73720... TC A Magnetic image, leg, 0.00 10.68 0.67 11.35 XXX N
foot.
73721... ................... A Magnetic image, joint 1.48 11.11 0.73 13.32 XXX N
of leg.
73721... 26 A Magnetic image, joint 1.48 0.43 0.06 1.97 XXX N
of leg.
73721... TC A Magnetic image, joint 0.00 10.68 0.67 11.35 XXX N
of leg.
73725... ................... N Magnetic imaging/lower +1.82 11.34 0.77 13.93 XXX 0
(MRA).
73725... 26 N Magnetic imaging/lower +1.82 0.66 0.10 2.58 XXX 0
(MRA).
73725... TC N Magnetic imaging/lower +0.00 10.68 0.67 11.35 XXX 0
(MRA).
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, 0.32 0.85 0.07 1.24 XXX N
abdomen.
74022... 26 A X-ray exam series, 0.32 0.15 0.02 0.49 XXX N
abdomen.
74022... TC A X-ray exam series, 0.00 0.70 0.05 0.75 XXX N
abdomen.
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 1.27 7.08 0.50 8.85 XXX N
abdomen.
74160... 26 A Contrast CAT scan of 1.27 0.56 0.09 1.92 XXX N
abdomen.
74160... TC A Contrast CAT scan of 0.00 6.52 0.41 6.93 XXX N
abdomen.
74170... ................... A Contrast CAT scans, 1.40 8.71 0.60 10.71 XXX N
abdomen.
74170... 26 A Contrast CAT scans, 1.40 0.62 0.10 2.12 XXX N
abdomen.
[[Page 59637]]
74170... TC A Contrast CAT scans, 0.00 8.09 0.50 8.59 XXX N
abdomen.
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 +1.80 11.40 0.78 13.98 XXX 0
(MRA).
74185... 26 N Magnetic image/abdomen +1.80 0.72 0.11 2.63 XXX 0
(MRA).
74185... TC N Magnetic image/abdomen +0.00 10.68 0.67 11.35 XXX 0
(MRA).
74190... ................... A X-ray exam of 0.48 1.37 0.10 1.95 XXX N
peritoneum.
74190... 26 A X-ray exam of 0.48 0.13 0.02 0.63 XXX N
peritoneum.
74190... TC A X-ray exam of 0.00 1.24 0.08 1.32 XXX N
peritoneum.
74210... ................... A Contrast x-ray exam of 0.36 1.29 0.09 1.74 XXX N
throat.
74210... 26 A Contrast x-ray exam of 0.36 0.16 0.02 0.54 XXX N
throat.
74210... TC A Contrast x-ray exam of 0.00 1.13 0.07 1.20 XXX N
throat.
74220... ................... A Contrast x-ray exam, 0.46 1.34 0.10 1.90 XXX N
esophagus.
74220... 26 A Contrast x-ray exam, 0.46 0.21 0.03 0.70 XXX N
esophagus.
74220... TC A Contrast x-ray exam, 0.00 1.13 0.07 1.20 XXX N
esophagus.
74230... ................... A Cinema x-ray throat/ 0.53 1.49 0.12 2.14 XXX N
esophagus.
74230... 26 A Cinema x-ray throat/ 0.53 0.25 0.04 0.82 XXX N
esophagus.
74230... TC A Cinema x-ray throat/ 0.00 1.24 0.08 1.32 XXX N
esophagus.
74235... ................... A Remove esophagus 1.19 3.02 0.25 4.46 XXX N
obstruction.
74235... 26 A Remove esophagus 1.19 0.52 0.08 1.79 XXX N
obstruction.
74235... TC A Remove esophagus 0.00 2.50 0.17 2.67 XXX N
obstruction.
74240... ................... A X-ray exam upper GI 0.69 1.71 0.14 2.54 XXX N
tract.
74240... 26 A X-ray exam upper GI 0.69 0.32 0.05 1.06 XXX N
tract.
74240... TC A X-ray exam upper GI 0.00 1.39 0.09 1.48 XXX N
tract.
74241... ................... A X-ray exam upper GI 0.69 1.74 0.14 2.57 XXX N
tract.
74241... 26 A X-ray exam upper GI 0.69 0.32 0.05 1.06 XXX N
tract.
74241... TC A X-ray exam upper GI 0.00 1.42 0.09 1.51 XXX N
tract.
74245... ................... A X-ray exam upper GI 0.91 2.68 0.21 3.80 XXX N
tract.
74245... 26 A X-ray exam upper GI 0.91 0.41 0.06 1.38 XXX N
tract.
74245... TC A X-ray exam upper GI 0.00 2.27 0.15 2.42 XXX N
tract.
74246... ................... A Contrast x-ray upper GI 0.69 1.89 0.15 2.73 XXX N
tract.
74246... 26 A Contrast x-ray upper GI 0.69 0.32 0.05 1.06 XXX N
tract.
74246... TC A Contrast x-ray upper GI 0.00 1.57 0.10 1.67 XXX N
tract.
74247... ................... A Contrast x-ray upper GI 0.69 1.92 0.16 2.77 XXX N
tract.
74247... 26 A Contrast x-ray upper GI 0.69 0.32 0.05 1.06 XXX N
tract.
74247... TC A Contrast x-ray upper GI 0.00 1.60 0.11 1.71 XXX N
tract.
74249... ................... A Contrast x-ray upper GI 0.91 2.86 0.22 3.99 XXX N
tract.
74249... 26 A Contrast x-ray upper GI 0.91 0.41 0.06 1.38 XXX N
tract.
74249... TC A Contrast x-ray upper GI 0.00 2.45 0.16 2.61 XXX N
tract.
74250... ................... A X-ray exam of small 0.47 1.45 0.11 2.03 XXX N
bowel.
74250... 26 A X-ray exam of small 0.47 0.21 0.03 0.71 XXX N
bowel.
74250... TC A X-ray exam of small 0.00 1.24 0.08 1.32 XXX N
bowel.
74251... ................... A X-ray exam of small 0.69 1.45 0.11 2.25 XXX N
bowel.
74251... 26 A X-ray exam of small 0.69 0.21 0.03 0.93 XXX N
bowel.
74251... TC A X-ray exam of small 0.00 1.24 0.08 1.32 XXX N
bowel.
74260... ................... A X-ray exam of small 0.50 1.65 0.12 2.27 XXX N
bowel.
74260... 26 A X-ray exam of small 0.50 0.23 0.03 0.76 XXX N
bowel.
74260... TC A X-ray exam of small 0.00 1.42 0.09 1.51 XXX N
bowel.
74270... ................... A Contrast x-ray exam of 0.69 1.94 0.16 2.79 XXX N
colon.
74270... 26 A Contrast x-ray exam of 0.69 0.32 0.05 1.06 XXX N
colon.
74270... TC A Contrast x-ray exam of 0.00 1.62 0.11 1.73 XXX N
colon.
74280... ................... A Contrast x-ray exam of 0.99 2.58 0.21 3.78 XXX N
colon.
74280... 26 A Contrast x-ray exam of 0.99 0.45 0.07 1.51 XXX N
colon.
74280... TC A Contrast x-ray exam of 0.00 2.13 0.14 2.27 XXX N
colon.
74283... ................... A Contrast x-ray exam of 2.02 3.34 0.30 5.66 XXX N
colon.
74283... 26 A Contrast x-ray exam of 2.02 0.90 0.14 3.06 XXX N
colon.
74283... TC A Contrast x-ray exam of 0.00 2.44 0.16 2.60 XXX N
colon.
74290... ................... A Contrast x-ray, 0.32 0.85 0.07 1.24 XXX N
gallbladder.
74290... 26 A Contrast x-ray, 0.32 0.15 0.02 0.49 XXX N
gallbladder.
74290... TC A Contrast x-ray, 0.00 0.70 0.05 0.75 XXX N
gallbladder.
74291... ................... A Contrast x-rays, 0.20 0.49 0.04 0.73 XXX N
gallbladder.
74291... 26 A Contrast x-rays, 0.20 0.09 0.01 0.30 XXX N
gallbladder.
74291... TC A Contrast x-rays, 0.00 0.40 0.03 0.43 XXX N
gallbladder.
74300... ................... C X-ray bile ducts, 0.00 0.00 0.00 0.00 XXX N
pancreas.
74300... 26 A X-ray bile ducts, 0.36 0.17 0.02 0.55 XXX N
pancreas.
74300... TC C X-ray bile ducts, 0.00 0.00 0.00 0.00 XXX N
pancreas.
[[Page 59638]]
74301... ................... C Additional x-rays at 0.00 0.00 0.00 0.00 XXX N
surgery.
74301... 26 A Additional x-rays at 0.21 0.10 0.01 0.32 XXX N
surgery.
74301... TC C Additional x-rays at 0.00 0.00 0.00 0.00 XXX N
surgery.
74305... ................... A X-ray bile ducts, 0.42 0.94 0.08 1.44 XXX N
pancreas.
74305... 26 A X-ray bile ducts, 0.42 0.19 0.03 0.64 XXX N
pancreas.
74305... TC A X-ray bile ducts, 0.00 0.75 0.05 0.80 XXX N
pancreas.
74320... ................... A Contrast x-ray of bile 0.54 3.25 0.23 4.02 XXX N
ducts.
74320... 26 A Contrast x-ray of bile 0.54 0.25 0.04 0.83 XXX N
ducts.
74320... TC A Contrast x-ray of bile 0.00 3.00 0.19 3.19 XXX N
ducts.
74327... ................... A X-ray for bile stone 0.70 2.00 0.16 2.86 XXX N
removal.
74327... 26 A X-ray for bile stone 0.70 0.32 0.05 1.07 XXX N
removal.
74327... TC A X-ray for bile stone 0.00 1.68 0.11 1.79 XXX N
removal.
74328... ................... A X-ray for bile duct 0.70 3.32 0.24 4.26 XXX N
endoscopy.
74328... 26 A X-ray for bile duct 0.70 0.32 0.05 1.07 XXX N
endoscopy.
74328... TC A X-ray for bile duct 0.00 3.00 0.19 3.19 XXX N
endoscopy.
74329... ................... A X-ray for pancreas 0.70 3.32 0.24 4.26 XXX N
endoscopy.
74329... 26 A X-ray for pancreas 0.70 0.32 0.05 1.07 XXX N
endoscopy.
74329... TC A X-ray for pancreas 0.00 3.00 0.19 3.19 XXX N
endoscopy.
74330... ................... A X-ray, bile/pancreas 0.90 3.32 0.24 4.46 XXX N
endoscopy.
74330... 26 A X-ray, bile/pancreas 0.90 0.32 0.05 1.27 XXX N
endoscopy.
74330... TC A X-ray, 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 0.76 3.35 0.24 4.35 XXX N
tube.
74350... 26 A X-ray guide, stomach 0.76 0.35 0.05 1.16 XXX N
tube.
74350... TC A X-ray guide, stomach 0.00 3.00 0.19 3.19 XXX N
tube.
74355... ................... A X-ray guide, intestinal 0.76 2.85 0.22 3.83 XXX N
tube.
74355... 26 A X-ray guide, intestinal 0.76 0.35 0.05 1.16 XXX N
tube.
74355... TC A X-ray guide, intestinal 0.00 2.50 0.17 2.67 XXX N
tube.
74360... ................... A X-ray guide, GI 0.54 3.25 0.23 4.02 XXX N
dilation.
74360... 26 A X-ray guide, GI 0.54 0.25 0.04 0.83 XXX N
dilation.
74360... TC A X-ray guide, GI 0.00 3.00 0.19 3.19 XXX N
dilation.
74363... ................... A X-ray, bile duct 0.88 6.21 0.43 7.52 XXX N
dilation.
74363... 26 A X-ray, bile duct 0.88 0.40 0.06 1.34 XXX N
dilation.
74363... TC A X-ray, bile duct 0.00 5.81 0.37 6.18 XXX N
dilation.
74400... ................... A Contrast x-ray urinary 0.49 1.82 0.14 2.45 XXX N
tract.
74400... 26 A Contrast x-ray urinary 0.49 0.22 0.03 0.74 XXX N
tract.
74400... TC A Contrast x-ray urinary 0.00 1.60 0.11 1.71 XXX N
tract.
74405... ................... A Contrast x-ray urinary 0.49 2.11 0.16 2.76 XXX N
tract.
74405... 26 A Contrast x-ray urinary 0.49 0.22 0.03 0.74 XXX N
tract.
74405... TC A Contrast x-ray urinary 0.00 1.89 0.13 2.02 XXX N
tract.
74410... ................... A Contrast x-ray urinary 0.49 2.08 0.15 2.72 XXX N
tract.
74410... 26 A Contrast x-ray urinary 0.49 0.22 0.03 0.74 XXX N
tract.
74410... TC A Contrast x-ray urinary 0.00 1.86 0.12 1.98 XXX N
tract.
74415... ................... A Contrast x-ray urinary 0.49 2.24 0.16 2.89 XXX N
tract.
74415... 26 A Contrast x-ray urinary 0.49 0.22 0.03 0.74 XXX N
tract.
74415... TC A Contrast x-ray urinary 0.00 2.02 0.13 2.15 XXX N
tract.
74420... ................... A Contrast x-ray urinary 0.36 2.66 0.19 3.21 XXX N
tract.
74420... 26 A Contrast x-ray urinary 0.36 0.16 0.02 0.54 XXX N
tract.
74420... TC A Contrast x-ray urinary 0.00 2.50 0.17 2.67 XXX N
tract.
74425... ................... A Contrast x-ray urinary 0.36 1.40 0.10 1.86 XXX N
tract.
74425... 26 A Contrast x-ray urinary 0.36 0.16 0.02 0.54 XXX N
tract.
74425... TC A Contrast x-ray urinary 0.00 1.24 0.08 1.32 XXX N
tract.
74430... ................... A Contrast x-ray of 0.32 1.15 0.09 1.56 XXX N
bladder.
74430... 26 A Contrast x-ray of 0.32 0.15 0.02 0.49 XXX N
bladder.
74430... TC A Contrast x-ray of 0.00 1.00 0.07 1.07 XXX N
bladder.
74440... ................... A X-ray exam male genital 0.38 1.25 0.10 1.73 XXX N
tract.
74440... 26 A X-ray exam male genital 0.38 0.17 0.03 0.58 XXX N
tract.
74440... TC A X-ray exam male genital 0.00 1.08 0.07 1.15 XXX N
tract.
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/ 0.33 1.54 0.11 1.98 XXX N
bladder.
74450... 26 A X-ray exam urethra/ 0.33 0.15 0.02 0.50 XXX N
bladder.
74450... TC A X-ray exam urethra/ 0.00 1.39 0.09 1.48 XXX N
bladder.
74455... ................... A X-ray exam urethra/ 0.33 1.65 0.12 2.10 XXX N
bladder.
[[Page 59639]]
74455... 26 A X-ray exam urethra/ 0.33 0.15 0.02 0.50 XXX N
bladder.
74455... TC A X-ray exam urethra/ 0.00 1.50 0.10 1.60 XXX N
bladder.
74470... ................... A X-ray exam of kidney 0.54 1.44 0.12 2.10 XXX N
lesion.
74470... 26 A X-ray exam of kidney 0.54 0.25 0.04 0.83 XXX N
lesion.
74470... TC A X-ray exam of kidney 0.00 1.19 0.08 1.27 XXX N
lesion.
74475... ................... A X-ray control catheter 0.54 4.13 0.29 4.96 XXX N
insert.
74475... 26 A X-ray control catheter 0.54 0.25 0.04 0.83 XXX N
insert.
74475... TC A X-ray control catheter 0.00 3.88 0.25 4.13 XXX N
insert.
74480... ................... A X-ray control catheter 0.54 4.13 0.29 4.96 XXX N
insert.
74480... 26 A X-ray control catheter 0.54 0.25 0.04 0.83 XXX N
insert.
74480... TC A X-ray control catheter 0.00 3.88 0.25 4.13 XXX N
insert.
74485... ................... A X-ray guide, GU 0.54 3.25 0.23 4.02 XXX N
dilation.
74485... 26 A X-ray guide, GU 0.54 0.25 0.04 0.83 XXX N
dilation.
74485... TC A X-ray guide, GU 0.00 3.00 0.19 3.19 XXX N
dilation.
74710... ................... A X-ray measurement of 0.34 1.16 0.09 1.59 XXX N
pelvis.
74710... 26 A X-ray measurement of 0.34 0.16 0.02 0.52 XXX N
pelvis.
74710... TC A X-ray measurement of 0.00 1.00 0.07 1.07 XXX N
pelvis.
74740... ................... A X-ray female genital 0.38 1.41 0.11 1.90 XXX N
tract.
74740... 26 A X-ray female genital 0.38 0.17 0.03 0.58 XXX N
tract.
74740... TC A X-ray female genital 0.00 1.24 0.08 1.32 XXX N
tract.
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, 1.60 11.40 0.78 13.78 XXX N
myocardium.
75552... 26 A Magnetic image, 1.60 0.72 0.11 2.43 XXX N
myocardium.
75552... TC A Magnetic image, 0.00 10.68 0.67 11.35 XXX N
myocardium.
75553... ................... A Magnetic image, 2.00 11.40 0.78 14.18 XXX N
myocardium.
75553... 26 A Magnetic image, 2.00 0.72 0.11 2.83 XXX N
myocardium.
75553... TC A Magnetic image, 0.00 10.68 0.67 11.35 XXX N
myocardium.
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 1.74 11.40 0.78 13.92 XXX N
study.
75555... 26 A Cardiac MRI/limited 1.74 0.72 0.11 2.57 XXX N
study.
75555... TC A Cardiac MRI/limited 0.00 10.68 0.67 11.35 XXX N
study.
75556... ................... N Cardiac MRI/flow 0.00 0.00 0.00 0.00 XXX 0
mapping.
75600... ................... A Contrast x-ray exam of 0.49 12.23 0.78 13.50 XXX N
aorta.
75600... 26 A Contrast x-ray exam of 0.49 0.22 0.03 0.74 XXX N
aorta.
75600... TC A Contrast x-ray exam of 0.00 12.01 0.75 12.76 XXX N
aorta.
75605... ................... A Contrast x-ray exam of 1.14 12.51 0.83 14.48 XXX N
aorta.
75605... 26 A Contrast x-ray exam of 1.14 0.50 0.08 1.72 XXX N
aorta.
75605... TC A Contrast x-ray exam of 0.00 12.01 0.75 12.76 XXX N
aorta.
75625... ................... A Contrast x-ray exam of 1.14 12.51 0.83 14.48 XXX N
aorta.
75625... 26 A Contrast x-ray exam of 1.14 0.50 0.08 1.72 XXX N
aorta.
75625... TC A Contrast x-ray exam of 0.00 12.01 0.75 12.76 XXX N
aorta.
75630... ................... A X-ray aorta, leg 1.79 13.09 0.88 15.76 XXX N
arteries.
75630... 26 A X-ray aorta, leg 1.79 0.58 0.09 2.46 XXX N
arteries.
75630... TC A X-ray aorta, leg 0.00 12.51 0.79 13.30 XXX N
arteries.
75650... ................... A Artery x-rays, head & 1.49 12.67 0.85 15.01 XXX N
neck.
75650... 26 A Artery x-rays, head & 1.49 0.66 0.10 2.25 XXX N
neck.
75650... TC A Artery x-rays, head & 0.00 12.01 0.75 12.76 XXX N
neck.
75658... ................... A X-ray exam of arm 1.31 12.59 0.84 14.74 XXX N
arteries.
75658... 26 A X-ray exam of arm 1.31 0.58 0.09 1.98 XXX N
arteries.
75658... TC A X-ray exam of arm 0.00 12.01 0.75 12.76 XXX N
arteries.
75660... ................... A Artery x-rays, head & 1.31 12.59 0.84 14.74 XXX N
neck.
75660... 26 A Artery x-rays, head & 1.31 0.58 0.09 1.98 XXX N
neck.
75660... TC A Artery x-rays, head & 0.00 12.01 0.75 12.76 XXX N
neck.
75662... ................... A Artery x-rays, head & 1.66 12.75 0.86 15.27 XXX N
neck.
75662... 26 A Artery x-rays, head & 1.66 0.74 0.11 2.51 XXX N
neck.
75662... TC A Artery x-rays, head & 0.00 12.01 0.75 12.76 XXX N
neck.
75665... ................... A Artery x-rays, head & 1.31 12.59 0.84 14.74 XXX N
neck.
75665... 26 A Artery x-rays, head & 1.31 0.58 0.09 1.98 XXX N
neck.
75665... TC A Artery x-rays, head & 0.00 12.01 0.75 12.76 XXX N
neck.
75671... ................... A Artery x-rays, head & 1.66 12.75 0.86 15.27 XXX N
neck.
[[Page 59640]]
75671... 26 A Artery x-rays, head & 1.66 0.74 0.11 2.51 XXX N
neck.
75671... TC A Artery x-rays, head & 0.00 12.01 0.75 12.76 XXX N
neck.
75676... ................... A Artery x-rays, neck.... 1.31 12.59 0.84 14.74 XXX N
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/ 1.31 12.59 0.84 14.74 XXX N
legs.
75716... 26 A Artery x-rays, arms/ 1.31 0.58 0.09 1.98 XXX N
legs.
75716... TC A Artery x-rays, arms/ 0.00 12.01 0.75 12.76 XXX N
legs.
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 1.14 12.51 0.83 14.48 XXX N
gland.
75731... 26 A Artery x-rays, adrenal 1.14 0.50 0.08 1.72 XXX N
gland.
75731... TC A Artery x-rays, adrenal 0.00 12.01 0.75 12.76 XXX N
gland.
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 0.36 12.17 0.77 13.30 XXX N
vessel.
75774... 26 A Artery x-ray, each 0.36 0.16 0.02 0.54 XXX N
vessel.
75774... TC A Artery x-ray, each 0.00 12.01 0.75 12.76 XXX N
vessel.
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/ 0.81 5.53 0.38 6.72 XXX N
leg.
75801... 26 A Lymph vessel x-ray, arm/ 0.81 0.37 0.05 1.23 XXX N
leg.
75801... TC A Lymph vessel x-ray, arm/ 0.00 5.16 0.33 5.49 XXX N
leg.
75803... ................... A Lymph vessel x-ray, 1.17 5.67 0.41 7.25 XXX N
arms/legs.
75803... 26 A Lymph vessel x-ray, 1.17 0.51 0.08 1.76 XXX N
arms/legs.
75803... TC A Lymph vessel x-ray, 0.00 5.16 0.33 5.49 XXX N
arms/legs.
75805... ................... A Lymph vessel x-ray, 0.81 6.18 0.42 7.41 XXX N
trunk.
75805... 26 A Lymph vessel x-ray, 0.81 0.37 0.05 1.23 XXX N
trunk.
75805... TC A Lymph vessel x-ray, 0.00 5.81 0.37 6.18 XXX N
trunk.
75807... ................... A Lymph vessel x-ray, 1.17 6.32 0.45 7.94 XXX N
trunk.
75807... 26 A Lymph vessel x-ray, 1.17 0.51 0.08 1.76 XXX N
trunk.
[[Page 59641]]
75807... TC A Lymph vessel x-ray, 0.00 5.81 0.37 6.18 XXX N
trunk.
75809... ................... A Nonvascular shunt, x- 0.47 0.94 0.08 1.49 XXX N
ray.
75809... 26 A Nonvascular shunt, x- 0.47 0.19 0.03 0.69 XXX N
ray.
75809... TC A Nonvascular shunt, x- 0.00 0.75 0.05 0.80 XXX N
ray.
75810... ................... A Vein x-ray, spleen/ 1.14 12.51 0.83 14.48 XXX N
liver.
75810... 26 A Vein x-ray, spleen/ 1.14 0.50 0.08 1.72 XXX N
liver.
75810... TC A Vein x-ray, spleen/ 0.00 12.01 0.75 12.76 XXX N
liver.
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 1.14 12.51 0.83 14.48 XXX N
gland.
75840... 26 A Vein x-ray, adrenal 1.14 0.50 0.08 1.72 XXX N
gland.
75840... TC A Vein x-ray, adrenal 0.00 12.01 0.75 12.76 XXX N
gland.
75842... ................... A Vein x-ray, adrenal 1.49 12.67 0.85 15.01 XXX N
glands.
75842... 26 A Vein x-ray, adrenal 1.49 0.66 0.10 2.25 XXX N
glands.
75842... TC A Vein x-ray, adrenal 0.00 12.01 0.75 12.76 XXX N
glands.
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 0.54 12.26 0.79 13.59 XXX N
catheter.
75893... 26 A Venous sampling by 0.54 0.25 0.04 0.83 XXX N
catheter.
75893... TC A Venous sampling by 0.00 12.01 0.75 12.76 XXX N
catheter.
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
[[Page 59642]]
75900... ................... A Arterial catheter 0.49 20.22 1.29 22.00 XXX N
exchange.
75900... 26 A Arterial catheter 0.49 0.23 0.03 0.75 XXX N
exchange.
75900... TC A Arterial catheter 0.00 19.99 1.26 21.25 XXX N
exchange.
75940... ................... A X-ray placement, vein 0.54 12.26 0.79 13.59 XXX N
filter.
75940... 26 A X-ray placement, vein 0.54 0.25 0.04 0.83 XXX N
filter.
75940... TC A X-ray placement, vein 0.00 12.01 0.75 12.76 XXX N
filter.
75945... ................... A Intravascular us....... 0.29 4.57 0.31 5.17 XXX N
75945... 26 A Intravascular us....... 0.29 0.22 0.03 0.54 XXX N
75945... TC A Intravascular us....... 0.00 4.35 0.28 4.63 XXX N
75946... ................... A Intravascular us....... 0.29 2.40 0.17 2.86 XXX N
75946... 26 A Intravascular us....... 0.29 0.22 0.03 0.54 XXX N
75946... TC A Intravascular us....... 0.00 2.18 0.14 2.32 XXX N
75960... ................... A Transcatheter intro, 0.82 14.57 0.94 16.33 XXX N
stent.
75960... 26 A Transcatheter intro, 0.82 0.37 0.06 1.25 XXX N
stent.
75960... TC A Transcatheter intro, 0.00 14.20 0.88 15.08 XXX N
stent.
75961... ................... A Retrieval, broken 4.25 11.91 0.90 17.06 XXX N
catheter.
75961... 26 A Retrieval, broken 4.25 1.90 0.28 6.43 XXX N
catheter.
75961... TC A Retrieval, broken 0.00 10.01 0.62 10.63 XXX N
catheter.
75962... ................... A Repair arterial 0.54 15.25 0.98 16.77 XXX N
blockage.
75962... 26 A Repair arterial 0.54 0.25 0.04 0.83 XXX N
blockage.
75962... TC A Repair arterial 0.00 15.00 0.94 15.94 XXX N
blockage.
75964... ................... A Repair artery blockage, 0.36 8.16 0.52 9.04 XXX N
each.
75964... 26 A Repair artery blockage, 0.36 0.16 0.02 0.54 XXX N
each.
75964... TC A Repair artery blockage, 0.00 8.00 0.50 8.50 XXX N
each.
75966... ................... A Repair arterial 1.31 15.58 1.03 17.92 XXX N
blockage.
75966... 26 A Repair arterial 1.31 0.58 0.09 1.98 XXX N
blockage.
75966... TC A Repair arterial 0.00 15.00 0.94 15.94 XXX N
blockage.
75968... ................... A Repair artery blockage, 0.36 8.16 0.52 9.04 XXX N
each.
75968... 26 A Repair artery blockage, 0.36 0.16 0.02 0.54 XXX N
each.
75968... TC A Repair artery blockage, 0.00 8.00 0.50 8.50 XXX N
each.
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 xray exam bile 1.44 5.80 0.43 7.67 XXX N
duct.
75980... 26 A Contrast xray exam bile 1.44 0.64 0.10 2.18 XXX N
duct.
75980... TC A Contrast xray exam bile 0.00 5.16 0.33 5.49 XXX N
duct.
75982... ................... A Contrast xray exam bile 1.44 6.45 0.47 8.36 XXX N
duct.
75982... 26 A Contrast xray exam bile 1.44 0.64 0.10 2.18 XXX N
duct.
75982... TC A Contrast xray exam bile 0.00 5.81 0.37 6.18 XXX N
duct.
75984... ................... A Xray control catheter 0.72 2.19 0.17 3.08 XXX N
change.
75984... 26 A Xray control catheter 0.72 0.33 0.05 1.10 XXX N
change.
75984... TC A Xray control catheter 0.00 1.86 0.12 1.98 XXX N
change.
75989... ................... A Abscess drainage under 1.19 3.52 0.27 4.98 XXX N
x-ray.
75989... 26 A Abscess drainage under 1.19 0.52 0.08 1.79 XXX N
x-ray.
75989... TC A Abscess drainage under 0.00 3.00 0.19 3.19 XXX N
x-ray.
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, 0.67 2.81 0.22 3.70 XXX N
extensive.
[[Page 59643]]
76001... 26 A Fluoroscope exam, 0.67 0.31 0.05 1.03 XXX N
extensive.
76001... TC A Fluoroscope exam, 0.00 2.50 0.17 2.67 XXX N
extensive.
76003... ................... A Needle localization by 0.54 1.49 0.12 2.15 XXX N
x-ray.
76003... 26 A Needle localization by 0.54 0.25 0.04 0.83 XXX N
x-ray.
76003... TC A Needle localization by 0.00 1.24 0.08 1.32 XXX N
x-ray.
76010... ................... A X-ray, nose to rectum.. 0.18 0.58 0.04 0.80 XXX N
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 0.31 1.20 0.09 1.60 XXX N
film.
76066... 26 A Joint(s) survey, single 0.31 0.14 0.02 0.47 XXX N
film.
76066... TC A Joint(s) survey, single 0.00 1.06 0.07 1.13 XXX N
film.
76070... ................... G CT scan, bone density +0.25 2.93 0.20 3.38 XXX N
study.
76070... 26 G CT scan, bone density +0.25 0.12 0.02 0.39 XXX N
study.
76070... TC G CT scan, bone density +0.00 2.81 0.18 2.99 XXX N
study.
76075... ................... G Dual energy x-ray study +0.30 3.07 0.21 3.58 XXX N
76075... 26 G Dual energy x-ray study +0.30 0.12 0.02 0.44 XXX N
76075... TC G 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.. 0.58 1.12 0.09 1.79 XXX N
76090... 26 A Mammogram, one breast.. 0.58 0.12 0.02 0.72 XXX N
76090... TC A Mammogram, one breast.. 0.00 1.00 0.07 1.07 XXX N
76091... ................... A Mammogram, both breasts 0.69 1.42 0.11 2.22 XXX N
76091... 26 A Mammogram, both breasts 0.69 0.18 0.03 0.90 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 1.63 23.51 1.53 26.67 XXX N
breasts.
76094... 26 A Magnetic image, both 1.63 0.72 0.11 2.46 XXX N
breasts.
76094... TC A Magnetic image, both 0.00 22.79 1.42 24.21 XXX N
breasts.
76095... ................... A Stereotactic breast 1.59 7.54 0.54 9.67 XXX N
biopsy.
76095... 26 A Stereotactic breast 1.59 0.71 0.11 2.41 XXX N
biopsy.
76095... TC A Stereotactic breast 0.00 6.83 0.43 7.26 XXX N
biopsy.
76096... ................... A X-ray of needle wire, 0.56 1.50 0.12 2.18 XXX N
breast.
76096... 26 A X-ray of needle wire, 0.56 0.26 0.04 0.86 XXX N
breast.
76096... TC A X-ray of needle wire, 0.00 1.24 0.08 1.32 XXX N
breast.
76098... ................... A X-ray exam, breast 0.16 0.47 0.04 0.67 XXX N
specimen.
76098... 26 A X-ray exam, breast 0.16 0.07 0.01 0.24 XXX N
specimen.
76098... TC A X-ray exam, breast 0.00 0.40 0.03 0.43 XXX N
specimen.
76100... ................... A X-ray exam of body 0.58 1.46 0.12 2.16 XXX N
section.
76100... 26 A X-ray exam of body 0.58 0.27 0.04 0.89 XXX N
section.
76100... TC A X-ray exam of body 0.00 1.19 0.08 1.27 XXX N
section.
76101... ................... A Complex body section x- 0.58 1.62 0.13 2.33 XXX N
ray.
[[Page 59644]]
76101... 26 A Complex body section x- 0.58 0.27 0.04 0.89 XXX N
ray.
76101... TC A Complex body section x- 0.00 1.35 0.09 1.44 XXX N
ray.
76102... ................... A Complex body section x- 0.58 1.92 0.15 2.65 XXX N
rays.
76102... 26 A Complex body section x- 0.58 0.27 0.04 0.89 XXX N
rays.
76102... TC A Complex body section x- 0.00 1.65 0.11 1.76 XXX N
rays.
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 0.00 0.00 0.00 0.00 XXX N
study.
76355... ................... A CAT scan for 1.21 8.40 0.57 10.18 XXX N
localization.
76355... 26 A CAT scan for 1.21 0.53 0.08 1.82 XXX N
localization.
76355... TC A CAT scan for 0.00 7.87 0.49 8.36 XXX N
localization.
76360... ................... A CAT scan for needle 1.16 8.37 0.57 10.10 XXX N
biopsy.
76360... 26 A CAT scan for needle 1.16 0.50 0.08 1.74 XXX N
biopsy.
76360... TC A CAT scan for needle 0.00 7.87 0.49 8.36 XXX N
biopsy.
76365... ................... A CAT scan for cyst 1.16 8.37 0.57 10.10 XXX N
aspiration.
76365... 26 A CAT scan for cyst 1.16 0.50 0.08 1.74 XXX N
aspiration.
76365... TC A CAT scan for cyst 0.00 7.87 0.49 8.36 XXX N
aspiration.
76370... ................... A CAT scan for therapy 0.85 3.19 0.24 4.28 XXX N
guide.
76370... 26 A CAT scan for therapy 0.85 0.38 0.06 1.29 XXX N
guide.
76370... TC A CAT scan for therapy 0.00 2.81 0.18 2.99 XXX N
guide.
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 0.98 3.78 0.28 5.04 XXX N
study.
76380... 26 A CAT scan follow-up 0.98 0.44 0.07 1.49 XXX N
study.
76380... TC A CAT scan follow-up 0.00 3.34 0.21 3.55 XXX N
study.
76400... ................... A Magnetic image, bone 1.60 11.40 0.78 13.78 XXX N
marrow.
76400... 26 A Magnetic image, bone 1.60 0.72 0.11 2.43 XXX N
marrow.
76400... TC A Magnetic image, bone 0.00 10.68 0.67 11.35 XXX N
marrow.
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 0.66 1.75 0.15 2.56 XXX N
bath.
76513... 26 A Echo exam of eye, water 0.66 0.30 0.05 1.01 XXX N
bath.
76513... TC A Echo exam of eye, water 0.00 1.45 0.10 1.55 XXX N
bath.
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 0.56 1.61 0.13 2.30 XXX N
neck.
76536... 26 A Echo exam of head and 0.56 0.26 0.04 0.86 XXX N
neck.
76536... TC A Echo exam of head and 0.00 1.35 0.09 1.44 XXX N
neck.
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
[[Page 59645]]
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
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 0.74 2.22 0.17 3.13 XXX N
wall.
76770... 26 A Echo exam abdomen back 0.74 0.34 0.05 1.13 XXX N
wall.
76770... TC A Echo exam abdomen back 0.00 1.88 0.12 2.00 XXX N
wall.
76775... ................... A Echo exam abdomen back 0.58 1.62 0.13 2.33 XXX N
wall.
76775... 26 A Echo exam abdomen back 0.58 0.27 0.04 0.89 XXX N
wall.
76775... TC A Echo exam abdomen back 0.00 1.35 0.09 1.44 XXX N
wall.
76778... ................... A Echo exam kidney 0.74 2.22 0.17 3.13 XXX N
transplant.
76778... 26 A Echo exam kidney 0.74 0.34 0.05 1.13 XXX N
transplant.
76778... TC A Echo exam kidney 0.00 1.88 0.12 2.00 XXX N
transplant.
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 0.99 2.45 0.20 3.64 XXX N
uterus.
76805... 26 A Echo exam of pregnant 0.99 0.45 0.07 1.51 XXX N
uterus.
76805... TC A Echo exam of pregnant 0.00 2.00 0.13 2.13 XXX N
uterus.
76810... ................... A Echo exam of pregnant 1.97 4.88 0.38 7.23 XXX N
uterus.
76810... 26 A Echo exam of pregnant 1.97 0.88 0.13 2.98 XXX N
uterus.
76810... TC A Echo exam of pregnant 0.00 4.00 0.25 4.25 XXX N
uterus.
76815... ................... A Echo exam of pregnant 0.65 1.65 0.13 2.43 XXX N
uterus.
76815... 26 A Echo exam of pregnant 0.65 0.30 0.04 0.99 XXX N
uterus.
76815... TC A Echo exam of pregnant 0.00 1.35 0.09 1.44 XXX N
uterus.
76816... ................... A Echo exam followup or 0.57 1.32 0.11 2.00 XXX N
repeat.
76816... 26 A Echo exam followup or 0.57 0.26 0.04 0.87 XXX N
repeat.
76816... TC A Echo exam followup or 0.00 1.06 0.07 1.13 XXX N
repeat.
76818... ................... A Fetal biophysical 0.77 1.89 0.15 2.81 XXX N
profile.
76818... 26 A Fetal biophysical 0.77 0.35 0.05 1.17 XXX N
profile.
76818... TC A Fetal biophysical 0.00 1.54 0.10 1.64 XXX N
profile.
76825... ................... A Echo exam of fetal 1.67 2.23 0.17 4.07 XXX N
heart.
76825... 26 A Echo exam of fetal 1.67 0.35 0.05 2.07 XXX N
heart.
76825... TC A Echo exam of fetal 0.00 1.88 0.12 2.00 XXX N
heart.
76826... ................... A Echo exam of fetal 0.83 1.35 0.10 2.28 XXX N
heart.
76826... 26 A Echo exam of fetal 0.83 0.68 0.05 1.56 XXX N
heart.
76826... TC A Echo exam of fetal 0.00 0.67 0.05 0.72 XXX N
heart.
76827... ................... A Echo exam of fetal 0.58 2.33 0.18 3.09 XXX N
heart.
76827... 26 A Echo exam of fetal 0.58 0.69 0.05 1.32 XXX N
heart.
76827... TC A Echo exam of fetal 0.00 1.64 0.13 1.77 XXX N
heart.
76828... ................... A Echo exam of fetal 0.56 1.34 0.11 2.01 XXX N
heart.
76828... 26 A Echo exam of fetal 0.56 0.28 0.02 0.86 XXX N
heart.
76828... TC A Echo exam of fetal 0.00 1.06 0.09 1.15 XXX N
heart.
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 0.67 1.76 0.15 2.58 XXX N
sac tap.
76930... 26 A Echo guide for heart 0.67 0.31 0.05 1.03 XXX N
sac tap.
76930... TC A Echo guide for heart 0.00 1.45 0.10 1.55 XXX N
sac tap.
[[Page 59646]]
76932... ................... A Echo guide for heart 0.67 1.76 0.15 2.58 XXX N
biopsy.
76932... 26 A Echo guide for heart 0.67 0.31 0.05 1.03 XXX N
biopsy.
76932... TC A Echo guide for heart 0.00 1.45 0.10 1.55 XXX N
biopsy.
76934... ................... A Echo guide for chest 0.67 1.76 0.15 2.58 XXX N
tap.
76934... 26 A Echo guide for chest 0.67 0.31 0.05 1.03 XXX N
tap.
76934... TC A Echo guide for chest 0.00 1.45 0.10 1.55 XXX N
tap.
76936... ................... A Echo guide for artery 1.99 7.24 0.48 9.71 XXX N
repair.
76936... 26 A Echo guide for artery 1.99 1.24 0.10 3.33 XXX N
repair.
76936... TC A Echo guide for artery 0.00 6.00 0.38 6.38 XXX N
repair.
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 1.34 2.07 0.19 3.60 XXX N
transfusion.
76941... 26 A Echo guide for 1.34 0.61 0.10 2.05 XXX N
transfusion.
76941... TC A Echo guide for 0.00 1.46 0.09 1.55 XXX N
transfusion.
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 0.67 2.07 0.19 2.93 XXX N
sampling.
76945... 26 A Echo guide, villus 0.67 0.61 0.10 1.38 XXX N
sampling.
76945... TC A Echo guide, villus 0.00 1.46 0.09 1.55 XXX N
sampling.
76946... ................... A Echo guide for 0.38 1.62 0.13 2.13 XXX N
amniocentesis.
76946... 26 A Echo guide for 0.38 0.17 0.03 0.58 XXX N
amniocentesis.
76946... TC A Echo guide for 0.00 1.45 0.10 1.55 XXX N
amniocentesis.
76948... ................... A Echo guide, ova 0.38 1.62 0.13 2.13 XXX N
aspiration.
76948... 26 A Echo guide, ova 0.38 0.17 0.03 0.58 XXX N
aspiration.
76948... TC A Echo guide, ova 0.00 1.45 0.10 1.55 XXX N
aspiration.
76950... ................... A Echo guidance 0.58 1.51 0.12 2.21 XXX N
radiotherapy.
76950... 26 A Echo guidance 0.58 0.27 0.04 0.89 XXX N
radiotherapy.
76950... TC A Echo guidance 0.00 1.24 0.08 1.32 XXX N
radiotherapy.
76960... ................... A Echo guidance 0.58 1.51 0.12 2.21 XXX N
radiotherapy.
76960... 26 A Echo guidance 0.58 0.27 0.04 0.89 XXX N
radiotherapy.
76960... TC A Echo guidance 0.00 1.24 0.08 1.32 XXX N
radiotherapy.
76965... ................... A Echo guidance 1.34 7.38 0.52 9.24 XXX N
radiotherapy.
76965... 26 A Echo guidance 1.34 2.07 0.19 3.60 XXX N
radiotherapy.
76965... TC A Echo guidance 0.00 5.31 0.33 5.64 XXX N
radiotherapy.
76970... ................... A Ultrasound exam follow- 0.40 1.18 0.10 1.68 XXX N
up.
76970... 26 A Ultrasound exam follow- 0.40 0.18 0.03 0.61 XXX N
up.
76970... TC A Ultrasound exam follow- 0.00 1.00 0.07 1.07 XXX N
up.
76975... ................... A GI endoscopic 0.81 1.79 0.15 2.75 XXX N
ultrasound.
76975... 26 A GI endoscopic 0.81 0.34 0.05 1.20 XXX N
ultrasound.
76975... TC A GI endoscopic 0.00 1.45 0.10 1.55 XXX N
ultrasound.
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 0.00 0.00 0.00 0.00 XXX N
procedure.
76999... 26 C Echo examination 0.00 0.00 0.00 0.00 XXX N
procedure.
76999... TC C Echo examination 0.00 0.00 0.00 0.00 XXX N
procedure.
77261... ................... A Radiation therapy 1.39 0.62 0.09 2.10 XXX N
planning.
77262... ................... A Radiation therapy 2.11 0.94 0.14 3.19 XXX N
planning.
77263... ................... A Radiation therapy 3.14 1.40 0.20 4.74 XXX N
planning.
77280... ................... A Set radiation therapy 0.70 3.63 0.26 4.59 XXX N
field.
77280... 26 A Set radiation therapy 0.70 0.32 0.05 1.07 XXX N
field.
77280... TC A Set radiation therapy 0.00 3.31 0.21 3.52 XXX N
field.
77285... ................... A Set radiation therapy 1.05 5.77 0.41 7.23 XXX N
field.
77285... 26 A Set radiation therapy 1.05 0.46 0.07 1.58 XXX N
field.
77285... TC A Set radiation therapy 0.00 5.31 0.34 5.65 XXX N
field.
77290... ................... A Set radiation therapy 1.56 6.90 0.50 8.96 XXX N
field.
77290... 26 A Set radiation therapy 1.56 0.70 0.11 2.37 XXX N
field.
77290... TC A Set radiation therapy 0.00 6.20 0.39 6.59 XXX N
field.
77295... ................... A Set radiation therapy 4.57 28.68 1.93 35.18 XXX N
field.
77295... 26 A Set radiation therapy 4.57 2.06 0.23 6.86 XXX N
field.
77295... TC A Set radiation therapy 0.00 26.62 1.70 28.32 XXX N
field.
77299... ................... C Radiation therapy 0.00 0.00 0.00 0.00 XXX N
planning.
77299... 26 C Radiation therapy 0.00 0.00 0.00 0.00 XXX N
planning.
77299... TC C Radiation therapy 0.00 0.00 0.00 0.00 XXX N
planning.
77300... ................... A Radiation therapy dose 0.62 1.56 0.12 2.30 XXX N
plan.
[[Page 59647]]
77300... 26 A Radiation therapy dose 0.62 0.28 0.04 0.94 XXX N
plan.
77300... TC A Radiation therapy dose 0.00 1.28 0.08 1.36 XXX N
plan.
77305... ................... A Radiation therapy dose 0.70 2.09 0.17 2.96 XXX N
plan.
77305... 26 A Radiation therapy dose 0.70 0.32 0.05 1.07 XXX N
plan.
77305... TC A Radiation therapy dose 0.00 1.77 0.12 1.89 XXX N
plan.
77310... ................... A Radiation therapy dose 1.05 2.68 0.22 3.95 XXX N
plan.
77310... 26 A Radiation therapy dose 1.05 0.46 0.07 1.58 XXX N
plan.
77310... TC A Radiation therapy dose 0.00 2.22 0.15 2.37 XXX N
plan.
77315... ................... A Radiation therapy dose 1.56 3.23 0.28 5.07 XXX N
plan.
77315... 26 A Radiation therapy dose 1.56 0.70 0.11 2.37 XXX N
plan.
77315... TC A Radiation therapy dose 0.00 2.53 0.17 2.70 XXX N
plan.
77321... ................... A Radiation therapy port 0.95 4.28 0.30 5.53 XXX N
plan.
77321... 26 A Radiation therapy port 0.95 0.43 0.06 1.44 XXX N
plan.
77321... TC A Radiation therapy port 0.00 3.85 0.24 4.09 XXX N
plan.
77326... ................... A Radiation therapy dose 0.93 2.67 0.21 3.81 XXX N
plan.
77326... 26 A Radiation therapy dose 0.93 0.42 0.06 1.41 XXX N
plan.
77326... TC A Radiation therapy dose 0.00 2.25 0.15 2.40 XXX N
plan.
77327... ................... A Radiation therapy dose 1.39 3.93 0.30 5.62 XXX N
plan.
77327... 26 A Radiation therapy dose 1.39 0.62 0.09 2.10 XXX N
plan.
77327... TC A Radiation therapy dose 0.00 3.31 0.21 3.52 XXX N
plan.
77328... ................... A Radiation therapy dose 2.09 5.66 0.44 8.19 XXX N
plan.
77328... 26 A Radiation therapy dose 2.09 0.93 0.14 3.16 XXX N
plan.
77328... TC A Radiation therapy dose 0.00 4.73 0.30 5.03 XXX N
plan.
77331... ................... A Special radiation 0.87 0.87 0.09 1.83 XXX N
dosimetry.
77331... 26 A Special radiation 0.87 0.39 0.06 1.32 XXX N
dosimetry.
77331... TC A Special radiation 0.00 0.48 0.03 0.51 XXX N
dosimetry.
77332... ................... A Radiation treatment 0.54 1.53 0.12 2.19 XXX N
aid(s).
77332... 26 A Radiation treatment 0.54 0.25 0.04 0.83 XXX N
aid(s).
77332... TC A Radiation treatment 0.00 1.28 0.08 1.36 XXX N
aid(s).
77333... ................... A Radiation treatment 0.84 2.19 0.18 3.21 XXX N
aid(s).
77333... 26 A Radiation treatment 0.84 0.38 0.06 1.28 XXX N
aid(s).
77333... TC A Radiation treatment 0.00 1.81 0.12 1.93 XXX N
aid(s).
77334... ................... A Radiation treatment 1.24 3.64 0.27 5.15 XXX N
aid(s).
77334... 26 A Radiation treatment 1.24 0.54 0.08 1.86 XXX N
aid(s).
77334... TC A Radiation treatment 0.00 3.10 0.19 3.29 XXX N
aid(s).
77336... ................... A Radiation physics 0.00 2.84 0.18 3.02 XXX N
consult.
77370... ................... A Radiation physics 0.00 3.33 0.21 3.54 XXX N
consult.
77399... ................... C External radiation 0.00 0.00 0.00 0.00 XXX N
dosimetry.
77399... 26 C External radiation 0.00 0.00 0.00 0.00 XXX N
dosimetry.
77399... TC C External radiation 0.00 0.00 0.00 0.00 XXX N
dosimetry.
77401... ................... A Radiation treatment 0.00 1.69 0.11 1.80 XXX N
delivery.
77402... ................... A Radiation treatment 0.00 1.69 0.11 1.80 XXX N
delivery.
77403... ................... A Radiation treatment 0.00 1.69 0.11 1.80 XXX N
delivery.
77404... ................... A Radiation treatment 0.00 1.69 0.11 1.80 XXX N
delivery.
77406... ................... A Radiation treatment 0.00 1.69 0.11 1.80 XXX N
delivery.
77407... ................... A Radiation treatment 0.00 1.99 0.13 2.12 XXX N
delivery.
77408... ................... A Radiation treatment 0.00 1.99 0.13 2.12 XXX N
delivery.
77409... ................... A Radiation treatment 0.00 1.99 0.13 2.12 XXX N
delivery.
77411... ................... A Radiation treatment 0.00 1.99 0.13 2.12 XXX N
delivery.
77412... ................... A Radiation treatment 0.00 2.22 0.15 2.37 XXX N
delivery.
77413... ................... A Radiation treatment 0.00 2.22 0.15 2.37 XXX N
delivery.
77414... ................... A Radiation treatment 0.00 2.22 0.15 2.37 XXX N
delivery.
77416... ................... A Radiation treatment 0.00 2.22 0.15 2.37 XXX N
delivery.
77417... ................... A Radiology port film(s). 0.00 0.56 0.04 0.60 XXX N
77419... ................... A Weekly radiation 3.60 1.61 0.23 5.44 XXX N
therapy.
77420... ................... A Weekly radiation 1.61 0.72 0.11 2.44 XXX N
therapy.
77425... ................... A Weekly radiation 2.44 1.10 0.17 3.71 XXX N
therapy.
77430... ................... A Weekly radiation 3.60 1.61 0.23 5.44 XXX N
therapy.
77431... ................... A Radiation therapy 1.81 0.81 0.12 2.74 XXX N
management.
77432... ................... A Stereotactic radiation 7.93 4.94 0.40 13.27 XXX N
trmt.
77470... ................... A Special radiation 2.09 11.55 0.80 14.44 XXX N
treatment.
77470... 26 A Special radiation 2.09 0.93 0.14 3.16 XXX N
treatment.
77470... TC A Special radiation 0.00 10.62 0.66 11.28 XXX N
treatment.
77499... ................... C Radiation therapy 0.00 0.00 0.00 0.00 XXX N
management.
77499... 26 C Radiation therapy 0.00 0.00 0.00 0.00 XXX N
management.
77499... TC C Radiation therapy 0.00 0.00 0.00 0.00 XXX N
management.
77600... ................... A Hyperthermia treatment. 1.56 3.60 0.29 5.45 ZZZ N
[[Page 59648]]
77600... 26 A Hyperthermia treatment. 1.56 0.70 0.11 2.37 ZZZ N
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 4.59 3.32 0.38 8.29 090 N
materials.
77750... 26 A Infuse radioactive 4.59 2.05 0.30 6.94 090 N
materials.
77750... TC A Infuse radioactive 0.00 1.27 0.08 1.35 090 N
materials.
77761... ................... A Radioelement 3.56 3.98 0.39 7.93 090 N
application.
77761... 26 A Radioelement 3.56 1.59 0.23 5.38 090 N
application.
77761... TC A Radioelement 0.00 2.39 0.16 2.55 090 N
application.
77762... ................... A Radioelement 5.35 5.83 0.57 11.75 090 N
application.
77762... 26 A Radioelement 5.35 2.39 0.35 8.09 090 N
application.
77762... TC A Radioelement 0.00 3.44 0.22 3.66 090 N
application.
77763... ................... A Radioelement 8.01 7.86 0.77 16.64 090 N
application.
77763... 26 A Radioelement 8.01 3.58 0.50 12.09 090 N
application.
77763... TC A Radioelement 0.00 4.28 0.27 4.55 090 N
application.
77776... ................... A Radioelement 4.66 4.16 0.45 9.27 XXX N
application.
77776... 26 A Radioelement 4.66 2.09 0.31 7.06 XXX N
application.
77776... TC A Radioelement 0.00 2.07 0.14 2.21 XXX N
application.
77777... ................... A Radioelement 6.99 7.17 0.71 14.87 090 N
application.
77777... 26 A Radioelement 6.99 3.13 0.45 10.57 090 N
application.
77777... TC A Radioelement 0.00 4.04 0.26 4.30 090 N
application.
77778... ................... A Radioelement 10.46 9.58 0.98 21.02 090 N
application.
77778... 26 A Radioelement 10.46 4.69 0.67 15.82 090 N
application.
77778... TC A Radioelement 0.00 4.89 0.31 5.20 090 N
application.
77781... ................... A High intensity 1.55 20.04 1.32 22.91 090 N
brachytherapy.
77781... 26 A High intensity 1.55 0.69 0.11 2.35 090 N
brachytherapy.
77781... TC A High intensity 0.00 19.35 1.21 20.56 090 N
brachytherapy.
77782... ................... A High intensity 2.33 20.40 1.37 24.10 090 N
brachytherapy.
77782... 26 A High intensity 2.33 1.05 0.16 3.54 090 N
brachytherapy.
77782... TC A High intensity 0.00 19.35 1.21 20.56 090 N
brachytherapy.
77783... ................... A High intensity 3.49 20.90 1.44 25.83 090 N
brachytherapy.
77783... 26 A High intensity 3.49 1.55 0.23 5.27 090 N
brachytherapy.
77783... TC A High intensity 0.00 19.35 1.21 20.56 090 N
brachytherapy.
77784... ................... A High intensity 5.24 21.69 1.56 28.49 090 N
brachytherapy.
77784... 26 A High intensity 5.24 2.34 0.35 7.93 090 N
brachytherapy.
77784... TC A High intensity 0.00 19.35 1.21 20.56 090 N
brachytherapy.
77789... ................... A Radioelement 1.05 0.89 0.10 2.04 090 N
application.
77789... 26 A Radioelement 1.05 0.46 0.07 1.58 090 N
application.
77789... TC A Radioelement 0.00 0.43 0.03 0.46 090 N
application.
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 0.00 0.00 0.00 0.00 XXX N
therapy.
77799... 26 C Radium/radioisotope 0.00 0.00 0.00 0.00 XXX N
therapy.
77799... TC C Radium/radioisotope 0.00 0.00 0.00 0.00 XXX N
therapy.
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 0.26 1.36 0.10 1.72 XXX N
uptakes.
78001... 26 A Thyroid, multiple 0.26 0.12 0.02 0.40 XXX N
uptakes.
78001... TC A Thyroid, multiple 0.00 1.24 0.08 1.32 XXX N
uptakes.
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 0.49 2.49 0.18 3.16 XXX N
uptake.
78006... 26 A Thyroid, imaging with 0.49 0.22 0.03 0.74 XXX N
uptake.
[[Page 59649]]
78006... TC A Thyroid, imaging with 0.00 2.27 0.15 2.42 XXX N
uptake.
78007... ................... A Thyroid, image, mult 0.50 2.68 0.19 3.37 XXX N
uptakes.
78007... 26 A Thyroid, image, mult 0.50 0.23 0.03 0.76 XXX N
uptakes.
78007... TC A Thyroid, image, mult 0.00 2.45 0.16 2.61 XXX N
uptakes.
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 0.45 2.50 0.18 3.13 XXX N
flow.
78011... 26 A Thyroid imaging with 0.45 0.21 0.03 0.69 XXX N
flow.
78011... TC A Thyroid imaging with 0.00 2.29 0.15 2.44 XXX N
flow.
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/ 0.82 3.70 0.27 4.79 XXX N
studies.
78016... 26 A Thyroid met imaging/ 0.82 0.38 0.06 1.26 XXX N
studies.
78016... TC A Thyroid met imaging/ 0.00 3.32 0.21 3.53 XXX N
studies.
78017... ................... A Thyroid met imaging, 0.87 3.94 0.28 5.09 XXX N
mult.
78017... 26 A Thyroid met imaging, 0.87 0.39 0.06 1.32 XXX N
mult.
78017... TC A Thyroid met imaging, 0.00 3.55 0.22 3.77 XXX N
mult.
78018... ................... A Thyroid, met imaging, 0.95 5.60 0.39 6.94 XXX N
body.
78018... 26 A Thyroid, met imaging, 0.95 0.43 0.06 1.44 XXX N
body.
78018... TC A Thyroid, met imaging, 0.00 5.17 0.33 5.50 XXX N
body.
78070... ................... A Parathyroid nuclear 0.82 1.96 0.15 2.93 XXX N
imaging.
78070... 26 A Parathyroid nuclear 0.82 0.23 0.04 1.09 XXX N
imaging.
78070... TC A Parathyroid nuclear 0.00 1.73 0.11 1.84 XXX N
imaging.
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 0.00 0.00 0.00 0.00 XXX N
procedure.
78099... 26 C Endocrine nuclear 0.00 0.00 0.00 0.00 XXX N
procedure.
78099... TC C Endocrine nuclear 0.00 0.00 0.00 0.00 XXX N
procedure.
78102... ................... A Bone marrow imaging, 0.55 2.19 0.17 2.91 XXX N
ltd.
78102... 26 A Bone marrow imaging, 0.55 0.25 0.04 0.84 XXX N
ltd.
78102... TC A Bone marrow imaging, 0.00 1.94 0.13 2.07 XXX N
ltd.
78103... ................... A Bone marrow imaging, 0.75 3.36 0.24 4.35 XXX N
mult.
78103... 26 A Bone marrow imaging, 0.75 0.34 0.05 1.14 XXX N
mult.
78103... TC A Bone marrow imaging, 0.00 3.02 0.19 3.21 XXX N
mult.
78104... ................... A Bone marrow imaging, 0.80 4.25 0.30 5.35 XXX N
body.
78104... 26 A Bone marrow imaging, 0.80 0.37 0.05 1.22 XXX N
body.
78104... TC A Bone marrow imaging, 0.00 3.88 0.25 4.13 XXX N
body.
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 0.64 4.93 0.34 5.91 XXX N
kinetics.
78135... 26 A Red cell survival 0.64 0.29 0.04 0.97 XXX N
kinetics.
78135... TC A Red cell survival 0.00 4.64 0.30 4.94 XXX N
kinetics.
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
78160... TC A Plasma iron turnover... 0.00 3.49 0.22 3.71 XXX N
[[Page 59650]]
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 0.41 5.24 0.35 6.00 XXX N
utilization.
78170... 26 A Red cell iron 0.41 0.18 0.03 0.62 XXX N
utilization.
78170... TC A Red cell iron 0.00 5.06 0.32 5.38 XXX N
utilization.
78172... ................... C Total body iron 0.00 0.00 0.00 0.00 XXX N
estimation.
78172... 26 A Total body iron 0.53 0.25 0.04 0.82 XXX N
estimation.
78172... TC C Total body iron 0.00 0.00 0.00 0.00 XXX N
estimation.
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, 1.09 5.93 0.42 7.44 XXX N
kinetics.
78190... 26 A Platelet survival, 1.09 0.48 0.07 1.64 XXX N
kinetics.
78190... TC A Platelet survival, 0.00 5.45 0.35 5.80 XXX N
kinetics.
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... 1.20 4.20 0.30 5.70 XXX N
78195... 26 A Lymph system imaging... 1.20 0.32 0.05 1.57 XXX N
78195... TC A Lymph system imaging... 0.00 3.88 0.25 4.13 XXX N
78199... ................... C Blood/lymph nuclear 0.00 0.00 0.00 0.00 XXX N
exam.
78199... 26 C Blood/lymph nuclear 0.00 0.00 0.00 0.00 XXX N
exam.
78199... TC C Blood/lymph nuclear 0.00 0.00 0.00 0.00 XXX N
exam.
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 0.49 3.02 0.20 3.71 XXX N
imaging.
78215... 26 A Liver and spleen 0.49 0.22 0.03 0.74 XXX N
imaging.
78215... TC A Liver and spleen 0.00 2.80 0.17 2.97 XXX N
imaging.
78216... ................... A Liver & spleen image, 0.57 3.58 0.25 4.40 XXX N
flow.
78216... 26 A Liver & spleen image, 0.57 0.26 0.04 0.87 XXX N
flow.
78216... TC A Liver & spleen image, 0.00 3.32 0.21 3.53 XXX N
flow.
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 0.47 3.59 0.24 4.30 XXX N
exam.
78232... 26 A Salivary gland function 0.47 0.22 0.03 0.72 XXX N
exam.
78232... TC A Salivary gland function 0.00 3.37 0.21 3.58 XXX N
exam.
78258... ................... A Esophageal motility 0.74 3.09 0.22 4.05 XXX N
study.
78258... 26 A Esophageal motility 0.74 0.34 0.05 1.13 XXX N
study.
78258... TC A Esophageal motility 0.00 2.75 0.17 2.92 XXX N
study.
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 0.68 4.36 0.31 5.35 XXX N
exam.
78262... 26 A Gastroesophageal reflux 0.68 0.31 0.05 1.04 XXX N
exam.
78262... TC A Gastroesophageal reflux 0.00 4.05 0.26 4.31 XXX N
exam.
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
78264... TC A Gastric emptying study. 0.00 3.93 0.25 4.18 XXX N
78270... ................... A Vit B-12 absorption 0.20 1.57 0.11 1.88 XXX N
exam.
[[Page 59651]]
78270... 26 A Vit B-12 absorption 0.20 0.10 0.01 0.31 XXX N
exam.
78270... TC A Vit B-12 absorption 0.00 1.47 0.10 1.57 XXX N
exam.
78271... ................... A Vit B-12 absorp exam, 0.20 1.67 0.11 1.98 XXX N
IF.
78271... 26 A Vit B-12 absorp exam, 0.20 0.10 0.01 0.31 XXX N
IF.
78271... TC A Vit B-12 absorp exam, 0.00 1.57 0.10 1.67 XXX N
IF.
78272... ................... A Vit B-12 absorp, 0.27 2.34 0.17 2.78 XXX N
combined.
78272... 26 A Vit B-12 absorp, 0.27 0.13 0.02 0.42 XXX N
combined.
78272... TC A Vit B-12 absorp, 0.00 2.21 0.15 2.36 XXX N
combined.
78278... ................... A Acute GI blood loss 0.99 5.09 0.37 6.45 XXX N
imaging.
78278... 26 A Acute GI blood loss 0.99 0.45 0.07 1.51 XXX N
imaging.
78278... TC A Acute GI blood loss 0.00 4.64 0.30 4.94 XXX N
imaging.
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 0.88 3.31 0.24 4.43 XXX N
exam.
78291... 26 A Leveen/shunt patency 0.88 0.39 0.06 1.33 XXX N
exam.
78291... TC A Leveen/shunt patency 0.00 2.92 0.18 3.10 XXX N
exam.
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 0.62 2.66 0.20 3.48 XXX N
area.
78300... 26 A Bone imaging, limited 0.62 0.29 0.04 0.95 XXX N
area.
78300... TC A Bone imaging, limited 0.00 2.37 0.16 2.53 XXX N
area.
78305... ................... A Bone imaging, multiple 0.83 3.87 0.28 4.98 XXX N
areas.
78305... 26 A Bone imaging, multiple 0.83 0.38 0.06 1.27 XXX N
areas.
78305... TC A Bone imaging, multiple 0.00 3.49 0.22 3.71 XXX N
areas.
78306... ................... A Bone imaging, whole 0.86 4.46 0.32 5.64 XXX N
body.
78306... 26 A Bone imaging, whole 0.86 0.39 0.06 1.31 XXX N
body.
78306... TC A Bone imaging, whole 0.00 4.07 0.26 4.33 XXX N
body.
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... ................... G Bone mineral, single +0.22 0.82 0.07 1.11 XXX N
photon.
78350... 26 G Bone mineral, single +0.22 0.10 0.02 0.34 XXX N
photon.
78350... TC G Bone mineral, single +0.00 0.72 0.05 0.77 XXX N
photon.
78351... ................... N Bone mineral, dual +0.30 0.19 0.02 0.51 XXX 0
photon.
78399... ................... C Musculoskeletal nuclear 0.00 0.00 0.00 0.00 XXX N
exam.
78399... 26 C Musculoskeletal nuclear 0.00 0.00 0.00 0.00 XXX N
exam.
78399... TC C Musculoskeletal nuclear 0.00 0.00 0.00 0.00 XXX N
exam.
78414... ................... C Non-imaging heart 0.00 0.00 0.00 0.00 XXX N
function.
78414... 26 A Non-imaging heart 0.45 0.20 0.03 0.68 XXX N
function.
78414... TC C Non-imaging heart 0.00 0.00 0.00 0.00 XXX N
function.
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 0.77 2.88 0.22 3.87 XXX N
imaging.
78457... 26 A Venous thrombosis 0.77 0.35 0.05 1.17 XXX N
imaging.
78457... TC A Venous thrombosis 0.00 2.53 0.17 2.70 XXX N
imaging.
78458... ................... A Ven thrombosis images, 0.90 4.23 0.30 5.43 XXX N
bilat.
78458... 26 A Ven thrombosis images, 0.90 0.40 0.06 1.36 XXX N
bilat.
78458... TC A Ven thrombosis images, 0.00 3.83 0.24 4.07 XXX N
bilat.
78459... ................... G Heart muscle imaging 0.00 0.00 0.00 0.00 XXX 0
(PET).
78459... 26 G Heart muscle imaging +1.88 1.34 0.10 3.32 XXX 0
(PET).
78459... TC G Heart muscle imaging 0.00 0.00 0.00 0.00 XXX 0
(PET).
78460... ................... A Heart muscle blood 0.86 2.64 0.21 3.71 XXX N
single.
[[Page 59652]]
78460... 26 A Heart muscle blood 0.86 0.39 0.06 1.31 XXX N
single.
78460... TC A Heart muscle blood 0.00 2.25 0.15 2.40 XXX N
single.
78461... ................... A Heart muscle blood 1.23 5.04 0.37 6.64 XXX N
multiple.
78461... 26 A Heart muscle blood 1.23 0.54 0.08 1.85 XXX N
multiple.
78461... TC A Heart muscle blood 0.00 4.50 0.29 4.79 XXX N
multiple.
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) 1.46 11.89 0.80 14.15 XXX N
multiple.
78465... 26 A Heart image (3D) 1.46 0.65 0.10 2.21 XXX N
multiple.
78465... TC A Heart image (3D) 0.00 11.24 0.70 11.94 XXX N
multiple.
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 0.92 5.39 0.38 6.69 XXX N
(3D).
78469... 26 A Heart infarct image 0.92 0.41 0.06 1.39 XXX N
(3D).
78469... TC A Heart infarct image 0.00 4.98 0.32 5.30 XXX N
(3D).
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- 0.62 1.76 0.14 2.52 XXX N
on).
78478... 26 A Heart wall motion (add- 0.62 0.28 0.04 0.94 XXX N
on).
78478... TC A Heart wall motion (add- 0.00 1.48 0.10 1.58 XXX N
on).
78480... ................... A Heart function, (add- 0.62 1.76 0.14 2.52 XXX N
on).
78480... 26 A Heart function, (add- 0.62 0.28 0.04 0.94 XXX N
on).
78480... TC A Heart function, (add- 0.00 1.48 0.10 1.58 XXX N
on).
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 1.47 8.15 0.57 10.19 XXX N
multiple.
78483... 26 A Heart first pass 1.47 0.65 0.10 2.22 XXX N
multiple.
78483... TC A Heart first pass 0.00 7.50 0.47 7.97 XXX N
multiple.
78499... ................... C Cardiovascular nuclear 0.00 0.00 0.00 0.00 XXX N
exam.
78499... 26 C Cardiovascular nuclear 0.00 0.00 0.00 0.00 XXX N
exam.
78499... TC C Cardiovascular nuclear 0.00 0.00 0.00 0.00 XXX N
exam.
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 0.99 3.50 0.26 4.75 XXX N
breath.
78584... 26 A Lung V/Q image single 0.99 0.45 0.07 1.51 XXX N
breath.
78584... TC A Lung V/Q image single 0.00 3.05 0.19 3.24 XXX N
breath.
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, 0.40 2.65 0.19 3.24 XXX N
single.
78586... 26 A Aerosol lung image, 0.40 0.18 0.03 0.61 XXX N
single.
78586... TC A Aerosol lung image, 0.00 2.47 0.16 2.63 XXX N
single.
78587... ................... A Aerosol lung image, 0.49 2.89 0.20 3.58 XXX N
multiple.
78587... 26 A Aerosol lung image, 0.49 0.22 0.03 0.74 XXX N
multiple.
78587... TC A Aerosol lung image, 0.00 2.67 0.17 2.84 XXX N
multiple.
78591... ................... A Vent image, 1 breath, 1 0.40 2.90 0.20 3.50 XXX N
proj.
78591... 26 A Vent image, 1 breath, 1 0.40 0.18 0.03 0.61 XXX N
proj.
78591... TC A Vent image, 1 breath, 1 0.00 2.72 0.17 2.89 XXX N
proj.
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, 0.53 5.00 0.34 5.87 XXX N
gas.
78594... 26 A Vent image, mult proj, 0.53 0.25 0.04 0.82 XXX N
gas.
78594... TC A Vent image, mult proj, 0.00 4.75 0.30 5.05 XXX N
gas.
78596... ................... A Lung differential 1.27 7.30 0.52 9.09 XXX N
function.
78596... 26 A Lung differential 1.27 0.56 0.09 1.92 XXX N
function.
[[Page 59653]]
78596... TC A Lung differential 0.00 6.74 0.43 7.17 XXX N
function.
78599... ................... C Respiratory nuclear 0.00 0.00 0.00 0.00 XXX N
exam.
78599... 26 C Respiratory nuclear 0.00 0.00 0.00 0.00 XXX N
exam.
78599... TC C Respiratory nuclear 0.00 0.00 0.00 0.00 XXX N
exam.
78600... ................... A Brain imaging, ltd 0.44 2.95 0.20 3.59 XXX N
static.
78600... 26 A Brain imaging, ltd 0.44 0.20 0.03 0.67 XXX N
static.
78600... TC A Brain imaging, ltd 0.00 2.75 0.17 2.92 XXX N
static.
78601... ................... A Brain ltd imaging & 0.51 3.48 0.24 4.23 XXX N
flow.
78601... 26 A Brain ltd imaging & 0.51 0.24 0.04 0.79 XXX N
flow.
78601... TC A Brain ltd imaging & 0.00 3.24 0.20 3.44 XXX N
flow.
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 & 0.64 3.98 0.27 4.89 XXX N
flow.
78606... 26 A Brain imaging comp & 0.64 0.29 0.04 0.97 XXX N
flow.
78606... TC A Brain imaging comp & 0.00 3.69 0.23 3.92 XXX N
flow.
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 0.42 3.86 0.26 4.54 XXX N
imaging.
78615... 26 A Cerebral blood flow 0.42 0.19 0.03 0.64 XXX N
imaging.
78615... TC A Cerebral blood flow 0.00 3.67 0.23 3.90 XXX N
imaging.
78630... ................... A Cerebrospinal fluid 0.68 5.11 0.36 6.15 XXX N
scan.
78630... 26 A Cerebrospinal fluid 0.68 0.31 0.05 1.04 XXX N
scan.
78630... TC A Cerebrospinal fluid 0.00 4.80 0.31 5.11 XXX N
scan.
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 0.90 6.04 0.42 7.36 XXX N
scan.
78647... 26 A Cerebrospinal fluid 0.90 0.41 0.06 1.37 XXX N
scan.
78647... TC A Cerebrospinal fluid 0.00 5.63 0.36 5.99 XXX N
scan.
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
78660... ................... A Nuclear exam of tear 0.53 2.27 0.17 2.97 XXX N
flow.
78660... 26 A Nuclear exam of tear 0.53 0.25 0.04 0.82 XXX N
flow.
78660... TC A Nuclear exam of tear 0.00 2.02 0.13 2.15 XXX N
flow.
78699... ................... C Nervous system nuclear 0.00 0.00 0.00 0.00 XXX N
exam.
78699... 26 C Nervous system nuclear 0.00 0.00 0.00 0.00 XXX N
exam.
78699... TC C Nervous system nuclear 0.00 0.00 0.00 0.00 XXX N
exam.
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 0.49 3.61 0.24 4.34 XXX N
flow.
78701... 26 A Kidney imaging with 0.49 0.22 0.03 0.74 XXX N
flow.
78701... TC A Kidney imaging with 0.00 3.39 0.21 3.60 XXX N
flow.
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 0.94 4.68 0.33 5.95 XXX N
image.
78707... 26 A Kidney flow & function 0.94 0.42 0.06 1.42 XXX N
image.
78707... TC A Kidney flow & function 0.00 4.26 0.27 4.53 XXX N
image.
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 0.30 1.64 0.12 2.06 XXX N
exam.
78715... 26 A Renal vascular flow 0.30 0.14 0.02 0.46 XXX N
exam.
78715... TC A Renal vascular flow 0.00 1.50 0.10 1.60 XXX N
exam.
78725... ................... A Kidney function study.. 0.38 1.87 0.14 2.39 XXX N
[[Page 59654]]
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/ 0.87 3.21 0.24 4.32 XXX N
intervent.
78726... 26 A Kidney function w/ 0.87 0.39 0.06 1.32 XXX N
intervent.
78726... TC A Kidney function w/ 0.00 2.82 0.18 3.00 XXX N
intervent.
78727... ................... A Kidney transplant 0.99 4.25 0.31 5.55 XXX N
evaluation.
78727... 26 A Kidney transplant 0.99 0.45 0.07 1.51 XXX N
evaluation.
78727... TC A Kidney transplant 0.00 3.80 0.24 4.04 XXX N
evaluation.
78730... ................... A Urinary bladder 0.36 1.55 0.11 2.02 XXX N
retention.
78730... 26 A Urinary bladder 0.36 0.16 0.02 0.54 XXX N
retention.
78730... TC A Urinary bladder 0.00 1.39 0.09 1.48 XXX N
retention.
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 & 0.71 3.38 0.24 4.33 XXX N
flow.
78761... 26 A Testicular imaging & 0.71 0.33 0.05 1.09 XXX N
flow.
78761... TC A Testicular imaging & 0.00 3.05 0.19 3.24 XXX N
flow.
78799... ................... C Genitourinary nuclear 0.00 0.00 0.00 0.00 XXX N
exam.
78799... 26 C Genitourinary nuclear 0.00 0.00 0.00 0.00 XXX N
exam.
78799... TC C Genitourinary nuclear 0.00 0.00 0.00 0.00 XXX N
exam.
78800... ................... A Tumor imaging, limited 0.66 3.54 0.24 4.44 XXX N
area.
78800... 26 A Tumor imaging, limited 0.66 0.30 0.04 1.00 XXX N
area.
78800... TC A Tumor imaging, limited 0.00 3.24 0.20 3.44 XXX N
area.
78801... ................... A Tumor imaging, mult 0.79 4.39 0.31 5.49 XXX N
areas.
78801... 26 A Tumor imaging, mult 0.79 0.36 0.05 1.20 XXX N
areas.
78801... TC A Tumor imaging, mult 0.00 4.03 0.26 4.29 XXX N
areas.
78802... ................... A Tumor imaging, whole 0.86 5.66 0.40 6.92 XXX N
body.
78802... 26 A Tumor imaging, whole 0.86 0.39 0.06 1.31 XXX N
body.
78802... TC A Tumor imaging, whole 0.00 5.27 0.34 5.61 XXX N
body.
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 0.73 3.57 0.25 4.55 XXX N
area.
78805... 26 A Abscess imaging, ltd 0.73 0.33 0.05 1.11 XXX N
area.
78805... TC A Abscess imaging, ltd 0.00 3.24 0.20 3.44 XXX N
area.
78806... ................... A Abscess imaging, whole 0.86 6.51 0.45 7.82 XXX N
body.
78806... 26 A Abscess imaging, whole 0.86 0.38 0.06 1.30 XXX N
body.
78806... TC A Abscess imaging, whole 0.00 6.13 0.39 6.52 XXX N
body.
78807... ................... A Nuclear localization/ 1.09 6.73 0.46 8.28 XXX N
abscess.
78807... 26 A Nuclear localization/ 1.09 0.48 0.07 1.64 XXX N
abscess.
78807... TC A Nuclear localization/ 0.00 6.25 0.39 6.64 XXX N
abscess.
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 +0.05 1.26 0.08 1.39 XXX 0
proc.
78890... 26 B Nuclear medicine data +0.05 0.02 0.00 0.07 XXX 0
proc.
78890... TC B Nuclear medicine data +0.00 1.24 0.08 1.32 XXX 0
proc.
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 0.00 0.00 0.00 0.00 XXX 0
radionuclide(s).
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 1.80 3.31 0.29 5.40 XXX N
therapy.
79000... 26 A Intial hyperthyroid 1.80 0.81 0.12 2.73 XXX N
therapy.
79000... TC A Intial hyperthyroid 0.00 2.50 0.17 2.67 XXX N
therapy.
79001... ................... A Repeat hyperthyroid 1.05 1.70 0.15 2.90 XXX N
therapy.
79001... 26 A Repeat hyperthyroid 1.05 0.46 0.07 1.58 XXX N
therapy.
79001... TC A Repeat hyperthyroid 0.00 1.24 0.08 1.32 XXX N
therapy.
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, 2.10 3.44 0.31 5.85 XXX N
carcinoma.
[[Page 59655]]
79030... 26 A Thyroid ablation, 2.10 0.94 0.14 3.18 XXX N
carcinoma.
79030... TC A Thyroid ablation, 0.00 2.50 0.17 2.67 XXX N
carcinoma.
79035... ................... A Thyroid metastatic 2.52 3.63 0.34 6.49 XXX N
therapy.
79035... 26 A Thyroid metastatic 2.52 1.13 0.17 3.82 XXX N
therapy.
79035... TC A Thyroid metastatic 0.00 2.50 0.17 2.67 XXX N
therapy.
79100... ................... A Hematopoetic nuclear 1.32 3.08 0.26 4.66 XXX N
therapy.
79100... 26 A Hematopoetic nuclear 1.32 0.58 0.09 1.99 XXX N
therapy.
79100... TC A Hematopoetic nuclear 0.00 2.50 0.17 2.67 XXX N
therapy.
79200... ................... A Intracavitary nuc 1.99 3.39 0.31 5.69 XXX N
treatment.
79200... 26 A Intracavitary nuc 1.99 0.89 0.14 3.02 XXX N
treatment.
79200... TC A Intracavitary nuc 0.00 2.50 0.17 2.67 XXX N
treatment.
79300... ................... C Interstitial nuclear 0.00 0.00 0.00 0.00 XXX N
therapy.
79300... 26 A Interstitial nuclear 1.60 0.71 0.11 2.42 XXX N
therapy.
79300... TC C Interstitial nuclear 0.00 0.00 0.00 0.00 XXX N
therapy.
79400... ................... A Nonhemato nuclear 1.96 3.37 0.30 5.63 XXX N
therapy.
79400... 26 A Nonhemato nuclear 1.96 0.87 0.13 2.96 XXX N
therapy.
79400... TC A Nonhemato nuclear 0.00 2.50 0.17 2.67 XXX N
therapy.
79420... ................... C Intravascular nuc 0.00 0.00 0.00 0.00 XXX N
therapy.
79420... 26 A Intravascular nuc 1.51 0.67 0.10 2.28 XXX N
therapy.
79420... TC C Intravascular nuc 0.00 0.00 0.00 0.00 XXX N
therapy.
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 0.00 0.00 0.00 0.00 XXX N
radiopharm(s).
79999... ................... C Nuclear medicine 0.00 0.00 0.00 0.00 XXX N
therapy.
79999... 26 C Nuclear medicine 0.00 0.00 0.00 0.00 XXX N
therapy.
79999... TC C Nuclear medicine 0.00 0.00 0.00 0.00 XXX N
therapy.
80002... ................... X 1-2 clinical chem tests 0.00 0.00 0.00 0.00 XXX 0
80003... ................... X 3 clinical chemistry 0.00 0.00 0.00 0.00 XXX 0
tests.
80004... ................... X 4 clinical chemistry 0.00 0.00 0.00 0.00 XXX 0
tests.
80005... ................... X 5 clinical chemistry 0.00 0.00 0.00 0.00 XXX 0
tests.
80006... ................... X 6 clinical chemistry 0.00 0.00 0.00 0.00 XXX 0
tests.
80007... ................... X 7 clinical chemistry 0.00 0.00 0.00 0.00 XXX 0
tests.
80008... ................... X 8 clinical chemistry 0.00 0.00 0.00 0.00 XXX 0
tests.
80009... ................... X 9 clinical chemistry 0.00 0.00 0.00 0.00 XXX 0
tests.
80010... ................... X 10 clinical chemistry 0.00 0.00 0.00 0.00 XXX 0
tests.
80011... ................... X 11 clinical chemistry 0.00 0.00 0.00 0.00 XXX 0
tests.
80012... ................... X 12 clinical chemistry 0.00 0.00 0.00 0.00 XXX 0
tests.
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... ................... G 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 0.00 0.00 0.00 0.00 XXX 0
prep.
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 0.00 0.00 0.00 0.00 XXX 0
benzodiazepines.
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 0.00 0.00 0.00 0.00 XXX 0
acid.
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
[[Page 59656]]
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, 0.00 0.00 0.00 0.00 XXX 0
free.
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
80197... ................... X Assay for tacrolimus... 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, 0.00 0.00 0.00 0.00 XXX 0
drug.
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 0.00 0.00 0.00 0.00 XXX 0
eval.
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 0.00 0.00 0.00 0.00 XXX 0
panel.
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 0.00 0.00 0.00 0.00 XXX 0
panel.
80420... ................... X Dexamethasone panel.... 0.00 0.00 0.00 0.00 XXX 0
80422... ................... X Glucagon tolerance 0.00 0.00 0.00 0.00 XXX 0
panel.
80424... ................... X Glucagon tolerance 0.00 0.00 0.00 0.00 XXX 0
panel.
80426... ................... X Gonadotropin hormone 0.00 0.00 0.00 0.00 XXX 0
panel.
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 0.00 0.00 0.00 0.00 XXX 0
panel.
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 0.37 0.20 0.01 0.58 XXX N
consultation.
80502... ................... A Lab pathology 1.33 0.33 0.02 1.68 XXX N
consultation.
81000... ................... X Urinalysis, nonauto, w/ 0.00 0.00 0.00 0.00 XXX 0
scope.
81001... ................... X Urinalysis, auto, w/ 0.00 0.00 0.00 0.00 XXX 0
scope.
81002... ................... X Urinalysis nonauto w/o 0.00 0.00 0.00 0.00 XXX 0
scope.
81003... ................... X Urinalysis, auto, w/o 0.00 0.00 0.00 0.00 XXX 0
scope.
81005... ................... X Urinalysis............. 0.00 0.00 0.00 0.00 XXX 0
81007... ................... X Urine screen for 0.00 0.00 0.00 0.00 XXX 0
bacteria.
81015... ................... X Microscopic exam of 0.00 0.00 0.00 0.00 XXX 0
urine.
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 0.00 0.00 0.00 0.00 XXX 0
measure.
81099... ................... X Urinalysis test 0.00 0.00 0.00 0.00 XXX 0
procedure.
82000... ................... X Assay blood 0.00 0.00 0.00 0.00 XXX 0
acetaldehyde.
82003... ................... X Assay acetaminophen.... 0.00 0.00 0.00 0.00 XXX 0
82009... ................... X Test for acetone/ 0.00 0.00 0.00 0.00 XXX 0
ketones.
82010... ................... X Acetone assay.......... 0.00 0.00 0.00 0.00 XXX 0
82013... ................... X Acetylcholinesterase 0.00 0.00 0.00 0.00 XXX 0
assay.
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, 0.00 0.00 0.00 0.00 XXX 0
quantitative.
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
[[Page 59657]]
82088... ................... X Aldosterone............ 0.00 0.00 0.00 0.00 XXX 0
82101... ................... X Assay of urine 0.00 0.00 0.00 0.00 XXX 0
alkaloids.
82103... ................... X Alpha-1-antitrypsin, 0.00 0.00 0.00 0.00 XXX 0
total.
82104... ................... X Alpha-1-antitrypsin, 0.00 0.00 0.00 0.00 XXX 0
pheno.
82105... ................... X Alpha-fetoprotein, 0.00 0.00 0.00 0.00 XXX 0
serum.
82106... ................... X Alpha-fetoprotein; 0.00 0.00 0.00 0.00 XXX 0
amniotic.
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 0.00 0.00 0.00 0.00 XXX 0
acid.
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 0.00 0.00 0.00 0.00 XXX 0
glucuronide.
82157... ................... X Assay of 0.00 0.00 0.00 0.00 XXX 0
androstenedione.
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 0.00 0.00 0.00 0.00 XXX 0
test.
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, 0.00 0.00 0.00 0.00 XXX 0
cholylglycine.
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 0.00 0.00 0.00 0.00 XXX 0
source.
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) 0.00 0.00 0.00 0.00 XXX 0
analysis.
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 0.00 0.00 0.00 0.00 XXX 0
dioxide.
82375... ................... X Assay blood carbon 0.00 0.00 0.00 0.00 XXX 0
monoxide.
82376... ................... X Test for carbon 0.00 0.00 0.00 0.00 XXX 0
monoxide.
82378... ................... X Carcinoembryonic 0.00 0.00 0.00 0.00 XXX 0
antigen.
82380... ................... X Assay carotene......... 0.00 0.00 0.00 0.00 XXX 0
82382... ................... X Assay urine 0.00 0.00 0.00 0.00 XXX 0
catecholamines.
82383... ................... X Assay blood 0.00 0.00 0.00 0.00 XXX 0
catecholamines.
82384... ................... X Assay three 0.00 0.00 0.00 0.00 XXX 0
catecholamines.
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
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 0.00 0.00 0.00 0.00 XXX 0
chlorides.
82441... ................... X Test for 0.00 0.00 0.00 0.00 XXX 0
chlorohydrocarbons.
82465... ................... X Assay serum cholesterol 0.00 0.00 0.00 0.00 XXX 0
82480... ................... X Assay serum 0.00 0.00 0.00 0.00 XXX 0
cholinesterase.
82482... ................... X Assay rbc 0.00 0.00 0.00 0.00 XXX 0
cholinesterase.
82485... ................... X Assay chondroitin 0.00 0.00 0.00 0.00 XXX 0
sulfate.
82486... ................... X Gas/liquid 0.00 0.00 0.00 0.00 XXX 0
chromatography.
[[Page 59658]]
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 0.00 0.00 0.00 0.00 XXX 0
chromatography.
82491... ................... X Chromotography, 0.00 0.00 0.00 0.00 XXX 0
quantitative.
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
82523... ................... X Collagen crosslinks.... 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 0.00 0.00 0.00 0.00 XXX 0
test.
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 0.00 0.00 0.00 0.00 XXX 0
dihydrocodeinone.
82649... ................... X Assay of 0.00 0.00 0.00 0.00 XXX 0
dihydromorphinone.
82651... ................... X Dihydrotestosterone 0.00 0.00 0.00 0.00 XXX 0
assay.
82652... ................... X Assay, dihydroxyvitamin 0.00 0.00 0.00 0.00 XXX 0
D.
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 Estrogens 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
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 0.00 0.00 0.00 0.00 XXX 0
transferase.
82776... ................... X Galactose transferase 0.00 0.00 0.00 0.00 XXX 0
test.
82784... ................... X Assay gammaglobulin IgM 0.00 0.00 0.00 0.00 XXX 0
82785... ................... X Assay, gammaglobulin 0.00 0.00 0.00 0.00 XXX 0
IgE.
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, pO 2 & 0.00 0.00 0.00 0.00 XXX 0
pCO 2.
82805... ................... X Blood gases WO 2 0.00 0.00 0.00 0.00 XXX 0
saturation.
[[Page 59659]]
82810... ................... X Blood gases, O2 sat 0.00 0.00 0.00 0.00 XXX 0
only.
82820... ................... X Hemoglobin-oxygen 0.00 0.00 0.00 0.00 XXX 0
affinity.
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, 0.00 0.00 0.00 0.00 XXX 0
glucose.
82948... ................... X Reagent strip/blood 0.00 0.00 0.00 0.00 XXX 0
glucose.
82950... ................... X Glucose test........... 0.00 0.00 0.00 0.00 XXX 0
82951... ................... X Glucose tolerance test 0.00 0.00 0.00 0.00 XXX 0
(GTT).
82952... ................... X GTT-added samples...... 0.00 0.00 0.00 0.00 XXX 0
82953... ................... X Glucose-tolbutamide 0.00 0.00 0.00 0.00 XXX 0
test.
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 0.00 0.00 0.00 0.00 XXX 0
enzyme.
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 0.00 0.00 0.00 0.00 XXX 0
(HGH).
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, 0.00 0.00 0.00 0.00 XXX 0
metals.
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 O.00 0.00 0.00 0.00 XXX 0
sulfate.
83030... ................... X Fetal hemoglobin assay. 0.00 0.00 0.00 0.00 XXX 0
83033... ................... X Fetal fecal hemoglobin 0.00 0.00 0.00 0.00 XXX 0
assay.
83036... ................... X Glycated hemoglobin 0.00 0.00 0.00 0.00 XXX 0
test.
83045... ................... X Blood methemoglobin 0.00 0.00 0.00 0.00 XXX 0
test.
83050... ................... X Blood methemoglobin 0.00 0.00 0.00 0.00 XXX 0
assay.
83051... ................... X Assay plasma hemoglobin 0.00 0.00 0.00 0.00 XXX 0
83055... ................... X Blood sulfhemoglobin 0.00 0.00 0.00 0.00 XXX 0
test.
83060... ................... X Blood sulfhemoglobin 0.00 0.00 0.00 0.00 XXX 0
assay.
83065... ................... X Hemoglobin heat assay.. 0.00 0.00 0.00 0.00 XXX 0
83068... ................... X Hemoglobin stability 0.00 0.00 0.00 0.00 XXX 0
screen.
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 0.00 0.00 0.00 0.00 XXX 0
hemosiderin.
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 0.00 0.00 0.00 0.00 XXX 0
corticosteroids.
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
83500... ................... X Assay free 0.00 0.00 0.00 0.00 XXX 0
hydroxyproline.
83505... ................... X Assay total 0.00 0.00 0.00 0.00 XXX 0
hydroxyproline.
83516... ................... X Immunoassay, non 0.00 0.00 0.00 0.00 XXX 0
antibody.
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
[[Page 59660]]
83582... ................... X Assay ketogenic 0.00 0.00 0.00 0.00 XXX 0
steroids.
83586... ................... X Assay 17-(17-KS) 0.00 0.00 0.00 0.00 XXX 0
ketosteroids.
83593... ................... X Fractionation 0.00 0.00 0.00 0.00 XXX 0
ketosteroids.
83605... ................... X Lactic acid assay...... 0.00 0.00 0.00 0.00 XXX 0
83615... ................... X Lactate (LD) (LDH) 0.00 0.00 0.00 0.00 XXX 0
enzyme.
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 0.00 0.00 0.00 0.00 XXX 0
stability.
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 0.00 0.00 0.00 0.00 XXX 0
lipoproteins.
83717... ................... X Assay blood 0.00 0.00 0.00 0.00 XXX 0
lipoproteins.
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 0.00 0.00 0.00 0.00 XXX 0
screen.
83872... ................... X Assay synovial fluid 0.00 0.00 0.00 0.00 XXX 0
mucin.
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 0.00 0.00 0.00 0.00 XXX 0
specified.
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
83902... ................... 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 0.00 0.00 0.00 0.00 XXX 0
acidity.
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 0.00 0.00 0.00 0.00 XXX 0
exam.
84066... ................... X Assay prostate 0.00 0.00 0.00 0.00 XXX 0
phosphatase.
84075... ................... X Assay alkaline 0.00 0.00 0.00 0.00 XXX 0
phosphatase.
84078... ................... X Assay alkaline 0.00 0.00 0.00 0.00 XXX 0
phosphatase.
84080... ................... X Assay alkaline 0.00 0.00 0.00 0.00 XXX 0
phosphatases.
84081... ................... X Amniotic fluid enzyme 0.00 0.00 0.00 0.00 XXX 0
test.
84085... ................... X Assay RBC PG6D enzyme.. 0.00 0.00 0.00 0.00 XXX 0
[[Page 59661]]
84087... ................... X Assay phosphohexose 0.00 0.00 0.00 0.00 XXX 0
enzymes.
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 0.00 0.00 0.00 0.00 XXX 0
porphobilinogen.
84110... ................... X Assay porphobilinogen.. 0.00 0.00 0.00 0.00 XXX 0
84119... ................... X Test urine for 0.00 0.00 0.00 0.00 XXX 0
porphyrins.
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- 0.00 0.00 0.00 0.00 XXX 0
hydroxypregnenolone.
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 0.00 0.00 0.00 0.00 XXX 0
antigen.
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 0.00 0.00 0.00 0.00 XXX 0
test.
84182... 26 A Protein, western blot 0.37 0.20 0.01 0.58 XXX N
test.
84202... ................... X Assay RBC 0.00 0.00 0.00 0.00 XXX 0
protoporphyrin.
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 0.00 0.00 0.00 0.00 XXX 0
receptor.
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 0.00 0.00 0.00 0.00 XXX 0
(SHBG).
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 0.00 0.00 0.00 0.00 XXX 0
gravity.
84375... ................... X Chromatogram assay, 0.00 0.00 0.00 0.00 XXX 0
sugars.
84392... ................... X Assay urine sulfate.... 0.00 0.00 0.00 0.00 XXX 0
84402... ................... X Testosterone........... 0.00 0.00 0.00 0.00 XXX 0
84403... ................... X Assay total 0.00 0.00 0.00 0.00 XXX 0
testosterone.
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 0.00 0.00 0.00 0.00 XXX 0
thyroxine.
84439... ................... X Assay, free thyroxine.. 0.00 0.00 0.00 0.00 XXX 0
84442... ................... X Thyroid activity (TBG) 0.00 0.00 0.00 0.00 XXX 0
assay.
84443... ................... X Assay thyroid stim 0.00 0.00 0.00 0.00 XXX 0
hormone.
84445... ................... X Thyroid immunoglobulins 0.00 0.00 0.00 0.00 XXX 0
TSI.
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
[[Page 59662]]
84450... ................... X Transferase (AST) 0.00 0.00 0.00 0.00 XXX 0
(SGOT).
84460... ................... X Alanine amino (ALT) 0.00 0.00 0.00 0.00 XXX 0
(SGPT).
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 thyroid (t-3 or t- 0.00 0.00 0.00 0.00 XXX 0
4).
84480... ................... X Assay triiodothyronine 0.00 0.00 0.00 0.00 XXX 0
(t-3).
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
84484... ................... X Troponin............... 0.00 0.00 0.00 0.00 XXX 0
84485... ................... X Assay duodenal fluid 0.00 0.00 0.00 0.00 XXX 0
trypsin.
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- 0.00 0.00 0.00 0.00 XXX 0
quant.
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 0.00 0.00 0.00 0.00 XXX 0
urobilinogen.
84578... ................... X Test urine urobilinogen 0.00 0.00 0.00 0.00 XXX 0
84580... ................... X Assay urine 0.00 0.00 0.00 0.00 XXX 0
urobilinogen.
84583... ................... X Assay urine 0.00 0.00 0.00 0.00 XXX 0
urobilinogen.
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 0.00 0.00 0.00 0.00 XXX 0
test.
84703... ................... X Chorionic gonadotropin 0.00 0.00 0.00 0.00 XXX 0
assay.
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 0.00 0.00 0.00 0.00 XXX 0
count.
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, 0.00 0.00 0.00 0.00 XXX 0
complete cbc.
85041... ................... X Red blood cell (RBC) 0.00 0.00 0.00 0.00 XXX 0
count.
85044... ................... X Reticulocyte count..... 0.00 0.00 0.00 0.00 XXX 0
85045... ................... X Reticulocyte count..... 0.00 0.00 0.00 0.00 XXX 0
85048... ................... X White blood cell (WBC) 0.00 0.00 0.00 0.00 XXX 0
count.
85060... ................... A Blood smear 0.45 0.22 0.02 0.69 XXX N
interpretation.
85095... ................... A Bone marrow aspiration. 1.08 0.67 0.05 1.80 XXX N
85097... ................... A Bone marrow 0.94 0.48 0.04 1.46 XXX N
interpretation.
85102... ................... A Bone marrow biopsy..... 1.37 0.80 0.05 2.22 XXX N
85130... ................... X Chromogenic substrate 0.00 0.00 0.00 0.00 XXX 0
assay.
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 0.00 0.00 0.00 0.00 XXX 0
test.
85220... ................... X Blood clot factor V 0.00 0.00 0.00 0.00 XXX 0
test.
85230... ................... X Blood clot factor VII 0.00 0.00 0.00 0.00 XXX 0
test.
85240... ................... X Blood clot factor VIII 0.00 0.00 0.00 0.00 XXX 0
test.
[[Page 59663]]
85244... ................... X Blood clot factor VIII 0.00 0.00 0.00 0.00 XXX 0
test.
85245... ................... X Blood clot factor VIII 0.00 0.00 0.00 0.00 XXX 0
test.
85246... ................... X Blood clot factor VIII 0.00 0.00 0.00 0.00 XXX 0
test.
85247... ................... X Blood clot factor VIII 0.00 0.00 0.00 0.00 XXX 0
test.
85250... ................... X Blood clot factor IX 0.00 0.00 0.00 0.00 XXX 0
test.
85260... ................... X Blood clot factor X 0.00 0.00 0.00 0.00 XXX 0
test.
85270... ................... X Blood clot factor XI 0.00 0.00 0.00 0.00 XXX 0
test.
85280... ................... X Blood clot factor XII 0.00 0.00 0.00 0.00 XXX 0
test.
85290... ................... X Blood clot factor XIII 0.00 0.00 0.00 0.00 XXX 0
test.
85291... ................... X Blood clot factor XIII 0.00 0.00 0.00 0.00 XXX 0
test.
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 0.00 0.00 0.00 0.00 XXX 0
antigen.
85303... ................... X Blood clot inhibitor 0.00 0.00 0.00 0.00 XXX 0
test.
85305... ................... X Blood clot inhibitor 0.00 0.00 0.00 0.00 XXX 0
assay.
85306... ................... X Blood clot inhibitor 0.00 0.00 0.00 0.00 XXX 0
test.
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 0.00 0.00 0.00 0.00 XXX 0
products.
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 0.00 0.00 0.00 0.00 XXX 0
antiplasmin.
85415... ................... X Fibrinolytic 0.00 0.00 0.00 0.00 XXX 0
plasminogen.
85420... ................... X Fibrinolytic 0.00 0.00 0.00 0.00 XXX 0
plasminogen.
85421... ................... X Fibrinolytic 0.00 0.00 0.00 0.00 XXX 0
plasminogen.
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 0.00 0.00 0.00 0.00 XXX 0
tolerance.
85535... ................... X Iron stain, blood cells 0.00 0.00 0.00 0.00 XXX 0
85540... ................... X Wbc alkaline 0.00 0.00 0.00 0.00 XXX 0
phosphatase.
85547... ................... X RBC mechanical 0.00 0.00 0.00 0.00 XXX 0
fragility.
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 0.00 0.00 0.00 0.00 XXX 0
aggregation.
85576... 26 A Blood platelet 0.37 0.20 0.01 0.58 XXX N
aggregation.
85585... ................... X Blood platelet 0.00 0.00 0.00 0.00 XXX 0
estimation.
85590... ................... X Platelet manual count.. 0.00 0.00 0.00 0.00 XXX 0
85595... ................... X Platelet count, 0.00 0.00 0.00 0.00 XXX 0
automated.
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 0.00 0.00 0.00 0.00 XXX 0
time.
85613... ................... X Russell viper venom, 0.00 0.00 0.00 0.00 XXX 0
diluted.
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
[[Page 59664]]
85675... ................... X Thrombin time, titer... 0.00 0.00 0.00 0.00 XXX 0
85705... ................... X Thromboplastin 0.00 0.00 0.00 0.00 XXX 0
inhibition.
85730... ................... X Thromboplastin time, 0.00 0.00 0.00 0.00 XXX 0
partial.
85732... ................... X Thromboplastin time, 0.00 0.00 0.00 0.00 XXX 0
partial.
85810... ................... X Blood viscosity 0.00 0.00 0.00 0.00 XXX 0
examination.
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 0.00 0.00 0.00 0.00 XXX 0
identification.
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 0.00 0.00 0.00 0.00 XXX 0
(ANA).
86060... ................... X Antistreptolysin O 0.00 0.00 0.00 0.00 XXX 0
titer.
86063... ................... X Antistreptolysin O 0.00 0.00 0.00 0.00 XXX 0
screen.
86077... ................... A Physician blood bank 0.94 0.30 0.02 1.26 XXX N
service.
86078... ................... A Physician blood bank 0.94 0.34 0.02 1.30 XXX N
service.
86079... ................... A Physician blood bank 0.94 0.33 0.02 1.29 XXX N
service.
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 0.00 0.00 0.00 0.00 XXX 0
activity.
86162... ................... X Complement, total 0.00 0.00 0.00 0.00 XXX 0
(CH50).
86171... ................... X Complement fixation, 0.00 0.00 0.00 0.00 XXX 0
each.
86185... ................... X Counterimmunoelectropho 0.00 0.00 0.00 0.00 XXX 0
resis.
86215... ................... X Deoxyribonuclease, 0.00 0.00 0.00 0.00 XXX 0
antibody.
86225... ................... X DNA antibody........... 0.00 0.00 0.00 0.00 XXX 0
86226... ................... X DNA antibody, single 0.00 0.00 0.00 0.00 XXX 0
strand.
86235... ................... X Nuclear antigen 0.00 0.00 0.00 0.00 XXX 0
antibody.
86243... ................... X Fc receptor............ 0.00 0.00 0.00 0.00 XXX 0
86255... ................... X Fluorescent antibody; 0.00 0.00 0.00 0.00 XXX 0
screen.
86255... 26 A Fluorescent antibody; 0.37 0.20 0.01 0.58 XXX N
screen.
86256... ................... X Fluorescent antibody; 0.00 0.00 0.00 0.00 XXX 0
titer.
86256... 26 A Fluorescent antibody; 0.37 0.20 0.01 0.58 XXX N
titer.
86277... ................... X Growth hormone antibody 0.00 0.00 0.00 0.00 XXX 0
86280... ................... X Hemagglutination 0.00 0.00 0.00 0.00 XXX 0
inhibition.
86287... ................... X Hepatitis B (HBsAg).... 0.00 0.00 0.00 0.00 XXX 0
86289... ................... X Hepatitis BC antibody 0.00 0.00 0.00 0.00 XXX 0
test.
86290... ................... X Hepatitis BC antibody 0.00 0.00 0.00 0.00 XXX 0
test.
86291... ................... X Hepatitis BS antibody 0.00 0.00 0.00 0.00 XXX 0
test.
86293... ................... X Hepatitis Be antibody 0.00 0.00 0.00 0.00 XXX 0
test.
86295... ................... X Hepatitis Be antibody 0.00 0.00 0.00 0.00 XXX 0
test.
86296... ................... X Hepatitis A antibody 0.00 0.00 0.00 0.00 XXX 0
test.
86299... ................... X Hepatitis A antibody 0.00 0.00 0.00 0.00 XXX 0
test.
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
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 0.00 0.00 0.00 0.00 XXX 0
antigen.
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 0.00 0.00 0.00 0.00 XXX 0
immunoelectrophoresis.
86320... 26 A Serum 0.37 0.20 0.01 0.58 XXX N
immunoelectrophoresis.
86325... ................... X Other 0.00 0.00 0.00 0.00 XXX 0
immunoelectrophoresis.
86325... 26 A Other 0.37 0.20 0.01 0.58 XXX N
immunoelectrophoresis.
86327... ................... X Immunoelectrophoresis 0.00 0.00 0.00 0.00 XXX 0
assay.
86327... 26 A Immunoelectrophoresis 0.42 0.20 0.01 0.63 XXX N
assay.
86329... ................... X Immunodiffusion........ 0.00 0.00 0.00 0.00 XXX 0
[[Page 59665]]
86331... ................... X Immunodiffusion 0.00 0.00 0.00 0.00 XXX 0
ouchterlony.
86332... ................... X Immune complex assay... 0.00 0.00 0.00 0.00 XXX 0
86334... ................... X Immunofixation 0.00 0.00 0.00 0.00 XXX 0
procedure.
86334... 26 A Immunofixation 0.37 0.20 0.01 0.58 XXX N
procedure.
86337... ................... X Insulin antibodies..... 0.00 0.00 0.00 0.00 XXX 0
86340... ................... X Intrinsic factor 0.00 0.00 0.00 0.00 XXX 0
antibody.
86341... ................... X Islet cell antibody.... 0.00 0.00 0.00 0.00 XXX 0
86343... ................... X Leukocyte histamine 0.00 0.00 0.00 0.00 XXX 0
release.
86344... ................... X Leukocyte phagocytosis. 0.00 0.00 0.00 0.00 XXX 0
86353... ................... X Lymphocyte 0.00 0.00 0.00 0.00 XXX 0
transformation.
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 0.00 0.00 0.00 0.00 XXX 0
factor.
86382... ................... X Neutralization test, 0.00 0.00 0.00 0.00 XXX 0
viral.
86384... ................... X Nitroblue tetrazolium 0.00 0.00 0.00 0.00 XXX 0
dye.
86403... ................... X Particle agglutination 0.00 0.00 0.00 0.00 XXX 0
test.
86406... ................... X Particle agglutination 0.00 0.00 0.00 0.00 XXX 0
test.
86430... ................... X Rheumatoid factor test. 0.00 0.00 0.00 0.00 XXX 0
86431... ................... X Rheumatoid factor, 0.00 0.00 0.00 0.00 XXX 0
quant.
86485... ................... C Skin test, candida..... 0.00 0.00 0.00 0.00 XXX N
86490... ................... A Coccidioidomycosis skin 0.00 0.28 0.02 0.30 XXX N
test.
86510... ................... A Histoplasmosis skin 0.00 0.30 0.02 0.32 XXX N
test.
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 0.00 0.00 0.00 0.00 XXX 0
screen.
86590... ................... X Streptokinase, antibody 0.00 0.00 0.00 0.00 XXX 0
86592... ................... X Blood serology, 0.00 0.00 0.00 0.00 XXX 0
qualitative.
86593... ................... X Blood serology, 0.00 0.00 0.00 0.00 XXX 0
quantitative.
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, 0.00 0.00 0.00 0.00 XXX 0
antibody.
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
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 0.00 0.00 0.00 0.00 XXX 0
test.
[[Page 59666]]
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 0.00 0.00 0.00 0.00 XXX 0
assay.
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 0.00 0.00 0.00 0.00 XXX 0
confirm.
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 0.00 0.00 0.00 0.00 XXX 0
assay.
86806... ................... X Lymphocytotoxicity 0.00 0.00 0.00 0.00 XXX 0
assay.
86807... ................... X Cytotoxic antibody 0.00 0.00 0.00 0.00 XXX 0
screening.
86808... ................... X Cytotoxic antibody 0.00 0.00 0.00 0.00 XXX 0
screening.
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, 0.00 0.00 0.00 0.00 XXX 0
mixed.
86822... ................... X Lymphocyte culture, 0.00 0.00 0.00 0.00 XXX 0
primed.
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
86870... ................... X RBC antibody 0.00 0.00 0.00 0.00 XXX 0
identification.
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 0.00 0.00 0.00 0.00 XXX 0
process.
86891... ................... X Autologous blood, op 0.00 0.00 0.00 0.00 XXX 0
salvage.
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 0.00 0.00 0.00 0.00 XXX 0
screen.
86904... ................... X Blood typing, patient 0.00 0.00 0.00 0.00 XXX 0
serum.
86905... ................... X Blood typing, RBC 0.00 0.00 0.00 0.00 XXX 0
antigens.
86906... ................... X Blood typing, Rh 0.00 0.00 0.00 0.00 XXX 0
phenotype.
86910... ................... N Blood typing, paternity 0.00 0.00 0.00 0.00 XXX 0
test.
86911... ................... N Blood typing, antigen 0.00 0.00 0.00 0.00 XXX 0
system.
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
[[Page 59667]]
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/ 0.00 0.00 0.00 0.00 XXX 0
thaw.
86940... ................... X Hemolysins/agglutinins 0.00 0.00 0.00 0.00 XXX 0
auto.
86941... ................... X Hemolysins/agglutinins. 0.00 0.00 0.00 0.00 XXX 0
86945... ................... X Blood product/ 0.00 0.00 0.00 0.00 XXX 0
irradiation.
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 0.00 0.00 0.00 0.00 XXX 0
inoculation.
87003... ................... X Small animal 0.00 0.00 0.00 0.00 XXX 0
inoculation.
87015... ................... X Specimen concentration. 0.00 0.00 0.00 0.00 XXX 0
87040... ................... X Blood culture for 0.00 0.00 0.00 0.00 XXX 0
bacteria.
87045... ................... X Stool culture for 0.00 0.00 0.00 0.00 XXX 0
bacteria.
87060... ................... X Nose/throat culture, 0.00 0.00 0.00 0.00 XXX 0
bacteria.
87070... ................... X Culture specimen, 0.00 0.00 0.00 0.00 XXX 0
bacteria.
87072... ................... X Culture of specimen by 0.00 0.00 0.00 0.00 XXX 0
kit.
87075... ................... X Culture specimen, 0.00 0.00 0.00 0.00 XXX 0
bacteria.
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 0.00 0.00 0.00 0.00 XXX 0
kit.
87083... ................... X Culture of specimen by 0.00 0.00 0.00 0.00 XXX 0
kit.
87084... ................... X Culture of specimen by 0.00 0.00 0.00 0.00 XXX 0
kit.
87085... ................... X Culture of specimen by 0.00 0.00 0.00 0.00 XXX 0
kit.
87086... ................... X Urine culture, colony 0.00 0.00 0.00 0.00 XXX 0
count.
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 0.00 0.00 0.00 0.00 XXX 0
culture.
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 0.00 0.00 0.00 0.00 XXX 0
identification.
87140... ................... X Culture typing, 0.00 0.00 0.00 0.00 XXX 0
fluorescent.
87143... ................... X Culture typing, GLC 0.00 0.00 0.00 0.00 XXX 0
method.
87145... ................... X Culture typing, phage 0.00 0.00 0.00 0.00 XXX 0
method.
87147... ................... X Culture typing, 0.00 0.00 0.00 0.00 XXX 0
serologic.
87151... ................... X Culture typing, 0.00 0.00 0.00 0.00 XXX 0
serologic.
87155... ................... X Culture typing, 0.00 0.00 0.00 0.00 XXX 0
precipitin.
87158... ................... X Culture typing, added 0.00 0.00 0.00 0.00 XXX 0
method.
87163... ................... X Special microbiology 0.00 0.00 0.00 0.00 XXX 0
culture.
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, 0.00 0.00 0.00 0.00 XXX 0
bacterial.
87176... ................... X Endotoxin, bacterial... 0.00 0.00 0.00 0.00 XXX 0
87177... ................... X Ova and parasites 0.00 0.00 0.00 0.00 XXX 0
smears.
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, 0.00 0.00 0.00 0.00 XXX 0
each.
87184... ................... X Antibiotic sensitivity, 0.00 0.00 0.00 0.00 XXX 0
each.
87186... ................... X Antibiotic sensitivity, 0.00 0.00 0.00 0.00 XXX 0
MIC.
87187... ................... X Antibiotic sensitivity, 0.00 0.00 0.00 0.00 XXX 0
MBC.
[[Page 59668]]
87188... ................... X Antibiotic sensitivity, 0.00 0.00 0.00 0.00 XXX 0
each.
87190... ................... X TB antibiotic 0.00 0.00 0.00 0.00 XXX 0
sensitivity.
87192... ................... X Antibiotic sensitivity, 0.00 0.00 0.00 0.00 XXX 0
each.
87197... ................... X Bactericidal level, 0.00 0.00 0.00 0.00 XXX 0
serum.
87205... ................... X Smear, stain & 0.00 0.00 0.00 0.00 XXX 0
interpret.
87206... ................... X Smear, stain & 0.00 0.00 0.00 0.00 XXX 0
interpret.
87207... ................... X Smear, stain & 0.00 0.00 0.00 0.00 XXX 0
interpret.
87207... 26 A Smear, stain & 0.37 0.20 0.01 0.58 XXX N
interpret.
87208... ................... X Smear, stain & 0.00 0.00 0.00 0.00 XXX 0
interpret.
87210... ................... X Smear, stain & 0.00 0.00 0.00 0.00 XXX 0
interpret.
87211... ................... X Smear, stain & 0.00 0.00 0.00 0.00 XXX 0
interpret.
87220... ................... X Tissue exam for fungi.. 0.00 0.00 0.00 0.00 XXX 0
87230... ................... X Assay, toxin or 0.00 0.00 0.00 0.00 XXX 0
antitoxin.
87250... ................... X Virus inoculation for 0.00 0.00 0.00 0.00 XXX 0
test.
87252... ................... X Virus inoculation for 0.00 0.00 0.00 0.00 XXX 0
test.
87253... ................... X Virus inoculation for 0.00 0.00 0.00 0.00 XXX 0
test.
87999... ................... X Microbiology procedure. 0.00 0.00 0.00 0.00 XXX 0
88000... ................... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 XXX 0
gross.
88005... ................... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 XXX 0
gross.
88007... ................... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 XXX 0
gross.
88012... ................... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 XXX 0
gross.
88014... ................... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 XXX 0
gross.
88016... ................... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 XXX 0
gross.
88020... ................... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 XXX 0
complete.
88025... ................... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 XXX 0
complete.
88027... ................... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 XXX 0
complete.
88028... ................... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 XXX 0
complete.
88029... ................... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 XXX 0
complete.
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 0.00 0.00 0.00 0.00 XXX 0
(necropsy).
88045... ................... N Coroner's autopsy 0.00 0.00 0.00 0.00 XXX 0
(necropsy).
88099... ................... N Necropsy (autopsy) 0.00 0.00 0.00 0.00 XXX 0
procedure.
88104... ................... A Microscopic exam of 0.56 0.44 0.04 1.04 XXX N
cells.
88104... 26 A Microscopic exam of 0.56 0.23 0.02 0.81 XXX N
cells.
88104... TC A Microscopic exam of 0.00 0.21 0.02 0.23 XXX N
cells.
88106... ................... A Microscopic exam of 0.56 0.37 0.03 0.96 XXX N
cells.
88106... 26 A Microscopic exam of 0.56 0.20 0.01 0.77 XXX N
cells.
88106... TC A Microscopic exam of 0.00 0.17 0.02 0.19 XXX N
cells.
88107... ................... A Microscopic exam of 0.76 0.47 0.04 1.27 XXX N
cells.
88107... 26 A Microscopic exam of 0.76 0.24 0.02 1.02 XXX N
cells.
88107... TC A Microscopic exam of 0.00 0.23 0.02 0.25 XXX N
cells.
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
88130... ................... X Sex chromatin 0.00 0.00 0.00 0.00 XXX 0
identification.
88140... ................... X Sex chromatin 0.00 0.00 0.00 0.00 XXX 0
identification.
88150... ................... X Cytopathology, pap 0.00 0.00 0.00 0.00 XXX 0
smear.
88151... ................... X Cytopathology 0.00 0.00 0.00 0.00 XXX 0
interpretation.
88151... 26 A Cytopathology 0.42 0.32 0.04 0.78 XXX N
interpretation.
88155... ................... X Cytopathology, pap 0.00 0.00 0.00 0.00 XXX 0
smear.
88156... ................... X TBS smear (bethesda 0.00 0.00 0.00 0.00 XXX 0
system).
88157... ................... X TBS smear (bethesda 0.00 0.00 0.00 0.00 XXX 0
system).
88157... 26 A TBS smear (bethesda 0.42 0.32 0.04 0.78 XXX N
system).
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, 0.76 0.79 0.05 1.60 XXX N
extensive.
88162... 26 A Cytopathology, 0.76 0.41 0.03 1.20 XXX N
extensive.
88162... TC A Cytopathology, 0.00 0.38 0.02 0.40 XXX N
extensive.
88170... ................... A Fine needle aspiration. 1.27 0.99 0.09 2.35 XXX N
[[Page 59669]]
88170... 26 A Fine needle aspiration. 1.27 0.52 0.05 1.84 XXX N
88170... TC A Fine needle aspiration. 0.00 0.47 0.04 0.51 XXX N
88171... ................... A Fine needle aspiration. 1.27 1.35 0.09 2.71 XXX N
88171... 26 A Fine needle aspiration. 1.27 0.71 0.05 2.03 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 1.39 0.87 0.05 2.31 XXX N
88173... 26 A Interpretation of smear 1.39 0.45 0.03 1.87 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, 0.00 0.00 0.00 0.00 XXX 0
lymphocyte.
88233... ................... X Tissue culture, skin/ 0.00 0.00 0.00 0.00 XXX 0
biopsy.
88235... ................... X Tissue culture, 0.00 0.00 0.00 0.00 XXX 0
placenta.
88237... ................... X Tissue culture, bone 0.00 0.00 0.00 0.00 XXX 0
marrow.
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 0.00 0.00 0.00 0.00 XXX 0
cells.
88261... ................... X Chromosome analysis: 5 0.00 0.00 0.00 0.00 XXX 0
cells.
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: 0.00 0.00 0.00 0.00 XXX 0
placenta.
88269... ................... X Chromosome analysis: 0.00 0.00 0.00 0.00 XXX 0
amniotic.
88280... ................... X Chromosome karyotype 0.00 0.00 0.00 0.00 XXX 0
study.
88283... ................... X Chromosome banding 0.00 0.00 0.00 0.00 XXX 0
study.
88285... ................... X Chromosome count: 0.00 0.00 0.00 0.00 XXX 0
additional.
88289... ................... X Chromosome study: 0.00 0.00 0.00 0.00 XXX 0
additional.
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 0.13 0.40 0.04 0.57 XXX N
pathologist.
88302... 26 A Tissue exam by 0.13 0.17 0.02 0.32 XXX N
pathologist.
88302... TC A Tissue exam by 0.00 0.23 0.02 0.25 XXX N
pathologist.
88304... ................... A Tissue exam by 0.22 0.61 0.04 0.87 XXX N
pathologist.
88304... 26 A Tissue exam by 0.22 0.28 0.02 0.52 XXX N
pathologist.
88304... TC A Tissue exam by 0.00 0.33 0.02 0.35 XXX N
pathologist.
88305... ................... A Tissue exam by 0.75 1.03 0.08 1.86 XXX N
pathologist.
88305... 26 A Tissue exam by 0.75 0.53 0.04 1.32 XXX N
pathologist.
88305... TC A Tissue exam by 0.00 0.50 0.04 0.54 XXX N
pathologist.
88307... ................... A Tissue exam by 1.59 1.52 0.12 3.23 XXX N
pathologist.
88307... 26 A Tissue exam by 1.59 0.78 0.06 2.43 XXX N
pathologist.
88307... TC A Tissue exam by 0.00 0.74 0.06 0.80 XXX N
pathologist.
88309... ................... A Tissue exam by 2.28 1.92 0.13 4.33 XXX N
pathologist.
88309... 26 A Tissue exam by 2.28 0.99 0.07 3.34 XXX N
pathologist.
88309... TC A Tissue exam by 0.00 0.93 0.06 0.99 XXX N
pathologist.
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
[[Page 59670]]
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 2.22 0.47 0.04 2.73 XXX N
data.
88329... ................... A Pathology consult in 0.67 0.37 0.03 1.07 XXX N
surgery.
88331... ................... A Pathology consult in 1.19 1.10 0.08 2.37 XXX N
surgery.
88331... 26 A Pathology consult in 1.19 0.56 0.04 1.79 XXX N
surgery.
88331... TC A Pathology consult in 0.00 0.54 0.04 0.58 XXX N
surgery.
88332... ................... A Pathology consult in 0.59 0.56 0.04 1.19 XXX N
surgery.
88332... 26 A Pathology consult in 0.59 0.29 0.02 0.90 XXX N
surgery.
88332... TC A Pathology consult in 0.00 0.27 0.02 0.29 XXX N
surgery.
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 0.76 1.55 0.12 2.43 XXX N
microscopy.
88349... 26 A Scanning electron 0.76 0.79 0.06 1.61 XXX N
microscopy.
88349... TC A Scanning electron 0.00 0.76 0.06 0.82 XXX N
microscopy.
88355... ................... A Analysis, skeletal 1.85 1.74 0.13 3.72 XXX N
muscle.
88355... 26 A Analysis, skeletal 1.85 0.92 0.07 2.84 XXX N
muscle.
88355... TC A Analysis, skeletal 0.00 0.82 0.06 0.88 XXX N
muscle.
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 2.17 1.97 0.13 4.27 XXX N
preparations.
88362... 26 A Nerve teasing 2.17 1.00 0.07 3.24 XXX N
preparations.
88362... TC A Nerve teasing 0.00 0.97 0.06 1.03 XXX N
preparations.
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 0.00 0.00 0.00 0.00 XXX 0
tissue.
88371... 26 A Protein, western blot 0.37 0.20 0.01 0.58 XXX N
tissue.
88372... ................... X Protein analysis w/ 0.00 0.00 0.00 0.00 XXX 0
probe.
88372... 26 A Protein analysis w/ 0.37 0.20 0.01 0.58 XXX N
probe.
88399... ................... C Surgical pathology 0.00 0.00 0.00 0.00 XXX N
procedure.
88399... 26 C Surgical pathology 0.00 0.00 0.00 0.00 XXX N
procedure.
88399... TC C Surgical pathology 0.00 0.00 0.00 0.00 XXX N
procedure.
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 0.60 0.42 0.03 1.05 XXX N
contents.
89105... ................... A Sample intestinal 0.50 0.39 0.03 0.92 XXX N
contents.
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
[[Page 59671]]
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 0.00 0.00 0.00 0.00 XXX 0
fibers.
89190... ................... X Nasal smear for 0.00 0.00 0.00 0.00 XXX 0
eosinophils.
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 0.00 0.00 0.00 0.00 XXX 0
mucus.
89350... ................... A Sputum specimen 0.00 0.39 0.03 0.42 XXX N
collection.
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 0.00 0.00 0.00 0.00 XXX 0
immunization.
90709... ................... E Rubella & mumps 0.00 0.00 0.00 0.00 XXX 0
immunization.
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 0.00 0.00 0.00 0.00 XXX 0
immunization.
90713... ................... E Poliomyelitis 0.00 0.00 0.00 0.00 XXX 0
immunization.
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 0.00 0.00 0.00 0.00 XXX 0
immunization.
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
90730... ................... E Hepatitis A vaccine.... 0.00 0.00 0.00 0.00 XXX 0
90732... ................... X Pneumococcal 0.00 0.00 0.00 0.00 XXX 0
immunization.
90733... ................... E Meningococcal 0.00 0.00 0.00 0.00 XXX 0
immunization.
90735... ................... E Encephalitis virus 0.00 0.00 0.00 0.00 XXX 0
vaccine.
90737... ................... E Influenza B 0.00 0.00 0.00 0.00 XXX 0
immunization.
90741... ................... E Passive immunization, 0.00 0.00 0.00 0.00 XXX 0
ISG.
90742... ................... E Special passive 0.00 0.00 0.00 0.00 XXX 0
immunization.
90744... ................... X Hepatitis B vaccine, 0.00 0.00 0.00 0.00 XXX 0
under 11.
90745... ................... X Hepatitis B vaccine, 11- 0.00 0.00 0.00 0.00 XXX 0
19.
90746... ................... X Hepatitis B vaccine, 0.00 0.00 0.00 0.00 XXX 0
over 20.
90747... ................... X Hepatitis B vaccine, 0.00 0.00 0.00 0.00 XXX 0
ill pat.
90749... ................... C Immunization procedure. 0.00 0.00 0.00 0.00 XXX N
90780... ................... A IV infusion therapy, 1 0.00 1.06 0.08 1.14 XXX N
hour.
90781... ................... A IV infusion, additional 0.00 0.53 0.04 0.57 XXX N
hour.
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 0.00 0.00 0.00 0.00 XXX N
injection.
90801... ................... A Psychiatric interview.. 2.80 0.67 0.09 3.56 XXX N
90820... ................... A Diagnostic interview... 3.01 0.38 0.05 3.44 XXX N
90825... ................... B Evaluation of tests/ +0.97 0.31 0.04 1.32 XXX 0
records.
[[Page 59672]]
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... ................... G Psychotherapy, 75-80 +3.13 1.05 0.15 4.33 XXX N
min..
90843... ................... G Psychotherapy, 20-30 +1.47 0.35 0.05 1.87 XXX N
min..
90844... ................... G Psychotherapy, 45-50 +2.00 0.54 0.08 2.62 XXX N
min..
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.. 0.59 0.26 0.03 0.88 XXX N
90855... ................... G Individual +2.15 0.59 0.09 2.83 XXX N
psychotherapy.
90857... ................... A Special group therapy.. 0.63 0.15 0.02 0.80 XXX N
90862... ................... A Medication management.. 0.95 0.37 0.05 1.37 XXX N
90870... ................... A Electroconvulsive 1.88 0.55 0.08 2.51 000 N
therapy.
90871... ................... A Electroconvulsive 2.72 0.83 0.13 3.68 000 N
therapy.
90875... ................... A Psychophysiological 1.11 0.35 0.05 1.51 XXX N
therapy.
90876... ................... A Psychophysiological 1.73 0.54 0.08 2.35 XXX N
therapy.
90880... ................... A Medical hypnotherapy... 2.19 0.64 0.07 2.90 XXX N
90882... ................... N Environmental 0.00 0.00 0.00 0.00 XXX 0
manipulation.
90887... ................... B Consultation with +1.48 0.33 0.04 1.85 XXX 0
family.
90889... ................... B Preparation of report.. 0.00 0.00 0.00 0.00 XXX 0
90899... ................... C Psychiatric service/ 0.00 0.00 0.00 0.00 XXX N
therapy.
90900... ................... D Biofeedback, 0.00 0.00 0.00 0.00 000 N
electromyogram.
90901... ................... A Biofeedback, any method 0.41 0.29 0.02 0.72 000 N
90902... ................... D Biofeedback, nerve 0.00 0.00 0.00 0.00 000 N
impulse.
90904... ................... D Biofeedback, blood 0.00 0.00 0.00 0.00 000 N
pressure.
90906... ................... D Biofeedback, blood flow 0.00 0.00 0.00 0.00 000 N
90908... ................... D Biofeedback, brain 0.00 0.00 0.00 0.00 000 N
waves.
90910... ................... D Biofeedback, oculogram. 0.00 0.00 0.00 0.00 000 N
90911... ................... A Anorectal biofeedback.. 0.89 1.13 0.27 2.29 000 N
90915... ................... D Biofeedback, 0.00 0.00 0.00 0.00 000 N
unspecified.
90918... ................... A ESRD related services, 11.18 2.19 0.14 13.51 XXX P
month.
90919... ................... A ESRD related services, 8.54 2.19 0.14 10.87 XXX P
month.
90920... ................... A ESRD related services, 7.27 2.19 0.14 9.60 XXX P
month.
90921... ................... A ESRD related services, 4.47 2.19 0.14 6.80 XXX P
month.
90922... ................... A ESRD related services, 0.37 0.07 0.01 0.45 XXX P
day.
90923... ................... A Esrd related services, 0.28 0.07 0.01 0.36 XXX P
day.
90924... ................... A Esrd related services, 0.24 0.07 0.01 0.32 XXX P
day.
90925... ................... A Esrd related services, 0.15 0.07 0.01 0.23 XXX P
day.
90935... ................... A Hemodialysis, one 1.22 1.49 0.10 2.81 000 N
evaluation.
90937... ................... A Hemodialysis, repeated 2.11 2.65 0.18 4.94 000 N
eval..
90945... ................... A Dialysis, one 1.28 1.27 0.08 2.63 000 N
evaluation.
90947... ................... A Dialysis, repeated 2.16 2.09 0.14 4.39 000 N
eval..
90989... ................... X Dialysis training/ 0.00 0.00 0.00 0.00 XXX 0
complete.
90993... ................... X Dialysis training/ 0.00 0.00 0.00 0.00 XXX 0
incomplete.
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.. 0.73 0.66 0.06 1.45 000 N
91000... 26 A Esophageal intubation.. 0.73 0.59 0.05 1.37 000 N
91000... TC A Esophageal intubation.. 0.00 0.07 0.01 0.08 000 N
91010... ................... A Esophagus motility 1.25 2.28 0.17 3.70 000 N
study.
91010... 26 A Esophagus motility 1.25 1.50 0.11 2.86 000 N
study.
91010... TC A Esophagus motility 0.00 0.78 0.06 0.84 000 N
study.
91011... ................... A Esophagus motility 1.50 2.66 0.18 4.34 000 N
study.
91011... 26 A Esophagus motility 1.50 1.68 0.11 3.29 000 N
study.
91011... TC A Esophagus motility 0.00 0.98 0.07 1.05 000 N
study.
91012... ................... A Esophagus motility 1.46 3.12 0.23 4.81 000 N
study.
91012... 26 A Esophagus motility 1.46 2.02 0.15 3.63 000 N
study.
91012... TC A Esophagus motility 0.00 1.10 0.08 1.18 000 N
study.
91020... ................... A Esophagogastric study.. 1.44 2.50 0.18 4.12 000 N
91020... 26 A Esophagogastric study.. 1.44 1.77 0.12 3.33 000 N
91020... TC A Esophagogastric study.. 0.00 0.73 0.06 0.79 000 N
91030... ................... A Acid perfusion of 0.91 0.56 0.05 1.52 000 N
esophagus.
91030... 26 A Acid perfusion of 0.91 0.35 0.03 1.29 000 N
esophagus.
91030... TC A Acid perfusion of 0.00 0.21 0.02 0.23 000 N
esophagus.
91032... ................... A Esophagus, acid reflux 1.21 1.96 0.16 3.33 000 N
test.
91032... 26 A Esophagus, acid reflux 1.21 1.25 0.10 2.56 000 N
test.
[[Page 59673]]
91032... TC A Esophagus, acid reflux 0.00 0.71 0.06 0.77 000 N
test.
91033... ................... A Prolonged acid reflux 1.30 2.97 0.25 4.52 000 N
test.
91033... 26 A Prolonged acid reflux 1.30 1.69 0.14 3.13 000 N
test.
91033... TC A Prolonged acid reflux 0.00 1.28 0.11 1.39 000 N
test.
91052... ................... A Gastric analysis test.. 0.79 0.82 0.07 1.68 000 N
91052... 26 A Gastric analysis test.. 0.79 0.50 0.04 1.33 000 N
91052... TC A Gastric analysis test.. 0.00 0.32 0.03 0.35 000 N
91055... ................... A Gastric intubation for 0.94 0.80 0.06 1.80 000 N
smear.
91055... 26 A Gastric intubation for 0.94 0.51 0.04 1.49 000 N
smear.
91055... TC A Gastric intubation for 0.00 0.29 0.02 0.31 000 N
smear.
91060... ................... A Gastric saline load 0.45 0.71 0.06 1.22 000 N
test.
91060... 26 A Gastric saline load 0.45 0.50 0.04 0.99 000 N
test.
91060... TC A Gastric saline load 0.00 0.21 0.02 0.23 000 N
test.
91065... ................... A Breath hydrogen test... 0.20 0.83 0.05 1.08 000 N
91065... 26 A Breath hydrogen test... 0.20 0.49 0.03 0.72 000 N
91065... TC A Breath hydrogen test... 0.00 0.34 0.02 0.36 000 N
91100... ................... A Pass intestine bleeding 1.08 0.56 0.05 1.69 000 N
tube.
91105... ................... A Gastric intubation 0.37 0.46 0.04 0.87 000 N
treatment.
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 0.00 0.00 0.00 0.00 XXX N
procedure.
91299... 26 C Gastroenterology 0.00 0.00 0.00 0.00 XXX N
procedure.
91299... TC C Gastroenterology 0.00 0.00 0.00 0.00 XXX N
procedure.
92002... ................... A Eye exam, new patient.. 0.88 0.49 0.02 1.39 XXX P
92004... ................... A Eye exam, new patient.. 1.67 0.57 0.02 2.26 XXX P
92012... ................... A Eye exam established pt 0.67 0.44 0.02 1.13 XXX N
92014... ................... A Eye exam & treatment... 1.10 0.54 0.02 1.66 XXX N
92015... ................... N Refraction............. +0.38 0.32 0.02 0.72 XXX 0
92018... ................... A New eye exam & 1.51 0.47 0.03 2.01 XXX N
treatment.
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. 0.69 0.39 0.02 1.10 XXX N
92060... 26 A Special eye evaluation. 0.69 0.21 0.01 0.91 XXX N
92060... TC A Special eye evaluation. 0.00 0.18 0.01 0.19 XXX N
92065... ................... A Orthoptic/pleoptic 0.37 0.36 0.01 0.74 XXX N
training.
92065... 26 A Orthoptic/pleoptic 0.37 0.20 0.01 0.58 XXX N
training.
92065... TC A Orthoptic/pleoptic 0.00 0.16 0.00 0.16 XXX N
training.
92070... ................... A Fitting of contact lens 0.70 1.20 0.06 1.96 XXX N
92081... ................... A Visual field 0.36 0.32 0.01 0.69 XXX N
examination(s).
92081... 26 A Visual field 0.36 0.17 0.01 0.54 XXX N
examination(s).
92081... TC A Visual field 0.00 0.15 0.00 0.15 XXX N
examination(s).
92082... ................... A Visual field 0.44 0.49 0.02 0.95 XXX N
examination(s).
92082... 26 A Visual field 0.44 0.30 0.01 0.75 XXX N
examination(s).
92082... TC A Visual field 0.00 0.19 0.01 0.20 XXX N
examination(s).
92083... ................... A Visual field 0.50 0.83 0.04 1.37 XXX N
examination(s).
92083... 26 A Visual field 0.50 0.55 0.03 1.08 XXX N
examination(s).
92083... TC A Visual field 0.00 0.28 0.01 0.29 XXX N
examination(s).
92100... ................... A Serial tonometry 0.92 0.25 0.01 1.18 XXX N
exam(s).
92120... ................... A Tonography & eye 0.81 0.31 0.02 1.14 XXX N
evaluation.
92130... ................... A Water provocation 0.81 0.49 0.02 1.32 XXX N
tonography.
92140... ................... A Glaucoma provocative 0.50 0.30 0.01 0.81 XXX N
tests.
92225... ................... A Special eye exam, 0.38 0.45 0.02 0.85 XXX N
initial.
92226... ................... A Special eye exam, 0.33 0.40 0.02 0.75 XXX N
subsequent.
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
92240... ................... A Icg angiography........ 1.10 1.58 0.09 2.77 XXX N
92240... 26 A Icg angiography........ 1.10 0.59 0.03 1.72 XXX N
92240... TC A Icg angiography........ 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/ 0.20 0.54 0.03 0.77 XXX N
dynamometry.
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
[[Page 59674]]
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
92283... ................... A Color vision 0.17 0.29 0.01 0.47 XXX N
examination.
92283... 26 A Color vision 0.17 0.17 0.01 0.35 XXX N
examination.
92283... TC A Color vision 0.00 0.12 0.00 0.12 XXX N
examination.
92284... ................... A Dark adaptation eye 0.24 0.45 0.02 0.71 XXX N
exam.
92284... 26 A Dark adaptation eye 0.24 0.28 0.01 0.53 XXX N
exam.
92284... TC A Dark adaptation eye 0.00 0.17 0.01 0.18 XXX N
exam.
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 0.66 1.22 0.07 1.95 XXX N
photography.
92286... 26 A Internal eye 0.66 0.83 0.05 1.54 XXX N
photography.
92286... TC A Internal eye 0.00 0.39 0.02 0.41 XXX N
photography.
92287... ................... A Internal eye 0.81 1.52 0.08 2.41 XXX N
photography.
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 +0.69 0.78 0.00 1.47 XXX 0
lens.
92315... ................... A Prescription of contact 0.45 0.66 0.03 1.14 XXX N
lens.
92316... ................... A Prescription of contact 0.68 0.95 0.04 1.67 XXX N
lens.
92317... ................... A Prescription of contact 0.45 0.39 0.02 0.86 XXX N
lens.
92325... ................... A Modification of contact 0.00 0.38 0.01 0.39 XXX N
lens.
92326... ................... A Replacement of contact 0.00 1.56 0.06 1.62 XXX N
lens.
92330... ................... A Fitting of artificial 1.08 1.13 0.09 2.30 XXX N
eye.
92335... ................... A Fitting of artificial 0.45 1.97 0.11 2.53 XXX N
eye.
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 +0.37 0.30 0.01 0.68 XXX 0
fitting.
92353... ................... B Special spectacles +0.50 0.40 0.01 0.91 XXX 0
fitting.
92354... ................... B Special spectacles +0.00 8.44 0.10 8.54 XXX 0
fitting.
92355... ................... B Special spectacles +0.00 4.13 0.01 4.14 XXX 0
fitting.
92358... ................... B Eye prosthesis service. +0.00 0.92 0.05 0.97 XXX 0
92370... ................... N Repair & adjust +0.32 0.36 0.00 0.68 XXX 0
spectacles.
92371... ................... B Repair & adjust +0.00 0.59 0.02 0.61 XXX 0
spectacles.
92390... ................... N Supply of spectacles... 0.00 0.00 0.00 0.00 XXX 0
92391... ................... N Supply of contact 0.00 0.00 0.00 0.00 XXX 0
lenses.
92392... ................... G Supply of low vision +0.00 3.85 0.02 3.87 XXX 0
aids.
92393... ................... G Supply of artificial +0.00 11.96 0.67 12.63 XXX 0
eye.
92395... ................... G Supply of spectacles... +0.00 1.31 0.10 1.41 XXX 0
92396... ................... G Supply of contact +0.00 2.19 0.08 2.27 XXX 0
lenses.
92499... ................... C Eye service or 0.00 0.00 0.00 0.00 XXX N
procedure.
92499... 26 C Eye service or 0.00 0.00 0.00 0.00 XXX N
procedure.
92499... TC C Eye service or 0.00 0.00 0.00 0.00 XXX N
procedure.
92502... ................... A Ear and throat 1.51 1.12 0.12 2.75 000 N
examination.
92504... ................... A Ear microscopy 0.18 0.26 0.02 0.46 XXX N
examination.
92506... ................... A Speech & hearing 0.86 0.52 0.05 1.43 XXX N
evaluation.
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 0.43 0.39 0.04 0.86 XXX N
test.
92520... ................... A Laryngeal function 0.76 0.53 0.05 1.34 XXX N
studies.
92525... ................... A Oral function 1.50 1.02 0.11 2.63 XXX N
evaluation.
92526... ................... A Oral function therapy.. 0.55 0.47 0.05 1.07 XXX N
92531... ................... B Spontaneous nystagmus 0.00 0.00 0.00 0.00 XXX 0
study.
92532... ................... B Positional nystagmus 0.00 0.00 0.00 0.00 XXX 0
study.
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
[[Page 59675]]
92541... ................... A Spontaneous nystagmus 0.40 0.67 0.07 1.14 XXX N
test.
92541... 26 A Spontaneous nystagmus 0.40 0.45 0.05 0.90 XXX N
test.
92541... TC A Spontaneous nystagmus 0.00 0.22 0.02 0.24 XXX N
test.
92542... ................... A Positional nystagmus 0.33 0.61 0.07 1.01 XXX N
test.
92542... 26 A Positional nystagmus 0.33 0.36 0.04 0.73 XXX N
test.
92542... TC A Positional nystagmus 0.00 0.25 0.03 0.28 XXX N
test.
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 0.26 0.47 0.05 0.78 XXX N
test.
92544... 26 A Optokinetic nystagmus 0.26 0.27 0.03 0.56 XXX N
test.
92544... TC A Optokinetic nystagmus 0.00 0.20 0.02 0.22 XXX N
test.
92545... ................... A Oscillating tracking 0.23 0.40 0.04 0.67 XXX N
test.
92545... 26 A Oscillating tracking 0.23 0.20 0.02 0.45 XXX N
test.
92545... TC A Oscillating tracking 0.00 0.20 0.02 0.22 XXX N
test.
92546... ................... A Sinusoidal rotational 0.29 0.53 0.05 0.87 XXX N
test.
92546... 26 A Sinusoidal rotational 0.29 0.30 0.03 0.62 XXX N
test.
92546... TC A Sinusoidal rotational 0.00 0.23 0.02 0.25 XXX N
test.
92547... ................... A Supplemental electrical 0.00 0.53 0.06 0.59 XXX N
test.
92548... ................... A Posturography.......... 0.50 1.85 0.19 2.54 XXX N
92548... 26 A Posturography.......... 0.50 0.45 0.05 1.00 XXX N
92548... TC A Posturography.......... 0.00 1.40 0.14 1.54 XXX N
92551... ................... N Pure tone hearing test, 0.00 0.00 0.00 0.00 XXX 0
air.
92552... ................... A Pure tone audiometry, 0.00 0.42 0.04 0.46 XXX N
air.
92553... ................... A Audiometry, air & bone. 0.00 0.63 0.07 0.70 XXX N
92555... ................... A Speech threshold 0.00 0.36 0.04 0.40 XXX N
audiometry.
92556... ................... A Speech audiometry, 0.00 0.54 0.06 0.60 XXX N
complete.
92557... ................... A Comprehensive hearing 0.00 1.13 0.13 1.26 XXX N
test.
92559... ................... N Group audiometric 0.00 0.00 0.00 0.00 XXX 0
testing.
92560... ................... N Bekesy audiometry, 0.00 0.00 0.00 0.00 XXX 0
screen.
92561... ................... A Bekesy audiometry, 0.00 0.68 0.07 0.75 XXX N
diagnosis.
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 0.00 0.39 0.04 0.43 XXX N
test.
92571... ................... A Filtered speech hearing 0.00 0.37 0.04 0.41 XXX N
test.
92572... ................... A Staggered spondaic word 0.00 0.08 0.01 0.09 XXX N
test.
92573... ................... A Lombard test........... 0.00 0.33 0.04 0.37 XXX N
92575... ................... A Sensorineural acuity 0.00 0.29 0.03 0.32 XXX N
test.
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
92579... ................... A Visual audiometry (vra) 0.00 0.69 0.07 0.76 XXX N
92582... ................... A Conditioning play 0.00 0.69 0.07 0.76 XXX N
audiometry.
92583... ................... A Select picture 0.00 0.85 0.09 0.94 XXX N
audiometry.
92584... ................... A Electrocochleography... 0.00 2.36 0.25 2.61 XXX N
92585... ................... A Auditory evoked 0.50 3.25 0.31 4.06 XXX N
potential.
92585... 26 A Auditory evoked 0.50 1.49 0.14 2.13 XXX N
potential.
92585... TC A Auditory evoked 0.00 1.76 0.17 1.93 XXX N
potential.
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 0.00 0.51 0.06 0.57 XXX N
test(s).
92590... ................... N Hearing aid exam, one 0.00 0.00 0.00 0.00 XXX 0
ear.
92591... ................... N Hearing aid exam, both 0.00 0.00 0.00 0.00 XXX 0
ears.
92592... ................... N Hearing aid check, one 0.00 0.00 0.00 0.00 XXX 0
ear.
92593... ................... N Hearing aid check, both 0.00 0.00 0.00 0.00 XXX 0
ears.
92594... ................... N Electro hearing aid 0.00 0.00 0.00 0.00 XXX 0
test, one.
92595... ................... N Electro hearing aid 0.00 0.00 0.00 0.00 XXX 0
test, both.
92596... ................... A Ear protector 0.00 0.56 0.06 0.62 XXX N
evaluation.
92597... ................... A Oral speech device eval 1.35 1.01 0.11 2.47 XXX N
92598... ................... A Modify oral speech 0.99 0.66 0.07 1.72 XXX N
device.
[[Page 59676]]
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 3.80 2.27 0.17 6.24 000 N
resuscitation (CPR).
92953... ................... A Temporary external 0.23 0.66 0.15 1.04 000 N
pacing.
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 7.25 5.71 0.42 13.38 000 N
vessel.
92977... ................... A Dissolve clot, heart 0.00 7.68 0.54 8.22 XXX N
vessel.
92978... ................... A Intravascular us, heart 1.80 5.41 0.36 7.57 ZZZ N
92978... 26 A Intravascular us, heart 1.80 1.06 0.08 2.94 ZZZ N
92978... TC A Intravascular us, heart 0.00 4.35 0.28 4.63 ZZZ N
92979... ................... A Intravascular us, heart 1.44 3.03 0.20 4.67 ZZZ N
92979... 26 A Intravascular us, heart 1.44 0.85 0.06 2.35 ZZZ N
92979... TC A Intravascular us, heart 0.00 2.18 0.14 2.32 ZZZ N
92980... ................... A Insert intracoronary 14.84 16.41 1.22 32.47 000 N
stent.
92981... ................... A Insert intracoronary 4.17 5.42 0.44 10.03 ZZZ N
stent.
92982... ................... A Coronary artery 10.98 14.05 1.22 26.25 000 N
dilation.
92984... ................... A Coronary artery 2.97 3.80 0.44 7.21 ZZZ N
dilation.
92986... ................... A Revision of aortic 20.34 12.04 0.90 33.28 090 N
valve.
92987... ................... A Revision of mitral 20.69 12.20 0.91 33.80 090 N
valve.
92990... ................... A Revision of pulmonary 16.22 9.59 0.71 26.52 090 N
valve.
92992... ................... C Revision of heart 0.00 0.00 0.00 0.00 090 S
chamber.
92993... ................... C Revision of heart 0.00 0.00 0.00 0.00 090 S
chamber.
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, 0.17 0.59 0.04 0.80 XXX N
complete.
93005... ................... A Electrocardiogram, 0.00 0.43 0.03 0.46 XXX N
tracing.
93010... ................... A Electrocardiogram 0.17 0.16 0.01 0.34 XXX N
report.
93012... ................... A Transmission of ECG.... 0.00 2.25 0.22 2.47 XXX N
93014... ................... A Report on transmitted 0.52 0.40 0.05 0.97 XXX N
ECG.
93015... ................... A Cardiovascular stress 0.75 2.37 0.18 3.30 XXX N
test.
93016... ................... A Cardiovascular stress 0.45 0.39 0.03 0.87 XXX N
test.
93017... ................... A Cardiovascular stress 0.00 1.60 0.12 1.72 XXX N
test.
93018... ................... A Cardiovascular stress 0.30 0.38 0.03 0.71 XXX N
test.
93024... ................... A Cardiac drug stress 1.17 2.56 0.23 3.96 XXX N
test.
93024... 26 A Cardiac drug stress 1.17 1.49 0.14 2.80 XXX N
test.
93024... TC A Cardiac drug stress 0.00 1.07 0.09 1.16 XXX N
test.
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... ................... D Phonocardiogram & ECG 0.00 0.00 0.00 0.00 XXX N
lead.
93202... ................... D Phonocardiogram & ECG 0.00 0.00 0.00 0.00 XXX N
lead.
93204... ................... D Phonocardiogram & ECG 0.00 0.00 0.00 0.00 XXX N
lead.
93205... ................... D Special phonocardiogram 0.00 0.00 0.00 0.00 XXX N
93208... ................... D Special phonocardiogram 0.00 0.00 0.00 0.00 XXX N
93209... ................... D Special phonocardiogram 0.00 0.00 0.00 0.00 XXX N
93210... ................... D Intracardiac 0.00 0.00 0.00 0.00 XXX N
phonocardiogram.
93210... 26 D Intracardiac 0.00 0.00 0.00 0.00 XXX N
phonocardiogram.
93210... TC D Intracardiac 0.00 0.00 0.00 0.00 XXX N
phonocardiogram.
93220... ................... D Vectorcardiogram....... 0.00 0.00 0.00 0.00 XXX N
93221... ................... D Vectorcardiogram 0.00 0.00 0.00 0.00 XXX N
tracing.
93222... ................... D Vectorcardiogram report 0.00 0.00 0.00 0.00 XXX N
93224... ................... A ECG monitor/report, 24 0.52 3.93 0.31 4.76 XXX N
hrs.
93225... ................... A ECG monitor/record, 24 0.00 1.18 0.09 1.27 XXX N
hrs.
93226... ................... A ECG monitor/report, 24 0.00 2.08 0.16 2.24 XXX N
hrs.
93227... ................... A ECG monitor/review, 24 0.52 0.67 0.06 1.25 XXX N
hrs.
93230... ................... A ECG monitor/report, 24 0.52 4.19 0.34 5.05 XXX N
hrs.
93231... ................... A ECG monitor/record, 24 0.00 1.45 0.11 1.56 XXX N
hrs.
93232... ................... A ECG monitor/report, 24 0.00 2.07 0.15 2.22 XXX N
hrs.
93233... ................... A ECG monitor/review, 24 0.52 0.67 0.08 1.27 XXX N
hrs.
93235... ................... A ECG monitor/report, 24 0.45 3.07 0.23 3.75 XXX N
hrs.
93236... ................... A ECG monitor/report, 24 0.00 2.50 0.17 2.67 XXX N
hrs.
93237... ................... A ECG monitor/review, 24 0.45 0.57 0.06 1.08 XXX N
hrs.
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
[[Page 59677]]
93271... ................... A ECG/monitoring and 0.00 2.25 0.22 2.47 XXX N
anaylysis.
93272... ................... A ECG/review, interpret 0.52 0.40 0.05 0.97 XXX N
only.
93278... ................... A ECG/signal-averaged.... 0.25 1.55 0.18 1.98 XXX N
93278... 26 A ECG/signal-averaged.... 0.25 0.45 0.06 0.76 XXX N
93278... TC A ECG/signal-averaged.... 0.00 1.10 0.12 1.22 XXX N
93303... ................... A Echo transthoracic..... 1.30 4.68 0.36 6.34 XXX N
93303... 26 A Echo transthoracic..... 1.30 1.00 0.09 2.39 XXX N
93303... TC A Echo transthoracic..... 0.00 3.68 0.27 3.95 XXX N
93304... ................... A Echo transthoracic..... 0.75 2.53 0.19 3.47 XXX N
93304... 26 A Echo transthoracic..... 0.75 0.68 0.05 1.48 XXX N
93304... TC A Echo transthoracic..... 0.00 1.85 0.14 1.99 XXX N
93307... ................... A Echo exam of heart..... 0.92 4.68 0.36 5.96 XXX N
93307... 26 A Echo exam of heart..... 0.92 1.00 0.09 2.01 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 transesophageal... 2.20 4.95 0.45 7.60 XXX N
93312... 26 A Echo transesophageal... 2.20 1.35 0.12 3.67 XXX N
93312... TC A Echo transesophageal... 0.00 3.60 0.33 3.93 XXX N
93313... ................... A Echo transesophageal... 0.95 0.67 0.06 1.68 XXX N
93314... ................... A Echo transesophageal... 1.25 4.27 0.39 5.91 XXX N
93314... 26 A Echo transesophageal... 1.25 0.67 0.06 1.98 XXX N
93314... TC A Echo transesophageal... 0.00 3.60 0.33 3.93 XXX N
93315... ................... A Echo transesophageal... 2.78 4.95 0.45 8.18 XXX N
93315... 26 A Echo transesophageal... 2.78 1.35 0.12 4.25 XXX N
93315... TC A Echo transesophageal... 0.00 3.60 0.33 3.93 XXX N
93316... ................... A Echo transesophageal... 0.95 0.67 0.06 1.68 XXX N
93317... ................... A Echo transesophageal... 1.83 4.27 0.39 6.49 XXX N
93317... 26 A Echo transesophageal... 1.83 0.67 0.06 2.56 XXX N
93317... TC A Echo transesophageal... 0.00 3.60 0.33 3.93 XXX N
93320... ................... A Doppler echo exam, 0.38 2.11 0.18 2.67 ZZZ N
heart.
93320... 26 A Doppler echo exam, 0.38 0.48 0.05 0.91 ZZZ N
heart.
93320... TC A Doppler echo exam, 0.00 1.63 0.13 1.76 ZZZ N
heart.
93321... ................... A Doppler echo exam, 0.15 1.25 0.11 1.51 ZZZ N
heart.
93321... 26 A Doppler echo exam, 0.15 0.19 0.02 0.36 ZZZ N
heart.
93321... TC A Doppler echo exam, 0.00 1.06 0.09 1.15 ZZZ N
heart.
93325... ................... A Doppler color flow..... 0.07 2.80 0.25 3.12 ZZZ N
93325... 26 A Doppler color flow..... 0.07 0.04 0.01 0.12 ZZZ N
93325... TC A Doppler color flow..... 0.00 2.76 0.24 3.00 ZZZ N
93350... ................... A Echo transthoracic..... 0.78 3.63 0.24 4.65 XXX N
93350... 26 A Echo transthoracic..... 0.78 1.95 0.10 2.83 XXX N
93350... TC A Echo transthoracic..... 0.00 1.68 0.14 1.82 XXX N
93501... ................... A Right heart 3.02 19.72 1.54 24.28 000 N
catheterization.
93501... 26 A Right heart 3.02 3.61 0.34 6.97 000 N
catheterization.
93501... TC A Right heart 0.00 16.11 1.20 17.31 000 N
catheterization.
93503... ................... A Insert/place heart 2.91 2.37 0.36 5.64 000 N
catheter.
93505... ................... A Biopsy of heart lining. 4.38 4.92 0.46 9.76 000 N
93505... 26 A Biopsy of heart lining. 4.38 3.03 0.28 7.69 000 N
93505... TC A Biopsy of heart lining. 0.00 1.89 0.18 2.07 000 N
93510... ................... A Left heart 4.33 38.28 2.86 45.47 000 N
catheterization.
93510... 26 A Left heart 4.33 3.06 0.23 7.62 000 N
catheterization.
93510... TC A Left heart 0.00 35.22 2.63 37.85 000 N
catheterization.
93511... ................... A Left heart 5.03 36.91 2.76 44.70 000 N
catheterization.
93511... 26 A Left heart 5.03 2.62 0.20 7.85 000 N
catheterization.
93511... TC A Left heart 0.00 34.29 2.56 36.85 000 N
catheterization.
93514... ................... A Left heart 7.05 38.84 2.94 48.83 000 S
catheterization.
93514... 26 A Left heart 7.05 4.55 0.38 11.98 000 S
catheterization.
93514... TC A Left heart 0.00 34.29 2.56 36.85 000 S
catheterization.
93524... ................... A Left heart 6.95 49.45 3.69 60.09 000 N
catheterization.
93524... 26 A Left heart 6.95 4.65 0.34 11.94 000 N
catheterization.
93524... TC A Left heart 0.00 44.80 3.35 48.15 000 N
catheterization.
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
[[Page 59678]]
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 4.80 47.73 3.57 56.10 000 N
catheterization.
93529... 26 A Rt, Lt heart 4.80 2.93 0.22 7.95 000 N
catheterization.
93529... TC A Rt, Lt heart 0.00 44.80 3.35 48.15 000 N
catheterization.
93536... ................... A Insert circulation assi 4.85 6.20 0.71 11.76 000 N
93539... ................... A Injection, cardiac cath 0.40 0.88 0.20 1.48 000 N
93540... ................... A Injection, cardiac cath 0.43 0.88 0.20 1.51 000 N
93541... ................... A Injection for lung 0.29 0.73 0.16 1.18 000 N
angiogram.
93542... ................... A Injection for heart x- 0.29 0.72 0.16 1.17 000 N
rays.
93543... ................... A Injection for heart x- 0.29 0.57 0.11 0.97 000 N
rays.
93544... ................... A Injection for 0.25 0.57 0.11 0.93 000 N
aortography.
93545... ................... A Injection for coronary 0.40 1.03 0.24 1.67 000 N
xrays.
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 0.50 1.25 0.16 1.91 000 N
measurement.
93561... 26 A Cardiac output 0.50 0.75 0.09 1.34 000 N
measurement.
93561... TC A Cardiac output 0.00 0.50 0.07 0.57 000 N
measurement.
93562... ................... A Cardiac output 0.16 0.76 0.10 1.02 000 N
measurement.
93562... 26 A Cardiac output 0.16 0.46 0.06 0.68 000 N
measurement.
93562... TC A Cardiac output 0.00 0.30 0.04 0.34 000 N
measurement.
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 2.12 3.79 0.28 6.19 000 N
recording.
93603... 26 A Right ventricular 2.12 2.19 0.16 4.47 000 N
recording.
93603... TC A Right ventricular 0.00 1.60 0.12 1.72 000 N
recording.
93607... ................... A Right ventricular 3.26 3.63 0.28 7.17 000 N
recording.
93607... 26 A Right ventricular 3.26 2.21 0.17 5.64 000 N
recording.
93607... TC A Right ventricular 0.00 1.42 0.11 1.53 000 N
recording.
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 7.32 16.71 1.40 25.43 000 N
evaluation.
93619... 26 A Electrophysiology 7.32 9.37 0.86 17.55 000 N
evaluation.
93619... TC A Electrophysiology 0.00 7.34 0.54 7.88 000 N
evaluation.
93620... ................... A Electrophysiology 11.59 22.07 1.55 35.21 000 N
evaluation.
93620... 26 A Electrophysiology 11.59 13.53 0.95 26.07 000 N
evaluation.
93620... TC A Electrophysiology 0.00 8.54 0.60 9.14 000 N
evaluation.
93621... ................... C Electrophysiology 0.00 0.00 0.00 0.00 000 N
evaluation.
93621... 26 A Electrophysiology 12.66 14.94 1.11 28.71 000 N
evaluation.
93621... TC C Electrophysiology 0.00 0.00 0.00 0.00 000 N
evaluation.
93622... ................... C Electrophysiology 0.00 0.00 0.00 0.00 000 N
evaluation.
[[Page 59679]]
93622... 26 A Electrophysiology 12.74 14.74 1.07 28.55 000 N
evaluation.
93622... TC C Electrophysiology 0.00 0.00 0.00 0.00 000 N
evaluation.
93623... ................... C Stimulation, pacing 0.00 0.00 0.00 0.00 000 N
heart.
93623... 26 A Stimulation, pacing 2.85 2.78 0.20 5.83 000 N
heart.
93623... TC C Stimulation, pacing 0.00 0.00 0.00 0.00 000 N
heart.
93624... ................... A Electrophysiologic 4.81 4.88 0.35 10.04 000 N
study.
93624... 26 A Electrophysiologic 4.81 2.99 0.21 8.01 000 N
study.
93624... TC A Electrophysiologic 0.00 1.89 0.14 2.03 000 N
study.
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 5.93 13.85 1.09 20.87 000 N
evaluation.
93641... 26 A Electrophysiology 5.93 7.01 0.61 13.55 000 N
evaluation.
93641... TC A Electrophysiology 0.00 6.84 0.48 7.32 000 N
evaluation.
93642... ................... A Electrophysiology 4.89 13.09 1.09 19.07 000 N
evaluation.
93642... 26 A Electrophysiology 4.89 6.25 0.61 11.75 000 N
evaluation.
93642... TC A Electrophysiology 0.00 6.84 0.48 7.32 000 N
evaluation.
93650... ................... A Ablate heart dysrhythm 10.51 13.46 1.34 25.31 000 N
focus.
93651... ................... A Ablate heart dysrhythm 16.25 17.83 1.34 35.42 000 N
focus.
93652... ................... A Ablate heart dysrhythm 17.68 17.83 1.34 36.85 000 N
focus.
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 0.17 0.89 0.10 1.16 XXX N
plethysmography.
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 4.89 6.66 0.50 12.05 000 N
system.
93724... 26 A Analyze pacemaker 4.89 2.88 0.22 7.99 000 N
system.
93724... TC A Analyze pacemaker 0.00 3.78 0.28 4.06 000 N
system.
93731... ................... A Analyze pacemaker 0.45 0.79 0.07 1.31 XXX N
system.
93731... 26 A Analyze pacemaker 0.45 0.32 0.03 0.80 XXX N
system.
93731... TC A Analyze pacemaker 0.00 0.47 0.04 0.51 XXX N
system.
93732... ................... A Analyze pacemaker 0.92 0.91 0.08 1.91 XXX N
system.
93732... 26 A Analyze pacemaker 0.92 0.42 0.04 1.38 XXX N
system.
93732... TC A Analyze pacemaker 0.00 0.49 0.04 0.53 XXX N
system.
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 0.38 0.64 0.06 1.08 XXX N
system.
93734... 26 A Analyze pacemaker 0.38 0.31 0.03 0.72 XXX N
system.
93734... TC A Analyze pacemaker 0.00 0.33 0.03 0.36 XXX N
system.
93735... ................... A Analyze pacemaker 0.74 0.85 0.08 1.67 XXX N
system.
93735... 26 A Analyze pacemaker 0.74 0.43 0.04 1.21 XXX N
system.
93735... TC A Analyze pacemaker 0.00 0.42 0.04 0.46 XXX N
system.
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/ 0.45 0.74 0.06 1.25 XXX N
defibrillator.
93737... 26 A Analyze cardio/ 0.45 0.27 0.02 0.74 XXX N
defibrillator.
93737... TC A Analyze cardio/ 0.00 0.47 0.04 0.51 XXX N
defibrillator.
93738... ................... A Analyze cardio/ 0.92 0.88 0.07 1.87 XXX N
defibrillator.
93738... 26 A Analyze cardio/ 0.92 0.39 0.03 1.34 XXX N
defibrillator.
93738... TC A Analyze cardio/ 0.00 0.49 0.04 0.53 XXX N
defibrillator.
93740... ................... A Temperature gradient 0.16 0.45 0.04 0.65 XXX N
studies.
93740... 26 A Temperature gradient 0.16 0.30 0.03 0.49 XXX N
studies.
93740... TC A Temperature gradient 0.00 0.15 0.01 0.16 XXX N
studies.
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 0.00 0.00 0.00 0.00 XXX 0
monitoring.
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
[[Page 59680]]
93790... ................... N Review/report BP 0.00 0.00 0.00 0.00 XXX 0
recording.
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 0.00 0.00 0.00 0.00 XXX N
procedure.
93799... 26 C Cardiovascular 0.00 0.00 0.00 0.00 XXX N
procedure.
93799... TC C Cardiovascular 0.00 0.00 0.00 0.00 XXX N
procedure.
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
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.. 1.25 4.15 0.45 5.85 XXX N
93980... 26 A Penile vascular study.. 1.25 0.82 0.07 2.14 XXX N
93980... TC A Penile vascular study.. 0.00 3.33 0.38 3.71 XXX N
93981... ................... A Penile vascular study.. 0.44 3.47 0.39 4.30 XXX N
[[Page 59681]]
93981... 26 A Penile vascular study.. 0.44 0.40 0.03 0.87 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... ................... B Vital capacity test.... +0.07 0.20 0.02 0.29 XXX 0
94150... 26 B Vital capacity test.... +0.07 0.12 0.01 0.20 XXX 0
94150... TC B Vital capacity test.... +0.00 0.08 0.01 0.09 XXX 0
94160... ................... D Vital capacity 0.00 0.00 0.00 0.00 XXX N
screening.
94160... 26 D Vital capacity 0.00 0.00 0.00 0.00 XXX N
screening.
94160... TC D Vital capacity 0.00 0.00 0.00 0.00 XXX N
screening.
94200... ................... A Lung function test (MBC/ 0.11 0.38 0.03 0.52 XXX N
MVV).
94200... 26 A Lung function test (MBC/ 0.11 0.14 0.01 0.26 XXX N
MVV).
94200... TC A Lung function test (MBC/ 0.00 0.24 0.02 0.26 XXX N
MVV).
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 0.26 0.73 0.05 1.04 XXX N
curve.
94350... 26 A Lung nitrogen washout 0.26 0.21 0.01 0.48 XXX N
curve.
94350... TC A Lung nitrogen washout 0.00 0.52 0.04 0.56 XXX N
curve.
94360... ................... A Measure airflow 0.26 1.11 0.07 1.44 XXX N
resistance.
94360... 26 A Measure airflow 0.26 0.19 0.01 0.46 XXX N
resistance.
94360... TC A Measure airflow 0.00 0.92 0.06 0.98 XXX N
resistance.
94370... ................... A Breath airway closing 0.26 0.40 0.03 0.69 XXX N
volume.
94370... 26 A Breath airway closing 0.26 0.14 0.01 0.41 XXX N
volume.
94370... TC A Breath airway closing 0.00 0.26 0.02 0.28 XXX N
volume.
94375... ................... A Respiratory flow volume 0.31 0.67 0.04 1.02 XXX N
loop.
94375... 26 A Respiratory flow volume 0.31 0.21 0.01 0.53 XXX N
loop.
94375... TC A Respiratory flow volume 0.00 0.46 0.03 0.49 XXX N
loop.
94400... ................... A CO2 breathing response 0.40 0.77 0.19 1.36 XXX N
curve.
94400... 26 A CO2 breathing response 0.40 0.47 0.13 1.00 XXX N
curve.
94400... TC A CO2 breathing response 0.00 0.30 0.06 0.36 XXX N
curve.
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 0.88 2.05 0.15 3.08 XXX N
testing.
94620... 26 A Pulmonary stress 0.88 0.70 0.05 1.63 XXX N
testing.
94620... TC A Pulmonary stress 0.00 1.35 0.10 1.45 XXX N
testing.
94640... ................... A Airway inhalation 0.00 0.39 0.03 0.42 XXX N
treatment.
94642... ................... C Aerosol inhalation 0.00 0.00 0.00 0.00 XXX N
treatment.
94650... ................... A Pressure breathing 0.00 0.37 0.03 0.40 XXX N
(IPPB).
94651... ................... A Pressure breathing 0.00 0.36 0.03 0.39 XXX N
(IPPB).
94652... ................... A Pressure breathing 0.00 0.41 0.08 0.49 XXX N
(IPPB).
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, 0.76 0.71 0.06 1.53 XXX N
CPAP.
94662... ................... A Neg pressure 0.76 0.30 0.02 1.08 XXX N
ventilation,cnp.
94664... ................... A Aerosol or vapor 0.00 0.50 0.04 0.54 XXX N
inhalations.
94665... ................... A Aerosol or vapor 0.00 0.46 0.05 0.51 XXX N
inhalations.
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: 0.26 0.82 0.10 1.18 XXX N
O2.
[[Page 59682]]
94680... 26 A Exhaled air analysis: 0.26 0.33 0.03 0.62 XXX N
O2.
94680... TC A Exhaled air analysis: 0.00 0.49 0.07 0.56 XXX N
O2.
94681... ................... A Exhaled air analysis: 0.20 1.58 0.17 1.95 XXX N
O2, CO2.
94681... 26 A Exhaled air analysis: 0.20 0.26 0.04 0.50 XXX N
O2, CO2.
94681... TC A Exhaled air analysis: 0.00 1.32 0.13 1.45 XXX N
O2, 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 0.26 1.03 0.08 1.37 XXX N
capacity.
94720... 26 A Monoxide diffusing 0.26 0.23 0.02 0.51 XXX N
capacity.
94720... TC A Monoxide diffusing 0.00 0.80 0.06 0.86 XXX N
capacity.
94725... ................... A Membrane diffusion 0.26 1.84 0.14 2.24 XXX N
capacity.
94725... 26 A Membrane diffusion 0.26 0.18 0.01 0.45 XXX N
capacity.
94725... TC A Membrane diffusion 0.00 1.66 0.13 1.79 XXX N
capacity.
94750... ................... A Pulmonary compliance 0.23 0.83 0.06 1.12 XXX N
study.
94750... 26 A Pulmonary compliance 0.23 0.28 0.02 0.53 XXX N
study.
94750... TC A Pulmonary compliance 0.00 0.55 0.04 0.59 XXX N
study.
94760... ................... A Measure blood oxygen 0.00 0.25 0.02 0.27 XXX N
level.
94761... ................... A Measure blood oxygen 0.00 0.64 0.06 0.70 XXX N
level.
94762... ................... A Measure blood oxygen 0.00 1.08 0.10 1.18 XXX N
level.
94770... ................... A Exhaled carbon dioxide 0.15 0.40 0.11 0.66 XXX N
test.
94770... 26 A Exhaled carbon dioxide 0.15 0.11 0.03 0.29 XXX N
test.
94770... TC A Exhaled carbon dioxide 0.00 0.29 0.08 0.37 XXX N
test.
94772... ................... C Breath recording, 0.00 0.00 0.00 0.00 XXX N
infant.
94772... 26 C Breath recording, 0.00 0.00 0.00 0.00 XXX N
infant.
94772... TC C Breath recording, 0.00 0.00 0.00 0.00 XXX N
infant.
94799... ................... C Pulmonary service/ 0.00 0.00 0.00 0.00 XXX N
procedure.
94799... 26 C Pulmonary service/ 0.00 0.00 0.00 0.00 XXX N
procedure.
94799... TC C Pulmonary service/ 0.00 0.00 0.00 0.00 XXX N
procedure.
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 0.00 0.14 0.01 0.15 XXX N
titration.
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 0.95 1.97 0.02 2.94 XXX N
test.
95078... ................... A Provocative testing.... 0.00 0.24 0.02 0.26 XXX N
95115... ................... A Immunotherapy, one 0.00 0.37 0.02 0.39 000 N
injection.
95117... ................... A Immunotherapy 0.00 0.48 0.02 0.50 000 N
injections.
95120... ................... G Immunotherapy, one 0.00 0.00 0.00 0.00 XXX 0
injection.
95125... ................... G Immunotherapy, many 0.00 0.00 0.00 0.00 XXX 0
antigens.
95130... ................... G Immunotherapy, insect 0.00 0.00 0.00 0.00 XXX 0
venom.
95131... ................... G Immunotherapy, insect 0.00 0.00 0.00 0.00 XXX 0
venoms.
95132... ................... G Immunotherapy, insect 0.00 0.00 0.00 0.00 XXX 0
venoms.
95133... ................... G Immunotherapy, insect 0.00 0.00 0.00 0.00 XXX 0
venoms.
95134... ................... G Immunotherapy, insect 0.00 0.00 0.00 0.00 XXX 0
venoms.
95144... ................... A Antigen therapy 0.06 0.13 0.01 0.20 000 N
services.
95145... ................... A Antigen therapy 0.06 0.34 0.03 0.43 000 N
services.
95146... ................... A Antigen therapy 0.06 0.61 0.03 0.70 000 N
services.
95147... ................... A Antigen therapy 0.06 0.91 0.03 1.00 000 N
services.
95148... ................... A Antigen therapy 0.06 0.91 0.03 1.00 000 N
services.
95149... ................... A Antigen therapy 0.06 1.14 0.03 1.23 000 N
services.
95165... ................... A Antigen therapy 0.06 0.10 0.01 0.17 000 N
services.
95170... ................... A Antigen therapy 0.06 0.35 0.03 0.44 000 N
services.
95180... ................... A Rapid desensitization.. 2.01 0.14 0.01 2.16 000 N
95199... ................... C Allergy immunology 0.00 0.00 0.00 0.00 000 N
services.
95805... ................... A Multiple sleep latency 1.88 5.51 0.45 7.84 XXX N
test.
95805... 26 A Multiple sleep latency 1.88 0.56 0.07 2.51 XXX N
test.
95805... TC A Multiple sleep latency 0.00 4.95 0.38 5.33 XXX N
test.
95807... ................... A Sleep study............ 1.66 8.75 0.67 11.08 XXX N
[[Page 59683]]
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 3.53 8.75 0.67 12.95 XXX N
more.
95810... 26 A Polysomnography, 4 or 3.53 2.45 0.19 6.17 XXX N
more.
95810... TC A Polysomnography, 4 or 0.00 6.30 0.48 6.78 XXX N
more.
95812... ................... A Electroencephalogram 1.08 1.85 0.15 3.08 XXX N
(EEG).
95812... 26 A Electroencephalogram 1.08 0.50 0.04 1.62 XXX N
(EEG).
95812... TC A Electroencephalogram 0.00 1.35 0.11 1.46 XXX N
(EEG).
95813... ................... A Electroencephalogram 1.73 1.85 0.15 3.73 XXX N
(EEG).
95813... 26 A Electroencephalogram 1.73 0.50 0.04 2.27 XXX N
(EEG).
95813... TC A Electroencephalogram 0.00 1.35 0.11 1.46 XXX N
(EEG).
95816... ................... A Electroencephalogram 1.08 1.54 0.13 2.75 XXX N
(EEG).
95816... 26 A Electroencephalogram 1.08 0.28 0.03 1.39 XXX N
(EEG).
95816... TC A Electroencephalogram 0.00 1.26 0.10 1.36 XXX N
(EEG).
95819... ................... A Electroencephalogram 1.08 1.80 0.14 3.02 XXX N
(EEG).
95819... 26 A Electroencephalogram 1.08 0.50 0.04 1.62 XXX N
(EEG).
95819... TC A Electroencephalogram 0.00 1.30 0.10 1.40 XXX N
(EEG).
95822... ................... A Sleep 1.08 2.28 0.18 3.54 XXX N
electroencephalogram.
95822... 26 A Sleep 1.08 0.56 0.04 1.68 XXX N
electroencephalogram.
95822... TC A Sleep 0.00 1.72 0.14 1.86 XXX N
electroencephalogram.
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 1.08 3.06 0.24 4.38 XXX N
electroencephalogram.
95827... 26 A Night 1.08 0.88 0.07 2.03 XXX N
electroencephalogram.
95827... TC A Night 0.00 2.18 0.17 2.35 XXX N
electroencephalogram.
95829... ................... A Surgery 6.21 0.59 0.05 6.85 XXX N
electrocorticogram.
95829... 26 A Surgery 6.21 0.45 0.03 6.69 XXX N
electrocorticogram.
95829... TC A Surgery 0.00 0.14 0.02 0.16 XXX N
electrocorticogram.
95830... ................... A Insert electrodes for 1.70 0.78 0.07 2.55 XXX N
EEG.
95831... ................... A Limb muscle testing, 0.28 0.29 0.03 0.60 XXX N
manual.
95832... ................... A Hand muscle testing, 0.29 0.25 0.02 0.56 XXX N
manual.
95833... ................... A Body muscle testing, 0.47 0.38 0.05 0.90 XXX N
manual.
95834... ................... A Body muscle testing, 0.60 0.61 0.06 1.27 XXX N
manual.
95851... ................... A Range of motion 0.16 0.24 0.02 0.42 XXX N
measurements.
95852... ................... A Range of motion 0.11 0.15 0.02 0.28 XXX N
measurements.
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
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 0.79 1.13 0.09 2.01 XXX N
neck.
95867... 26 A Muscle test, head or 0.79 0.58 0.05 1.42 XXX N
neck.
95867... TC A Muscle test, head or 0.00 0.55 0.04 0.59 XXX N
neck.
95868... ................... A Muscle test, head or 1.18 1.92 0.15 3.25 XXX N
neck.
95868... 26 A Muscle test, head or 1.18 1.26 0.10 2.54 XXX N
neck.
95868... TC A Muscle test, head or 0.00 0.66 0.05 0.71 XXX N
neck.
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
[[Page 59684]]
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
95900... ................... A Motor nerve conduction 0.42 0.62 0.05 1.09 XXX N
test.
95900... 26 A Motor nerve conduction 0.42 0.35 0.03 0.80 XXX N
test.
95900... TC A Motor nerve conduction 0.00 0.27 0.02 0.29 XXX N
test.
95903... ................... A Motor nerve conduction 0.60 0.59 0.05 1.24 XXX N
test.
95903... 26 A Motor nerve conduction 0.60 0.35 0.03 0.98 XXX N
test.
95903... TC A Motor nerve conduction 0.00 0.24 0.02 0.26 XXX N
test.
95904... ................... A Sense nerve conduction 0.34 0.55 0.05 0.94 XXX N
test.
95904... 26 A Sense nerve conduction 0.34 0.34 0.03 0.71 XXX N
test.
95904... TC A Sense nerve conduction 0.00 0.21 0.02 0.23 XXX N
test.
95920... ................... A Intraoperative nerve 2.11 2.67 0.20 4.98 XXX N
testing.
95920... 26 A Intraoperative nerve 2.11 1.43 0.12 3.66 XXX N
testing.
95920... TC A Intraoperative nerve 0.00 1.24 0.08 1.32 XXX N
testing.
95921... ................... A Autonomic nerve func 0.45 0.68 0.05 1.18 XXX N
test.
95921... 26 A Autonomic nerve func 0.45 0.32 0.02 0.79 XXX N
test.
95921... TC A Autonomic nerve func 0.00 0.36 0.03 0.39 XXX N
test.
95922... ................... A Autonomic nerve func 0.48 0.70 0.06 1.24 XXX N
test.
95922... 26 A Autonomic nerve func 0.48 0.34 0.03 0.85 XXX N
test.
95922... TC A Autonomic nerve func 0.00 0.36 0.03 0.39 XXX N
test.
95923... ................... A Autonomic nerve func 0.45 0.68 0.05 1.18 XXX N
test.
95923... 26 A Autonomic nerve func 0.45 0.32 0.02 0.79 XXX N
test.
95923... TC A Autonomic nerve func 0.00 0.36 0.03 0.39 XXX N
test.
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 0.35 0.83 0.05 1.23 XXX N
test.
95930... 26 A Visual evoked potential 0.35 0.58 0.04 0.97 XXX N
test.
95930... TC A Visual evoked potential 0.00 0.25 0.01 0.26 XXX N
test.
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
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 0.65 0.77 0.07 1.49 XXX N
test.
95937... 26 A Neuromuscular junction 0.65 0.45 0.04 1.14 XXX N
test.
95937... TC A Neuromuscular junction 0.00 0.32 0.03 0.35 XXX N
test.
95950... ................... A Ambulatory EEG 1.51 7.25 0.60 9.36 XXX N
monitoring.
95950... 26 A Ambulatory EEG 1.51 1.21 0.10 2.82 XXX N
monitoring.
95950... TC A Ambulatory EEG 0.00 6.04 0.50 6.54 XXX N
monitoring.
95951... ................... A EEG monitoring/ 6.00 8.83 0.64 15.47 XXX N
videorecord.
95951... 26 A EEG monitoring/ 6.00 1.50 0.11 7.61 XXX N
videorecord.
95951... TC A EEG monitoring/ 0.00 7.33 0.53 7.86 XXX N
videorecord.
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 2.45 2.32 0.28 5.05 XXX N
drugs.
95954... 26 A EEG monitoring/giving 2.45 1.87 0.22 4.54 XXX N
drugs.
95954... TC A EEG monitoring/giving 0.00 0.45 0.06 0.51 XXX N
drugs.
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/ 3.08 7.54 0.61 11.23 XXX N
radio.
95956... 26 A EEG monitoring/cable/ 3.08 1.50 0.11 4.69 XXX N
radio.
95956... TC A EEG monitoring/cable/ 0.00 6.04 0.50 6.54 XXX N
radio.
95957... ................... A EEG digital analysis... 1.98 2.25 0.18 4.41 XXX N
[[Page 59685]]
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 4.25 4.89 0.52 9.66 XXX N
test.
95958... 26 A EEG monitoring/function 4.25 3.23 0.38 7.86 XXX N
test.
95958... TC A EEG monitoring/function 0.00 1.66 0.14 1.80 XXX N
test.
95961... ................... A Electrode stimulation, 2.97 2.67 0.20 5.84 XXX N
brain.
95961... 26 A Electrode stimulation, 2.97 1.43 0.12 4.52 XXX N
brain.
95961... TC A Electrode stimulation, 0.00 1.24 0.08 1.32 XXX N
brain.
95962... ................... A Electrode stimulation, 3.21 2.67 0.20 6.08 XXX N
brain.
95962... 26 A Electrode stimulation, 3.21 1.43 0.12 4.76 XXX N
brain.
95962... TC A Electrode stimulation, 0.00 1.24 0.08 1.32 XXX N
brain.
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, 0.00 1.68 0.20 1.88 XXX N
extend.
96115... ................... A Neurobehavior status 0.00 1.68 0.20 1.88 XXX N
exam.
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 0.52 0.38 0.03 0.93 000 S
admin.
96406... ................... A Intralesional chemo 0.80 0.56 0.04 1.40 000 S
admin.
96408... ................... A Chemotherapy, push 0.00 0.92 0.06 0.98 XXX N
technique.
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 0.00 1.19 0.09 1.28 XXX N
technique.
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, 2.37 0.81 0.06 3.24 000 N
intracavitary.
96445... ................... A Chemotherapy, 2.20 0.98 0.09 3.27 000 N
intracavitary.
96450... ................... A Chemotherapy, into CNS. 1.89 0.87 0.06 2.82 000 N
96520... ................... A Pump refilling, 0.00 0.85 0.06 0.91 XXX N
maintenance.
96530... ................... A Pump refilling, 0.00 1.01 0.07 1.08 XXX N
maintenance.
96542... ................... A Chemotherapy injection. 1.42 1.09 0.13 2.64 XXX N
96545... ................... B Provide chemotherapy 0.00 0.00 0.00 0.00 XXX 0
agent.
96549... ................... C Chemotherapy, 0.00 0.00 0.00 0.00 XXX N
unspecified.
96900... ................... A Ultraviolet light 0.00 0.38 0.03 0.41 XXX N
therapy.
96910... ................... A Photochemotherapy with 0.00 0.55 0.04 0.59 XXX N
UV-B.
96912... ................... A Photochemotherapy with 0.00 0.63 0.05 0.68 XXX N
UV-A.
96913... ................... A Photochemotherapy, UV-A 0.00 1.29 0.10 1.39 XXX N
or B.
96999... ................... C Dermatological 0.00 0.00 0.00 0.00 XXX N
procedure.
97010... ................... B Hot or cold packs +0.06 0.21 0.02 0.29 XXX 0
therapy.
97012... ................... A Mechanical traction 0.25 0.19 0.02 0.46 XXX N
therapy.
97014... ................... A Electric stimulation 0.18 0.20 0.02 0.40 XXX N
therapy.
97016... ................... A Vasopneumatic device 0.18 0.25 0.02 0.45 XXX N
therapy.
97018... ................... A Paraffin bath therapy.. 0.06 0.24 0.03 0.33 XXX N
97020... ................... A Microwave therapy...... 0.06 0.20 0.02 0.28 XXX N
97022... ................... A Whirlpool therapy...... 0.17 0.19 0.02 0.38 XXX N
97024... ................... A Diathermy treatment.... 0.06 0.21 0.02 0.29 XXX N
97026... ................... A Infrared therapy....... 0.06 0.19 0.02 0.27 XXX N
97028... ................... A Ultraviolet therapy.... 0.08 0.19 0.01 0.28 XXX N
97032... ................... A Electrical stimulation. 0.25 0.14 0.01 0.40 XXX N
97033... ................... A Electric current 0.26 0.14 0.02 0.42 XXX N
therapy.
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........... 0.28 0.21 0.02 0.51 XXX N
97039... ................... A Physical therapy 0.20 0.24 0.03 0.47 XXX N
treatment.
97110... ................... A Therapeutic exercises.. 0.45 0.13 0.02 0.60 XXX N
97112... ................... A Neuromuscular 0.45 0.13 0.01 0.59 XXX N
reeducation.
97113... ................... A Aquatic therapy/ 0.44 0.20 0.02 0.66 XXX N
exercises.
97116... ................... A Gait training therapy.. 0.40 0.11 0.01 0.52 XXX N
97122... ................... A Manual traction therapy 0.42 0.11 0.01 0.54 XXX N
97124... ................... A Massage therapy........ 0.35 0.11 0.01 0.47 XXX N
97139... ................... A Physical medicine 0.21 0.16 0.02 0.39 XXX N
procedure.
97150... ................... A Group therapeutic 0.27 0.20 0.02 0.49 XXX N
procedures.
97250... ................... A Myofascial release..... 0.45 0.35 0.04 0.84 000 N
[[Page 59686]]
97260... ................... A Regional manipulation.. 0.19 0.20 0.02 0.41 000 N
97261... ................... A Supplemental 0.12 0.11 0.01 0.24 000 N
manipulations.
97265... ................... A Joint mobilization..... 0.45 0.35 0.04 0.84 XXX N
97500... ................... D Orthotics training..... 0.00 0.00 0.00 0.00 XXX N
97501... ................... D Supplemental training.. 0.00 0.00 0.00 0.00 XXX N
97504... ................... A Orthotic training...... 0.45 0.14 0.02 0.61 XXX N
97520... ................... A Prosthetic training.... 0.45 0.15 0.02 0.62 XXX N
97521... ................... D Supplemental training.. 0.00 0.00 0.00 0.00 XXX N
97530... ................... A Therapeutic activities. 0.44 0.17 0.02 0.63 XXX N
97535... ................... A Self care mngment 0.45 0.17 0.02 0.64 XXX N
training.
97537... ................... A Community/work 0.45 0.17 0.02 0.64 XXX N
reintegration.
97542... ................... A Wheelchair mngement 0.25 0.17 0.02 0.44 XXX N
training.
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
97703... ................... A Prosthetic checkout.... 0.25 0.18 0.03 0.46 XXX N
97750... ................... A Physical performance 0.45 0.24 0.03 0.72 XXX N
test.
97770... ................... A Cognitive skills 0.44 0.28 0.03 0.75 XXX N
development.
97799... ................... C Physical medicine 0.00 0.00 0.00 0.00 XXX N
procedure.
98925... ................... A Osteopathic 0.45 0.25 0.02 0.72 000 N
manipulation.
98926... ................... A Osteopathic 0.65 0.40 0.03 1.08 000 N
manipulation.
98927... ................... A Osteopathic 0.87 0.38 0.03 1.28 000 N
manipulation.
98928... ................... A Osteopathic 1.03 0.42 0.04 1.49 000 N
manipulation.
98929... ................... A Osteopathic 1.19 0.39 0.03 1.61 000 N
manipulation.
98940... ................... A Chiropractic 0.45 0.29 0.01 0.75 000 N
manipulation.
98941... ................... A Chiropractic 0.65 0.29 0.01 0.95 000 N
manipulation.
98942... ................... A Chiropractic 0.87 0.29 0.01 1.17 000 N
manipulation.
98943... ................... N Chiropractic +0.40 0.29 0.01 0.70 XXX 0
manipulation.
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 0.00 0.00 0.00 0.00 XXX 0
evaluation.
99050... ................... B Medical services after 0.00 0.00 0.00 0.00 XXX 0
hrs.
99052... ................... B Medical services at 0.00 0.00 0.00 0.00 XXX 0
night.
99054... ................... B Medical services, 0.00 0.00 0.00 0.00 XXX 0
unusual hrs.
99056... ................... B Non-office medical 0.00 0.00 0.00 0.00 XXX 0
services.
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 0.00 0.00 0.00 0.00 XXX 0
materials.
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 0.00 0.00 0.00 0.00 XXX 0
forms.
99082... ................... C Unusual physician 0.00 0.00 0.00 0.00 XXX N
travel.
99090... ................... B Computer data analysis. 0.00 0.00 0.00 0.00 XXX 0
99100... ................... B Special anesthesia 0.00 0.00 0.00 0.00 XXX 0
service.
99116... ................... B Anesthesia with 0.00 0.00 0.00 0.00 XXX 0
hypothermia.
99135... ................... B Special anesthesia 0.00 0.00 0.00 0.00 XXX 0
procedure.
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
99183... ................... A Hyperbaric oxygen 2.34 1.67 0.11 4.12 XXX N
therapy.
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
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 0.00 0.00 0.00 0.00 XXX N
report.
99201... ................... A Office/outpatient 0.45 0.37 0.04 0.86 XXX P
visit, new.
99202... ................... A Office/outpatient 0.88 0.45 0.05 1.38 XXX P
visit, new.
99203... ................... A Office/outpatient 1.34 0.52 0.06 1.92 XXX P
visit, new.
99204... ................... A Office/outpatient 2.00 0.78 0.08 2.86 XXX P
visit, new.
99205... ................... A Office/outpatient 2.67 0.85 0.09 3.61 XXX P
visit, new.
99211... ................... A Office/outpatient 0.17 0.19 0.02 0.38 XXX P
visit, est.
99212... ................... A Office/outpatient 0.45 0.28 0.02 0.75 XXX P
visit, est.
99213... ................... A Office/outpatient 0.67 0.38 0.03 1.08 XXX P
visit, est.
99214... ................... A Office/outpatient 1.10 0.50 0.04 1.64 XXX P
visit, est.
99215... ................... A Office/outpatient 1.77 0.76 0.07 2.60 XXX P
visit, est.
[[Page 59687]]
99217... ................... A Observation care 1.28 0.52 0.04 1.84 XXX N
discharge.
99218... ................... A Observation care....... 1.28 0.68 0.06 2.02 XXX N
99219... ................... A Observation care....... 2.14 1.05 0.09 3.28 XXX N
99220... ................... A Observation care....... 2.99 1.14 0.09 4.22 XXX N
99221... ................... A Initial hospital care.. 1.28 0.67 0.06 2.01 XXX N
99222... ................... A Initial hospital care.. 2.14 1.04 0.09 3.27 XXX N
99223... ................... A Initial hospital care.. 2.99 1.13 0.08 4.20 XXX N
99231... ................... A Subsequent hospital 0.64 0.38 0.03 1.05 XXX N
care.
99232... ................... A Subsequent hospital 1.06 0.45 0.04 1.55 XXX N
care.
99233... ................... A Subsequent hospital 1.51 0.60 0.05 2.16 XXX N
care.
99238... ................... A Hospital discharge day. 1.28 0.51 0.04 1.83 XXX N
99239... ................... A Hospital discharge day. 1.75 0.51 0.04 2.30 XXX N
99241... ................... A Office consultation.... 0.64 0.64 0.08 1.36 XXX N
99242... ................... A Office consultation.... 1.29 0.77 0.09 2.15 XXX N
99243... ................... A Office consultation.... 1.72 0.97 0.10 2.79 XXX N
99244... ................... A Office consultation.... 2.58 1.23 0.11 3.92 XXX N
99245... ................... A Office consultation.... 3.43 1.69 0.16 5.28 XXX N
99251... ................... A Initial inpatient 0.66 0.67 0.08 1.41 XXX N
consult.
99252... ................... A Initial inpatient 1.32 0.76 0.09 2.17 XXX N
consult.
99253... ................... A Initial inpatient 1.82 0.95 0.10 2.87 XXX N
consult.
99254... ................... A Initial inpatient 2.64 1.20 0.11 3.95 XXX N
consult.
99255... ................... A Initial inpatient 3.65 1.57 0.14 5.36 XXX N
consult.
99261... ................... A Follow-up inpatient 0.42 0.33 0.03 0.78 XXX N
consult.
99262... ................... A Follow-up inpatient 0.85 0.46 0.04 1.35 XXX N
consult.
99263... ................... A Follow-up inpatient 1.27 0.67 0.04 1.98 XXX N
consult.
99271... ................... A Confirmatory 0.45 0.58 0.07 1.10 XXX N
consultation.
99272... ................... A Confirmatory 0.84 0.71 0.09 1.64 XXX N
consultation.
99273... ................... A Confirmatory 1.19 1.02 0.11 2.32 XXX N
consultation.
99274... ................... A Confirmatory 1.73 1.22 0.11 3.06 XXX N
consultation.
99275... ................... A Confirmatory 2.31 1.74 0.17 4.22 XXX N
consultation.
99281... ................... A Emergency dept visit... 0.33 0.28 0.01 0.62 XXX P
99282... ................... A Emergency dept visit... 0.55 0.38 0.03 0.96 XXX P
99283... ................... A Emergency dept visit... 1.24 0.49 0.04 1.77 XXX P
99284... ................... A Emergency dept visit... 1.95 0.70 0.06 2.71 XXX P
99285... ................... A Emergency dept visit... 3.06 1.13 0.08 4.27 XXX P
99288... ................... B Direct advanced life 0.00 0.00 0.00 0.00 XXX 0
support.
99291... ................... A Critical care, first 4.00 1.43 0.11 5.54 XXX N
hour.
99292... ................... A Critical care, addl 30 2.00 0.63 0.04 2.67 XXX N
min.
99295... ................... A Neonatal critical care. 16.00 5.08 1.55 22.63 XXX N
99296... ................... A Neonatal critical care. 8.00 2.46 0.77 11.23 XXX N
99297... ................... A Neonatal critical care. 4.00 1.23 0.38 5.61 XXX N
99301... ................... A Nursing facility care.. 1.28 0.45 0.03 1.76 XXX P
99302... ................... A Nursing facility care.. 1.71 0.50 0.04 2.25 XXX P
99303... ................... A Nursing facility care.. 2.14 0.95 0.07 3.16 XXX P
99311... ................... A Nursing facility care, 0.64 0.34 0.03 1.01 XXX P
subseq.
99312... ................... A Nursing facility care, 1.06 0.41 0.03 1.50 XXX P
subseq.
99313... ................... A Nursing facility care, 1.51 0.46 0.04 2.01 XXX P
subseq.
99321... ................... A Rest home visit, new 0.71 0.37 0.03 1.11 XXX P
patient.
99322... ................... A Rest home visit, new 1.01 0.51 0.05 1.57 XXX P
patient.
99323... ................... A Rest home visit, new 1.28 0.73 0.06 2.07 XXX P
patient.
99331... ................... A Rest home visit, estab 0.60 0.28 0.02 0.90 XXX P
pat.
99332... ................... A Rest home visit, estab 0.80 0.36 0.03 1.19 XXX P
pat.
99333... ................... A Rest home visit, estab 1.00 0.44 0.02 1.46 XXX P
pat.
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 0.83 0.45 0.04 1.32 XXX P
patient.
99352... ................... A Home visit, estab 1.12 0.53 0.04 1.69 XXX P
patient.
99353... ................... A Home visit, estab 1.48 0.61 0.05 2.14 XXX P
patient.
99354... ................... A Prolonged service, 1.77 0.76 0.07 2.60 XXX P
office.
99355... ................... A Prolonged service, 1.77 0.76 0.07 2.60 XXX P
office.
99356... ................... A Prolonged service, 1.71 0.85 0.08 2.64 XXX N
inpatient.
99357... ................... A Prolonged service, 1.71 0.85 0.08 2.64 XXX N
inpatient.
99358... ................... B Prolonged serv, w/o 0.00 0.00 0.00 0.00 XXX 0
contact.
99359... ................... B Prolonged serv, w/o 0.00 0.00 0.00 0.00 XXX 0
contact.
99360... ................... X Physician standby 0.00 0.00 0.00 0.00 XXX 0
services.
99361... ................... B Physician/team 0.00 0.00 0.00 0.00 XXX 0
conference.
[[Page 59688]]
99362... ................... B Physician/team 0.00 0.00 0.00 0.00 XXX 0
conference.
99371... ................... B Physician phone 0.00 0.00 0.00 0.00 XXX 0
consultation.
99372... ................... B Physician phone 0.00 0.00 0.00 0.00 XXX 0
consultation.
99373... ................... B Physician phone 0.00 0.00 0.00 0.00 XXX 0
consultation.
99375... ................... G Care plan oversight/30- +1.73 0.51 0.04 2.28 XXX P
60.
99376... ................... G Care plan oversight/ 0.00 0.00 0.00 0.00 XXX 0
over 60.
99381... ................... N Preventive visit, new, +1.19 1.23 0.08 2.50 XXX 0
infant.
99382... ................... N Preventive visit, new, +1.36 1.41 0.09 2.86 XXX 0
age 1-4.
99383... ................... N Preventive visit, new, +1.36 1.41 0.09 2.86 XXX 0
age 5-11.
99384... ................... N Preventive visit, new, +1.53 1.59 0.10 3.22 XXX 0
12-17.
99385... ................... N Preventive visit, new, +1.53 1.40 0.09 3.02 XXX 0
18-39.
99386... ................... N Preventive visit, new, +1.88 1.72 0.10 3.70 XXX 0
40-64.
99387... ................... N Preventive visit, new, +2.06 1.88 0.11 4.05 XXX 0
65 & over.
99391... ................... N Preventive visit, est, +1.02 1.06 0.07 2.15 XXX 0
infant.
99392... ................... N Preventive visit, est, +1.19 1.23 0.08 2.50 XXX 0
age 1-4.
99393... ................... N Preventive visit, est, +1.19 1.23 0.08 2.50 XXX 0
age 5-11.
99394... ................... N Preventive visit, est, +1.36 1.41 0.09 2.86 XXX 0
12-17.
99395... ................... N Preventive visit, est, +1.36 1.25 0.08 2.69 XXX 0
18-39.
99396... ................... N Preventive visit, est, +1.53 1.40 0.09 3.02 XXX 0
40-64.
99397... ................... N Preventive visit, est, +1.71 1.56 0.10 3.37 XXX 0
65 & over.
99401... ................... N Preventive counseling, +0.48 0.45 0.03 0.96 XXX 0
indiv.
99402... ................... N Preventive counseling, +0.98 0.89 0.05 1.92 XXX 0
indiv.
99403... ................... N Preventive counseling, +1.46 1.34 0.08 2.88 XXX 0
indiv.
99404... ................... N Preventive counseling, +1.95 1.78 0.11 3.84 XXX 0
indiv.
99411... ................... N Preventive counseling, +0.15 0.14 0.01 0.30 XXX 0
group.
99412... ................... N Preventive counseling, +0.25 0.23 0.01 0.49 XXX 0
group.
99420... ................... N Health risk assessment 0.00 0.00 0.00 0.00 XXX 0
test.
99429... ................... N Unlisted preventive 0.00 0.00 0.00 0.00 XXX 0
service.
99431... ................... A Initial care, normal 1.17 1.21 0.08 2.46 XXX N
newborn.
99432... ................... A Newborn care not in 1.26 1.31 0.08 2.65 XXX N
hospital.
99433... ................... A Normal newborn care, 0.62 0.64 0.04 1.30 XXX N
hospital.
99435... ................... A Hospital NB discharge 1.50 1.55 0.10 3.15 XXX P
day.
99440... ................... A Newborn resuscitation.. 2.93 3.04 0.19 6.16 XXX N
99450... ................... N Life/disability 0.00 0.00 0.00 0.00 XXX 0
evaluation.
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 0.00 0.00 0.00 0.00 XXX 0
serv.
A0030... ................... X Air ambulance service.. 0.00 0.00 0.00 0.00 XXX 0
A0040... ................... X Helicopter ambulance 0.00 0.00 0.00 0.00 XXX 0
service.
A0050... ................... X Water amb service 0.00 0.00 0.00 0.00 XXX 0
emergency.
A0080... ................... G Noninterest escort in 0.00 0.00 0.00 0.00 XXX 0
non er.
A0090... ................... G Interest escort in non 0.00 0.00 0.00 0.00 XXX 0
er.
A0100... ................... G Nonemergency transport 0.00 0.00 0.00 0.00 XXX 0
taxi.
A0110... ................... G Nonemergency transport 0.00 0.00 0.00 0.00 XXX 0
bus.
A0120... ................... G Noner transport mini- 0.00 0.00 0.00 0.00 XXX 0
bus.
A0130... ................... G Noner transport wheelch 0.00 0.00 0.00 0.00 XXX 0
van.
A0140... ................... G Nonemergency transport 0.00 0.00 0.00 0.00 XXX 0
air.
A0160... ................... G Noner transport case 0.00 0.00 0.00 0.00 XXX 0
worker.
A0170... ................... G Noner transport parking 0.00 0.00 0.00 0.00 XXX 0
fees.
A0180... ................... G Noner transport lodgng 0.00 0.00 0.00 0.00 XXX 0
recip.
A0190... ................... G Noner transport meals 0.00 0.00 0.00 0.00 XXX 0
recip.
A0200... ................... G Noner transport lodgng 0.00 0.00 0.00 0.00 XXX 0
escrt.
A0210... ................... G Noner transport meals 0.00 0.00 0.00 0.00 XXX 0
escort.
A0225... ................... X Neonatal emergency 0.00 0.00 0.00 0.00 XXX 0
transport.
A0300... ................... X Ambulance basic non- 0.00 0.00 0.00 0.00 XXX 0
emer all.
A0302... ................... X Ambulance basic 0.00 0.00 0.00 0.00 XXX 0
emergency all.
A0304... ................... X Amb adv non-er no serv 0.00 0.00 0.00 0.00 XXX 0
all.
A0306... ................... X Amb adv non-er spec 0.00 0.00 0.00 0.00 XXX 0
serv all.
A0308... ................... X Amb adv er no spec serv 0.00 0.00 0.00 0.00 XXX 0
all.
A0310... ................... X Amb adv er spec serv 0.00 0.00 0.00 0.00 XXX 0
all.
A0320... ................... X Amb basic non-er + 0.00 0.00 0.00 0.00 XXX 0
supplies.
A0322... ................... X Amb basic emerg + 0.00 0.00 0.00 0.00 XXX 0
supplies.
A0324... ................... X Adv non-er serv sep 0.00 0.00 0.00 0.00 XXX 0
mileage.
A0326... ................... X Adv non-er no serv sep 0.00 0.00 0.00 0.00 XXX 0
mile.
A0328... ................... X Adv er no serv sep 0.00 0.00 0.00 0.00 XXX 0
mileage.
A0330... ................... X Adv er spec serv sep 0.00 0.00 0.00 0.00 XXX 0
mile.
[[Page 59689]]
A0340... ................... X Amb basic non-er + 0.00 0.00 0.00 0.00 XXX 0
mileage.
A0342... ................... X Ambul basic emer + 0.00 0.00 0.00 0.00 XXX 0
mileage.
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 + 0.00 0.00 0.00 0.00 XXX 0
mile.
A0348... ................... X Adv emer no spec serv + 0.00 0.00 0.00 0.00 XXX 0
mile.
A0350... ................... X Adv emer spec serv + 0.00 0.00 0.00 0.00 XXX 0
mileage.
A0360... ................... X Basic non-er sep mile & 0.00 0.00 0.00 0.00 XXX 0
supp.
A0362... ................... X Basic emer sep mile & 0.00 0.00 0.00 0.00 XXX 0
supply.
A0364... ................... X Adv non-er no serv sep 0.00 0.00 0.00 0.00 XXX 0
mi&su.
A0366... ................... X Adv non-er serv sep 0.00 0.00 0.00 0.00 XXX 0
mil&supp.
A0368... ................... X Adv er no serv sep 0.00 0.00 0.00 0.00 XXX 0
mile&supp.
A0370... ................... X Adv er spec serv sep 0.00 0.00 0.00 0.00 XXX 0
mi&supp.
A0380... ................... X Basic life support 0.00 0.00 0.00 0.00 XXX 0
mileage.
A0382... ................... X Basic support routine 0.00 0.00 0.00 0.00 XXX 0
suppls.
A0384... ................... X Bls defibrillation 0.00 0.00 0.00 0.00 XXX 0
supplies.
A0390... ................... X Advanced life support 0.00 0.00 0.00 0.00 XXX 0
mileage.
A0392... ................... X Als defibrillation 0.00 0.00 0.00 0.00 XXX 0
supplies.
A0394... ................... X Als IV drug therapy 0.00 0.00 0.00 0.00 XXX 0
supplies.
A0396... ................... X Als esophageal intub 0.00 0.00 0.00 0.00 XXX 0
suppls.
A0398... ................... X Als routine disposable 0.00 0.00 0.00 0.00 XXX 0
suppls.
A0420... ................... X Ambulance waiting 1/2 0.00 0.00 0.00 0.00 XXX 0
hr.
A0422... ................... X Ambulance 02 life 0.00 0.00 0.00 0.00 XXX 0
sustaining.
A0424... ................... X Extra ambulance 0.00 0.00 0.00 0.00 XXX 0
attendant.
A0888... ................... N Noncovered ambulance 0.00 0.00 0.00 0.00 XXX 0
mileage.
A0999... ................... X Unlisted ambulance 0.00 0.00 0.00 0.00 XXX 0
service.
A2000... ................... G Chiropractor manip of +0.45 0.29 0.01 0.75 XXX N
spine.
A4190... ................... D Transparent film each.. 0.00 0.00 0.00 0.00 XXX 0
A4200... ................... D Gauze pad medicated/non- 0.00 0.00 0.00 0.00 XXX 0
med.
A4202... ................... D Elastic gauze roll..... 0.00 0.00 0.00 0.00 XXX 0
A4203... ................... D Non-elastic gauze roll. 0.00 0.00 0.00 0.00 XXX 0
A4204... ................... D Absorptive dressing.... 0.00 0.00 0.00 0.00 XXX 0
A4205... ................... D Nonabsorptive dressing. 0.00 0.00 0.00 0.00 XXX 0
A4206... ................... P 1 CC sterile 0.00 0.00 0.00 0.00 XXX 0
syringe&needle.
A4207... ................... P 2 CC sterile 0.00 0.00 0.00 0.00 XXX 0
syringe&needle.
A4208... ................... P 3 CC sterile 0.00 0.00 0.00 0.00 XXX 0
syringe&needle.
A4209... ................... P 5+ CC sterile 0.00 0.00 0.00 0.00 XXX 0
syringe&needle.
A4210... ................... N Nonneedle injection 0.00 0.00 0.00 0.00 XXX 0
device.
A4211... ................... P Supp for self-adm 0.00 0.00 0.00 0.00 XXX 0
injections.
A4212... ................... P Non coring needle or 0.00 0.00 0.00 0.00 XXX 0
stylet.
A4213... ................... P 20+ CC syringe only.... 0.00 0.00 0.00 0.00 XXX 0
A4214... ................... P 30 CC sterile water/ 0.00 0.00 0.00 0.00 XXX 0
saline.
A4215... ................... P Sterile needle......... 0.00 0.00 0.00 0.00 XXX 0
A4220... ................... P Infusion pump refill 0.00 0.00 0.00 0.00 XXX 0
kit.
A4221... ................... X Maint drug infus cath 0.00 0.00 0.00 0.00 XXX 0
per wk.
A4222... ................... X Drug infusion pump 0.00 0.00 0.00 0.00 XXX 0
supplies.
A4230... ................... N Infus insulin pump non 0.00 0.00 0.00 0.00 XXX 0
needle.
A4231... ................... N Infusion insulin pump 0.00 0.00 0.00 0.00 XXX 0
needle.
A4232... ................... N Syringe w/needle 0.00 0.00 0.00 0.00 XXX 0
insulin 3cc.
A4244... ................... P Alcohol or peroxide per 0.00 0.00 0.00 0.00 XXX 0
pint.
A4245... ................... P Alcohol wipes per box.. 0.00 0.00 0.00 0.00 XXX 0
A4246... ................... P Betadine/phisohex 0.00 0.00 0.00 0.00 XXX 0
solution.
A4247... ................... P Betadine/iodine swabs/ 0.00 0.00 0.00 0.00 XXX 0
wipes.
A4250... ................... N Urine reagent strips/ 0.00 0.00 0.00 0.00 XXX 0
tablets.
A4253... ................... P Blood glucose/reagent 0.00 0.00 0.00 0.00 XXX 0
strips.
A4254... ................... X Battery for glucose 0.00 0.00 0.00 0.00 XXX 0
monitor.
A4255... ................... X Glucose monitor 0.00 0.00 0.00 0.00 XXX 0
platforms.
A4256... ................... P Calibrator solution/ 0.00 0.00 0.00 0.00 XXX 0
chips.
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 0.00 0.00 0.00 0.00 XXX 0
plug.
A4263... ................... A Permanent tear duct 0.00 0.95 0.00 0.95 XXX N
plug.
A4265... ................... P Paraffin............... 0.00 0.00 0.00 0.00 XXX 0
A4270... ................... B Disposable endoscope 0.00 0.00 0.00 0.00 XXX 0
sheath.
A4300... ................... A Cath impl vasc access 0.00 0.95 0.00 0.95 XXX N
portal.
A4301... ................... P Implantable access syst 0.00 0.00 0.00 0.00 XXX 0
perc.
A4305... ................... P Drug delivery system 0.00 0.00 0.00 0.00 XXX 0
>=50 ML.
[[Page 59690]]
A4306... ................... P Drug delivery system 0.00 0.00 0.00 0.00 XXX 0
<=5 ML.
A4310... ................... P Insert tray w/o bag/ 0.00 0.00 0.00 0.00 XXX 0
cath.
A4311... ................... P Catheter w/o bag 2-way 0.00 0.00 0.00 0.00 XXX 0
latex.
A4312... ................... P Cath w/o bag 2-way 0.00 0.00 0.00 0.00 XXX 0
silicone.
A4313... ................... P Catheter w/bag 3-way... 0.00 0.00 0.00 0.00 XXX 0
A4314... ................... P Cath w/drainage 2-way 0.00 0.00 0.00 0.00 XXX 0
latex.
A4315... ................... P Cath w/drainage 2-way 0.00 0.00 0.00 0.00 XXX 0
silcne.
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
A4321... ................... X Cath therapeutic irrig 0.00 0.00 0.00 0.00 XXX 0
agent.
A4322... ................... P Irrigation syringe..... 0.00 0.00 0.00 0.00 XXX 0
A4323... ................... P Saline irrigation 0.00 0.00 0.00 0.00 XXX 0
solution.
A4326... ................... P Male external catheter. 0.00 0.00 0.00 0.00 XXX 0
A4327... ................... P Fem urinary collect dev 0.00 0.00 0.00 0.00 XXX 0
cup.
A4328... ................... P Fem urinary collect 0.00 0.00 0.00 0.00 XXX 0
pouch.
A4329... ................... P External catheter start 0.00 0.00 0.00 0.00 XXX 0
set.
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 0.00 0.00 0.00 0.00 XXX 0
latex.
A4340... ................... P Indwelling catheter 0.00 0.00 0.00 0.00 XXX 0
special.
A4344... ................... P Cath indw foley 2 way 0.00 0.00 0.00 0.00 XXX 0
silicn.
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 0.00 0.00 0.00 0.00 XXX 0
catheter.
A4352... ................... P Coude tip urinary 0.00 0.00 0.00 0.00 XXX 0
catheter.
A4353... ................... X Intermittent urinary 0.00 0.00 0.00 0.00 XXX 0
cath.
A4354... ................... P Cath insertion tray w/ 0.00 0.00 0.00 0.00 XXX 0
bag.
A4355... ................... P Bladder irrigation 0.00 0.00 0.00 0.00 XXX 0
tubing.
A4356... ................... P Ext ureth clmp or compr 0.00 0.00 0.00 0.00 XXX 0
dvc.
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 0.00 0.00 0.00 0.00 XXX 0
leg b.
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
A4365... ................... X Ostomy adhesive remover 0.00 0.00 0.00 0.00 XXX 0
wipe.
A4367... ................... P Ostomy belt............ 0.00 0.00 0.00 0.00 XXX 0
A4368... ................... X Ostomy filter.......... 0.00 0.00 0.00 0.00 XXX 0
A4397... ................... P Irrigation supply 0.00 0.00 0.00 0.00 XXX 0
sleeve.
A4398... ................... P Ostomy irrigation bag.. 0.00 0.00 0.00 0.00 XXX 0
A4399... ................... P Ostomy irrig cone/cath 0.00 0.00 0.00 0.00 XXX 0
w brs.
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 0.00 0.00 0.00 0.00 XXX 0
sizes.
A4455... ................... P Adhesive remover per 0.00 0.00 0.00 0.00 XXX 0
ounce.
A4460... ................... P Elastic compression 0.00 0.00 0.00 0.00 XXX 0
bandage.
A4465... ................... P Non-elastic extremity 0.00 0.00 0.00 0.00 XXX 0
binder.
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
A4481... ................... X Tracheostoma filter.... 0.00 0.00 0.00 0.00 XXX 0
A4490... ................... N Above knee surgical 0.00 0.00 0.00 0.00 XXX 0
stocking.
A4495... ................... N Thigh length surg 0.00 0.00 0.00 0.00 XXX 0
stocking.
A4500... ................... N Below knee surgical 0.00 0.00 0.00 0.00 XXX 0
stocking.
A4510... ................... N Full length surg 0.00 0.00 0.00 0.00 XXX 0
stocking.
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 0.00 0.00 0.00 0.00 XXX 0
disps.
[[Page 59691]]
A4580... ................... X Cast supplies (plaster) 0.00 0.00 0.00 0.00 XXX 0
A4581... ................... D Risser jacket supplies. 0.00 0.00 0.00 0.00 XXX 0
A4590... ................... X Special casting 0.00 0.00 0.00 0.00 XXX 0
material.
A4595... ................... X TENS suppl 2 lead per 0.00 0.00 0.00 0.00 XXX 0
month.
A4610... ................... D Med supplies for use in 0.00 0.00 0.00 0.00 XXX 0
DME.
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 0.00 0.00 0.00 0.00 XXX 0
foot.
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 0.00 0.00 0.00 0.00 XXX 0
mask.
A4621... ................... X Tracheotomy mask or 0.00 0.00 0.00 0.00 XXX 0
collar.
A4622... ................... X Tracheostomy or 0.00 0.00 0.00 0.00 XXX 0
larngectomy.
A4623... ................... X Tracheostomy inner 0.00 0.00 0.00 0.00 XXX 0
cannula.
A4624... ................... X Tracheal suction tube.. 0.00 0.00 0.00 0.00 XXX 0
A4625... ................... X Trach care kit for new 0.00 0.00 0.00 0.00 XXX 0
trach.
A4626... ................... X Tracheostomy cleaning 0.00 0.00 0.00 0.00 XXX 0
brush.
A4627... ................... N Spacer bag/reservoir... 0.00 0.00 0.00 0.00 XXX 0
A4628... ................... X Oropharyngeal suction 0.00 0.00 0.00 0.00 XXX 0
cath.
A4629... ................... X Tracheostomy care kit.. 0.00 0.00 0.00 0.00 XXX 0
A4630... ................... X Repl bat t.e.n.s. own 0.00 0.00 0.00 0.00 XXX 0
by pt.
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/ 0.00 0.00 0.00 0.00 XXX 0
walker.
A4640... ................... X Alternating pressure 0.00 0.00 0.00 0.00 XXX 0
pad.
A4641... ................... E Diagnostic imaging 0.00 0.00 0.00 0.00 XXX 0
agent.
A4642... ................... E Satumomab pendetide per 0.00 0.00 0.00 0.00 XXX 0
dose.
A4643... ................... E High dose contrast MRI. 0.00 0.00 0.00 0.00 XXX 0
A4644... ................... E Contrast 100-199 MGs 0.00 0.00 0.00 0.00 XXX 0
iodine.
A4645... ................... E Contrast 200-299 MGs 0.00 0.00 0.00 0.00 XXX 0
iodine.
A4646... ................... E Contrast 300-399 MGs 0.00 0.00 0.00 0.00 XXX 0
iodine.
A4647... ................... B Supp- paramagnetic 0.00 0.00 0.00 0.00 XXX 0
contr mat.
A4649... ................... P 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 0.00 0.00 0.00 0.00 XXX 0
device.
A4663... ................... X Esrd blood pressure 0.00 0.00 0.00 0.00 XXX 0
cuff.
A4670... ................... N Auto blood pressure 0.00 0.00 0.00 0.00 XXX 0
monitor.
A4680... ................... X Activated carbon 0.00 0.00 0.00 0.00 XXX 0
filters.
A4690... ................... X Dialyzers.............. 0.00 0.00 0.00 0.00 XXX 0
A4700... ................... X Standard dialysate 0.00 0.00 0.00 0.00 XXX 0
solution.
A4705... ................... X Bicarb dialysate 0.00 0.00 0.00 0.00 XXX 0
solution.
A4712... ................... X Sterile water.......... 0.00 0.00 0.00 0.00 XXX 0
A4714... ................... X Treated water for 0.00 0.00 0.00 0.00 XXX 0
dialysis.
A4730... ................... X Fistula cannulation set 0.00 0.00 0.00 0.00 XXX 0
dial.
A4735... ................... X Local/topical 0.00 0.00 0.00 0.00 XXX 0
anesthetics.
A4740... ................... X Esrd shunt accessory... 0.00 0.00 0.00 0.00 XXX 0
A4750... ................... X Arterial or venous 0.00 0.00 0.00 0.00 XXX 0
tubing.
A4755... ................... X Arterial and venous 0.00 0.00 0.00 0.00 XXX 0
tubing.
A4760... ................... X Standard testing 0.00 0.00 0.00 0.00 XXX 0
solution.
A4765... ................... X Dialysate concentrate.. 0.00 0.00 0.00 0.00 XXX 0
A4770... ................... X Blood testing supplies. 0.00 0.00 0.00 0.00 XXX 0
A4771... ................... X Blood clotting time 0.00 0.00 0.00 0.00 XXX 0
tube.
A4772... ................... X Dextrostick/glucose 0.00 0.00 0.00 0.00 XXX 0
strips.
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 0.00 0.00 0.00 0.00 XXX 0
dialysis.
A4820... ................... X Supplies hemodialysis 0.00 0.00 0.00 0.00 XXX 0
kit.
A4850... ................... X Rubber tipped hemostats 0.00 0.00 0.00 0.00 XXX 0
A4860... ................... X Disposable catheter 0.00 0.00 0.00 0.00 XXX 0
caps.
A4870... ................... X Plumbing/electrical 0.00 0.00 0.00 0.00 XXX 0
work.
[[Page 59692]]
A4880... ................... X Water storage tanks.... 0.00 0.00 0.00 0.00 XXX 0
A4890... ................... R Contracts/repair/ 0.00 0.00 0.00 0.00 XXX N
maintenance.
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 0.00 0.00 0.00 0.00 XXX 0
supplies.
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 0.00 0.00 0.00 0.00 XXX 0
holde.
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 0.00 0.00 0.00 0.00 XXX 0
attached.
A5052... ................... P Clsd ostomy pouch w/o 0.00 0.00 0.00 0.00 XXX 0
barr.
A5053... ................... P Clsd ostomy pouch 0.00 0.00 0.00 0.00 XXX 0
faceplate.
A5054... ................... P Clsd ostomy pouch w/ 0.00 0.00 0.00 0.00 XXX 0
flange.
A5055... ................... P Stoma cap.............. 0.00 0.00 0.00 0.00 XXX 0
A5061... ................... P Pouch drainable w 0.00 0.00 0.00 0.00 XXX 0
barrier at.
A5062... ................... P Drnble ostomy pouch w/o 0.00 0.00 0.00 0.00 XXX 0
barr.
A5063... ................... P Drain ostomy pouch w/ 0.00 0.00 0.00 0.00 XXX 0
flange.
A5064... ................... G Drain ostomy pouch w/ 0.00 0.00 0.00 0.00 XXX 0
fceplte.
A5065... ................... G Drain ostomy pouch on 0.00 0.00 0.00 0.00 XXX 0
fcplte.
A5071... ................... P Urinary pouch w/barrier 0.00 0.00 0.00 0.00 XXX 0
A5072... ................... P Urinary pouch w/o 0.00 0.00 0.00 0.00 XXX 0
barrier.
A5073... ................... P Urinary pouch on barr w/ 0.00 0.00 0.00 0.00 XXX 0
flng.
A5074... ................... G Urinary pouch w/ 0.00 0.00 0.00 0.00 XXX 0
faceplate.
A5075... ................... G Urinary pouch on 0.00 0.00 0.00 0.00 XXX 0
faceplate.
A5081... ................... P Continent stoma plug... 0.00 0.00 0.00 0.00 XXX 0
A5082... ................... P Continent stoma 0.00 0.00 0.00 0.00 XXX 0
catheter.
A5093... ................... P Ostomy accessory convex 0.00 0.00 0.00 0.00 XXX 0
inse.
A5102... ................... P Bedside drain btl w/wo 0.00 0.00 0.00 0.00 XXX 0
tube.
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 0.00 0.00 0.00 0.00 XXX 0
pr 50.
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 0.00 0.00 0.00 0.00 XXX 0
flange.
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 0.00 0.00 0.00 0.00 XXX 0
supply.
A5500... ................... X Diab shoe for density 0.00 0.00 0.00 0.00 XXX 0
insert.
A5501... ................... X Diabetic custom molded 0.00 0.00 0.00 0.00 XXX 0
shoe.
A5502... ................... X Diabetic shoe density 0.00 0.00 0.00 0.00 XXX 0
insert.
A5503... ................... X Diabetic shoe w/roller/ 0.00 0.00 0.00 0.00 XXX 0
rockr.
A5504... ................... X Diabetic shoe with 0.00 0.00 0.00 0.00 XXX 0
wedge.
A5505... ................... X Diab shoe w/metatarsal 0.00 0.00 0.00 0.00 XXX 0
bar.
A5506... ................... X Diabetic shoe w/off set 0.00 0.00 0.00 0.00 XXX 0
heel.
A5507... ................... X Modification diabetic 0.00 0.00 0.00 0.00 XXX 0
shoe.
A6020... ................... P Collagen dressing cover 0.00 0.00 0.00 0.00 XXX 0
ea.
A6025... ................... G Silicone gel sheet, 0.00 0.00 0.00 0.00 XXX 0
each.
A6154... ................... X Wound pouch each....... 0.00 0.00 0.00 0.00 XXX 0
A6196... ................... X Alginate dressing <=16 0.00 0.00 0.00 0.00 XXX 0
sq in.
A6197... ................... X Alginate drsg >16 <=48 0.00 0.00 0.00 0.00 XXX 0
sq in.
A6198... ................... X alginate dressing > 48 0.00 0.00 0.00 0.00 XXX 0
sq in.
A6199... ................... X Alginate drsg wound 0.00 0.00 0.00 0.00 XXX 0
filler.
A6203... ................... X Composite drsg <= 16 sq 0.00 0.00 0.00 0.00 XXX 0
in.
A6204... ................... X Composite drsg >16<=48 0.00 0.00 0.00 0.00 XXX 0
sq in.
A6205... ................... X Composite drsg > 48 sq 0.00 0.00 0.00 0.00 XXX 0
in.
A6206... ................... X Contact layer <= 16 sq 0.00 0.00 0.00 0.00 XXX 0
in.
A6207... ................... X Contact layer >16<= 48 0.00 0.00 0.00 0.00 XXX 0
sq in.
A6208... ................... X Contact layer > 48 sq 0.00 0.00 0.00 0.00 XXX 0
in.
A6209... ................... X Foam drsg <=16 sq in w/ 0.00 0.00 0.00 0.00 XXX 0
o bdr.
A6210... ................... X Foam drg >16<=48 sq in 0.00 0.00 0.00 0.00 XXX 0
w/o b.
[[Page 59693]]
A6211... ................... X Foam drg > 48 sq in w/o 0.00 0.00 0.00 0.00 XXX 0
brdr.
A6212... ................... X Foam drg <=16 sq in w/ 0.00 0.00 0.00 0.00 XXX 0
border.
A6213... ................... X Foam drg >16<=48 sq in 0.00 0.00 0.00 0.00 XXX 0
w/bdr.
A6214... ................... X Foam drg > 48 sq in w/ 0.00 0.00 0.00 0.00 XXX 0
border.
A6215... ................... X Foam dressing wound 0.00 0.00 0.00 0.00 XXX 0
filler.
A6216... ................... X Non-sterile gauze<=16 0.00 0.00 0.00 0.00 XXX 0
sq in.
A6217... ................... X Non-sterile 0.00 0.00 0.00 0.00 XXX 0
gauze>16<=48 sq.
A6218... ................... X Non-sterile gauze > 48 0.00 0.00 0.00 0.00 XXX 0
sq in.
A6219... ................... X Gauze <= 16 sq in w/ 0.00 0.00 0.00 0.00 XXX 0
border.
A6220... ................... X Gauze >16 <=48 sq in w/ 0.00 0.00 0.00 0.00 XXX 0
bordr.
A6221... ................... X Gauze > 48 sq in w/ 0.00 0.00 0.00 0.00 XXX 0
border.
A6222... ................... X Gauze <=16 in no w/sal 0.00 0.00 0.00 0.00 XXX 0
w/o b.
A6223... ................... X Gauze >16<=48 no w/sal 0.00 0.00 0.00 0.00 XXX 0
w/o b.
A6224... ................... X Gauze > 48 in no w/sal 0.00 0.00 0.00 0.00 XXX 0
w/o b.
A6228... ................... X Gauze <= 16 sq in water/ 0.00 0.00 0.00 0.00 XXX 0
sal.
A6229... ................... X Gauze >16<=48 sq in 0.00 0.00 0.00 0.00 XXX 0
watr/sal.
A6230... ................... X Gauze > 48 sq in water/ 0.00 0.00 0.00 0.00 XXX 0
salne.
A6234... ................... X Hydrocolld drg <=16 w/o 0.00 0.00 0.00 0.00 XXX 0
bdr.
A6235... ................... X Hydrocolld drg >16<=48 0.00 0.00 0.00 0.00 XXX 0
w/o b.
A6236... ................... X Hydrocolld drg > 48 in 0.00 0.00 0.00 0.00 XXX 0
w/o b.
A6237... ................... X Hydrocolld drg <=16 in 0.00 0.00 0.00 0.00 XXX 0
w/bdr.
A6238... ................... X Hydrocolld drg >16<=48 0.00 0.00 0.00 0.00 XXX 0
w/bdr.
A6239... ................... X Hydrocolld drg > 48 in 0.00 0.00 0.00 0.00 XXX 0
w/bdr.
A6240... ................... X Hydrocolld drg filler 0.00 0.00 0.00 0.00 XXX 0
paste.
A6241... ................... X Hydrocolloid drg filler 0.00 0.00 0.00 0.00 XXX 0
dry.
A6242... ................... X Hydrogel drg <=16 in w/ 0.00 0.00 0.00 0.00 XXX 0
o bdr.
A6243... ................... X Hydrogel drg 16<=48 w/o bdr.
A6244... ................... X Hydrogel drg >48 in w/o 0.00 0.00 0.00 0.00 XXX 0
bdr.
A6245... ................... X Hydrogel drg <= 16 in w/ 0.00 0.00 0.00 0.00 XXX 0
bdr.
A6246... ................... X Hydrogel drg >16<=48 in 0.00 0.00 0.00 0.00 XXX 0
w/b.
A6247... ................... X Hydrogel drg > 48 sq in 0.00 0.00 0.00 0.00 XXX 0
w/b.
A6248... ................... X Hydrogel drsg gel 0.00 0.00 0.00 0.00 XXX 0
filler.
A6250... ................... X Skin seal protect 0.00 0.00 0.00 0.00 XXX 0
moisturizr.
A6251... ................... X Absorpt drg <=16 sq in 0.00 0.00 0.00 0.00 XXX 0
w/o b.
A6252... ................... X Absorpt drg >16 <=48 w/ 0.00 0.00 0.00 0.00 XXX 0
o bdr.
A6253... ................... X Absorpt drg > 48 sq in 0.00 0.00 0.00 0.00 XXX 0
w/o b.
A6254... ................... X Absorpt drg <=16 sq in 0.00 0.00 0.00 0.00 XXX 0
w/bdr.
A6255... ................... X Absorpt drg >16<=48 in 0.00 0.00 0.00 0.00 XXX 0
w/bdr.
A6256... ................... X Absorpt drg > 48 sq in 0.00 0.00 0.00 0.00 XXX 0
w/bdr.
A6257... ................... X Transparent film <= 16 0.00 0.00 0.00 0.00 XXX 0
sq in.
A6258... ................... X Transparent film 0.00 0.00 0.00 0.00 XXX 0
>16<=48 in.
A6259... ................... X Transparent film > 48 0.00 0.00 0.00 0.00 XXX 0
sq in.
A6260... ................... X Wound cleanser any type/ 0.00 0.00 0.00 0.00 XXX 0
size.
A6261... ................... X Wound filler gel/paste / 0.00 0.00 0.00 0.00 XXX 0
oz.
A6262... ................... X Wound filler dry form / 0.00 0.00 0.00 0.00 XXX 0
gram.
A6263... ................... X Non-sterile elastic 0.00 0.00 0.00 0.00 XXX 0
gauze/yd.
A6264... ................... X Non-sterile no elastic 0.00 0.00 0.00 0.00 XXX 0
gauze.
A6265... ................... X Tape per 18 sq inches.. 0.00 0.00 0.00 0.00 XXX 0
A6266... ................... X Impreg gauze no h20/sal/ 0.00 0.00 0.00 0.00 XXX 0
yard.
A6402... ................... X Sterile gauze <= 16 sq 0.00 0.00 0.00 0.00 XXX 0
in.
A6403... ................... X Sterile gauze>16 <= 48 0.00 0.00 0.00 0.00 XXX 0
sq in.
A6404... ................... X Sterile gauze > 48 sq 0.00 0.00 0.00 0.00 XXX 0
in.
A6405... ................... X Sterile elastic gauze / 0.00 0.00 0.00 0.00 XXX 0
yd.
A6406... ................... X Sterile non-elastic 0.00 0.00 0.00 0.00 XXX 0
gauze/yd.
A9150... ................... E Misc/exper non- 0.00 0.00 0.00 0.00 XXX 0
prescript dru.
A9160... ................... N Podiatrist non-covered 0.00 0.00 0.00 0.00 XXX 0
servi.
A9170... ................... N Chiropractor non- 0.00 0.00 0.00 0.00 XXX 0
covered ser.
A9190... ................... N Misc/expe personal 0.00 0.00 0.00 0.00 XXX 0
comfort i.
A9270... ................... N Non-covered item or 0.00 0.00 0.00 0.00 XXX 0
service.
A9300... ................... N Exercise equipment..... 0.00 0.00 0.00 0.00 XXX 0
A9500... ................... E Technetium TC 99m 0.00 0.00 0.00 0.00 XXX 0
sestamibi.
A9503... ................... X Technetium TC 99m 0.00 0.00 0.00 0.00 XXX 0
medronate.
A9505... ................... E Thallous chloride TL 0.00 0.00 0.00 0.00 XXX 0
201/mci.
D0120... ................... N Periodic oral 0.00 0.00 0.00 0.00 XXX 0
evaluation.
D0140... ................... N Limit oral eval problm 0.00 0.00 0.00 0.00 XXX 0
focus.
D0150... ................... R Comprehensve oral 0.00 0.00 0.00 0.00 YYY N
evaluation.
D0160... ................... N Extensv oral eval prob 0.00 0.00 0.00 0.00 XXX 0
focus.
[[Page 59694]]
D0210... ................... G Intraor complete film 0.00 0.00 0.00 0.00 XXX 0
series.
D0220... ................... G Intraoral periapical 0.00 0.00 0.00 0.00 XXX 0
first f.
D0230... ................... G Intraoral periapical ea 0.00 0.00 0.00 0.00 XXX 0
add.
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 0.00 0.00 0.00 0.00 YYY N
film.
D0270... ................... R Dental bitewing single 0.00 0.00 0.00 0.00 YYY N
film.
D0272... ................... R Dental bitewings two 0.00 0.00 0.00 0.00 YYY N
films.
D0274... ................... R Dental bitewings four 0.00 0.00 0.00 0.00 YYY N
films.
D0290... ................... G Dental film skull/ 0.00 0.00 0.00 0.00 XXX 0
facial bon.
D0310... ................... G Dental saliography..... 0.00 0.00 0.00 0.00 XXX 0
D0320... ................... G Dental tmj arthrogram 0.00 0.00 0.00 0.00 XXX 0
incl i.
D0321... ................... G Dental other tmj films. 0.00 0.00 0.00 0.00 XXX 0
D0322... ................... G Dental tomographic 0.00 0.00 0.00 0.00 XXX 0
survey.
D0330... ................... G Dental panoramic film.. 0.00 0.00 0.00 0.00 XXX 0
D0340... ................... G Dental cephalometric 0.00 0.00 0.00 0.00 XXX 0
film.
D0415... ................... N Bacteriologic study.... 0.00 0.00 0.00 0.00 XXX 0
D0425... ................... N Caries susceptibility 0.00 0.00 0.00 0.00 XXX 0
test.
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 0.00 0.00 0.00 0.00 YYY N
examinations.
D0502... ................... R Other oral pathology 0.00 0.00 0.00 0.00 YYY N
procedu.
D0999... ................... R Unspecified diagnostic 0.00 0.00 0.00 0.00 YYY N
proce.
D1110... ................... N Dental prophylaxis 0.00 0.00 0.00 0.00 XXX 0
adult.
D1120... ................... N Dental prophylaxis 0.00 0.00 0.00 0.00 XXX 0
child.
D1201... ................... N Topical fluor w/ prophy 0.00 0.00 0.00 0.00 XXX 0
child.
D1203... ................... N Topical fluor w/o 0.00 0.00 0.00 0.00 XXX 0
prophy chi.
D1204... ................... N Topical fluor w/o 0.00 0.00 0.00 0.00 XXX 0
prophy adu.
D1205... ................... N Topical fluoride w/ 0.00 0.00 0.00 0.00 XXX 0
prophy a.
D1310... ................... N Nutri counsel-control 0.00 0.00 0.00 0.00 XXX 0
caries.
D1320... ................... N Tobacco counseling..... 0.00 0.00 0.00 0.00 XXX 0
D1330... ................... N Oral hygiene 0.00 0.00 0.00 0.00 XXX 0
instruction.
D1351... ................... N Dental sealant per 0.00 0.00 0.00 0.00 XXX 0
tooth.
D1510... ................... R Space maintainer fxd 0.00 0.00 0.00 0.00 YYY N
unilat.
D1515... ................... R Fixed bilat space 0.00 0.00 0.00 0.00 YYY N
maintainer.
D1520... ................... R Remove unilat space 0.00 0.00 0.00 0.00 YYY N
maintain.
D1525... ................... R Remove bilat space 0.00 0.00 0.00 0.00 YYY N
maintain.
D1550... ................... R Recement space 0.00 0.00 0.00 0.00 YYY N
maintainer.
D2110... ................... N Amalgam one surface 0.00 0.00 0.00 0.00 XXX 0
primary.
D2120... ................... N Amalgam two surfaces 0.00 0.00 0.00 0.00 XXX 0
primary.
D2130... ................... N Amalgam three surfaces 0.00 0.00 0.00 0.00 XXX 0
prima.
D2131... ................... N Amalgam four/more surf 0.00 0.00 0.00 0.00 XXX 0
prima.
D2140... ................... N Amalgam one surface 0.00 0.00 0.00 0.00 XXX 0
permanen.
D2150... ................... N Amalgam two surfaces 0.00 0.00 0.00 0.00 XXX 0
permane.
D2160... ................... N Amalgam three surfaces 0.00 0.00 0.00 0.00 XXX 0
perma.
D2161... ................... N Amalgam 4 or > surfaces 0.00 0.00 0.00 0.00 XXX 0
perm.
D2210... ................... N Silcate cement per 0.00 0.00 0.00 0.00 XXX 0
restorat.
D2330... ................... N Resin one surface- 0.00 0.00 0.00 0.00 XXX 0
anterior.
D2331... ................... N Resin two surfaces- 0.00 0.00 0.00 0.00 XXX 0
anterior.
D2332... ................... N Resin three surfaces- 0.00 0.00 0.00 0.00 XXX 0
anterio.
D2335... ................... N Resin 4/> surf or w/ 0.00 0.00 0.00 0.00 XXX 0
incis an.
D2336... ................... N Composite resin crown.. 0.00 0.00 0.00 0.00 XXX 0
D2380... ................... N Resin one surf poster 0.00 0.00 0.00 0.00 XXX 0
primar.
D2381... ................... N Resin two surf poster 0.00 0.00 0.00 0.00 XXX 0
primar.
D2382... ................... N Resin three/more surf 0.00 0.00 0.00 0.00 XXX 0
post p.
D2385... ................... N Resin one surf poster 0.00 0.00 0.00 0.00 XXX 0
perman.
D2386... ................... N Resin two surf poster 0.00 0.00 0.00 0.00 XXX 0
perman.
D2387... ................... N Resin three/more surf 0.00 0.00 0.00 0.00 XXX 0
post p.
D2410... ................... N Dental gold foil one 0.00 0.00 0.00 0.00 XXX 0
surface.
D2420... ................... N Dental gold foil two 0.00 0.00 0.00 0.00 XXX 0
surface.
D2430... ................... N Dental gold foil three 0.00 0.00 0.00 0.00 XXX 0
surfa.
D2510... ................... N Dental inlay metalic 1 0.00 0.00 0.00 0.00 XXX 0
surf.
D2520... ................... N Dental inlay metallic 2 0.00 0.00 0.00 0.00 XXX 0
surf.
D2530... ................... N Dental inlay metl 3/ 0.00 0.00 0.00 0.00 XXX 0
more sur.
D2543... ................... N Dental onlay metallic 3 0.00 0.00 0.00 0.00 XXX 0
surf.
D2544... ................... N Dental onlay metl 4/ 0.00 0.00 0.00 0.00 XXX 0
more sur.
[[Page 59695]]
D2610... ................... N Inlay porcelain/ceramic 0.00 0.00 0.00 0.00 XXX 0
1 su.
D2620... ................... N Inlay porcelain/ceramic 0.00 0.00 0.00 0.00 XXX 0
2 su.
D2630... ................... N Dental onlay porc 3/ 0.00 0.00 0.00 0.00 XXX 0
more sur.
D2642... ................... N Dental onlay porcelin 2 0.00 0.00 0.00 0.00 XXX 0
surf.
D2643... ................... N Dental onlay porcelin 3 0.00 0.00 0.00 0.00 XXX 0
surf.
D2644... ................... N Dental onlay porc 4/ 0.00 0.00 0.00 0.00 XXX 0
more sur.
D2650... ................... N Inlay composite/resin 0.00 0.00 0.00 0.00 XXX 0
one su.
D2651... ................... N Inlay composite/resin 0.00 0.00 0.00 0.00 XXX 0
two su.
D2652... ................... N Dental inlay resin 3/ 0.00 0.00 0.00 0.00 XXX 0
mre sur.
D2662... ................... N Dental onlay resin 2 0.00 0.00 0.00 0.00 XXX 0
surface.
D2663... ................... N Dental onlay resin 3 0.00 0.00 0.00 0.00 XXX 0
surface.
D2664... ................... N Dental onlay resin 4/ 0.00 0.00 0.00 0.00 XXX 0
mre sur.
D2710... ................... N Crown resin laboratory. 0.00 0.00 0.00 0.00 XXX 0
D2720... ................... N Crown resin w/ high 0.00 0.00 0.00 0.00 XXX 0
noble me.
D2721... ................... N Crown resin w/ base 0.00 0.00 0.00 0.00 XXX 0
metal.
D2722... ................... N Crown resin w/ noble 0.00 0.00 0.00 0.00 XXX 0
metal.
D2740... ................... N Crown porcelain/ceramic 0.00 0.00 0.00 0.00 XXX 0
subs.
D2750... ................... N Crown porcelain w/ h 0.00 0.00 0.00 0.00 XXX 0
noble m.
D2751... ................... N Crown porcelain fused 0.00 0.00 0.00 0.00 XXX 0
base m.
D2752... ................... N Crown porcelain w/ 0.00 0.00 0.00 0.00 XXX 0
noble met.
D2790... ................... N Crown full cast high 0.00 0.00 0.00 0.00 XXX 0
noble m.
D2791... ................... N Crown full cast base 0.00 0.00 0.00 0.00 XXX 0
metal.
D2792... ................... N Crown full cast noble 0.00 0.00 0.00 0.00 XXX 0
metal.
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 0.00 0.00 0.00 0.00 XXX 0
crwn pri.
D2931... ................... N Prefab stnlss steel 0.00 0.00 0.00 0.00 XXX 0
crown pe.
D2932... ................... N Prefabricated resin 0.00 0.00 0.00 0.00 XXX 0
crown.
D2933... ................... N Prefab stainless steel 0.00 0.00 0.00 0.00 XXX 0
crown.
D2940... ................... N Dental sedative filling 0.00 0.00 0.00 0.00 XXX 0
D2950... ................... N Core build-up incl any 0.00 0.00 0.00 0.00 XXX 0
pins.
D2951... ................... N Tooth pin retention.... 0.00 0.00 0.00 0.00 XXX 0
D2952... ................... N Post and core cast + 0.00 0.00 0.00 0.00 XXX 0
crown.
D2954... ................... N Prefab post/core + 0.00 0.00 0.00 0.00 XXX 0
crown.
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 0.00 0.00 0.00 0.00 XXX 0
porcelain.
D2970... ................... R Temporary- fractured 0.00 0.00 0.00 0.00 YYY N
tooth.
D2980... ................... N Crown repair........... 0.00 0.00 0.00 0.00 XXX 0
D2999... ................... R Dental unspec 0.00 0.00 0.00 0.00 YYY N
restorative pr.
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 0.00 0.00 0.00 0.00 XXX 0
prim.
D3240... ................... N Pulpal therapy 0.00 0.00 0.00 0.00 XXX 0
posterior pri.
D3310... ................... N Anterior............... 0.00 0.00 0.00 0.00 XXX 0
D3320... ................... N Root canal therapy 2 0.00 0.00 0.00 0.00 XXX 0
canals.
D3330... ................... N Root canal therapy 3 0.00 0.00 0.00 0.00 XXX 0
canals.
D3346... ................... N Retreat root canal 0.00 0.00 0.00 0.00 XXX 0
anterior.
D3347... ................... N Retreat root canal 0.00 0.00 0.00 0.00 XXX 0
bicuspid.
D3348... ................... N Retreat root canal 0.00 0.00 0.00 0.00 XXX 0
molar.
D3351... ................... N Apexification/recalc 0.00 0.00 0.00 0.00 XXX 0
initial.
D3352... ................... N Apexification/recalc 0.00 0.00 0.00 0.00 XXX 0
interim.
D3353... ................... N Apexification/recalc 0.00 0.00 0.00 0.00 XXX 0
final.
D3410... ................... N Apicoect/perirad surg 0.00 0.00 0.00 0.00 XXX 0
anter.
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 0.00 0.00 0.00 0.00 XXX 0
root.
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 0.00 0.00 0.00 0.00 YYY N
implan.
D3470... ................... N Intentional 0.00 0.00 0.00 0.00 XXX 0
replantation.
D3910... ................... N Isolation-tooth w rubb 0.00 0.00 0.00 0.00 XXX 0
dam.
D3920... ................... N Tooth splitting........ 0.00 0.00 0.00 0.00 XXX 0
D3950... ................... N Canal prep/fitting of 0.00 0.00 0.00 0.00 XXX 0
dowel.
[[Page 59696]]
D3960... ................... N Bleaching of discolored 0.00 0.00 0.00 0.00 XXX 0
tooth.
D3999... ................... R Endodontic procedure... 0.00 0.00 0.00 0.00 YYY N
D4210... ................... G Gingivectomy/plasty per 0.00 0.00 0.00 0.00 XXX 0
quad.
D4211... ................... G Gingivectomy/plasty per 0.00 0.00 0.00 0.00 XXX 0
tooth.
D4220... ................... N Gingival curettage per 0.00 0.00 0.00 0.00 XXX 0
quadr.
D4240... ................... N Gingival flap proc w/ 0.00 0.00 0.00 0.00 XXX 0
planin.
D4249... ................... N Crown lengthen hard 0.00 0.00 0.00 0.00 XXX 0
tissue.
D4250... ................... R Mucogingival surg per 0.00 0.00 0.00 0.00 YYY N
quadra.
D4260... ................... R Osseous surgery per 0.00 0.00 0.00 0.00 YYY S
quadrant.
D4263... ................... R Bone replce graft first 0.00 0.00 0.00 0.00 YYY N
site.
D4264... ................... R Bone replce graft each 0.00 0.00 0.00 0.00 YYY N
add.
D4266... ................... N Guided tiss regen 0.00 0.00 0.00 0.00 XXX 0
resorble.
D4267... ................... N Guided tiss regen 0.00 0.00 0.00 0.00 XXX 0
nonresorb.
D4270... ................... R Pedicle soft tissue 0.00 0.00 0.00 0.00 YYY S
graft pr.
D4271... ................... R Free soft tissue graft 0.00 0.00 0.00 0.00 YYY S
proc.
D4273... ................... R Subepithelial tissue 0.00 0.00 0.00 0.00 YYY N
graft.
D4274... ................... N Distal/proximal wedge 0.00 0.00 0.00 0.00 XXX 0
proc.
D4320... ................... N Provision splnt 0.00 0.00 0.00 0.00 XXX 0
intracoronal.
D4321... ................... N Provisional splint 0.00 0.00 0.00 0.00 XXX 0
extracoro.
D4341... ................... N Periodontal scaling & 0.00 0.00 0.00 0.00 XXX 0
root.
D4355... ................... R Full mouth debridement. 0.00 0.00 0.00 0.00 YYY N
D4381... ................... R Localized chemo 0.00 0.00 0.00 0.00 YYY N
delivery.
D4910... ................... N Periodontal maint 0.00 0.00 0.00 0.00 XXX 0
procedures.
D4920... ................... N Unscheduled dressing 0.00 0.00 0.00 0.00 XXX 0
change.
D4999... ................... N Unspecified periodontal 0.00 0.00 0.00 0.00 XXX 0
proc.
D5110... ................... N Dentures complete 0.00 0.00 0.00 0.00 XXX 0
maxillary.
D5120... ................... N Dentures complete 0.00 0.00 0.00 0.00 XXX 0
mandible.
D5130... ................... N Dentures immediat 0.00 0.00 0.00 0.00 XXX 0
maxillary.
D5140... ................... N Dentures immediat 0.00 0.00 0.00 0.00 XXX 0
mandible.
D5211... ................... N Dentures maxill part 0.00 0.00 0.00 0.00 XXX 0
resin.
D5212... ................... N Dentures mand part 0.00 0.00 0.00 0.00 XXX 0
resin.
D5213... ................... N Dentures maxill part 0.00 0.00 0.00 0.00 XXX 0
metal.
D5214... ................... N Dentures mandibl part 0.00 0.00 0.00 0.00 XXX 0
metal.
D5281... ................... N Removable partial 0.00 0.00 0.00 0.00 XXX 0
denture.
D5410... ................... N Dentures adjust cmplt 0.00 0.00 0.00 0.00 XXX 0
maxil.
D5411... ................... N Dentures adjust cmplt 0.00 0.00 0.00 0.00 XXX 0
mand.
D5421... ................... N Dentures adjust part 0.00 0.00 0.00 0.00 XXX 0
maxill.
D5422... ................... N Dentures adjust part 0.00 0.00 0.00 0.00 XXX 0
mandbl.
D5510... ................... N Dentur repr broken 0.00 0.00 0.00 0.00 XXX 0
compl bas.
D5520... ................... N Replace denture teeth 0.00 0.00 0.00 0.00 XXX 0
complt.
D5610... ................... N Dentures repair resin 0.00 0.00 0.00 0.00 XXX 0
base.
D5620... ................... N Rep part denture cast 0.00 0.00 0.00 0.00 XXX 0
frame.
D5630... ................... N Rep partial denture 0.00 0.00 0.00 0.00 XXX 0
clasp.
D5640... ................... N Replace part denture 0.00 0.00 0.00 0.00 XXX 0
teeth.
D5650... ................... N Add tooth to partial 0.00 0.00 0.00 0.00 XXX 0
denture.
D5660... ................... N Add clasp to partial 0.00 0.00 0.00 0.00 XXX 0
denture.
D5710... ................... N Dentures rebase cmplt 0.00 0.00 0.00 0.00 XXX 0
maxil.
D5711... ................... N Dentures rebase cmplt 0.00 0.00 0.00 0.00 XXX 0
mand.
D5720... ................... N Dentures rebase part 0.00 0.00 0.00 0.00 XXX 0
maxill.
D5721... ................... N Dentures rebase part 0.00 0.00 0.00 0.00 XXX 0
mandbl.
D5730... ................... N Denture reln cmplt 0.00 0.00 0.00 0.00 XXX 0
maxil ch.
D5731... ................... N Denture reln cmplt mand 0.00 0.00 0.00 0.00 XXX 0
chr.
D5740... ................... N Denture reln part maxil 0.00 0.00 0.00 0.00 XXX 0
chr.
D5741... ................... N Denture reln part mand 0.00 0.00 0.00 0.00 XXX 0
chr.
D5750... ................... N Denture reln cmplt max 0.00 0.00 0.00 0.00 XXX 0
lab.
D5751... ................... N Denture reln cmplt mand 0.00 0.00 0.00 0.00 XXX 0
lab.
D5760... ................... N Denture reln part maxil 0.00 0.00 0.00 0.00 XXX 0
lab.
D5761... ................... N Denture reln part mand 0.00 0.00 0.00 0.00 XXX 0
lab.
D5810... ................... N Denture interm cmplt 0.00 0.00 0.00 0.00 XXX 0
maxill.
D5811... ................... N Denture interm cmplt 0.00 0.00 0.00 0.00 XXX 0
mandbl.
D5820... ................... N Denture interm part 0.00 0.00 0.00 0.00 XXX 0
maxill.
D5821... ................... N Denture interm part 0.00 0.00 0.00 0.00 XXX 0
mandbl.
D5850... ................... N Denture tiss conditn 0.00 0.00 0.00 0.00 XXX 0
maxill.
D5851... ................... N Denture tiss condtin 0.00 0.00 0.00 0.00 XXX 0
mandbl.
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
[[Page 59697]]
D5899... ................... N Removable prosthodontic 0.00 0.00 0.00 0.00 XXX 0
proc.
D5911... ................... R Facial moulage 0.00 0.00 0.00 0.00 YYY N
sectional.
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 0.00 0.00 0.00 0.00 XXX 0
interim.
D5924... ................... G Cranial prosthesis..... 0.00 0.00 0.00 0.00 XXX 0
D5925... ................... G Facial augmentation 0.00 0.00 0.00 0.00 XXX 0
implant.
D5926... ................... G Replacement nasal 0.00 0.00 0.00 0.00 XXX 0
prosthesis.
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 0.00 0.00 0.00 0.00 XXX 0
prosthesis.
D5935... ................... G Mandibular denture 0.00 0.00 0.00 0.00 XXX 0
prosth.
D5936... ................... G Temp obturator 0.00 0.00 0.00 0.00 XXX 0
prosthesis.
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 0.00 0.00 0.00 0.00 XXX 0
plt.
D5959... ................... G Intraoral con def mod 0.00 0.00 0.00 0.00 XXX 0
palat.
D5960... ................... G Modify speech aid 0.00 0.00 0.00 0.00 XXX 0
prosthesis.
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... ................... G Surgical splint........ 0.00 0.00 0.00 0.00 YYY N
D5999... ................... G Maxillofacial 0.00 0.00 0.00 0.00 XXX 0
prosthesis.
D6010... ................... G Odontics endosteal 0.00 0.00 0.00 0.00 XXX 0
implant.
D6020... ................... G Odontics abutment 0.00 0.00 0.00 0.00 XXX 0
placement.
D6040... ................... G Odontics eposteal 0.00 0.00 0.00 0.00 XXX 0
implant.
D6050... ................... G Odontics transosteal 0.00 0.00 0.00 0.00 XXX 0
implnt.
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 0.00 0.00 0.00 0.00 XXX 0
metal.
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 0.00 0.00 0.00 0.00 XXX 0
noble.
D6241... ................... N Bridge porcelain base 0.00 0.00 0.00 0.00 XXX 0
metal.
D6242... ................... N Bridge porcelain nobel 0.00 0.00 0.00 0.00 XXX 0
metal.
D6250... ................... N Bridge resin w/high 0.00 0.00 0.00 0.00 XXX 0
noble.
D6251... ................... N Bridge resin base metal 0.00 0.00 0.00 0.00 XXX 0
D6252... ................... N Bridge resin w/noble 0.00 0.00 0.00 0.00 XXX 0
metal.
D6520... ................... N Dental retainer two 0.00 0.00 0.00 0.00 XXX 0
surfaces.
D6530... ................... N Retainer metallic 3+ 0.00 0.00 0.00 0.00 XXX 0
surface.
D6543... ................... N Dental retainr onlay 3 0.00 0.00 0.00 0.00 XXX 0
surf.
D6544... ................... N Dental retainr onlay 4/ 0.00 0.00 0.00 0.00 XXX 0
more.
D6545... ................... N Dental retainr cast 0.00 0.00 0.00 0.00 XXX 0
metl.
D6720... ................... N Retain crown resin w hi 0.00 0.00 0.00 0.00 XXX 0
nble.
D6721... ................... N Crown resin w/base 0.00 0.00 0.00 0.00 XXX 0
metal.
D6722... ................... N Crown resin w/noble 0.00 0.00 0.00 0.00 XXX 0
metal.
D6750... ................... N Crown porcelain high 0.00 0.00 0.00 0.00 XXX 0
noble.
[[Page 59698]]
D6751... ................... N Crown porcelain base 0.00 0.00 0.00 0.00 XXX 0
metal.
D6752... ................... N Crown porcelain noble 0.00 0.00 0.00 0.00 XXX 0
metal.
D6780... ................... N Crown \3/4\ high noble 0.00 0.00 0.00 0.00 XXX 0
metal.
D6790... ................... N Crown full high noble 0.00 0.00 0.00 0.00 XXX 0
metal.
D6791... ................... N Crown full base metal 0.00 0.00 0.00 0.00 XXX 0
cast.
D6792... ................... N Crown full noble metal 0.00 0.00 0.00 0.00 XXX 0
cast.
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 0.00 0.00 0.00 0.00 XXX 0
retainer.
D6971... ................... N Cast post bridge 0.00 0.00 0.00 0.00 XXX 0
retainer.
D6972... ................... N Prefab post & core plus 0.00 0.00 0.00 0.00 XXX 0
reta.
D6973... ................... N Core build up for 0.00 0.00 0.00 0.00 XXX 0
retainer.
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 0.00 0.00 0.00 0.00 XXX 0
proc.
D7110... ................... R Oral surgery single 0.00 0.00 0.00 0.00 YYY S
tooth.
D7120... ................... R Each add tooth 0.00 0.00 0.00 0.00 YYY S
extraction.
D7130... ................... R Tooth root removal..... 0.00 0.00 0.00 0.00 YYY S
D7210... ................... R Rem imp tooth w mucoper 0.00 0.00 0.00 0.00 YYY S
flp.
D7220... ................... R Impact tooth remov soft 0.00 0.00 0.00 0.00 YYY S
tiss.
D7230... ................... R Impact tooth remov part 0.00 0.00 0.00 0.00 YYY S
bony.
D7240... ................... R Impact tooth remov comp 0.00 0.00 0.00 0.00 YYY S
bony.
D7241... ................... R Impact tooth rem bony w/ 0.00 0.00 0.00 0.00 YYY S
comp.
D7250... ................... R Tooth root removal..... 0.00 0.00 0.00 0.00 YYY S
D7260... ................... R Oral antral fistula 0.00 0.00 0.00 0.00 YYY S
closure.
D7270... ................... N Tooth reimplantation... 0.00 0.00 0.00 0.00 XXX 0
D7272... ................... N Tooth transplantation.. 0.00 0.00 0.00 0.00 XXX 0
D7280... ................... N Exposure impact tooth 0.00 0.00 0.00 0.00 XXX 0
orthod.
D7281... ................... N Exposure tooth aid 0.00 0.00 0.00 0.00 XXX 0
eruption.
D7285... ................... G Biopsy of oral tissue 0.00 0.00 0.00 0.00 XXX 0
hard.
D7286... ................... G Biopsy of oral tissue 0.00 0.00 0.00 0.00 XXX 0
soft.
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/ 0.00 0.00 0.00 0.00 XXX 0
extraction.
D7320... ................... G Alveoplasty w/o 0.00 0.00 0.00 0.00 XXX 0
extraction.
D7340... ................... G Vestibuloplasty ridge 0.00 0.00 0.00 0.00 XXX 0
extens.
D7350... ................... G Vestibuloplasty exten 0.00 0.00 0.00 0.00 XXX 0
graft.
D7410... ................... G Rad exc lesion up to 0.00 0.00 0.00 0.00 XXX 0
1.25 cm.
D7420... ................... G Lesion > 1.25 cm....... 0.00 0.00 0.00 0.00 XXX 0
D7430... ................... G Exc benign tumor to 0.00 0.00 0.00 0.00 XXX 0
1.25 cm.
D7431... ................... G Benign tumor exc > 1.25 0.00 0.00 0.00 0.00 XXX 0
cm.
D7440... ................... G Malig tumor exc to 1.25 0.00 0.00 0.00 0.00 XXX 0
cm.
D7441... ................... G Malig tumor > 1.25 cm.. 0.00 0.00 0.00 0.00 XXX 0
D7450... ................... G Rem odontogen cyst to 0.00 0.00 0.00 0.00 XXX 0
1.25 cm.
D7451... ................... G Rem odontogen cyst > 0.00 0.00 0.00 0.00 XXX 0
1.25 cm.
D7460... ................... G Rem nonodonto cyst to 0.00 0.00 0.00 0.00 XXX 0
1.25 cm.
D7461... ................... G Rem nonodonto cyst > 0.00 0.00 0.00 0.00 XXX 0
1.25 cm.
D7465... ................... G Lesion destruction..... 0.00 0.00 0.00 0.00 XXX 0
D7470... ................... G Rem exostosis maxilla/ 0.00 0.00 0.00 0.00 XXX 0
mandib.
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 0.00 0.00 0.00 0.00 XXX 0
tiss.
D7520... ................... G I&d abscess extraoral.. 0.00 0.00 0.00 0.00 XXX 0
D7530... ................... G Removal fb skin/areolar 0.00 0.00 0.00 0.00 XXX 0
tiss.
D7540... ................... G Removal of fb reaction. 0.00 0.00 0.00 0.00 XXX 0
D7550... ................... G Removal of sloughed off 0.00 0.00 0.00 0.00 XXX 0
bone.
D7560... ................... G Maxillary sinusotomy... 0.00 0.00 0.00 0.00 XXX 0
D7610... ................... G Maxilla open reduct 0.00 0.00 0.00 0.00 XXX 0
simple.
D7620... ................... G Clsd reduct simpl 0.00 0.00 0.00 0.00 XXX 0
maxilla fx.
D7630... ................... G Open red simpl mandible 0.00 0.00 0.00 0.00 XXX 0
fx.
D7640... ................... G Clsd red simpl mandible 0.00 0.00 0.00 0.00 XXX 0
fx.
D7650... ................... G Open red simp malar/ 0.00 0.00 0.00 0.00 XXX 0
zygom fx.
D7660... ................... G Clsd red simp malar/ 0.00 0.00 0.00 0.00 XXX 0
zygom fx.
D7670... ................... G Open red simple 0.00 0.00 0.00 0.00 XXX 0
alveolus fx.
D7680... ................... G Reduct simple facial 0.00 0.00 0.00 0.00 XXX 0
bone fx.
[[Page 59699]]
D7710... ................... G Maxilla open reduct 0.00 0.00 0.00 0.00 XXX 0
compound.
D7720... ................... G Clsd reduct compd 0.00 0.00 0.00 0.00 XXX 0
maxilla fx.
D7730... ................... G Open reduct compd 0.00 0.00 0.00 0.00 XXX 0
mandble fx.
D7740... ................... G Clsd reduct compd 0.00 0.00 0.00 0.00 XXX 0
mandble fx.
D7750... ................... G Open red comp malar/ 0.00 0.00 0.00 0.00 XXX 0
zygma fx.
D7760... ................... G Clsd red comp malar/ 0.00 0.00 0.00 0.00 XXX 0
zygma fx.
D7770... ................... G Open reduc compd 0.00 0.00 0.00 0.00 XXX 0
alveolus fx.
D7780... ................... G Reduct compnd facial 0.00 0.00 0.00 0.00 XXX 0
bone fx.
D7810... ................... G Tmj open reduct- 0.00 0.00 0.00 0.00 XXX 0
dislocation.
D7820... ................... G Closed tmp manipulation 0.00 0.00 0.00 0.00 XXX 0
D7830... ................... G Tmj manipulation under 0.00 0.00 0.00 0.00 XXX 0
anest.
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 0.00 0.00 0.00 0.00 XXX 0
disc.
D7854... ................... G Tmj excisn of joint 0.00 0.00 0.00 0.00 XXX 0
membrane.
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 0.00 0.00 0.00 0.00 XXX 0
components.
D7870... ................... G Tmj aspiration joint 0.00 0.00 0.00 0.00 XXX 0
fluid.
D7872... ................... G Tmj diagnostic 0.00 0.00 0.00 0.00 XXX 0
arthroscopy.
D7873... ................... G Tmj arthroscopy lysis 0.00 0.00 0.00 0.00 XXX 0
adhesn.
D7874... ................... G Tmj arthroscopy disc 0.00 0.00 0.00 0.00 XXX 0
reposit.
D7875... ................... G Tmj arthroscopy 0.00 0.00 0.00 0.00 XXX 0
synovectomy.
D7876... ................... G Tmj arthroscopy 0.00 0.00 0.00 0.00 XXX 0
discectomy.
D7877... ................... G Tmj arthroscopy 0.00 0.00 0.00 0.00 XXX 0
debridement.
D7880... ................... G Occlusal orthotic 0.00 0.00 0.00 0.00 XXX 0
appliance.
D7899... ................... G Tmj unspecified therapy 0.00 0.00 0.00 0.00 XXX 0
D7910... ................... G Dent sutur recent wnd 0.00 0.00 0.00 0.00 XXX 0
to 5 cm.
D7911... ................... G Dental suture wound to 0.00 0.00 0.00 0.00 XXX 0
5 cm.
D7912... ................... G Suture complicate wnd > 0.00 0.00 0.00 0.00 XXX 0
5 cm.
D7920... ................... G Dental skin graft...... 0.00 0.00 0.00 0.00 XXX 0
D7940... ................... R Reshaping bone 0.00 0.00 0.00 0.00 YYY S
orthognathic.
D7941... ................... G Bone cutting ramus 0.00 0.00 0.00 0.00 XXX 0
closed.
D7942... ................... G Bone cutting ramus open 0.00 0.00 0.00 0.00 XXX 0
D7943... ................... G Cutting ramus open w/ 0.00 0.00 0.00 0.00 XXX 0
graft.
D7944... ................... G Bone cutting segmented. 0.00 0.00 0.00 0.00 XXX 0
D7945... ................... G Bone cutting body 0.00 0.00 0.00 0.00 XXX 0
mandible.
D7946... ................... G Reconstruction maxilla 0.00 0.00 0.00 0.00 XXX 0
total.
D7947... ................... G Reconstruct maxilla 0.00 0.00 0.00 0.00 XXX 0
segment.
D7948... ................... G Reconstruct midface no 0.00 0.00 0.00 0.00 XXX 0
graft.
D7949... ................... G Reconstruct midface w/ 0.00 0.00 0.00 0.00 XXX 0
graft.
D7950... ................... G Mandible graft......... 0.00 0.00 0.00 0.00 XXX 0
D7955... ................... G Repair maxillofacial 0.00 0.00 0.00 0.00 XXX 0
defects.
D7960... ................... G Frenulectomy/ 0.00 0.00 0.00 0.00 XXX 0
frenulotomy.
D7970... ................... G Excision hyperplastic 0.00 0.00 0.00 0.00 XXX 0
tissue.
D7971... ................... G Excision pericoronal 0.00 0.00 0.00 0.00 XXX 0
gingiva.
D7980... ................... G Sialolithotomy......... 0.00 0.00 0.00 0.00 XXX 0
D7981... ................... G Excision of salivary 0.00 0.00 0.00 0.00 XXX 0
gland.
D7982... ................... G Sialodochoplasty....... 0.00 0.00 0.00 0.00 XXX 0
D7983... ................... G Closure of salivary 0.00 0.00 0.00 0.00 XXX 0
fistula.
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
D7995... ................... G Synthetic graft facial 0.00 0.00 0.00 0.00 XXX 0
bones.
D7996... ................... G Implant mandible for 0.00 0.00 0.00 0.00 XXX 0
augment.
D7999... ................... G Oral surgery procedure. 0.00 0.00 0.00 0.00 XXX 0
D8010... ................... N Limited dental tx 0.00 0.00 0.00 0.00 XXX 0
primary.
D8020... ................... N Limited dental tx 0.00 0.00 0.00 0.00 XXX 0
transition.
D8030... ................... N Limited dental tx 0.00 0.00 0.00 0.00 XXX 0
adolescent.
D8040... ................... N Limited dental tx adult 0.00 0.00 0.00 0.00 XXX 0
D8050... ................... N Intercep dental tx 0.00 0.00 0.00 0.00 XXX 0
primary.
D8060... ................... N Intercep dental tx 0.00 0.00 0.00 0.00 XXX 0
transition.
D8070... ................... N Compre dental tx 0.00 0.00 0.00 0.00 XXX 0
transition.
D8080... ................... N Compre dental tx 0.00 0.00 0.00 0.00 XXX 0
adolescent.
D8090... ................... N Compre dental tx adult. 0.00 0.00 0.00 0.00 XXX 0
D8210... ................... N Orthodontic rem 0.00 0.00 0.00 0.00 XXX 0
appliance tx.
D8220... ................... N Fixed appliance therapy 0.00 0.00 0.00 0.00 XXX 0
habt.
[[Page 59700]]
D8660... ................... N Preorthodontic tx visit 0.00 0.00 0.00 0.00 XXX 0
D8670... ................... N Periodic orthodontic tx 0.00 0.00 0.00 0.00 XXX 0
visit.
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
D8999... ................... N Orthodontic procedure.. 0.00 0.00 0.00 0.00 XXX 0
D9110... ................... R Tx dental pain minor 0.00 0.00 0.00 0.00 YYY N
proc.
D9210... ................... G Dent anesthesia w/o 0.00 0.00 0.00 0.00 XXX 0
surgery.
D9211... ................... G Regional block 0.00 0.00 0.00 0.00 XXX 0
anesthesia.
D9212... ................... G Trigeminal block 0.00 0.00 0.00 0.00 XXX 0
anesthesia.
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 0.00 0.00 0.00 0.00 XXX 0
ad 15m.
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 0.00 0.00 0.00 0.00 XXX 0
hours.
D9440... ................... G Office visit after 0.00 0.00 0.00 0.00 XXX 0
hours.
D9610... ................... G Dent therapeutic drug 0.00 0.00 0.00 0.00 XXX 0
inject.
D9630... ................... R Other drugs/medicaments 0.00 0.00 0.00 0.00 YYY N
D9910... ................... N Dent appl desensitizing 0.00 0.00 0.00 0.00 XXX 0
med.
D9920... ................... N Behavior management.... 0.00 0.00 0.00 0.00 XXX 0
D9930... ................... R Treatment of 0.00 0.00 0.00 0.00 YYY N
complications.
D9940... ................... R Dental occlusal guard.. 0.00 0.00 0.00 0.00 YYY N
D9941... ................... N Fabrication athletic 0.00 0.00 0.00 0.00 XXX 0
guard.
D9950... ................... R Occlusion analysis..... 0.00 0.00 0.00 0.00 YYY N
D9951... ................... R Limited occlusal 0.00 0.00 0.00 0.00 YYY N
adjustment.
D9952... ................... R Complete occlusal 0.00 0.00 0.00 0.00 YYY N
adjustment.
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 0.00 0.00 0.00 0.00 XXX 0
specimen.
G0002... ................... A Temporary urinary 0.50 0.70 0.02 1.22 000 S
catheter.
G0004... ................... A ECG transm phys review 0.52 7.31 0.65 8.48 XXX N
& int.
G0005... ................... A ECG 24-hour recording.. 0.00 1.18 0.09 1.27 XXX N
G0006... ................... A ECG transmission & 0.00 5.73 0.51 6.24 XXX N
analysis.
G0007... ................... A ECG phy review & 0.52 0.40 0.05 0.97 XXX N
interpret.
G0008... ................... X Admin influenza virus 0.00 0.00 0.00 0.00 XXX 0
vac.
G0009... ................... X Admin pneumococcal 0.00 0.00 0.00 0.00 XXX 0
vaccine.
G0010... ................... X Admin hepatitis b 0.00 0.00 0.00 0.00 XXX 0
vaccine.
G0015... ................... A Post symptom ECG 0.00 5.73 0.51 6.24 XXX N
tracing.
G0016... ................... A Post symptom ECG md 0.52 0.40 0.05 0.97 XXX N
review.
G0025... ................... A Collagen skin test kit. 0.00 0.95 0.00 0.95 XXX N
G0026... ................... X Fecal leukocyte 0.00 0.00 0.00 0.00 XXX 0
examination.
G0027... ................... X Semen analysis......... 0.00 0.00 0.00 0.00 XXX 0
G0030... ................... C PET imaging prev PET 0.00 0.00 0.00 0.00 XXX N
single.
G0030... 26 A PET imaging prev PET 1.09 0.48 0.07 1.64 XXX N
single.
G0030... TC C PET imaging prev PET 0.00 0.00 0.00 0.00 XXX N
single.
G0031... ................... C PET imaging prev PET 0.00 0.00 0.00 0.00 XXX N
multple.
G0031... 26 A PET imaging prev PET 1.46 0.65 0.10 2.21 XXX N
multple.
G0031... TC C PET imaging prev PET 0.00 0.00 0.00 0.00 XXX N
multple.
G0032... ................... C PET follow SPECT 78464 0.00 0.00 0.00 0.00 XXX N
singl.
G0032... 26 A PET follow SPECT 78464 1.09 0.48 0.07 1.64 XXX N
singl.
G0032... TC C PET follow SPECT 78464 0.00 0.00 0.00 0.00 XXX N
singl.
G0033... ................... C PET follow SPECT 78464 0.00 0.00 0.00 0.00 XXX N
mult.
G0033... 26 A PET follow SPECT 78464 1.46 0.65 0.10 2.21 XXX N
mult.
G0033... TC C PET follow SPECT 78464 0.00 0.00 0.00 0.00 XXX N
mult.
G0034... ................... C PET follow SPECT 76865 0.00 0.00 0.00 0.00 XXX N
singl.
G0034... 26 A PET follow SPECT 76865 1.09 0.48 0.07 1.64 XXX N
singl.
G0034... TC C PET follow SPECT 76865 0.00 0.00 0.00 0.00 XXX N
singl.
G0035... ................... C PET follow SPECT 78465 0.00 0.00 0.00 0.00 XXX N
mult.
G0035... 26 A PET follow SPECT 78465 1.46 0.65 0.10 2.21 XXX N
mult.
G0035... TC C PET follow SPECT 78465 0.00 0.00 0.00 0.00 XXX N
mult.
G0036... ................... C PET follow cornry angio 0.00 0.00 0.00 0.00 XXX N
sing.
G0036... 26 A PET follow cornry angio 1.09 0.48 0.07 1.64 XXX N
sing.
G0036... TC C PET follow cornry angio 0.00 0.00 0.00 0.00 XXX N
sing.
G0037... ................... C PET follow cornry angio 0.00 0.00 0.00 0.00 XXX N
mult.
[[Page 59701]]
G0037... 26 A PET follow cornry angio 1.46 0.65 0.10 2.21 XXX N
mult.
G0037... TC C PET follow cornry angio 0.00 0.00 0.00 0.00 XXX N
mult.
G0038... ................... C PET follow myocard perf 0.00 0.00 0.00 0.00 XXX N
sing.
G0038... 26 A PET follow myocard perf 1.09 0.48 0.07 1.64 XXX N
sing.
G0038... TC C PET follow myocard perf 0.00 0.00 0.00 0.00 XXX N
sing.
G0039... ................... C PET follow myocard perf 0.00 0.00 0.00 0.00 XXX N
mult.
G0039... 26 A PET follow myocard perf 1.46 0.65 0.10 2.21 XXX N
mult.
G0039... TC C PET follow myocard perf 0.00 0.00 0.00 0.00 XXX N
mult.
G0040... ................... C PET follow stress echo 0.00 0.00 0.00 0.00 XXX N
singl.
G0040... 26 A PET follow stress echo 1.09 0.48 0.07 1.64 XXX N
singl.
G0040... TC C PET follow stress echo 0.00 0.00 0.00 0.00 XXX N
singl.
G0041... ................... C PET follow stress echo 0.00 0.00 0.00 0.00 XXX N
mult.
G0041... 26 A PET follow stress echo 1.46 0.65 0.10 2.21 XXX N
mult.
G0041... TC C PET follow stress echo 0.00 0.00 0.00 0.00 XXX N
mult.
G0042... ................... C PET follow ventriculogm 0.00 0.00 0.00 0.00 XXX N
sing.
G0042... 26 A PET follow ventriculogm 1.09 0.48 0.07 1.64 XXX N
sing.
G0042... TC C PET follow ventriculogm 0.00 0.00 0.00 0.00 XXX N
sing.
G0043... ................... C PET follow ventriculogm 0.00 0.00 0.00 0.00 XXX N
mult.
G0043... 26 A PET follow ventriculogm 1.46 0.65 0.10 2.21 XXX N
mult.
G0043... TC C PET follow ventriculogm 0.00 0.00 0.00 0.00 XXX N
mult.
G0044... ................... C PET following rest ECG 0.00 0.00 0.00 0.00 XXX N
singl.
G0044... 26 A PET following rest ECG 1.09 0.48 0.07 1.64 XXX N
singl.
G0044... TC C PET following rest ECG 0.00 0.00 0.00 0.00 XXX N
singl.
G0045... ................... C PET following rest ECG 0.00 0.00 0.00 0.00 XXX N
mult.
G0045... 26 A PET following rest ECG 1.46 0.65 0.10 2.21 XXX N
mult.
G0045... TC C PET following rest ECG 0.00 0.00 0.00 0.00 XXX N
mult.
G0046... ................... C PET follow stress ECG 0.00 0.00 0.00 0.00 XXX N
singl.
G0046... 26 A PET follow stress ECG 1.09 0.48 0.07 1.64 XXX N
singl.
G0046... TC C PET follow stress ECG 0.00 0.00 0.00 0.00 XXX N
singl.
G0047... ................... C PET follow stress ECG 0.00 0.00 0.00 0.00 XXX N
mult.
G0047... 26 A PET follow stress ECG 1.46 0.65 0.10 2.21 XXX N
mult.
G0047... TC C PET follow stress ECG 0.00 0.00 0.00 0.00 XXX N
mult.
G0050... ................... A Residual urine by 0.00 0.81 0.05 0.86 XXX N
ultrasound.
G0051... ................... A Destroy benign/premal 0.55 0.41 0.04 1.00 010 S
lesion.
G0052... ................... A Destruction of add'l 0.18 0.13 0.01 0.32 ZZZ S
lesions.
G0053... ................... A Destruction of add'l 3.05 2.25 0.20 5.50 ZZZ S
lesions.
G0054... ................... D Blood cholesterol test. 0.00 0.00 0.00 0.00 XXX 0
G0055... ................... D Glucose post dose 0.00 0.00 0.00 0.00 XXX 0
measure.
G0056... ................... D Glucose tolerance 3 0.00 0.00 0.00 0.00 XXX 0
specimen.
G0057... ................... D Glucose tolerance > 3 0.00 0.00 0.00 0.00 XXX 0
specimen.
G0058... ................... X Auto multichannel 20 0.00 0.00 0.00 0.00 XXX 0
tests.
G0059... ................... X Auto multichannel 21 0.00 0.00 0.00 0.00 XXX 0
tests.
G0060... ................... X Auto multichannel 22 0.00 0.00 0.00 0.00 XXX 0
tests.
G0061... ................... D Lung volume reduction 0.00 0.00 0.00 0.00 XXX 0
surg.
G0062... ................... A Peripheral bone 0.22 0.82 0.07 1.11 XXX N
densitometry.
G0062... 26 A Peripheral bone 0.22 0.10 0.02 0.34 XXX N
densitometry.
G0062... TC A Peripheral bone 0.00 0.72 0.05 0.77 XXX N
densitometry.
G0063... ................... A Central bone 0.30 3.07 0.21 3.58 XXX N
densitometry.
G0063... 26 A Central bone 0.30 0.12 0.02 0.44 XXX N
densitometry.
G0063... TC A Central bone 0.00 2.95 0.19 3.14 XXX N
densitometry.
G0064... ................... A Care plan oversight, 1.73 0.51 0.04 2.28 XXX P
hme hlth.
G0065... ................... A Care plan oversight, 1.73 0.51 0.04 2.28 XXX P
hospice.
G0066... ................... B Care plan oversight 0.00 0.00 0.00 0.00 XXX 0
nurs fac.
G0071... ................... A Psychotherapy, 1.11 0.35 0.05 1.51 XXX N
office,no E/M.
G0072... ................... A Psychotherapy, 1.47 0.35 0.05 1.87 XXX N
office,wth E/M.
G0073... ................... A Psychotherapy, 1.73 0.54 0.08 2.35 XXX N
office,no E/M.
G0074... ................... A Psychotherapy, 2.00 0.54 0.08 2.62 XXX N
office,wth E/M.
G0075... ................... A Psychotherapy, 2.76 1.05 0.15 3.96 XXX N
office,no E/M.
G0076... ................... A Psychotherapy, 3.15 1.05 0.15 4.35 XXX N
office,wth E/M.
G0077... ................... A Psychotherapy, office, 1.19 0.59 0.09 1.87 XXX N
no E/M.
G0078... ................... A Psychotherapy, 1.58 0.59 0.09 2.26 XXX N
office,wth E/M.
G0079... ................... A Psychotherapy, office, 1.86 0.59 0.09 2.54 XXX N
no E/M.
G0080... ................... A Psychotherapy, 2.15 0.59 0.09 2.83 XXX N
office,wth E/M.
G0081... ................... A Psychotherapy, office, 2.97 0.59 0.09 3.65 XXX N
no E/M.
G0082... ................... A Psychotherapy, 3.39 0.59 0.09 4.07 XXX N
office,wth E/M.
G0083... ................... A Psychotherapy, inpt, no 1.24 0.35 0.05 1.64 XXX N
E/M.
G0084... ................... A Psychotherapy, inpt, 1.65 1.05 0.15 2.85 XXX N
with E/M.
[[Page 59702]]
G0085... ................... A Psychotherapy, inpt, no 1.94 0.54 0.08 2.56 XXX N
E/M.
G0086... ................... A Psychotherapy, inpt, 2.24 0.54 0.08 2.86 XXX N
with E/M.
G0087... ................... A Psychotherapy, inpt, no 3.09 1.05 0.15 4.29 XXX N
E/M.
G0088... ................... A Psychotherapy, inpt, 3.53 1.05 0.15 4.73 XXX N
with E/M.
G0089... ................... A Psychotherapy, inpt, no 1.33 0.35 0.05 1.73 XXX N
E/M.
G0090... ................... A Psychotherapy, 1.77 0.35 0.05 2.17 XXX N
inpt,with E/M.
G0091... ................... A Psychotherapy, inpt, no 2.08 0.54 0.08 2.70 XXX N
E/M.
G0092... ................... A Psychotherapy, 2.41 0.54 0.08 3.03 XXX N
inpt,with E/M.
G0093... ................... A Psychotherapy, inpt, no 3.32 1.05 0.15 4.52 XXX N
E/M.
G0094... ................... A Psychotherapy, inpt, 3.80 1.05 0.15 5.00 XXX N
with E/M.
H5300... ................... G Occupational therapy... +0.32 0.24 0.03 0.59 XXX 0
J0120... ................... E Tetracyclin injection.. 0.00 0.00 0.00 0.00 XXX 0
J0150... ................... E Injection adenosine 6 0.00 0.00 0.00 0.00 XXX 0
MG.
J0170... ................... E Adrenalin epinephrin 0.00 0.00 0.00 0.00 XXX 0
inject.
J0190... ................... E Inj biperiden lactate/5 0.00 0.00 0.00 0.00 XXX 0
mg.
J0205... ................... E Alglucerase injection.. 0.00 0.00 0.00 0.00 XXX 0
J0210... ................... E Methyldopate hcl 0.00 0.00 0.00 0.00 XXX 0
injection.
J0256... ................... E Alpha 1-proteinase 500 0.00 0.00 0.00 0.00 XXX 0
MG.
J0270... ................... N Alprostadil for 0.00 0.00 0.00 0.00 XXX 0
injection.
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 0.00 0.00 0.00 0.00 XXX 0
1.5 gm.
J0300... ................... E Amobarbital 125 MG inj. 0.00 0.00 0.00 0.00 XXX 0
J0330... ................... E Succinycholine chloride 0.00 0.00 0.00 0.00 XXX 0
inj.
J0340... ................... E Nandrolon 0.00 0.00 0.00 0.00 XXX 0
phenpropionate inj.
J0350... ................... E Injection anistreplase 0.00 0.00 0.00 0.00 XXX 0
30 u.
J0360... ................... E Hydralazine hcl 0.00 0.00 0.00 0.00 XXX 0
injection.
J0380... ................... E Inj metaraminol 0.00 0.00 0.00 0.00 XXX 0
bitartrate.
J0390... ................... E Chloroquine injection.. 0.00 0.00 0.00 0.00 XXX 0
J0400... ................... E Inj trimethaphan 0.00 0.00 0.00 0.00 XXX 0
camsylate.
J0460... ................... E Atropine sulfate 0.00 0.00 0.00 0.00 XXX 0
injection.
J0470... ................... E Dimecaprol injection... 0.00 0.00 0.00 0.00 XXX 0
J0475... ................... E Baclofen 10 MG 0.00 0.00 0.00 0.00 XXX 0
injection.
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 0.00 0.00 0.00 0.00 XXX 0
mesylate.
J0520... ................... E Bethanechol chloride 0.00 0.00 0.00 0.00 XXX 0
inject.
J0530... ................... E Penicillin g benzathine 0.00 0.00 0.00 0.00 XXX 0
inj.
J0540... ................... E Penicillin g benzathine 0.00 0.00 0.00 0.00 XXX 0
inj.
J0550... ................... E Penicillin g benzathine 0.00 0.00 0.00 0.00 XXX 0
inj.
J0560... ................... E Penicillin g benzathine 0.00 0.00 0.00 0.00 XXX 0
inj.
J0570... ................... E Penicillin g benzathine 0.00 0.00 0.00 0.00 XXX 0
inj.
J0580... ................... E Penicillin g benzathine 0.00 0.00 0.00 0.00 XXX 0
inj.
J0585... ................... E Botulinum toxin a per 0.00 0.00 0.00 0.00 XXX 0
unit.
J0590... ................... E Ethylnorepinephrine hcl 0.00 0.00 0.00 0.00 XXX 0
inj.
J0600... ................... E Edetate calcium 0.00 0.00 0.00 0.00 XXX 0
disodium inj.
J0610... ................... E Calcium gluconate 0.00 0.00 0.00 0.00 XXX 0
injection.
J0620... ................... E Calcium glycer & lact/ 0.00 0.00 0.00 0.00 XXX 0
10 ML.
J0630... ................... E Calcitonin salmon 0.00 0.00 0.00 0.00 XXX 0
injection.
J0635... ................... E Calcitriol injection... 0.00 0.00 0.00 0.00 XXX 0
J0640... ................... E Leucovorin calcium 0.00 0.00 0.00 0.00 XXX 0
injection.
J0670... ................... E Inj mepivacaine HCL/10 0.00 0.00 0.00 0.00 XXX 0
ml.
J0690... ................... E Cefazolin sodium 0.00 0.00 0.00 0.00 XXX 0
injection.
J0694... ................... E Cefoxitin sodium 0.00 0.00 0.00 0.00 XXX 0
injection.
J0695... ................... E Cefonocid sodium 0.00 0.00 0.00 0.00 XXX 0
injection.
J0696... ................... E Ceftriaxone sodium 0.00 0.00 0.00 0.00 XXX 0
injection.
J0697... ................... E Sterile cefuroxime 0.00 0.00 0.00 0.00 XXX 0
injection.
J0698... ................... E Cefotaxime sodium 0.00 0.00 0.00 0.00 XXX 0
injection.
J0702... ................... E Betamethasone acet&sod 0.00 0.00 0.00 0.00 XXX 0
phosp.
J0704... ................... E Betamethasone sod phosp/ 0.00 0.00 0.00 0.00 XXX 0
4 MG.
J0710... ................... E Cephapirin sodium 0.00 0.00 0.00 0.00 XXX 0
injection.
J0713... ................... E Inj ceftazidime per 500 0.00 0.00 0.00 0.00 XXX 0
mg.
J0715... ................... E Ceftizoxime sodium / 0.00 0.00 0.00 0.00 XXX 0
500 MG.
J0720... ................... E Chloramphenicol sodium 0.00 0.00 0.00 0.00 XXX 0
injec.
J0725... ................... E Chorionic gonadotropin/ 0.00 0.00 0.00 0.00 XXX 0
1000u.
J0730... ................... E Chlorpheniramin maleate 0.00 0.00 0.00 0.00 XXX 0
inj.
J0743... ................... E Cilastatin sodium 0.00 0.00 0.00 0.00 XXX 0
injection.
[[Page 59703]]
J0745... ................... E Inj codeine phosphate / 0.00 0.00 0.00 0.00 XXX 0
30 MG.
J0760... ................... E Colchicine injection... 0.00 0.00 0.00 0.00 XXX 0
J0770... ................... E Colistimethate sodium 0.00 0.00 0.00 0.00 XXX 0
inj.
J0780... ................... E Prochlorperazine 0.00 0.00 0.00 0.00 XXX 0
injection.
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
J0835... ................... E Inj cosyntropin per 0.00 0.00 0.00 0.00 XXX 0
0.25 MG.
J0850... ................... E Cytomegalovirus imm IV / 0.00 0.00 0.00 0.00 XXX 0
vial.
J0895... ................... E Deferoxamine mesylate 0.00 0.00 0.00 0.00 XXX 0
inj.
J0900... ................... E Testosterone enanthate 0.00 0.00 0.00 0.00 XXX 0
inj.
J0945... ................... E Brompheniramine maleate 0.00 0.00 0.00 0.00 XXX 0
inj.
J0970... ................... E Estradiol valerate 0.00 0.00 0.00 0.00 XXX 0
injection.
J1000... ................... E Depo-estradiol 0.00 0.00 0.00 0.00 XXX 0
cypionate inj.
J1020... ................... E Methylprednisolone 20 0.00 0.00 0.00 0.00 XXX 0
MG inj.
J1030... ................... E Methylprednisolone 40 0.00 0.00 0.00 0.00 XXX 0
MG inj.
J1040... ................... E Methylprednisolone 80 0.00 0.00 0.00 0.00 XXX 0
MG inj.
J1050... ................... E Medroxyprogesterone inj 0.00 0.00 0.00 0.00 XXX 0
J1055... ................... N Medrxyprogester acetate 0.00 0.00 0.00 0.00 XXX 0
inj.
J1060... ................... E Testosterone cypionate 0.00 0.00 0.00 0.00 XXX 0
1 ML.
J1070... ................... E Testosterone cypionate 0.00 0.00 0.00 0.00 XXX 0
100 MG.
J1080... ................... E Testosterone cypionate 0.00 0.00 0.00 0.00 XXX 0
200 MG.
J1090... ................... E Testosterone cypionate 0.00 0.00 0.00 0.00 XXX 0
50 MG.
J1095... ................... E Inj dexamethasone 0.00 0.00 0.00 0.00 XXX 0
acetate.
J1100... ................... E Dexamethosone sodium 0.00 0.00 0.00 0.00 XXX 0
phos.
J1110... ................... E Inj dihydroergotamine 0.00 0.00 0.00 0.00 XXX 0
mesylt.
J1120... ................... E Acetazolamid sodium 0.00 0.00 0.00 0.00 XXX 0
injectio.
J1160... ................... E Digoxin injection...... 0.00 0.00 0.00 0.00 XXX 0
J1165... ................... E Phenytoin sodium 0.00 0.00 0.00 0.00 XXX 0
injection.
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
J1190... ................... E Dexrazoxane HCl 0.00 0.00 0.00 0.00 XXX 0
injection.
J1200... ................... E Diphenhydramine hcl 0.00 0.00 0.00 0.00 XXX 0
injectio.
J1205... ................... E Chlorothiazide sodium 0.00 0.00 0.00 0.00 XXX 0
inj.
J1212... ................... E Dimethyl sulfoxide 50% 0.00 0.00 0.00 0.00 XXX 0
50 ML.
J1230... ................... E Methadone injection.... 0.00 0.00 0.00 0.00 XXX 0
J1240... ................... E Dimenhydrinate 0.00 0.00 0.00 0.00 XXX 0
injection.
J1245... ................... E Dipyridamole injection. 0.00 0.00 0.00 0.00 XXX 0
J1250... ................... E Inj dobutamine HCL/250 0.00 0.00 0.00 0.00 XXX 0
mg.
J1320... ................... E Amitriptyline injection 0.00 0.00 0.00 0.00 XXX 0
J1330... ................... E Ergonovine maleate 0.00 0.00 0.00 0.00 XXX 0
injection.
J1362... ................... E Erythromycin glucep / 0.00 0.00 0.00 0.00 XXX 0
250 MG.
J1364... ................... E Erythro lactobionate / 0.00 0.00 0.00 0.00 XXX 0
500 MG.
J1380... ................... E Estradiol valerate 10 0.00 0.00 0.00 0.00 XXX 0
MG inj.
J1390... ................... E Estradiol valerate 20 0.00 0.00 0.00 0.00 XXX 0
MG inj.
J1410... ................... E Inj estrogen conjugate 0.00 0.00 0.00 0.00 XXX 0
25 MG.
J1435... ................... E Injection estrone per 1 0.00 0.00 0.00 0.00 XXX 0
MG.
J1436... ................... E Etidronate disodium inj 0.00 0.00 0.00 0.00 XXX 0
J1440... ................... E Filgrastim 300 mcg 0.00 0.00 0.00 0.00 XXX 0
injection.
J1441... ................... E Filgrastim 480 mcg 0.00 0.00 0.00 0.00 XXX 0
injection.
J1455... ................... E Foscarnet sodium 0.00 0.00 0.00 0.00 XXX 0
injection.
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 0.00 0.00 0.00 0.00 XXX 0
inj.
J1560... ................... E Gamma globulin > 10 CC 0.00 0.00 0.00 0.00 XXX 0
inj.
J1561... ................... E Immune globulin 0.00 0.00 0.00 0.00 XXX 0
injection.
J1562... ................... E Immune globulin 10% /5 0.00 0.00 0.00 0.00 XXX 0
grams.
J1570... ................... E Ganciclovir sodium 0.00 0.00 0.00 0.00 XXX 0
injection.
J1580... ................... E Garamycin gentamicin 0.00 0.00 0.00 0.00 XXX 0
inj.
J1600... ................... E Gold sodium thiomaleate 0.00 0.00 0.00 0.00 XXX 0
inj.
J1610... ................... E Glucagon hydrochloride/ 0.00 0.00 0.00 0.00 XXX 0
1 MG.
[[Page 59704]]
J1620... ................... E Gonadorelin hydroch/ 0.00 0.00 0.00 0.00 XXX 0
100 mcg.
J1625... ................... E Granisetron hydrochlor/ 0.00 0.00 0.00 0.00 XXX 0
1 MG.
J1630... ................... E Haloperidol injection.. 0.00 0.00 0.00 0.00 XXX 0
J1631... ................... E Haloperidol decanoate 0.00 0.00 0.00 0.00 XXX 0
inj.
J1642... ................... E Inj heparin sodium per 0.00 0.00 0.00 0.00 XXX 0
10 u.
J1644... ................... E Inj heparin sodium per 0.00 0.00 0.00 0.00 XXX 0
1000 u.
J1645... ................... E Dalteparin sodium...... 0.00 0.00 0.00 0.00 XXX 0
J1650... ................... E Inj enoxaparin sodium 0.00 0.00 0.00 0.00 XXX 0
30 mg.
J1670... ................... E Tetanus immune globulin 0.00 0.00 0.00 0.00 XXX 0
inj.
J1690... ................... E Prednisolone tebutate 0.00 0.00 0.00 0.00 XXX 0
inj.
J1700... ................... E Hydrocortisone acetate 0.00 0.00 0.00 0.00 XXX 0
inj.
J1710... ................... E Hydrocortisone sodium 0.00 0.00 0.00 0.00 XXX 0
ph inj.
J1720... ................... E Hydrocortisone sodium 0.00 0.00 0.00 0.00 XXX 0
succ i.
J1730... ................... E Diazoxide injection.... 0.00 0.00 0.00 0.00 XXX 0
J1739... ................... E Hydroxyprogesterone cap 0.00 0.00 0.00 0.00 XXX 0
125.
J1741... ................... E Hydroxyprogesterone cap 0.00 0.00 0.00 0.00 XXX 0
250.
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 / 0.00 0.00 0.00 0.00 XXX 0
unit.
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 / 0.00 0.00 0.00 0.00 XXX 0
.25 MG.
J1840... ................... E Kanamycin sulfate 500 0.00 0.00 0.00 0.00 XXX 0
MG inj.
J1850... ................... E Kanamycin sulfate 75 MG 0.00 0.00 0.00 0.00 XXX 0
inj.
J1885... ................... E Ketorolac tromethamine 0.00 0.00 0.00 0.00 XXX 0
inj.
J1890... ................... E Cephalothin sodium 0.00 0.00 0.00 0.00 XXX 0
injection.
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 / 0.00 0.00 0.00 0.00 XXX 0
3.75 MG.
J1955... ................... E Inj levocarnitine per 1 0.00 0.00 0.00 0.00 XXX 0
gm.
J1960... ................... E Levorphanol tartrate 0.00 0.00 0.00 0.00 XXX 0
inj.
J1970... ................... E Methotrimeprazine 0.00 0.00 0.00 0.00 XXX 0
injection.
J1980... ................... E Hyoscyamine sulfate inj 0.00 0.00 0.00 0.00 XXX 0
J1990... ................... E Chlordiazepoxide 0.00 0.00 0.00 0.00 XXX 0
injection.
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... ................... D 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
J2150... ................... E Mannitol injection..... 0.00 0.00 0.00 0.00 XXX 0
J2175... ................... E Meperidine hydrochl / 0.00 0.00 0.00 0.00 XXX 0
100 MG.
J2180... ................... E Meperidine/promethazine 0.00 0.00 0.00 0.00 XXX 0
inj.
J2210... ................... E Methylergonovin maleate 0.00 0.00 0.00 0.00 XXX 0
inj.
J2240... ................... E Metocurine iodide 0.00 0.00 0.00 0.00 XXX 0
injection.
J2250... ................... E Inj midazolam 0.00 0.00 0.00 0.00 XXX 0
hydrochloride.
J2260... ................... E Inj milrinone lactate / 0.00 0.00 0.00 0.00 XXX 0
5 ML.
J2270... ................... E Morphine sulfate 0.00 0.00 0.00 0.00 XXX 0
injection.
J2275... ................... E Morphine sulfate 0.00 0.00 0.00 0.00 XXX 0
injection.
J2300... ................... E Inj nalbuphine 0.00 0.00 0.00 0.00 XXX 0
hydrochloride.
J2310... ................... E Inj naloxone 0.00 0.00 0.00 0.00 XXX 0
hydrochloride.
J2320... ................... E Nandrolone decanoate 50 0.00 0.00 0.00 0.00 XXX 0
MG.
J2321... ................... E Nandrolone decanoate 0.00 0.00 0.00 0.00 XXX 0
100 MG.
J2322... ................... E Nandrolone decanoate 0.00 0.00 0.00 0.00 XXX 0
200 MG.
J2330... ................... E Thiothixene injection.. 0.00 0.00 0.00 0.00 XXX 0
J2350... ................... E Niacinamide/niacin 0.00 0.00 0.00 0.00 XXX 0
injection.
J2360... ................... E Orphenadrine injection. 0.00 0.00 0.00 0.00 XXX 0
J2370... ................... E Phenylephrine hcl 0.00 0.00 0.00 0.00 XXX 0
injection.
J2400... ................... E Chloroprocaine hcl 0.00 0.00 0.00 0.00 XXX 0
injection.
J2405... ................... E Ondansetron hcl 0.00 0.00 0.00 0.00 XXX 0
injection.
J2410... ................... E Oxymorphone hcl 0.00 0.00 0.00 0.00 XXX 0
injection.
J2430... ................... E Pamidronate disodium / 0.00 0.00 0.00 0.00 XXX 0
30 MG.
J2440... ................... E Papaverin hcl injection 0.00 0.00 0.00 0.00 XXX 0
J2460... ................... E Oxytetracycline 0.00 0.00 0.00 0.00 XXX 0
injection.
J2480... ................... E Hydrochlorides of opium 0.00 0.00 0.00 0.00 XXX 0
inj.
[[Page 59705]]
J2510... ................... E Penicillin g procaine 0.00 0.00 0.00 0.00 XXX 0
inj.
J2512... ................... E Inj pentagastrin per 2 0.00 0.00 0.00 0.00 XXX 0
ML.
J2515... ................... E Pentobarbital sodium 0.00 0.00 0.00 0.00 XXX 0
inj.
J2540... ................... E Penicillin g potassium 0.00 0.00 0.00 0.00 XXX 0
inj.
J2545... ................... E Pentamidine isethionte/ 0.00 0.00 0.00 0.00 XXX 0
300mg.
J2550... ................... E Promethazine hcl 0.00 0.00 0.00 0.00 XXX 0
injection.
J2560... ................... E Phenobarbital sodium 0.00 0.00 0.00 0.00 XXX 0
inj.
J2590... ................... E Oxytocin injection..... 0.00 0.00 0.00 0.00 XXX 0
J2597... ................... E Inj desmopressin 0.00 0.00 0.00 0.00 XXX 0
acetate.
J2640... ................... E Prednisolone sodium ph 0.00 0.00 0.00 0.00 XXX 0
inj.
J2650... ................... E Prednisolone acetate 0.00 0.00 0.00 0.00 XXX 0
inj.
J2670... ................... E Totazoline hcl 0.00 0.00 0.00 0.00 XXX 0
injection.
J2675... ................... E Inj progesterone per 50 0.00 0.00 0.00 0.00 XXX 0
MG.
J2680... ................... E Fluphenazine decanoate 0.00 0.00 0.00 0.00 XXX 0
25 MG.
J2690... ................... E Procainamide hcl 0.00 0.00 0.00 0.00 XXX 0
injection.
J2700... ................... E Oxacillin sodium 0.00 0.00 0.00 0.00 XXX 0
injeciton.
J2710... ................... E Neostigmine methylslfte 0.00 0.00 0.00 0.00 XXX 0
inj.
J2720... ................... E Inj protamine sulfate/ 0.00 0.00 0.00 0.00 XXX 0
10 MG.
J2725... ................... E Inj protirelin per 250 0.00 0.00 0.00 0.00 XXX 0
mcg.
J2730... ................... E Pralidoxime chloride 0.00 0.00 0.00 0.00 XXX 0
inj.
J2760... ................... E Phentolaine mesylate 0.00 0.00 0.00 0.00 XXX 0
inj.
J2765... ................... E Metoclopramide hcl 0.00 0.00 0.00 0.00 XXX 0
injection.
J2790... ................... E Rho d immune globulin 0.00 0.00 0.00 0.00 XXX 0
inj.
J2800... ................... E Methocarbamol injection 0.00 0.00 0.00 0.00 XXX 0
J2810... ................... E Inj theophylline per 40 0.00 0.00 0.00 0.00 XXX 0
MG.
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 0.00 0.00 0.00 0.00 XXX 0
injeciton.
J2912... ................... E Sodium chloride 0.00 0.00 0.00 0.00 XXX 0
injection.
J2920... ................... E Methylprednisolone 0.00 0.00 0.00 0.00 XXX 0
injection.
J2930... ................... E Methylprednisolone 0.00 0.00 0.00 0.00 XXX 0
injection.
J2950... ................... E Promazine hcl injeciton 0.00 0.00 0.00 0.00 XXX 0
J2970... ................... E Methicillin sodium 0.00 0.00 0.00 0.00 XXX 0
injection.
J2995... ................... E Inj streptokinase / 0.00 0.00 0.00 0.00 XXX 0
250000 IU.
J2996... ................... E Alteplase recombinant 0.00 0.00 0.00 0.00 XXX 0
inj.
J3000... ................... E Streptomycin injection. 0.00 0.00 0.00 0.00 XXX 0
J3005... ................... E Strontium-89 chloride / 0.00 0.00 0.00 0.00 XXX 0
10 ML.
J3010... ................... E Fentanyl citrate 0.00 0.00 0.00 0.00 XXX 0
injeciton.
J3030... ................... E Sumatriptan succinate / 0.00 0.00 0.00 0.00 XXX 0
6 MG.
J3070... ................... E Pentazocine hcl 0.00 0.00 0.00 0.00 XXX 0
injeciton.
J3080... ................... E Chlorprothixene 0.00 0.00 0.00 0.00 XXX 0
injection.
J3105... ................... E Terbutaline sulfate inj 0.00 0.00 0.00 0.00 XXX 0
J3120... ................... E Testosterone enanthate 0.00 0.00 0.00 0.00 XXX 0
inj.
J3130... ................... E Testosterone enanthate 0.00 0.00 0.00 0.00 XXX 0
inj.
J3140... ................... E Testosterone suspension 0.00 0.00 0.00 0.00 XXX 0
inj.
J3150... ................... E Testosteron propionate 0.00 0.00 0.00 0.00 XXX 0
inj.
J3230... ................... E Chlorpromazine hcl 0.00 0.00 0.00 0.00 XXX 0
injection.
J3240... ................... E Thyrotropin injection.. 0.00 0.00 0.00 0.00 XXX 0
J3250... ................... E Trimethobenzamide hcl 0.00 0.00 0.00 0.00 XXX 0
inj.
J3260... ................... E Tobramycin sulfate 0.00 0.00 0.00 0.00 XXX 0
injection.
J3265... ................... E Injection torsemide 10 0.00 0.00 0.00 0.00 XXX 0
mg/ml.
J3270... ................... E Imipramine hcl 0.00 0.00 0.00 0.00 XXX 0
injection.
J3280... ................... E Thiethylperazine 0.00 0.00 0.00 0.00 XXX 0
maleate inj.
J3301... ................... E Triamcinolone acetonide 0.00 0.00 0.00 0.00 XXX 0
inj.
J3302... ................... E Triamcinolone diacetate 0.00 0.00 0.00 0.00 XXX 0
inj.
J3303... ................... E Triamcinolone 0.00 0.00 0.00 0.00 XXX 0
hexacetonl inj.
J3305... ................... E Inj trimetrexate 0.00 0.00 0.00 0.00 XXX 0
glucoronate.
J3310... ................... E Perphenazine injeciton. 0.00 0.00 0.00 0.00 XXX 0
J3320... ................... E Spectinomycn di-hcl 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 0.00 0.00 0.00 0.00 XXX 0
injection.
J3365... ................... E Urokinase 250,000 IU 0.00 0.00 0.00 0.00 XXX 0
inj.
J3370... ................... R Vancomycin hcl 0.00 0.00 0.00 0.00 XXX 0
injection.
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 0.00 0.00 0.00 0.00 XXX 0
injection.
[[Page 59706]]
J3420... ................... E Vitamin b12 injection.. 0.00 0.00 0.00 0.00 XXX 0
J3430... ................... E Vitamin k phytonadione 0.00 0.00 0.00 0.00 XXX 0
inj.
J3450... ................... E Mephentermine sulfate 0.00 0.00 0.00 0.00 XXX 0
inj.
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 0.00 0.00 0.00 0.00 XXX 0
injection.
J3520... ................... N Edetate disodium per 0.00 0.00 0.00 0.00 XXX 0
150 mg.
J3530... ................... E Nasal vaccine 0.00 0.00 0.00 0.00 XXX 0
inhalation.
J3535... ................... N Metered dose inhaler 0.00 0.00 0.00 0.00 XXX 0
drug.
J3570... ................... N Laetrile amygdalin vit 0.00 0.00 0.00 0.00 XXX 0
B17.
J7030... ................... E Normal saline solution 0.00 0.00 0.00 0.00 XXX 0
infus.
J7040... ................... E Normal saline solution 0.00 0.00 0.00 0.00 XXX 0
infus.
J7042... ................... E 5% dextrose/normal 0.00 0.00 0.00 0.00 XXX 0
saline.
J7050... ................... E Normal saline solution 0.00 0.00 0.00 0.00 XXX 0
infus.
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
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 0.00 0.00 0.00 0.00 XXX 0
infusion.
J7130... ................... E Hypertonic saline 0.00 0.00 0.00 0.00 XXX 0
solution.
J7140... ................... D Prescription oral drug. 0.00 0.00 0.00 0.00 XXX 0
J7150... ................... D Prescription oral chemo 0.00 0.00 0.00 0.00 XXX 0
drug.
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 0.00 0.00 0.00 0.00 XXX 0
factors.
J7197... ................... X Antithrombin iii 0.00 0.00 0.00 0.00 XXX 0
injection.
J7300... ................... N Intraut copper 0.00 0.00 0.00 0.00 XXX 0
contraceptive.
J7310... ................... E Ganciclovir long act 0.00 0.00 0.00 0.00 XXX 0
implant.
J7500... ................... X Azathiop po tab 50mg 0.00 0.00 0.00 0.00 XXX 0
100s ea.
J7501... ................... X Azathioprine parenteral 0.00 0.00 0.00 0.00 XXX 0
J7502... ................... D Cyclosporine oral 0.00 0.00 0.00 0.00 XXX 0
solution.
J7503... ................... X Cyclosporine parenteral 0.00 0.00 0.00 0.00 XXX 0
J7504... ................... X Lymphocyte immune 0.00 0.00 0.00 0.00 XXX 0
globulin.
J7505... ................... X Monoclonal antibodies.. 0.00 0.00 0.00 0.00 XXX 0
J7506... ................... X Prednisone oral........ 0.00 0.00 0.00 0.00 XXX 0
J7507... ................... E Tacrolimus oral per 1 0.00 0.00 0.00 0.00 XXX 0
MG.
J7508... ................... E Tacrolimus oral per 5 0.00 0.00 0.00 0.00 XXX 0
MG.
J7509... ................... X Methylprednisolone oral 0.00 0.00 0.00 0.00 XXX 0
J7510... ................... X Prednisolone oral per 5 0.00 0.00 0.00 0.00 XXX 0
mg.
J7599... ................... X Immunosuppressive drug 0.00 0.00 0.00 0.00 XXX 0
noc.
J7610... ................... E Acetylcysteine 10% 0.00 0.00 0.00 0.00 XXX 0
injection.
J7615... ................... E Acetylcysteine 20% 0.00 0.00 0.00 0.00 XXX 0
injection.
J7620... ................... E Albuterol sulfate .083%/ 0.00 0.00 0.00 0.00 XXX 0
ml.
J7625... ................... E Albuterol sulfate .5% 0.00 0.00 0.00 0.00 XXX 0
inj.
J7627... ................... E Bitolterolmesylate 0.00 0.00 0.00 0.00 XXX 0
inhal sol.
J7630... ................... E Cromolyn sodium 0.00 0.00 0.00 0.00 XXX 0
injection.
J7640... ................... E Epinephrine injection.. 0.00 0.00 0.00 0.00 XXX 0
J7645... ................... E Ipratropium bromide 0.00 0.00 0.00 0.00 XXX 0
.02%/ml.
J7650... ................... E Isoetharine hcl .1% inj 0.00 0.00 0.00 0.00 XXX 0
J7651... ................... E Isoetharine hcl .125% 0.00 0.00 0.00 0.00 XXX 0
inj.
J7652... ................... E Isoetharine hcl .167% 0.00 0.00 0.00 0.00 XXX 0
inj.
J7653... ................... E Isoetharine hcl .2%/ 0.00 0.00 0.00 0.00 XXX 0
inj.
J7654... ................... E Isoetharine hcl .25% 0.00 0.00 0.00 0.00 XXX 0
inj.
J7655... ................... E Isoetharine hcl 1% inj. 0.00 0.00 0.00 0.00 XXX 0
J7660... ................... E Isoproterenol hcl .5% 0.00 0.00 0.00 0.00 XXX 0
inj.
J7665... ................... E Isoproterenol hcl 1% 0.00 0.00 0.00 0.00 XXX 0
inj.
J7670... ................... E Metaproterenol sulfate 0.00 0.00 0.00 0.00 XXX 0
.4%.
J7672... ................... E Metaproterenol sulfate 0.00 0.00 0.00 0.00 XXX 0
.6%.
J7675... ................... E Metaproterenol sulfate 0.00 0.00 0.00 0.00 XXX 0
5%.
J7699... ................... E Inhalation solution for 0.00 0.00 0.00 0.00 XXX 0
DME.
J7799... ................... E Non-inhalation drug for 0.00 0.00 0.00 0.00 XXX 0
DME.
J8499... ................... N Oral prescrip drug non 0.00 0.00 0.00 0.00 XXX 0
chemo.
J8530... ................... E Cyclophosphamide oral 0.00 0.00 0.00 0.00 XXX 0
25 MG.
[[Page 59707]]
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 0.00 0.00 0.00 0.00 XXX 0
MG.
J8999... ................... E Oral prescription drug 0.00 0.00 0.00 0.00 XXX 0
chemo.
J9000... ................... E Doxorubic hcl 10 MG vl 0.00 0.00 0.00 0.00 XXX 0
chemo.
J9010... ................... D Doxorubicin hcl 50 MG 0.00 0.00 0.00 0.00 XXX 0
inj.
J9015... ................... E Aldesleukin/single use 0.00 0.00 0.00 0.00 XXX 0
vial.
J9020... ................... E Asparaginase injection. 0.00 0.00 0.00 0.00 XXX 0
J9031... ................... E Bcg live intravesical 0.00 0.00 0.00 0.00 XXX 0
vac.
J9040... ................... E Bleomycin sulfate 0.00 0.00 0.00 0.00 XXX 0
injection.
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 0.00 0.00 0.00 0.00 XXX 0
injection.
J9062... ................... E Cisplatin 50 MG 0.00 0.00 0.00 0.00 XXX 0
injection.
J9065... ................... E Inj cladribine per 1 MG 0.00 0.00 0.00 0.00 XXX 0
J9070... ................... E Cyclophosphamide 100 MG 0.00 0.00 0.00 0.00 XXX 0
inj.
J9080... ................... E Cyclophosphamide 200 MG 0.00 0.00 0.00 0.00 XXX 0
inj.
J9090... ................... E Cyclophosphamide 500 MG 0.00 0.00 0.00 0.00 XXX 0
inj.
J9091... ................... E Cyclophosphamide 1.0 0.00 0.00 0.00 0.00 XXX 0
grm inj.
J9092... ................... E Cyclophosphamide 2.0 0.00 0.00 0.00 0.00 XXX 0
grm inj.
J9093... ................... E Cyclophosphamide 0.00 0.00 0.00 0.00 XXX 0
lyophilized.
J9094... ................... E Cyclophosphamide 0.00 0.00 0.00 0.00 XXX 0
lyophilized.
J9095... ................... E Cyclophosphamide 0.00 0.00 0.00 0.00 XXX 0
lyophilized.
J9096... ................... E Cyclophosphamide 0.00 0.00 0.00 0.00 XXX 0
lyophilized.
J9097... ................... E Cyclophosphamide 0.00 0.00 0.00 0.00 XXX 0
lyophilized.
J9100... ................... E Cytarabine hcl 100 MG 0.00 0.00 0.00 0.00 XXX 0
inj.
J9110... ................... E Cytarabine hcl 500 MG 0.00 0.00 0.00 0.00 XXX 0
inj.
J9120... ................... E Dactinomycin 0.00 0.00 0.00 0.00 XXX 0
actinomycin d.
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 0.00 0.00 0.00 0.00 XXX 0
injection.
J9165... ................... E Diethylstilbestrol 0.00 0.00 0.00 0.00 XXX 0
injection.
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
J9185... ................... E Fludarabine phosphate 0.00 0.00 0.00 0.00 XXX 0
inj.
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 0.00 0.00 0.00 0.00 XXX 0
implant.
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 0.00 0.00 0.00 0.00 XXX 0
injection.
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 0.00 0.00 0.00 0.00 XXX 0
inj.
J9217... ................... E Leuprolide acetate 0.00 0.00 0.00 0.00 XXX 0
suspension.
J9218... ................... E Leuprolide acetate 0.00 0.00 0.00 0.00 XXX 0
injection.
J9230... ................... E Mechlorethamine hcl inj 0.00 0.00 0.00 0.00 XXX 0
J9245... ................... E Inj melphalan hydrochl 0.00 0.00 0.00 0.00 XXX 0
50 MG.
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 0.00 0.00 0.00 0.00 XXX 0
vial.
J9268... ................... E Pentostatin injection.. 0.00 0.00 0.00 0.00 XXX 0
J9270... ................... E Plicamycin 0.00 0.00 0.00 0.00 XXX 0
(mithramycin) inj.
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 0.00 0.00 0.00 0.00 XXX 0
MG.
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 0.00 0.00 0.00 0.00 XXX 0
MG inj.
J9375... ................... E Vincristine sulfate 2 0.00 0.00 0.00 0.00 XXX 0
MG inj.
J9380... ................... E Vincristine sulfate 5 0.00 0.00 0.00 0.00 XXX 0
MG inj.
J9390... ................... E Vinorelbine tartrate/10 0.00 0.00 0.00 0.00 XXX 0
mg.
J9999... ................... E Chemotherapy drug...... 0.00 0.00 0.00 0.00 XXX 0
[[Page 59708]]
M0005... ................... G Off visit 2/more +0.76 0.31 0.03 1.10 XXX 0
modalities.
M0006... ................... G One phys therapy +0.50 0.15 0.02 0.67 XXX 0
modality.
M0007... ................... G Combined phys ther mod +1.01 0.35 0.04 1.40 XXX 0
& tx.
M0008... ................... G Combined phys ther mod +0.50 0.11 0.01 0.62 XXX 0
& tx.
M0064... ................... A Visit for drug 0.37 0.19 0.03 0.59 XXX N
monitoring.
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 0.00 0.00 0.00 0.00 XXX 0
hypothermia.
M0101... ................... A Foot care hygienic/pm.. 0.43 0.35 0.03 0.81 XXX S
M0300... ................... N IV chelationtherapy.... 0.00 0.00 0.00 0.00 XXX 0
M0301... ................... N Fabric wrapping of 0.00 0.00 0.00 0.00 XXX 0
aneurysm.
M0302... ................... N Assessment of cardiac 0.00 0.00 0.00 0.00 XXX 0
output.
P2028... ................... X Cephalin floculation 0.00 0.00 0.00 0.00 XXX 0
test.
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 0.00 0.00 0.00 0.00 XXX 0
supv.
P3001... ................... X Screening pap smear by 0.00 0.00 0.00 0.00 XXX 0
phys.
P3001... 26 A Screening pap smear by 0.42 0.32 0.04 0.78 XXX N
phys.
P7001... ................... G Culture bacterial urine 0.00 0.00 0.00 0.00 XXX 0
P9010... ................... E Whole blood for 0.00 0.00 0.00 0.00 XXX 0
transfusion.
P9011... ................... E Blood split unit....... 0.00 0.00 0.00 0.00 XXX 0
P9012... ................... E Cryoprecipitate each 0.00 0.00 0.00 0.00 XXX 0
unit.
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, 0.00 0.00 0.00 0.00 XXX 0
unit.
P9017... ................... E One donor fresh frozn 0.00 0.00 0.00 0.00 XXX 0
plasma.
P9018... ................... E Plasma protein fract, 0.00 0.00 0.00 0.00 XXX 0
unit.
P9019... ................... E Platelet concentrate 0.00 0.00 0.00 0.00 XXX 0
unit.
P9020... ................... E Plaelet rich plasma 0.00 0.00 0.00 0.00 XXX 0
unit.
P9021... ................... E Red blood cells unit... 0.00 0.00 0.00 0.00 XXX 0
P9022... ................... E Washed red blood cells 0.00 0.00 0.00 0.00 XXX 0
unit.
P9603... ................... X One-way allow prorated 0.00 0.00 0.00 0.00 XXX 0
miles.
P9604... ................... X One-way allow prorated 0.00 0.00 0.00 0.00 XXX 0
trip.
P9610... ................... X Urine specimen collect 0.00 0.00 0.00 0.00 XXX 0
singl.
P9615... ................... X Urine specimen collect 0.00 0.00 0.00 0.00 XXX 0
mult.
Q0034... ................... X Admin of influenza 0.00 0.00 0.00 0.00 XXX 0
vaccine.
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 1.67 1.27 0.16 3.10 O00 N
plasmapheresis.
Q0091... ................... A Obtaining screen pap 0.37 0.28 0.03 0.68 XXX N
smear.
Q0092... ................... A Set up port x-ray 0.00 0.30 0.01 0.31 XXX N
equipment.
Q0103... ................... A Physical therapy 1.01 0.35 0.11 1.47 XXX N
evaluation.
Q0104... ................... A Phys therapy re- 0.50 0.04 0.01 0.55 XXX N
evaluation.
Q0109... ................... A Occupational therapy 1.01 0.35 0.11 1.47 XXX N
eval.
Q0110... ................... A Occupational therap re- 0.50 0.04 0.01 0.55 XXX N
eval.
Q0111... ................... X Wet mounts/ w 0.00 0.00 0.00 0.00 XXX 0
preparations.
Q0112... ................... X Potassium hydroxide 0.00 0.00 0.00 0.00 XXX 0
preps.
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... ................... D Hemoglbn sngle analyte 0.00 0.00 0.00 0.00 XXX 0
exam.
Q0132... ................... X Dispensing fee DME neb 0.00 0.00 0.00 0.00 XXX 0
drug.
Q0136... ................... X Non esrd epoetin alpha 0.00 0.00 0.00 0.00 XXX 0
inj.
Q0144... ................... N Azithromycin dihydrate, 0.00 0.00 0.00 0.00 XXX 0
oral.
Q0156... ................... X Human albumin 5%....... 0.00 0.00 0.00 0.00 XXX 0
Q0157... ................... X Human albumin 25%...... 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
[[Page 59709]]
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- 0.00 0.00 0.00 0.00 XXX N
ray.
R0075... ................... C Transport port x-ray 0.00 0.00 0.00 0.00 XXX N
multipl.
R0076... ................... B Transport portable EKG. 0.00 0.00 0.00 0.00 XXX 0
V2020... ................... X Vision svcs frames 0.00 0.00 0.00 0.00 XXX 0
purchases.
V2025... ................... N Eyeglasses delux frames 0.00 0.00 0.00 0.00 XXX 0
V2100... ................... X Lens spher single plano 0.00 0.00 0.00 0.00 XXX 0
4.00.
V2101... ................... X Single visn sphere 4.12- 0.00 0.00 0.00 0.00 XXX 0
7.00.
V2102... ................... X Singl visn sphere 7.12- 0.00 0.00 0.00 0.00 XXX 0
20.00.
V2103... ................... X Spherocylindr 4.00d/12- 0.00 0.00 0.00 0.00 XXX 0
2.00d.
V2104... ................... X Spherocylindr 4.00d/ 0.00 0.00 0.00 0.00 XXX 0
2.12-4d.
V2105... ................... X Spherocylinder 4.00d/ 0.00 0.00 0.00 0.00 XXX 0
4.25-6d.
V2106... ................... X Spherocylinder 4.00d/ 0.00 0.00 0.00 0.00 XXX 0
>6.00d.
V2107... ................... X Spherocylinder 4.25d/12- 0.00 0.00 0.00 0.00 XXX 0
2d.
V2108... ................... X Spherocylinder 4.25d/ 0.00 0.00 0.00 0.00 XXX 0
2.12-4d.
V2109... ................... X Spherocylinder 4.25d/ 0.00 0.00 0.00 0.00 XXX 0
4.25-6d.
V2110... ................... X Spherocylinder 4.25d/ 0.00 0.00 0.00 0.00 XXX 0
over 6d.
V2111... ................... X Spherocylindr 7.25d/.25- 0.00 0.00 0.00 0.00 XXX 0
2.25.
V2112... ................... X Spherocylindr 7.25d/ 0.00 0.00 0.00 0.00 XXX 0
2.25-4d.
V2113... ................... X Spherocylindr 7.25d/ 0.00 0.00 0.00 0.00 XXX 0
4.25-6d.
V2114... ................... X Spherocylinder over 0.00 0.00 0.00 0.00 XXX 0
12.00d.
V2115... ................... X Lens lenticular bifocal 0.00 0.00 0.00 0.00 XXX 0
V2116... ................... X Nonaspheric lens 0.00 0.00 0.00 0.00 XXX 0
bifocal.
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 0.00 0.00 0.00 0.00 XXX 0
oth c.
V2200... ................... X Lens spher bifoc plano 0.00 0.00 0.00 0.00 XXX 0
4.00d.
V2201... ................... X Lens sphere bifocal 0.00 0.00 0.00 0.00 XXX 0
4.12-7.0.
V2202... ................... X Lens sphere bifocal 0.00 0.00 0.00 0.00 XXX 0
7.12-20..
V2203... ................... X Lens sphcyl bifocal 0.00 0.00 0.00 0.00 XXX 0
4.00d/.1.
V2204... ................... X Lens sphcy bifocal 0.00 0.00 0.00 0.00 XXX 0
4.00d/2.1.
V2205... ................... X Lens sphcy bifocal 0.00 0.00 0.00 0.00 XXX 0
4.00d/4.2.
V2206... ................... X Lens sphcy bifocal 0.00 0.00 0.00 0.00 XXX 0
4.00d/ove.
V2207... ................... X Lens sphcy bifocal 4.25- 0.00 0.00 0.00 0.00 XXX 0
7d/..
V2208... ................... X Lens sphcy bifocal 4.25- 0.00 0.00 0.00 0.00 XXX 0
7/2..
V2209... ................... X Lens sphcy bifocal 4.25- 0.00 0.00 0.00 0.00 XXX 0
7/4..
V2210... ................... X Lens sphcy bifocal 4.25- 0.00 0.00 0.00 0.00 XXX 0
7/ov.
V2211... ................... X Lens sphcy bifo 7.25-12/ 0.00 0.00 0.00 0.00 XXX 0
.25-.
V2212... ................... X Lens sphcyl bifo 7.25- 0.00 0.00 0.00 0.00 XXX 0
12/2.2.
V2213... ................... X Lens sphcyl bifo 7.25- 0.00 0.00 0.00 0.00 XXX 0
12/4.2.
V2214... ................... X Lens sphcyl bifocal 0.00 0.00 0.00 0.00 XXX 0
over 12..
V2215... ................... X Lens lenticular bifocal 0.00 0.00 0.00 0.00 XXX 0
V2216... ................... X Lens lenticular 0.00 0.00 0.00 0.00 XXX 0
nonaspheric.
V2217... ................... X Lens lenticular 0.00 0.00 0.00 0.00 XXX 0
aspheric bif.
V2218... ................... X Lens aniseikonic 0.00 0.00 0.00 0.00 XXX 0
bifocal.
V2219... ................... X Lens bifocal seg width 0.00 0.00 0.00 0.00 XXX 0
over.
V2220... ................... X Lens bifocal add over 0.00 0.00 0.00 0.00 XXX 0
3.25d.
V2299... ................... X Lens bifocal speciality 0.00 0.00 0.00 0.00 XXX 0
V2300... ................... X Lens sphere trifocal 0.00 0.00 0.00 0.00 XXX 0
4.00d.
V2301... ................... X Lens sphere trifocal 0.00 0.00 0.00 0.00 XXX 0
4.12-7..
V2302... ................... X Lens sphere trifocal 0.00 0.00 0.00 0.00 XXX 0
7.12-20.
V2303... ................... X Lens sphcy trifocal 4.0/ 0.00 0.00 0.00 0.00 XXX 0
.12-.
V2304... ................... X Lens sphcy trifocal 4.0/ 0.00 0.00 0.00 0.00 XXX 0
2.25.
V2305... ................... X Lens sphcy trifocal 4.0/ 0.00 0.00 0.00 0.00 XXX 0
4.25.
[[Page 59710]]
V2306... ................... X Lens sphcyl trifocal 0.00 0.00 0.00 0.00 XXX 0
4.00/>6.
V2307... ................... X Lens sphcy trifocal 0.00 0.00 0.00 0.00 XXX 0
4.25-7/..
V2308... ................... X Lens sphc trifocal 4.25- 0.00 0.00 0.00 0.00 XXX 0
7/2..
V2309... ................... X Lens sphc trifocal 4.25- 0.00 0.00 0.00 0.00 XXX 0
7/4..
V2310... ................... X Lens sphc trifocal 4.25- 0.00 0.00 0.00 0.00 XXX 0
7/>6.
V2311... ................... X Lens sphc trifo 7.25-12/ 0.00 0.00 0.00 0.00 XXX 0
.25-.
V2312... ................... X Lens sphc trifo 7.25-12/ 0.00 0.00 0.00 0.00 XXX 0
2.25.
V2313... ................... X Lens sphc trifo 7.25-12/ 0.00 0.00 0.00 0.00 XXX 0
4.25.
V2314... ................... X Lens sphcyl trifocal 0.00 0.00 0.00 0.00 XXX 0
over 12.
V2315... ................... X Lens lenticular 0.00 0.00 0.00 0.00 XXX 0
trifocal.
V2316... ................... X Lens lenticular 0.00 0.00 0.00 0.00 XXX 0
nonaspheric.
V2317... ................... X Lens lenticular 0.00 0.00 0.00 0.00 XXX 0
aspheric tri.
V2318... ................... X Lens aniseikonic 0.00 0.00 0.00 0.00 XXX 0
trifocal.
V2319... ................... X Lens trifocal seg width 0.00 0.00 0.00 0.00 XXX 0
> 28.
V2320... ................... X Lens trifocal add over 0.00 0.00 0.00 0.00 XXX 0
3.25d.
V2399... ................... X Lens trifocal 0.00 0.00 0.00 0.00 XXX 0
speciality.
V2410... ................... X Lens variab asphericity 0.00 0.00 0.00 0.00 XXX 0
sing.
V2430... ................... X Lens variable 0.00 0.00 0.00 0.00 XXX 0
asphericity bi.
V2499... ................... X Variable asphericity 0.00 0.00 0.00 0.00 XXX 0
lens.
V2500... ................... X Contact lens pmma 0.00 0.00 0.00 0.00 XXX 0
spherical.
V2501... ................... X Cntct lens pmma-toric/ 0.00 0.00 0.00 0.00 XXX 0
prism.
V2502... ................... X Contact lens pmma 0.00 0.00 0.00 0.00 XXX 0
bifocal.
V2503... ................... X Cntct lens pmma color 0.00 0.00 0.00 0.00 XXX 0
vision.
V2510... ................... X Cntct gas permeable 0.00 0.00 0.00 0.00 XXX 0
sphericl.
V2511... ................... X Cntct toric prism 0.00 0.00 0.00 0.00 XXX 0
ballast.
V2512... ................... X Cntct lens gas permbl 0.00 0.00 0.00 0.00 XXX 0
bifocl.
V2513... ................... X Contact lens extended 0.00 0.00 0.00 0.00 XXX 0
wear.
V2520... ................... P Contact lens 0.00 0.00 0.00 0.00 XXX 0
hydrophilic.
V2521... ................... X Cntct lens hydrophilic 0.00 0.00 0.00 0.00 XXX 0
toric.
V2522... ................... X Cntct lens hydrophil 0.00 0.00 0.00 0.00 XXX 0
bifocl.
V2523... ................... X Cntct lens hydrophil 0.00 0.00 0.00 0.00 XXX 0
extend.
V2530... ................... X Contact lens gas 0.00 0.00 0.00 0.00 XXX 0
impermeable.
V2531... ................... X Contact lens gas 0.00 0.00 0.00 0.00 XXX 0
permeable.
V2599... ................... X Contact lens/es other 0.00 0.00 0.00 0.00 XXX 0
type.
V2600... ................... X Hand held low vision 0.00 0.00 0.00 0.00 XXX 0
aids.
V2610... ................... X Single lens spectacle 0.00 0.00 0.00 0.00 XXX 0
mount.
V2615... ................... X Telescop/othr compound 0.00 0.00 0.00 0.00 XXX 0
lens.
V2623... ................... X Plastic eye prosth 0.00 0.00 0.00 0.00 XXX 0
custom.
V2624... ................... X Polishing artificial 0.00 0.00 0.00 0.00 XXX 0
eye.
V2625... ................... X Enlargemnt of eye 0.00 0.00 0.00 0.00 XXX 0
prosthesis.
V2626... ................... X Reduction of eye 0.00 0.00 0.00 0.00 XXX 0
prosthesis.
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 0.00 0.00 0.00 0.00 XXX 0
type.
V2630... ................... X Anter chamber intraocul 0.00 0.00 0.00 0.00 XXX 0
lens.
V2631... ................... X Iris support intraoclr 0.00 0.00 0.00 0.00 XXX 0
lens.
V2632... ................... X Post chmbr intraocular 0.00 0.00 0.00 0.00 XXX 0
lens.
V2700... ................... X Balance lens........... 0.00 0.00 0.00 0.00 XXX 0
V2710... ................... X Glass/plastic slab off 0.00 0.00 0.00 0.00 XXX 0
prism.
V2715... ................... X Prism lens/es.......... 0.00 0.00 0.00 0.00 XXX 0
V2718... ................... X Fresnell prism press-on 0.00 0.00 0.00 0.00 XXX 0
lens.
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 0.00 0.00 0.00 0.00 XXX 0
lens/es.
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 0.00 0.00 0.00 0.00 XXX 0
coating.
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 0.00 0.00 0.00 0.00 XXX 0
lens.
V2785... ................... X Corneal tissue 0.00 0.00 0.00 0.00 XXX 0
processing.
V2799... ................... X Miscellaneous vision 0.00 0.00 0.00 0.00 XXX 0
service.
V5008... ................... N Hearing screening...... 0.00 0.00 0.00 0.00 XXX 0
V5010... ................... N Assessment for hearing 0.00 0.00 0.00 0.00 XXX 0
aid.
[[Page 59711]]
V5011... ................... N Hearing aid fitting/ 0.00 0.00 0.00 0.00 XXX 0
checking.
V5014... ................... N Hearing aid repair/ 0.00 0.00 0.00 0.00 XXX 0
modifying.
V5020... ................... N Conformity evaluation.. 0.00 0.00 0.00 0.00 XXX 0
V5030... ................... N Body-worn hearing aid 0.00 0.00 0.00 0.00 XXX 0
air.
V5040... ................... N Body-worn hearing aid 0.00 0.00 0.00 0.00 XXX 0
bone.
V5050... ................... N Body-worn hearing aid 0.00 0.00 0.00 0.00 XXX 0
in ear.
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 0.00 0.00 0.00 0.00 XXX 0
fee.
V5100... ................... N Body-worn bilat hearing 0.00 0.00 0.00 0.00 XXX 0
aid.
V5110... ................... N Hearing aid dispensing 0.00 0.00 0.00 0.00 XXX 0
fee.
V5120... ................... N Body-worn binaur 0.00 0.00 0.00 0.00 XXX 0
hearing aid.
V5130... ................... N In ear binaural hearing 0.00 0.00 0.00 0.00 XXX 0
aid.
V5140... ................... N Behind ear binaur 0.00 0.00 0.00 0.00 XXX 0
hearing aid.
V5150... ................... N Glasses binaural 0.00 0.00 0.00 0.00 XXX 0
hearing aid.
V5160... ................... N Dispensing fee binaural 0.00 0.00 0.00 0.00 XXX 0
V5170... ................... N Within ear cros hearing 0.00 0.00 0.00 0.00 XXX 0
aid.
V5180... ................... N Behind ear cros hearing 0.00 0.00 0.00 0.00 XXX 0
aid.
V5190... ................... N Glasses cros hearing 0.00 0.00 0.00 0.00 XXX 0
aid.
V5200... ................... N Cros hearing aid 0.00 0.00 0.00 0.00 XXX 0
dispens fee.
V5210... ................... N In ear bicros hearing 0.00 0.00 0.00 0.00 XXX 0
aid.
V5220... ................... N Behind ear bicros 0.00 0.00 0.00 0.00 XXX 0
hearing aid.
V5230... ................... N Glasses bicros hearing 0.00 0.00 0.00 0.00 XXX 0
aid.
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 0.00 0.00 0.00 0.00 XXX 0
device.
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
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ All CPT codes and descriptors copyright 1996 American Medical Association.
\2\ Copyright 1994 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not used for Medicare payment.
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., January 21,
1997. Any revisions to the interim RVUs will be announced in a document
to be published in 1997 that provides our analysis of and responses to
public comments. These revisions will apply to services furnished
beginning January 1, 1998.
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 1997 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.
[[Page 59712]]
Addendum C.--Codes With Interim RVUs
--------------------------------------------------------------------------------------------------------------------------------------------------------
Physician Practice Mal-
CPT/ HCPCS \1\ MOD Proc status Short description work RVUs expense practice Total RVUs Global Update IND
\2\ RVUs RVUs period
--------------------------------------------------------------------------------------------------------------------------------------------------------
11010 ................ A Debride skin, fx... 4.15 3.96 0.65 8.76 010 S
11011 ................ A Debride skin/ 4.95 4.72 0.77 10.44 000 S
muscle, fx.
11012 ................ A Debride skin/muscle/ 6.88 6.56 1.07 14.51 000 S
bone, fx.
11720 ................ A Debride nail, 1-5.. 0.32 0.32 0.03 0.67 000 S
11721 ................ A Debride nail, 6 or 0.54 0.54 0.05 1.13 000 S
more.
11971 ................ A Remove tissue 1.51 2.30 0.82 4.63 090 S
expander(s).
13300 ................ A Repair of wound or 5.11 5.71 0.86 11.68 010 S
lesion.
14300 ................ A Skin tissue 10.76 11.31 1.84 23.91 090 S
rearrangement.
15000 ................ A Skin graft 1.95 2.49 0.53 4.97 ZZZ S
procedure.
15101 ................ A Skin split graft 1.72 1.59 0.33 3.64 ZZZ S
procedure.
15121 ................ A Skin split graft 2.67 2.91 0.53 6.11 ZZZ S
procedure.
15201 ................ A Skin full graft 1.32 1.68 0.50 3.50 ZZZ S
procedure.
15221 ................ A Skin full graft 1.19 1.59 0.50 3.28 ZZZ S
procedure.
15241 ................ A Skin full graft 1.86 2.38 0.58 4.82 ZZZ S
procedure.
15261 ................ A Skin full graft 2.23 2.85 0.60 5.68 ZZZ S
procedure.
15756 ................ A Free muscle flap, 33.23 30.09 5.33 68.65 090 S
microvasc.
15757 ................ A Free skin flap, 33.23 30.09 5.33 68.65 090 S
microvasc.
15758 ................ A Free fascial flap, 33.23 30.09 5.33 68.65 090 S
microvasc.
20150 ................ A Excise epiphyseal 13.00 12.40 2.03 27.43 090 S
bar.
20956 ................ A Iliac bone graft, 37.00 26.90 5.26 69.16 090 S
microvasc.
20957 ................ A Mt bone graft, 38.33 27.87 5.45 71.65 090 S
microvasc.
20962 ................ A Other bone graft, 37.00 26.90 5.26 69.16 090 S
microvasc.
20969 ................ A Bone/skin graft, 42.08 40.13 6.57 88.78 090 S
microvasc.
20970 ................ A Bone/skin graft, 41.22 39.31 6.44 86.97 090 S
iliac crest.
24149 ................ A Radical resection 13.25 12.64 2.07 27.96 090 S
of elbow.
24341 ................ A Repair tendon/ 7.33 6.99 1.14 15.46 090 S
muscle arm.
24342 ................ A Repair of ruptured 10.13 10.38 1.76 22.27 090 S
tendon.
25332 ................ A Revise wrist joint. 10.83 9.98 1.61 22.42 090 S
26040 ................ A Release palm 3.09 2.86 0.49 6.44 090 S
contracture.
26060 ................ A Incision of finger 2.71 1.13 0.17 4.01 090 S
tendon.
26070 ................ A Explore/treat hand 3.34 2.76 0.42 6.52 090 S
joint.
26121 ................ A Release palm 7.34 9.40 1.61 18.35 090 S
contracture.
26123 ................ A Release palm 8.64 9.10 1.53 19.27 090 S
contracture.
26125 ................ A Release palm 4.61 2.62 0.45 7.68 ZZZ S
contracture.
26185 ................ A Remove finger bone. 5.00 4.24 0.41 9.65 090 S
26540 ................ A Repair hand joint.. 6.03 6.64 1.12 13.79 090 S
26541 ................ A Repair hand joint 8.20 8.94 1.47 18.61 090 S
with graft.
26546 ................ A Repair non-union 8.50 8.11 1.33 17.94 090 S
hand.
26551 ................ A Great toe-hand 44.31 42.25 6.92 93.48 090 S
transfer.
26553 ................ A Single toe-hand 44.00 41.96 6.87 92.83 090 S
transfer.
26554 ................ A Double toe-hand 52.50 50.06 8.20 110.76 090 S
transfer.
26556 ................ A Toe joint transfer. 44.75 42.67 6.99 94.41 090 S
27036 ................ A Excision of hip 12.00 11.44 1.87 25.31 090 S
joint/muscle.
28114 ................ A Removal of 8.65 9.17 1.42 19.24 090 S
metatarsal heads.
31090 ................ A Exploration of 8.65 11.32 2.12 22.09 090 S
sinuses.
32491 ................ N Lung volume +21.25 15.45 3.02 39.72 XXX O
reduction.
33234 ................ A Removal of 7.50 2.84 0.23 10.57 090 S
pacemaker system.
33235 ................ A Removal pacemaker 8.74 3.14 0.33 12.21 090 N
electrode.
33970 ................ A Aortic circulation 6.75 7.54 1.00 15.29 000 S
assist.
33971 ................ A Aortic circulation 8.40 5.16 0.91 14.47 090 S
assist.
35556 ................ A Artery bypass graft 19.84 18.71 3.71 42.26 090 S
35566 ................ A Artery bypass graft 25.00 20.62 4.08 49.70 090 S
35571 ................ A Artery bypass graft 17.14 19.36 3.87 40.37 090 S
35583 ................ A Vein bypass graft.. 20.50 20.44 4.13 45.07 090 S
35585 ................ A Vein bypass graft.. 26.47 22.95 4.63 54.05 090 S
35587 ................ A Vein bypass graft.. 17.55 21.51 4.13 43.19 090 S
35656 ................ A Artery bypass graft 18.42 17.73 3.60 39.75 090 S
35666 ................ A Artery bypass graft 17.60 20.06 4.00 41.66 090 S
35671 ................ A Artery bypass graft 13.39 15.60 4.08 33.07 090 S
35681 ................ A Artery bypass graft 8.05 10.42 3.52 21.99 ZZZ S
35875 ................ A Removal of clot in 9.07 8.21 1.65 18.93 090 S
graft.
[[Page 59713]]
37250 ................ A Intravascular us... 1.51 1.14 0.13 2.78 ZZZ N
37251 ................ A Intravascular us... 1.15 0.87 0.10 2.12 ZZZ N
43496 ................ C Free jejunum flap, 0.00 0.00 0.00 0.00 090 S
microvasc.
46900 ................ A Destruction, anal 1.81 0.39 0.06 2.26 010 S
lesion(s).
49020 ................ A Drain abdominal 14.25 4.82 0.91 19.98 090 S
abscess.
49021 ................ A Drain abdominal 9.06 4.82 0.91 14.79 090 N
abscess.
49906 ................ C Free omental flap, 0.00 0.00 0.00 0.00 090 S
microvasc.
52300 ................ A Cystoscopy and 5.31 3.47 0.36 9.14 000 S
treatment.
52301 ................ A Cystoscopy and 5.51 3.47 0.36 9.34 000 S
treatment.
52340 ................ A Cystoscopy and 9.00 5.15 0.50 14.65 090 S
treatment.
54100 ................ A Biopsy of penis.... 1.90 0.65 0.07 2.62 000 S
56300 ................ A Pelvis laparoscopy, 3.65 4.45 0.93 9.03 000 S
dx.
56305 ................ A Pelvic laparoscopy; 3.97 4.90 0.79 9.66 000 S
biopsy.
56362 ................ A Laparoscopy w/ 4.89 2.77 0.19 7.85 000 S
cholangio.
56363 ................ A Laparoscopy w/ 5.18 3.93 0.45 9.56 000 S
biopsy.
56399 ................ C Laparoscopy 0.00 0.00 0.00 0.00 YYY S
procedure.
56805 ................ A Repair clitoris.... 18.00 11.75 1.37 31.12 090 S
57160 ................ A Insertion of 0.89 0.25 0.05 1.19 000 S
pessary/device.
57335 ................ A Repair vagina...... 18.00 6.91 0.81 25.72 090 S
59525 ................ A Remove uterus after 8.54 3.81 0.88 13.23 MMM S
cesarean.
59866 ................ A Abortion........... 4.00 2.86 0.66 7.52 000 S
61586 ................ A Resect nasopharynx, 23.60 21.38 2.32 47.30 090 S
skull.
61793 ................ A Focus radiation 16.70 21.35 1.96 40.01 090 S
beam.
67210 ................ A Treatment of 9.48 9.02 0.47 18.97 090 S
retinal lesion.
68801 ................ A Dilate tear duct 0.89 0.42 0.02 1.33 010 S
opening.
68810 ................ A Probe nasolacrimal 1.27 0.55 0.03 1.85 010 S
duct.
68811 ................ A Probe nasolacrimal 2.25 1.49 0.09 3.83 010 S
duct.
68815 ................ A Probe nasolacrimal 3.00 1.93 0.10 5.03 010 S
duct.
69801 ................ A Incise inner ear... 8.19 10.48 1.84 20.51 090 S
75554 26 A Cardiac MRI/ 1.83 0.72 0.11 2.66 XXX N
function.
75555 26 A Cardiac MRI/limited 1.74 0.72 0.11 2.57 XXX N
study.
75945 26 A Intravascular us... 0.29 0.22 0.03 0.54 XXX N
75946 26 A Intravascular us... 0.29 0.22 0.03 0.54 XXX N
77420 ................ A Weekly radiation 1.61 0.72 0.11 2.44 XXX N
therapy.
77425 ................ A Weekly radiation 2.44 1.10 0.17 3.71 XXX N
therapy.
77430 ................ A Weekly radiation 3.60 1.61 0.23 5.44 XXX N
therapy.
78445 26 A Vascular flow 0.49 0.24 0.04 0.77 XXX N
imaging.
78460 26 A Heart muscle blood 0.86 0.39 0.06 1.31 XXX N
single.
78461 26 A Heart muscle blood 1.23 0.54 0.08 1.85 XXX N
multiple.
78464 26 A Heart image (3D) 1.09 0.48 0.07 1.64 XXX N
single.
78465 26 A Heart image (3D) 1.46 0.65 0.10 2.21 XXX N
multiple.
78469 26 A Heart infarct image 0.92 0.41 0.06 1.39 XXX N
(3D).
78481 26 A Heart first pass 0.98 0.44 0.07 1.49 XXX N
single.
78483 26 A Heart first pass 1.47 0.65 0.10 2.22 XXX N
multiple.
90875 ................ A Psychophysiological 1.11 0.35 0.05 1.51 XXX N
therapy.
90876 ................ A Psychophysiological 1.73 0.54 0.08 2.35 XXX N
therapy.
90901 ................ A Biofeedback, any 0.41 0.29 0.02 0.72 000 N
method.
92240 26 A Icg angiography.... 1.10 0.59 0.03 1.72 XXX N
92548 26 A Posturography...... 0.50 0.45 0.05 1.00 XXX N
92978 26 A Intravascular us, 1.80 1.06 0.08 2.94 ZZZ N
heart.
92979 26 A Intravascular us, 1.44 0.85 0.06 2.35 ZZZ N
heart.
92995 ................ A Coronary 12.09 15.47 1.22 28.78 000 N
atherectomy.
93303 26 A Echo transthoracic. 1.30 1.00 0.09 2.39 XXX N
93304 26 A Echo transthoracic. 0.75 0.68 0.05 1.48 XXX N
93315 26 A Echo 2.78 1.35 0.12 4.25 XXX N
transesophageal.
93316 ................ A Echo 0.95 0.67 0.06 1.68 XXX N
transesophageal.
93317 26 A Echo 1.83 0.67 0.06 2.56 XXX N
transesophageal.
93619 26 A Electrophysiology 7.32 9.37 0.86 17.55 000 N
evaluation.
93620 26 A Electrophysiology 11.59 13.53 0.95 26.07 000 N
evaluation.
[[Page 59714]]
93621 26 A Electrophysiology 12.66 14.94 1.11 28.71 000 N
evaluation.
93975 26 A Vascular study..... 1.80 0.42 0.05 2.27 XXX N
93976 26 A Vascular study..... 1.21 0.28 0.03 1.52 XXX N
95921 26 A Autonomic nerve 0.45 0.32 0.02 0.79 XXX N
func test.
95922 26 A Autonomic nerve 0.48 0.34 0.03 0.85 XXX N
func test.
95923 26 A Autonomic nerve 0.45 0.32 0.02 0.79 XXX N
func test.
95950 26 A Ambulatory eeg 1.51 1.21 0.10 2.82 XXX N
monitoring.
95951 26 A EEG monitoring/ 6.00 1.50 0.11 7.61 XXX N
videorecord.
97504 ................ A Orthotic training.. 0.45 0.14 0.02 0.61 XXX N
97520 ................ A Prosthetic training 0.45 0.15 0.02 0.62 XXX N
98940 ................ A Chiropractic 0.45 0.29 0.01 0.75 000 N
manipulation.
98941 ................ A Chiropractic 0.65 0.29 0.01 0.95 000 N
manipulation.
98942 ................ A Chiropractic 0.87 0.29 0.01 1.17 000 N
manipulation.
98943 ................ N Chiropractic +0.40 0.29 0.01 0.70 XXX 0
manipulation.
G0051 ................ A Destroy benign/ 0.55 0.41 0.04 1.00 010 S
premal lesion.
G0052 ................ A Destruction of 0.18 0.13 0.01 0.32 ZZZ S
add'l lesions.
G0053 ................ A Destruction of 3.05 2.25 0.20 5.50 ZZZ S
add'l lesions.
G0062 26 A Peripheral bone 0.22 0.10 0.02 0.34 XXX N
densitometry.
G0063 26 A Central bone 0.30 0.12 0.02 0.44 XXX N
densitometry.
G0071 ................ A Psychotherapy, 1.11 0.35 0.05 1.51 XXX N
office, no E/M.
G0072 ................ A Psychotherapy, 1.47 0.35 0.05 1.87 XXX N
office, wth.
G0073 ................ A Psychotherapy, 1.73 0.54 0.08 2.35 XXX N
office, no E/M.
G0074 ................ A Psychotherapy, 2.00 0.54 0.08 2.62 XXX N
office, wth E/M.
G0075 ................ A Psychotherapy, 2.76 1.05 0.15 3.96 XXX N
office, no E/M.
G0076 ................ A Psychotherapy, 3.15 1.05 0.15 4.35 XXX N
office, wth E/M.
G0077 ................ A Psychotherapy, 1.19 0.59 0.09 1.87 XXX N
office, no E/M.
G0078 ................ A Psychotherapy, 1.58 0.59 0.09 2.26 XXX N
office, wth E/M.
G0079 ................ A Psychotherapy, 1.86 0.59 0.09 2.54 XXX N
office, no E/M.
G0080 ................ A Psychotherapy, 2.15 0.59 0.09 2.83 XXX N
office, wth E/M.
G0081 ................ A Psychotherapy, 2.97 0.59 0.09 3.65 XXX N
office, no E/M.
G0082 ................ A Psychotherapy, 3.39 0.59 0.09 4.07 XXX N
office, wth E/M.
G0083 ................ A Psychotherapy, 1.24 0.35 0.05 1.64 XXX N
inpt, no E/M.
G0084 ................ A Psychotherapy, 1.65 1.05 0.15 2.85 XXX N
inpt, with E/M.
G0085 ................ A Psychotherapy, 1.94 0.54 0.08 2.56 XXX N
inpt, no E/M.
G0086 ................ A Psychotherapy, 2.24 0.54 0.08 2.86 XXX N
inpt, with E/M.
G0087 ................ A Psychotherapy, 3.09 1.05 0.15 4.29 XXX N
inpt, no E/M.
G0088 ................ A Psychotherapy, 3.53 1.05 0.15 4.73 XXX N
inpt, with E/M.
G0089 ................ A Psychotherapy, 1.33 0.35 0.05 1.73 XXX N
inpt, no E/M.
G0090 ................ A Psychotherapy, 1.77 0.35 0.05 2.17 XXX N
inpt, with E/M.
G0091 ................ A Psychotherapy, 2.08 0.54 0.08 2.70 XXX N
inpt, no E/M.
G0092 ................ A Psychotherapy, 2.41 0.54 0.08 3.03 XXX N
inpt,with E/M.
[[Page 59715]]
G0093 ................ A Psychotherapy, 3.32 1.05 0.15 4.52 XXX N
inpt, no E/M.
G0094 ................ A Psychotherapy, 3.80 1.05 0.15 5.00 XXX N
inpt, with E/M.
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ All CPT codes and descriptors copyright 1996 American Medical Association.
+ Indicates RVUs are not used for Medicare payment.
Addendum D.--1997 Geographic Practice Cost Indices by Medicare Carrier and Locality
----------------------------------------------------------------------------------------------------------------
Carrier Locality Practice Mal-
number number Locality name Work expense practice
----------------------------------------------------------------------------------------------------------------
00510.. 00 Alabama....................................................... 0.980 0.871 0.927
01020.. 01 Alaska........................................................ 1.064 1.155 1.617
01030.. 00 Arizona....................................................... 0.996 0.955 1.321
00520.. 13 Arkansas...................................................... 0.954 0.853 0.427
00542.. 03 Marin/Napa/Solano, CA......................................... 1.015 1.180 0.596
00542.. 05 San Francisco, CA............................................. 1.068 1.330 0.596
00542.. 06 San Mateo, CA................................................. 1.049 1.300 0.596
00542.. 07 Oakland/Berkeley, CA.......................................... 1.042 1.215 0.596
00542.. 09 Santa Clara, CA............................................... 1.064 1.289 0.596
02050.. 17 Ventura, CA................................................... 1.028 1.192 0.686
02050.. 18 Los Angeles, CA............................................... 1.056 1.207 0.752
02050.. 26 Anaheim/Santa Ana, CA......................................... 1.037 1.205 0.752
02050.. 99 Rest of California............................................ 1.009 1.048 0.627
00542.. 99 Rest of California............................................ 1.009 1.048 0.627
00824.. 01 Colorado...................................................... 0.989 0.951 0.827
10230.. 00 Connecticut................................................... 1.050 1.194 1.001
00570.. 01 Delaware...................................................... 1.021 1.032 0.792
00580.. 01 DC & MD/VA Suburbs............................................ 1.051 1.192 0.980
00590.. 04 Miami, FL..................................................... 1.016 1.087 2.456
00590.. 03 Ft Lauderdale, FL............................................. 0.998 1.036 1.867
00590.. 99 Rest of Florida............................................... 0.977 0.944 1.417
01040.. 01 Atlanta, GA................................................... 1.007 1.030 0.902
01040.. 99 Rest of Georgia............................................... 0.971 0.891 0.902
01120.. 01 Hawaii........................................................ 0.999 1.220 0.921
05130.. 00 Idaho......................................................... 0.962 0.882 0.588
00621.. 16 Chicago, IL................................................... 1.028 1.080 1.382
00621.. 15 Suburban Chicago, IL.......................................... 1.007 1.093 1.159
00621.. 12 East St Louis, IL............................................. 0.988 0.929 1.202
00621.. 99 Rest of Illinois.............................................. 0.965 0.884 0.824
00630.. 00 Indiana....................................................... 0.982 0.917 0.356
00640.. 00 Iowa.......................................................... 0.960 0.877 0.679
00650.. 00 Kansas........................................................ 0.964 0.891 1.191
00660.. 00 Kentucky...................................................... 0.971 0.869 0.819
00528.. 01 New Orleans, LA............................................... 0.999 0.946 0.997
00528.. 99 Rest of Louisiana............................................. 0.969 0.870 0.912
21200.. 03 Southern Maine................................................ 0.980 1.034 0.759
21200.. 99 Rest of Maine................................................. 0.962 0.925 0.759
00901.. 01 Balto/Surr Ctys, MD........................................... 1.021 1.036 1.115
00901.. 99 Rest of Maryland.............................................. 0.984 0.953 0.862
00700.. 01 Boston, MA.................................................... 1.040 1.213 0.978
00700.. 99 Rest of Massachusetts......................................... 1.012 1.086 0.978
00623.. 01 Detroit, MI................................................... 1.043 1.038 3.051
00623.. 99 Rest of Michigan.............................................. 0.998 0.935 1.844
10240.. 00 Minnesota..................................................... 0.990 0.965 0.594
10250.. 00 Mississippi................................................... 0.958 0.845 0.726
11260.. 01 St Louis, MO.................................................. 0.994 0.944 1.207
00740.. 02 Metro Kansas City, MO......................................... 0.989 0.949 1.207
00740.. 99 Rest of Missouri.............................................. 0.947 0.835 1.159
11260.. 99 Rest of Missouri.............................................. 0.947 0.835 1.159
00751.. 01 Montana....................................................... 0.952 0.864 0.756
00655.. 00 Nebraska...................................................... 0.951 0.872 0.444
01290.. 00 Nevada........................................................ 1.007 1.029 0.887
00780.. 40 New Hampshire................................................. 0.988 1.034 0.916
00860.. 01 Northern New Jersey........................................... 1.059 1.215 0.762
00860.. 99 Rest of New Jersey............................................ 1.029 1.115 0.762
01360.. 05 New Mexico.................................................... 0.975 0.903 0.792
[[Page 59716]]
00803.. 01 Manhattan, NY................................................. 1.095 1.359 1.546
00803.. 02 NYC Suburbs/LI, NY............................................ 1.068 1.235 1.759
00803.. 03 Poughkeepsie/N NYC, NY........................................ 1.011 1.081 1.218
14330.. 04 Queens, NY.................................................... 1.058 1.240 1.686
00801.. 99 Rest of New York.............................................. 1.002 0.955 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.. 01 Portland, OR.................................................. 0.996 0.998 0.637
01380.. 99 Rest of Oregon................................................ 0.963 0.930 0.637
00865.. 01 Philadelphia, PA.............................................. 1.025 1.091 1.314
00865.. 99 Rest of Pennsylvania.......................................... 0.990 0.924 0.735
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.. 09 Brazoria, TX.................................................. 0.993 0.966 1.428
00900.. 11 Dallas, TX.................................................... 1.012 1.012 0.893
00900.. 15 Galveston, TX................................................. 0.989 0.966 1.428
00900.. 18 Houston, TX................................................... 1.021 1.005 1.428
00900.. 20 Beaumont, TX.................................................. 0.993 0.893 1.428
00900.. 28 Fort Worth, TX................................................ 0.989 0.972 0.893
00900.. 31 Austin, TX.................................................... 0.987 0.986 0.827
00900.. 99 Rest of Texas................................................. 0.967 0.879 0.839
00910.. 09 Utah.......................................................... 0.978 0.891 0.644
00780.. 50 Vermont....................................................... 0.974 0.988 0.452
10490.. 00 Virginia...................................................... 0.987 0.941 0.518
00973.. 50 Virgin Islands................................................ 0.966 0.978 1.023
01390.. 02 Seattle (King Co), WA......................................... 1.006 1.077 0.748
01390.. 99 Rest of Washington............................................ 0.983 0.961 0.748
16510.. 00 West Virginia................................................. 0.964 0.850 1.004
00951.. 00 Wisconsin..................................................... 0.982 0.926 1.160
00825.. 21 Wyoming....................................................... 0.968 0.881 0.811
----------------------------------------------------------------------------------------------------------------
Note: Work GPCI is the \1/4\ work GPCI required by Section 1848(e)(1)(A)(iii) of the Social Security Act.
[FR Doc. 96-29558 Filed 11-15-96; 11:51 am]
BILLING CODE 4120-01-P